European Journal of Psychiatry最新文献

{"title":"Trends in emergency health care due to suicidal behaviour in youth and adult populations","authors":"Sofía Abascal-Peiró ,&nbsp;Alejandro Porras-Segovia ,&nbsp;Blanca Margarit-Parrondo ,&nbsp;Enrique Baca-García","doi":"10.1016/j.ejpsy.2025.100296","DOIUrl":"10.1016/j.ejpsy.2025.100296","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Since the outbreak of the COVID-19 pandemic, there has been a significant increase in mental health-related ED visits, especially in child and adolescent population. This study aims to analyze trends in emergency care for mental health, including suicidal behaviour, in adolescents over seven years, and compare them with adults.</div></div><div><h3>Methods</h3><div>This observational and retrospective study included 33,376 visits, involving 12,159 individuals, to the ED for mental health issues between 2015 and 2021 from two hospitals in Madrid (Hospital Fundación Jiménez Díaz and Hospital Rey Juan Carlos). Sociodemographic and clinical data were collected from electronic health records. Logistic regression models were used to identify factors associated with presentations for suicidal behavior, with odds ratios (OR) and 95 % confidence intervals (95 %CI).</div></div><div><h3>Results</h3><div>In adults, presenting to the emergency department for suicidal behaviour was significantly associated with family history of suicide (OR=1.497, 95 %CI [1.250–1.794]), higher number of previous suicide attempts (OR=1.376, 95 %CI [1.331–1.422]), and substance intoxication (OR=1.317, 95 %CI [1.132–1.533. In children and adolescents, previous suicide attempts (OR=1.803, 95 %CI [1.485–2.189]), being female (OR=1.848, 95 %CI [1.281–2.666]) and older age (OR=1.113, 95 %CI [1.015–1.222]) were associated with higher odds of presenting for suicidal behaviour. Neurodevelopmental disorders were also significantly associated with increased odds of presenting for suicidal behaviour (OR=5.328, 95 %CI [2.353–12.063]), while psychotic disorders (OR=0.133, 95 %CI [0.032–0.548]) and anxiety disorders (OR=0.282, 95 %CI [0.128–0.622]) were linked to lower odds. In contrast to adults, the percentage of ED visits for suicidal behaviour in children and adolescents increased steadily over the study period, peaking at 30.3 % in 2020</div></div><div><h3>Conclusion</h3><div>These findings underscore the need for age- and gender-specific approaches in the management and prevention of suicidal crises in mental health emergency settings, with special attention to past suicidal behavior and family history as critical risk factors.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100296"},"PeriodicalIF":2.5,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Don't feel comfortable in your own skin? The relationship between body dissatisfaction and social media use – A meta-analytical approach","authors":"Thomas Vlasak ,&nbsp;Alfred Barth ,&nbsp;Christoph Augner","doi":"10.1016/j.ejpsy.2025.100297","DOIUrl":"10.1016/j.ejpsy.2025.100297","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-analysis aims to clarify the relationship between body dissatisfaction (BD) and social media use.</div></div><div><h3>Methods</h3><div>We searched for relevant original studies via multiple data bases (i.e. Web of Science, Scopus, PubMed, etc.) until October 2023. Based on the included studies, we carried out a meta-analysis examining moderating effects and subgroup differences while testing the robustness of the relationship between BD and social media use against publication bias and influential cases.</div></div><div><h3>Results</h3><div>We included 18 studies with a total sample size of <em>n</em> = 24 384 participants with a mean age of 19.94 years (SD= 9.86) published from 2013 to 2022. Higher levels of social media use were significantly correlated with higher BD (<em>r</em> = 0.14 (95 % CI from 0.09 to 0.18, <em>p &lt;</em> .001). The positive association between social media use and BD is robust against outlier exclusion and considering heterogeneity (<em>r</em> = 0.13 (95 % prediction interval from 0.04 to 0.23, <em>p &lt;</em> .001).</div></div><div><h3>Conclusion</h3><div>Our results show that higher levels of social media use are significantly associated with higher BD. Key mechanisms behind the relationship are discussed.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100297"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The growing phenomenon of sharenting and its implications for psychiatry","authors":"Luis M. Rojo-Bofill","doi":"10.1016/j.ejpsy.2025.100295","DOIUrl":"10.1016/j.ejpsy.2025.100295","url":null,"abstract":"","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100295"},"PeriodicalIF":2.5,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eating disorders and cardiovascular outcomes: A systematic review with meta-analysis","authors":"Cristiane Buzanello-Donin ,&nbsp;Monica Augusta Mombelli ,&nbsp;Márcia Rosângela Buzanello ,&nbsp;Clenise Maria Reis Capellani dos Santos ,&nbsp;Cassia Cristina Paes de Almeida ,&nbsp;Rogério da Luz ,&nbsp;Miguel Morita Fernandes da Silva","doi":"10.1016/j.ejpsy.2024.100274","DOIUrl":"10.1016/j.ejpsy.2024.100274","url":null,"abstract":"<div><h3>Background and objective</h3><div>To conduct a literature review to assess the association between eating disorders (ED), cardiovascular outcomes and all-cause mortality.