“…In large part, literature has focused more on prevention, early detection strategies, and the time period between diagnosis and treatment rather than how needs change across the continuum. Although numerous research efforts have been taken to address the various medical and psychosocial needs of survivors at a given point in their cancer experience, little research has been conducted on the trajectory of support needs for women from time of diagnosis to survivorship and remission (Arnold, 1999;Cappiello, Cunningham, Knobf, & Erdos, 2007;Underwood, 2007). Studies have shown, as indicated by Mullan (1985), that the cancer experience is best conceptualized as "seasons of survival" (diagnosis and treatment as the acute stage, remission as the extended stage, and permanent and end-of-life stage) (Mullan, 1985).…”