Lin Zheng, William Pickett, Jian Liu, Scott T Leatherdale, Karen A Patte
{"title":"Measurement invariance of a brief disordered eating scale in a large sample of secondary school students in Canada.","authors":"Lin Zheng, William Pickett, Jian Liu, Scott T Leatherdale, Karen A Patte","doi":"10.1186/s40337-025-01332-9","DOIUrl":"10.1186/s40337-025-01332-9","url":null,"abstract":"<p><strong>Background: </strong>For use in population-level surveys, there is a need for brief measures of disordered eating (DE) that demonstrate validity among diverse adolescents. This study aimed to (1) assess the measurement invariance of a short DE scale among high school students in Canada, and (2) estimate differences in scale scores across student sociodemographic subgroups.</p><p><strong>Methods: </strong>We used student-level survey data collected during the 2021/2022 school year in the COMPASS study. The sample included 24,639 students in grades 9-12 from 69 secondary schools in Alberta, British Columbia, and Ontario, Canada. Multi-group confirmatory factor analysis was applied to assess measurement invariance (i.e., configural, metric, scalar, and strict invariance) of the 6-item DE scale, and one-way ANOVA and mixed linear regression were implemented to estimate scale score differences across population subgroups (by grade, gender, race and ethnicity, family affluence, and weight status).</p><p><strong>Results: </strong>Results demonstrated full measurement invariance of the DE scale across student sociodemographic subgroups. Higher sum scale scores indicated greater engagement in DE thoughts or behaviours. Students in higher school grade (e.g., grade 12), transgender and gender diverse youth, and cisgender girls reported higher DE scores compared to their grade 9 and cisgender boy peers. Elevated DE scores were also observed among adolescents of Middle Eastern and Another or Multiethnic identity, students with less affluent households, and those with higher body weights, relative to their White, more affluent, and relatively lower weight peers, respectively.</p><p><strong>Conclusions: </strong>Results indicate the DE scale measures the same construct across various subgroups of adolescents, providing confidence that differences in scale scores found by grade, gender, race and ethnicity, affluence, and weight reflect actual differences in DE rather than artifactual differences in scale interpretation. This scale warrants additional psychometric testing as a promising brief DE measure suitable for large population-level youth surveys. Our results provide important new evidence from a large contemporary sample of adolescents demonstrating elevated risk of DE among specific subgroups and emphasizing the need for targeted interventions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"132"},"PeriodicalIF":3.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Mighani, Fatemeh Taghizadeh Shivyari, Alireza Razzaghi, Mohammad Amerzadeh, Maryam Javadi
{"title":"Relationship between dietary intake, eating attitudes, and premenstrual syndrome severity among Iranian women: insights from a cross-sectional study.","authors":"Sara Mighani, Fatemeh Taghizadeh Shivyari, Alireza Razzaghi, Mohammad Amerzadeh, Maryam Javadi","doi":"10.1186/s40337-025-01326-7","DOIUrl":"10.1186/s40337-025-01326-7","url":null,"abstract":"<p><strong>Background: </strong>Premenstrual syndrome (PMS) is a common issue that impacts many women, and a well-balanced diet can help alleviate PMS symptoms. Evidence suggests that dietary factors and eating disorders may influence PMS severity, yet the specific relationships remain unclear. This study aimed to evaluate the association of specific dietary components and eating behaviors with PMS symptoms.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 252 women with PMS who were referred to healthcare centers in Qazvin province. Data concerning PMS, dietary factors, and eating disorders were collected using online questionnaires, including the premenstrual symptoms screening tool (PSST), 3-day dietary recall, and Eating Attitudes Test-26 (EAT-26) questionnaires. Statistical analysis utilized ANOVA and chi-square tests. The adequacy of the sample was evaluated using the Kaiser-Meyer-Olkin (KMO) test. To examine the relationship between eating disorders, dietary factors, and PMS symptoms, multivariable linear regression analysis was conducted. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>According to the PSST, 28.7% of individuals reported mild severity, 21.9% reported moderate severity, and 49.4% reported severe severity. The study revealed that higher sodium (p = 0.003, OR = 1.000, 95% CI = [1.000, 1.001]), vitamin D (p = 0.044, OR = 1.298, 95% CI = [1.007, 1.674]), and vitamin C intake were positively linked to increased psychological PMS symptoms, (p = 0.036, OR = 1.006, 95% CI = [1.000, 1.012]) while magnesium showed a negative association with these symptoms. Also, sodium and vitamin D intake were significantly associated with increased physical symptoms (p < 0.05). Individuals with eating disorders showed higher rates of severe PMS symptoms, though differences were not statistically significant (p > 0.05).