Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献

{"title":"Risk level prediction for problematic internet use: A digital health perspective","authors":"Youngjung Suh ,&nbsp;Jinwon Yoo","doi":"10.1016/j.invent.2025.100863","DOIUrl":"10.1016/j.invent.2025.100863","url":null,"abstract":"<div><div>Problematic Internet Usage (PIU) research has long been a topic of interest across disciplines, and numerous theoretical and empirical studies have been conducted over the past decade. This study systematically reviews the existing literature to identify key research objectives, datasets, methodologies, and applications, and to highlight important gaps and challenges. To improve understanding and detection of PIU, we designed a comprehensive machine learning pipeline that combines detailed preprocessing, feature extraction, modeling, and performance validation strategies. Systematic evaluations demonstrate that model performance is significantly improved by addressing missing values and data imbalance. In particular, we identified key predictive features such as physiological indicators, physical activity, sleep quality, and Internet usage patterns, and clearly elucidated the differences in the positive or negative impact of these key features on PIU detection at different severity levels. These results have practical implications, especially for promoting early detection and enabling tailored interventions. Ultimately, this study contributes to digital health initiatives by providing actionable insights for the development of effective Internet addiction prevention and intervention programs.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100863"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-focused therapy in an internet-based CBT format – A mixed methods feasibility study","authors":"Henning Monsen ,&nbsp;Jon Vøllestad ,&nbsp;Peter Prescott ,&nbsp;Audun Røren ,&nbsp;Kristin Bruvik ,&nbsp;Torkil Berge ,&nbsp;Pål W. Wallace ,&nbsp;Tine Nordgreen ,&nbsp;Nick Titov ,&nbsp;Anders Hovland","doi":"10.1016/j.invent.2025.100855","DOIUrl":"10.1016/j.invent.2025.100855","url":null,"abstract":"<div><h3>Background</h3><div>Common mental disorders (CMD) are one of the main causes for work absenteeism. While traditional cognitive behavioural therapy is effective for symptom reduction, its impact on return to work is less pronounced. Work-focused therapy for those with CMD has shown positive results on return to work, but availability of such treatment is scarce.</div></div><div><h3>Objective</h3><div>To investigate a transdiagnostic work-focused Internet Delivered Cognitive Behavioural Therapy (W-ICBT) intervention. Further, to investigate its feasibility in terms of use and adherence, including the participants experience of perceived effects, for outpatients on sick leave with diagnoses of depression and/or anxiety.</div></div><div><h3>Method</h3><div>We conducted a naturalistic feasibility study using a convergent, mixed-methods pre-post design. Outcomes included adherence and use of the treatment, return to work, work related self-efficacy, symptoms of depression and anxiety, quality of life and the experience of participants through qualitative interviews.</div></div><div><h3>Results</h3><div>19 patients were screened, 15 included and 11 completed the 12-week treatment. Degree of sick leave was reduced from 79 % to 32 % for the completer sample (<em>g</em> = 0.95, <em>p</em> = .003), with statistically significant results on self-efficacy (<em>g</em> = 1.05 <em>p</em> = .005), depression (<em>g</em> = 0.81, <em>p</em> = .024), quality of life (<em>g</em> = 1.20, <em>p</em> = .002). No significant changes were observed on measures of anxiety and impairment of daily living. These results were supported by the findings from the qualitative interviews.</div></div><div><h3>Conclusion</h3><div>W-ICBT appears to be a promising approach to reducing work absenteeism and warrants further research.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100855"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144548849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal?","authors":"Ellen Svensson ,&nbsp;Walter Osika ,&nbsp;Per Carlbring","doi":"10.1016/j.invent.2025.100844","DOIUrl":"10.1016/j.invent.2025.100844","url":null,"abstract":"<div><div>The use of AI in digital mental healthcare promises to make treatments more effective, accessible, and scalable than ever before. At the same time, the use of AI opens a myriad of ethical concerns, including the lack of transparency, the risk of bias leading to increasing social inequalities, and the risk of responsibility gaps. This raises a crucial question: Can we rely on these systems to deliver care that is both ethical and effective? In attempts to regulate and ensure the safe usage of AI-powered tools, calls to trustworthy AI systems have become central. However, the use of terms such as “trust” and “trustworthiness” risks increasing anthropomorphization of AI systems, attaching human moral activities, such as trust, to artificial systems. In this article, we propose that terms such as “trustworthiness” be used with caution regarding AI and that when used, they should reflect an AI system's ability to consistently demonstrate measurable adherence to ethical principles, such as respect for human autonomy, nonmaleficence, fairness, and transparency. On this approach, trustworthy and ethical AI has the possibility of becoming a tangible goal rather than wishful thinking.