Spanish Journal of Psychiatry and Mental Health最新文献

{"title":"Upholding rights through fostering equity and quality in mental health care","authors":"Benedicto Crespo-Facorro","doi":"10.1016/j.sjpmh.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2024.04.001","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 2","pages":"Pages 57-58"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950285324000243/pdfft?md5=1f1aa1549d46cf052b399d0000f9bc17&pid=1-s2.0-S2950285324000243-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140843788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effective connectivity of the locus coeruleus in patients with late-life Major Depressive Disorder or mild cognitive impairment.","authors":"Pablo Maturana-Quijada, Pamela Chavarría-Elizondo, Inés Del Cerro, Ignacio Martínez-Zalacaín, Asier Juaneda-Seguí, Andrés Guinea-Izquierdo, Jordi Gascón-Bayarri, Ramón Reñé, Mikel Urretavizcaya, José M Menchón, Isidre Ferrer, Virginia Soria, Carles Soriano-Mas","doi":"10.1016/j.sjpmh.2024.02.002","DOIUrl":"10.1016/j.sjpmh.2024.02.002","url":null,"abstract":"<p><strong>Introduction: </strong>We compared effective connectivity from the locus coeruleus (LC) during the resting-state in patients with late-life Major Depressive Disorder (MDD), individuals with amnestic Mild Cognitive Impairment (aMCI), and Healthy Controls (HCs).</p><p><strong>Participants: </strong>23 patients with late-life MDD, 22 patients with aMCI, and 28 HCs.</p><p><strong>Material and methods: </strong>Participants were assessed in two time-points, 2 years apart. They underwent a resting-state functional magnetic resonance imaging and a high-resolution anatomical acquisition, as well as clinical assessments. Functional imaging data were analyzed with dynamic causal modeling, and parametric empirical Bayes model was used to map effective connectivity between 7 distinct nodes: 4 from the locus coeruleus and 3 regions displaying gray matter decreases during the two-year follow-up period.</p><p><strong>Results: </strong>Longitudinal analysis of structural data identified three clusters of larger over-time gray matter volume reduction in patients (MDD+aMCI vs. HCs): the right precuneus, and the visual association and parahippocampal cortices. aMCI patients showed decreased effective connectivity from the left rostral to caudal portions of the LC, while connectivity from the left rostral LC to the parahippocampal cortex increased. In MDD, there was a decline in effective connectivity across LC caudal seeds, and increased connectivity from the left rostral to the left caudal LC seed over time. Connectivity alterations with cortical regions involved cross-hemisphere increases and same-hemisphere decreases.</p><p><strong>Conclusions: </strong>Our discoveries provide insight into the dynamic changes in effective connectivity in individuals with late-life MDD and aMCI, also shedding light on the mechanisms potentially contributing to the onset of neurodegenerative disorders.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term trajectories of clinical staging in first-episode psychosis and their associated cognitive outcome: A 21-year follow-up study.","authors":"Manuel J Cuesta, Ana M Sánchez-Torres, Lucia Moreno-Izco, Elena García de Jalón, Gustavo J Gil-Berrozpe, Victor Peralta, Alejandro Ballesteros, Lourdes Fañanás, Lucia Janda, Sergi Papiol, David Peralta, María Ribeiro, Ángela Rosero, Amalia Zarzuela, Eloi Giné, Esther Rosado","doi":"10.1016/j.sjpmh.2024.02.001","DOIUrl":"10.1016/j.sjpmh.2024.02.001","url":null,"abstract":"<p><p>Cognitive deficits are already present before psychosis onset but are a key feature of first-episode psychosis (FEP). The objective of this study was to investigate the cognitive outcomes of a cohort of FEP patients who were diagnosed using the clinical staging approach and were followed for up to 21 years. We analyzed data from 173 participants with first-admission psychosis who were followed-up for a mean of 20.9 years. The clinical staging assessment was adapted from the clinical staging framework developed by McGorry et al.¹ Cognitive assessment was performed using the MATRICS Consensus Cognitive Battery (MMCB) at the end of follow-up. FEP patients who were longitudinally diagnosed in the lowest clinical stages (stages 2A and 2B) showed better performance in attention, processing speed, and MCCB overall composite score than those in the highest clinical stages (stages 4A and 4B). There was a significant linear trend association between worsening of all MCCB cognitive functions and MCCB overall composite score and progression in clinical staging. Furthermore, the interval between two and five years of follow-up appears to be associated with deficits in processing speed as a cognitive marker. Our results support the validation of the clinical staging model over a long-term course of FEP based on neuropsychological performance. A decline in some cognitive functions, such as processing speed, may facilitate the transition of patients to an advanced stage during the critical period of first-episode psychosis.