Cognitive Behavioral Therapy for Reproductive Concerns and Psychological Status in Reproductive-aged Breast Cancer...

Area of Science:

• Oncology
• Psychology
• Reproductive Health

Background:

• Reproductive-aged breast cancer survivors experience significant distress regarding fertility and psychological well-being.
• Existing interventions often lack specific focus on these dual concerns.

Purpose of the Study:

• To evaluate the effectiveness of a cognitive-behavioral therapy (CBT) intervention.
• To assess the impact of CBT on fertility concerns and psychological status in premenopausal breast cancer survivors.

Main Methods:

• A quasi-experimental pretest-posttest study involving 30 premenopausal breast cancer survivors desiring future pregnancy.
• A six-week group-based CBT program was administered.
• Fertility concerns (RCAC scale) and psychological status (DASS-21) were measured pre- and post-intervention.

Main Results:

• CBT significantly reduced concerns related to fertility potential, partner disclosure, child's health, personal health, and pregnancy.
• Acceptance of infertility concerns did not significantly change.
• Significant decreases were observed in depression, anxiety, and stress symptoms.

Conclusions:

• Structured CBT is an effective short-term strategy for improving fertility concerns and psychological well-being in breast cancer survivors.
• Findings support integrating CBT into survivorship care for reproductive and mental health challenges.
• Further research with control groups and long-term follow-up is recommended.