{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:31:55Z","timestamp":1760059915196,"version":"build-2065373602"},"reference-count":47,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background\/Objectives: Young female cancer survivors often face specific informational needs related to the physical and emotional effects of cancer and its impact on life plans, particularly fertility and parenthood. However, few tools are tailored to assess these needs during this critical life stage. This study aimed to (i) validate a multidimensional measure\u2014the Satisfaction with Information Provided to Young Oncology Patients Scale (SIPYF-CPS)\u2014to assess the specific informational needs of young adult female cancer survivors; and (ii) explore preferences regarding the provision of information and counseling. Methods: A total of 124 women (M[age] = 38.18; SD = 5.49; range 21\u201345), 76.6% diagnosed with breast cancer, participated in the study. Psychometric analyses included exploratory factor analysis and correlation coefficients to assess reliability and construct validity. Convergent validity was evaluated through standardized measures of anxiety, reproductive concerns, and quality of life. Results: A final 22-item measure demonstrated strong reliability and validity, capturing four factors: (i) Disease-Related Information, (ii) Symptoms and Functional Limitations, (iii) Implications for Fertility and Parenthood, and (iv) Support Services. Participants expressed low satisfaction with information on fertility preservation, sexual health, and support services. Lower satisfaction was moderately associated with higher anxiety and depression while positively related to quality of life. Most participants preferred phased, face-to-face communication throughout the illness trajectory. Conclusions: The SIPYF-CPS is a valid, multidimensional tool that captures the complex and evolving informational needs of young female cancer survivors. Its clinical use may promote earlier, personalized, and emotionally responsive communication\u2014supporting psychological well-being, informed decision-making, and long-term survivorship care.<\/jats:p>","DOI":"10.3390\/healthcare13141757","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T07:56:14Z","timestamp":1753084574000},"page":"1757","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mapping the Unmet Informational Needs of Young Portuguese Female Cancer Survivors: Psychometric Validation of a Multidimensional Scale"],"prefix":"10.3390","volume":"13","author":[{"given":"Luana","family":"Almeida","sequence":"first","affiliation":[{"name":"Department of Psychology and Education, Portucalense University, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0817-0157","authenticated-orcid":false,"given":"Ana","family":"B\u00e1rtolo","sequence":"additional","affiliation":[{"name":"Department of Psychology and Education, Portucalense University, 4200-072 Porto, Portugal"},{"name":"CINTESIS.UPT@RISE-Health, Portucalense University, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1389-3851","authenticated-orcid":false,"given":"Sara","family":"Monteiro","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Department of Social Sciences and Management, Open University, 1269-001 Lisboa, Portugal"},{"name":"Center for Global Studies, Open University, 1269-001 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9684-9265","authenticated-orcid":false,"given":"Isabel S.","family":"Silva","sequence":"additional","affiliation":[{"name":"INSIGHT: Piaget Research Center for Human and Ecological Development, Piaget Institute\u2014ISEIT\/Viseu, 3515-776 Viseu, Portugal"},{"name":"Centre for Functional Ecology\u2014Science for People & the Planet (CFE), TERRA Associated Laboratory, University of Coimbra, 3000-456 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3036-2670","authenticated-orcid":false,"given":"Ana","family":"Conde","sequence":"additional","affiliation":[{"name":"Department of Psychology and Education, Portucalense University, 4200-072 Porto, Portugal"},{"name":"CINTESIS.UPT@RISE-Health, Portucalense University, 4200-072 Porto, Portugal"}]},{"given":"Alexandra M.","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Psychology and Education, Portucalense University, 4200-072 Porto, Portugal"},{"name":"CINTESIS.UPT@RISE-Health, Portucalense University, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1403-1534","authenticated-orcid":false,"given":"Luiz","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"given":"Isabel M.","family":"Santos","sequence":"additional","affiliation":[{"name":"William James Center for Research, Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,20]]},"reference":[{"key":"ref_1","unstructured":"Ferlay, J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., Pi\u00f1eros, M., Znaor, A., Soerjomataram, I., and Bray, F. (2024). Global Cancer Observatory: Cancer Today, International Agency for Research on Cancer. Available online: https:\/\/gco.iarc.who.int\/today."