Depression and Health-Related Quality of Life Among Young Adult Breast Cancer Patients: The Mediating Role of Reproductive Concerns

Bártolo, Ana; Santos, Isabel M.; Valério, Elisabete; Monteiro, Sara

doi:10.1089/jayao.2019.0144

Cited by 17 publications

(17 citation statements)

References 27 publications

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“…In this study, the reproductive concerns score of breast cancer patients of childbearing age was 47.63±9.10, which is in line with the result of Ba´rtolo et al.. [13] 36.1% of the participants reported a high level of reproductive concerns in ≥1…”

Section: Discussionmentioning

confidence: 99%

“…[10] Other researches also con rmed that reproductive concerns are associated with poorer psychosocial health outcomes and poorer quality of life in survivorship. [11][12][13] Assisted reproduction, as a fertility protection technology, has been gradually applied in the fertility care of cancer patients, and to some extent alleviated the concerns of patients. [11][12][13] However, it is not widely used in clinical practice, especially for women, due to the expensive cost, ethics, and some other issues.…”

Section: Introductionmentioning

confidence: 99%

“…[11][12][13] Assisted reproduction, as a fertility protection technology, has been gradually applied in the fertility care of cancer patients, and to some extent alleviated the concerns of patients. [11][12][13] However, it is not widely used in clinical practice, especially for women, due to the expensive cost, ethics, and some other issues. [15] It is reported that female cancer survivors experience reproductive concerns associated with unmet access to information and services related to their fertility.…”

Section: Introductionmentioning

confidence: 99%

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A correlational study of reproductive concerns with self-disclosure and mental resilience in breast cancer patients of childbearing age in China

Liu

et al. 2021

Preprint

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ObjectiveThe current study aimed to investigate the prevalence of reproductive concerns in breast cancer patients of Chinese women of childbearing age, to explore the effects of self-disclosure and mental resilience on reproductive concerns, and to explore the relationships among the three variables. MethodsCorrelation research design was used.274 women suffering from breast cancer with age (M=38.10, SD=6.44) were taken from two tertiary hospitals in Guangzhou. The participants were asked to fill out a set of self-reported questionnaires including the Sociodemographic data, Reproductive Concerns after Cancer scale (RCACs), the Distress Disclosure Index (DDI), and the 14-Item Resilience scale (RS-14). The mediation analysis was tested using SPSS (Process-plugin) and the bootstrap method. ResultsA total of 252 valid questionnaires were collected in this study. 36.1% of the patients scored highly in at least one dimension of reproductive concerns, with Child's health and Personal health being the top two concerns. Correlation analysis revealed that there was a significant positive relationship between self-disclosure and mental resilience. Self-disclosure and mental resilience had a negative relationship with reproductive concerns, respectively. The results of the mediation analysis showed that there was a mediational role of mental resilience between self-disclosure and reproductive concerns. ConclusionIt was concluded that breast cancer patients with high levels of self-disclosure, are more resilient and have fewer reproductive concerns.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A correlational study of reproductive concerns with self-disclosure and mental resilience in breast cancer patients of childbearing age in China

Liu

et al. 2021

Preprint

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“…Second, women are expected to have biological children because of the Chinese cultural belief in lineal descent from one's ancestors, which is deeply rooted among the Taiwanese people. The assignment of great importance to parenthood was directly associated with higher depression symptoms in reproductive-age women with breast cancer [16].…”

Section: Introductionmentioning

confidence: 97%

Developing a Web-Based Shared Decision-Making Tool for Fertility Preservation Among Reproductive-Age Women With Breast Cancer: An Action Research Approach

