Addictive Behaviors Reports最新文献

{"title":"Unpacking the complexities in racial and ethnic discrimination and tobacco use and cannabis co-use behaviors among young adults in the U.S.","authors":"Stephanie Pike Moore ,&nbsp;Craig S. Fryer ,&nbsp;Eugenia Lee ,&nbsp;Kymberle L. Sterling","doi":"10.1016/j.abrep.2025.100593","DOIUrl":"10.1016/j.abrep.2025.100593","url":null,"abstract":"<div><h3>Introduction</h3><div>There is a general paucity of research describing the relationship between racial and ethnic discrimination (RED) and coping strategies on use of little filtered cigars and cigarillos (LCCs) across racial and ethnic identities. This research sought to unravel some of the complex, multilayered experiences of RED and subsequent coping strategies to examine the impact on LCC use.</div></div><div><h3>Methods</h3><div>Data come from a cross-sectional survey conducted among a nationally representative sample of U.S. young adults (n = 1,178) in May 2022. Respondents were asked about their exposure to LCC marketing (systemic RED), interpersonal experiences of RED, coping strategies, and use of LCCs as-sold (tobacco only) or as a blunt (with marijuana). Multivariable logistic regression was used to examine odds of LCC use examining systemic and interpersonal RED and the relationship between emotion-focused and problem-focused coping strategies among those who have experienced RED.</div></div><div><h3>Results</h3><div>Exposure to systemic RED was associated with increased odds of blunt use. Interpersonal experiences of RED were associated with increased odds of LCC use as-sold and as blunts. Among those who experienced any RED, the impact of problem-focused and emotion-focused coping was differential across racial and ethnic identities in the impact on LCC use modality.</div></div><div><h3>Conclusion</h3><div>Systemic and interpersonal RED are independently associated with LCC use. There are considerable differences in how young adults cope with RED which necessitates additional research to further elucidate the complex pathways between RED and product use to more effectively inform strategies to address the undeniable racial and ethnic inequities in tobacco-related health outcomes.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100593"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551512","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":"Methodological issues in behavioral addictions’ research: A call for an unbiased analysis of excessive behaviors","authors":"Yura Loscalzo,&nbsp;Marco Giannini","doi":"10.1016/j.abrep.2025.100594","DOIUrl":"10.1016/j.abrep.2025.100594","url":null,"abstract":"<div><div>In the psychological literature, there has been a proliferation of new behavioral addictions, often biased by an aprioristic and confirmatory approach that applied the addiction framework without adequately considering other potential explanations of excessive behaviors. This position paper further extends the critiques previously pointed out in the literature by highlighting the methodological issues underlying the current behavioral addiction research and the need for future studies to avoid a confirmatory and aprioristic approach (whatever the etiological hypothesis). Analyzing repetitive behaviors in their own specifies could help find a balance between the risk of over-pathologizing common behaviors and not exploring new potential clinical disorders related to everyday (excessive) behaviors associated with functional impairment and deserving public health attention. Finally, we underline the value of recalling that if an existing diagnosis might explain the problematic behavior under consideration, a new clinical disorder should not be introduced in the literature.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100594"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551510","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":"Psychotherapy research for compulsive buying-shopping disorder: Quo vadis?","authors":"Astrid Müller ,&nbsp;Patrick Trotzke ,&nbsp;Patricia Schaar ,&nbsp;Tobias A. Thomas ,&nbsp;Ekaterini Georgiadou ,&nbsp;Sabine Steins-Loeber","doi":"10.1016/j.abrep.2025.100591","DOIUrl":"10.1016/j.abrep.2025.100591","url":null,"abstract":"<div><div>Aim The aim of this position paper is to address the question of how psychotherapy research for compulsive buying-shopping disorder (CBSD) should develop further. <em>Method:</em> After a brief summary of existing psychotherapy research, this paper concentrates on the advantages and shortcomings of previous psychotherapy studies and offers recommendations for future psychotherapy research in the domain of CBSD. <em>Results:</em> Systematic reviews indicate that cognitive behavioural therapy is the most researched form of psychotherapy and presents a helpful intervention for reducing the symptom severity of CBSD. Notwithstanding the positive outcomes, the psychotherapy studies to