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

被引:23
作者
Bartolo, Ana [1 ]
Santos, Isabel M. [2 ]
Valerio, Elisabete [3 ]
Monteiro, Sara [1 ]
机构
[1] Univ Aveiro, Ctr Hlth Technol & Serv Res CINTESIS, Dept Educ & Psychol, Aveiro, Portugal
[2] Univ Aveiro, William James Ctr Res, Dept Educ & Psychol, Aveiro, Portugal
[3] Inst Portugues Oncol Francisco Gentil, Breast Clin, Porto, Portugal
关键词
parenthood; women; childless; distress; oncology; younger; FERTILITY CONCERNS; INFORMATION NEEDS; FEMALE; SURVIVORS; CHILDBEARING; MANAGEMENT; CONTRIBUTE;
D O I
10.1089/jayao.2019.0144
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Biological motherhood plays an important role in the lives of many young women facing breast cancer and threats to reproduction may be disruptive. In this study, we explored the indirect effects of the importance of parenthood and childlessness on depression and health-related quality of life (HRQoL) among cancer patients 18-40 years of age (n = 104) through reported reproductive concerns. These specific concerns fully mediated the relationship between the importance of parenthood in women's lives and HRQoL. Greater importance of parenthood was directly associated with higher depression symptoms. Interventions should address the reproductive needs and concerns of patients to improve their HRQoL.
引用
收藏
页码:431 / 435
页数:5
相关论文
共 27 条
[1]   Fertility concerns and preservation in younger women with breast cancer [J].
Anchan, Raymond Manohar ;
Ginsburg, Elizabeth Sarah .
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2010, 74 (03) :175-192
[2]  
[Anonymous], 2020, Global cancer observatory: cancer today
[3]   Desire for children, difficulties achieving a pregnancy, and infertility distress 3 to 7 years after cancer diagnosis [J].
Armuand, Gabriela M. ;
Wettergren, Lena ;
Rodriguez-Wallberg, Kenny A. ;
Lampic, Claudia .
SUPPORTIVE CARE IN CANCER, 2014, 22 (10) :2805-2812
[4]   Fertility information needs and concerns post-treatment contribute to lowered quality of life among young adult female cancer survivors [J].
Benedict, Catherine ;
Thom, Bridgette ;
Friedman, Danielle N. ;
Pottenger, Elaine ;
Raghunathan, Nirupa ;
Kelvin, Joanne F. .
SUPPORTIVE CARE IN CANCER, 2018, 26 (07) :2209-2215
[5]   Young adult female cancer survivors' unmet information needs and reproductive concerns contribute to decisional conflict regarding posttreatment fertility preservation [J].
Benedict, Catherine ;
Thom, Bridgette ;
Friedman, Danielle N. ;
Diotallevi, Debbie ;
Pottenger, Elaine M. ;
Raghunathan, Nirupa J. ;
Kelvin, Joanne F. .
CANCER, 2016, 122 (13) :2101-2109
[6]   The psychosocial impact of interrupted childbearing in long-term female cancer survivors [J].
Canada, Andrea L. ;
Schover, Leslie R. .
PSYCHO-ONCOLOGY, 2012, 21 (02) :134-143
[7]   Experiencing Reproductive Concerns as a Female Cancer Survivor Is Associated With Depression [J].
Gorman, Jessica R. ;
Su, H. Irene ;
Roberts, Samantha C. ;
Dominick, Sally A. ;
Malcarne, Vanessa L. .
CANCER, 2015, 121 (06) :935-942
[8]   A multidimensional scale to measure the reproductive concerns of young adult female cancer survivors [J].
Gorman, Jessica R. ;
Su, H. Irene ;
Pierce, John P. ;
Roberts, Samantha C. ;
Dominick, Sally A. ;
Malcarne, Vanessa L. .
JOURNAL OF CANCER SURVIVORSHIP, 2014, 8 (02) :218-228
[9]   Depressive symptoms among young breast cancer survivors: the importance of reproductive concerns [J].
Gorman, Jessica R. ;
Malcarne, Vanessa L. ;
Roesch, Scott C. ;
Madlensky, Lisa ;
Pierce, John P. .
BREAST CANCER RESEARCH AND TREATMENT, 2010, 123 (02) :477-485
[10]   Beyond Baron and Kenny: Statistical Mediation Analysis in the New Millennium [J].
Hayes, Andrew F. .
COMMUNICATION MONOGRAPHS, 2009, 76 (04) :408-420