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与乳腺癌诊断相关的损失:对西班牙裔/拉丁裔乳腺癌患者悲伤和抑郁症状的影响

Losses Related to Breast Cancer Diagnosis: The Impact on Grief and Depression Symptomatology Within the Context of Hispanic/Latina Patients with Breast Cancer.

作者信息

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

机构信息

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.

出版信息

Healthcare (Basel). 2025 Mar 13;13(6):624. doi: 10.3390/healthcare13060624.

Abstract

: 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.

摘要

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。

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本文引用的文献

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How We Disenfranchise Grief for Self and Other: An Empirical Study.如何剥夺自己和他人的悲伤权利:一项实证研究。
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