Sante Mentale au Quebec最新文献

{"title":"[Between Tensions and Support: The Social Dimension of Eco-Anxiety Among Young Adults in Quebec].","authors":"Maxime Boivin, Anne-Sophie Gousse-Lessard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The growing awareness of the risks associated with climate change poses a significant challenge to both psychological and collective well-being. Many individuals, particularly young adults, experience psychological distress, recognized as eco-anxiety. Although this reaction is considered a normal response to a real threat, it can nevertheless have harmful effects on those who experience it. Despite a growing body of research on eco-anxiety, few studies have examined its social dimension.</p><p><strong>Objective: </strong>This paper draws on a set of focus groups conducted as part of a broader project on the experience of eco-anxiety among young adults aged 18 to 34 in Quebec. Although the initial aim of the research did not focus on the social dimension, it emerged as a recurrent and structuring theme throughout the qualitative analysis. Anchored in a social psychology and public health perspective, this article aims to characterize this dimension by examining how interpersonal, normative, and societal dynamics shape the experience of eco-anxiety among young adults.</p><p><strong>Method: </strong>Eight focus groups were conducted with 32 young adults living in Quebec who identified as experiencing eco-anxiety.</p><p><strong>Results: </strong>Thematic analyses reveal social dynamics shaping the experience of eco-anxiety, such as tensions within family and friendship networks and experiences of stigmatization, but also the search for emotional support among peers who share similar concerns. These interactions influence how eco-anxiety is experienced, expressed, and regulated, sometimes amplifying distress and at other times serving as sources of comfort and legitimacy.</p><p><strong>Conclusion: </strong>The study underscores the central role of the social dimension, both as a factor that can exacerbate distress and as a source of support. Although eco-anxiety is often presented as an individual response to climatic and environmental threats, our findings suggest that it is also deeply shaped by the social fabric, particularly by the interpersonal relationships within which it emerges. Recognizing this dimension opens the way to a more nuanced understanding of eco-anxiety and interventions that emphasize spaces for dialogue, support, and collective action as resources for emotional regulation and resilience.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"27-50"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Trouble obsessionnel compulsif au Maroc - Évaluation des pratiques thérapeutiques].","authors":"Sara Echater, Ikram Aknin, Yassine Benhaddouch, Adil El Ammouri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction Obsessive-compulsive disorder (OCD) is a chronic psychiatric condition and one of the most common psychiatric disorders. This study aims to analyze the prescribing habits of Moroccan psychiatrists for OCD, identify deviations from international recommendations, and explore potential differences in prescribing practices based on medical status (resident or psychiatrist), practice sector (public or private), and type of establishment (university hospital or other). Methodology This is a descriptive and analytical cross-sectional study conducted among psychiatrists and psychiatry residents in Morocco. An anonymous self-administered questionnaire was used to explore their treatment habits for OCD. Data were collected from various healthcare facilities, both public and private, between January 16 and July 24, 2024. Statistical analyses were performed using SPSS software to assess the conformity of prescribing practices with international recommendations. Results The study included 116 participants. The majority of participants recommended a pharmacological treatment as the first-line therapy, primarily SSRIs (92.2%), while only 4.3% recommended CBT alone. After the failure of an initial SSRI, 35.3% recommended trying another SSRI, while others suggested adding an antipsychotic or trying clomipramine (37.9% and 14.7%, respectively). The analyses showed that practitioners trained in CBT were more likely to recommend it, and significant differences were observed between residents and specialists regarding the use of clomipramine after therapeutic failure. Conclusion This study highlights marked trends in OCD treatment practices in our context, revealing both concordances and discrepancies with international recommendations. The dissemination and adoption of best prescribing practices, as well as regular monitoring of therapeutic regimens, are crucial to improving the management of patients with OCD and ensuring a more guideline-conformant approach.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"217-234"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"My Father's Car Stranded in the Flooded Desert: Art Therapy in the Face of Climate Chaos.","authors":"Emmanuel Stip","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This reflective editorial essay emerges from a personal experience of being stranded for over 12 hours in a car during a sudden flood between Dubai and Abu Dhabi, an improbable confinement in the desert. As a psychiatrist, accustomed to listening and guiding others, I was instead confronted with my own stillness and isolation. In that immobility, I turned inward and found unexpected companionship in memory: the paintings of Philippe Lemaire, an artist I had met in a Montréal mental-health art workshop. For more than 2 decades, he has painted the same image, My Father's Car, transforming repetition into resilience. In the desert's silence, his work became my refuge. The patient's art, once a therapeutic act, now offers healing to the physician. This essay reflects how art, repetition, and memory can bridge the distance between illness and care, and how art therapy, in a paradoxical reversal, can extend its grace to the healer. When glaciers melt and storms roar, the spectre of climate change sets its pace and the anguish of remaining immobile, or drowned grasps us and draws us closer to narrative medicine.