World Journal of Psychiatry最新文献

{"title":"Nurse-led treatment engagement interventions for persons with severe mental illnesses in community settings.","authors":"Revathi Somanathan, Sailaxmi Gandhi, T Sivakumar, Narayana Manjunatha","doi":"10.5498/wjp.v15.i9.107720","DOIUrl":"10.5498/wjp.v15.i9.107720","url":null,"abstract":"<p><p>This review aims to gain a deeper understanding of the current interventions used in high-income and low- and middle-income countries worldwide on treatment engagement among persons with severe mental illnesses. Treatment engagement involves cultivating therapeutic partnerships to address patients' unique needs and challenges. This multifaceted process requires sensitivity, collaboration, and a tailored approach to promote positive outcomes. Effective treatment engagement reduces the chances of relapse and rehospitalization and helps individuals steer through their daily lives and social relationships. Through literature analysis, it was found that individual, situational, and environmental factors affected treatment engagement. Community nurses are crucial in promoting behavioral changes by engaging patients and applying tailor-made interventions. Applying problem-solving, coping skills, and strategies to address factors influencing adherence, motivational interviewing, and telephone follow-ups yielded significant results. The interventions recommended in community settings are tele-aftercare programs and home visits to address issues of dropped-out persons with severe mental illnesses and ensure continuity of treatment. Accessible, non-stigmatizing, non-coercive, informal, and appropriate services are suggested. These interventions can improve treatment engagement, medication adherence, and therapeutic alliance, thereby reducing symptoms and improving patients' quality of life.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 9","pages":"107720"},"PeriodicalIF":3.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041491","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":"Correlation of anxiety and depression with mindfulness in esophageal cancer patients undergoing esophagectomy and analysis of risk factors.","authors":"Xiong Deng, Yu-Hao Hu, Yong-Jiang Xiong, Ning Mao, Bin Hong, Gang He","doi":"10.5498/wjp.v15.i9.104813","DOIUrl":"10.5498/wjp.v15.i9.104813","url":null,"abstract":"<p><strong>Background: </strong>Anxiety complicates recovery in esophagectomy patients undergoing esophagectomy, while preoperative depressive symptoms may further delay surgery-associated malnutrition resolution, highlighting a critical need for psychological intervention.</p><p><strong>Aim: </strong>To explore the correlation of anxiety and depression with mindfulness levels in patients undergoing esophagectomy for esophageal cancer and analyze associated risk factors.</p><p><strong>Methods: </strong>A total of 120 patients with esophageal cancer, all of whom underwent esophagectomy in The Affiliated Yongchuan Hospital of Chongqing Medical University between September 2022 and September 2024, were enrolled. The hospital anxiety and depression scale (HADS) was utilized to evaluate the anxiety (HADS-anxiety subscale, HADS-A) and depression (HADS-depression subscale, HADS-D) levels of these patients, and the Mindful Attention Awareness Scale (MAAS) was employed to assess their mindfulness levels. The relationships among anxiety, depression, and mindfulness levels were analyzed, and both univariate and multivariate analyses were conducted to identify the risk factors for anxiety and depression in these patients.</p><p><strong>Results: </strong>Data revealed that the mean HADS-A score of patients undergoing esophagectomy was (10.43 ± 4.24) points, and 40.00%, 35.00%, and 10.83% of the patients had mild, moderate, and severe anxiety, respectively. The mean HADS-D score was (9.20 ± 4.66) points, and 37.50%, 23.33%, and 9.17% of the patients had mild, moderate, and severe depression, respectively. Patients with negative or mild anxiety (or depression) exhibited significantly higher MAAS scores than those with moderate or severe anxiety (or depression). The HADS-A and HADS-D scores showed a strong and negative correlation with the MAAS score. Univariate and multivariate analyses demonstrated that sex (<i>P</i> = 0.006), age (<i>P</i> = 0.017), per capita monthly household income (<i>P</i> = 0.005), and educational level (<i>P</i> = 0.004) were all independently associated with the exacerbation of anxiety in patients undergoing esophagectomy. Age (<i>P</i> = 0.026), living status (<i>P</i> = 0.005), per capita monthly household income (<i>P</i> = 0.024), educational level (<i>P</i> = 0.002), and postoperative complications (<i>P</i> < 0.001) were all independently related to the aggravation of depression in such patients.</p><p><strong>Conclusion: </strong>This study indicated a significant negative correlation among anxiety, depression, and mindfulness levels in patients undergoing esophagectomy. Sex, age, per capita monthly household income, and educational level were risk factors for anxiety in patients undergoing esophagectomy, whereas age, living status, per capita monthly household income, educational level, and postoperative complications were risk factors for depression.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 9","pages":"104813"},"PeriodicalIF":3.