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric profiles in suicidal attempters: Relationships with suicide behaviour features.","authors":"Yolanda Sánchez-Carro, Alejandro de la Torre-Luque, Marina Díaz-Marsá, Raimundo Aguayo-Estremera, Jorge Andreo-Jover, Wala Ayad-Ahmed, Julio Bobes, Teresa Bobes-Bascarán, María Fé Bravo-Ortiz, Manuel Canal-Rivero, Ana Isabel Cebrià, Benedicto Crespo-Facorro, Matilde Elices, Verónica Fernández-Rodrigues, Purificacion Lopez-Peña, Iría Grande, Ángela Palao-Tarrero, Andrés Pemau, Natalia Roberto, Miguel Ruiz-Veguilla, Víctor Pérez-Solà","doi":"10.1016/j.sjpmh.2024.01.004","DOIUrl":"10.1016/j.sjpmh.2024.01.004","url":null,"abstract":"<p><strong>Background: </strong>Suicide constitutes a major health concern worldwide, being a significant contributor of death, globally. The diagnosis of a mental disorder has been extensively linked to the varying forms of suicidal ideation and behaviour. The aim of our study was to identify the varying diagnostic profiles in a sample of suicide attempters.</p><p><strong>Methods: </strong>A sample of 683 adults (71.3% females, 40.10±15.74 years) admitted at a hospital emergency department due to a suicide attempt was recruited. Latent class analysis was used to identify diagnostic profiles and logistic regression to study the relationship between comorbidity profile membership and sociodemographic and clinical variables.</p><p><strong>Results: </strong>Two comorbidity profiles were identified (Class I: low comorbidity class, 71.3% of attempters; Class II: high comorbidity class, 28.7% of attempters). Class I members were featured by the diagnosis of depression and general anxiety disorder, and low comorbidity; by contrast, the high comorbidity profile was characterized by a higher probability of presenting two or more coexisting psychiatric disorders. Class II included more females, younger, with more depressive symptoms and with higher impulsivity levels. Moreover, Class II members showed more severe suicidal ideation, higher number of suicide behaviours and a greater number of previous suicide attempts (p<.01, for all the outcomes), compared to Class I members.</p><p><strong>Conclusions: </strong>Psychiatric profiles may be considered for treatment provision and personalized psychiatric treatment in suicidal attempters as well as tackle suicide risk.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of reward sensitivity on weight in treatment-resistant chronic schizophrenia.","authors":"Isaac Jarratt Barnham, Youssuf Saleh, Masud Hussain, Emilio Fernandez-Egea","doi":"10.1016/j.sjpmh.2024.01.005","DOIUrl":"10.1016/j.sjpmh.2024.01.005","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploratory analysis of parental autism traits, age at conception and polygenic background in Autism Spectrum Disorders","authors":"Alicia García-Alcón ,&nbsp;Javier González-Peñas ,&nbsp;María José Penzol ,&nbsp;Diego Gerez ,&nbsp;Mónica Burdeus ,&nbsp;Elisa Weckx ,&nbsp;Álvaro Andreu-Bernabeu ,&nbsp;Carmen Moreno ,&nbsp;Mara Parellada","doi":"10.1016/j.rpsm.2021.12.001","DOIUrl":"10.1016/j.rpsm.2021.12.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Advanced parental age (APA) has been associated with an increased risk for autism in the offspring. One explanatory model includes delayed fatherhood in parents with autistic traits.</p></div><div><h3>Material and methods</h3><p>We investigated (1) whether autistic traits in parents, evaluated with the Autism-spectrum Quotient (AQ), correlate with APA in 128 families, (2) in 83 trios with genetic data available, whether AQ correlated with polygenic vulnerability calculated by Polygenic Risk Scores (PRS). We stratified the analyses by as per DSM-IV autism subtypes and by parental sex.</p></div><div><h3>Results</h3><p>We found a statistically significant relation between AQ and APA (<em>r</em> <!-->=<!--> <!-->0.207, <em>p</em> <!-->=<!--> <!-->8.39<!--> <!-->×<!--> <!-->10⁻⁴, <em>n</em> <!-->=<!--> <!-->256), significantly only in mothers (<em>r</em> <!-->=<!--> <!-->0.233, <em>p</em> <!-->=<!--> <!-->8.23<!--> <!-->×<!--> <!-->10⁻³, <em>n</em> <!-->=<!--> <!-->128) and in Asperger Syndrome (AS) (<em>r</em> <!-->=<!--> <!-->0.319, <em>p</em> <!-->=<!--> <!-->0.034, <em>n</em> <!-->=<!--> <!-->44). There was a significant association between PRS and AQ in the mothers of the participants with AS (β (95%CI)<!