Journal of Psychosomatic Obstetrics & Gynecology最新文献

The mediating effect of bedtime procrastination between sleep quality and pregnancy-related anxiety. 睡前拖延症在睡眠质量与妊娠焦虑之间的中介作用。

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-31 Epub Date: 2025-08-28 DOI: 10.1080/0167482X.2025.2546918

Mingfen Liu, Hui Liu, Lisha Guo, Yifang Zhuo, Wenpei Liao, Guoyi Tang, Fang Deng, Fang He

{"title":"The mediating effect of bedtime procrastination between sleep quality and pregnancy-related anxiety.","authors":"Mingfen Liu, Hui Liu, Lisha Guo, Yifang Zhuo, Wenpei Liao, Guoyi Tang, Fang Deng, Fang He","doi":"10.1080/0167482X.2025.2546918","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2546918","url":null,"abstract":"Objective: This study aims to investigate the mediating role of bedtime procrastination in the relationship between sleep quality and pregnancy-related anxiety in pregnant women.Methods: A total of 422 pregnant women were surveyed at the maternity clinic of a tertiary hospital in Guangzhou, China, using the Pittsburgh Sleep Quality Index (PSQI), the Pregnancy-Related Anxiety Scale (PRAQ), and the Bedtime Procrastination Scale (BPS). The mediating effect of bedtime procrastination was examined via Model 4 in the PROCESS macro for SPSS.Results: The mean scores of the participants were as follows: sleep quality (5.86 ± 2.86), bedtime procrastination (2.72 ± 0.85), and pregnancy-related anxiety (24.38 ± 6.99). Sleep quality was positively correlated with both bedtime procrastination and pregnancy-related anxiety, and bedtime procrastination was also positively correlated with pregnancy-related anxiety (all p < 0.001). The mediating effect of bedtime procrastination was 0.211, accounting for 29.80% of the total effect.Conclusion: Sleep disturbances, bedtime procrastination, and pregnancy-related anxiety were prevalent among pregnant women. Bedtime procrastination partially mediated the relationship between sleep quality and pregnancy-related anxiety. Interventions aimed at reducing bedtime procrastination could improve sleep quality and mitigate its impact on pregnancy-related anxiety.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2546918"},"PeriodicalIF":2.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effects of cognitive interventions on quality of life in infertile women: a meta-analysis of randomized controlled trials. 认知干预对不孕妇女生活质量的影响：随机对照试验的荟萃分析。

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-31 Epub Date: 2025-09-17 DOI: 10.1080/0167482X.2025.2560828

Aysu Yıldız Karaahmet, Fatma Şule Bilgiç, Tülay Yılmaz, Shahla Shafaati Laleh

{"title":"The effects of cognitive interventions on quality of life in infertile women: a meta-analysis of randomized controlled trials.","authors":"Aysu Yıldız Karaahmet, Fatma Şule Bilgiç, Tülay Yılmaz, Shahla Shafaati Laleh","doi":"10.1080/0167482X.2025.2560828","DOIUrl":"10.1080/0167482X.2025.2560828","url":null,"abstract":"Infertility can lead to significant psychological distress, including depression and anxiety, adversely affecting the quality of life and treatment outcomes for affected women. This study systematically reviews non-pharmacological interventions, particularly cognitive behavioral therapy (CBT), aimed at improving quality of life, mental health, and birth rates among infertile women. A comprehensive literature search was conducted across multiple databases (PUBMED/MEDLINE, Embase, Scopus, Web of Science, and ULAKBİM) up to 22 February 2025, following PRISMA guidelines, with registration in the PROSPERO database (CRD42023457742). The analysis included randomized controlled trials (RCTs) focusing on CBT, with quality of life as the primary outcome. Eight studies involving 687 women met the inclusion criteria. Meta-analysis results revealed significant enhancements in quality of life (SMD: 1.97), alongside notable reductions in depression (SMD: -3.34) and anxiety (MD: -2.09). Additionally, a positive trend in pregnancy rates was observed (MD: 0.48). Despite the promising findings, the overall quality of evidence was deemed low to moderate due to potential biases. This meta-analysis underscores the effectiveness of CBT in improving mental health and quality of life in infertile women, highlighting the need for further high-quality research to validate these outcomes and endorse cognitive interventions in infertility treatment.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2560828"},"PeriodicalIF":2.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A randomized controlled trial investigating the impact of coping strategies training for fathers during pregnancy on postnatal depression among couples. 一项调查怀孕期间父亲应对策略训练对夫妇产后抑郁症影响的随机对照试验。