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041592","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":"Based on real-world data: Risk factors and prediction model for mental disorders induced by rabies vaccination.","authors":"Jin-Yan Ding, Jun-Juan Zhu","doi":"10.5498/wjp.v15.i8.105929","DOIUrl":"10.5498/wjp.v15.i8.105929","url":null,"abstract":"<p><strong>Background: </strong>Rabies is a zoonotic viral disease affecting the central nervous system, caused by the rabies virus, with a case-fatality rate of 100% once symptoms appear.</p><p><strong>Aim: </strong>To analyze high-risk factors associated with mental disorders induced by rabies vaccination and to construct a risk prediction model to inform strategies for improving patients' mental health.</p><p><strong>Methods: </strong>Patients who received rabies vaccinations at the Department of Infusion Yiwu Central Hospital between August 2024 and July 2025 were included, totaling 384 cases. Data were collected from medical records and included demographic characteristics (age, gender, occupation), lifestyle habits, and details regarding vaccine type, dosage, and injection site. The incidence of psychiatric disorders following vaccination was assessed using standardized anxiety and depression rating scales. Patients were categorized into two groups based on the presence or absence of anxiety and depression symptoms: The psychiatric disorder group and the non-psychiatric disorder group. Differences between the two groups were compared, and high-risk factors were identified using multivariate logistic regression analysis. A predictive model was then developed based on these factors to evaluate its predictive performance.</p><p><strong>Results: </strong>Among the 384 patients who received rabies vaccinations, 36 cases (9.38%) were diagnosed with anxiety, 52 cases (13.54%) with depression, and 88 cases (22.92%) with either condition. Logistic regression analysis identified the following significant risk factors for psychiatric disorders: Education level of primary school or below, exposure site at the head and neck, exposure classified as grade III, family status of divorced/widowed/unmarried/living alone, number of wounds greater than one, and low awareness of rabies prevention and control (<i>P</i> < 0.05). The risk prediction model demonstrated good performance, with an area under the receiver operating characteristic curve of 0.859, a specificity of 74.42%, and a sensitivity of 93.02%.</p><p><strong>Conclusion: </strong>In real-world settings, psychiatric disorders following rabies vaccination are relatively common and are associated with factors such as lower education level, higher exposure severity, vulnerable family status, and limited awareness of rabies prevention and control. The developed risk prediction model may aid in early identification of high-risk individuals and support timely clinical intervention.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"105929"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971541","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":"Psychological impact of minimally invasive approaches in the management of pelvic fractures with lumbosacral plexus injury.","authors":"Osvaldo Mazza, Giuseppe Marano, Marianna Mazza","doi":"10.5498/wjp.v15.i8.108619","DOIUrl":"10.5498/wjp.v15.i8.108619","url":null,"abstract":"<p><p>Pelvic fractures are rare but severe injuries that severely affect patients' quality of life. Treatment of these fractures often involves invasive approaches with high risk of injuries to nervous structures, particularly lumbosacral plexus. The introduction of minimally invasive surgical approaches, such as the lateral rectus approach, not only contributes to preserving lumbar plexus integrity in operated patients but also positively impacts their psychological well-being. Patients treated by surgical reduction of pelvic fractures with lumbosacral plexus injury often experience states of anxiety and depression. The lateral rectus approach is associated with lower levels of anxiety and depression compared to more invasive surgical techniques used for similar fractures.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"108619"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971477","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":"Role of anlotinib plus albumin paclitaxel regimen in stage IV non-small cell lung cancer and mental state.","authors":"Wei Zhang, Yun-Fang Zhao, Fei-Fei Liang, Xiao-Xia Liu, Jiang-Hong Liu, Jian-Dong Hao, Shu-Qin Cheng, Yan-Feng Wu","doi":"10.5498/wjp.v15.i8.103735","DOIUrl":"10.5498/wjp.v15.i8.103735","url":null,"abstract":"<p><strong>Background: </strong>Some studies have demonstrated that combination treatment with anlotinib and albumin-bound paclitaxel has superior efficacy in stage IV non-small cell lung cancer (NSCLC). Howbeit, there is limited research on the effects of combination therapy.</p><p><strong>Aim: </strong>To determine the efficacy of anlotinib plus albumin-paclitaxel in stage IV NSCLC.</p><p><strong>Methods: </strong>Forty-two patients diagnosed with stage IV NSCLC who were treated at our hospital from January 2022 to February 2023 were selected as study subjects. According to the research protocol, the patients were divided into two groups: conventional therapy (albumin paclitaxel, <i>n</i> = 20) and combination therapy (anlotinib plus albumin paclitaxel, <i>n</i> = 22). The clinical effect, serum tumor markers, progression-free survival, overall survival, immune function, quality of life, mental state, and toxic side effects were compared between the two groups.