Substance Use & Misuse最新文献

{"title":"Yoga for Tobacco Cessation: A Randomized Controlled Trial (QUIT-SMART).","authors":"Sudha Lama, Shruti Singh, Partha Haldar, Asmita Shukla, Varun Chhabra, Akriti Shukla, Anu James Vibin, Man Singh Jat, Dhanlika Dhanlika, Rajesh Sagar, Udisha Singh, Gautam Sharma","doi":"10.1080/10826084.2026.2740515","DOIUrl":"https://doi.org/10.1080/10826084.2026.2740515","url":null,"abstract":"<p><strong>Background: </strong>Current tobacco cessation strategies, including pharmacological interventions and supportive therapies, have limitations related to adherence and relapse. Emerging evidence suggests that yoga plays a significant role in tobacco cessation through psycho-behavioral mechanisms. This study was conducted to evaluate the role of yoga among adults who used both smoking and smokeless forms (SLT) of tobacco.</p><p><strong>Methods: </strong>A prospective, randomized, open-label, blinded endpoint trial was conducted among adult tobacco users. Participants were randomly assigned to either the yoga (<i>n</i> = 64) or the exercise (<i>n</i> = 66). The primary outcome was 7-day point prevalence abstinence (7-PPA) validated by salivary cotinine, at 6 months. Secondary outcomes included quality of life (QoL), assessed using WHOQOL-BREF, and psychological health was assessed using DASS-21.</p><p><strong>Results: </strong>Between December 2021 and June 2023, 910 adult tobacco users were screened. A total of 130 participants (96.9% male) were enrolled, including 51 (39.3%) who used smoking tobacco and 79 (60.7%) who used smokeless tobacco. At 6 months, 14 (22%) participants in the yoga group achieved 7-PPA, compared to 6 (9.1%) in the exercise group (<i>p</i> = 0.043) (OR: 2.8, 95% CI: 1.04-8.40). The yoga group demonstrated greater improvements in QoL (<i>p</i> < 0.05), and psychological health outcomes, including stress and anxiety (<i>p</i> < 0.001) and depression (<i>p</i> = 0.008).</p><p><strong>Conclusion: </strong>Yoga demonstrated a significantly higher rate of 7-PPA compared with exercise. The yoga group also showed greater improvements in QoL and psychological outcomes. These findings suggest that yoga may serve as a feasible complementary intervention for tobacco cessation among adult tobacco users.</p><p><strong>Trial registration: </strong>Clinical Trial Registry India number; CTRI/2021/12/038745. Date of Registration - Dec 20, 2021.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169861","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":"Method of Use Matters: Cannabis Product Type and Polysubstance Use Among Adult Cannabis Users.","authors":"Kelsi Moscrop-Blake, Wanda E Leal","doi":"10.1080/10826084.2026.2740516","DOIUrl":"https://doi.org/10.1080/10826084.2026.2740516","url":null,"abstract":"<p><strong>Background: </strong>Previous research suggests that cannabis users have higher odds of engaging in polysubstance use compared to non-cannabis users. More recent research has also examined cannabis product types and multimodal cannabis use following legalization. However, it remains unclear whether patterns of polysubstance use differ across different cannabis product types and multimodal use.</p><p><strong>Methods: </strong>This study uses a large, nationally representative sample of adult cannabis users from the 2023 National Survey of Drug Use and Health to examine how eight forms of cannabis use (smoking, vaping, eating/drinking, dabbing, drops/lozenges, topical, pills, other), and a cannabis modality variety scale, are associated with the use of additional substances (cigarettes, alcohol, cocaine, heroin, methamphetamine, inhalants, hallucinogens, ecstasy).</p><p><strong>Results: </strong>The results indicate that cannabis product types are differentially associated with other substance use and levels of polysubstance use, whereas using a greater number of cannabis products is consistently associated with both.</p><p><strong>Conclusions: </strong>These findings highlight meaningful differences among cannabis users and underscore the importance of considering cannabis product type and modality variety when examining patterns of polysubstance use. Future research should continue examining how cannabis product type and multimodal use relate to polysubstance use, and prevention efforts may benefit from considering these differences.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148185","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 Biopsychosocial Model of Predictors of Methadone Maintenance Treatment Retention Among Iranian Men With Opioid Use Disorder.","authors":"Ebrahim Abdollahi, Mohammad Bagher Saberizafarghandi, Mahdi Amini, Fatemeh Sadat Hosseini-Baharanchi","doi":"10.1080/10826084.2026.2727593","DOIUrl":"https://doi.org/10.1080/10826084.2026.2727593","url":null,"abstract":"<p><strong>Background: </strong>Opioid use disorder remains a significant public health burden in Iran. While methadone maintenance treatment (MMT) is effective, its success is often limited by high attrition rates. Most protocols emphasize pharmacological factors, neglecting the multifaceted biopsychosocial nature of treatment retention.