date are limited by methodological shortcomings, which reduce their validity and generalizability. While research into the psychological mechanisms of offline and online CBSD has expanded considerably, psychotherapy research has not kept pace with this growth. Although the majority of individuals with CBSD engage in online shopping, the problematic usage of shopping websites has not been considered in any of the treatment studies to date. <em>Conclusion:</em> The application of the experimental medicine framework to psychotherapy research for CBSD may enhance the integration of findings on psychological mechanisms of CBSD with existing treatment concepts for CBSD. Moreover, it is necessary to consider the impact of technological factors and e-marketing in the context of treatment. There is a need for 1) proof-of-concept studies to test specific interventions that target specific psychological processes and mechanisms of CBSD, and 2) high-quality psychotherapy studies to test the efficacy and effectiveness of new treatment approaches in accordance with the scientific standards for randomised controlled trials</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100591"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509243","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 temporal stability of problematic gaming and gaming disorder: A systematic review and meta-analysis","authors":"An-Pyng Sun ,&nbsp;Chih-Hsiang Ho ,&nbsp;Daria J. Kuss ,&nbsp;Chad L. Cross","doi":"10.1016/j.abrep.2025.100592","DOIUrl":"10.1016/j.abrep.2025.100592","url":null,"abstract":"<div><div>Classifying problematic gaming/gaming disorder as a formal psychiatric diagnosis requires data on its level of temporal stability: are the dysfunctional symptoms transient or can they persist in the absence of treatment? To evaluate this question, we conducted a literature review and <em>meta</em>-analysis to investigate temporal stability in problematic gaming/gaming disorder. We identified 50 relevant longitudinal studies on PubMed, PsycINFO, and SCOPUS. Our review and <em>meta</em>-analysis engaged on two types of temporal stability: categorical stability and dimensional stability. We used MetaXL to run the <em>meta</em>-analysis for categorical stability. Our <em>meta</em>-analysis revealed that overall, the categorical stability rate was approximately 34–38% for the 2-year follow-up studies and approximately 43–45% for the 1-year follow-up studies. This indicates that between 1/3 and 1/2 of the gamers who initially met the threshold for problematic gaming/gaming disorder continued to meet such a threshold at follow-ups. Our <em>meta</em>-analysis included predominantly adolescent groups, which should be noted when generalizing the obtained categorical stability rates. Our review results also showed that overall, the dimensional stability was positive and statistically significant, indicating moderate or high correlations between symptom severity at baseline and at follow-ups. Temporal stability can be a complex concept. Our results suggest that although the categorical stability of problematic gaming/gaming disorder is not as strong as some major psychiatric disorders such as schizophrenia and bipolar disorder, it is similar to personality disorder and gambling disorder. Many complex factors may affect the temporal stability of problematic gaming/gaming disorder, possibly including severity of the disorder, whether the data is from clinical or nonclinical populations, and an individual’s age group or developmental stage. More methodologically rigorous longitudinal studies that address these issues are needed.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100592"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551511","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":"Intact habit learning in work addiction: Evidence from a probabilistic sequence learning task","authors":"Zsuzsanna Viktória Pesthy ,&nbsp;Krisztina Berta ,&nbsp;Teodóra Vékony ,&nbsp;Dezső Németh ,&nbsp;Bernadette Kun","doi":"10.1016/j.abrep.2025.100589","DOIUrl":"10.1016/j.abrep.2025.100589","url":null,"abstract":"<div><div>Work addiction (WA) is characterized by excessive and compulsive working patterns that detrimentally affect the individual’s health and functioning. While prior studies have indicated an overreliance on habit learning in various addictions, this study is the first to examine its role in WA. 104 adults were categorized into low-risk and high-risk groups for WA based on their scores on the Work Addiction Risk Test. We used a probabilistic sequence learning task designed to assess habit learning through the implicit acquisition of structured patterns characterized by alternating sequences. No significant differences were observed between the groups, both in terms of accuracy and reaction time. These findings suggest that individuals with WA exhibit intact habit learning, indicating that the addictive nature of work behavior may not solely stem from habitual processes. This highlights the unique features of WA compared to other addictions, potentially contributing to the relatively better overall functioning observed in affected individuals.