Comparison of lesbian and heterosexual women's response to newly diagnosed breast cancer

In a study comparing lesbian and heterosexual women's response to newly diagnosed breast cancer, we compared data from 29 lesbians with 246 heterosexual women with breast cancer. Our hypotheses were that lesbian breast cancer patients would report higher scores of mood disturbance; suffer fewer problems with body image and sexual activity; show more expressiveness and cohesiveness and less conflict with their partners; would find social support from their partners and friends; and would have a poorer perception of the medical care system than heterosexual women. Our predictions regarding sexual orientation differences were supported for results regarding body image, social support, and medical care. There were no differences in mood, sexual activity or relational issues. Not predicted were differneces in coping, indicating areas of emotional strength and vulnerability among the lesbian sample. Copyright © 2001 John Wiley & Sons, Ltd. Copyright © 2000 John Wiley & Sons, Ltd.

[1]  D. Spiegel.  A 43-year-old woman coping with cancer. , 1999, JAMA.

[2]  S. Paul,et al.  Differences in Risk Factors for Breast Cancer: Lesbian and Heterosexual Women , 1998 .

[3]  S. Stewart,et al.  Intrusiveness of illness and quality of life in young women with breast cancer , 1998, Psycho-oncology.

[4]  P. Ganz,et al.  Life after breast cancer: understanding women's health-related quality of life and sexual functioning. , 1998, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[5]  C. Berkman,et al.  Homophobia and heterosexism in social workers. , 1997, Social work.

[6]  C. Classen,et al.  Coping styles associated with psychological adjustment to advanced breast cancer. , 1996, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[7]  E. J. Rankow.  Lesbian health issues for the primary care provider. , 1995, The Journal of family practice.

[8]  P. Stevens.  Lesbians' Health-Related Experiences of Care and Noncare , 1994, Western journal of nursing research.

[9]  M. Watson,et al.  The Mini-MAC: Further Development of the Mental Adjustment to Cancer Scale , 1994 .

[10]  J. Bradford,et al.  National Lesbian Health Care Survey: implications for mental health care. , 1994, Journal of consulting and clinical psychology.

[11]  C. Carver,et al.  How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. , 1993, Journal of personality and social psychology.

[12]  M. Diamond.  Homosexuality and bisexuality in different populations , 1993, Archives of sexual behavior.

[13]  A. LaCroix,et al.  Intercommunity variations in the association between social ties and mortality in the elderly. A comparative analysis of three communities. , 1993, Annals of epidemiology.

[14]  J. Bloom,et al.  Social support and cancer screening among older black Americans. , 1993, Journal of the National Cancer Institute.

[15]  J. Weinman,et al.  Measuring coping in breast cancer. , 1992, Journal of psychosomatic research.

[16]  N. Kass,et al.  Homosexual and bisexual men's perceptions of discrimination in health services. , 1992, American journal of public health.

[17]  D. Herzog,et al.  Body image satisfaction in homosexual and heterosexual women , 1992 .

[18]  P. Ganz,et al.  Exploring the influence of multiple variables on the relationship of age to quality of life in women with breast cancer. , 1992, Journal of clinical epidemiology.

[19]  H. S. Wilson,et al.  Personal Risking: Lesbian Self‐Disclosure of Sexual Orientation to Professional Health Care Providers , 1992, Nursing research.

[20]  M. Robertson.  Lesbians as an invisible minority in the health services arena. , 1992, Health care for women international.

[21]  S. E. Trippet,et al.  Reasons American lesbians fail to seek traditional health care. , 1992, Health care for women international.

[22]  L. Daltroy,et al.  A psychometric analysis of the Mental Adjustment to Cancer Scale , 1992, Psychological Medicine.

[23]  L. Schover,et al.  The impact of breast cancer on sexuality, body image, and intimate relationships , 1991, CA: a cancer journal for clinicians.

[24]  M. Watson,et al.  Relationships between emotional control, adjustment to cancer and depression and anxiety in breast cancer patients , 1991, Psychological Medicine.

[25]  M Baum,et al.  Psychological outcomes of different treatment policies in women with early breast cancer outside a clinical trial. , 1990, BMJ.

[26]  S. J. Gaskill,et al.  Custom fitted thermoplastic Minerva jackets in the treatment of cervical spine instability in preschool age children. , 1990, Pediatric neurosurgery.

