Evidence map›Paper›PMID 40956000›Full record

ArticleCancer medicine2025

"Quite Devastating, Traumatic, and Lonely": Understanding the Mental Health Experiences of Hispanic/Latino Rectal Cancer Patients and Their Caregivers.

Zaria N Cosby, Julian P Howland, Eleanor Brown, Lucas K Carpenter, Kristen M Davis-Lopez, Min Young Kim, Patricia Castañeda, Maria Gonzalez, Miriam T Hernandez, Ysabel Duron and 4 more

Abstract read
In one paragraph

Article in Cancer medicine, 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. Exploring the understanding and management of anxiety from cancer in Latino/a older adults and their caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  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

14 authors.

Zaria N CosbyDepartment of Surgery, Stanford University School of Medicine, Stanford, California, USA.ORCID https://orcid.org/0009-0006-8003-5634
Julian P HowlandDepartment of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Eleanor BrownDepartment of Radiation Oncology, Stanford University School of Medicine, Palo Alto, California, USA.
Lucas K CarpenterBrigham Young University, Provo, Utah, USA.ORCID https://orcid.org/0009-0001-4776-5751
Kristen M Davis-LopezDepartment of Surgery, Stanford University School of Medicine, Stanford, California, USA.
Min Young KimOakland University William Beaumont School of Medicine, Rochester, Michigan, USA.ORCID https://orcid.org/0009-0000-6747-0961
Patricia CastañedaVisión y Compromiso, Los Angeles, California, USA.
Maria GonzalezVisión y Compromiso, Los Angeles, California, USA.
Miriam T HernandezVisión y Compromiso, Los Angeles, California, USA.
Ysabel DuronThe Latino Cancer Institute, San Jose, California, USA.
Gladys M RodriguezDivision of Hematology and Oncology, Northwestern University, Chicago, Illinois, USA.
Sandra S ZakyDepartment of Radiation Oncology, Stanford University School of Medicine, Palo Alto, California, USA.
Arden M MorrisDepartment of Surgery, Stanford University School of Medicine, Stanford, California, USA.ORCID https://orcid.org/0000-0001-5795-2940
Aaron J DawesDepartment of Surgery, Stanford University School of Medicine, Stanford, California, USA.ORCID https://orcid.org/0000-0003-4574-6765

Funding

Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
NCATS NIH HHS KL2 TR003143NCATS NIH HHS KL2TR003143Stanford Cancer Institute
6 · The paper itself

Abstract

backgroundPsychological distress increases after a cancer diagnosis. However, patients who identify as Hispanic/Latino are less likely than their White counterparts to receive mental health care after being diagnosed, placing them at risk of poor psychological adjustment. The parent research objective aimed to characterize the treatment experiences of rectal cancer patients who identify as Hispanic/Latino. This qualitative secondary analysis specifically explored patients' emotional and psychological experiences.

methodsWe partnered with local community health workers to recruit rectal cancer patients who identified as Hispanic/Latino and their caregivers from California's Bay Area and Central Valley. Semi-structured interviews (n = 21) were conducted in either Spanish or English based on patient preference. Initial themes were identified using reflexive analysis. Experiences of distress were found in nearly all interviews, motivating this qualitative secondary analysis using directed content analysis.

resultsWe identified three main themes: (1) emotional reactions to the initial diagnosis, (2) perspectives and emotions experienced throughout treatment, and (3) coping strategies and advice for others. Participants reported shock and incongruence with their diagnosis. The treatment journey caused feelings of embarrassment and frustration from difficulties such as racial profiling and insurance. Patients coped through faith and support from trusted individuals.

conclusionsRectal cancer patients who identify as Hispanic/Latino endure emotional distress at multiple stages of their cancer journey, including from sources that are unique to this population. Culturally and linguistically tailored interventions are needed to help mitigate this psychological burden and to provide active, coordinated support throughout the treatment phase in order to better prepare patients for survivorship.

Indexed as

CaregiversHispanic or LatinoMental HealthRectal NeoplasmsStress, PsychologicalAdaptation, PsychologicalAdultAgedCaliforniaFemaleHumansMaleMiddle AgedPsychological DistressQualitative ResearchWhitecaregiverscolorectal cancerdistressHispanic/Latinomental healthqualitativesecondary analysis

Identifiers

PMID40956000
PMCPMC12439271

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.