Peña-Vargas Cristina, Del Río-Rodriguez Paola, Rosario Lianel P, Laporte-Estela Guillermo, Torres-Blasco Normarie, Rodriguez-Castro Zindie, Tollinchi-Natali Nelmit, Guerrero Willa I, Torres Patsy, Armaiz-Pena Guillermo N, Castro-Figueroa Eida M
School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00716, Puerto Rico.
Ponce Research Institute, Ponce Health Sciences University, Ponce 00716, Puerto Rico.
Healthcare (Basel). 2025 Mar 13;13(6):624. doi: 10.3390/healthcare13060624.
: The present study explored the association between the losses incurred due to breast cancer diagnosis, symptoms of depression, PANIC/GRIEF, and contextual factors within the context of Hispanic/Latina (H/L) patients diagnosed with breast cancer (BC). : This study was a cross-sectional study of adult H/L BC patients (n = 129). The participants were H/L women diagnosed with breast cancer (stages 0-4) in the past five years. Sociodemographic variables were assessed, as well as depression symptoms (Patient Health Questionnaire-9; Spanish version), grief (The Affective Neuroscience Personality Scales, Grief subscale; Spanish version), and general losses (Grief diagnostic instrument for general practice, loss categories section). : The mean age for the sample was 55.37 (SD = 11.57). The most frequent non-death-related losses were loss of liberty (f = 63, = 48.8%), followed by fear of own death (f = 67, = 51.9%) and loss of quality of life (f = 65, = 50.4%). A higher mean rank was observed in depressive symptomatology scores for those who experienced loss of liberty (U = 73.91, < 0.008), quality of life (U = 77.30, < 0.001), and fear of their own death (U = 74.88, < 0.002). The results indicate a significant positive relationship between the number of reported losses and depressive symptomatology (r = 0.340, < 0.001). In terms of contextual factors, the participants who reported their income not being enough to cover their expenses reported a greater number of losses related to diagnosis (U = 74.67, < 0.001) and more depressive symptomatology (U = 69.84, = 0.041). Moreover, a relationship was observed between grief and academic levels (r = -0.234, = 0.008). Likewise, a relationship was observed between age and the number of losses (r = -0.461, < 0.001). : Our results provide new evidence on how primary non-death-related losses due to a breast cancer diagnosis impact the mental health of H/L BC patients.
本研究探讨了西班牙裔/拉丁裔(H/L)乳腺癌(BC)患者因乳腺癌诊断所遭受的损失、抑郁症状、恐慌/悲伤与背景因素之间的关联。本研究是一项针对成年H/L BC患者(n = 129)的横断面研究。参与者为过去五年内被诊断患有乳腺癌(0 - 4期)的H/L女性。评估了社会人口统计学变量,以及抑郁症状(患者健康问卷 - 9;西班牙语版)、悲伤(情感神经科学人格量表,悲伤分量表;西班牙语版)和一般损失(全科医学悲伤诊断工具,损失类别部分)。样本的平均年龄为55.37(标准差 = 11.57)。最常见的与死亡无关的损失是自由丧失(f = 63,占比 = 48.8%),其次是对自身死亡的恐惧(f = 67,占比 = 51.9%)和生活质量丧失(f = 65,占比 = 50.4%)。在经历自由丧失(U = 73.91,p < 0.008)、生活质量丧失(U = 77.30,p < 0.001)和对自身死亡恐惧(U = 74.88,p < 0.002)的患者中,抑郁症状评分的平均排名更高。结果表明,报告的损失数量与抑郁症状之间存在显著正相关(r = 0.340,p < 0.001)。在背景因素方面,报告收入不足以支付开支的参与者报告的与诊断相关的损失更多(U = 74.67,p < 0.001),抑郁症状也更严重(U = 69.84,p = 0.041)。此外,观察到悲伤与学术水平之间存在关联(r = -0.234,p = 0.008)。同样,观察到年龄与损失数量之间存在关联(r = -0.461,p < 0.001)。我们的研究结果为乳腺癌诊断导致的主要非死亡相关损失如何影响H/L BC患者的心理健康提供了新的证据。