Abstract

Abstract Among women, breast cancer (BC) is the most common cancer, which is on the rise annually. While it mainly affects women over 50 years of age, 4% of cases occur in those aged 15–39 years. BC in adolescents and young adults (AYAs) is a global concern, ranking the highest in both incidence and mortality, with 246,036 new cases reported in 2022. AYAs often face lower survival rates and poorer prognosis compared to older women. BC diagnosis has emotional impacts, including anxiety, despair, and fear, with AYAs experiencing higher distress levels than older patients. Unique challenges for young women include fertility concerns, career disruptions, financial difficulties, and body image issues. Risk factors for distress include lower social support, unmet needs, and lack of psychological support. AYAs with BC face increased risk of posttraumatic stress disorder, exacerbated by the significant psychosocial distress of their illness. Addressing psychological distress in patients with BC involves social support groups, spirituality-based coping, meditation activities, resilience approaches, and multidisciplinary care. This holistic approach can enhance patient outcomes and well-being.

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