Journal of Attention Disorders最新文献

{"title":"Social Preference of Children at Risk for ADHD in Schools: Do They Have Limited Social Resources and can Friends Protect Against Peer Rejection?","authors":"de Swart F, Veenman B, Oosterlaan J, Luman M","doi":"10.1177/10870547251349244","DOIUrl":"10.1177/10870547251349244","url":null,"abstract":"<p><strong>Objective: </strong>This cross-sectional study investigated social opportunities in children at risk for ADHD in regular primary education classrooms. First, we aimed to compare social preference of children at risk for ADHD and of their unilateral friends, with their classmates. Second, we hypothesized that for the at risk-group higher levels of problem behaviors would be related to having friends with lower social preference, via own lower preference (limited social resources-hypothesis). Third, we hypothesized that having friends with higher social preference could buffer against lower social preference of children in the at-risk group (interpersonal contact-hypothesis).</p><p><strong>Method: </strong>Our sample consisted of 112 Dutch primary school children at risk for ADHD (84% boys, <i>M</i>_age = 8.89, <i>SD</i> = 1.85), and 2,526 classmates serving as controls. Social preference and preference of unilateral friends was assessed with peer nominations of friendships and peer ratings of preference. Behavioral problems of children at risk for ADHD were assessed by teacher questionnaires.</p><p><strong>Results: </strong>T-tests revealed that children at risk for ADHD and their unilateral friends had lower social preference than their classmates. Children at risk for ADHD nominated classmates with higher preference than themselves as friends, while they were nominated by classmates with similar preference. A path model and two linear regression models showed that higher levels of conduct problems were indirectly related to lower social preference of received unilateral friends, via own lower preference. We found no evidence that interpersonal contact could protect against lower social preference.</p><p><strong>Conclusion: </strong>Clearly, children at risk for ADHD suffer from problems in their relationships with classmates.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"896-907"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Application of Time Series Analysis to Single-Case Designs in an Intensive Behavioral Intervention for ADHD.","authors":"Morgan L Jusko, Jessica N Smith, Timothy Hayes, Mileini Campez-Pardo, Adela C Timmons, Anne S Morrow, Cynthia Lozano, Whitney D Fosco, Kelcey Little, Miguel Villodas, Joseph S Raiker","doi":"10.1177/10870547251339546","DOIUrl":"10.1177/10870547251339546","url":null,"abstract":"<p><strong>Objective: </strong>Although treatment research has relied upon group-based methods to understand treatment response, these methods often are unable to detect intraindividual changes in behavior. Single case designs using time series analyses, in contrast, may be ideal for examining intraindividual variability in treatment response over time. The current proof-of-concept study applies time series analysis to four youth with attention-deficit/hyperactivity disorder in a behavioral treatment program to characterize how their behavior changes over time.</p><p><strong>Method: </strong>Objective behavioral data was collected on a moment-by-moment basis while the youth attended an intensive afterschool treatment program implemented throughout the academic year. Desirable and undesirable behaviors were summed for each day, and trends were fit to the data.</p><p><strong>Results: </strong>The most parsimonious <i>trend</i> was linear for most children, for both undesirable and desirable behaviors; however, variability in behavioral response limited the ability of time series analysis to optimally characterize behavioral change. Further, a <i>seasonal</i> analysis revealed differences in response to intervention depending on the day of the week. Notably, decreases in both desirable and undesirable behavior were observed closer to the week's most salient reinforcer.</p><p><strong>Conclusion: </strong>These findings provide a proof-of-concept for implementing time series analysis for clinical scientists intending to utilize moment-by-moment data collection.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"832-847"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Conversations of Children With ADHD: Structural and Pragmatic Language Use in Children With and Without ADHD.","authors":"Hend Samniya, Shelley Taylor, Miho O Tatsuki, Gail Tripp","doi":"10.1177/10870547251345177","DOIUrl":"10.1177/10870547251345177","url":null,"abstract":"<p><strong>Objectives: </strong>Children with ADHD obtain lower scores than their peers on standardized language measures but less is known about their conversational language skills. We tested the ability of children with and without ADHD to monitor and repair their language during a conversation (social discourse) with a young adult.</p><p><strong>Methods: </strong>Forty-nine 9- to 14-year-old children previously diagnosed with ADHD (17 in partial remission) and an age and sex-matched sample of typically developing (TD) children engaged in a conversation with a young adult. Their conversations were recorded, transcribed, and coded for structural and pragmatic language use. Language error and correction rates were compared across the two groups, for the whole sample and for those meeting full criteria for ADHD.