--> <!-->=<!--> <!-->3.28 (0.03–6.59); <em>p</em> <!-->=<!--> <!-->0.047).</p></div><div><h3>Conclusions</h3><p>These results show that, in this sample, older mothers present more autistic traits, and APA seems to relate to an AS profile. Furthermore, PRS is significantly associated with maternal AQ of AS subjects. Consequently, a higher polygenic maternal contribution (both by AQ and PRS) seems to contribute to an AS profile.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 28-34"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989121001312/pdfft?md5=dfad4be45cd835ee58c1c951e5603112&pid=1-s2.0-S1888989121001312-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74611328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidal behaviour in adolescents: A network analysis","authors":"Eduardo Fonseca-Pedrero ,&nbsp;Adriana Díez-Gómez ,&nbsp;Usue de la Barrera ,&nbsp;Carla Sebastian-Enesco ,&nbsp;Javier Ortuño-Sierra ,&nbsp;Inmaculada Montoya-Castilla ,&nbsp;Beatriz Lucas-Molina ,&nbsp;Félix Inchausti ,&nbsp;Alicia Pérez-Albéniz","doi":"10.1016/j.rpsm.2020.04.007","DOIUrl":"10.1016/j.rpsm.2020.04.007","url":null,"abstract":"<div><h3>Objective</h3><p>Suicidal behaviour has not yet been analysed from a network approach in adolescent samples. It is imperative to incorporate new psychological models to understand suicidal behaviour from a different perspective. The main objective of this work was twofold: (a) to examine suicidal behaviour through network analysis and (b) to estimate the psychological network between suicidal behaviour and protective and risk factors in school-age adolescents.</p></div><div><h3>Method</h3><p>Participants were 443 students (M<!--> <!-->=<!--> <!-->14.3 years; SD<!--> <!-->=<!--> <!-->0.53; 51.2% female) selected incidentally from different schools. Different instruments were administered to assess suicidal behaviour, emotional and behavioural difficulties, prosocial behaviour, subjective well-being, emotional intelligence, self-esteem, depressive symptomatology, empathy, positive and negative affect, and emotional regulation.</p></div><div><h3>Results</h3><p>The resulting network of suicidal behaviour was strongly interconnected. The most central node in terms of strength and expected influence was “Consider taking your own life”. In the estimated psychological network of suicidal behaviour and risk and protective factors, the nodes with the highest strength were depressive symptomatology, positive affect, and empathic concern. The most influential nodes were those related to emotional intelligence abilities. Suicidal behaviour was positively connected to depression symptoms and negative affect, and negatively connected to self-esteem and positive affect. The results of the stability analysis indicated that the networks were accurately estimated.</p></div><div><h3>Conclusions</h3><p>Suicidal behaviour can be conceptualized as a dynamic, complex system of cognitive, emotional, and affective characteristics. The new psychopathological and psychometric models allow us to analyse and understand human behaviour and mental health problems from a new perspective, suggesting new forms of conceptualization, evaluation, intervention, and prevention.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 3-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188898912030032X/pdfft?md5=6132b6050388bd3a6f000ec0b5b8ff21&pid=1-s2.0-S188898912030032X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38006397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood adversities and suicidal behavior in the general population. The cross-sectional PEGASUS-Murcia Project","authors":"Fernando Navarro-Mateu ,&nbsp;Diego Salmerón ,&nbsp;Gemma Vilagut ,&nbsp;Mathilde Husky ,&nbsp;Mónica Ballesta ,&nbsp;María Dolores Chirlaque ,&nbsp;José María Huerta ,&nbsp;Salvador Martínez ,&nbsp;Carmen Navarro ,&nbsp;Jordi Alonso ,&nbsp;Matthew Nock ,&nbsp;Ronald C. Kessler","doi":"10.1016/j.rpsm.2020.10.002","DOIUrl":"10.1016/j.rpsm.2020.10.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim of the present study is to estimate the lifetime prevalence of suicidal ideation, plans, and attempts in a regional representative sample and the association of these outcomes with sociodemographic factors, prior mental disorders, and childhood adversities.</p></div><div><h3>Material and methods</h3><p>The PEGASUS-Murcia project is a cross-sectional survey of a representative sample of adults in Murcia that is part of the WHO World Mental Health Survey Initiative. The Composite International Diagnostic Interview (CIDI 3.0) was administered face-to-face to 2621 participants (67.4% response rate). The main outcomes were suicidal ideation, plans, and attempts. Lifetime prevalence, age of onset, and risk factors (sociodemographic variables, mental disorders, and childhood adversities) were examined using multiple discrete-time survival models.