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100589"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395451","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":"Mechanism that links perceived racism and discrimination and youth cannabis use, a structural equation modeling approach","authors":"Hongying Daisy Dai ,&nbsp;Brian Young ,&nbsp;Cheryl Beseler","doi":"10.1016/j.abrep.2025.100590","DOIUrl":"10.1016/j.abrep.2025.100590","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Exposure to discrimination stands as a prevalent social stressor and social determinant of health. This study sought to examine mechanisms linking perceived racism and discrimination (PRD) with youth cannabis use.</div></div><div><h3>Methods</h3><div>Data were drawn from the 2021 Adolescent Behaviors and Experiences Survey (n = 7,705). Latent variables were constructed to assess stress and mental health, sleep disorder and lack of physical activity, lack of family and peer support, and financial adversity. Separate mediation analyses were conducted to examine the pathways from PRD to current (past 30-day), and frequent (≥20 days in the past 30-day) cannabis use, adjusted by sociodemographic factors.</div></div><div><h3>Results</h3><div>Adolescents with PRD (vs. no PRD) reported a higher prevalence of current use (16.2 % vs. 10.9 %, p &lt; 0.0001) and frequent use (4.6 % vs. 2.7 %, p = 0.008). Stress and mental health mediated the pathways from PRD to current (β_{indirect effect} [SE] = 0.02 [0.01], p = 0.02) and frequent cannabis use (β_{indirect effect} [SE] = 0.03 [0.01], p &lt; 0.001). Financial adversity was associated with current (β [SE] = 0.15 [0.06], p = 0.01) and frequent cannabis use (β [SE] = 0.26 [0.08], p = 0.002). Sleep disorder and physical activity did not significantly mediate the relationship between PRD and current or frequent cannabis use. Lack of family and peer support showed no association with cannabis use.</div></div><div><h3>Conclusions</h3><div>This national study identified important latent factors that are associated with youth cannabis use. Targeted interventions that reduce stress might mitigate the impacts of PRD on adolescent’s cannabis use.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100590"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429998","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 different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study","authors":"Nahiyan Bin Noor ,&nbsp;George Pro ,&nbsp;Mahip Acharya ,&nbsp;Hari Eswaran ,&nbsp;Corey J. Hayes","doi":"10.1016/j.abrep.2025.100588","DOIUrl":"10.1016/j.abrep.2025.100588","url":null,"abstract":"<div><h3>Objective</h3><div>This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes.</div></div><div><h3>Methods</h3><div>This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes.</div></div><div><h3>Results</h3><div>Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined.</div></div><div><h3>Conclusion</h3><div>Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143210131","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":"Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021–2022 National Survey on Drug Use and Health","authors":"Marvin A. Schilt-Solberg ,&nbsp;Lisa M. Blair ,&nbsp;Julie A.M.J. Kurzer","doi":"10.1016/j.abrep.2025.100587","DOIUrl":"10.1016/j.abrep.2025.100587","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the impact of the intersection of gender, racial/ethnic identity, and sexual orientation among adults on substance use disorders (SUDs) from 2021 to 2022.</div></div><div><h3>Method</h3><div>We conducted an analysis of persons (ages 18 and older) who responded to the 2021 and 2022 National Survey on Drug Use and Health (NSDUH). Logistic regression models were constructed to examine odds of past-year SUDs at the intersection of gender, sexuality, and race/ethnicity. All analyses were design-corrected to enhance population representativeness and generalizability.</div></div><div><h3>Results</h3><div>Prevalence varied by race/ethnicity and sexual orientation across both sexes (total <em>n</em> = 83,722). Non-Hispanic multiracial lesbian/gay individuals had the highest prevalence of any SUD in both sexes (46.6 % in women, 52.3 % in men). Bisexual women showed consistently elevated odds of SUD across most racial/ethnic groups (aORs 1.48–2.99) compared to White heterosexual women. Men had higher prevalence of SUD than women (21.1 % compared to 15.0 %, <em>p &lt; 0</em>.0001). Only White gay and bisexual men had significantly increased odds for any SUD compared to heterosexual White men (aOR 1.73 and 1.57, respectively). White bisexual men had higher odds of reporting cannabis use disorder (CUD; aOR 1.87). Hispanic men demonstrated lower odds of any SUD or CUD (aORs 0.85 and 0.71, respectively).