Fertility Issues in Adolescent and Young Adult Cancer Survivors

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Abstract

Many adolescent and young adult (AYA) cancer survivors place great importance on fertility. This study explored AYAs' discussions of fertility in the context of discussing their survivorship experiences.

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Most cited references 36

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The adolescent brain.

B J Casey, Sarah Getz, Adriana Galvan (2008)

Adolescence is a developmental period characterized by suboptimal decisions and actions that give rise to an increased incidence of unintentional injuries and violence, alcohol and drug abuse, unintended pregnancy and sexually transmitted diseases. Traditional neurobiological and cognitive explanations for adolescent behavior have failed to account for the nonlinear changes in behavior observed during adolescence, relative to childhood and adulthood. This review provides a biologically plausible conceptualization of the neural mechanisms underlying these nonlinear changes in behavior, as a heightened responsiveness to incentives while impulse control is still relatively immature during this period. Recent human imaging and animal studies provide a biological basis for this view, suggesting differential development of limbic reward systems relative to top-down control systems during adolescence relative to childhood and adulthood. This developmental pattern may be exacerbated in those adolescents with a predisposition toward risk-taking, increasing the risk for poor outcomes.

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Distress and restraint as superordinate dimensions of self-reported adjustment: a typological perspective.

Ariel D. Weinberger, Gregory G Schwartz (1990)

Individual differences in distress and restraint have recently been validated as two superordinate dimensions of social-emotional adjustment (Weinberger, 1989). In two samples (N1 = 139; N2 = 136) of university students, scores on these dimensions were jointly used to define six higher order personality styles: reactive, sensitized, oversocialized, undersocialized, self-assured, and repressive. To evaluate this typology, group differences were investigated on 28 measures within seven domains related to adjustment: self-expression, emotional control, proneness to personality disorders, physical illness, self-concept, neurotic symptoms, and impulse gratification. One-way multivariate analyses of variance revealed significant group differences within each domain. Univariate analyses revealed significant differences on 26 of the 28 measures and marginally significant differences on the remaining 2. A large number of nonadditive patterns consistent with a priori group descriptions corroborated the utility of a person-centered, typological approach. The data also provided an empirically derived, prototypic description of each adjustment style.

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Physician referral for fertility preservation in oncology patients: a national study of practice behaviors.

P. Jacobsen, T Albrecht, JOHNATHAN LANCASTER … (2009)

Cancer survival rates are improving, and the focus is moving toward quality survival. Fertility is a key aspect of quality of life for cancer patients of childbearing age. Although cancer treatment may impair fertility, some patients may benefit from referral to a specialist before treatment. However, the majority of studies examining patient recall of discussion and referral for fertility preservation (FP) show that less than half receive this information. This study examined the referral practices of oncologists in the United States. This study examined oncologists' referral practice patterns for FP among US physicians using the American Medical Association Physician Masterfile database. A 53-item survey was administered via mail and Internet to a stratified random sample of US physicians. Forty-seven percent of respondents routinely refer cancer patients of childbearing age to a reproductive endocrinologist. Referrals were more likely among female physicians (P = .004), those with favorable attitudes (P = .043), and those whose patients routinely ask about FP (odds ratio = 2.09; 95% CI, 1.31 to 3.33). Less than half of US physicians are following the guidelines from the American Society of Clinical Oncology, which suggest that all patients of childbearing age should be informed about FP.

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Author and article information

Journal

Title: Journal of Adolescent and Young Adult Oncology

Abbreviated Title: Journal of Adolescent and Young Adult Oncology

Publisher: Mary Ann Liebert Inc

ISSN (Print): 2156-5333

ISSN (Electronic): 2156-535X

Publication date Created: March 2016

Publication date (Print): March 2016

Volume: 5

Issue: 1

Pages: 48-57

Affiliations

[1 ]Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York.

Article

DOI: 10.1089/jayao.2015.0024

PMC ID: 4779291

PubMed ID: 26812452

SO-VID: c6cbf858-e062-48fb-aeba-a24e48dd94f5

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http://www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/

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Fertility Issues in Adolescent and Young Adult Cancer Survivors

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Abstract

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Most cited references 36

The adolescent brain.

Distress and restraint as superordinate dimensions of self-reported adjustment: a typological perspective.

Physician referral for fertility preservation in oncology patients: a national study of practice behaviors.

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