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Impact of Cancer on Romantic Relationships Among Young Adults: A Systematic Review

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Abstract

The aim of this review was to determine the impact of a cancer diagnosis and history on young adults’ ability to initiate and maintain romantic relationships. MedLine and PsycInfo databases were used to identify articles that address dating, romantic relationships, or marriage among 18- to 45-year-old cancer survivors. Twenty-one relevant articles were identified. Findings indicate that young adult cancer survivors struggle with when/how to disclose their cancer history to potential partners, are delayed in initiating their first romantic relationships, have fewer romantic relationships than peers, and are less likely than peers to marry. Young survivors report that their cancer experience impacts their long-term relationships in both positive and negative ways. In summary, young survivors face significant barriers to establishing and maintaining romantic relationships. Those who have difficulty establishing romantic relationships may benefit from receiving additional support from other sources, including family members, friends, and (in some cases) mental health professionals.

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References

  • Barnett, M. E., Shuk, E. M., Conway, F. P., & Ford, J. S. (2014). Cancer-related disclosure among adolescent and young adult cancer survivors: A qualitative study. Journal of Adolescent and Young Adult Oncology, 3, 123–129.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bellizzi, K. M., Smith, A., Schmidt, S., Keegan, T. H. M., Zebrack, B., Lynch, C. F., … Simon, M. (2012). Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer, 118, 5155–5162.

    Article  PubMed  Google Scholar 

  • Borstelmann, N. A., Rosenberg, S. M., Ruddy, K. J., Tamimi, R. M., Gelber, S., Schapira, L., … Partridge, A. H. (2015). Partner support and anxiety in young women with breast cancer. Psycho-Oncology, 24, 1679–1685.

    Article  PubMed  Google Scholar 

  • Brandao, T., Schulz, M. S., & Mena Matos, P. (2014). Psychological intervention with couples coping with break cancer: A systematic review. Psychology & Health, 29, 491–516.

    Article  Google Scholar 

  • Carpentier, M. Y., Fortenberry, J. D., Ott, M. A., Brames, M. J., & Einhorn, L. H. (2011). Perceptions of masculinity and self-image in adolescent and young adult testicular cancer survivors: Implications for romantic and sexual relationships. Psycho-Oncology, 20, 738–745.

    Article  PubMed  Google Scholar 

  • Dama, E., Maule, M. M., Mosso, M. L., Alessi, D., Ghisleni, M., Pivetta, E., … Merletti, F. (2009). Life after childhood cancer: Marriage and offspring in adult long-term survivors-a population-based study in the Piedmont region, Italy. European Journal of Cancer Prevention, 18, 25–430.

    Article  Google Scholar 

  • Dieluweit, U., Debatin, K., Grabow, D., Kaatsch, P., Peter, R., Seitz, D. C. M., & Goldbeck, L. (2010). Social outcomes of long-term survivors of adolescent cancer. Psycho-Oncology, 9, 1277–1284.

    Article  Google Scholar 

  • Frobisher, C., Lancashire, E. R., Winter, D. L., Jenkinson, H. C., Hawkins, M. M. & British Childhood Cancer Survivor Study (2007). Long-term population-based marriage rates among adult survivors of childhood cancer in Britain. International Journal of Cancer, 121, 846–855.

    Article  CAS  PubMed  Google Scholar 

  • Gerhardt, C. A., Vannatta, K., Valerius, K. S., Correll, J., & Noll, R. B. (2007). Social and romantic outcomes in emerging adulthood among survivors of childhood cancer. Journal of Adolescent Health, 40, 462e9–462e15.

    Article  Google Scholar 

  • Geue, K., Schmidt, R., Sender, A., Sauter, S., & Friedrich, M. (2015). Sexuality and romantic relationships in young adult cancer survivors: Satisfaction and supportive care needs. Psycho-Oncology, 24, 1368–1376.

    Article  PubMed  Google Scholar 

  • Ginter, A. C., & Braun, B. (2014). Female breast cancer patients’ need for social support: Implications for patients without partners and health care professionals. Journal of Women’s Health, Issues & Care, 3, 1–9.

    Google Scholar 

  • Green, D. M., Zevon, M. A., & Hall, B. (1991). Achievement of life goals by adult survivors of modern treatment for childhood cancer. Cancer, 67, 206–213.

    Article  CAS  PubMed  Google Scholar 

  • Gunnes, M. W., Lie, R. T., Bjorge, T., Ghaderi, S., Ruud, E., Syse, A., & Moster, D. (2016). Reproduction and marriage among male survivors of cancer in childhood, adolescence, and young adulthood: A national cohort study. British Journal of Cancer, 2016, 1–9.

    Google Scholar 

  • Ishida, Y., Honda, M., Kamibeppu, K., Ozono, S., Okamura, J., Asami, K., … Kakee, N. (2011). Social outcomes and quality of life of childhood cancer survivors in Japan: A cross-sectional study on marriage, education, employment and health-related QOL (SF-36). International Journal of Hematology, 93, 633–644.

    Article  PubMed  Google Scholar 

  • Janson, C., Leisenring, W., Cox, C., Termuhlen, A. M., Mertens, A. C., Whitton, J. A., … Kadan-Lottick, N. S. (2009). Predictors of marriage and divorce in adult survivors of childhood cancers: A report from the Childhood Cancer Survivor Study. Cancer Epidemiology Biomarkers & Prevention, 18, 2626–2635.

    Article  Google Scholar 

  • Johannsdottir, I. M. R., Hjermstad, M. J., Moum, T., Wesenberg, F., Hjorth, L., Schroder, H., & Loge, J. H. (2010). Social outcomes in young adult survivors of low incidence childhood cancers. Journal of Cancer Survivorship, 4, 110–118.