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"9-16"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Exploring the efficacy of an online guided self-treatment of post-traumatic stress disorder in wildfire evacuees].","authors":"Geneviève Belleville, Jessica Lebel, Marie-Christine Ouellet, Lydia Gamache, Ariane Therrien, Florence Renaud","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives Disasters are increasing in frequency and intensity worldwide. Individuals exposed to them are at risk of developing post-traumatic stress disorder (PTSD), insomnia or depression. A stepped care approach, in which the first levels offer interventions that are less costly in terms of specialized resources, could help in meeting the mental health needs of disaster-affected populations. A randomized controlled trial involving evacuees of the 2016 Fort McMurray (Alberta, Canada) wildfires with symptoms of PTSD, depression and insomnia demonstrated the efficacy of the RESILIENT self-treatment in reducing these symptoms. However, its impact among people with a probable diagnosis of PTSD has not been examined. This study aimed to evaluate the effectiveness of RESILIENT in reducing symptoms of PTSD, depression and insomnia in people with probable PTSD following a disaster. Method A secondary analysis was performed on a subsample of 38 participants from a randomized controlled trial of evacuees from the Fort McMurray wildfires. To be eligible, participants had to have probable PTSD. Sixteen people meeting the criteria were assigned to the treatment condition and 22 to the wait-list control condition. Participants had access to the RESILIENT treatment platform, a guided online self-treatment consisting of 12 therapeutic sessions offering evidence-based cognitive-behavioral strategies for PTSD, depression and insomnia. Participants completed validated self-report questionnaires measuring the severity of their symptoms of PTSD (PTSD Checklist for DSM-5), insomnia (Insomnia Severity Index) and depression (Patient Health Questionnaire; PHQ-9) pre- and post-treatment. Results Mixed-model analyses were performed. Intent-to-treat analyses failed to reach statistical significance for interaction effects (condition x time). However, subsequent analyses excluding those assigned to the treatment condition who did not access the treatment revealed clinically and statistically significant improvements for those who completed at least 1 treatment session compared with those assigned to the control condition. Conclusion These results support the efficacy of the RESILIENT platform in reducing symptoms of PTSD, depression and insomnia in people with probable PTSD following evacuation due to wildfires. These results demonstrate the relevance of the stepped care approach, offering primarily self-managed interventions for disaster-exposed populations.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 2","pages":"143-167"},"PeriodicalIF":0.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limiter le temps d’écran pour la santé mentale : une approche clinique individualisée et socioculturelle.","authors":"Vincent Paquin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"399-404"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Preventing occupational reintegration and return to work: An example of multi-partner collaboration in an inter-company occupational health prevention service in France].","authors":"Evelyne Auriac, Sandrine Croity-Belz, Isabelle Faurie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Context In France, both Return to Work (RTW) and sustained employment following extended medical leave are critical concerns, due to the substantial risk of professional disengagement after returning to work. Professional disengagement, influenced by a combination of work-related and health-related factors, necessitates proactive awareness, prevention, and adapted support to maintain employment. The involvement of diverse stakeholders in this process complicates access to available resources, highlighting the need for effective coordination. The occupational health law of August 2, 2021, mandates that Inter-Company Occupational Health Services (SPST) establish Professional Disengagement Prevention (PDP) units. These units are tasked with coordinating RTW support actions among the relevant stakeholders. Objective This exploratory research examines the collaborative process for RTW within a PDP unit at a rural SPST. It analyzes the development of a multi-partner collaborative process with the Health Insurance (Assurance Maladie) and a service provider specializing in maintaining the employment of workers with disabilities. The research aims to describe the development of this multi-partner collaboration and to elucidate the roles of organizational factors and the professionals' understandings of work disability in this process. Method A qualitative methodology was employed, involving the observation of meetings and a word association task with the stakeholders. This approach was used to identify both the facilitators and barriers to collaboration and to analyze the stakeholders' perceptions. Results The analysis identified several facilitators, including effective communication, coordination, and complementarity, as well as barriers, such as operational methods, role ambiguity, and workload. While facilitators enhanced communication and coordination, barriers were associated with limited availability and discrepancies between planned and actual work, intensified by administrative and human resource constraints. The co-construction of a collaborative tool facilitated interactions, decision-making, and improved the efficiency of RTW. Results indicate that sustained collaboration requires role clarification and aligned expectations over time. Perceptions of Professional Disengagement showed both commonalities and differences among the actors, with \"support\" being central but other elements revealing inter-professional variability. Conclusion In conclusion, the study emphasizes the importance of allowing sufficient time for the development of a shared understanding of roles and perspectives among stakeholders. This is crucial for fostering a robust work collective and ensuring the long-term success of multi-partner collaborations. The collaborative creation of a shared tool was shown to be a significant facilitator in establishing effective collaboration, built on shared, rather than entirely common, understandings.