title: Couples who get closer after breast cancer: frequency and predictors in a prospective investigation.
abstract: OBJECTIVE
  Although some couples report an improved relationship since coping with breast cancer together, little quantitative information exists about this phenomenon. We assessed extent to which both couple members report that breast cancer brought them closer and characteristics that predicted this.
  
  
  METHODS
  This prospective study was based on all women with newly diagnosed nonmetastatic disease first treated during recruitment in four Quebec hospitals, in addition to their spouses. Participation was 87% among eligible patients and 91% among spouses of participating patients. Both couple partners were interviewed individually about quality of life at 2 weeks and 3 and 12 months after treatment start. At 12 months, each was asked whether the disease had brought them closer, distanced them, or had no effect.
  
  
  RESULTS
  Overall, 42% of the 282 couples said breast cancer brought them closer, 6% had one or other partner reporting feeling distanced, and less than 1% of couples had both partners reporting feeling distanced. Characteristics assessed explained 31% of variance in the proportion of couples getting closer (P < .0001). After taking into account partners' prediagnosis characteristics and the woman's treatment, the spouse reporting the patient as confidant (P = .003), getting advice from her in the first 2 weeks about coping with breast cancer (P = .03), accompanying her to surgery (P = .057), the patient's reporting more affection from her spouse at 3 months since diagnosis (P = .003) predicted both partners saying the disease brought them closer.
  
  
  CONCLUSIONS
  Breast cancer can be a growth experience for couples under certain conditions. This information may help reassure patients and their spouses confronting this disease.
authors.affiliation: Unité de recherche en santé des populations, Centre de recherche du Centre Hospitalier Affilé Universitaire de Quebec, QC, Canada.
authors.forename: Michel
authors.initials: M
authors.lastname: Dorval
authors.forename: Stéphane
authors.initials: S
authors.lastname: Guay
authors.forename: Myrto
authors.initials: M
authors.lastname: Mondor
authors.forename: Benoît
authors.initials: B
authors.lastname: Mâsse
authors.forename: Maurice
authors.initials: M
authors.lastname: Falardeau
authors.forename: André
authors.initials: A
authors.lastname: Robidoux
authors.forename: Luc
authors.initials: L
authors.lastname: Deschênes
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Maunsell
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008016:Life Change Events; D008297:Male; D008393:Marriage / Q000523:psychology*; D008875:Middle Aged; D016017:Odds Ratio; D011336:Probability; D011446:Prospective Studies; D011788:Quality of Life; D011792:Quebec; D018434:Sickness Impact Profile; D013315:Stress, Psychological; D011795:Surveys and Questionnaires