</div></div><div><h3>Methods</h3><div>Observational studies that presented a measure of association between mortality (or cardiac outcomes) and EDs in adult or adolescent patients were included. The databases PubMed, Web of Science, EMBASE, Livivo, Scopus, PsycINFO and Lilacs were consulted. The random effect was adopted to group the findings of the primary studies in the meta-analysis using the Hazzard Ratio (HR) as a measure of association.</div></div><div><h3>Results</h3><div>The meta-analysis with 50,263 patients with ED showed a higher risk of mortality from all causes in patients compared to controls. The associated risk of death from all causes was higher with anorexia (AN) compared to other ED (AN: HR 5.38; 95 %CI 4.42 to 6.56; binge ED: HR 2.48; 95 %CI 1.13 to 5.46; bulimia: HR 2.21; 95 %CI 1.70 to 2.87). Additionally, one study demonstrated an association between bulimia and an increased risk of developing cardiovascular disease (HR 4.25; 95 %CI 2.98 to 6.07) and another study showed a higher risk of cardiovascular events in people with bulimia than in healthy controls (HR 1.4; 95 %CI 0.7 to 2.8). Finally, a higher risk of cardiovascular events in people with AN (HR 10.4; 95 %CI 2.6 to 41.6) was demonstrated in one study, when compared to healthy controls.</div></div><div><h3>Conclusions</h3><div>There is an association between EDs and all-cause mortality, with AN being associated with the highest risk, followed by binge ED and bulimia.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100274"},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of bright light therapy in patients suffering from unipolar or bipolar depression; A naturalistic study","authors":"M.A. Riedinger ,&nbsp;G.E. van Son ,&nbsp;N.J.A. van der Wee ,&nbsp;E.J. Giltay ,&nbsp;M. de Leeuw","doi":"10.1016/j.ejpsy.2025.100294","DOIUrl":"10.1016/j.ejpsy.2025.100294","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Depressive disorders, both unipolar (MDD) and bipolar (BD), impact patients and society greatly. In bipolar depression and seasonal affective disorder the episodic nature and periodicity relate to changes in circadian rhythms. Bright light therapy (BLT) is thought to ameliorate symptoms of depression through its influence on circadian rhythms. Effectiveness of BLT has not been thoroughly established in real-world clinical samples.</div></div><div><h3>Methods</h3><div>For seventy-four patients with depression Inventory of Depressive Symptoms – Self Rated (IDS-SR) scores were available through Routine Outcome Monitoring (ROM) used in BLT in the outpatient clinic for mood disorders. Patients received one or two weeks of add-on BLT as usual care. Patients suffering from MDD (<em>n</em> = 33, 60.6 % female, mean age 36.1 ± 11.5 years) were compared to patients suffering from BD (<em>n</em> = 41, 70.7 % female, mean age 45.0 ± 14.5 years) and changes in individual symptoms were analyzed for these two groups as well as the whole cohort.</div></div><div><h3>Results</h3><div>IDS-SR scores decreased significantly in both groups of patients and did not differ in effect size between the groups. Explorative analyses of the effects on individual items of the IDS-SR showed that items related to core symptoms of depression such a as mood, concentration and energy level showed the largest improvements.</div></div><div><h3>Conclusion</h3><div>Self-report depressive symptoms in patients suffering from either MDD or BD decreased in this naturalistic cohort after receiving BLT.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100294"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difference in degree centrality of brain functional connectivity between patients with treatment-resistant depression and patients with non-treatment-resistant depression compared with healthy individuals","authors":"Li-Kai Cheng ,&nbsp;Li-Fen Chen ,&nbsp;Tung-Ping Su ,&nbsp;Cheng-Ta Li ,&nbsp;Wei-Chen Lin ,&nbsp;Shih-Jen Tsai ,&nbsp;Ya-Mei Bai ,&nbsp;Pei-Chi Tu ,&nbsp;Mu-Hong Chen","doi":"10.1016/j.ejpsy.2025.100292","DOIUrl":"10.1016/j.ejpsy.2025.100292","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Evidence suggests that treatment-resistant depression (TRD) is associated with more prominent and widespread brain alterations in areas related to mood and cognition compared with non-treatment-resistant depression (nTRD). However, direct comparisons of brain functioning between TRD and nTRD are scarce.