Couples' QOL in Metastatic Breast Cancer

Inclusion Criteria:

* Patient is female
* Patient is at least 18 years old
* Patient has a diagnosis of metastatic (stage IV) breast cancer
* Patient has a partner or spouse who is at least 18 years old
* Patient lives with a romantic partner (same or opposite sex) for at least 6 months
* Patient scores 3 or above on Patient Care Monitor sexual concerns item (range: 0-10)

Exclusion Criteria:

* Patient or partner is not able to speak and read English
* Patient or partner has a hearing impairment
* Patient or partner medically unable to participate as judged by physician/in medical record or by self-report
* Patient and partner do not have reliable telephone access
* Patient has overt cognitive dysfunction or psychiatric disturbance such as suicidal ideation or severe mental illness, as observed or judged by the researcher, physician or referring source, or self-report
* Patient past or current history of any cancer other than non-melanoma skin cancer or breast cancer
* Patient is currently participating in couple/marital therapy
* Patient is currently pregnant