Evidence map›Paper›PMID 41331130›Full record

ArticleBulletin of mathematical biology2025

Phase Boundaries and Critical Transitions in Coupled Epidemic-Behavioral Systems.

Hsuan-Wei Lee, Vincent Cheng-Sheng Li

Abstract read
In one paragraph

Article in Bulletin of mathematical biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Hsuan-Wei LeeCollege of Health, Lehigh University, Pennsylvania, USA. hsl324@lehigh.edu.ORCID 0000-0002-3133-4738
Vincent Cheng-Sheng LiDepartment of Public Health, National Taiwan University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidemics are nonlinear adaptive processes in which pathogen spread and human behavior form a tightly coupled feedback loop. Individual decisions about protective measures create strategic interactions. These interactions can either accelerate disease spread or drive collective suppression. We introduce a theoretical lattice-based agent model that fuses SIS contagion with an evolutionary game, systematically exploring how strategy choice and infection pressure co-evolve through comprehensive parameter space analysis. Agents choose between self-isolation and normal activity based on population-wide disease prevalence and perceived costs. Agents then update strategies using a Fermi rule based on global infection prevalence and perceived costs. Infections propagate through contact-based transmission with behavior-dependent probability. We model transmission with a hierarchical probability structure where cross-infection coupling captures risk at behavioral interfaces between strategies. Comprehensive exploration of the four-dimensional parameter space reveals sharp phase transitions between cooperative and defective regimes. These transitions are governed by transmission intensity, recovery probability, risk perception, and economic pressures. A striking paradox emerges: while intense cross-infection coupling drives near-universal isolation adoption, it paradoxically sustains persistent endemic infection, demonstrating that widespread cooperation does not guarantee epidemic control. Modest changes in isolation costs or cross-infection coupling trigger complete phase inversions. This extreme sensitivity characterizes systems operating near critical points. Contact-mediated spread generates persistent spatial patterning in infection status and compartment composition. These findings establish epidemic-behavioral coupling as a fundamentally nonlinear dynamical system exhibiting critical phenomena and emergent spatial organization. Cooperation emergence does not guarantee epidemic control, revealing complex theoretical relationships between individual decision-making and collective health outcomes that require empirical validation for practical application.

Indexed as

Communicable DiseasesEpidemicsEpidemiological ModelsModels, BiologicalComputer SimulationGame TheoryHumansMathematical ConceptsNonlinear DynamicsProbabilityEpidemic modelingEvolutionary game theoryIsolation behaviorPhase transitionsSpatial dynamics

Identifiers

PMID41331130
PMCPMC12672756

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LicenceCC BY
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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.