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"115-139"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Mental health service corridors between universities and health and social services institutions in Quebec: Persistent challenges and potential solutions].","authors":"Julie Lane, Juliette St-Onge, Anne-Marie Auger, Bruno Collard, Ariane Girard, Jean-Daniel Carrier, François Lauzier-Jobin, Andrée-Anne Légaré, Marie-Ève Poitras, Marie-Ève Fortier, Lara Maillet, Magaly Brodeur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mental health of Quebec's student population appears to have been deteriorating for several years. Faced with these challenges, the ministère de l'Enseignement supérieur in Quebec has developed the Action plan on student mental health in higher education, which aims to support higher education institutions in implementing practices and measures that can contribute to the well-being and development of a flourishing mental health of the student population. The plan calls for the creation of service corridors between institutions and the health and social services network (HSSN). A number of other ministerial orientations also call for this approach. At present, information on these corridors remains limited, and they do not appear to be the subject of research anywhere in the world, particularly in Quebec. Objective The aim of this article is to document the state of service corridors between universities and the HSSN in Quebec. Method The data at the heart of this article comes from an inventory produced by 17 universities. A thematic analysis of the data was carried out using a deductive and inductive approach, with the aid of N'Vivo software. Results Five themes emerged from the analysis: 1) Issues related to current service corridors between universities and the HSSN; 2) Consequences of the absence of service corridors for students; 3) Consequences of the absence of service corridors for universities; 4) Main factors that could hinder the implementation of service corridors; 5) Proposed solutions. Conclusion Anticipated impact: This article highlights the absence of service corridors between universities and the HSSN, despite the many efforts made to create them and the ministerial orientations that encourage their creation. The article proposes a number of very concrete and actionable solutions that are perfectly aligned with ministerial orientations and that would help reduce emergency room use in Quebec. First priority could be given to students in need of specialized services who must be referred to the HSSN. The use of the mental health access mechanism, present in the HSSN, appears to be the simplest and most coherent approach, given that this mechanism aims to improve access to specific and specialized mental health care and services.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"365-384"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Return to work and employment: Also a question of mental health. A study through the prism of French labor law].","authors":"Loïc Lerouge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives The study of mental health at work and return to work (RTW) in France shows by itself the subject is little developed in French labour and welfare legal doctrine. This study analyse how labour law in France is able-or not-to support the RTW of people who suffer or have suffered from a mental or psychic disorder. Method The method is in line with the usual practices of French legal doctrine, consisting of a study of existing legal regulations in France and an analysis of these. For example, legal standards specific to disability or chronic illness is used. Nevertheless, this subject requires us to explain the difference between \"employment\" and \"work\" within the French labour law approach-this chapter deals with \"work.\" We also recall some fundamental legal standards. Results This study provides a dual analysis: that of labour law and that of welfare law, including social security law and employment law. The results takes into account the distinction between people suffering from chronic and non-chronic disorders, as well as disorders caused by work and those not caused by the performance of work, in order to highlight the appropriate legal regime, applied, existing or non-existent in France. Conclusion The approach of French labour and welfare law to issues relating to mental health and RTW presents real difficulties in terms of existing construction and implementation in practice. This obviously represents a limitation in dealing with the issue. Nevertheless, we explore the possibility of presenting the original concept of \"préjudice d'anxiété\", which strongly emphasizes the link between the social law approach to psychological suffering caused, according to the Cour de cassation, by the psychological disorders engendered by knowledge of the high risk of developing a serious pathology due to exposure to highly noxious or toxic materials or products during one's working career and due to maintaining at work despite these terrible conditions.