</p><p><strong>Methods: </strong>This prospective longitudinal cohort study involved 342 men with opioid use disorder from 10 public and private treatment centers in Iran. Path analysis with diagonally weighted least squares (DWLS) was used to evaluate biological, social, and psychological predictors of six-month treatment retention.</p><p><strong>Results: </strong>The biopsychosocial path model demonstrated favorable fit (Scaled CFI = 0.966, Scaled TLI = 0.923, Scaled RMSEA = 0.061, Robust SRMR = 0.041). Full-time employment (<i>β</i> = 0.35, <i>p</i> < 0.001), participant age (<i>β</i> = 0.12, <i>p</i> = 0.032), and methadone dose (<i>β</i> = 0.26, <i>p</i> < 0.001) were significant positive factors associated with retention. Global psychological distress (β = -0.36, <i>p</i> < 0.001) negatively predicted retention and significantly mediated the effects of social and biological factors. Criminal history primarily influenced retention indirectly by increasing psychological distress and exhibited a significant negative direct effect (β = -0.22, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>MMT retention is determined by the interplay of social stability and psychological health. Integrating vocational rehabilitation and routine mental health screening for global distress into clinical protocols is essential for enhancing treatment persistence and reducing dropout rates.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138343","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":"What Gets Measured, Gets Managed: Guidance for Recovery Measurement in Addiction Recovery Science.","authors":"Jordan Jurinsky, Craig E Henderson, Nicole Porter, Elizabeth A Bowen, Angela M Hagaman, Ruth Miller, Lindsey M Rodriguez, Lauren E Lewis, Bridget B Hayes, Lauren A Hoffman, Bettina B Hoeppner, Aaron Hogue","doi":"10.1080/10826084.2026.2741337","DOIUrl":"https://doi.org/10.1080/10826084.2026.2741337","url":null,"abstract":"<p><p>Recovery has gained prominence as an organizing paradigm in the field of substance use. In response, the field of addiction recovery science has emerged to advance science and improve the effectiveness of treatment and recovery support services. As with other broad concepts in science-such as health or well-being-the measures and metrics used to assess recovery are varied and abundant. This article leverages the expertise of an addiction recovery science measures and metrics working group representing a range of academic and experiential expertise to provide guidance for recovery researchers seeking to make more intentional measurement choices. The paper situates recovery measurement within its historical and conceptual context (e.g., abstinence, recovery capital) and highlights areas where additional measurement development or application may be needed (e.g., relationship and family functioning, sense of purpose, community). In doing so, the paper encourages more intentional, ecologically informed approaches to recovery measurement that better align study aims and clinical practice with the multidimensional nature of recovery. Rather than prescribing a comprehensive framework, the paper is intended to assist recovery researchers in navigating existing and emerging measurement approaches as addiction recovery science continues to evolve.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138275","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":"Changes in Family Burden and Functioning After a Structured Psychoeducation Program in Addiction Rehabilitation: A Pre-Post Study.","authors":"Berhudan Şamar, Başak Ünübol, Gizem Akülker Balcı, Büşra Yuvalı, Mustafa Özarslan","doi":"10.1080/10826084.2026.2734484","DOIUrl":"https://doi.org/10.1080/10826084.2026.2734484","url":null,"abstract":"<p><p>Research addressing the challenges faced by families affected by addiction remains limited, and family-related treatment needs are often insufficiently emphasized in clinical practice. Even when families are included in treatment processes, the primary focus typically remains on individuals with substance use disorders. This study aimed to evaluate the effectiveness of psychoeducation and counseling services provided to families in an addiction rehabilitation center on perceived family burden and family functioning. First-degree relatives of patients receiving follow-up care at an addiction rehabilitation center were included. The psychoeducation program consisted of an average of 12 sessions and was based on a structured family-oriented psychoeducation module widely used in Türkiye. Participants completed a Sociodemographic Data Form, the Burden Assessment Scale, and the Family Assessment Device before and after the intervention. Pre- and post-test scores were statistically compared. A total of 63 family members participated in the study, 81% of whom were women. Significant reductions were observed in perceived burden domains, including daily life restriction, concern for the patient, caregiver losses, impairment in activities, and occupational functioning (all p<0.001). Significant improvements were also found across all Family Assessment Device subscales, including problem solving, communication, roles, affective responsiveness, affective involvement, behavior control, and overall functioning (all p<0.001). Psychoeducation and counseling interventions provided to family members were associated with significant improvements in perceived burden and family functioning. These findings support the conceptualization of addiction as a family-related condition and highlight the importance of strengthening structured, family-oriented interventions within addiction treatment services.