</p><p><strong>Results: </strong>The ADHD group made significantly more structural language errors, specifically morphosyntactic mistakes and word repetitions. In their pragmatic language use, children with ADHD were more likely to make unrelated utterances and were less successful in repairing dysfluent responses. The adult conversational partners made more attempts to keep TD participants engaged in conversation and rated them as more likable.</p><p><strong>Conclusions: </strong>Subtle differences were identified in the structural and pragmatic language use of children with and without ADHD during social discourse. Conversation partners were more engaged in their interactions with TD children and appeared to experience these interactions more positively. The language skills of children with ADHD, including their conversation skills, should be monitored and considered as targets for intervention.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"864-878"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Upside of ADHD-related Risk-taking: Adolescents With ADHD Report a Higher Likelihood of Engaging in Prosocial Risk-taking Behavior Than Typically Developing Adolescents.","authors":"Barbara R Braams, Rebecca van Rijn, Tessa Leijser, Tycho J Dekkers","doi":"10.1177/10870547251321882","DOIUrl":"10.1177/10870547251321882","url":null,"abstract":"<p><strong>Background: </strong>ADHD is highly prevalent in adolescents. ADHD is characterized by heightened impulsive behavior and is often associated with increased risk-taking behavior in adolescence. Previous research has mostly focused on negative aspects of risk-taking behavior. However, recently two other types of risk-taking behavior have been identified: positive and prosocial risk-taking.</p><p><strong>Objective: </strong>Here, we tested whether youth with ADHD are more inclined toward positive and prosocial risk-taking.</p><p><strong>Methods: </strong>We assessed the self-reported likelihood of engaging in negative, positive, and prosocial risk-taking in a sample of 50 adolescents with ADHD (<i>M</i>_age = 16.3, <i>SD</i> = 1.18) and 54 typically developing adolescents (<i>M</i>_age = 16.9, <i>SD</i> = 0.73). Regardless of group, we found that positive, prosocial, and negative risk-taking behavior were positively correlated, higher risk-taking in one domain was associated with higher levels of risk-taking in another.</p><p><strong>Results: </strong>Crucially, we found that adolescents with ADHD were more likely to engage in prosocial risk-taking behavior compared to typically developing adolescents. We did not find group differences for negative and positive risk-taking behavior.</p><p><strong>Conclusion: </strong>Together, these results show a first indication of the upside of risk-taking in ADHD.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"775-786"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equity-Centered Development of a Community Health Worker Intervention to Improve Engagement in Care for ADHD.","authors":"Andrea E Spencer, Jacqueline Krystel Loubeau, Jennifer Sikov, Nicole Zolli, Julia Lejeune, Tithi Baul, Imme Kobayashi, Kryztal Pena, Jocelin Vanegas, Miriam Hansen-Erraziqi, Jessica Kim, Farah Nawreen, Garseng Wong, Rohan Dayal, Bella Faber-Rico, Lisa R Fortuna, Christina Borba, Arvin Garg, Michael Silverstein","doi":"10.1177/10870547251355696","DOIUrl":"https://doi.org/10.1177/10870547251355696","url":null,"abstract":"<p><strong>Objective: </strong>Barriers to engagement perpetuate inequities in ADHD care for children. Community Health Worker (CHW) interventions could improve treatment engagement and reduce inequities. We describe the development of a novel, manualized, 5-module CHW intervention for ADHD called START (SupporT for ADHD and Related Treatment) to increase engagement with ADHD care.</p><p><strong>Method: </strong>We developed START based on perspectives from racial and ethnic minoritized families with feedback from a community advisory board, and conducted a single arm, adaptive pilot feasibility study of START for primary caregivers of children aged 6 to 12 years with newly diagnosed ADHD. We collected process data, pre- and post-intervention survey data, and qualitative data via caregiver exit interviews.</p><p><strong>Results: </strong>Eighteen families enrolled, 15 completed START, and 16 completed study questionnaires. Median intervention duration was six sessions (IQR = 5-6) over 5 weeks (IQR = 4-8). All caregivers reported satisfaction with the quality of the intervention and materials provided and reported they would recommend START to another caregiver. Most caregivers reported that START made them more likely to consider medications (69%), therapy (75%), and school services (88%) for their ADHD. From pre- to post-intervention, median number of outpatient treatments increased from 1.0 (IQR = 1.5) to 2.0 (IQR = 0.5; <i>p</i> = .0034), ADHD knowledge increased (<i>p</i> < .0001), and median scores for 16 of 17 intervention objectives increased (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>START showed excellent feasibility and acceptability and treatment utilization increased post-intervention. We refined START based on feedback from caregivers, including enhanced personalization and expanding to six modules, to prepare for testing in a clinical trial.