Di Mattei Valentina Elisabetta, Perego Gaia, Taranto Paola, Rancoita Paola M V, Maglione Mariangela, Notarianni Lisa, Mangili Giorgia, Bergamini Alice, Cioffi Raffaella, Papaleo Enrico, Candiani Massimo
School of Psychology, Vita-Salute San Raffaele University, Milan, Italy.
Clinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Front Psychol. 2021 Dec 16;12:782073. doi: 10.3389/fpsyg.2021.782073. eCollection 2021.
Fertility loss due to cancer treatment can be a devastating experience for women and the couple. Undergoing fertility preservation can be a complex decision from both a medical and emotional point of view. The aim of the present study was to evaluate which socio-demographic and psychological factors predict a high motivation to undergo fertility preservation. Fifty-eight female cancer patients who accessed an Oncofertility Unit completed: a questionnaire to collect socio-demographic characteristics and the level of motivation, the Beck-Depression Inventory-II, the State-Trait Anxiety Inventory-Y, and the Fertility Problem Inventory. Almost half of the sample (44.8%) declared a high motivation. At multiple logistic regression analysis only the "Need for parenthood" subscale of the FPI predicted a high motivation. We alternatively evaluated as possible predictor the construct "Representations about the importance of parenthood" (i.e., the sum of the "Need for Parenthood" and "Rejection of childfree lifestyle" subscales) in place of the two separate subscales. At multiple logistic regression analysis, only this variable predicted a high motivation to undergo fertility preservation. The most important predictor of a high motivation to undergo fertility preservation is the individual desire for parenthood. This implies that, regardless of socio-demographic characteristics, any woman of childbearing age should receive an appropriate counseling about fertility preservation.
癌症治疗导致的生育能力丧失对女性及其伴侣来说可能是一段毁灭性的经历。从医学和情感角度来看，进行生育力保存都是一个复杂的决定。本研究的目的是评估哪些社会人口学和心理因素能预测进行生育力保存的高动机。58名前往生育力保存科的女性癌症患者完成了：一份收集社会人口学特征和动机水平的问卷、贝克抑郁量表第二版、状态-特质焦虑量表-Y和生育问题量表。几乎一半的样本（44.8%）表示有高动机。在多因素逻辑回归分析中，只有生育问题量表中的“为人父母的需求”子量表能预测高动机。我们另外评估了“关于为人父母重要性的认知”这一构念（即“为人父母的需求”和“拒绝无子女生活方式”子量表的总和）作为可能的预测因素，以替代这两个单独的子量表。在多因素逻辑回归分析中，只有这个变量能预测进行生育力保存的高动机。进行生育力保存高动机的最重要预测因素是个人为人父母的愿望。这意味着，无论社会人口学特征如何，任何育龄女性都应该接受关于生育力保存的适当咨询。