</div></div><div><h3>Methods</h3><div>We applied graph theory-based resting-state functional magnetic resonance imaging analysis to compare the degree centrality (DC) of brain functional connectivity among 31 patients with TRD, 28 patients with nTRD, and 30 healthy controls. Cognitive function was assessed using working memory and go/no-go tasks.</div></div><div><h3>Results</h3><div>Compared with controls, patients with TRD exhibited reduced DC in the left cuneus, right frontal operculum cortex, cerebellum vermis I, II, and IX, and left cerebellum lobule X. The DC in the right cerebellum lobule III was lower in patients with TRD compared with those with nTRD. Among patients with TRD, we discovered positive associations between mean reaction time on the go/no-go task and DC in the left cuneus (<em>r</em> = 0.44, <em>p</em> = 0.015) and the right frontal operculum cortex (<em>r</em> = 0.41, <em>p</em> = 0.025). Conversely, the mean reaction time on the working memory task was inversely correlated with DC in the left cerebellar lobule X (<em>r</em> = −0.43, <em>p</em> = 0.019).</div></div><div><h3>Conclusion</h3><div>Our findings highlight the important roles of the cerebellum (specifically, lobule X, and the right lobule III), frontal operculum, and cuneus in TRD. Dysfunction in these brain regions, which are integral to the salience and default mode networks, is likely associated with TRD-related cognitive dysfunction.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100292"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of studies using translated versions of the Attribution Questionnaire (AQ-27) to measure public stigma towards people with schizophrenia","authors":"Claire Thirkettle ,&nbsp;Sheri Oduola ,&nbsp;Sharon Black ,&nbsp;Lucy McEntegart ,&nbsp;Peter Beazley","doi":"10.1016/j.ejpsy.2025.100290","DOIUrl":"10.1016/j.ejpsy.2025.100290","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>The Attribution Questionnaire (AQ-27) is a widely used measure of public mental illness stigma. The AQ-27 was originally developed in the USA in the English language. Since its inception in 2003, several translations of the measure have been produced. This is the first review to explore the use of translated versions of the AQ-27 to measure stigma towards people with schizophrenia.</div></div><div><h3>Methods</h3><div>A systematic review was conducted. MEDLINE, PsycInfo and Web of Science were systematically searched between 2003 and 2024. The COSMIN Study Design Checklist was adapted to appraise the quality of the translation processes. Data were extracted relating to measurement properties (reliability and validity) of the translated measures.</div></div><div><h3>Results</h3><div>Forty-one studies were identified, spanning fifteen countries and eleven languages. Most studies (<em>n</em> = 26, 63.4 %) were located in Europe. Twelve original translations of the AQ-27 were identified, of which, four studies were primarily focused on translation and validation of the measure. The Turkish, Italian and Arabic translations were rated highest for methodological quality of the translation process.</div></div><div><h3>Conclusions</h3><div>Researchers should consider the quality of the methodology used to develop existing translated versions of the AQ-27 before adopting them, as this may have implications for the validity and equivalence of the measure within the target culture. Translation frameworks are available to support the high-quality translation and cross-cultural adaptation of self-report measures.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100290"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic value of a two-dimensional trauma-neglect model: Two-year course of the Dutch Friesland study cohort","authors":"Sanne Swart ,&nbsp;Marleen Wildschut ,&nbsp;Willemien Langeland ,&nbsp;Adriaan W. Hoogendoorn ,&nbsp;Nel Draijer","doi":"10.1016/j.ejpsy.2025.100291","DOIUrl":"10.1016/j.ejpsy.2025.100291","url":null,"abstract":"<div><h3>Background and objectives</h3><div>This study tested the prognostic value of a two-dimensional trauma-neglect model by determining clinically relevant change in symptomatology of patients with (comorbid) trauma-related disorders, dissociative disorders and personality disorders after 2-year follow-up</div></div><div><h3>Methods</h3><div>Our cohort consisted of 150 patients who were referred to specialized treatment programs for trauma-related disorders, dissociative disorders or personality disorders. We determined clinically relevant change using the Relevant Change Index and used logistic regression analysis to test the prognostic value of the trauma-neglect model.</div></div><div><h3>Results</h3><div>Our results showed that severity of a trauma-related diagnosis predicted clinically relevant change in dissociative symptoms, but not in other symptomatology. The number of personality disorders did not predict clinically relevant change in symptomatology.