Effects of self-disclosure and resilience on reproductive concern in patients of childbearing age with breast cancer: a cross-sectional survey study

• Published in: BMJ open Vol. 13; no. 2; p. e068126
• Main Authors: Zhu, Hong, Tao, Lin, Hu, Xiaoxia, Jiang, Xiaolian
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 07.02.2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Age; Breast cancer; Breast Neoplasms; breast tumours; Children & youth; Consent; Cross-Sectional Studies; Disclosure; Families & family life; Female; Females; Fertility; Humans; Infertility; Mental disorders; Mental health; Oncology; Patients; Quality of life; Reproduction; Resilience, Psychological; Sample size; Self Disclosure; social medicine; Stress; Surveys and Questionnaires; Variables; Womens health; China; social medicine; breast tumours; mental health
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2022-068126

ObjectivesTo assess reproductive concerns in patients of childbearing age with breast cancer and examine the relationship between self-disclosure, resilience and reproductive concerns.DesignCross-sectional survey.SettingFive tertiary first-class general hospitals in Sichuan Province, Southwest China.ParticipantsA total of 319 patients with breast cancer of reproductive age who were hospitalised in the breast oncology department participated in this study.Main outcome measuresPrimary outcomes were the relationship between resilience, self-disclosure and reproductive concerns, and mediating effect analyses. Secondary outcomes included the status of reproductive concerns.ResultsThe model accounted for 39.1% of the variance in reproductive concerns. Self-disclosure had a direct negative effect on reproductive concerns (β= −0.371, p=0.001). Resilience had a direct negative effect on reproductive concerns (β= −0.349, p=0.001) and a direct positive effect on self-disclosure (β=0.507, p=0.001). Furthermore, self-disclosure partially mediated the relation between resilience and reproductive concerns (β= −0.177; SE=0.041; 95% CI −0.261 to –0.104; p<0.050), with a bootstrap of 10 000 samples.ConclusionsThe findings suggest that self-disclosure and resilience may ease reproductive concern. Therefore, self-disclosure education and resilience-oriented interventions should be provided to patients of childbearing age with breast cancer, to reduce reproductive concerns.