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.breast.2017.07.017","article-title":"ESO-ESMO 3rd International Consensus Guidelines for Breast Cancer in Young Women (BCY3)","volume":"35","author":"Pagani","year":"2017","journal-title":"Breast"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1002\/pon.4502","article-title":"A Systematic Review of Patient Oncofertility Support Needs in Reproductive Cancer Patients Aged 14 to 45 Years of Age","volume":"27","author":"Logan","year":"2018","journal-title":"Psycho-Oncology"},{"key":"ref_4","first-page":"114","article-title":"Self-Image and Sexuality Issues Among Young Women with Breast Cancer: Practical Recommendations","volume":"69","author":"Hungr","year":"2017","journal-title":"Rev. Investig. Clin."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1758835918776923","DOI":"10.1177\/1758835918776923","article-title":"Should Age Impact Breast Cancer Management in Young Women? Fine Tuning of Treatment Guidelines","volume":"10","author":"Suter","year":"2018","journal-title":"Ther. Adv. Med. Oncol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1007\/s11912-019-0812-4","article-title":"Issues with Fertility in Young Women with Breast Cancer","volume":"21","author":"Christian","year":"2019","journal-title":"Curr. Oncol. Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.1002\/cncr.29181","article-title":"Infertility in Reproductive-Age Female Cancer Survivors","volume":"121","author":"Levine","year":"2015","journal-title":"Cancer"},{"key":"ref_8","first-page":"43","article-title":"American Cancer Society\/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline","volume":"66","author":"Runowicz","year":"2016","journal-title":"CA Cancer J. Clin."},{"key":"ref_9","first-page":"305","article-title":"Impact of Breast Cancer Treatments on Fertility and the Importance of Timing for a Fertility Preservation Intervention","volume":"35","author":"Castillo","year":"2022","journal-title":"Rev. Senol. Patol. Mamar."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2101","DOI":"10.1002\/cncr.29917","article-title":"Young Adult Female Cancer Survivors\u2019 Unmet Information Needs and Reproductive Concerns Contribute to Decisional Conflict Regarding Posttreatment Fertility Preservation","volume":"122","author":"Benedict","year":"2016","journal-title":"Cancer"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1093\/jnci\/djr541","article-title":"Quality of Life, Fertility Concerns, and Behavioral Health Outcomes in Younger Breast Cancer Survivors: A Systematic Review","volume":"104","author":"Ganz","year":"2012","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Bekes, I., and Huober, J. (2023). Extended Adjuvant Endocrine Therapy in Early Breast Cancer Patients-Review and Perspectives. Cancers, 15.","DOI":"10.3390\/cancers15164190"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1111\/j.1369-7625.2010.00598.x","article-title":"Defining Information Need in Health\u2013Assimilating Complex Theories Derived from Information Science","volume":"14","author":"Ormandy","year":"2011","journal-title":"Health Expect."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Boyes, A.W., Girgis, A., D\u2019Este, C., and Zucca, A.C. (2012). Prevalence and Correlates of Cancer Survivors\u2019 Supportive Care Needs 6 Months After Diagnosis: A Population-Based Cross-Sectional Study. BMC Cancer, 12.","DOI":"10.1186\/1471-2407-12-150"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"391","DOI":"10.3109\/0284186X.2012.742204","article-title":"Association between unmet needs and quality of life of cancer patients: A population-based study","volume":"52","author":"Hansen","year":"2012","journal-title":"Acta Oncologica"},{"key":"ref_16","first-page":"e1234","article-title":"Pattern and Predictors of Unmet Supportive Care Needs in Cancer Patients","volume":"9","author":"Okediji","year":"2017","journal-title":"Cureus"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"6027","DOI":"10.7314\/APJCP.2012.13.12.6027","article-title":"Patients with Cancer and Their Relatives Beliefs, Information Needs and Information-Seeking Behavior about Cancer and Treatment","volume":"13","author":"Kav","year":"2012","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref_18","first-page":"34","article-title":"Needs and Concerns of Breast Cancer Patients Undergoing Chemotherapy: Experiences and Needed Information\u2013SGH Experience","volume":"32","author":"Saraswathi","year":"2005","journal-title":"Singapore Nurs. