European Journal of Investigation in Health Psychology and Education最新文献

{"title":"\"I Am Not Lonely; I Am Just No Longer Needed\": Unnamed Loneliness, Masculinities, Intimacy, and Mental Health Among Older Men in Lisbon, Portugal.","authors":"Henrique Pereira","doi":"10.3390/ejihpe16090136","DOIUrl":"10.3390/ejihpe16090136","url":null,"abstract":"<p><p>Loneliness among older men may remain unrecognized when unwanted relational disconnection is not explicitly named as loneliness. This qualitative longitudinal, multimethod study examined how 32 community-dwelling men aged 60 years and older in Lisbon, Portugal, experienced, interpreted, and communicated relational disconnection between January and July 2025. Data were generated through narrative life-history interviews, participant-generated photographic, audio, or written diaries, elicitation interviews, and follow-up interviews. Six interrelated themes were developed and interpreted processually as disruptions and absences, forms of disconnection, identity-protective meaning-making, and responses. The analysis distinguished topics deliberately elicited by the design from empirical refinements and unanticipated temporal or material insights. The four processes initially used to sensitize inquiry-nonrecognition, linguistic substitution, identity protection, and relational concealment-were therefore not treated as discoveries; the data clarified their boundaries, interactions, and reversibility. Four longitudinal patterns were used as non-exclusive interpretive summaries rather than participant classifications. The most distinctive findings were that connection depended not only on contact but on relational consequentiality-being expected, needed, consulted, and able to contribute-and that greater willingness to name loneliness could reflect interpretive change rather than worsening symptoms. Unnamed loneliness was inferred only where participants described unwanted relational disconnection; chosen and satisfying solitude was excluded. Responses should foster emotionally safe, reciprocal, and meaningful relationships while protecting autonomy.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Help-Seeking Self-Stigma and the Association Between Perceived Social Support and Psychological Distress Among Kuwait University Students: An Exploratory Cross-Sectional Moderation Analysis.","authors":"Fatima Al-Ghadban, Ahmad Salman","doi":"10.3390/ejihpe16090133","DOIUrl":"10.3390/ejihpe16090133","url":null,"abstract":"<p><strong>Background: </strong>Perceived social support is consistently associated with lower psychological distress among university students, but the strength of this association may vary. We examined whether help-seeking self-stigma modifies it.</p><p><strong>Methods: </strong>In a cross-sectional online survey, 507 Kuwait University students completed the Patient Health Questionnaire-4 (PHQ-4), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Self-Stigma of Seeking Help Scale (SSOSH). Hierarchical linear regression tested the perceived support × self-stigma interaction, adjusting for age, sex, nationality and year of study; SSOSH structure was examined by confirmatory factor analysis.</p><p><strong>Results: </strong>Of 507 eligible students (80.9% female; mean age = 21.4 years, <i>SD</i> = 4.4), 458 had complete PHQ-4 data. The inverse association between perceived support and distress weakened as self-stigma increased (<i>B</i> = 0.003, 95% CI 0.001-0.005, <i>p</i> = 0.007; <i>p</i> = 0.040 with heteroscedasticity-consistent standard errors; Δ<i>R</i>² = 0.015) and was not detectable at high self-stigma. The Arabic SSOSH was not unidimensional: positively and reverse-worded items formed uncorrelated factors (<i>r</i> = -0.01), and the interaction was carried by the reverse-worded items.</p><p><strong>Conclusions: </strong>Help-seeking self-stigma may index variation in this association, but the finding is exploratory and constrained by the measurement properties of the SSOSH in this population.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Initial Psychometric Evaluation of the Inventory of Parent and Peer Attachment in Greek Adolescents.","authors":"Georgios Giannakopoulos, Aikaterini Fostini, Renati Marinou, Varvara Salavou","doi":"10.3390/ejihpe16090134","DOIUrl":"10.3390/ejihpe16090134","url":null,"abstract":"<p><p>Adolescents' perceived security in relationships with parents and peers relates to psychosocial adjustment, yet the psychometric performance of the Inventory of Parent and Peer Attachment (IPPA) has not been examined in Greece. This study evaluated the Greek IPPA in a non-probability sample of 432 adolescents aged 12-16 years from five schools in Attica (Greece). Internal consistency, item-level analyses, floor and ceiling effects, and one-factor, two-factor, correlated three-factor, and bifactor models were examined using ordinal WLSMV estimation. Relations with Strengths and Difficulties Questionnaire scores were assessed. Parent Total Security and Peer Total Security showed high internal consistency (α = 0.94 and 0.93, respectively; ω = 0.94 for both). The correlated three-factor model showed acceptable fit for the parent form and weaker fit for the peer form, while Trust and Communication were highly correlated in both forms. Bifactor indices indicated substantial general-factor saturation, although the specific Trust factors were poorly defined. Higher total security scores were associated with fewer psychosocial difficulties. Overall, the parent and peer total scores appear more defensible than the separate subscales for preliminary, group-level descriptive use in similar samples, whereas subscale interpretation, particularly distinctions between Trust and Communication, should remain cautious. These findings require independent replication and do not support individual clinical decision-making or the identification of attachment classifications, attachment disorders, or disorganization.