TY - JOUR
T1 - Managing psychosocial issues faced by young women with breast cancer at the time of diagnosis and during active treatment
AU - Fernandes-Taylor, Sara
AU - Adesoye, Taiwo
AU - Bloom, Joan R.
N1 - Publisher Copyright:
© 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Purpose of review This review examines recent literature on the psychosocial needs of and interventions for young women. We focus on the active treatment period given the toxicity of treatment, the incidence of anxiety, and depressive symptoms in these women during treatment. This review summarizes research relevant to addressing their social and emotional concerns. Recent findings Young women undergoing treatment for breast cancer remain understudied despite unique needs. Psychoeducational interventions help to relieve symptoms and emotional distress during treatment, but effects do not appear to persist over the longer term. In the clinical context, the performance of prognosticrisk prediction models in this population is poor. Surgical decision-making is often driven by fear of recurrence and body image rather than prognosis, and decision aids may help young women to synthesize information to preserve their role in the treatment process. Summary First, shared decision-making, second, balancing body image, fear of recurrence, and recommended treatment, and third, palliative care for metastasis are essential research priorities for the clinical setting. In the larger social context, unique family/partner dynamics as well as financial and insurance concerns warrant particular attention in this population.
AB - Purpose of review This review examines recent literature on the psychosocial needs of and interventions for young women. We focus on the active treatment period given the toxicity of treatment, the incidence of anxiety, and depressive symptoms in these women during treatment. This review summarizes research relevant to addressing their social and emotional concerns. Recent findings Young women undergoing treatment for breast cancer remain understudied despite unique needs. Psychoeducational interventions help to relieve symptoms and emotional distress during treatment, but effects do not appear to persist over the longer term. In the clinical context, the performance of prognosticrisk prediction models in this population is poor. Surgical decision-making is often driven by fear of recurrence and body image rather than prognosis, and decision aids may help young women to synthesize information to preserve their role in the treatment process. Summary First, shared decision-making, second, balancing body image, fear of recurrence, and recommended treatment, and third, palliative care for metastasis are essential research priorities for the clinical setting. In the larger social context, unique family/partner dynamics as well as financial and insurance concerns warrant particular attention in this population.
KW - Breast cancer treatment
KW - Psychosocial
KW - Shared decision making
KW - Young women
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U2 - 10.1097/SPC.0000000000000161
DO - 10.1097/SPC.0000000000000161
M3 - Review article
C2 - 26164840
AN - SCOPUS:84942884299
SN - 1751-4258
VL - 9
SP - 279
EP - 284
JO - Current opinion in supportive and palliative care
JF - Current opinion in supportive and palliative care
IS - 3
ER -