title: Managing psychosocial issues faced by young women with breast cancer at the time of diagnosis and during active treatment.
abstract: OBJECTIVE
  This review examines recent literature on the psychosocial needs of and interventions for young women. We focus on the active treatment period given the toxicity of treatment, the incidence of anxiety, and depressive symptoms in these women during treatment. This review summarizes research relevant to addressing their social and emotional concerns.
  
  
  RESULTS
  Young women undergoing treatment for breast cancer remain understudied despite unique needs. Psychoeducational interventions help to relieve symptoms and emotional distress during treatment, but effects do not appear to persist over the longer term. In the clinical context, the performance of prognostic-risk prediction models in this population is poor. Surgical decision-making is often driven by fear of recurrence and body image rather than prognosis, and decision aids may help young women to synthesize information to preserve their role in the treatment process.
  
  
  CONCLUSIONS
  First, shared decision-making, second, balancing body image, fear of recurrence, and recommended treatment, and third, palliative care for metastasis are essential research priorities for the clinical setting. In the larger social context, unique family/partner dynamics as well as financial and insurance concerns warrant particular attention in this population.
authors.affiliation: aWisconsin Surgical Outcomes Research Program, Department of Surgery, University of Wisconsin, Madison, Wisconsin bSchool of Public Health, University of California at Berkeley, Berkeley, California, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Fernandes-Taylor
authors.forename: Taiwo
authors.initials: T
authors.lastname: Adesoye
authors.forename: Joan R
authors.initials: JR
authors.lastname: Bloom
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology; D001828:Body Image; D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery*; D003142:Communication; D003657:Decision Making; D003863:Depression / Q000523:psychology; D005195:Family Relations; D005239:Fear; D005260:Female; D006801:Humans; D008408:Mastectomy / Q000523:psychology*; D009364:Neoplasm Recurrence, Local / Q000523:psychology; D010817:Physician-Patient Relations; D011788:Quality of Life; D018570:Risk Assessment; D013315:Stress, Psychological / Q000523:psychology