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1111\/j.1365-2702.2008.02340.x","article-title":"Women with Newly Diagnosed Breast Cancer and Their Perceptions of Needs in a Health-Care Context: A Focus Group Study of Women Attending a Breast Diagnostic Centre in Norway","volume":"17","author":"Landmark","year":"2008","journal-title":"J. Clin. Nurs."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/j.1744-1609.2011.00212.x","article-title":"Factors Affecting Effective Communication Between Registered Nurses and Adult Cancer Patients in an Inpatient Setting: A Systematic Review","volume":"9","author":"Tay","year":"2011","journal-title":"Int. J. Evid.-Based Healthc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1007\/s11764-020-00895-7","article-title":"Unmet Information Needs Predict Anxiety in Early Survivorship in Young Women with Breast Cancer","volume":"14","author":"Barr","year":"2020","journal-title":"J. Cancer Surviv."},{"key":"ref_22","first-page":"2209","article-title":"Fertility Information Needs and Concerns Post-Treatment Contribute to Lowered Quality of Life Among Young Adult Female Cancer Survivors","volume":"26","author":"Benedict","year":"2018","journal-title":"Support. Care Cancer"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Ben Charif, A., Bouhnik, A.D., Rey, D., Provansal, M., Courbiere, B., Spire, B., and Mancini, J. (2015). Satisfaction with Fertility- and Sexuality-Related Information in Young Women with Breast Cancer-ELIPPSE40 Cohort. BMC Cancer, 15.","DOI":"10.1186\/s12885-015-1542-0"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1002\/pon.710","article-title":"The Psychosocial Needs of Breast Cancer Survivors: A Qualitative Study of the Shared and Unique Needs of Younger Versus Older Survivors","volume":"13","author":"Thewes","year":"2004","journal-title":"Psychooncology"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1002\/cncr.31862","article-title":"Fertility Counseling Before Cancer Treatment and Subsequent Reproductive Concerns Among Female Adolescent and Young Adult Cancer Survivors","volume":"125","author":"Young","year":"2019","journal-title":"Cancer"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1046\/j.1365-2648.2001.01866.x","article-title":"Information and Support Needs of Women with Primary Relatives with Breast Cancer: Development of the Information and Support Needs Questionnaire","volume":"35","author":"Chalmers","year":"2001","journal-title":"J. Adv. Nurs."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"832","DOI":"10.7326\/0003-4819-92-6-832","article-title":"Information and Participation Preferences Among Cancer Patients","volume":"92","author":"Cassileth","year":"1980","journal-title":"Ann. Intern. Med."},{"key":"ref_28","first-page":"1071","article-title":"Development and Validation of the Short-Form Survivor Unmet Needs Survey (SF-SUNS)","volume":"22","author":"Campbell","year":"2014","journal-title":"Support. Care Cancer"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1080\/07347332.2023.2282015","article-title":"Validation of the Portuguese Version of the Supportive Care Needs Survey Short-Form Questionnaire (SCNS-SF34-Pt) and the Breast Cancer Supplementary Module (SCNS-BR8-Pt)","volume":"42","author":"Weiderpass","year":"2024","journal-title":"J. Psychosoc. Oncol."},{"key":"ref_30","unstructured":"B\u00e1rtolo, A., Santos, I.M., and Monteiro, S. (2019). Livro de Resumos do I Congresso Nacional de Investiga\u00e7\u00e3o Cient\u00edfica em Oncologia Psicossocial (ICOP). I Congresso Nacional de Investiga\u00e7\u00e3o Cient\u00edfica em Oncologia Psicossocial, Psicologia Sa\u00fade & Doen\u00e7as. Available online: https:\/\/www.sp-ps.pt\/uploads\/jornal\/612.pdf."},{"key":"ref_31","unstructured":"Silva, V.L.G. (2018). Necessidades Informacionais de Mulheres Jovens Sobreviventes de Cancro da Mama ou Ginecol\u00f3gico. [Master\u2019s Thesis, Universidade de Aveiro]. Available online: http:\/\/hdl.handle.net\/10773\/26826."