Intimate Partner Violence against Mastectomized Women: Victims’ Experiences
2. Materials and Methods
2.1. Ethical Approval
2.2. Study Design
2.3. Participants and Recruitment
2.4. Data Collection
2.5. Data Analysis
3.1. Experiences of Psychological Violence
[...] Sometimes inside the house he would say: there, you are taking treatment for nothing, you are really going to die [...] (I1).
[...] From the moment he (the husband) found out I had cancer, that I had breast surgery, he changed completely. He kept saying things to humiliate me, like, “Oh, you are not my wife, I have no wife like that, thin, bald, without both breasts” (pause for crying) [...] (I12).
[...] I was totally despised when I was “mutilated,” right. Mutilated in the breasts... The first time I took off my blouse near him, he said that if he had known that “they were going to” cut me like that, he would have done it himself. (pause)... sometimes I was changing my clothes and he called me a “cripple” [...] (I3).
[...] What struck me most in all this was the contempt. The worst thing he did was that. I pretended not to hear, but it hurt. It hurts. Sometimes, if it was a stranger, it wouldn’t hurt me so much [...] (I8).
3.2. Experiences of Physical Violence
[...] He pinched me and pushed me. I faced him and said that I am not afraid, I am not afraid of dying, I am not afraid of anything [...] (I1).
[...] There was a moment when he pulled the wig off my head and burned the wig [...] (I8).
[...] He came out of his room with a knife, when I went to get up, he came to punch me I got up and he came with the knife [...] (I12).
[...] I didn’t have the physical strength to fight with him. Then it got to the point where he beat me and the neighbors “got involved” and he “went” to jail, but when he got there, he paid bail and got out because to justice, a life is nothing, it’s nothing [...] (I12)
3.3. Experiences of Sexual Violence
[...] He came to “get me” and go up against me by force. He said either I gave in or he would not buy anything else for the house [...] (I1).
[...] I slept with my room locked, but three times he broke the door down and forced me to have sex. I did it for fear of him doing something worse than what he was already doing to me, understand? [...] (I12)
[...] I had sex out of fear [...] (I6).
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
- Siegel, R.L.; Miller, K.D.; Fuchs, H.E.; Jemal, A. Cancer statistics, 2022. CA Cancer J. Clin. 2022, 72, 7–33. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. Cancer Management. Geneva: WHO. 2021. Available online: https://www.who.int/cancer/en/ (accessed on 2 August 2022).
- Torre, L.A.; Siegel, R.L.; Ward, E.M.; Jemal, A. Global Cancer Incidence and Mortality Rates and Trends—An Update. Cancer Epidemiol. Biomark. Prev. 2016, 25, 16–27. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Sung, H.; Ferlay, J.; Siegel, R.L.; Laversanne, M.; Soerjomataram, I.; Jemal, A.; Bray, F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J. Clin. 2021, 71, 209–249. [Google Scholar] [CrossRef] [PubMed]
- Ferlay, J.; Colombet, M.; Soerjomataram, I.; Mathers, C.; Parkin, D.M.; Piñeros, M.; Znaor, A.; Bray, F. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int. J. Cancer 2019, 144, 1941–1953. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Brasil. Instituto Nacional de Câncer José Alencar Gomes da Silva. Coordenação de Prevenção e Vigilância. Estimativa 2020: Incidência de câncer no Brasil. 2019. Available online: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf (accessed on 1 April 2022).