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Loneliness and Technoference During Early Childhood: The Mediating Roles of Nomophobia and Social Media Addiction.","authors":"Laura Elvira Prino, Donatella Scarzello","doi":"10.3390/ejihpe16090132","DOIUrl":"10.3390/ejihpe16090132","url":null,"abstract":"<p><p>Maternal technoference has increasingly been recognized as a factor that may compromise mothers' emotional availability and the quality of mother-child interactions, particularly during early childhood, when responsive caregiving and co-regulation play a pivotal role in children's development. However, the psychological mechanisms underlying this phenomenon remain poorly understood. Maternal loneliness may represent an important vulnerability factor, although the processes linking loneliness to technoference have yet to be clarified. This study examined whether nomophobia and social media addiction mediate the association between maternal loneliness and technoference. This cross-sectional study included 355 Italian mothers of children aged 0-6 years, who completed measures of loneliness (UCLA 3-item Loneliness Scale), nomophobia (NMP-Q), social media addiction (BSMAS), and technoference (DISRUPT). A parallel mediation model was tested while controlling for maternal age. Loneliness was positively associated with both nomophobia and social media addiction, which were, in turn, positively associated with technoference. Both indirect effects were significant, whereas the direct association between loneliness and technoference was no longer significant. These findings suggest that maternal loneliness may be associated with technoference through its link with nomophobia and social media addiction, highlighting the importance of understanding technoference as a relational phenomenon rather than merely a consequence of technology use.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Post-COVID Consequences and Cognitive Performance in University Students: A Cross-Sectional Study.","authors":"Sergey Malykh, Valeriia Demareva, Victoria Ismatullina, Timofey Adamovich, Tamara Malykh, Tatiana Tikhomirova","doi":"10.3390/ejihpe16090131","DOIUrl":"10.3390/ejihpe16090131","url":null,"abstract":"<p><p>Post-COVID symptoms frequently include cognitive complaints, yet evidence on objectively measured cognitive performance in large samples of young adults remains limited. This study examined associations between self-reported post-COVID consequences and objective cognitive performance in university students, with particular attention to acute COVID-19 severity. The sample comprised 7482 students aged 17-23 years: 3945 reported no previous COVID-19, 1676 reported previous COVID-19 without post-COVID consequences, and 1861 reported previous COVID-19 with post-COVID consequences. Visuospatial working memory was assessed using the Corsi Block Tapping Test (CTB), and choice-response performance was assessed using accuracy and mean correct-response latency in a four-choice reaction time task. Analyses accounted for age, sex, and clustering by university; among previously infected participants, models additionally adjusted for perceived acute COVID-19 severity. The primary adjusted analyses included 7117 participants for CTB and 6361 participants for the cleaned choice-response accuracy and latency analyses. In the three-group analysis, students reporting post-COVID consequences had slightly lower CTB scores than those without previous COVID-19 (B = -0.146, 95% CI [-0.277, -0.015], <i>p</i> = 0.029), although the effect was small and was not fully robust in an ordinal sensitivity model (OR = 0.91, 95% CI [0.82, 1.00], <i>p</i> = 0.052). No reduction in choice-response accuracy or robust slowing of response latency was observed in the post-COVID consequence group. Among previously infected participants, post-COVID consequences were not significantly associated with CTB performance (B = -0.149, 95% CI [-0.311, 0.013], <i>p</i> = 0.071), choice-response accuracy (OR = 0.80, 95% CI [0.60, 1.07], <i>p</i> = 0.126), or response latency (-0.79%, 95% CI [-2.06%, 0.49%], <i>p</i> = 0.224) after adjustment for acute severity, age, and sex; none of these associations remained significant after false discovery rate correction. Acute COVID-19 severity was likewise not significantly associated with the cognitive outcomes. Overall, self-reported post-COVID consequences were associated with, at most, small and outcome-dependent differences in objective cognitive performance in this young university sample. The findings do not support a broad objective cognitive deficit associated with self-reported post-COVID consequences after accounting for acute disease severity and demographic factors.