    Article  PubMed  Google Scholar 

  • Kinsinger, S. W., Laurenceau, J. P., Carver, C. S., & Antoni, M. H. (2011). Perceived partner support and psychosexual adjustment to breast cancer. Psychology and Health, 26, 1571–1588.

    Article  PubMed  Google Scholar 

  • Kirchhoff, A. C., Yi, J., Wright, J., Warner, E. L., & Smith, K. R. (2012). Marriage and divorce among young adult cancer survivors. Journal of Cancer Survivorship, 6, 441–450.

    Article  PubMed Central  PubMed  Google Scholar 

  • Koch, S. V., Tranberg, A. M., Engholm, G., Moller, H., Johansen, C., & Schmiegelow, K. (2011). Marriage and divorce among childhood cancer survivors. Journal of Pediatric Hematology and Oncology, 33, 500–505.

    Article  Google Scholar 

  • Kornblith, A. B., Powell, M., Regan, M. M., Bennett, S., Krasner, C., Moy, B., … Winer, E. (2007). Long-term psychosocial adjustment of older vs. younger survivors of breast and endometrial cancer. Psycho-Oncology, 16, 895–903.

    Article  PubMed  Google Scholar 

  • Kroenke, C. H., Rosner, B., Chen, W. Y., Kawachi, I., Colditz, G. A., & Holmes, M. D. (2004). Functional impact of breast cancer by age at diagnosis. Journal of Clinical Oncology, 22, 1849–1856.

    Article  PubMed  Google Scholar 

  • Lewis, P. E., Sheng, M., Rhodes, M. M., Jackson, K. E., & Schover, L. R. (2012). Psychosocial concerns of young African American breast cancer survivors. Journal of Psychosocial Oncology, 30, 168–184.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mackie, E., Hill, J., Kondryn, H., & McNally, R. (2000). Adult psychosocial outcomes in long-term survivors of acute lymphoblastic leukaemia and Wilms’ tumour: A controlled study. Lancet, 355, 1310–1314.

    Article  CAS  PubMed  Google Scholar 

  • Manne, S. L., Kissane, D., Zaider, T., Kashy, D., Lee, D., Heckman, C., & Virtue, S. M. (2015). Holding back, intimacy, and psychological and relationship outcomes among couples coping with prostate cancer. Journal of Family Psychology, 29, 708–719.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rabin, C., Rogers, M. L., Pinto, B. M., Nash, J. M., Frierson, G. M., & Trask, P. C. (2007). Effect of personal cancer history and family cancer history on levels of distress. Social Science & Medicine, 64, 411–416.

    Article  Google Scholar 

  • Reuben, S. H. (2004). Living beyond cancer: Finding a new balance. Presidents Cancer Panel 20032004 Annual Report. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute.

    Google Scholar 

  • Richter, D., Koehler, M., Friedrich, M., Hilgendorf, I., Mehnert, A. & Weißflog, G. (2015). Psychosocial interventions for adolescents and young adult cancer patients: A systematic review and meta-analysis. Critical Reviews in Oncology/Hematology, 95, 370–386.

    Article  PubMed  Google Scholar 

  • Rini, C., Redd, W. H., Austin, J., Mosher, C. E., Meschian, Y. M., Isola, L., & Rowley, S. (2011). Effectiveness of partner social support predicts enduring psychological distress after hematopoietic stem cell transplantation. Journal of Consulting and Clinical Psychology, 79, 64–74.

    Article  PubMed Central  PubMed  Google Scholar 

  • Robinson, L., Miedema, B., & Easley, J. K. E. (2014). Young adult cancer survivors and the challenges of intimacy. Journal of Psychosocial Oncology, 32, 447–452.

    Article  PubMed  Google Scholar 

  • Russell, A. M., Galvin, K. M., Harper, M. M., & Clayman, M. L. (2016). A comparison of heterosexual and LGBTQ cancer survivors’ outlooks on relationships, family building, possible infertility, and patient-doctor fertility risk communication. Journal of Cancer Survivorship, 10, 935–942.

    Article  Google Scholar 

  • Syse, A., Tretti, S., & Kravdal, O. (2008). Cancer’s impact on employment and earnings—a population-based study from Norway. Journal of Cancer Survivorship, 2, 149–158.

    Article  PubMed  Google Scholar 

  • Thompson, A. L., Long, K. A., & Marsland, A. L. (2013). Impact of childhood cancer on emerging adult survivors’ romantic relationships: A qualitative account. Journal of Sexual Medicine, 10, 65–73.

    Article  PubMed  Google Scholar 

  • Thompson, A. L., Marsland, A. L., Marshal, M. P., & Tersak, J. M. (2009). Romantic relationships of emerging adult survivors of childhood cancer. Psycho-Oncology, 18, 767–774.

    Article  PubMed  Google Scholar 

  • Wengenroth, L., Rueegg, C. S., Michel, G., Essig, S., Ammann, R. A., Bergstraesser, E., & Kuehni, C. E. (2014) Life partnerships in childhood cancer survivors, their siblings, and the general population. Pediatric Blood Cancers, 61, 538–545.

    Article  CAS  Google Scholar 

  • Yi, J., Kim, M. A., & Sang, J. (2016). Worries of childhood cancer survivors in young adulthood. European Journal of Oncology Nursing, 21, 113–119.

    Article  PubMed  Google Scholar 

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Correspondence to Carolyn Rabin.

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Carolyn Rabin declares that she has no conflict of interest.

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Rabin, C. Impact of Cancer on Romantic Relationships Among Young Adults: A Systematic Review. J Clin Psychol Med Settings 26, 1–12 (2019). https://doi.org/10.1007/s10880-018-9566-7

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  • DOI: https://doi.org/10.1007/s10880-018-9566-7

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