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Mokkink, L.B., Terwee, C.B., Knol, D.L., Stratford, P.W., Alonso, J., Patrick, D.L., Bouter, L.M., and de Vet, H.C. (2006). Protocol of the COSMIN study: COnsensus-based Standards for the selection of health Measurement INstruments. BMC Med. Res. Methodol., 6.","DOI":"10.1186\/1471-2288-6-2"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"151214","DOI":"10.1016\/j.soncn.2021.151214","article-title":"Psychological Distress and Its Association with Unmet Needs and Symptom Burden in Outpatient Cancer Patients: A Cross-Sectional Study","volume":"37","author":"Muz","year":"2021","journal-title":"Semin. Oncol. Nurs."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Jang, S., and Jeong, Y. (2021). Unmet Needs and Quality of Life of Cancer Patients and Their Families: Actor-Partner Interdependence Modeling. Healthcare., 12.","DOI":"10.3390\/healthcare9070874"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Boateng, G.O., Neilands, T.B., Frongillo, E.A., Melgar-Qui\u00f1onez, H.R., and Young, S.L. (2018). Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research: A Primer. Front. Public Health, 6.","DOI":"10.3389\/fpubh.2018.00149"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1080\/13548500500524088","article-title":"Validation Study of a Portuguese Version of the Hospital Anxiety and Depression Scale","volume":"12","author":"Silva","year":"2007","journal-title":"Psychol. Health Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1007\/s11764-013-0333-3","article-title":"A Multidimensional Scale to Measure the Reproductive Concerns of Young Adult Female Cancer Survivors","volume":"8","author":"Gorman","year":"2014","journal-title":"J. Cancer Surviv."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"101781","DOI":"10.1016\/j.ejon.2020.101781","article-title":"The European Portuguese Version of the Reproductive Concerns After Cancer Scale (RCACS): A Psychometric Validation for Young Adult Female Cancer Survivors","volume":"47","author":"Santos","year":"2020","journal-title":"Eur. J. Oncol. Nurs."},{"key":"ref_39","first-page":"89","article-title":"Estudo de Valida\u00e7\u00e3o da Vers\u00e3o Portuguesa do QLQ-C30-V.3","volume":"9","author":"Pinto","year":"2008","journal-title":"Psicol. Sa\u00fade Doen\u00e7as"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1093\/jnci\/85.5.365","article-title":"The European Organization for Research and Treatment of Cancer QLQ-C30: A Quality-of-Life Instrument for Use in International Clinical Trials in Oncology","volume":"85","author":"Aaronson","year":"1993","journal-title":"JNCI J. Natl. Cancer Inst."},{"key":"ref_41","unstructured":"Hair, J.F., Black, W.C., Babin, B.J., and Anderson, R.E. (2014). Multivariate Data Analysis, Pearson Education. [7th ed.]."},{"key":"ref_42","unstructured":"Tabachnick, B.G., and Fidell, L.S. (2013). Using Multivariate Statistics, Pearson Education. [6th ed.]."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Byrne, B.M. (2016). Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming, Routledge. [3rd ed.].","DOI":"10.4324\/9781315757421"},{"key":"ref_44","unstructured":"Grimm, L.G., and Yarnold, P.R. (1995). Principal-Components Analysis and Exploratory and Confirmatory Factor Analysis. Reading and Understanding Multivariate Statistics, American Psychological Association."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s13187-019-1480-7","article-title":"Importance of and Satisfaction with Information About Their Disease in Cancer Patients","volume":"35","author":"Eisfeld","year":"2020","journal-title":"J. Cancer Educ."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1007\/s11764-015-0451-1","article-title":"Satisfaction with Information and Unmet Information Needs in Men and Women with Cancer","volume":"10","author":"Faller","year":"2016","journal-title":"J. Cancer Surviv."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1136\/bmj.320.7239.909","article-title":"Cancer Patients\u2019 Information Needs and Information Seeking Behaviour: In Depth Interview Study","volume":"320","author":"Leydon","year":"2000","journal-title":"BMJ"}],"container-title":["Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9032\/13\/14\/1757\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:12:51Z","timestamp":1760033571000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9032\/13\/14\/1757"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,20]]},"references-count":47,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["healthcare13141757"],"URL":"https:\/\/doi.org\/10.3390\/healthcare13141757","relation":{},"ISSN":["2227-9032"],"issn-type":[{"type":"electronic","value":"2227-9032"}],"subject":[],"published":{"date-parts":[[2025,7,20]]}}}