Archives


Holding It All Together: Breast cancer and its impact on life for younger women

Elisabeth Coyne
Associate Lecturer, School of Nursing and Midwifery, Griffith University, Logan Campus, Meadowbrook QLD

Sally Borbasi
Practice Development, School of Nursing and Midwifery, Flinders University, SA

Abstract

While breast cancer is often associated with older women, in the year 2000, 25 % of new breast cancer diagnoses in Australia affected young women. An interpretive study using in-depth interviews provided valuable insight into the lived experiences of six young Queensland women living with breast cancer.

This paper presents data from the study with a particular focus on young women and the impact it has on their social situation and their family. The young women in this study found a diagnosis of breast cancer traumatic and their responses were heightened as they sought to understand why at such a young age. For the younger woman a diagnosis of breast cancer is likely to cause not only emotional distress but concerns relating to motherhood, family and fertility. In many respects younger women having greater responsibility for the well being of others in their family and in the provision of stability for everyday family life face a tough reality than older women with breast cancer. This study identified that a specialist breast care nurse is an important resource.

Keywords

young women, premenopausal, breast cancer, family, qualitative


Toggle references

References

AIHW (2005) Australian Institute of Health and Welfare. Accessed at http://www.aihw.gov.au/ on 15 February 2005.

Becker HS (2005) The epistemology of qualitative research. Accessed at http://home.earthlinl.net/~hsbecker/qa.html on 1 April 2005.

Bloom JR, Stewart SL, Chang S and Banks PJ (2004) Then and now: quality of life of young breast cancer survivors. Psycho-Oncology 13: 147-160.

Bloom JR, Stewart SL, Johnston M, Banks P and Fobair P (2001) Sources of support and the physical and mental well-being of young women with breast cancer. Social Science and Medicine 53(11): 1513-1524.

Carver CS, Smith RG, Antoni MH, Petronis VM, Weiss S and Derhagopian R (2005) Optimistic Personality and Psychosocial Well-Being During Treatment Predict Psychosocial Well-Being Among Long-Term Survivors of Breast Cancer. Health Psychology 24(5): 508-516.

Cohen MZ, Kahn DL and Steeves RH (1998) Beyond body image: The experience of breast cancer. Oncology Nursing Forum 25(5): 835-841.

Compas BE, Worsham NL, Epping-Jordan JE, Grant KE, Mireault G, Howell DC and Malcarne VL (1994) When Mom or Dad Has Cancer: Markers of Psychological Distress in Cancer Patients Spouses and Children. Health Psychology 13(6) 507-515.

Compas BE, Worsham NL, Ey S and Howell DC (1996) When Mom or Dad Has Cancer: II. Coping, Cognitive Appraisals, and Psychological Distress in Children of Cancer Patients. Health Psychology 15(3): 167-175.

Coyne E (2004) 'I have breast cancer, but it doesn't have me'. Unpublished Master of Nursing Honours, University of Southern Queensland, Toowoomba.

Davis Kirsch SE, Brandt PA and Lewis FM (2003) Making the most of the moment: When a child's mother has breast cancer. Cancer Nursing 26(1): 47-54.

Dunn J and Steginga SK (2000) Young women's experience of breast cancer: Defining young and identifying concerns. Psycho-Oncology 9: 137-146.

Emden C (1998) Theoretical perspectives on narrative inquiry. Collegian 5(2): 30-35.

Epping-Jordan JE, Compas BE, Osowiecki DM, Oppedisano G, Gerhardt C, Primo K and Krag DN (1999) Psychological Adjustment in Breast Cancer: Processes of Emotional Distress. Health Psychology 18(4) 315-326.

Glesne C (1999) Becoming Qualitative Researchers: An Introduction 2nd edn. Sydney: Addison Wesley Longman.

Graf MC and Geller PA (2003) Treating hot flashes in breast cancer survivors: A review of alternative treatments to hormone replacement therapy. Clinical Journal of Oncology Nursing 7(6): 637-640.

Henderson PD, Gore SV, Davis BL and Condon EH (2003) African American women coping with breast cancer: A qualitative analysis. Oncology Nursing Forum 30(4): 641-646.

Hoke LA (2000) Psychological adjustment in children of mothers with breast cancer. Psycho-Oncology 10: 361-369.

Holloway I and Wheeler S (2002) Qualitative research in nursing 2nd edn, Oxford: Blackwell Science.

Hutchinson SD, Steginga SK and Dunn J (2006) The tiered model of psychosocial intervention in cancer: a community based approach. Psycho-Oncology 15(6): 541-6.

Johnson P (2002) The use of humour and its influences on spirituality and coping in breast cancer survivors. Oncology Nursing Forum 29(4): 691-695.

Knobf TM (2001) The menopausal symptom experience in young mid-life women with breast cancer. Cancer Nursing 24(3): 201-210.

Lather PA (1991) Getting smart Feminist Research and Pedagogy With/in the Postmodern. New York: Routledge.