</div></div><div><h3>Conclusions</h3><div>We found little support for the prognostic value of the trauma-neglect model, and, contrary to our expectation, the severity of symptoms did not predict course in a negative way.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100291"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex differences in death by suicide versus the rest of external causes of death across the lifespan. A population study","authors":"Alicia Padron-Monedero ,&nbsp;Isabel Noguer-Zambano ,&nbsp;Alejandro G. Arleth ,&nbsp;M. Pilar Martin ,&nbsp;Jerónimo Saiz Ruiz","doi":"10.1016/j.ejpsy.2024.100261","DOIUrl":"10.1016/j.ejpsy.2024.100261","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Men, compared to women, have higher rates of mortality by suicide and the rest of external causes in all age groups. However, it is unclear if the higher tendency of men to die by suicide, it is largely related to men higher propensity to die by external causes in general. As far as we know, only one study (US population) assessed sex differences in suicide versus other external causes of death, finding important differences across the lifespan. Thus, our study aims to assess, in Spanish population, if there are differences between sexes in death by suicide versus the rest of external causes of death and its variation across lifespan.</div></div><div><h3>Methods</h3><div>Cross-sectional study of all Spanish residents that died from suicide and rest of external causes between 2016 and 2018, and which consisted of 45,389 fatalities. To assess sex differences in deaths by suicide versus the rest of external causes of death, we built logistic regression models stratifying by age groups.</div></div><div><h3>Results</h3><div>Compared to women who died by external causes, men who died by external causes had OR (95 % CI) of 1.94(1.85–2.03) of dying by suicide. The OR were 0.78 (0.64–0.96), 0.57 (0.49–0.67), 0.73 (0.64–0.84) and 0.75 (0.65–0.85) for those 25–34, 35–44, 45–54 and 55–64 years respectively. For those 65–74, 75–84 and ≥ 85 years the trend changed, and OR were 1.15 (1.01–1.31), 2.38 (2.10–2.72), and 3.81 (3.28–4.44) respectively.</div></div><div><h3>Conclusions</h3><div>Men, compared to women, are more likely to die by suicide versus the rest of external deaths. Nevertheless, there are important differences across the lifespan.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100261"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation and validation of the inventory of psychotic-like anomalous self-experiences (IPASE) into spanish to assess anomalous self-experiences","authors":"Marta Hernández-García ,&nbsp;Rosa M. Beño-Ruiz-de-la-Sierra ,&nbsp;José Luis Quintana-Velasco ,&nbsp;Inés Fernández-Linsenbarth ,&nbsp;Olga Santesteban-Echarri ,&nbsp;Vicente Molina Rodríguez","doi":"10.1016/j.ejpsy.2024.100276","DOIUrl":"10.1016/j.ejpsy.2024.100276","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Anomalous self-experience, or the experience of the self, are frequently present but underexplored in patients with schizophrenia. Unfortunately, to date, there are no available inventories in Spanish to assess these self-experiences. The present study aims to adapt and validate the Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) in the Spanish population.</div></div><div><h3>Methods</h3><div>A total of 171 participants were included: 112 cases (patients) and 59 healthy controls. Among them, 87 patients were diagnosed with schizophrenia (70 chronic and 17 first-episode patients) and 25 patients with bipolar disorder. The participants were evaluated using the structured clinical interview DSM-IV and were tasked with completing the Spanish version of the IPASE. The properties of the scale were analysed in terms of internal consistency, stability, and correlation between scores on the subscales with sociodemographic and clinical variables.</div></div><div><h3>Results</h3><div>The IPASE showed good reliability (Cronbach's alpha coefficient of 0.847) and intraclass correlation,with a value of 0.837 for the patient group and 0.812 for the control group. The variables of age and sex did not significantly correlate with the total IPASE score. Compared to healthy controls, cases obtained significantly higher overall scores on the IPASE and its five subscales; total scores on the IPASE (Cases: (20.96 ± 42.5)vs. control:(80.56 ± 20.6), <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The Spanish version of the IPASE scale shows good psychometric properties in terms of reliability and validity for its application in assessing alterations in subjective self-experiences in patients with schizophrenia. This demonstrates the value of the IPASE as a tool in both clinical practice and research.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100276"},"PeriodicalIF":2.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}