Kagawa Kaoru, Yoshikawa Yuko, Koizumi Tomoe, Suzuki Nao
Faculty of Health and Well-Being, Kansai University, Suita, Japan.
Kishimoto Clinic, Higashiyama, Japan.
J Adolesc Young Adult Oncol. 2025 Apr;14(2):129-136. doi: 10.1089/jayao.2024.0016. Epub 2024 Sep 16.
Advances in medical technology are expected to increase the possibilities for pregnancy for women during and after cancer treatment. We aimed to clarify the psychological dimensions of cancer diagnosis for patients hoping for a pregnancy (their own or their spouse/partner's) during or post-treatment and identify ways to improve support for these survivors and their families. A systematic literature review was conducted in May 2023 using six electronic databases: PubMed, Web of Science, Cochrane Library, PsycINFO, Ichushi-Web, and CINAHL. The search targeted English and Japanese studies with English abstracts published between January 1, 2001, and May 10, 2023. Search terms related to cancer, pregnancy, and psychological aspects were included. The initial search identified 1328 potentially relevant studies after removing duplicates. Subsequently, two reviewers screened article titles and abstracts to exclude studies with no data, those unrelated to pregnancy, and so on, and identified 44 potentially relevant studies. Two reviewers then reviewed the full text of each study, and 20 articles finally met the inclusion criteria. Several studies indicated that trying to conceive negatively impacts survivors' finances, their relationships with their spouses/partners, and their mental health. Although many participants required fertility counseling, few received such opportunities. When cancer survivors try to conceive, they experience physical, psychological, and social burdens; moreover, many report a lack of access to fertility counseling or sufficient information about reproductive health care. Health care professionals should provide patients with updated and more accurate information on reproductive medicine and fertility counseling to enhance pregnancy support during the survivorship phase.
医学技术的进步有望增加癌症治疗期间及之后女性怀孕的可能性。我们旨在阐明癌症诊断对希望在治疗期间或治疗后怀孕（自己或其配偶/伴侣）的患者的心理影响，并确定改善对这些幸存者及其家人支持的方法。2023年5月，我们使用六个电子数据库进行了系统的文献综述：PubMed、科学网、考科蓝图书馆、心理学文摘数据库、医学中央杂志网络版和护理学与健康领域数据库。搜索目标是2001年1月1日至2023年5月10日期间发表的带有英文摘要的英文和日文研究。纳入了与癌症、怀孕和心理方面相关的搜索词。初步搜索在去除重复项后确定了1328项潜在相关研究。随后，两名评审员筛选了文章标题和摘要，以排除无数据的研究、与怀孕无关的研究等，并确定了44项潜在相关研究。然后，两名评审员对每项研究的全文进行了评审，最终有20篇文章符合纳入标准。几项研究表明，尝试怀孕会对幸存者的财务状况、他们与配偶/伴侣的关系以及心理健康产生负面影响。尽管许多参与者需要生育咨询，但很少有人获得这样的机会。当癌症幸存者尝试怀孕时，他们会经历身体、心理和社会负担；此外，许多人报告说难以获得生育咨询或关于生殖保健的充分信息。医疗保健专业人员应向患者提供有关生殖医学和生育咨询的最新、更准确信息，以加强幸存者阶段的怀孕支持。
