title: Novel Psychological Intervention for Decision Support in Women Considering Fertility Preservation Before Cancer Treatment.
abstract: Decisions about fertility preservation in young adults with cancer are often made under conditions of high subjective stress and time pressure. In women, these decisions are further complicated by the invasiveness of fertility preservation procedures, concerns about health risks of these procedures, and financial barriers. This article describes the rationale for and development of a brief decision support and stress management intervention for women aged 18-40 who are considering fertility preservation before cancer treatment. Case examples from participants are provided to illustrate the potential applicability of the intervention to survivors in a variety of circumstances.
authors.affiliation: 1 Section of Gastroenterology, Department of Medicine, Baylor College of Medicine, Houston, Texas.
authors.forename: Andrea
authors.initials: A
authors.lastname: Bradford
authors.affiliation: 2 Department of Gynecologic Oncology and Reproductive Medicine, University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Terri L
authors.initials: TL
authors.lastname: Woodard
mesh_terms: D000293:Adolescent; D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology / Q000628:therapy; D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000628:therapy; D002755:Choice Behavior; D003661:Decision Support Techniques; D004644:Emotions; D005260:Female; D059247:Fertility Preservation / Q000523:psychology*; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000628:therapy; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy*; D055815:Young Adult
keywords: decision support; fertility preservation; psychological intervention; values clarification; women