Although marital status may be a significant variable in determining a
djustment to breast cancer, limited empirical research has addressed t
he unique challenges of single women with this illness. As part of a s
tudy examining decision making about pregnancy after breast cancer, 16
unmarried women participated in in-depth interviews. They described f
ive principal stressors associated with being an unmarried survivor of
breast cancer: pessimism regarding future relationships, fears about
disclosing their illness to partners, negative body image and impaired
sexuality, pain of rejection by partners, and a sense of isolation an
d inadequate support. These findings suggest that unmarried women with
breast cancer may be a vulnerable subpopulation of women with the dis
ease who may benefit from psychosocial interventions tailored to their
particular concerns.