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114898","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":"Survival After Hospitalization in Patients with Opioid Use Disorder: Impact of Medications for Opioid Use Disorder.","authors":"Sijie Jason Wang, Calvin Bohner, Emily Stanford, Ajit Deshpande, Benjamin Bazin, Lukas McNaboe, Richard S Feinn","doi":"10.1080/10826084.2026.2742425","DOIUrl":"https://doi.org/10.1080/10826084.2026.2742425","url":null,"abstract":"<p><strong>Objective: </strong>We investigated whether providing medications for opioid use disorder (MOUD) during hospitalization is associated with reduced all-cause post-discharge mortality.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of hospital admissions for patients with OUD at a large, urban hospital in 2023. Cohorts were admissions in which patients received MOUD versus those who were not offered MOUD. Primary outcome was post-discharge all-cause mortality at 30 and 90 days. Time to mortality was modeled using Cox regression with robust standard errors to account for patient characteristics and readmissions. Secondary outcome was drug overdose mortality within 90 days.</p><p><strong>Results: </strong>In unadjusted analysis, 30-day mortality was lower for encounters in which MOUD was provided (1.8% vs 4.4%, OR 0.39, 95% CI 0.17-0.92, <i>p</i> = 0.028) but not at 90 days (6.0% vs 8.2%, OR 0.71, 95% CI 0.40-1.27, <i>p</i> = 0.238). An adjusted Cox proportional hazards model demonstrated that MOUD was associated with reduced mortality at 30 days (HR 0.27, 95% CI 0.11-0.70, <i>p</i> = 0.005) but not at 90 days (HR 0.55, 95% CI 0.30-1.00, <i>p</i> = 0.051). Drug overdose mortality within 90 days of discharge was 0.4% in encounters in which patients were provided MOUD, versus 3.9% for those who were not offered MOUD (OR 0.10, 95% CI 0.02-0.50, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>MOUD was associated with lower post-discharge all-cause mortality at 30 days, but not at 90 days. MOUD was associated with lower risk of overdose death at 90 days.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115021","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":"Designing Community-Based, Post-Overdose Outreach Programs in Rural Settings: Insights from People with Opioid Overdose Experiences.","authors":"Emily Moner, Kiel McGowan, Alma Bartnik, Fiona Lyons, Elizabeth A Evans","doi":"10.1080/10826084.2026.2726527","DOIUrl":"https://doi.org/10.1080/10826084.2026.2726527","url":null,"abstract":"<p><p><i>Background:</i> The ongoing opioid epidemic in the United States, exacerbated by the presence of fentanyl, requires efforts toward the development of evidence-based practices to address this crisis. Community, Opportunity, Network, Navigation, Exploration, and Connection Team (CONNECT), a post-overdose outreach program in rural Massachusetts, provides rapid response to fatal and non-fatal opioid overdoses and connects witnesses and survivors to care and resources. While programs such as CONNECT have the potential to reduce overdose and increase healthcare services, expanding engagement from one of the most vulnerable populations is challenging. <i>Methods:</i> In 2023, we conducted semi-structured interviews with twenty individuals who had witnessed or experienced an opioid overdose in the previous year. This study aimed to explore the perspectives of overdose witnesses and survivors on CONNECT's program design and strategies for most effectively engaging potential clients, focusing on the use of the mobile health van. <i>Results:</i> Using deductive and inductive qualitative methods, we identified five themes: (1) Overdose Response and Follow-Up; (2) Concerns Involving Law Enforcement; (3) Stigma and Isolation; (4) Mobile Van Use; (5) Trust and Community Engagement. Conclusion: This study can be used to guide the CONNECT program and inform future directions for research design and effectiveness surrounding post-overdose programs in rural regions.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115092","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":"E-Cigarette Perceptions Among Adults with Recent Myocardial Infarction or Heart Failure Diagnosis: Population Assessment of Tobacco and Health Study, 2022-2023.","authors":"Danusha Selva Kumar, Sharon Y Lee, Emily Gathright","doi":"10.1080/10826084.2026.2734262","DOIUrl":"https://doi.org/10.1080/10826084.2026.2734262","url":null,"abstract":"<p><strong>Background: </strong>Smoking cessation is recommended for individuals with cardiovascular disease (CVD), but cigarette users with myocardial infarction (MI) or heart failure (HF) have difficulty in quitting smoking. The prevalence of e-cigarette use among individuals with MI or HF in recent years is unknown.</p><p><strong>Methods: </strong>We analyzed nationally representative data from the Population Assessment of Tobacco and Health Study (Wave 7) to assess prevalence of e-cigarette use, perceptions of harm from e-cigarettes, and interest in switching from cigarettes to e-cigarettes among individuals with a recent MI or HF diagnosis.