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Published in: Journal of Clinical Psychology in Medical Settings 1/2019

01-03-2019

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

Author: Carolyn Rabin

Published in: Journal of Clinical Psychology in Medical Settings | Issue 1/2019

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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.
Literature
go back to reference 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.CrossRefPubMedCentralPubMed 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.CrossRefPubMedCentralPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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. 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.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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. 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.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMedCentralPubMed 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.CrossRefPubMedCentralPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMedCentralPubMed 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.CrossRefPubMedCentralPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMedCentralPubMed 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.CrossRefPubMedCentralPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference Reuben, S. H. (2004). Living beyond cancer: Finding a new balance. President’s Cancer Panel 2003–2004 Annual Report. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. 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.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMedCentralPubMed 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.CrossRefPubMedCentralPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRef 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.CrossRef
go back to reference Yi, J., Kim, M. A., & Sang, J. (2016). Worries of childhood cancer survivors in young adulthood. European Journal of Oncology Nursing, 21, 113–119.CrossRefPubMed Yi, J., Kim, M. A., & Sang, J. (2016). Worries of childhood cancer survivors in young adulthood. European Journal of Oncology Nursing, 21, 113–119.CrossRefPubMed
Metadata
Title
Impact of Cancer on Romantic Relationships Among Young Adults: A Systematic Review
Author
Carolyn Rabin
Publication date
01-03-2019
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 1/2019
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-018-9566-7

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