Evidence map›Paper›PMID 40723699›Full record

ArticleBehavioral sciences (Basel, Switzerland)2025

Impact of Socio-Demographic Factors, Financial Burden, and Social Support on Anxiety and Depression Symptoms in Puerto Rican Women with Breast Cancer.

Paulette Ayala-Rodríguez, Dayaneira Rivera-Alers, Manuel Rivera-Vélez, Jovanny Díaz-Rodríguez, Mercedes Ramirez-Ruiz, Carolina Quiles-Bengochea, Cristina I Peña-Vargas, Zindie Rodriguez-Castro, Cynthia Cortes-Castro, Guillermo N Armaiz-Pena and 1 more

Abstract read
In one paragraph

Article in Behavioral sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

11 authors.

Paulette Ayala-RodríguezSchool of Medicine, Ponce Health Sciences University, Ponce, PR 00716, USA.ORCID 0009-0008-7656-3244
Dayaneira Rivera-AlersPonce Research Institute, Ponce, PR 00716, USA.ORCID 0009-0009-9917-3473
Manuel Rivera-VélezPonce Research Institute, Ponce, PR 00716, USA.ORCID 0009-0003-2747-6500
Jovanny Díaz-RodríguezPonce Research Institute, Ponce, PR 00716, USA.ORCID 0009-0009-1368-5014
Mercedes Ramirez-RuizPonce Research Institute, Ponce, PR 00716, USA.ORCID 0009-0004-4929-0229
Carolina Quiles-BengocheaPonce Research Institute, Ponce, PR 00716, USA.ORCID 0009-0001-5715-3388
Cristina I Peña-VargasPonce Research Institute, Ponce, PR 00716, USA.ORCID 0000-0003-3495-5991
Zindie Rodriguez-CastroPonce Research Institute, Ponce, PR 00716, USA.
Cynthia Cortes-CastroPonce Research Institute, Ponce, PR 00716, USA.ORCID 0009-0000-1615-6446
Guillermo N Armaiz-PenaSchool of Medicine, Ponce Health Sciences University, Ponce, PR 00716, USA.ORCID 0000-0002-9081-5339
Eida M Castro-FigueroaSchool of Medicine, Ponce Health Sciences University, Ponce, PR 00716, USA.ORCID 0000-0003-3889-9114

Funding

The Role of Midbrain to Prelimbic Cortex Glutamatergic projections in Stress-induced Drug SeekingU54MD007579 · NIMHD · PONCE SCHOOL OF MEDICINE · PI Emmanuel Antonio Cruz, Kenira J Thompson · 2019 to 2026
$35.9M
National Institute of Minority Health and Health Disparities U54MD007579National Institute on Minorities and Health Disparities of the National Institute of Health 2U54CA163071National Institute on Minorities and Health Disparities of the National Institute of Health. 5U01CA290612NCI NIH HHS 2U54CA163068NIMHD NIH HHS U54 MD007579
6 · The paper itself

Abstract

Breast cancer (BC) is the leading cancer diagnosis among women in Puerto Rico. Psychological distress is prevalent in this population, and social determinants may exacerbate this risk. This study examines whether sociodemographic characteristics, financial burden, and social support levels are associated with symptoms of anxiety and depression in Puerto Rican women with BC. A quantitative secondary analysis was conducted on a sample of 208 Hispanic women with BC, utilizing the Patient Health Questionnaire (PHQ-8) and the Generalized Anxiety Disorder (GAD-7) questionnaire. These scores were compared with sociodemographic values and Interpersonal Support Evaluation List (ISEL-12) scores, establishing statistical significance through association, parametric, and non-parametric tests, and regression models. 38.5% and 26.4% of participants showed clinically significant symptoms of depression and anxiety, respectively. Age and perceived income showed significant associations with psychological outcomes. However, regression analysis revealed perceived income as the only significant predictor for both depression and anxiety. Tangible and belonging support were significantly lower in participants with symptoms of depression, while appraisal support was significantly lower in participants with symptoms of anxiety. Findings highlight the influence of perceived financial stress on mental health and the need for psychosocial interventions tailored to the patients' economic context.

Indexed as

anxietybreast cancerdepressionfinancial burdenHispanicmental healthpsycho-oncologyPuerto Ricosocial determinantssocial support

Identifiers

PMID40723699
PMCPMC12292124

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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.