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妊娠相关乳腺癌患者的情绪应激及其对儿童发育的影响研究:RESPECT研究

Research on the Emotional Stress of Pregnancy-Associated Breast Cancer Patients and Its Effects on Child developmenT: The RESPECT.

作者信息

Kim Ah Yoon, Kim Ju Yeon, Jeong Jae Ho, Ahn Soojin, Kim Seonok, Shin Yungil, Kim Hee Jeong, Kim Hyo-Won

机构信息

Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

J Breast Cancer. 2025 Aug;28(4):280-287. doi: 10.4048/jbc.2025.0050.

Abstract

PURPOSE

Breast cancer (BC) is the most common cancer occurring during pregnancy. With delayed childbirth, pregnancy-associated breast cancer (PABC) incidence is expected to increase. It can be challenging for mothers undergoing cancer treatment and coping with disease progression to focus on parenting. The child may be affected by the mother's ongoing treatment both prenatally and postnatally. This study aims to investigate the biopsychosocial development of children born to patients with PABC, the emotional stress of patients.

METHODS

This ambispective cohort study combines a retrospective analysis of previously collected data from January 2019 to December 2029 with the prospective recruitment and follow-up of new patients. Patients diagnosed with PABC within the past 5 years will be recruited from hospitals and patient associations. Recruitment and follow-up will occur from July 1, 2024, to December 31, 2029, with 80 participants targeted for both the subject and control groups.

DISCUSSION

This study aims to provide long-term insights into the biopsychological development of children born to PABC patients, as well as the emotional states and QoL. The findings are expected to optimize biopsychosocial development, enhance family well-being, and guide breast cancer patients in making informed pregnancy decisions.

TRIAL REGISTRATION

Clinical Research information Service Identifier: KCT0010225.

摘要

目的

乳腺癌(BC)是孕期最常见的癌症。随着分娩延迟,妊娠相关乳腺癌(PABC)的发病率预计会上升。对于正在接受癌症治疗并应对疾病进展的母亲来说,专注于育儿可能具有挑战性。孩子可能在产前和产后都受到母亲持续治疗的影响。本研究旨在调查PABC患者所生孩子的生物心理社会发展情况以及患者的情绪压力。

方法

这项双向队列研究将对2019年1月至2029年12月期间收集的既往数据进行回顾性分析,同时对新患者进行前瞻性招募和随访。过去5年内被诊断为PABC的患者将从医院和患者协会招募。招募和随访将于2024年7月1日至2029年12月31日进行,目标是受试者组和对照组各有80名参与者。

讨论

本研究旨在深入了解PABC患者所生孩子的生物心理发展情况,以及他们的情绪状态和生活质量。研究结果有望优化生物心理社会发展,增进家庭福祉,并指导乳腺癌患者做出明智的妊娠决策。

试验注册

临床研究信息服务标识符:KCT0010225。

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