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547251355696"},"PeriodicalIF":2.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Link Between ADHD Symptoms and Menopausal Experiences.","authors":"Lauren Chapman, Kanak Gupta, Myra S Hunter, Eleanor J Dommett","doi":"10.1177/10870547251355006","DOIUrl":"https://doi.org/10.1177/10870547251355006","url":null,"abstract":"<p><strong>Objectives: </strong>Interest in the role of female hormones in ADHD has grown in recent years and, with an increasing number of women diagnosed with ADHD later in life, it is important hormonal changes across the lifespan are considered. This exploratory study examines the relationships between ADHD status (diagnosis and medication use) and symptoms, and menopause stage (pre/peri/post) and symptoms.</p><p><strong>Methods: </strong>Employing a cross-sectional approach, we recruited a sample of 656 women aged 45 to 60 years, of which 245 had an existing diagnosis of ADHD. Women completed several questionnaires assessing their ADHD symptoms (Adult Self-Report Scale, ASRS) and menopausal experiences (Women's Health Questionnaire, WHQ; Menopause-Specific Quality of Life Questionnaire, MENQoL; Hot Flush Rating Scale, HFRS; Hot Flush Related Daily Interference Scale, HFDIS).</p><p><strong>Results: </strong>ANCOVA revealed no significant effects of an ADHD diagnosis or interaction effects between diagnosis and menopause stage after applying an FDR correction. Similarly, when medication was considered (i.e., non-ADHD, ADHD with medication, and ADHD without medication) there were no main effects of group or interaction effects with menopause stage.</p><p><strong>Conclusions: </strong>These results indicate women with ADHD do not experience greater menopausal complaints than women without at any menopausal stage. However, there were significant correlations between ADHD symptoms and menopausal complaints across all participants but at a group level, these were less prominent in those with ADHD, which could indicate different attribution of symptoms in women with ADHD. Future research should further explore menopause in women with ADHD considering longitudinal designs and qualitative studies to examine potential overlap of symptoms and symptom attribution.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547251355006"},"PeriodicalIF":2.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pink Noise and a Pure Tone Both Reduce 1/<i>f</i> Neural Noise in Adults With Elevated ADHD Traits: A Critical Appraisal of the Moderate Brain Arousal Model.","authors":"Joske Rijmen, Mehdi Senoussi, Jan R Wiersema","doi":"10.1177/10870547251357074","DOIUrl":"https://doi.org/10.1177/10870547251357074","url":null,"abstract":"<p><p>The moderate brain arousal (MBA) model posits that individuals with (elevated traits of) ADHD have lower levels of neural noise and that auditory random noise can elicit stochastic resonance (SR) and increase neural noise, which improves their cognitive performance. Indeed, research shows that auditory random noise, such as white noise, improves cognitive performance in individuals with (elevated traits of) ADHD. However, the assumptions regarding neural noise in ADHD and the requirement of SR have been insufficiently examined due to a lack of studies incorporating both a second non-random auditory condition and an index of neural noise. Therefore, 69 neurotypical adults completed the ASRS to assess ADHD traits and underwent eyes-closed resting-state EEG, subdivided into three 2-min blocks: silence, continuous auditory pink noise (a random signal), and a continuous 100 Hz pure tone (a non-random signal). We then analyzed the aperiodic slope of the EEG power spectral density, a proposed direct measure of neural noise. Pink noise affected the aperiodic slope differently based on ADHD traits; specifically, it increased the slope in individuals with elevated ADHD traits, indicating a decrease in neural noise. Crucially, the same effect was observed for the pure tone. These findings challenge the MBA model by demonstrating that both random (pink noise) and non-random (pure tone) signals reduce neural noise in individuals with elevated ADHD traits, contradicting the proposed mechanism of stochastic resonance, as well as the direction of effects suggested by the MBA model. These findings warrant further investigation, also in a clinical ADHD sample.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547251357074"},"PeriodicalIF":2.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why Are Individuals With ADHD More Prone to Boredom? Examining Attention Control and Working Memory as Mediators of Boredom in Young Adults With ADHD Traits.","authors":"Sarah A Orban, Jennifer S Blessing, Madelyn K Sandone, Benjamin Conness, Jenna Santer","doi":"10.1177/10870547251356723","DOIUrl":"https://doi.org/10.1177/10870547251356723","url":null,"abstract":"<p><strong>Objective: </strong>Proneness to boredom has been reported in ADHD populations; however, no study to date has examined potential mediators of ADHD-related boredom. The current study investigated whether individuals with ADHD traits exhibit higher levels of boredom propensity relative to their peers without ADHD traits and explore if attention control and working memory mediate the relationship between ADHD and proneness to boredom.