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Parenthood-Related Experiences of Adult Childhood Cancer Survivors : A Systematic Review

Da Graça, Naomy
(2024)

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dagraça_27372100_2024.pdf
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dagraça_27372100_2024_errata.pdf
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Details

Supervisors
Roskam, Isabelle ; Mikolajczak, Moïra
Faculty
Faculté de psychologie, logopédie, sexologie et des sciences de la famille
Degree label
Master [120] en sciences psychologiques, à finalité spécialisée
Abstract
Similar to the majority of adults, adult childhood cancer survivors want to experience parenthood despite facing long-term cancer-related consequences. Hence, the present study aimed to systematically review the available evidence on childhood cancer survivor (CCS)’s parenthood-related experiences. Following PRISMA guidelines, one reviewer searched three databases (Embase, PsycInfo, PubMed) on March 20th, 2024. Included, English and pre-2013 articles were available in free full-text and studied adult CCS’s parenthood-related experiences in Western countries. Studies’ whose participants’ presented postdiagnosis time under five years were excluded. The CASP Study Checklist was partially used for the studies’ risk of bias assessment. A flow diagram illustrated the study selection process as 210 records were initially identified, yet four peer-reviewed studies were selected. After critical analysis, three themes emerged : survivors’ (a) desire to have children, (b) fertility-related experiences and (c) parental experiences. Beyond gender, being a parent and partnered was favourable to survivor’s desire to have children. Conversely, CCS’ lack of desire to have children was significantly linked to their medical history especially for CNS tumour survivors due to late effects of cancer treatment. CCS were more likely to benefit from fertility consultations and treatments as subfertility varied by age at diagnosis, cancer type and cancer treatment. The modest evidence on CCS’ parental experiences reports positive psychosocial outcomes. Further research should explore CCS’ experiences beyond fertility issues and provide evidence-based guidelines for medical and psychological health care providers. The number of studies, their heterogeneity and the sole reviewer constituted study limitations.