Abstract
Purpose
Breast cancer survivors’ (BCSs’) sexual health (SH) clinical conversations are rarely studied from a dyadic perspective let alone from a triadic perspective. Using a triadic approach, we evaluated BCSs’ comfort discussing SH with partners present and identified factors that can contribute to their comfort level.
Design
Qualitative approach using in-depth interviews.
Participants
93 BCSs, partners, and providers involved in BCS care.
Methods
In-depth interviews with BCSs, partners, and providers explored triadic perspectives to understand factors informing BCSs’ comfort level. Thematic analysis was used to analyze data.
Findings
Four themes characterize potential benefits of partner presence: 1) partner facilitates information exchange, 2) partner realizes BCS’s SH concerns are “a real thing,” 3) partner better understands SH challenges, and 4) partner presence encourages relational communication about SH. Five themes illustrate potential complications of partner presence: 1) partner feels/becomes embarrassed, 2) partner is/becomes defensive, 3) partner presence constrains BCS’s agency in clinical conversations, 4) partner presence threatens partner’s view of BCS as a sexual being, and 5) partner presence increases partner burden.
Implications for Psychosocial Oncology
Providers should (1) initiate conversations about BCS comfort with partner presence, (2) be aware of the interaction between BCS primary and secondary goals, (3) consider how BCS/partner goal conflicts obstruct BCS agency and sexual/relational health, and (4) offer opportunities to clarify goals and expectations, and coordinate therapeutic options.
Disclosure statement
No potential conflict of interest was reported by the authors.
Disclaimer
Views expressed within this publication represent those of the authors and do not reflect the official position of the U.S. Air Force, the Uniformed Services University of the Health Sciences, or the U.S. Government, the Department of Defense at large.
Funding
The author(s) reported there is no funding associated with the work featured in this article.