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Critical Thinking to Passive Acceptance: The Moderating Role of Decision Fatigue in Students' Use of Generative AI.","authors":"Marco Zuin, Vanessa Donadel","doi":"10.3390/ejihpe16090130","DOIUrl":"10.3390/ejihpe16090130","url":null,"abstract":"<p><p>Academic research on Artificial Intelligence (AI) has primarily focused on usage motivations, AI literacy, trust, overreliance, and critical use. However, the mechanisms through which critical thinking influences passive reliance on AI-generated output in academic contexts remain largely unexplored. This study examined the role of Critical Thinking and Decision Fatigue in students' passive acceptance of AI-generated output. A sample of 383 Italian university students completed an online survey including the Critical Thinking Disposition Scale and the Decision Fatigue Scale. Of these, 332 students reported having used GenAI in the previous three months and were presented with six task-specific items assessing reliance on unmodified AI-generated output across six academic tasks (Idea generation, Text generation, Text revision, Creating quizzes, Receiving feedback, and Information search). Multiple hierarchical regression analyses tested the moderating role of Decision Fatigue. Decision Fatigue was not a significant direct predictor but moderated the relationship between Critical Thinking and passive acceptance in several academic activities, with the strength of this evidence varying according to the applied correction for multiple comparisons. The findings highlighted the role of critical thinking as a protective filter against the passive use of generative AI. However, this disposition is not always available, particularly under conditions of cognitive fatigue. The study offers new educational insights into the need to design instructional interventions that foster critical thinking while promoting cognitively sustainable learning environments.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience and Protective Factors Associated with Well-Being Among Older Informal Caregivers: A Convergent Segregated Mixed Studies Systematic Review.","authors":"Alba Peraza Delgado, Yurena María Rodríguez Novo, Miguel López Martínez, Mercedes Novo Muñoz","doi":"10.3390/ejihpe16090129","DOIUrl":"10.3390/ejihpe16090129","url":null,"abstract":"<p><strong>Background: </strong>Population aging has led to an increasing proportion of older adults (aged 65 and older) acting as informal caregivers. These caregivers face risks of burden, stress, and depression. While research frequently documents negative psychological outcomes, resilience represents a crucial protective process. This systematic review synthesizes and maps the empirical evidence regarding the association between the socio-ecological resilience process and the well-being of older informal caregivers.</p><p><strong>Methods: </strong>Following Joanna Briggs Institute (JBI) mixed-methods guidelines, a convergent segregated mixed studies systematic review was conducted. A systematic search of Medline (PubMed), CINAHL, PsycINFO, and Scopus identified primary articles (2014-2025) in English and Spanish. Methodological quality was appraised using JBI critical appraisal checklists and the Mixed Methods Appraisal Tool. PROSPERO registration number: CRD420251142190.</p><p><strong>Results: </strong>Thirty-one studies were included. Elevated caregiver resilience was associated with lower reported symptoms of depression and anxiety, higher self-rated health, and positive psychological adaptation. Framed within a social ecological model, personal resources such as spirituality, hope, and self care, alongside relational assets like dyadic relationship quality and mutual coping, demonstrated a positive association with resilience and a reduction in subjective burden. Within the community context, informal peer networks and Online Health Communities functioned as essential supportive resources. On a structural level, both household wealth and the regional availability of long-term care beds acted as moderators for spousal well-being, whereas exceeding 30 weekly caregiving hours acted as a temporal threshold for positive adaptation.</p><p><strong>Conclusions: </strong>These findings suggest that resilience in older caregivers may be best conceptualized not as a static individual trait, but as a multi-level, dynamic socio-ecological process. Rather than relying on individual coping alone, public policies and clinical practice should prioritize systemic, relational, and structural environmental support, including formal respite services and long-term care infrastructure, to preserve the well-being of older spousal caregivers.