International Journal of Social Psychiatry最新文献

{"title":"Impact of the February 6, 2023, Turkey earthquake on post-traumatic stress disorder, internet addiction and insomnia: A cross-sectional study.","authors":"Şeyma Sehlikoğlu, Esra Bekircan, Abdülkadir Gündüz","doi":"10.1177/00207640241294203","DOIUrl":"10.1177/00207640241294203","url":null,"abstract":"<p><strong>Background: </strong>After earthquakes, individuals may increase their internet usage to cope with post-traumatic stress symptoms, potentially leading to internet addiction and sleep disturbances.</p><p><strong>Aims: </strong>This study aims to determine the levels of post-traumatic stress disorder (PTSD), internet addiction and insomnia in earthquake survivors 1 year after the event and to explore the relationships between these variables.</p><p><strong>Methods: </strong>This cross-sectional descriptive study was conducted between April and June 2024 through face-to-face interviews with 554 individuals who survived the February 6, 2023 earthquake in Turkey, 1 year after the event. Data were collected using the PTSD Checklist for DSM-5 (PCL-5), the Young Internet Addiction Test-Short Form (YIAT-SF) and the Insomnia Severity Index (ISI).</p><p><strong>Results: </strong>A statistically significant moderate positive correlation was found between PCL-5, YIAT-SF and ISI based on the Pearson correlation test (<i>r</i> = .32 and .44, respectively; <i>p</i> < .05). According to the logistic regression analysis, experiencing physical injury during the earthquake and the loss of first-degree relatives were found to predict the severity of PTSD symptoms (<i>p</i> = .04, OR = 2.44, 95% CI [1.04, 5.65]; <i>p</i> < .001, OR = 1.98, 95% CI [1.26, 3.06], respectively). Additionally, the YIAT-SF and ISI variables were found to be statistically significant predictors of PTSD symptom severity (<i>p</i> < .001, OR = 1.04, 95% CI [1.01, 1.07]; <i>p</i> < .001, OR = 1.18, 95% CI [1.12, 1.23], respectively).</p><p><strong>Conclusions: </strong>It is concluded that the severity of PTSD symptoms in earthquake survivors is associated with the severity levels of insomnia and internet addiction. Additionally, it is determined that experiencing injury or loss of a loved one during the earthquake may increase the severity of PTSD symptoms. To protect earthquake survivors from the risk of PTSD, it may be necessary to provide psychosocial support focussed on positive coping strategies for internet addiction and insomnia.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"414-425"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604051","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":"Treatment experiences of women diagnosed with substance use disorder in eastern Turkey: A qualitative study.","authors":"Mehmet Cihad Aktas, Cemile Hurrem Ayhan","doi":"10.1177/00207640241300967","DOIUrl":"10.1177/00207640241300967","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine the addiction treatment experiences of women with substance use disorders in eastern Turkey with qualitative approach.</p><p><strong>Methods: </strong>The study was conducted using the phenomenological method, one of the qualitative study methods. Purposive sampling was used to select the sample for the study. In-depth individual interviews were conducted with the selected sample group. Data saturation was reached with 12 participants and data collection was finalized. The data was collected using a personal information form and an open-ended structured interview form in which participants were asked about their views and experiences of the climate crisis. Voice recordings were transcribed, and categories, sub-themes and themes were formed.</p><p><strong>Results: </strong>Based on the statements of women with substance use disorders, several major themes in experiences of treatment: the path to healing, barriers and advantages. Barriers to treatment included individual barriers, institutional barriers and social barriers. Individuals' barriers divided into several categories such as custody issue, internalized stigma, lack of knowledge, economic difficulties, lack of social security and barriers to accessing treatment.</p><p><strong>Conclusion: </strong>While treatment can lead to improved functionality and recovery for women with substance use disorders, various competing factors can complicate these outcomes. The impact of intimate partner violence, social support, stigma, and cultural relevance all play critical roles in shaping treatment experiences. Addressing these complexities through integrated, women-centered approaches is essential for enhancing treatment outcomes and supporting the recovery journeys of women with substance use disorders.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"264-273"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710050","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":"Asylum-seeker women: Coping strategies and mental wellbeing.","authors":"Sara Shishehgar, Leila Gholizadeh, Michelle DiGiacomo, Patricia Mary Davidson","doi":"10.1177/00207640241291498","DOIUrl":"10.1177/00207640241291498","url":null,"abstract":"<p><strong>Background: </strong>Asylum seekers in Australia are subjected to various punitive measures that can affect their psychological wellbeing. The capacity of asylum seekers to adapt and cultivate effective coping strategies can enhance their resilience, facilitate their settlement processes and promote their overall mental health.</p><p><strong>Aim: </strong>This study aims to explore the coping strategies employed by women who are asylum-seekersthat have the potential to enhance their resilience post migration.