</p><p><strong>Conclusion: </strong>These findings highlight the potential influence of specific nutrients on PMS severity. This insight could inform dietary recommendations for managing PMS symptoms, providing young women with potential non-pharmacological options to relieve discomfort.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"131"},"PeriodicalIF":3.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social rejection sensitivity and its role in anorexia nervosa: a systematic review of experimental literature.","authors":"Senan Coughlan-Hopkins, Cristina Martinelli","doi":"10.1186/s40337-025-01261-7","DOIUrl":"10.1186/s40337-025-01261-7","url":null,"abstract":"<p><strong>Objective: </strong>Social rejection sensitivity (SRS) is characterised by anxious expectations of rejection, and the increased tendency to readily perceive and react intensely to rejection-based cues. It has been suggested SRS may play a role in anorexia nervosa (AN). Our review investigates whether SRS is exhibited in AN, and the cognitive mechanisms that underly this disposition.</p><p><strong>Method: </strong>We included experimental studies if they used social threat or rejection-based stimuli, reported on measures related to either cognitive, emotional, and/or behavioural responses, and compared patients with a diagnosis of AN and/or those who have recovered from the illness with healthy controls.</p><p><strong>Results: </strong>This article identified 47 eligible studies, with risk of bias assessment indicating the research was of good quality. Main findings showed patients with AN exhibit attentional bias towards social rejection cues, negative interpretation bias during ambiguous social scenarios, and heightened negative affect during and following rejection-based experiences. Physiological blunting during and following rejection-based experiences was observed in AN with some evidence to suggest this remediates during the process of weight-restoration. demonstrating an incongruence between affective and somatic experience in active illness.</p><p><strong>Discussion: </strong>Our results suggest females with AN display a cognitive profile that could lead to a tendency to expect rejection, readily perceive rejection and react with more intense negative affect to rejection-based cues, with limited evidence to suggest this cognitive profile persists in recovery. Our results can be interpreted through theoretical models that postulate drive for thinness may partially function to cope with anticipated or experienced rejection.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"134"},"PeriodicalIF":3.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personalised and precision mental health in eating disorders: why routine outcome measurement is key.","authors":"Amelia Austin, Karina L Allen","doi":"10.1186/s40337-025-01290-2","DOIUrl":"10.1186/s40337-025-01290-2","url":null,"abstract":"<p><p>For over a decade, the mental health field has been interested in precision treatment using psychopharmacological interventions. More recently, this interest has expanded to include psychotherapy, which is the primary treatment modality for eating disorders. Personalised medicine and precision treatment are also seen as priorities for the eating disorder field by those with lived experience and carers, clinicians and researchers. However, precision treatment necessitates the collection of large amounts of clinical data. Three frameworks exist or have been proposed for the purpose of gathering large-scale routine clinical outcomes in eating disorder services: The International Consortium for Health Outcomes Measurement (ICHOM) eating disorder set, the Australia national minimum dataset, and the Eating Disorders Clinical Research Network. Despite the emergence of these frameworks, challenges exist with implementation. This paper outlines the rationale for the collection of routine outcome data in eating disorder treatment settings, the three existing frameworks proposed, and considerations for implementation and scaling. These include clinical and practice applications, technical aspects, statistics, and contextual factors. We invite attention to our recommendations and collaborative approaches to facilitate progress towards precision treatment in eating disorders.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"135"},"PeriodicalIF":3.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Lapadat, Samantha Wilson, Lisa Y Zhu, Sarah E Racine
{"title":"Acceptability of a personalised single-session feedback intervention for eating disorders: a qualitative content analysis.","authors":"Laura Lapadat, Samantha Wilson, Lisa Y Zhu, Sarah E Racine","doi":"10.1186/s40337-025-01333-8","DOIUrl":"10.1186/s40337-025-01333-8","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"133"},"PeriodicalIF":3.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the relationship between peer attachment, and disordered eating behaviours and body dissatisfaction in adolescence: a systematic review.","authors":"Clarice Chan, Cecily Donnelly, Aphrodite Eshetu, Dasha Nicholls","doi":"10.1186/s40337-025-01273-3","DOIUrl":"10.1186/s40337-025-01273-3","url":null,"abstract":"<p><strong>Objective: </strong>Adolescence is a critical period in the development of eating disorders (ED) and the influence of peers becomes increasingly evident in shaping behaviour. Insecure attachment to parents is associated with higher ED risk, but the impact of attachment to peers is unknown. This systematic review aims to ascertain the role of peer attachment in ED symptoms and body dissatisfaction in adolescents.