School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
BMJ Open. 2023 Mar 3;13(3):e063283. doi: 10.1136/bmjopen-2022-063283.
There is a global increase in the number of women diagnosed with cancer during their pregnancy and a nascent evidence base to guide their supportive care. The purposes of this study were to (1) map research on the psychosocial issues affecting women and their partners on diagnosis and treatment for cancer during pregnancy; (2) determine available supportive care or educational interventions; and (3) identify knowledge gaps for future research and development.
Scoping review.
Six databases were searched (Scopus, CINAHL, PsycINFO, Medline, Intermid, Maternal and Infant Health) to retrieve primary research (January 1995 to November 2021) investigating women and/or their partner's decision-making and their psychosocial outcomes during and after pregnancy.
Sociodemographic, gestational and disease characteristics of participants and psychosocial issues identified were extracted. Leventhal's self-regulatory model of illness provided a framework for mapping study findings enabling evidence synthesis and gap analysis.
Twelve studies were included, conducted in eight countries in six continents. Most women (70% of 217) were diagnosed with breast cancer during pregnancy. Reporting of sociodemographic, psychiatric, obstetric and oncological characteristics that are important in assessing psychosocial outcomes was inconsistent. None of the studies had a longitudinal design and no supportive care or educational interventions were identified. The gap analysis highlighted the lack of evidence about pathways to diagnosis, impact of late effects and how internal/social resources may affect outcomes.
Research has focused on women with gestational breast cancer. Little is known about those diagnosed with other cancers. We encourage future study designs to capture data on sociodemographic, obstetric, oncological and psychiatric characteristics and adopt a longitudinal approach to explore the longer term psychosocial impact on women and their families. Future research should include outcomes that are meaningful for women (and their partners) and draw on international collaboration to accelerate progress in this field.
在全球范围内，被诊断患有癌症的孕妇数量有所增加，目前已有初步的证据基础来指导她们的支持性护理。本研究的目的是：(1) 绘制关于影响孕妇及其伴侣在怀孕期间诊断和治疗癌症的心理社会问题的研究图谱；(2) 确定现有的支持性护理或教育干预措施；(3) 确定未来研究和发展的知识空白。
范围综述。
共检索了 6 个数据库（Scopus、CINAHL、PsycINFO、Medline、Intermid、孕产妇和婴儿健康），以获取调查女性及其伴侣在怀孕期间和怀孕后决策以及心理社会结果的原始研究（1995 年 1 月至 2021 年 11 月）。
提取参与者的社会人口统计学、妊娠和疾病特征以及确定的心理社会问题。莱文塔尔的疾病自我调节模型为绘制研究结果提供了一个框架，使证据综合和差距分析成为可能。
共纳入 12 项研究，在六大洲的 8 个国家进行。大多数女性（217 名女性中的 70%）在怀孕期间被诊断患有乳腺癌。关于在评估心理社会结果方面很重要的社会人口统计学、精神科、产科和肿瘤学特征的报告不一致。没有研究采用纵向设计，也没有确定支持性护理或教育干预措施。差距分析强调缺乏关于诊断途径、晚期影响以及内部/社会资源如何影响结果的证据。
研究集中在妊娠期乳腺癌的女性。对其他癌症的诊断知之甚少。我们鼓励未来的研究设计，以获取社会人口统计学、产科、肿瘤学和精神科特征的数据，并采用纵向方法来探索对女性及其家庭的长期心理社会影响。未来的研究应该包括对女性（及其伴侣）有意义的结果，并借鉴国际合作，加速这一领域的进展。