- Lopes-Júnior, L.C.; Lima, R.A.G. Cancer care and interdisciplinary practice. Cad. Saude Publica 2019, 35, e00193218. [Google Scholar] [CrossRef][Green Version]
- Lopes Júnior, L.C. The era of precision medicine and its impact on nursing: Paradigm shifts? Rev. Bras. Enferm. 2021, 74, e740501. [Google Scholar] [CrossRef]
- Lopes-Júnior, L.C.; Olson, K.; de Omena Bomfim, E.; Pereira-da-Silva, G.; Nascimento, L.C.; de Lima, R.A. Translational research and symptom management in oncology nursing. Br. J. Nurs. 2016, 25, S12–S14. [Google Scholar] [CrossRef]
- Abrahão, C.A.; Bomfim, E.; Lopes-Júnior, L.C.; Pereira-da-Silva, G. Complementary therapies as a strategy to reduce stress and stimulate immunity of women with breast cancer. J. Evid. Based Integr. Med. 2019, 24, 2515690X19834169. [Google Scholar] [CrossRef][Green Version]
- Lopes-Júnior, L.C. Personalized Nursing Care in Precision-Medicine Era. SAGE Open Nurs. 2021, 7, 23779608211064713. [Google Scholar] [CrossRef]
- Amorim, M.H.C.; Lopes-Júnior, L.C. Psychoneuroimmunology and nursing research: Discovery, paradigm shifts, and methodological innovations. Acta Paul. Enferm. 2021, 34, e-EDT1. [Google Scholar]
- Oliveira, F.B.M.; Santana e Silva, F.; Prazeres, A.S.B. Impacto do câncer de mama e da mastectomia na sexualidade feminina. Rev. Enferm. UFPE on line 2017, 11, 2533–2540. [Google Scholar]
- Silva, L.C. Breast cancer and psychological suffering: Female-related aspects. Psicol. Estud. 2008, 13, 231–237. [Google Scholar] [CrossRef]
- Oliveski, C.C.; Girardon-Perlini, N.M.O.; Cogo, S.B.; Cordeiro, F.R.; Martins, F.C.; Paz, P.P. Experience of families facing cancer in palliative care. Text. Context. Enferm. 2021, 30, e20200669. [Google Scholar] [CrossRef]
- Vale, C.C.S.O.; Dias, I.C.; Miranda, K.M. Breast cancer: The impact of mastectomy on women’s psyche. Mental 2017, 11, 527–545. [Google Scholar]
- Ferreira, D.B.; Farago, P.M.; Reis, P.E.D.; Funghetto, S.S. Our life after breast cancer: Perceptions and repercussions from the perspective of the couple. Rev. Bras. Enferm 2011, 64, 536–544. [Google Scholar] [CrossRef][Green Version]
- Finck, C.; Barradas, S.; Zenger, M.; Hinz, A. Quality of life in breast cancer patients: Associations with optimism and social support. Int. J. Clin. Health Psychol. 2018, 18, 27–34. [Google Scholar] [CrossRef]
- Aygin, D.; Bozdemir, H. Exposure to violence in breast cancer patients: Systematic review. Breast Cancer 2019, 26, 29–38. [Google Scholar] [CrossRef]
- Nunes, N.L.C.; Vignuda, S.T.; Santos, O.I.C.; Moraes, J.R.M.M.; Aguiar, R.C.B.; Silva, L.F. Saturação teórica em pesquisa qualitativa: Relato de experiência na entrevista com escolares. Rev. Bras. Enferm. 2018, 71, 228–233. [Google Scholar]
- Bardin, L. Análise de Conteúdo; Edições: São Paulo, Brazil, 2016; Volume 70. [Google Scholar]
- Leite, F.M.C.; Amorim, M.H.C.; Wehrmeister, F.C.; Gigante, D.P. Violence against women, Espírito Santo, Brazil. Rev. de Saúde Pública 2017, 33, 511–512. [Google Scholar] [CrossRef]
- Chacham, A.S.; Jayme, J.G. Violência de gênero, desigualdade social e sexualidade: As experiências de mulheres jovens em Belo Horizonte. Civ.-Rev. de Ciências Sociais 2016, 16, 1–19. [Google Scholar] [CrossRef][Green Version]
- Luvisaro, B.M.O.; Gradim, C.V.C. Violence against Women with Breast Neoplasms. J. Pharmacy Pharmacol. 2016, 4, 639–648. [Google Scholar]
- Moura, M.A.; Oliveira, P.R.F. A percepção das mulheres vítimas de lesão corporal dolosa. Esc. Anna. Nery 2000, 4, 257–267. [Google Scholar]
- Guimarães, M.C.; Pedroza, R.L.S. Violência contra a mulher: Problematizando definições teóricas, filosóficas e jurídicas. Psicol. Soc. 2015, 27, 256–266. [Google Scholar] [CrossRef]
- Brasil. Secretaria Especial de Politicas para as Mulheres. Enfrentando a Violência contra a Mulher; Secretaria Especial de Politicas para as Mulheres: Brasília, Brazil, 2005; 64p. [Google Scholar]