</p><p><strong>Method: </strong>A semi-structured qualitative study was conducted with asylum-seeker women from Iran. Data were analysed using an inductive thematic analysis.</p><p><strong>Results: </strong>Seventeen participants described their experiences of applying various strategies to enhance their coping ability, resilience and maintain their mental wellbeing when facing ongoing challenges. Problem-solving strategies included social engagement, adjusting life plans and seeking support from formal and informal resources. Emotion-focussed strategies were positive thinking and maintaining hope, avoidance and spirituality. While emotion-focussed strategies enabled the women to manage their stresses temporarily, problem-solving strategies allowed them to effectively address the challenges they faced after migration.</p><p><strong>Conclusion: </strong>Providing supportive resources for asylum seekers, removing stigma and developing community ties may assist individuals in improving their coping skills, resilience and mental wellbeing.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"307-314"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465424","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":"Attitudes toward partner violence in men: An evaluation in terms of narcissism and attachment style in Turkey.","authors":"Gülseren Keskin, Melike Aslan","doi":"10.1177/00207640241291501","DOIUrl":"10.1177/00207640241291501","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence is quite common around the world.</p><p><strong>Aim: </strong>This study aims to determine the attitudes toward partner violence in men and to evaluate their attitudes toward violence according to narcissistic characteristics and attachment styles.</p><p><strong>Method: </strong>This study was conducted using descriptive cross-sectional methods. Data has been collected by using The Experiences in Intimate Relationship Inventory (EIRI), The Pathological Narcissism Inventory (PNI), and Attitude Scales Toward Dating Violence (ASTDV).</p><p><strong>Results: </strong>There was a positive correlation between the PSV and PV of ASTDV in the anxiety sub-dimension of the EIRI-2 (<i>r</i> = .283, <i>p</i> < .05; <i>r</i> = .262, <i>p</i> < .05) and a negative correlation with PSV and PV in the avoidance sub-dimension (<i>r</i> = -.656, <i>p</i> < .05; <i>r</i> = -.656, <i>p</i> < .05). PSV and PV sub-dimension of ASTDV and PNI's expectations of being noticed (<i>r</i> = .423, <i>p</i> < .05; <i>r</i> = .313, <i>p</i> < .05), fragile self (<i>r</i> = .256, <i>p</i> < .05; <i>r</i> = .154, <i>p</i> < .05), self-sacrifice (<i>r</i> = .186, <i>p</i> < .05; <i>r</i> = .106, <i>p</i> < .05), grandiose dreams (<i>r</i> = -.217, <i>p</i> < .05; <i>r</i> = -.109, <i>p</i> < .05).</p><p><strong>Conclusion: </strong>In this study, it was determined that attitudes toward psychological and physical violence in men were directly related to anxious attachment, pathological narcissism, expectations of being noticed, fragile self, grandiose dreams, and self-sacrifice. Increasing the duration of the relationship with the partner, living in a village or town, having more siblings, having a father with a low level of education, and having a mental disorder under treatment constitute a risk for increasing positive attitudes toward psychological and physical violence in men.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"380-391"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465425","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":"Network analysis of correlations between suicide exposure, depression, and anxiety symptoms in adolescents.","authors":"Tianyu He, Huijing Zou, Hao Hou, Yijing Yu, Fan Wang, Chunfeng Tian, Dan Luo, Yang Zhou, Jun Zhao, Bing Xiang Yang","doi":"10.1177/00207640241291495","DOIUrl":"10.1177/00207640241291495","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with a history of suicide exposure, defined as experiencing the suicide death of a family member, friend, or other acquaintances, are more likely to experience mental health issues such as depression or anxiety.</p><p><strong>Aims: </strong>This study aimed to explore prevalence rates and the network of adolescents' suicide exposure, depression, and anxiety symptoms, and to clarify the correlations between suicide exposure and symptoms of depression and anxiety.</p><p><strong>Method: </strong>A total of 8,957 adolescents were included in this cross-sectional study. Data regarding general information, symptoms of depression and anxiety, and suicide exposure were collected from mid-September to early October 2021. Network analysis was employed to assess relationships between suicide exposure and individual symptoms of both depression and anxiety. Central symptoms were identified by strength; the flow network was visualized to identify symptoms directly related to suicide exposure.</p><p><strong>Results: </strong>The prevalence rates of suicide exposure, depression, and anxiety were 5.28%, 12.87%, and 10.48%. Results indicated that suicide exposure was associated with both depression and anxiety, and had the strongest positive association with suicidal ideation. Central symptoms of the network were sad mood, nervousness, fatigue, irritability, and uncontrollable worry. Bridge symptoms were suicidal ideation and irritability. Appetite changes, suicidal ideation, uncontrollable worry, sleep difficulties, and irritability were symptoms directly related to suicide exposure.