Tseng¹,

Lien²,

Huang³

et al. 2021

J Med Internet Res

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Background The pregnancy rate after cancer treatment for female survivors is lower than that of the general population. Future infertility is a significant concern for patients with breast cancer and is associated with a poor quality of life. Reproductive-age patients with breast cancer have safe options when choosing a type of fertility preservation method to be applied. Better information and support resources aimed at women to support their decision making are needed. Objective The objective of this study was to develop a web-based shared decision-making tool for helping patients with breast cancer make decisions on fertility preservation. Methods We used the action research cycle of observing, reflecting, planning, and acting to develop a web-based shared decision-making tool. The following four phrases were applied: (1) observe and reflect—collect and analyze the decision-making experiences of patients and health care providers; (2) reflect and plan—apply the initial results to create a paper design and modify the content; (3) plan and act—brainstorm about the web pages and modify the content; (4) act and observe—evaluate the effectiveness and refine the website’s shared decision-making tool. Interviews, group meetings, and constant dialogue were conducted between the various participants at each step. Effectiveness was evaluated using the Preparation for Decision-Making scale. Results Five major parts were developed with the use of the action research approach. The Introduction (part 1) describes the severity of cancer treatment and infertility. Options (part 2) provides the knowledge of fertility preservation. The shared decision-making tool was designed as a step-by-step process (part 3) that involves the comparison of options, patient values, and preferences; their knowledge regarding infertility and options; and reaching a collective decision. Resources (part 4) provides information on the hospitals that provide such services, and References (part 5) lists all the literature cited in the website. The results show the web-based shared decision-making meets both patients’ and health providers’ needs and helps reproductive-age patients with breast cancer make decisions about fertility preservation. Conclusions We have created the first web-based shared decision-making tool for making fertility preservation decisions in Taiwan. We believe female patients of reproductive age will find the tool useful and its use will become widespread, which should increase patient autonomy and improve communication about fertility preservation with clinicians. Trial Registration Clinicaltrials.gov NCT04602910; https://clinicaltrials.gov/ct2/show/NCT04602910

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“…For this reason, these cases deserve a differential and individualized approach before the start of any therapeutic decision, since they can have long-term consequences, such as infertility and psychological disorders, such as anxiety and depression. This approach should be continuously discussed throughout the medical follow-up, in a multidisciplinary way 4,8,9 .…”

Section: Introductionmentioning

confidence: 99%

Tumor biological profile of patients up to 50 years of age in a countryside city of São Paulo

et al. 2021

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Introduction: In Brazil, breast cancer screening is not performed in young women. However, although less frequent, the disease is generally more aggressive in this age group, with worse prognosis and refractoriness to treatment. Thus, the identification of specific subtypes by immunohistochemistry can help improve the effectiveness of treatments. Objectives: To evaluate the biological characteristics of breast tumors in patients under 50 years. Methods: This is an observational, longitudinal, retrospective study, based on data collected from medical records of the Hospital do Câncer de Franca, from January 2015 to February 2018. Results: The most frequent biological subtype was luminal B (42.5%), and the mean age of the women was 43.6 years. The most prevalent clinical staging was IIA (31%). Mastectomy with axillary drainage was the most used surgical treatment. A positive correlation was found between biological profiles and sociodemographic data, with a predominance of the luminal B subtype in women under 40 years and luminal A in those between 41 and 50 years. The mean tumor size was 4.2 cm, being larger in older and white patients. In multiparous women, the subtypes HER2 and luminal A and B stood out. Conclusion: Luminal B and luminal A biological profiles, as well as staging II and III, were the most prevalent. Mastectomy and axillary drainage were the most common surgical treatments. The employment of these procedures should be reviewed by the service in order to improve the quality of life of the patients treated, favoring the expansion of primary conservative surgeries or post-neoadjuvant chemotherapy.

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Depression and Health-Related Quality of Life Among Young Adult Breast Cancer Patients: The Mediating Role of Reproductive Concerns

Cited by 17 publications

References 27 publications

A correlational study of reproductive concerns with self-disclosure and mental resilience in breast cancer patients of childbearing age in China

A correlational study of reproductive concerns with self-disclosure and mental resilience in breast cancer patients of childbearing age in China

Developing a Web-Based Shared Decision-Making Tool for Fertility Preservation Among Reproductive-Age Women With Breast Cancer: An Action Research Approach

Tumor biological profile of patients up to 50 years of age in a countryside city of São Paulo

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