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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