</p><p><strong>Conclusions: </strong>There were significant inter-symptom associations between suicide exposure, depression, and anxiety in adolescents. It is recommended that future studies explore whether targeted interventions and long-term monitoring concerning these inter-symptom associations can protect adolescents with suicide exposure.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"359-369"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465431","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":"Stressors and suicidal ideation in low-income adults in Malaysia: A serial mediation analysis of social support and mental health symptoms.","authors":"Madihah Shukri, Christopher J Armitage, Chong Siew Koon, Nurul Nabila Tarmizi","doi":"10.1177/00207640241288686","DOIUrl":"10.1177/00207640241288686","url":null,"abstract":"<p><strong>Background: </strong>Studies have documented a heightened risk of suicidal ideation in response to stressors, especially among people from socioeconomically disadvantaged backgrounds. However, the mechanisms of this association remain elusive.</p><p><strong>Aims: </strong>Drawing on the social deterioration and counteractive models, this study aims to elucidate the pathways linking stressors to suicidal ideation through serial mediation of social support and mental health symptoms in Malaysia.</p><p><strong>Method: </strong>Data were collected from 404 low-income adults (33.2% male and 66.8% female) receiving monthly financial assistance from Malaysia's social welfare department. We employed stressor measures (i.e. financial, family and work), the Oslo Social Support Scale, the Patient Health Questionnaire and the Suicidal Behaviour Questionnaire-Revised.</p><p><strong>Results: </strong>A total of 46.8% of participants reported mild-to-severe anxiety and depressive symptoms, with 11.1% classified as high risk for suicide. Direct and indirect effects were found. After controlling for age and gender, social support and mental health symptoms mediated the link between stressors and suicidal ideation. The serial mediation analysis indicates that stressors are connected to heightened suicidal ideation through a sequence involving insufficient social support, followed by elevated levels of mental health symptoms.</p><p><strong>Conclusion: </strong>Understanding the multifaceted relationships among stressors, social support, mental health symptoms and suicide ideation expands the potential for developing targeted interventions and preventive strategies tailored for vulnerable populations. Clinical work with low-income individuals may include implementing early systematic efforts to develop accessible mental health and integrated care services.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"295-306"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465433","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":"Domestic violence and depression among Chinese adolescents: The role of self-evaluation.","authors":"Wangqian Fu, Shiqi Zhang, Yuehua Zhu, Ruidong Liu","doi":"10.1177/00207640241288215","DOIUrl":"10.1177/00207640241288215","url":null,"abstract":"<p><strong>Background: </strong>Depression of adolescents seriously affects their mental health as well as the formation and development of sound personality. According to Family Systems Theory, individuals' mental health is closely related with external (e.g. domestic violence) and internal factor (e.g. self-evaluation). The formation mechanism of depression needs deep investigation in order to provide better educational intervention for students and promote their healthy development.</p><p><strong>Aim: </strong>The study examined the relationship among domestic violence, depression, and self-evaluation.</p><p><strong>Methods: </strong>The data were collected from 1,011 Chinese adolescents (<i>M</i>_age = 12.04 ± 1.71) by the questionnaire of Family Violence Scale, Depression Questionnaire, and Rosenberg Self Esteem Scale.</p><p><strong>Results: </strong>We found domestic violence and depression were significantly positively correlated (<i>r</i> = .25, <i>p</i> < .001); self-evaluation was significantly negatively correlated with domestic violence (<i>r</i> = -.26, <i>p</i> < .001) and depression (<i>r</i> = -.50, <i>p</i> < .001). Moreover, domestic violence could directly and positively predict depressed psychology, and could also indirectly predict depressed psychology through the mediating effect of self-evaluation.</p><p><strong>Conclusion: </strong>The level of depression of adolescents was closely related with domestic violence and self-evaluation. And self-evaluation played a mediating role between domestic violence and self-evaluation.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"274-282"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465427","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":"Exploring the effect of family function on non-suicidal self-injury among Chinese adolescents in different family socioeconomic status.","authors":"Meng Qin Ao, Dan Luo, Hao Hou, Yu Lei Jiang, Zi Yao Lv, Bowen Li, Na Lyu, Shu Yan, Huijing Zou, Bing Xiang Yang","doi":"10.1177/00207640241291575","DOIUrl":"10.1177/00207640241291575","url":null,"abstract":"<p><strong>Background: </strong>Non-suicidal self-injury (NSSI) among adolescents represents an alarming public health concern worldwide. Both family function and family socioeconomic status (SES) were found to play important roles in adolescent NSSI engagement. However, the effects of family function on NSSI among adolescents in different family SES are not well evidenced.</p><p><strong>Aims: </strong>This study aimed to explore how family functions (adaptation, partnership, growth, affection, and resolve) affect NSSI among adolescents in different family SES levels.