• Sharareh Zeighami Mohammadi, Sima Mohammadkhan Kermanshahi, and Zohreh Vanaki.
• Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran, kerman_s@madares.ac.ir.
• Patient Prefer Adher. 2019 Jan 1; 13: 21-28.

BackgroundWomen with breast cancer (BC) are commonly confronted with others' pity. However, there is limited information about pity in Iranian women with BC. The aim of this study was to explore perceptions, reactions, coping strategies, and consequences of pity among Iranian women with BC.MethodsThis qualitative study was carried out from March 2016 till October 2017. A purposive sample of 36 women with BC was selected with maximum variation from three health care centers in Alborz Province, Iran. Data were collected using semistructured interviews and analyzed using a conventional content-analysis approach.ResultsOur findings indicated that Iranian women with BC experienced received pity and perceived unusual attention from others as due to certain reasons. Others' pity caused negative emotional reactions in them. They used self-protection strategies against others' pity. The consequences of self-protection against pity were normalizing the patient's flow of life and/or social isolation.ConclusionPity is a serious psychosocial challenge in Iranian women with BC, with negative effects on quality of life. Therefore, pity should be considered in counseling and psychosocial screening of patients.

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