</p><p><strong>Methods: </strong>Electronic databases Medline, Embase, PsychINFO, and Scopus were searched using the search terms related to adolescents, eating disorders, peers, and attachment.</p><p><strong>Results: </strong>Out of the 19 included studies (n = 15 cross-sectional, n = 4 Longitudinal), most (n = 17) used the Peer subscale of the 'Inventory of Parent and Peer Attachment (IPPA)' to measure peer attachment. The prevalence of insecure attachment was higher in populations with ED symptoms compared to those without. Lower attachment scores were associated with higher ED symptomology and body dissatisfaction. Out of the 3 subscales of the IPPA, alienation emerged as the most significant predictor of symptomology.</p><p><strong>Discussion: </strong>Insecure attachment to peers may be a risk factor in the development of ED symptoms and body dissatisfaction, but the protective role of secure attachment remains unclear. More longitudinal research is required to disentangle this relationship and ascertain the clinical significance of peer attachment in prognosis or intervention.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"130"},"PeriodicalIF":3.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nele Westermann, Annette M Klein, Robert Busching, Petra Warschburger
{"title":"From childhood to adolescence: Development of binge eating and the prospective role of self-regulation.","authors":"Nele Westermann, Annette M Klein, Robert Busching, Petra Warschburger","doi":"10.1186/s40337-025-01330-x","DOIUrl":"10.1186/s40337-025-01330-x","url":null,"abstract":"<p><strong>Background: </strong>Research shows that binge eating often starts in childhood or adolescence, but its development remains largely unexplored. Additionally, while cross-sectional studies link self-regulation to binge eating, longitudinal research is lacking. Therefore, this study examined the development of binge eating and self-regulation as a potential predictor for this development in a community sample.</p><p><strong>Methods: </strong>A total of N = 1660 children were assessed at four time points spanning ages 6-11, 7-11, 9-13, and 16-21. The assessment of self-regulation encompassed emotional reactivity, working memory updating, cognitive flexibility, inhibition, inhibitory control, planning behavior, affective decision-making, anger regulation, and as appetite self-regulation, satiety responsiveness, emotional overeating, food responsiveness, and external eating, using computerized tasks, teacher- and parent-reports. Binge eating was modeled by child-reported loss of control eating, overeating, and eating in the absence of hunger. A latent change score model was used to evaluate intra- and interindividual differences in binge eating across middle childhood and adolescence. Self-regulation facets were regressed on changes in binge eating.</p><p><strong>Results: </strong>Results indicated a decrease in binge eating at the beginning of middle childhood, followed by a stagnation and then an increase during adolescence, with significant interindividual differences in these changes. Higher planning behavior, inhibitory control, and cognitive flexibility predicted decreases in binge eating during middle childhood, while higher satiety responsiveness unexpectedly predicted an increase in binge eating during adolescence. Results remained the same after controlling for body weight.</p><p><strong>Conclusions: </strong>Our findings highlight adolescence as a critical period for binge eating prevention, with planning behavior, inhibitory control, and cognitive flexibility acting as protective factors in middle childhood. The longitudinal data underscore the importance of self-regulation in the development of binge eating.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"129"},"PeriodicalIF":3.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chantelle Ecob, Debbie M Smith, Zoe Tsivos, Sarah Peters
{"title":"A qualitative investigation of the factors influencing eating disorder symptomology during the postpartum period.","authors":"Chantelle Ecob, Debbie M Smith, Zoe Tsivos, Sarah Peters","doi":"10.1186/s40337-025-01295-x","DOIUrl":"10.1186/s40337-025-01295-x","url":null,"abstract":"<p><strong>Background: </strong>The perinatal period can be a challenging time for women with current or historical eating disorder (ED) experience. Maternal EDs are associated with risks to both the mother and the child. During pregnancy, women are more likely to disengage with ED behaviours for the good of their growing baby. However, the postpartum period is a particularly risky period for the re-emergence or worsening of ED behaviours, irrespective of women's pre-pregnancy ED status. Little is known about the factors which influence ED symptomology during the postpartum period. The aim of this study was to develop an understanding of the factors operating in the postpartum experience that influence ED symptomology.