Losses Related to Breast Cancer Diagnosis: The Impact on Grief and Depression Symptomatology Within the Context of Hispanic/Latina Patients with Breast Cancer
<b>Objective</b>: 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). <b>Methods</b>: 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). <b>Results</b>: 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, <i>p</i> = 48.8%), followed by fear of own death (f = 67, <i>p</i> = 51.9%) and loss of quality of life (f = 65, <i>p</i> = 50.4%). A higher mean rank was observed in depressive symptomatology scores for those who experienced loss of liberty (U = 73.91, <i>p</i> < 0.008), quality of life (U = 77.30, <i>p</i> < 0.001), and fear of their own death (U = 74.88, <i>p</i> < 0.002). The results indicate a significant positive relationship between the number of reported losses and depressive symptomatology (r = 0.340, <i>p</i> < 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, <i>p</i> < 0.001) and more depressive symptomatology (U = 69.84, <i>p</i> = 0.041). Moreover, a relationship was observed between grief and academic levels (r = -0.234, <i>p</i> = 0.008). Likewise, a relationship was observed between age and the number of losses (r = -0.461, <i>p</i> < 0.001). <b>Conclusions</b>: 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.
Authors
- Waldo R. Guerrero (ORCID: https://orcid.org/0000-0002-4781-3944)
- Zindie Rodríguez-Castro
- Lianel Rosario-Ramos (ORCID: https://orcid.org/0000-0001-9446-3775)
- Guillermo N. Armaiz-Peña (ORCID: https://orcid.org/0000-0002-9081-5339)
- Normarie Torres‐Blasco (ORCID: https://orcid.org/0000-0002-0745-7703)
- Nelmit Tollinchi-Natali
- Cristina Peña-Vargas (ORCID: https://orcid.org/0000-0003-3495-5991)
- Eida Castro (ORCID: https://orcid.org/0000-0003-3889-9114)
- P. Peláez Torres (ORCID: https://orcid.org/0009-0001-6935-5892)
- Paola del Río-Rodriguez
- Guillermo Laporte-Estela
Institutions
- Ponce Health Sciences University (PR)
Publication Details
- Journal
- Healthcare
- Published
- 2025-03-13
- DOI
- https://doi.org/10.3390/healthcare13060624
- Citations
- 5
- Primary Topic
- Cancer survivorship and care
- Type
- article
- Field-Weighted Citation Impact
- 5.23
Funders
- National Institutes of Health
- National Institute on Minority Health and Health Disparities