</div></div><div><h3>Conclusion</h3><div>Women demonstrated more pronounced SUD disparities between intersectional identity. While men had higher SUD prevalence overall, few disparities were observed between intersectional identities. To effectively address these disparities and their consequences (e.g., differential minority stress and mental/physical health outcomes), prevention and intervention efforts should prioritize an intersectionality approach.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100587"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137810","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":"Mental imagery in the context of online compulsive buying-shopping disorder: The role of pleasure and relief","authors":"Annika Brandtner ,&nbsp;Matthias Brand ,&nbsp;Astrid Müller","doi":"10.1016/j.abrep.2025.100586","DOIUrl":"10.1016/j.abrep.2025.100586","url":null,"abstract":"<div><h3>Background</h3><div>The rise of e-commerce has led to an increase in online compulsive buying-shopping disorder (OCBSD), an addictive disorder potentially driven by preoccupations like mental imagery, yet their occurrence and predictors have not been thoroughly explored.</div></div><div><h3>Methods</h3><div>This study investigated the expression of and associations with mental imagery in women with pathological (<em>n</em> = 56) or non-problematic buying-shopping (<em>n</em> = 56) applying hierarchical regression analyses. Participants were classified based on a structured diagnostic interview, completed self-report questionnaires assessing experiences of gratification and compensation during shopping, and a 14-day end-of-day ambulatory assessment, evaluating mental imagery intensity.</div></div><div><h3>Results</h3><div>Women with pathological buying-shopping reported significantly more intense shopping-specific mental imagery compared to women with non-problematic buying-shopping. Mental imagery was significantly predicted only by compensatory experiences in the pathological buying-shopping group with medium effect sizes.</div></div><div><h3>Discussion</h3><div>The findings suggest that in OCBSD, mental images likely arise from to the anticipated effects of relief, possibly indicating a maladaptive coping strategy.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100586"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137811","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":"Influence of binge drinking on the resting state functional connectivity of university Students: A follow-up study","authors":"Samuel Suárez-Suárez ,&nbsp;Fernando Cadaveira ,&nbsp;Alfonso Barrós-Loscertales ,&nbsp;José Manuel Pérez-García ,&nbsp;Socorro Rodríguez Holguín ,&nbsp;Javier Blanco-Ramos ,&nbsp;Sonia Doallo","doi":"10.1016/j.abrep.2025.100585","DOIUrl":"10.1016/j.abrep.2025.100585","url":null,"abstract":"<div><div>Binge Drinking (BD) is characterized by consuming large amounts of alcohol on one occasion, posing risks to brain function. Nonetheless, it remains the most prevalent consumption pattern among students. Cross-sectional studies have explored the relationship between BD and anomalies in resting-state functional connectivity (RS-FC), but the medium/long-term consequences of BD on RS-FC during developmental periods remain relatively unexplored. In this two-year follow-up study, the impact of sustained BD on RS-FC was investigated in 44 college students (16 binge-drinkers) via two fMRI sessions at ages 18–19 and 20–21. Using a seed-to-voxel approach, RS-FC differences were examined in nodes of the main brain functional networks vulnerable to alcohol misuse, according to previous studies. Group differences in RS-FC were observed in four of the explored brain regions. Binge drinkers, compared to the control group, exhibited, at the second assessment, decreased connectivity between the right SFG (executive control network) and right precentral gyrus, the ACC (salience network) and right postcentral gyrus, and the left amygdala (emotional network) and medial frontal gyrus/dorsal ACC. Conversely, binge drinkers showed increased connectivity between the right Nacc (reward network) and four clusters comprising bilateral middle frontal gyrus (MFG), right middle cingulate cortex, and right MFG extending to SFG. Maintaining a BD pattern during critical neurodevelopmental years impacts RS-FC, indicating mid-to-long-term alterations in functional brain organization. This study provides new insights into the neurotoxic effects of adolescent alcohol misuse, emphasizing the need for longitudinal studies addressing the lasting consequences on brain functional connectivity.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100585"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081459","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}