title: Sexual well-being among partnered women with breast cancer recurrence.
abstract: OBJECTIVE
  A woman's risk for sexual disruption after breast cancer recurrence has received little clinical or research attention.
  
  
  METHODS
  Breast cancer patients recently diagnosed with recurrence (n = 60) were initially assessed at baseline and completed follow-ups at 4, 8, and 12 months. They were compared by age, stage, and duration and frequency of follow-up with matched patients who remained disease free (n = 120). Using linear mixed modeling, the groups were compared in their trajectories of change on measures of sexuality, relationship satisfaction, cancer-specific stress, and physical functioning. Recurrence subgroups, those with locoregional versus distant disease and those younger versus older than 52 years, were also compared.
  
  
  RESULTS
  At baseline, the recurrence group had significantly lower intercourse frequency and physical functioning compared with the disease-free group and these differences were maintained. There were no significant differences in the frequencies of kissing or sexual and relationship satisfactions. For the recurrence group patients, the heightened stress of the diagnostic/early recurrence treatment period declined to the lower disease-free levels by 12 months. This effect was largely due to improvement of the patients with distant disease. Finally, sexual changes were most notable for younger patients.
  
  
  CONCLUSIONS
  To our knowledge, this is the first longitudinal, controlled study of sexuality-sexuality in the context of other quality of life domains-for women coping with recurrence. Despite disruption, patients maintained their sexual lives. Younger and distant recurrence patients, however, may have greatest risk of sexual disruption. The factors contributing to sexual disruption remain unknown, and studies investigating strategies to help patients maintain this aspect of quality of life are needed.
authors.affiliation: Department of Psychology, Division of Hematology/Oncology, College of Medicine, and the Comprehensive Cancer Center, Ohio State University, Columbus, OH, USA. Andersen.1@osu.edu
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Andersen
authors.forename: Kristen M
authors.initials: KM
authors.lastname: Carpenter
authors.forename: Hae-Chung
authors.initials: HC
authors.lastname: Yang
authors.forename: Charles L
authors.initials: CL
authors.lastname: Shapiro
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image; D001943:Breast Neoplasms / Q000473:pathology / Q000523:psychology* / Q000628:therapy; D016022:Case-Control Studies; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008393:Marriage; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000523:psychology*; D010549:Personal Satisfaction; D011336:Probability; D011379:Prognosis; D012016:Reference Values; D018570:Risk Assessment; D012725:Sexual Behavior / Q000502:physiology / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000453:epidemiology*; D018434:Sickness Impact Profile