</p><p><strong>Results: </strong>The disease remission rate, disease control rate, CD3⁺, CD4⁺, CD4⁺/CD8⁺ and Karnofsky Performance Scale (KPS) score in combined therapy were higher than conventional therapy. After treatment, levels of carcinoembryonic antigen, cytokeratin 19 fragment antigen 21-1, and vascular endothelial growth factor, self-rating anxiety scale, and self-rating depression scale score were all lower in combination therapy compared to conventional therapy. In addition, there was no remarkable difference in adverse reactions between the two groups.</p><p><strong>Conclusion: </strong>Anlotinib combined with albumin-paclitaxel demonstrated therapeutic efficacy in stage IV NSCLC, reducing depression, anxiety, and tumor biomarker levels, while enhancing immune function, prolonging survival, and improving quality of life.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"103735"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971517","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":"Feeding the mood: The role of macronutrients in depression prevention and treatment.","authors":"Chao-Ban Wang, Jie Tang, Yao Cao","doi":"10.5498/wjp.v15.i8.107435","DOIUrl":"10.5498/wjp.v15.i8.107435","url":null,"abstract":"<p><p>Depression is a complex mental health disorder that significantly impairs quality of life and affects millions globally. Emerging evidence underscores a potential link between macronutrient imbalances and depression onset or progression. This review explores how macronutrients-carbohydrates, fats, and proteins-may influence depressive symptoms. For example, excessive sugar consumption is associated with heightened depressive risk, likely due to its effects on insulin resistance and inflammation. Conversely, sufficient protein intake appears to mitigate depression risk, with studies reporting that a 10% increase in caloric intake from protein correlates with a significant reduction in depression prevalence. However, diets rich in saturated fats and proteins may slightly elevate depressive risk. This review emphasizes the critical importance of dietary balance in promoting mental health. Although some studies have suggested that maintaining specific macronutrient ratios may be associated with a reduced risk of depression, given the diversity of evidence and contradictory findings among studies, further research is needed to clarify the exact effects. Future research should aim to elucidate the molecular mechanisms underlying these associations, providing a robust foundation for dietary interventions in the prevention and treatment of depression.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"107435"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971537","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":"Global burden of mental disorders in 204 countries and territories results from the Global Burden of Disease Study 2021.","authors":"Qing-Song Mao, Yu-Xin Guo, Xin-Ling Tian, Hai-Long Zhao, Yu-Zhe Kong","doi":"10.5498/wjp.v15.i8.106887","DOIUrl":"10.5498/wjp.v15.i8.106887","url":null,"abstract":"<p><strong>Background: </strong>Mental disorders have become a major contributor to the Global Burden of Disease (GBD), a situation that has worsened with the onset of the coronavirus disease 2019 (COVID-19) pandemic. Updated data on their impact and a clear understanding of long-term trends are essential for global and national health authorities to implement effective prevention and intervention strategies for mental well-being.</p><p><strong>Aim: </strong>To generate insights that will enhance global awareness of the burden of mental disorders and support the development of targeted, region-specific prevention and intervention strategies tailored to current global and local health challenges.</p><p><strong>Methods: </strong>We extracted data on incidence, disability-adjusted life years (DALYs), age-standardized incidence rate (ASIR), and age-standardized DALY rate (ASDR) for 12 categories of mental disorders from 1990 to 2021 across 204 countries and territories grouped into 21 regions. Trends in ASIR and ASDR were also analyzed during the COVID-19 period (2019-2021).</p><p><strong>Results: </strong>From 1990 to 2021, global ASIR rose by 15.23% (12.97% to 17.60%), while ASDR increased by 73.52% (70.24% to 76.71%). All 21 GBD regions saw a rise in cases and DALYs. In 2021, Central sub-Saharan Africa had the highest ASIR (8706.11), and East Asia reported the lowest (3340.99). Australasia recorded the highest ASDR (2787.87). On the national level, Greenland, Greece, United States, and Australia had the greatest ASDR values. During the pandemic years, ASIR and ASDR rose across all five socio-demographic index levels and GBD regions, with the exception of East Asia, where rates remained stable. Females experienced a higher ASDR than males in 2021. Major depressive disorder (557.87) and anxiety disorders (524.33) were the most burdensome among the 12 types, with depressive disorders ranking first in 13 out of the 21 regions.