Dyadic experience of uncertainty among couples following a gynecological cancer diagnosis

Uncertainty is common and distressing for both patients and partners, yet research has largely focused on patients' perspectives, with limited attention to couples facing gynecological cancer. This study aimed to characterize uncertainty experience among couples undergoing gynecological cancers using a focused qualitative descriptive design. Twelve interviews were conducted with four couples, including dyadic and individual sessions. Interviews were recorded, de-identified, transcribed, verified, and double-coded. Han's Taxonomy of Uncertainty guided analysis and interpretation. Participants described sources and issues of uncertainty such as recurrence risk, unclear treatment options, and future planning. Three themes were identified: the nuanced experience of shared and individual uncertainty, navigating the spectrum of uncertainty, and implications of uncertainty on family and work life. Findings highlight the wide range of the dyadic nature of uncertainty among couples face gynecological cancer. Resources and support are needed to address uncertainty in both patients and partners to reduce distress and promote adjustment.