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100844"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User engagement in a digital health intervention designed for young people who have experienced technology-assisted sexual abuse (i-Minds trial)","authors":"Sandra Bucci ,&nbsp;Xiaolong Zhang ,&nbsp;Kaja Dabrowska ,&nbsp;Amanda Larkin ,&nbsp;Ethel Quayle ,&nbsp;Matthias Schwannauer ,&nbsp;Filippo Varese ,&nbsp;Pauline Whelan","doi":"10.1016/j.invent.2025.100858","DOIUrl":"10.1016/j.invent.2025.100858","url":null,"abstract":"<div><h3>Background</h3><div>Technology-assisted sexual abuse (TASA) mostly involves the production and non-consensual sharing of sexual images; however, evidence-based support for young people (YP) who have experienced TASA is scant. Digital Health Interventions (DHIs) have the potential to increase access to support and provide timely therapeutic input in a familiar format to YP. However, studies describing engagement with DHIs is nascent. Our objective is to describe engagement patterns for YP people who used the i-Minds app.</div></div><div><h3>Methods</h3><div>The i-Minds app is a co-designed mentalisation-based DHI for YP who have experienced TASA. Usage data was collected during the 6-week intervention window using Matomo analytics software and analysed according to the AMUsED framework.</div></div><div><h3>Results</h3><div>Forty-one participants were onboarded to the app. Of these, 95 % completed the introductory mandatory module, and nearly half completed the remaining three modules. Median duration of app engagement was 33 days. Most participants used the app on weekdays in the afternoon. Demographic variables, namely gender not matching with sex assigned at birth/prefer not to disclose and higher baseline clinical severity were associated with higher app engagement.</div></div><div><h3>Conclusions</h3><div>Participants showed high module completeness and engagement duration, suggesting the potential for real-world use. Potential participant-level predictors of engagement, such as gender identity and severity of TASA related traumatic stress and emotional distress, were identified. Achieving satisfactory engagement in DHIs is challenging yet necessary for delivering effective interventions. Future studies should explore participant-level predictors of engagement to inform real-world use of DHIs with a diverse sample.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100858"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying a mobile intervention for chronic insomnia in routine care: Study protocol for a multicenter randomized controlled trial","authors":"Daa Un Moon ,&nbsp;Jeonghun Kim ,&nbsp;Jeyoung Hannah Sun ,&nbsp;Yujin Lee","doi":"10.1016/j.invent.2025.100848","DOIUrl":"10.1016/j.invent.2025.100848","url":null,"abstract":"<div><div>Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for chronic insomnia. However, access to in-person CBT-I remains limited due to a shortage of trained providers and structural barriers. Digital CBT-I (dCBT-I) offers a scalable solution to bridge this treatment gap, yet real-world evidence of its effectiveness remains limited. This study aims to examine the effectiveness of a mobile dCBT-I intervention, “SleepQ,” in a routine clinical setting. This study is a multicenter, two-arm, open-label, randomized controlled trial comparing a mobile dCBT-I intervention to a waitlist control group. A total of 120 adults with chronic insomnia will be recruited from six clinics in South Korea. Participants will be randomly assigned (1:1) to either the intervention group receiving 6 weeks of dCBT-I or the control group, which will gain access to the intervention after the posttreatment assessment. The primary outcome is the Insomnia Severity Index score change from baseline to 6 weeks post-randomization. Secondary outcomes include dysfunctional sleep beliefs, daytime sleepiness, depressive and anxiety symptoms, quality of life, and work productivity. Exploratory outcomes include adherence, usability, app satisfaction, and sleep parameters from the integrated sleep diary. In the intervention group, follow-up assessments will be conducted 3- and 6-months post-randomization to evaluate long-term effects. This trial will evaluate the effectiveness of mobile dCBT-I for chronic insomnia within routine clinical care. Findings will contribute to the evaluation of the clinical implementation of digital therapeutics for insomnia and inform the integration of mobile-based CBT-I into routine care.</div></div><div><h3>Clinical trial registration</h3><div><span><span>https://clinicaltrials.gov/study/NCT06695000</span><svg><path></path></svg></span>, <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (<span><span>NCT06695000</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100848"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care","authors":"Sophie Jordan ,&nbsp;Pauline Becker ,&nbsp;Solveig Behr ,&nbsp;Friederike Fenski ,&nbsp;Christine Knaevelsrud ,&nbsp;Johanna Boettcher ,&nbsp;Carmen Schaeuffele","doi":"10.1016/j.invent.2025.100847","DOIUrl":"10.1016/j.invent.2025.100847","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychotherapists may act as bottlenecks in the integration of digital interventions into psychotherapy, known as blended care (BC). In the literature, various factors are discussed as potential inclusion, exclusion, or limiting criteria in BC.