</p><p><strong>Results: </strong>Among US adults with a MI or HF diagnosis in the previous year, 22.0% reported cigarette use only, 0.9% reported e-cigarette use only, and 2.7% reported dual cigarette and e-cigarette use. Of cigarette users, only 4.5% reported an interest in switching from cigarettes to e-cigarettes. More than two-thirds (70.2%) of participants perceived e-cigarettes as very or extremely harmful.</p><p><strong>Conclusions: </strong>Cigarette users with a recent MI or HF diagnosis reported low interest in switching to e-cigarettes. The low interest, with the concerns about the harmful effects of e-cigarettes, suggests that switching from cigarettes to e-cigarettes may not be an acceptable strategy to reduce the risk of cigarette smoking in this population.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115035","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":"Psychosocial Configurations of Smoking Risk Among Korean Adolescents: A Latent Profile Analysis.","authors":"Hannah Lee, In-Jae Lim, Hyejin Lee, Hye Eun Lee","doi":"10.1080/10826084.2026.2734266","DOIUrl":"https://doi.org/10.1080/10826084.2026.2734266","url":null,"abstract":"<p><strong>Background: </strong>Although adolescent cigarette use in South Korea has declined to historically low levels, residual use may become concentrated within distinct psychosocial subgroups not adequately reached by universal prevention. We examined psychosocial configurations associated with persistent smoking vulnerability.</p><p><strong>Methods: </strong>A nationwide online panel sample of 2,000 Korean adolescents completed measures of seven smoking-related psychosocial factors. Profiles were estimated using finite Gaussian mixture modeling with full information maximum likelihood. Multinomial logistic regression examined whether campaign exposure, peer smoking, parental support, and mental health were associated with profile membership, and current cigarette use was compared across profiles.</p><p><strong>Results: </strong>Six profiles were identified. A \"Weakly Denormalized\" profile (9.1%), characterized by the least negative attitudes toward people who smoke and low perceived risk, showed the highest current cigarette use (21.4% vs. 6.2% overall), whereas two protective profiles showed very low use (0.7% and 1.9%). Comprehension of prevention messages was associated with membership in both protective profiles (RRRs = 3.26 and 2.16), whereas campaign awareness alone was not. Informational and instrumental parental support was associated with the protective profiles, whereas emotional support was not. Higher internalizing distress was associated with two comparatively vulnerable profiles.</p><p><strong>Conclusions: </strong>In mature tobacco-control settings, heterogeneous psychosocial configurations may warrant attention because screening focused on low refusal self-efficacy or peer exposure may overlook a subgroup marked by weak internalized denormalization and low perceived risk. Prevention strategies that strengthen message comprehension, facilitate practical family support, and address emotional vulnerability may help reach these adolescents.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075966","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":"Motives and Sources for Prescription Opioid Misuse Among Adolescents and Young Adults With Criminal Justice System Contact.","authors":"Jason A Ford, Thomas Jones, Brady T West, Philip T Veliz, Sean Esteban McCabe, Ty S Schepis","doi":"10.1080/10826084.2026.2734263","DOIUrl":"https://doi.org/10.1080/10826084.2026.2734263","url":null,"abstract":"<p><strong>Background: </strong>This study addresses a gap in literature by examining associations between criminal justice system contact (i.e., arrest, probation, parole) and prescription opioid misuse motives and sources among adolescents and young adults.</p><p><strong>Methods: </strong>Data from the National Survey on Drug Use and Health (2015-2019) were analyzed. Respondents reporting past-year prescription opioid misuse completed follow-up questions on motives (e.g., pain relief, relaxation/sleep, recreational) and sources (e.g., doctor, free from friend/relative, purchased, theft). Motives and sources were modeled as a function of criminal justice system contact and relevant covariates, separately by age group.</p><p><strong>Results: </strong>Multinomial logistic regression revealed significant differences by criminal justice contact. Both adolescents and young adults with criminal justice system contact were more likely to report recreational or sleep/relaxation motives compared to pain relief. Among young adults, criminal justice system contact was associated with greater likelihood of obtaining opioids for free, through purchase, or by theft rather than from a doctor.</p><p><strong>Conclusions: </strong>The elevated likelihood of endorsing riskier motives and sources identifies adolescents and young adults with criminal justice system contact as a high-need population for targeted substance use programming. A multidimensional framework addressing the intersection of crime and health is essential to reducing disparities and criminal involvement.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076004","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}