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-31 Epub Date: 2025-10-06 DOI: 10.1080/0167482X.2025.2566074

Reyhaneh Mozaffari, Nasim Bahrami, Mahmoud Bahramkhani, Mark D Griffiths, Zainab Alimoradi

{"title":"A randomized controlled trial investigating the impact of coping strategies training for fathers during pregnancy on postnatal depression among couples.","authors":"Reyhaneh Mozaffari, Nasim Bahrami, Mahmoud Bahramkhani, Mark D Griffiths, Zainab Alimoradi","doi":"10.1080/0167482X.2025.2566074","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2566074","url":null,"abstract":"Background: Postpartum depression (PPD) is a significant public health concern affecting both mothers and fathers, with paternal well-being being a crucial yet often neglected factor in family mental health.Objective: The present study investigated the impact of coping strategies training for fathers during pregnancy on couples' PPD.Methods: A randomized controlled trial was conducted comprising 86 couples experiencing first-time pregnancy (43 per group) in Qazvin, Iran, in 2024. The intervention group received five virtual sessions (45-60 min each) on coping strategies, while the control group received routine prenatal education through their routine prenatal care visits.Results: Post-intervention, couples' perceived stress scores decreased significantly at the first and second follow-up in the intervention vs. control group. The training significantly increased problem-focused strategy scores by 2.76 points among mothers (standardized mean difference [SMD] = 1.51) and 1.89 points among fathers (SMD = 0.99) compared to controls at one-month postpartum, while reducing emotion-focused coping among mothers by -2.23 points (SMD = -1.03) and among fathers by -1.71 points (SMD = -0.77). PPD scores were significantly lower in the intervention group (mean difference of -5.51 among women and -4.55 among men; both p < 0.001).Conclusion: Antenatal coping strategies training for fathers can be an effective intervention to mitigate PPD by reducing their stress.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2566074"},"PeriodicalIF":2.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Meta-analysis of the association between gut microbiota and postpartum depression. 肠道菌群与产后抑郁关系的meta分析。

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-31 Epub Date: 2025-08-28 DOI: 10.1080/0167482X.2025.2548567

Yan Guo, Wangxiang Chen

{"title":"Meta-analysis of the association between gut microbiota and postpartum depression.","authors":"Yan Guo, Wangxiang Chen","doi":"10.1080/0167482X.2025.2548567","DOIUrl":"10.1080/0167482X.2025.2548567","url":null,"abstract":"Objective: This study aimed to explore the association between gut microbiota and postpartum depression (PPD) through meta-analysis, providing a basis for effective clinical preventive interventions..Methods: Systematic searches were conducted in English databases (Cochrane Library, Embase, Web of Science, PubMed) for studies published up to April 2025. Literature screening used a double-blind method, and quality assessment was performed with the AHRQ methodological tool evaluating 11 core dimensions. Meta-analysis was conducted using STATA 18.0 software on eligible studies.Results: Twelve studies were included. α-Proteobacteria was a significant risk factor for PPD (OR = 1.19, 95%CI: 1.11-1.28, p < 0.05). Protective factors included Bifidobacterium (OR = 0.82), Ruminococcaceae (OR = 0.88), Prevotellaceae (OR = 0.89), Veillonellaceae (OR = 0.83), and Clostridia (OR = 0.84). Included studies showed low heterogeneity, with robust results and low publication bias risk.Conclusion: PPD is closely linked to specific gut microbiota imbalances. α-Proteobacteria may increase PPD risk via inflammatory responses, while beneficial microbiota exert protective effects through neurotransmitter regulation, short-chain fatty acid metabolism, and gut-brain axis modulation. Gut microbiota could serve as a target for PPD intervention and prevention.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2548567"},"PeriodicalIF":2.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction. 修正。

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-31 Epub Date: 2025-09-12 DOI: 10.1080/0167482X.2025.2560694

