Vasotocin influences mother-offspring associations in a facultatively family-living lizard.
Authors: Lake J, While GM, Ophir AG, Rubenstein DR, Witczak Oldfather L, Whiting MJ
Journal: Behavioral ecology : official journal of the International Society for Behavioral Ecology
mental health
psychology
open access
Abstract
Breast cancer is the most commonly diagnosed malignancy among women worldwide and represents a significant public health concern [, ]. According to a World Health Organization (WHO) report, breast cancer incidence shows a “worrisome rising trend.” Projections indicate that without effective interventions, global breast cancer incidence and mortality rates will increase by 40.8% and 51.9%, respectively, by 2040 []. In the United States, breast cancer accounts for 32% of all new cancer cases in women, ranking as the most prevalent cancer type []. With advancements in screening and treatment, the 5‐year relative survival rate has improved from 49% in the 1970s to 69% currently [, ]. Concurrently, breast health issues are becoming increasingly prominent in China. The incidence and mortality rates of breast cancer in China are increasing at a significantly faster pace compared to those in developed countries such as the United Kingdom and the United States. Breast cancer has become the most common malignant tumor among Chinese women, with its mortality rate also exceeding the global average. Projected data indicate that by 2030, the annual number of new cases in China will reach 452,000, with 98,800 deaths []. Against this backdrop, addressing post‐treatment mental health and social adaptation in breast cancer patients carries substantial practical significance [, ]. Breast cancer patients often face multiple challenges including altered body image, functional limitations, and social role transitions, which predispose them to stigma, social anxiety, and avoidance behaviors []. Recent studies on Chinese survivors demonstrate significantly elevated social anxiety levels, where social comparison tendencies exacerbate anxiety through body image mediation, while self‐concept clarity exerts buffering effects. This suggests that negative body cognition and identity confusion constitute important psychological mechanisms underlying social avoidance []. The spiritual health has gained increasing attention as a protective factor for psychological adaptation in cancer patients []. It encompasses not only religious beliefs but also perceptions of life meaning, inner peace, and faith strength []. Research indicates positive correlations between spiritual health and psychological resilience, with high self‐transcendence (incorporating spiritual dimensions) reducing the disease progression risk by 73% []. These findings suggest that spiritual resources may alleviate emotional‐behavioral problems by enhancing psychological adjustment capacity []. Although potential associations exist among spiritual health, social anxiety, and avoidance behaviors, their underlying mechanisms remain unclear. A large‑scale study of 1127 breast cancer patients found that avoidant coping (attempts to avoid cancer‑related thoughts and feelings) mediated 19%–54% of the relationship between well‑being domains and distress, suggesting that avoidance behaviors play a pivotal role in psychological adaptation following cancer treatment []. Traditional statistical methods struggle to reveal complex interactive relationships between variables, whereas network analysis conceptualizes psychological constructs as dynamic systems that visually display partial correlations and centrality, facilitating identification of key intervention targets [].