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Serial Mediating Role of Cognitive Flexibility and Digital Literacy in the Relationship Between Metacognitive Awareness and Digital Well-Being.","authors":"Selman Çutuk, Zeynep Akkuş Çutuk, Rukiye Aydoğan, Jason Perez, Pablo Prieto-González","doi":"10.3390/ejihpe16090127","DOIUrl":"10.3390/ejihpe16090127","url":null,"abstract":"<p><p>(1) Background: As university students increasingly engage with digital tools in their academic and daily lives, digital well-being has become an important issue. This study aimed to examine a comprehensive sequential mediation model in which cognitive flexibility and digital literacy explain the relationship between metacognitive awareness and digital well-being among university students. (2) Methods: This cross-sectional correlational study included 711 university students. Data were collected using the Metacognitive Awareness Scale, Cognitive Flexibility Inventory, Digital Literacy Scale, and Digital Well-Being Scale. The proposed model was tested using structural equation modeling, and indirect associations were examined using bootstrap analyses. (3) Results: The findings indicated that metacognitive awareness was positively associated with cognitive flexibility and digital literacy, whereas cognitive flexibility was positively associated with both digital literacy and digital well-being. Digital literacy was also positively associated with digital well-being. Bootstrap results supported significant indirect associations between metacognitive awareness and digital well-being through cognitive flexibility and digital literacy, including their sequential mediation. (4) Conclusions: These findings suggest that university students' digital well-being can be better understood by considering metacognitive awareness, cognitive flexibility, and digital literacy together. Therefore, holistic approaches that focus on developing these three areas together may be beneficial in interventions aimed at supporting digital well-being.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selective Similarity Preference: People with a \"Darker Core\" Desire More Partner Similarity in Dark Traits but Not in Big Five.","authors":"Hao Wu, Shanhong Luo, Whitney Wall, Karryll Winborne-Phillips","doi":"10.3390/ejihpe16090128","DOIUrl":"10.3390/ejihpe16090128","url":null,"abstract":"<p><p>Research on assortative mating has shown that couples share strong similarities in demographic and attitudinal variables, while the similarity in personality is generally weak. However, a recent meta-analysis indicated that couple similarity in dark traits is considerably greater than that in the Big Five. If these differential similarities are primarily due to active preference, we expect that (1) the desire for similarity in dark traits should be higher than that for the Big Five and (2) the strongest desire for partner similarity in dark traits should come from the \"darkest\" individuals (i.e., with the darkest core). Participants (<i>n</i> = 2465) rated themselves and their ideal partner in Dark Triad and Big Five traits. They also rated their own dark core. The results showed consistent evidence for desired similarity in dark traits; however, this similarity was no greater than that for the Big Five. Further, dark core generally moderated desired similarity on dark traits such that people with a darker core preferred stronger partner similarity in dark traits. This pattern was only observed for Agreeableness on the Big Five. A new explanation was proposed to reconcile these paradoxical findings concerning desired and actual similarity in dark traits in comparison to the Big Five.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural Threat Processing in Individuals with Small-Animal Phobia Is Shaped by Cluster C Personality Traits.","authors":"Ascensión Fumero, Francisco Rivero, Rosario J Marrero, Alessandro Grecucci, Teresa Olivares, Wenceslao Peñate","doi":"10.3390/ejihpe16090126","DOIUrl":"10.3390/ejihpe16090126","url":null,"abstract":"<p><p>Small-animal phobia (SAP) is characterized by exaggerated fear responses to biologically relevant threat cues, yet the extent to which personality traits influences neural threat processing remains unclear. This study examined whether Cluster C personality traits (avoidant, dependent, and obsessive-compulsive) modulate neural responses to phobic stimuli in SAP. Functional magnetic resonance imaging (fMRI) data were collected from 39 individuals with SAP and non-phobic controls while viewing phobia-relevant and neutral stimuli. Whole-brain analyses were conducted to identify group differences in brain activation, and additional models assessed the influence of Cluster C personality traits on neural responses. Compared with controls, individuals with SAP showed greater activation in regions involved in threat processing and emotional salience, including the anterior cingulate cortex, parahippocampal gyrus, pallidum, fusiform gyrus, and thalamus. Higher avoidant traits were associated with increased activation in visual regions implicated in threat detection, whereas dependent and obsessive-compulsive traits were linked to greater recruitment of prefrontal areas involved in cognitive control and emotion regulation. These findings suggest that neural responses to phobic stimuli are influenced not only by the presence of SAP but also by personality-related vulnerability, highlighting the role of Cluster C traits in shaping perceptual and regulatory aspects of threat processing.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 9","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}