</p></div><div><h3>Results</h3><p>Lifetime prevalence of suicidal ideation, plans and attempts were 8.0% (standard error, SE: 1.1), 2.1% (SE: 0.3), and 1.2% (SE: 1.1), respectively. Prevalence of any childhood adversities was 22.1% (SE: 1.3) in the total sample and, even higher, among those with suicide related outcomes (ranging between 36.8% and 53.7%). Female sex, younger age, prior (to onset of the outcome) lifetime prevalence of mood disorders, number of mental disorders, and exposure to childhood adversity were associated with significantly increased odds of suicidal ideation and plans.</p></div><div><h3>Conclusions</h3><p>Lifetime prevalence estimates of suicidality are similar to those in community epidemiological surveys. Childhood adversities and mental disorders, especially mood disorders, are important risk factors for suicidality. Early detection of these adversities and disorders should be targeted in suicide prevention programs.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 11-18"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989120301166/pdfft?md5=be24000cf0fc0ccde417aabd96e94416&pid=1-s2.0-S1888989120301166-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38524616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Legal requirements for admission of children and adolescent patients to in-home mental health services: The case of the Niño Jesús Hospital at home unit in Madrid, Spain","authors":"Luciana Miguel-Alhambra ,&nbsp;María Goretti Morón-Nozaleda ,&nbsp;Raquel Chacón-Campollo ,&nbsp;Silvia Yañez-López ,&nbsp;Mar Faya Barrios ,&nbsp;Monserrat Graell Berna","doi":"10.1016/j.sjpmh.2023.03.001","DOIUrl":"10.1016/j.sjpmh.2023.03.001","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 55-56"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950285323000066/pdfft?md5=b731c476e69615941724fa6f6832e173&pid=1-s2.0-S2950285323000066-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90904005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High persistence in Spanish transgender minors: 18 years of experience of the Gender Identity Unit of Catalonia","authors":"Clara De Castro ,&nbsp;Mireia Solerdelcoll ,&nbsp;Maria Teresa Plana ,&nbsp;Irene Halperin ,&nbsp;Mireia Mora ,&nbsp;Laura Ribera ,&nbsp;Camil Castelo-Branco ,&nbsp;Esther Gómez-Gil ,&nbsp;Angela Vidal","doi":"10.1016/j.rpsm.2022.02.001","DOIUrl":"10.1016/j.rpsm.2022.02.001","url":null,"abstract":"<div><h3>Introduction</h3><p>An increasing number of transgender minors are seeking help during the development of their gender identity and transitioning. Understanding their characteristics and the impact of transitioning on their mental health would be of help in the development of protocols to offer a better assistance to this population. The aim of this study was to examine the socio-demographic characteristics and clinical data related to gender identity, transitioning and persistence of transgender minors who were seen at the Gender Identity Unit (GID) of Catalonia, Spain.</p></div><div><h3>Material and methods</h3><p>All underage applicants who requested clinical assistance at the specialized GID from 1999 until 2016 were retrospectively evaluated using the minors’ medical records.</p></div><div><h3>Results</h3><p>124 out of 140 minors were confirmed as being transgender, 83.1% of them were adolescents. The assigned male/female ratio was 1:1.2. 97.6% persisted in their transgender identity after a median follow-up time of 2.6 years. Prior to the first meeting, 48.5% were living in their affirmed role and, by the end of the study, this percentage rose to 87.1%. Yearly, the number of referrals exponentially grew whereas the age at referral decreased (<em>rs</em> <!-->=<!--> <!-->−0.2689, <em>p</em> <!-->=<!--> <!-->0.0013). Child consultations rose to a significant percentage (23.5%) over the last 6 years.</p></div><div><h3>Conclusions</h3><p>Over the 18-year period, the number of referrals increased considerably, more assigned natal female minors and children were seen, and more minors made the decision to go through social transition at a younger age. In contrast with other epidemiological studies conducted in this field, a consistently high rate of persistence was observed.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 35-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989122000283/pdfft?md5=5b57157b29a40d337d9f47b6c9e486a4&pid=1-s2.0-S1888989122000283-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83164414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}