Evidence map›Paper›PMID 40163745›Full record

ArticlePuerto Rico health sciences journal2025

Association between Stressors after Hurricanes Irma and María and Psychological Distress in Patients with Active Breast and Colorectal Cancer Treatment.

Hérmilis Berríos, Vivian Colón-López, Claudia Amaya-Ardila, Karen Ortiz-Ortiz, Marievelisse Soto-Salgado, Cynthia M Pérez

Abstract read
In one paragraph

Article in Puerto Rico health sciences journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hérmilis BerríosDepartment of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
Vivian Colón-LópezUniversity of Puerto Rico Comprehensive Cancer Center, Cancer Control and Population Sciences Division, San Juan, Puerto Rico.
Claudia Amaya-ArdilaDepartment of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
Karen Ortiz-OrtizUniversity of Puerto Rico Comprehensive Cancer Center, Cancer Control and Population Sciences Division, San Juan, Puerto Rico.
Marievelisse Soto-SalgadoUniversity of Puerto Rico Comprehensive Cancer Center, Cancer Control and Population Sciences Division, San Juan, Puerto Rico.
Cynthia M PérezDepartment of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

Funding

TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., RIVERA, ADELMA · 2012 to 2018
$23.2M
Tracking and Evaluation CoreU54GM133807 · NIGMS · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI MAYS, MARY HELEN · 2020 to 2024
$17.7M
A Mixed Methods Study to Explore the Effect of Hurricanes Irma and Maria on Cancer Care in Puerto RicoR21CA239456 · NCI · COMPREHENSIVE CANCER CENTER/ UNIV/PR · PI COLON, VIVIAN, ORTIZ, KAREN J · 2018 to 2019
$333k
NCI NIH HHS R21 CA239456NIGMS NIH HHS U54 GM133807NIMHD NIH HHS U54 MD007587
6 · The paper itself

Abstract

objectiveThis study aimed to explore the stressors faced by breast and colorectal cancer patients following Hurricanes Irma and María in Puerto Rico and to evaluate their association with post-hurricane psychological distress.

methodsA telephone-based survey was conducted with 241 cancer patients (140 with breast cancer and 101 with colorectal cancer) aged ≥40 years, diagnosed at least six months before September 2017, and undergoing treatment at the time of the hurricanes. Data on traumatic stressors (e.g., experiences directly related to life-threatening situations), non-traumatic stressors (e.g., difficulties accessing basic needs), and psychological distress (measured using the Kessler 6-item Psychological Distress Scale) were collected. Poisson regression estimated the prevalence ratio (PR, 95% CI) for psychological distress according to hurricane-related stressors, adjusting for age, cancer type, pre-hurricane preparedness, and social support.

resultsNearly 25% of participants faced traumatic stressors, 57.5% were exposed to nontraumatic stressors, and 45.6% presented elevated psychological distress. Those who faced traumatic and nontraumatic stressors demonstrated elevated psychological distress compared to their counterparts (PR=1.73, 95% CI=1.36, 2.20; PR=1.69, 95% CI=1.21, 2.35; respectively) after adjusting for age, cancer type, pre-hurricane preparedness, and social support.

conclusionBreast and colorectal cancer patients experienced heightened psychological distress due to exposure to various hurricane-related stressors. It is crucial to prioritize an action plan that addresses disaster preparedness, response, and the mental well-being of vulnerable populations like cancer patients to enhance their overall health and resilience.

Indexed as

Breast NeoplasmsColorectal NeoplasmsCyclonic StormsPsychological DistressStress, PsychologicalAdultAgedFemaleHumansMaleMiddle AgedPrevalencePuerto RicoSocial SupportSurveys and QuestionnairesCancerHurricane-related stressorsNatural disastersPre-hurricane preparednessPsychological distress

Identifiers

PMID40163745
PMCPMC12135026

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.