- Giordano, P.C.; Soto, D.; Manning, W.D.; Longmore, M.A. The characteristics of romantic relationships associated with teen dating violence. Soc. Sci. Res. 2010, 9, 863–874. [Google Scholar] [CrossRef] [PubMed][Green Version]
- Pazo, C.G.; Aguiar, A.C. Sentidos da violência conjugal: Análise do banco de dados de um serviço telefônico anônimo. Physis 2012, 22, 253–273. [Google Scholar] [CrossRef][Green Version]
- Coker, A.L.; Follingstad, D.; Garcia, L.S.; Williams, C.M.; Crawford, T.N.; Bush, H.M. Association of intimate partner violence and childhood sexual abuse with cancer-related well-being in women. J. Womens Health 2012, 21, 1180–1188. [Google Scholar] [CrossRef]
- Vieira, E.M.; Santos, D.B.; Santos, M.A.; Giami, A. Vivência da sexualidade após o câncer de mama: Estudo qualitativo com mulheres em reabilitação. Rev. Latino-Am. Enferm. 2014, 22, 408–414. [Google Scholar] [CrossRef][Green Version]
- Vaziri, S.H.; Lotfi Kashani, F. Sexuality after breast cancer: Need for guideline. Iran. J. Cancer Prev. 2012, 5, 10–15. [Google Scholar]
- Maleki, M.; Mardani, A.; Ghafourifard, M.; Vaismoradi, M. Changes and challenges in sexual life experienced by the husbands of women with breast cancer: A qualitative study. BMC Womens Health 2022, 22, 326. [Google Scholar] [CrossRef]
- Carroll, A.J.; Baron, S.R.; Carroll, R.A. Couple-based treatment for sexual problems following breast cancer: A review and synthesis of the literature. Support. Care Cancer 2016, 24, 3651–3659. [Google Scholar] [CrossRef]
- Santos, D.B.; Santos, M.A.; Vieira, E.M. Sexuality and breast cancer: A systematic literature review. Saúde Soc. 2014, 23, 1342–1355. [Google Scholar]
- Brajkovic, L.; Sladic, P.; Kopilaš, V. Sexual Quality of Life in Women with Breast Cancer. Health Psychol. Res. 2021, 9, 24512. [Google Scholar] [CrossRef]
- Ooi, P.S.; Draman, N.; Muhamad, R.; Yusoff, S.S.M.; Noor, N.M.; Haron, J.; Hadi, I.S.A. Sexual Dysfunction Among Women With Breast Cancer in the Northeastern Part of West Malaysia. Sex. Med. 2021, 9, 100351. [Google Scholar] [CrossRef]
- Dinapoli, L.; Colloca, G.; Di Capua, B.; Valentini, V. Psychological Aspects to Consider in Breast Cancer Diagnosis and Treatment. Curr. Oncol. Rep. 2021, 23, 38. [Google Scholar] [CrossRef]
- Lopes-Júnior, L.C. Cancer symptom clusters: From the lab bench to clinical practice. Rev. Bras. Enferm. 2022, 75, e2022v75n5inov. [Google Scholar]
- Lopes-Júnior, L.C.; Tuma, M.C.; Amorim, M.H.C. Psychoneuroimmunology and oncology nursing: A theoretical study. Rev. Esc. Enferm. USP 2021, 55, e20210159. [Google Scholar] [CrossRef]
- Hasse, M.; Vieira, E.M. How health professional assist women experiencing violence? A triangulated data analysis. Saúde Debate 2014, 38, 482–493. [Google Scholar]
|Family Income **||Time of Diagnosis (Years)|
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Leite, F.M.C.; Oliveira, A.G.; Barbosa, B.L.F.d.A.; Ambrosim, M.Z.; Vasconcellos, N.A.V.; Maciel, P.M.A.; Amorim, M.H.C.; Furieri, L.B.; Lopes-Júnior, L.C. Intimate Partner Violence against Mastectomized Women: Victims’ Experiences. Curr. Oncol. 2022, 29, 8556-8564. https://doi.org/10.3390/curroncol29110674
Leite FMC, Oliveira AG, Barbosa BLFdA, Ambrosim MZ, Vasconcellos NAV, Maciel PMA, Amorim MHC, Furieri LB, Lopes-Júnior LC. Intimate Partner Violence against Mastectomized Women: Victims’ Experiences. Current Oncology. 2022; 29(11):8556-8564. https://doi.org/10.3390/curroncol29110674Chicago/Turabian Style
Leite, Franciéle Marabotti Costa, Andreia Gomes Oliveira, Bruna Lígia Ferreira de Almeida Barbosa, Mariana Zoboli Ambrosim, Neiva Augusta Viegas Vasconcellos, Paulete Maria Ambrósio Maciel, Maria Helena Costa Amorim, Lorena Barros Furieri, and Luís Carlos Lopes-Júnior. 2022. "Intimate Partner Violence against Mastectomized Women: Victims’ Experiences" Current Oncology 29, no. 11: 8556-8564. https://doi.org/10.3390/curroncol29110674