Xiao Pan Pan, Ding Si Qing, Duan Ying Long, Luo Xiao Fei, Zhou Yi, Cheng Qin Qin, Liu Xiang Yu, Xie Jian Fei, Cheng Andy Sk
Department of Nursing, Third Xiangya Hospital, Central South University, Changsha, China.
Xiangya School of Nursing, Central South University, Changsha, China.
Front Psychol. 2022 Sep 27;13:987221. doi: 10.3389/fpsyg.2022.987221. eCollection 2022.
Cancer and its treatments affect patients' fertility potential. This study examined the prevalence of reproductive concerns and their relationship with metacognitions among Chinese young adult female cancer survivors (YAFCS).
A total of 318 YAFCS (aged 18-39) completed an online survey from March to December 2021. Participants reported sociodemographic characteristics, reproductive concerns and metacognitions. Reproductive concerns were measured using the Reproductive Concerns after Cancer scale (RCAC), and metacognitions were measured by the Short Form of Metacognitions Questionnaire (MCQ-30). We used Pearson correlation analysis to examine associations between metacognitions and reproductive concerns across multiple domains and multivariable linear regression to determine the influencing factors of reproductive concerns.
The mean score of reproductive concern among YAFCS was 49.97 ± 12.52. A total of 57.9% of participants reported a high level of concern regarding at least one dimension of reproductive concerns, and they were most concerned about their child's health and least concerned about partner disclosure of fertility status. We also found a moderate association between RCAC and MCQ-30 scores ( = 0.408, < 0.001). In multivariate analyses, metacognitions, especially negative metacognitive beliefs had an impact on reproductive concerns among YAFCS ( < 0.001).
Higher reproductive concerns were associated with higher metacognitions among YAFCS, especially with negative metacognitive beliefs. Oncology professionals should pay attention to assessing reproductive concerns in patients who want to have children or who have no children. Moreover, metacognitive beliefs may be an intervention target for alleviating reproductive concerns among YAFCS.
癌症及其治疗会影响患者的生育潜力。本研究调查了中国年轻成年女性癌症幸存者（YAFCS）中生殖方面担忧的发生率及其与元认知的关系。
2021年3月至12月，共有318名年龄在18 - 39岁的YAFCS完成了一项在线调查。参与者报告了社会人口学特征、生殖方面的担忧和元认知情况。生殖方面的担忧使用癌症后生殖担忧量表（RCAC）进行测量，元认知通过元认知问卷简表（MCQ - 30）进行测量。我们使用Pearson相关分析来检验多个领域中元认知与生殖方面担忧之间的关联，并使用多变量线性回归来确定生殖方面担忧的影响因素。
YAFCS中生殖方面担忧的平均得分为49.97±12.52。共有57.9%的参与者报告对至少一个生殖方面担忧维度存在高度担忧，他们最担心孩子的健康，最不担心伴侣对生育状况的知晓情况。我们还发现RCAC与MCQ - 30得分之间存在中度关联（= 0.408，< 0.001）。在多变量分析中，元认知，尤其是消极的元认知信念对YAFCS的生殖方面担忧有影响（< 0.001）。
YAFCS中较高的生殖方面担忧与较高的元认知相关，尤其是与消极的元认知信念相关。肿瘤学专业人员应注意评估有生育意愿或未育患者的生殖方面担忧。此外，元认知信念可能是减轻YAFCS生殖方面担忧的一个干预靶点。