</div></div><div><h3>Method</h3><div>Our aim for this interview study was to gain a deeper understanding of the factors psychotherapists consider when inviting patients to participate in BC. For this purpose, we interviewed seven psychotherapists with a psychodynamic and seven psychotherapists with a cognitive behavioral background who participated in a naturalistic trial on BC in routine outpatient psychotherapy.</div></div><div><h3>Results</h3><div>Psychotherapists considered few fixed inclusion or exclusion criteria when considering which patients to introduce BC to. The basic technical requirements had to be met and the patients had to be “fit for outpatient therapy”. Psychotherapists found patients' response to BC, like their motivation, to be a decisive factor when considering BC.</div></div><div><h3>Discussion</h3><div>Psychotherapists emphasized patient motivation for BC as a potential bottleneck in its implementation. Therefore, a successful implementation strategy should focus on strengthening both psychotherapists' and patients' motivation to engage with BC. The openness of psychotherapists towards patient characteristics suggests that BC in outpatient care may target a broad patient population.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100847"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do we know that they actually use it? Exploring measures of adherence to stress management strategies in university students: A systematic review","authors":"Laurianne Bastien ,&nbsp;Sohyun Cho ,&nbsp;Julia Petrovic ,&nbsp;Bassam Khoury ,&nbsp;Elana Bloom ,&nbsp;Nancy Heath","doi":"10.1016/j.invent.2025.100868","DOIUrl":"10.1016/j.invent.2025.100868","url":null,"abstract":"<div><div>University students are reporting high levels of stress that interfere with their academic performance and daily functioning. In response, higher education institutions have increasingly implemented digital, self-guided stress management resources to provide students with accessible mental health support. While these interventions show promise for improving student wellness, there is a significant gap in our understanding of how students use the strategies taught as part of these resources. This systematic review therefore examined if and how adherence (i.e., strategy use) has been measured in the context of digital self-guided stress management interventions, as well as its associations with stress and other wellness outcomes. Of the 40 studies that met eligibility criteria for the present review, 33 measured adherence (82.5 %). Specifically, nine studies measured frequency (27.2 %), eight measured completion rates (24.2 %), two measured duration (6.1 %), 12 used a combination of these approaches (36.4 %), and two (6.1 %) did not specify which approach was used. Surprisingly, although the majority of studies collected data on adherence, the associations between adherence and stress or other wellness outcomes were scarcely examined. Across studies, adherence was measured using digital analytics and/or self-report; however, barriers were identified in using these methods, including technological issues and challenges in measurement accuracy. Quality assessments revealed a moderate risk of bias. Future research should explore different approaches to enhance adherence measurement accuracy and further examine the link between adherence and wellness outcomes to determine the optimal dose of strategy use for enhancing wellness among university students.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100868"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a brief online intervention in reducing excessive worry and improving daily functioning: A randomized trial with mediation analysis","authors":"Tove Wahlund,&nbsp;Fredrik Spångberg ,&nbsp;Viktor Vadenmark ,&nbsp;Erik Andersson","doi":"10.1016/j.invent.2025.100842","DOIUrl":"10.1016/j.invent.2025.100842","url":null,"abstract":"<div><div>Excessive worry is common among treatment-seeking individuals in primary care and has a negative impact on daily functioning, which may also lead to other mental health problems. The current study tested whether a worry-focused online intervention – provided in both a guided and an unguided format – was efficacious in reducing worry-related symptoms and if these effects were specifically linked to improvements in daily functioning. A total of 82 participants were randomized to intervention with therapist support (guided; <em>n</em> = 28), intervention without therapist support (unguided; <em>n</em> = 27) or to waiting list (n = 27). Results showed that the online intervention was more effective than waiting list in reducing worry at week 5 (between-group <em>d</em> = 0.96). The intervention was effective against waiting list irrespective of whether it was provided in a guided (between-group <em>d</em> = 0.90) or unguided format (between-group <em>d</em> = 1.07) with sustained results at the 7-week follow-up. Reduction in worry mediated improvement in daily functioning (between-group <em>d</em> = 0.58; indirect effect estimate = −1.06 [95 % CI: −1.76 to −0.51], 66 % mediated effect). The mediation effects were fairly robust to mediator-outcome confounding, with residual correlation values set to <em>r</em> = 0.3 in a sensitivity analysis. The results provide further evidence that it is beneficial to provide a low-threshold, easy access intervention to patients with excessive worry, irrespective of primary diagnosis. Clinical implications are discussed.