</p><p><strong>Methods: </strong>Data used in this study was derived from the Students' Mental Health Network Project (SMHN), a survey conducted among 8,872 pairs of adolescent-caregivers in a city in central China. Socio-demographic characteristics, family function, NSSI, adverse life events, and depressive symptoms were measured among adolescents. Family SES were generated from caregivers self-reported information using principal component analysis. Chi-square test and multivariate binary logistic regression analyses were adopted to analyze the effects of family function on NSSI.</p><p><strong>Results: </strong>It revealed that 10.2% of adolescents reported engaging in NSSI in the past 12 months. Poor family function and high family SES were positively associated with NSSI. Partnership, both adaptation and affection, resolve were NSSI-protective factors for adolescents in low, middle, high family SES, respectively.</p><p><strong>Conclusions: </strong>Efforts to address NSSI should acknowledge the association between family function and NSSI among adolescents in different family SES levels.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"315-327"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500498","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":"Depressive symptoms and associated socioeconomic and clinic factors: Three different years data from Türkiye.","authors":"Selçuk Özdin, Kerem Laçiner, Ömer Böke, Servet Aker","doi":"10.1177/00207640241291520","DOIUrl":"10.1177/00207640241291520","url":null,"abstract":"<p><strong>Background: </strong>Depression is one of the main diseases that cause disability. It is more common in various sociodemographic situations.</p><p><strong>Aims: </strong>This study investigated the risk factors associated with depressive symptoms and changes over the years based on data from a sample from the Republic of Türkiye. It was also intended to compare depressive symptoms and inflation rates by years.</p><p><strong>Method: </strong>Data for 2016, 2019 and 2022 from the Turkish Health Survey performed by the Turkish Statistical Institute were used in the study. Data for age, sex, marital status, education level, employment status, accompanying chronic health problems, restrictions in daily activities associated with health problems and problems accessing psychological treatment due to difficulty in paying were evaluated in terms of depressive symptoms.</p><p><strong>Results: </strong>Higher depressive symptoms were determined in women, the widowed and divorced, individuals with a low level of education, the unemployed, individuals with chronic health problems, those with restrictions in daily activities associated with chronic health problems and those with problems accessing psychological treatment due to difficulty in paying. Although inflation rates increased over the years, the severity of depressive symptoms decreased. A moderate positive correlation was observed between depressive symptoms and basic activities of daily living.</p><p><strong>Conclusions: </strong>Developing policies aimed at groups with high depressive symptoms may be important in combating depression.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"349-358"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500497","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 effect of climate crisis on bipolar disorder: A qualitative study about experiences of individuals diagnosed with bipolar disorder.","authors":"Mehmet Cihad Aktaş, Cemile Hurrem Ayhan, Esra Karan","doi":"10.1177/00207640241291521","DOIUrl":"10.1177/00207640241291521","url":null,"abstract":"<p><strong>Introduction: </strong>It can be said that the bipolar disorder is influenced by weather events. It is stated that climate change can have direct and indirect effects on bipolar disorder. Determining the impact of the climate crisis on individuals with bipolar disorder may assist in the development of preventive, protective and active treatment interventions for this group.</p><p><strong>Aim: </strong>The aim of this study was to determine the views and experiences of people with bipolar disorder about the impact of the climate crisis on their illness.</p><p><strong>Method: </strong>The study was conducted using the phenomenological method, one of the qualitative study methods. Purposive sampling was used to select the sample for the study. In-depth individual interviews were conducted with the selected sample group. Data saturation was reached with 11 participants and data collection was finalized. The study data was collected using a personal information form and an open-ended structured interview form in which participants were asked about their views and experiences of the climate crisis. Voice recordings were transcribed, and categories, sub-themes and themes were formed.</p><p><strong>Results: </strong>Based on the statements of people with a bipolar diagnosis, the study formed the themes of emotional impact, negative physical impact, impact on daily life, impact on symptoms, negative impact on recovery and ways of coping.</p><p><strong>Conclusion: </strong>People with a bipolar diagnosis are negatively affected by the impact of the climate crisis in many areas. There is a need to develop intervention programmes to arm people with a bipolar diagnosis against the negative effects of the climate crisis.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"254-263"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500500","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}