Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/33570
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dc.contributor.authorSobota, Aleksandraen_UK
dc.contributor.authorOzakinci, Gozdeen_UK
dc.date.accessioned2021-11-06T01:02:39Z-
dc.date.available2021-11-06T01:02:39Z-
dc.date.issued2021en_UK
dc.identifier.other632162en_UK
dc.identifier.urihttp://hdl.handle.net/1893/33570-
dc.description.abstractObjective: 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.en_UK
dc.language.isoenen_UK
dc.publisherFrontiers Mediaen_UK
dc.relationSobota A & Ozakinci G (2021) "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. Frontiers in Psychology, 12, Art. No.: 632162. https://doi.org/10.3389/fpsyg.2021.632162en_UK
dc.rights© 2021 Sobota and Ozakinci. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY - https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectfear of cancer recurrenceen_UK
dc.subjectfear of cancer progressionen_UK
dc.subjectfertilityen_UK
dc.subjecttreatment decision-makingen_UK
dc.subjectcommon-sense modelen_UK
dc.subjectbreast canceren_UK
dc.subjectgynaecological canceren_UK
dc.subjectshared decision-making modelen_UK
dc.title"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 Canceren_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.3389/fpsyg.2021.632162en_UK
dc.identifier.pmid34149518en_UK
dc.citation.jtitleFrontiers in Psychologyen_UK
dc.citation.issn1664-1078en_UK
dc.citation.volume12en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderUniversity of St Andrewsen_UK
dc.citation.date02/06/2021en_UK
dc.contributor.affiliationUniversity of St Andrewsen_UK
dc.contributor.affiliationUniversity of St Andrewsen_UK
dc.identifier.isiWOS:00066183700000en_UK
dc.identifier.scopusid2-s2.0-85108102704en_UK
dc.identifier.wtid1768445en_UK
dc.contributor.orcid0000-0001-5869-3274en_UK
dc.date.accepted2021-04-27en_UK
dcterms.dateAccepted2021-04-27en_UK
dc.date.filedepositdate2021-11-05en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorSobota, Aleksandra|en_UK
local.rioxx.authorOzakinci, Gozde|0000-0001-5869-3274en_UK
local.rioxx.projectProject ID unknown|University of St Andrews|http://dx.doi.org/10.13039/501100000740en_UK
local.rioxx.freetoreaddate2021-11-05en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2021-11-05|en_UK
local.rioxx.filenamefpsyg-12-632162.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1664-1078en_UK
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