title: Breast cancer in the context of intimate partner violence: a qualitative study.
abstract: OBJECTIVE
  To describe the experiences of women who were diagnosed with breast cancer while also encountering intimate partner violence (IPV). IPV was determined by scores on the Women's Experience With Battering Scale and the Abuse Assessment Screen.
  
  
  METHODS
  Qualitative interviews were conducted with a convenience sample of seven women. Data were analyzed with a hermeneutic phenomenologic approach.
  
  
  METHODS
  Community settings in central Virginia and Maryland.
  
  
  METHODS
  7 participants ranging in age from 37-63 years (X = 50 years); age at diagnosis ranged from 36-58 years (X = 46 years). All were in relationships with men, and relationship length ranged from 2-29 years (X = 12 years).
  
  
  METHODS
  Each participant had one semistructured qualitative interview.
  
  
  METHODS
  Experiences of women simultaneously experiencing breast cancer and IPV.
  
  
  RESULTS
  A number of themes emerged, including: (a) reassessing life, (b) believing that stress from the relationship caused the cancer, (c) valuing support from others, and (d) the significance of the breast.
  
  
  CONCLUSIONS
  For all of the participants, the breast cancer diagnosis changed their intimate relationships in some way. The cancer was an opportunity for the women to engage in life review, focus inward, and, in some cases, change the relationship status.
  
  
  CONCLUSIONS
  Increased awareness and screening for IPV are needed in oncology clinical settings. Women with cancer are members of a vulnerable population and use the diagnosis to reassess their intimate relationships.
authors.affiliation: School of Nursing, University of Virginia, Charlottesville, USA. ems4b@virginia.edu
authors.forename: Erika Metzler
authors.initials: EM
authors.lastname: Sawin
authors.forename: Kathryn
authors.initials: K
authors.lastname: Laughon
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Parker
authors.forename: Richard H
authors.initials: RH
authors.lastname: Steeves
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000451:nursing* / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D036301:Qualitative Research; D013179:Spouse Abuse / Q000523:psychology*; D018454:Spouses / Q000523:psychology*