“…However, a significant minority of survivors experience a range of ongoing difficulties including depression, anxiety, body image disturbance, social problems, cognitive impairment, sexual difficulties, menopausal symptoms, family dysfunction, fatigue, pain, lymphedema, arm problems, insurance and work problems [12,20,23,51,57,63]. Subgroups of survivors appear particularly vulnerable to specific difficulties [35,42]; for example, women who have received chemotherapy report greater sexual dysfunction [60].…”