Evidence mapPaperPMID 40794344Full record

ArticleDiscover oncology2025

Independent effects of mental health disorders on breast cancer and their mediating factors: evidence from NHANES and two-step Mendelian randomization.

Kang Ma, Xueyan Mao, Hongkai Zhuang, Cheng Long, Bo Chen

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In one paragraph

Article in Discover oncology, 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

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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

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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

5 authors.

Kang Ma *School of Medicine, South China University of Technology, Guangzhou, 510006, China.
Xueyan Mao *Hengyang Medical School, University of South China, Hengyang, 421001, China.
Hongkai Zhuang *Department of Hepatobiliary Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510080, China.
Cheng LongDepartment of Pathology, Yueyang Maternal Child Health-Care Hospital, Yueyang, 414000, Hunan, China.
Bo ChenDepartment of Breast Cancer, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, Guangdong, China. chenbo@gdph.org.cn.

Funding

Excellent Young Talent Program of Guangdong Provincial People's Hospital KY012021190Guangdong Basic and Applied Basic Research Foundation 2022A1515011599National Natural Science Foundation of China 82272998Scientific research project of Guangdong Provincial Bureau of Traditional Chinese Medicine 20241003the Science and Technology Planning Project of Guangzhou City 2023A04J0529
6 · The paper itself

Abstract

backgroundThe epidemiological data regarding the correlation between mental disorders and breast cancer (BC) is still debatable. This study's objective is to clarify the connection between BC and mental disorders, such as depression, panic, and anxiety, in addition to examining the mediating role of risk factors associated with BC through genetic susceptibility.

methodsCross-sectional data came from the National Health and Nutrition Examination Survey (NHANES) for the years 2015-2018, stratified by BC status. Summary statistics of genome-wide association studies (GWASs) of mostly European ancestry were used for Mendelian randomization (MR) analysis. The connections between depressive symptoms, anxious symptoms, and anxiety medication use and breast cancer were assessed using logistic regression models. The independent effects of depression, panic, and anxiety on BC were estimated through two-sample multivariable MR. Furthermore, 23 possible mediators of the connection were assessed and mediated proportions were computed using two-step MR.

resultsCross-sectional data revealed that participants taking medication for anxiety were at higher risk of BC (OR (95%CI): 2.18 (1.29-3.70), P < 0.01). Using multivariate MR to adjust for depression, anxiety, and panic, only anxiety was still strongly correlated with the occurrence of overall (β

conclusionOur findings suggests that anxiety susceptibility at the genetic level is a distinct risk factor for BC, with no mediators identified in this process.

Indexed as

AnxietyBreast cancerDepressionMendelian randomizationNational health and nutrition examination surveyPanic

Identifiers

PMID40794344
PMCPMC12343388

What Socratic holds

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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 Socratic graph.