Edith Cowan University, Research Online, Perth, Western Australia
Abstract
The purpose of this paper is to provide a critical review regarding the psychological implications of breast cancer, with a particular focus on younger women. In general due to their life stage, it appears that younger women have more problems with psychological adjustment to breast cancer compared to their older counterparts. Specifically, younger women appear to be more psychologically vulnerable to greater disruption to their daily lives due to the untimely nature of a breast cancer diagnosis, and have greater unmet practical needs, such as childcare. Limitations of the research literature are explored with specific attention to sample characteristics. Suggestions for future research are discussed based on methodological and conceptual issues. It is indicated that long-term outcome studies are required to strengthen the knowledge already attained within this field. Breast cancer is the most common form of cancer diagnosed in females in Australia, and approximately 6% of women diagnosed with the disease are aged 40 or less. The experience of breast cancer in mothers of dependent children and the impact of breast cancer on mothers\u27 identities was the focus of this study. Eight women, with current or non-recurrent breast cancer, were interviewed using multiple case qualitative methodology from a feminist perspective as a theoretical framework. Six themes emerged from conducting the research and were centred on the participants\u27 identity as a mother: \u27breast cancer challenged my role as a mother\u27; \u27holding onto motherhood\u27; \u27mothering beyond the grave\u27; \u27I am a mother, not an object\u27; \u27help me to be a mother\u27 and; \u27I am a mother and I am still here\u27. The research found that the needs of mothers living with breast cancer, namely lack of instrumental and emotional support, are not being appropriately or adequately met. The study has implications for health care professionals regarding the psychological and social impact of breast cancer on mothers