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100842"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Powerly, unguided mobile app intervention preventing postpartum depression and anxiety & study protocol of randomized clinical trial","authors":"Marta A. Marciniak ,&nbsp;Judith Rohde ,&nbsp;Kenneth S.L. Yuen ,&nbsp;Harald Binder ,&nbsp;Henrik Walter ,&nbsp;Matthias J. Wieser ,&nbsp;Raffael Kalisch ,&nbsp;Karin Roelofs ,&nbsp;Birgit Kleim","doi":"10.1016/j.invent.2025.100843","DOIUrl":"10.1016/j.invent.2025.100843","url":null,"abstract":"<div><h3>Background</h3><div>Up to 30 % of pregnant individuals experience high levels of stress. At the same time, 15–20 % of new mothers develop postpartum depression, and 25–35 % experience postpartum anxiety. Mobile applications have the potential to provide an accessible, scalable solution to these mental health challenges. However, previous evidence indicates that none of the commercially available apps for perinatal depression and anxiety have been rigorously evaluated through randomized clinical trials (RCTs), and the quality of these apps remains moderate. In response to this gap, we aim to develop and empirically evaluate Powerly, a mobile app intervention designed to prevent postpartum depression and anxiety.</div></div><div><h3>Methods</h3><div>We will conduct a two-arm RCT with 140 healthy pregnant participants to assess the impact of Powerly use compared to care as usual (CAU). Powerly is based on cognitive behavioral therapy techniques and developed in consultation with stakeholders, including healthcare professionals and pregnant individuals. It will offer personalized psychological support tailored to users' needs for four weeks. Self-reported mental health assessments will be collected at baseline, after four weeks of app use, and six weeks postpartum.</div></div><div><h3>Discussion</h3><div>We anticipate that participants using Powerly will demonstrate significant improvements in mental health outcomes, including reduced rates of postpartum depression, compared to the CAU group. Additionally, we expect positive changes in emotion regulation, resilience, and mother and child outcomes, such as enhanced maternal bonding and a more positive birth experience. If proved effective, Powerly can offer a scalable, publicly accessible solution for pregnant individuals in need.</div></div><div><h3>Trial registration</h3><div><span><span>NCT06610552</span><svg><path></path></svg></span></div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100843"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review on personalization of treatment components in IBIs for mental disorders","authors":"Carmen Schaeuffele ,&nbsp;Pavle Zagorscak ,&nbsp;Vladlena Langerwisch ,&nbsp;Johanna Wilke ,&nbsp;Yana Medvedeva ,&nbsp;Christine Knaevelsrud","doi":"10.1016/j.invent.2025.100840","DOIUrl":"10.1016/j.invent.2025.100840","url":null,"abstract":"<div><h3>Background</h3><div>Internet-based interventions (IBIs) offer the potential for personalization through various mechanisms and components.</div></div><div><h3>Objective</h3><div>This systematic review aimed to synthesize evidence on the personalization of treatment components within IBIs targeting diverse mental health conditions. Specifically, we focused on studies that directly compared personalized components to standardized ones to isolate the impact of personalization on mental health outcomes and treatment adherence.</div></div><div><h3>Results</h3><div>Thirteen studies were identified that compared personalized to non-personalized components, with the personalization of IBI content and personalized guidance investigated the most. Apart from one study that personalized more than one IBI component, studies did not find a significant positive effect of personalization on mental health outcomes. Two studies reported better adherence for human feedback personalized to user input than for the automated non-personalized guidance.</div></div><div><h3>Discussion</h3><div>The results reveal a gap between the theoretical potential of personalization in IBIs and the current evidence supporting its impact on outcomes and adherence. The diversity in personalization strategies across studies complicates the ability to draw definitive conclusions. To address this, more detailed descriptions of how personalization is both implemented and communicated to patients are recommended.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100840"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}