</p><p><strong>Conclusion: </strong>The GBD study 2021 results highlight a continued and worsening global burden of mental disorders, further intensified by the COVID-19 crisis. This underscores the urgent need to reinforce mental health care systems. Special attention should be directed toward high-middle socio-demographic index areas and female populations. Expanding access to mental health services, enhancing public awareness, and delivering targeted interventions are essential to lessen the growing impact of mental disorders.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"106887"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971575","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":"Development and validation of screening tools for motoric cognitive risk syndrome in community settings.","authors":"Li-Ming Su, Bei Wu, Zhang Chen, Xiao-Yan Wang, Xin-Hua Shen, Zhu-Qin Wei, Huang Cheng, Li-Na Wang","doi":"10.5498/wjp.v15.i8.105433","DOIUrl":"10.5498/wjp.v15.i8.105433","url":null,"abstract":"<p><strong>Background: </strong>Motoric cognitive risk (MCR) syndrome represents an \"ultra-early\" stage of dementia prevention, highlighting the need for effective screening tools.</p><p><strong>Aim: </strong>To develop and validate a novel tool for MCR identification, comparing its effectiveness with existing methods.</p><p><strong>Methods: </strong>As part of a community study on healthy aging, a cross-sectional study recruited 1189 Chinese participants aged 50 years and older between May 1, 2022, and March 15, 2023. The cohort was randomly split into training (70%) and testing (30%) datasets. Relevant features were selected for logistic regression (LR) and decision tree (DT) models using the training dataset, and their performance was subsequently assessed using the testing dataset to validate reliability and generalizability.</p><p><strong>Results: </strong>The prevalence of MCR was 13.12% among 1189 participants. DT models had the area under the curves (AUCs) of 0.834 and 0.821 for training and testing datasets, respectively, while LR models indicated AUCs of 0.840 and 0.859. Non-inferiority tests confirmed the DT model's comparable effectiveness to the LR models in predicting MCR. Both models demonstrated good calibration and clinical utility. Seven modifiable risk factors were identified: Age, education level, social engagement, physical activity, nutritional status, depressive symptoms, and purpose in life. Notably, social engagement emerged as a novel factor compared to those previously identified. Both models are integrated into an easy-to-use, interpretable web-based user interface.</p><p><strong>Conclusion: </strong>The interactive, web-based user interface of both models effectively identifies MCR, with the DT model recommended for its simplicity and interpretability, supporting community nurses and clinicians in triaging MCR.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"105433"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971451","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":"Effects of dynamic resilience on quality of life among cancer patients: Coping strategies as intervention targets.","authors":"Jing-Yu Zhang, Li-Li Wu","doi":"10.5498/wjp.v15.i8.106233","DOIUrl":"10.5498/wjp.v15.i8.106233","url":null,"abstract":"<p><p>In this editorial, we comment on the article by Qin <i>et al</i>. Although their article focused on the correlations of resilience with coping styles and quality of life (QoL) among patients with malignancies, we further discuss the effect of resilience on QoL, the moderating role of the three dimensions of coping styles, and the longitudinal role of dynamic resilience throughout the cancer trajectory.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"106233"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971457","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":"Medication literacy and treatment adherence in people living with human immunodeficiency virus: Mediating effects of psychosocial factors.","authors":"Cheng-Hua Xu, Di Hu, Hui-Jiao Lin, Yi-De Yang, Meng-Nan Li, Le-Wen Shao","doi":"10.5498/wjp.v15.i8.107885","DOIUrl":"10.5498/wjp.v15.i8.107885","url":null,"abstract":"<p><p>Treatment adherence among people living with human immunodeficiency virus (PLWH) is a critical determinant of viral suppression and improved quality of life. Medication literacy, as a key factor influencing adherence, is itself shaped by various psychosocial variables. Existing studies suggest that human immunodeficiency virus (HIV)-related stigma, self-efficacy, and trust in healthcare providers serve as significant mediators in the relationship between health literacy and treatment adherence. This review systematically explores how medication literacy affects treatment adherence in PLWH through intermediary psychosocial mechanisms such as depression, anxiety, and social support. By synthesizing current evidence, we aim to inform the development of targeted psychosocial interventions to enhance treatment outcomes and quality of life for this population. Our findings provide an evidence-based foundation for nursing practice and support innovative strategies in comprehensive HIV care.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 8","pages":"107885"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971483","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}