引用次数: 0

Women's experiences with continuous care during labor by maternity care assistants in The Netherlands: a qualitative study. 荷兰产妇护理助理在分娩期间持续护理妇女的经验：一项定性研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-03-25 DOI: 10.1080/0167482X.2025.2483292

Amber J C Scheenen, Laurance Timmers, Iris Hoogendijk, Hubertina C J Scheepers, Marianne J Nieuwenhuijze

{"title":"Women's experiences with continuous care during labor by maternity care assistants in The Netherlands: a qualitative study.","authors":"Amber J C Scheenen, Laurance Timmers, Iris Hoogendijk, Hubertina C J Scheepers, Marianne J Nieuwenhuijze","doi":"10.1080/0167482X.2025.2483292","DOIUrl":"10.1080/0167482X.2025.2483292","url":null,"abstract":"Despite evidence on effectivity and WHO recommendations, continuous care during labor is not yet available for all women. Options such as doula support are being considered, but face barriers in accessibility. To explore other implementation options, the Continuous Care Trial looked at the provision of continuous care by maternity care assistants. Maternity care assistants are well-established care providers within Dutch maternity care, routinely involved in the final stages of labor and postpartum. This qualitative study is an addition to the Continuous Care Trial and explores women's experiences with continuous care during labor by maternity care assistants in the Netherlands. Fourteen interviews were conducted, audio-recorded and transcribed verbatim for manifest content analysis, following the methodology of Graneheim and Lundman. The explored experiences were analyzed for evident similarities and differences. Findings were described in three themes: 'Women's experiences with continuous care,' 'Continuous care of maternity care assistants' and 'Perspectives on implementation.' Noted facilitators include positive effects of continuous care, a larger role of the partner, and recognition of the professional background of the maternity care assistant. Barriers include difficulty to decide when and what kind support to ask for and lack of knowledge on the effectivity of continuous support.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2483292"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting fear of childbirth during pregnancy, the positive role of self-efficacy and mental well-being: a cross-sectional study. 预测怀孕期间对分娩的恐惧，自我效能感和心理健康的积极作用：一项横断面研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-07-04 DOI: 10.1080/0167482X.2025.2527658

Katrina E Forbes-McKay, Mo Tabib, Tracy Humphrey

{"title":"Predicting fear of childbirth during pregnancy, the positive role of self-efficacy and mental well-being: a cross-sectional study.","authors":"Katrina E Forbes-McKay, Mo Tabib, Tracy Humphrey","doi":"10.1080/0167482X.2025.2527658","DOIUrl":"https://doi.org/10.1080/0167482X.2025.2527658","url":null,"abstract":"Whilst the negative impact of fear of childbirth (FOC) is well established, there is limited understanding of the factors that reduce it. This study, aimed to explore the relationship between positive mental well-being, childbirth self-efficacy, and FOC during pregnancy through a Salutogenic lens. Using a cross-sectional design, 88 pregnant women recruited from a public hospital in North East Scotland completed an online survey including the Warwick Edinburgh Mental Well-Being Scale (WEMWBS), Childbirth Self-Efficacy Inventory (CBSEI), and Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ). The sample scored a mean of 50.36 on WEMWBS, 84.63 for efficacy-expectancy, 127.00 for efficacy-outcome on CBSEI, and 62.19 on W-DEQ. Twelve per cent exhibited a severe FOC. FOC was negatively correlated with mental well-being, childbirth self-efficacy expectancy, and self-efficacy outcome. Multiple regression analysis indicated that higher mental well-being (β = -0.39, p < 0.001) was the strongest predictor of lower FOC. The findings highlights the important role of positive mental well-being and childbirth self-efficacy in reducing FOC, and suggest a need for antenatal education targeted at mastering childbirth techniques and enhancing positive emotions, sense of purpose, and meaning. These findings align with global health priorities by emphasizing the importance of antenatal care that supports and promotes both physical and mental well-being.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2527658"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychophysical correlates of labor pain intensity and unpleasantness. 分娩疼痛强度和不愉快的心理生理相关性。

IF 2 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-07-02 DOI: 10.1080/0167482X.2025.2527670