[27]  S. Deevey.  Older lesbian women. An invisible minority. , 1990, Journal of gerontological nursing.

[28]  R. Heinrich,et al.  Development of a comprehensive quality of life measurement tool: CARES. , 1990, Oncology.

[29]  S. Kramer,et al.  Social Support and Cancer , 1989 .

[30]  K. Ell,et al.  A longitudinal analysis of psychological adaptation among. Survivors of cancer , 1989, Cancer.

[31]  S. Cochran,et al.  Disclosure of sexual preference to physicians by black lesbian and bisexual women. , 1988, The Western journal of medicine.

[32]  P. Stevens,et al.  Stigma, health beliefs and experiences with health care in lesbian women. , 1988, Image--the journal of nursing scholarship.

[33]  M. Watson,et al.  Development of a questionnaire measure of adjustment to cancer: the MAC scale , 1988, Psychological Medicine.

[34]  L. Berkman.  Social networks, support, and health: taking the next step forward. , 1986, American journal of epidemiology.

[35]  E. Smith,et al.  Health care attitudes and experiences during gynecologic care among lesbians and bisexuals. , 1985, American journal of public health.

[36]  J. Haybittle,et al.  MENTAL ATTITUDES TO CANCER: AN ADDITIONAL PROGNOSTIC FACTOR , 1985, The Lancet.

[37]  D. Spiegel,et al.  Pain in metastatic breast cancer , 1983, Cancer.

[38]  D. Spiegel,et al.  Family Environment as a Predictor of Adjustment to Metastatic Breast Carcinoma , 1983 .

[39]  D. Laube,et al.  Factors influencing lesbian gynecologic care: a preliminary study. , 1981, American journal of obstetrics and gynecology.

[40]  K. Grady,et al.  Openness between gay persons and health professionals. , 1980, Annals of internal medicine.

[41]  S. Greer,et al.  PSYCHOLOGICAL RESPONSE TO BREAST CANCER: EFFECT ON OUTCOME , 1979, The Lancet.

[42]  M. Horowitz,et al.  Impact of Event Scale: A Measure of Subjective Stress , 1979, Psychosomatic medicine.

[43]  R. Brian Haynes,et al.  Compliance in Health Care , 1979 .

[44]  L. Berkman,et al.  Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. , 1979, American journal of epidemiology.

[45]  H. T. John,et al.  HYDROCORTISONE IN SEVERE MYOCARDIAL INFARCTION. TRIAL CONDUCTED BY THE SCIENTIFIC SUBCOMMITTEE OF THE SCOTTISH SOCIETY OF PHYSICIANS. , 1964, Lancet.

[46]  H. Kelman,et al.  Comfort, effectiveness, and self-awareness as criteria of improvement in psychotherapy. , 1954, The American journal of psychiatry.

[47]  D. F. Hurlbert,et al.  Female sexuality: a comparative study between women in homosexual and heterosexual relationships. , 1993, Journal of sex & marital therapy.

[48]  L. Fallowfield,et al.  Psychosocial and sexual impact of diagnosis and treatment of breast cancer. , 1991, British medical bulletin.

[49]  M. Watson,et al.  Patients' adjustment to cancer: the Mental Adjustment to Cancer (MAC) scale vs clinical ratings. , 1989, Journal of psychosomatic research.

[50]  L. Berkman,et al.  Structural characteristics of social networks and their relationship with social support in the elderly: who provides support. , 1988, Social science & medicine.

[51]  J. Sophie,et al.  Internalized homophobia and lesbian identity. , 1987, Journal of homosexuality.

[52]  D. Bucquet,et al.  Socio-demographic variation in perceived illness and the use of primary care: the value of community survey data for primary care service planning. , 1986, Social science & medicine.

[53]  M. Watson,et al.  Development of a questionnaire measure of emotional control. , 1983, Journal of psychosomatic research.

[54]  J. Bloom.  Social support, accommodation to stress and adjustment to breast cancer. , 1982, Social science & medicine.

[55]  M. D. Pagelow.  Heterosexual and lesbian single mothers: a comparison of problems, coping, and solutions. , 1980, Journal of homosexuality.

[56]  P. Baker,et al.  Letter: Autoantibodies in patients with coeliac disease and dermatitis herpetiformis. , 1976, Lancet.