'Will it affect our chances of having children?' and feeling 'like a ticking bomb' —the fertility concerns and fears of cancer progression and recurrence in cancer treatment decision-making among young women diagnosed with gynaecological or breast cancer
| Autor: | Gozde Ozakinci, Aleksandra Sobota |
|---|---|
| Přispěvatelé: | University of St Andrews. Centre for Higher Education Research, University of St Andrews. St Andrews Sustainability Institute, University of St Andrews. School of Medicine, University of St Andrews. Population and Behavioural Science Division, University of St Andrews. Health Psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Infertility
medicine.medical_specialty media_common.quotation_subject fear of cancer recurrence Fertility E-DAS Affect (psychology) Common-sense model RC0254 03 medical and health sciences 0302 clinical medicine Breast cancer breast cancer shared decision-making model Fear of cancer recurrence Shared decision-making model SDG 3 - Good Health and Well-being medicine Psychology 030212 general & internal medicine Fertility preservation treatment decision-making General Psychology media_common Original Research fertility Gynaecological cancer gynaecological cancer RC0254 Neoplasms. Tumors. Oncology (including Cancer) Cancer fear of cancer progression medicine.disease Treatment decision-making BF1-990 common-sense model Fear of cancer progression Feeling 030220 oncology & carcinogenesis Family medicine RG Gynecology and obstetrics Thematic analysis RG |
| Zdroj: | Frontiers in Psychology Frontiers in Psychology, Vol 12 (2021) |
| Popis: | Objective: Cancer treatment decision making process is particularly fraught with challenges for young women because the treatment can affect their reproductive potential. Among many factors affecting the process, fears of cancer progression and recurrence can also be important psychological factors. Our aim is to apply Common-Sense Model and shared decision-making model to explore experiences of treatment decision-making women of reproductive age who were diagnosed with gynaecological or breast cancer and the influence of fertility issues and fears of cancer progression and recurrence.Method: We conducted telephone interviews with 24 women who were diagnosed with gynaecological or breast cancer aged 18–45, who finished active treatment within 5 years prior to study enrolment and had no known evidence of cancer recurrence at the time of participation. They were recruited from three NHS oncology clinics in Scotland and online outlets of cancer charities and support organisations. We analysed the data using Braun and Clarke's thematic analysis method as it allows for both inductive and deductive analyses.Results: We identified five main themes pertaining to treatment-related decision-making experiences and fertility issues and fear of progression and recurrence: Becoming aware of infertility as a potential consequence of cancer treatment; Balancing-prioritising cancer and fertility; Decisions about treatments; Evaluation of treatment decisions; and The consequences of treatments. Sub-themes have also been reported. Different factors such as whether the cancer is breast or gynaecological, physicians' willingness of discussing fertility, influence of others in decision-making, childbearing and relationship status as well as fear of cancer recurrence emerged as important.Conclusion: The importance of physicians directly addressing fertility preservation in the process of treatment decision-making and not treating it as an “add-on” was evident. Satisfaction with treatment decisions depended on both the quality of the process of decision making and its outcome. Fear of recurrence was present in different parts of the adaptation process from illness perceptions to post-treatment evaluation of decisions. Both Common-Sense Model and shared decision-making model were helpful in understanding and explaining young women's experience of treatment decision-making and fertility concerns. |
| Databáze: | OpenAIRE |
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