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 12 women who had experience of an ED before becoming pregnant. Interview took place during or after the postpartum period, with women reflecting specifically on the postpartum period. Interviews were analysed using Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Four themes were developed within the interview data; (1) Embracing the self, (2) Motherhood: an ED enabler or protector?, (3) ED as a 'plaster' for emotional distress, and (4) The influential voices of others. Theme 1 captures participants' reports of the primary ED recovery facilitator, with a focus on self-awareness, self-understanding, self-compassion, and self-identity. Themes 2-4 describe a 'triangle of powers' which interacted with one another to influence participants' ED symptomology both positively and negatively during the postpartum period.</p><p><strong>Conclusion: </strong>A new model is proposed which predicts that ED symptomology during the postpartum period is influenced by a complex interaction between various internal and external factors. Health care professionals encountering women with EDs during the perinatal period should be aware of these factors, to provide attuned and individualised care and improve outcomes for mothers and babies. Increased awareness how EDs may present during the postpartum period is needed.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"127"},"PeriodicalIF":3.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Colleen Alford, Andrew Wallis, Phillipa Hay, Deborah Mitchison
{"title":"Understanding the child and adolescent eating disorder treatment experiences of autistic people and parents.","authors":"Colleen Alford, Andrew Wallis, Phillipa Hay, Deborah Mitchison","doi":"10.1186/s40337-025-01331-w","DOIUrl":"10.1186/s40337-025-01331-w","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"128"},"PeriodicalIF":3.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vicente Soriano, José Manuel Ramos, Manuel Faraco, Lucía Gallego, María Inés López-Ibor, Carlos Chiclana-Actis, Eduardo González-Fraile, Gemma Mestre-Bach, Héctor Pinargote, Manuel Corpas, Octavio Corral, Hilario Blasco-Fontecilla
{"title":"Hospitalizations in adolescents with anorexia nervosa in Spain over two decades.","authors":"Vicente Soriano, José Manuel Ramos, Manuel Faraco, Lucía Gallego, María Inés López-Ibor, Carlos Chiclana-Actis, Eduardo González-Fraile, Gemma Mestre-Bach, Héctor Pinargote, Manuel Corpas, Octavio Corral, Hilario Blasco-Fontecilla","doi":"10.1186/s40337-025-01322-x","DOIUrl":"10.1186/s40337-025-01322-x","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa (AN) is a leading mental disorder among adolescents and is associated with impaired physical health and disruption of psychosocial functioning. Knowing the major determinants and trends of AN in youth are critical for earlier diagnosis and prompt interventions.</p><p><strong>Methods: </strong>We retrospectively examined all hospitalizations in Spain with AN among children and adolescents aged 11 to 18 years, using data from the National Registry of Hospital Discharges spanning 2000 to 2021. We adhered to the RECORD guidelines for reporting observational routinely collected health data. All statistical analyses were performed using SPSS v25.0.</p><p><strong>Results: </strong>Over the 22-year study period, there were 2,015,589 hospitalizations among adolescents in Spain, with 118,609 (5.9%) cases involving mental disorders. There were 15,338 admissions with AN, representing 12.9% of all hospitalizations with mental disorders in youth. Admissions with AN were 5.2-fold more frequent than with bulimia nervosa. Admissions with AN significantly declined from 20.7% in 2000 to 5.2% in 2021. Median age at hospitalizations with AN was 15 years-old. Girls represented 90%. The median length of hospital stay was 14 days. The in-hospital mortality rate was 0.15%, being significantly more frequent in boys than girls. Other mental disorders were present in 15% of AN admissions. After the first year of COVID-19, admissions of adolescents with AN sharply increased by 89%.</p><p><strong>Conclusion: </strong>AN is an important cause of hospitalization in adolescents with mental disorders in Spain. Girls represent 90% of AN admissions. Whereas the rate of AN hospitalizations declined since year 2000, a surge of admissions in adolescents with AN occurred after the first year of COVID-19. Median age has remained fairly stable around 15-years-old over two decades. Anorexia nervosa (AN) is a leading mental disorder among adolescents. We examined all hospitalizations in adolescents with AN in Spain since year 2000 using a nationwide public database. There were over two million admissions in adolescents during the study period, of which 6% involved mental disorders. AN represented 13% of such cases. Median age at hospitalizations with AN was 15 years-old. Girls represented 90%. Admissions with AN significantly declined over time. However, a sharp increase was noticed after the COVID-19 pandemic. This information may guide educational policies and improve preventive strategies at schools and earlier therapeutic interventions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"125"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}