This in-depth, qualitative pilot study explored the impact of breast cancer
on specific dimensions of the relationships and roles of women, it include
d interaction within the partner relationship as well as with family friend
s, and colleagues. Data were obtained by individual and group interviews fr
om 10 women with a diagnosis of breast cancer and 5 male partners. Both par
tnered and single women participated. There were four major findings seldom
discussed in the literature, which have important implications for prevent
ive intervention. First, partner relationships troubled before the diagnosi
s as well as those characterized by mutual caring faced challenges and nega
tive changes. Second, in an effort to protect each other, communication wit
hin the partner dyad became less open, and there were changes in the usual
manner of conflict resolution. Third, unpartnered women appeared to be more
vulnerable to problems of negative adjustment, largely because of relation
ship issues. Fourth, participants confirmed the need for a comprehensive in
tervention to facilitate coping with issues relative to relationships, inti
macy, and sexuality Although the sample was small, in-depth data were obtai
ned that provide a basis for specific areas in which further empirical inve
stigation is needed, and they indicate that preventive intervention may wel
l be warranted.