Reduced psychological well-being in women at risk of cancer-related infertility. Adjustment disorders
Conditions
Interventions
Intervention 1: Intervention group: The intervention group consists of 5 personalized counseling sessions conducted by a trained midwifery counseling student. The sessions are held both in person and
Sponsors
Babol University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Women aged 18 to 40 years Recently diagnosed with various types of cancer including breast cancer, Hodgkin’s lymphoma, leukemia, gastrointestinal cancer, non-Hodgkin’s lymphoma, ovarian cancer, endometrial cancer, and sarcomas Women who are about to start radiotherapy or chemotherapy No psychological disorders: as diagnosed by a clinical psychologist
Exclusion criteria
Exclusion criteria: Critical medical conditions or newly developed illnesses (unrelated to the study) that prevent participation Inability to understand the informed consent or lack of capacity to cooperate with study procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Psychological well-being score measured by the 18-item Ryff Psychological Well-being Scale. Timepoint: Before the intervention (baseline) and at the end of the fifth session (approximately five weeks after the start of the intervention). Method of measurement: Ryff Psychological Well-being Scale (18-item version), rated on a 6-point Likert scale from 1 (strongly disagree) to 6 (strongly agree), with a total score range from 18 to 108. | — |
Secondary
| Measure | Time frame |
|---|---|
| Emotional state of participants after the intervention. Timepoint: Before the intervention, and four weeks after the last counseling session. Method of measurement: Measured by the Positive and Negative Affect Schedule (PANAS), a 20-item self-report scale with two subscales assessing positive and negative affect. Each item is rated on a five-point Likert scale from 1 (very slightly or not at all) to 5 (extremely). The internal consistency (Cronbach's alpha) for the positive affect scale is 0.88 and for the negative affect scale is 0.87.;Level of decisional conflict regarding fertility preservation after the intervention. Timepoint: Before the intervention and four weeks after the last counseling session. Method of measurement: Assessed by the Decisional Conflict Scale–Low Literacy version, a 10-item self-report questionnaire measuring decisional uncertainty and contributing factors. The scoring yields a total score between 0 (no conflict) and 100 (extreme conflict), with higher scores indicating greater decisional conflict.;Fertility preservation referral rates after the intervention. Timepoint: From the first counseling session to four weeks after the last session. Method of measurement: Referral status will be recorded based on documentation and patient records from the infertility clinic. The number and percentage of participants referred to fertility preservation services will be calculated. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh Bakouei
Babol University of Medical Sciences
Outcome results
None listed