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"23-41"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Therapeutic alliance: Between rupture and power games, a qualitative study].","authors":"Mizué Frey, Benedetta Silva, Philippe Golay, Stéphane Morandi, Charles Bonsack, Aurore Chambaz","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The therapeutic alliance (TA) is considered one of the founding pillars of a therapeutic approach. Its breakdown is a complex phenomenon affecting both patients and therapists. The breakdown of a TA involves dynamics of withdrawal or confrontation, or both. This article focuses on patients' experiences of TA breakdown through interviews. What do patients have to say about behaviors that are antinomic to the therapeutic process? How do they understand the breakdown of TA-in a hospital setting or in private care? Is a resolution possible? Analysis of these interviews enables us to draw up a preliminary map of typical situations experienced by patients and the reasons that led them to break off the TA. Methods This study is part of a qualitative social science approach. In the first stage, 5 interviews were carried out by a researcher with experience in psychiatry with people affected (all women) by a breakdown in TA. The data collected was then transcribed, analyzed, grouped by theme, compared by theme, reorganized, merged and prioritized. Results The analysis highlighted five key themes in the factors leading to TA breakdown: the power of professionals, the relationship as symbolic violence, the act of care, the functioning of care institutions and the repair of the alliance. A central element in the discourse of the patients interviewed is the violence provoked by the lived experience of an asymmetry of power between them and the psychiatric setting. Faced with this situation, the patients gradually implement strategies of influence to reduce their powerlessness and adapt the care context to their needs, such as withholding information or lying. These narratives call into question the validity of psychiatric acts of care, and invite us to question the epistemological determinants that led to these standards and acts of care in the first place. Discussion In psychiatric institutions, these results suggest that the determinants of TA are, in fact, not insignificantly linked to power issues at multiple levels. Maintaining or breaking a TA is part of a sociological register in which patients recognize themselves as dominated, stigmatized and marginalized. In this context of oppression, concealing or manipulating the truth appear as necessary and licit acts to escape from situations experienced as unjust and confining. Taking a step back, this type of reaction is not new; it's part of the development of the epistemology of the dominated, a movement in social science theorizing the construction of knowledge among people and groups experiencing domination, and where resistance to oppression constitutes a subversive act of lucidity. Not surprisingly, their perspectives are in the minority, as they also reflect the minority social position of the people who practice them. Conclusion The preservation, or repair, of a solid TA is a priority for any therapeutic relationship. In this context, sensitizing psychiatric staff to the limits of the biomedical","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"319-340"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A Legal and Collective Approach to Mental Health Disclosure at Work].","authors":"Vanessa De Greef, Natasia Hamarat","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Introduction The disclosure of mental health issues in the workplace highlights tensions between the need to adapt working conditions and the risk of stigmatization affecting the individuals concerned. This research examines the barriers and facilitators shaping this disclosure process within a collaborative framework involving the employee, colleagues, management, and health professionals, using an interdisciplinary approach that combines law and sociology. Method This study is part of an action-research initiative conducted in Belgium since 2018, aimed at developing a support system based on the Individual Placement and Support (IPS) methodology, intended for workers on long-term sick leave related to moderate to severe mental health conditions. It draws on three sets of data: a focus group conducted in 2023 on workplace accommodations for individuals living with mental health conditions, bringing together professionals from mutual insurance funds, employment support specialists, and experts by experience; a series of interviews conducted between 2023 and 2024 with employers and employees participating in the Belgian IPS program; and focus groups held in 2017 that explored the dynamics of professional reintegration, bringing together professionals involved in return-to-work processes, legal experts, and mental health practitioners to offer a more institutional perspective. Following a co-constructive approach with stakeholders, the research adopts a critical stance toward the tensions and limitations inherent in current legal, organizational, and practical frameworks. Thematic analysis of the data was combined with a review of Belgian, European, and international standards to shed light on common challenges across different occupational health systems. Results The disclosure of mental health issues in the workplace goes beyond an individual decision (\"to disclose or not to disclose\") and is embedded in complex social dynamics. Stigma, rooted in everyday social interactions, affects not only the employees directly concerned but also the professionals supporting them. Moreover, the legal framework reveals an imbalance: the right to privacy is better established than the right to workplace accommodations, which may limit the responsibilities of employers and other actors. A strictly individualized approach to these issues tends to obscure the need for broader engagement among workplace stakeholders. The Belgian case highlights promising practices, particularly within the IPS program, where job coaches play a key role: they help clarify individual needs, support the implementation of concrete accommodations, and contribute to sharing the burden of disclosure among different actors. However, these efforts remain hindered by weak inter-institutional coordination and the lack of shared trust frameworks for the exchange of sensitive information. Discussion The findings call for a collective approach that goes beyond individual handling of disclos","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"43-63"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}