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Table 4 Maximum variation sampling

From: The use of purposeful sampling in a qualitative evidence synthesis: A worked example on sexual adjustment to a cancer trajectory

 

Walker ( 2011) + Hanly (2014)

Gilbert (2010) + Fergus (2002)

Juraskova (2003) + Hartman (2014)

struggling

Having a sense of loss

+

Anger, depression

Grieving about sexual changes

Altered body image

+

Identity struggle

Sexual changes as biographical disruption

Reduced vaginal lubrication

+

loss of libido

Sexual dysfunctions

Exacerbation of struggling

Avoiding communication about the sexual changes

+

Minimization of side effects

Denial as one of the grief stages

Sticking to a coital imperative

+

Flaunting sexual prowess despite erectile function

Following hegemonic discourses of sexuality

Receiving radiotherapy combined with external radiation and brachytherapy

+

unpredictability of the side-effects

Characteristics of the cancer treatment

Sexual adjustment

Accepting the decision to stop sexuality

+

Accepting sexual changes

Acceptance of sexual changes

Renegociating the practices of sexual intimacy

+

Redefinition of what sexuality means

Sexual rediscovery

Sexual adjustment and quality of life

+

Using Viagra leads to sex similar to before cancer

Sexual recovery

Line of arguments

= Sexual adjustment as a grieving process

= Sexual adjustment as a cognitive restructuring process

= Sexual adjustment as a rehabilitation process

  1. Note 1: The discursive parts are the concepts coming from the included papers as a result of maximum variation sampling
  2. Note 2: The bold parts are new findings resulting from maximum variation sampling