Liebert B, Parle M, White K and Rodger A (2001) Establishing an evidence base for the specialistic breast nurse: A model for Australian breast cancer care. Australian Health Review 24(1): 192-199.

Mellon S and Northouse L (2001) Family survivorship and quality of life following a cancer diagnosis. Research in Nursing and Health 24(6): 446-459.

National Breast Cancer Centre NBCC (2001a) Clinical practice guidelines management of early breast cancer. Canberra: National Breast Cancer Centre.

National Breast Cancer Centre NBCC (2001b) Psychosocial clinical practice guidelines. Canberra: National Health and Medical Research Council.

National Breast Cancer Centre NBCC (2003) An evidence-based specialist breast nurse role in practice a mulitcentre implementation study. Journal of Cancer Care 12: 91-97.

Northouse L (2005) Helping families of patients with cancer. Oncology Nursing Forum 32(4): 743-750.

Northouse L, Kershaw T, Mood D and Schafenacker A (2005) Effects of a family intervention on the quality of life of women with recurrent breast cancer and their family caregivers. Psycho-Oncology 14: 478-491.

Parle M, Gallagher J, Gray C, Aker G and Liebert B (2001) From evidence to practice: Factors affecting the specialist breast nurse's detection of psychological morbidity in women with breast cancer. Psycho-Oncology 10: 503-510.

Porter S (1998) Social theory and nursing practice. London: Macmillan press.

Raveis VH and Pretter S (2004) Existential plight of adult daughters following their mother's breast cancer diagnosis. Psycho-Oncology 14: 49-60.

Reinharz S (1992) Feminist interview research. Feminist Methods in Social research: 18-45.

Rogers-Clark C (2002) 'Resilient Survivors: Rural Women Who Have Lived Through Breast Cancer'. Unpublished Doctorate of Philosophy, University of Southern Queensland, Toowoomba.

Shands ME, Lewis FM and Hooper ZE (2000) Mother and child interactions about the mother's breast cancer: an interview study. Oncology Nursing Forum 26(1): 77-85.

Steginga S, Occhipinti S, Wilson K and Dunn J (1998) Domains of distress: The experience of breast cancer in Australia. Oncology Nursing Forum 25(6): 1063-1070.

Strauss AL and Corbin J (1990) Basics of Qualitative Research. Thousand Oaks: Sage.

Thewes B and White K (2005) Psychological aspects of sexuality and fertility after a diagnosis of breast cancer. Cancer Forum 30(1): 6-9.

Turner J, Kelly B, Swanson C, Allison R and Wetzig N (2005) Psychosocial impact of newly diagnosed advanced breast cancer. Psycho-Oncology 14: 396-407.

Walsh SR, Manuel JC and Avis NE (2005) The impact of breast cancer on younger women's relationship with their partner and children. Families, Systems, and Health 23(1): 80-93.

Wilkes L, White K and Beale B (2002) Life after breast cancer: Australian women's stories of support. Collegian 9(2): 22-25.



Web Feed

Latest Articles

Call for Papers

Advances in Contemporary Nurse Education
Volume 32/1-2
Deadline: 15th Dec 2008


Advances in Contemporary Nursing and Gender
Volume 33/2
Deadline: 25th Feb 2009


Advances in Contemporary Mental Health Nursing – Second Edition
Volume 34/1
Deadline: 2nd Mar 2009


Advances in Contemporary Modeling of Clinical Nursing Care
Volume 35/1
Deadline: 30th Apr 2009


Special Issues

Advances in Contemporary Modeling of Clinical Nursing Care
Summary


Advances in Contemporary Mental Health Nursing – Second Edition
Summary


Advances in Contemporary Nursing and Gender
Summary


Advances in Contemporary Nurse Education
Summary


Advances in Contemporary Nursing: History of Nursing and Midwifery in Australasia
Summary | Contents


Advances in Contemporary Transcultural Nursing (2nd edn)
Contents


Advances in Contemporary Palliative and Supportive Care
Contents


Advances in Contemporary Aged Care: Retirement to End of Life
Contents


Advances in Contemporary General Practice Nursing: Role of the Practice Nurse
Contents


Advances in Contemporary Nurse Recruitment and Retention
Summary | Contents


Advances in Contemporary Community and Family Health Care
Contents


Advances in Contemporary Indigenous Health Care
Contents


Advances in Contemporary Nursing & Interpersonal Violence
Contents


Advances in Contemporary Mental Health Nursing
Contents


Advances in Contemporary Child and Family Care
Contents


Advances in Contemporary Transcultural Nursing
Contents


Sponsored Links

Selected Articles

The scandalous neglect of mental health care ethics


Nursing, narrativity and research


Sex Roles Characteristics of Males in Nursing


Peace, Love and Equality


Practice Nursing in Australia


Nurses' Perception and Experiences of Advocacy


Website Design by Arrowsmith Websites Maleny Sunshine Coast