PURPOSE: The purpose of this article is to determine the existing evidence
related to marital breakdown after a breast cancer diagnosis by reviewing s
tudies that highlight two current belief models: the lay belief model and t
he clinical belief model,
OVERVIEW: The small number of studies conducted on this topic since 1988 re
vealed no data to confirm the lay belief model, which proposes that women w
ith breast cancer are abandoned by their partners. The evidence appears to
support the clinical belief model that the majority of marital relationship
s remain stable after breast cancer and that breakdown is most likely in th
ose relationships with pre-existing difficulties.
CLINICAL IMPLICATIONS: This review indicates that it may be important for c
linicians to routinely ask about the quality of the marital relationship as
part of the initial assessment, because it appears that this may be a main
predictor of post-diagnosis marital adjustment. In addition, greater disse
mination of the findings of this review through the media and through cance
r organizations is needed to more accurately reflect the experience of coup
les facing breast cancer and, thus, to begin to change the publication of p
artner desertion after breast cancer. This could help both women with breas
t cancer acid women from the general population who may one day confront a
breast cancer diagnosis.