</p><p><strong>Method: </strong>Young adults (<i>M</i>_age = 19.1, <i>SD</i> = 1.3) with (<i>n</i> = 31) and without (<i>n</i> = 57) ADHD traits completed self-report measures (i.e., boredom proneness, current ADHD symptoms, and childhood indicators of ADHD) and six counterbalanced performance-based cognitive measures (i.e., three attention control and three working memory tasks).</p><p><strong>Results: </strong>Young adults with ADHD traits exhibited large magnitude effect size differences in proneness to boredom relative to their peers without ADHD traits (<i>d</i> = 2.09). In addition, proneness to boredom and ADHD trait group status were related to worse performance on attention control and working memory factors. Both attention control and working memory factors partially mediated the relation between ADHD and boredom, accounting for 5.8% and 6.4% of the variance in ADHD-related boredom, respectively.</p><p><strong>Conclusion: </strong>Executive attention processes related to difficulty controlling attention and using working memory may provide a partial explanation for why individuals with ADHD traits experience boredom.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547251356723"},"PeriodicalIF":2.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Long-Term Impact of ADHD on Children and Adolescents' Health-Related Quality of Life: Results From a Longitudinal Population-Based Australian Study.","authors":"Ha Nguyet Dao Le, Courtney Keily, David Coghill, Lisa Gold","doi":"10.1177/10870547251353366","DOIUrl":"https://doi.org/10.1177/10870547251353366","url":null,"abstract":"<p><strong>Background: </strong>ADHD is the most common neurodevelopmental disorder. While much is known about the functional and academic impacts of ADHD, impacts on long-term health-related quality of life (HRQoL) are less well-documented.</p><p><strong>Aims: </strong>To explore, in children aged 4 to 17 years, associations between clinical ADHD symptoms and (1) children's HRQoL; (2) whether internalizing or externalizing problems attenuate this association; and (3) factors contributing to this association.</p><p><strong>Methods: </strong>Data were drawn from the Longitudinal Study of Australian Children at child ages 4 to 17 years (<i>N</i> = 4,194). Clinical ADHD symptoms (e.g., score >8) were measured using the hyperactivity scale from the Strengths and Difficulties Questionnaire (SDQ). Internalizing or externalizing problems were classified as children with scores ≥5 on the Emotional Problems and scores ≥4 on the Conduct Problems scale on the SDQ, respectively. Children's HRQoL was measured using the Pediatric Quality of Life Inventory (PedsQL). Linear mixed models were used, adjusting for child and family factors.</p><p><strong>Results: </strong>Compared to those with no ADHD symptoms, children with ADHD symptoms had significantly lower HRQoL across all domains from 4 to 17 years (mean difference = 7.65, 95% CI [6.09, 9.19]). Internalizing and externalizing problems slightly attenuated the association between ADHD symptoms and children's HRQoL (mean difference = 4.91, 95% CI [3.40, 6.43]). Being a female or having autism or other medical conditions, or taking ADHD/ADD medication or caregiver having mental health problems was associated with poorer HRQoL while having two or more siblings was associated with better HRQoL.</p><p><strong>Conclusion: </strong>ADHD clinical symptoms are associated with poorer children's HRQoL from 4 to 17 years. Given that co-occurring medical conditions and poor caregiver mental health are associated with poorer child HRQoL, ADHD treatment needs to identify and address co-occurring conditions and parental mental health.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547251353366"},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining for Associations between Motor Disturbances and ADHD Status in Young Adults.","authors":"MinKyoung Song, Sydnee A Stoyles, Martina Mancini, Kerri Winters-Stone, Fay B Horak, Jessica Tipsord, Leeza Maron, Elizabeth Nousen, Joel T Nigg","doi":"10.1177/10870547251332029","DOIUrl":"10.1177/10870547251332029","url":null,"abstract":"<p><strong>Objective: </strong>Some studies show an association between ADHD and impaired balance/gait in children. However, it remains largely unexplored whether such an association exists in adults. We explore that association in this study.</p><p><strong>Method: </strong>This cross-sectional study included 45 adults aged 17 to 21 (25 with, and 20 without ADHD), most obtained from a longitudinal cohort study beginning in childhood. We measured balance/gait using objective measures from inertial sensors during the Instrumented Stand and Walk Test. Demographics and severity of ADHD symptoms were measured via questionnaires.</p><p><strong>Results: </strong>Young adults with ADHD showed a tendency toward worse balance and impaired gait in a dual-task activity than adults without ADHD.</p><p><strong>Conclusion: </strong>These findings suggest balance and gait impairments are associated with ADHD in young adults. Balance/gait measures may hold promise as markers for persistent neurodevelopmental disorders, and the novel task used here may hold promise for measuring these impairments in adults with ADHD.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"745-756"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}