Mental Health Disparities in Spanish Speaking Latina Breast Cancer Patients

Addressing Mental Health Disparities in Spanish Speaking Latina Breast Cancer Patients

The purpose of the study is to:Translate a mindfulness program into Spanish for Latina patients with breast cancer.Train a community health worker to facilitate the mindfulness program. Determine if this program is culturally acceptable and feasible, and Obtain pilot data on the program's effectiveness in reducing anxiety and depression

Primary aims of this study are to: 1) translate a behavioral health intervention into Spanish, 2) deliver it to a population of Spanish speaking Latina breast cancer patients, and 3) determine acceptability and feasibility. Secondary aims are to gather preliminary data on anxiety, depression and sleep quality pre and post intervention.

Inclusion Criteria:

• Self reported diagnosis of invasive breast cancer who has currently or within last 12 months been in active treatment (surgery, chemotherapy, or radiation) or on endocrine therapy
• Self-identified anxiety (persistent worry or nervousness), depression (feeling sad, little interest or pleasure in doing things or hopeless), or sleep disturbance.
• Breast cancer related treatment (surgery, radiation, chemotherapy) or endocrine therapy within the last 12 months
• Self identifies as Spanish speaking
• Self identifies as Latinx / Latina / Latino
• Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

• Non-Spanish speaking
• other diagnosis besides invasive breast cancer (ie Ductal carcinoma in situ (DCIS), fibroadenoma, abnormal mammogram but not yet with final diagnosis, non-breast cancer patients)
• comorbid bipolar affective disorder or psychotic disorder (as self-identified by patient after asking "do you have any other psychiatric conditions")
• inability to physically or psychologically attend group sessions, and by discretion of the study coordinator.
• Patients currently participation in stress reduction or mindfulness groups/interventions will be excluded from participation
• Cancer "survivors" if not in active or endocrine treatment