Lee-Kai Sun, Lia M Farrell, Kelsea R LaSorda, Robert T Krafty, Grace Lim

{"title":"Psychophysical correlates of labor pain intensity and unpleasantness.","authors":"Lee-Kai Sun, Lia M Farrell, Kelsea R LaSorda, Robert T Krafty, Grace Lim","doi":"10.1080/0167482X.2025.2527670","DOIUrl":"10.1080/0167482X.2025.2527670","url":null,"abstract":"The neurobiological mechanisms linking perinatal pain and mood disorders remain unclear. Emotional dimensions of labor pain, particularly unpleasantness, may reflect engagement of limbic pathways shared with affective disorders. This study examined whether prenatal quantitative sensory testing (QST) parameters are associated with the sensory and emotional dimensions of labor pain. Healthy primiparous women were enrolled and followed from third trimester through delivery. Prenatal QST assessed mechanical and thermal thresholds, tolerances, and temporal summation. Labor pain was recorded hourly using a validated electronic diary. Univariable linear regression evaluated relationships between QST measures and labor pain outcomes. Of 164 participants completing QST, , 55 had complete labor pain diaries. Prenatal QST parameters were associated with emotional, but not sensory, aspects of labor pain. Pain unpleasantness was associated with average heat threshold (Coefficient = 40.3, SE = 17.2, p = 0.02), post wind-up pain (Coefficient = -48.9, SE = 25.3, p = 0.06) and post probe pain (Coefficient = -52.7, SE = 26.8, p = 0.06), using a p < 0.1 threshold to identify associations. Although exploratory, these findings suggest that prenatal QST, particularly thermal threshold and central sensitization measures, may help identify individuals at risk for maladaptive labor pain and postpartum mood disorders.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2527670"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545856","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}

引用次数: 0

Burden of female infertility in 204 countries and territories, 1990-2021: results from the Global Burden of Disease Study 2021. 1990-2021年204个国家和地区的女性不孕症负担：《2021年全球疾病负担研究》的结果

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-02-12 DOI: 10.1080/0167482X.2025.2459618

Yi Wei, Zongyun Lin, Qiuyan Huang, Hui Wu, Rong Wang, Junli Wang

{"title":"Burden of female infertility in 204 countries and territories, 1990-2021: results from the Global Burden of Disease Study 2021.","authors":"Yi Wei, Zongyun Lin, Qiuyan Huang, Hui Wu, Rong Wang, Junli Wang","doi":"10.1080/0167482X.2025.2459618","DOIUrl":"10.1080/0167482X.2025.2459618","url":null,"abstract":"Objective: To explore the global burden of female infertility from 1990 to 2021 by examining trends in prevalence and years lived with disability (YLD).Methods: Data from the Global Burden of Disease Study 2021 (GBD 2021) were analyzed with a focus on the prevalence and YLD of female infertility in women aged 15-49 years. Statistical models were used to estimate ASPRs and YLD across regions and countries.Results: The global prevalence of female infertility was 110.1 million in 2021, with an age-standardized rate of 2,764.6 per 100,000 population. The YLD for infertility in 2021 was 601,134, which represented a 33.1% increase since 1990. Regionally, East Asia and Eastern Europe had the highest rates of infertility, whereas Australasia had the lowest rate.Conclusions: The study highlights a significant rise in the burden of female infertility, particularly in high-income regions. Study findings emphasize the need for targeted public health strategies and healthcare interventions to address this growing issue.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2459618"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk perception, health behavior and mental health of women living with polycystic ovary syndrome. 多囊卵巢综合征妇女的风险认知、健康行为与心理健康

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2025-12-01 Epub Date: 2025-03-20 DOI: 10.1080/0167482X.2025.2478987

Erika Tóth, Cintia Bali, Beatrix Rafael, Annamária Töreki, Szidalisz Ágnes Teleki

{"title":"Risk perception, health behavior and mental health of women living with polycystic ovary syndrome.","authors":"Erika Tóth, Cintia Bali, Beatrix Rafael, Annamária Töreki, Szidalisz Ágnes Teleki","doi":"10.1080/0167482X.2025.2478987","DOIUrl":"10.1080/0167482X.2025.2478987","url":null,"abstract":"This study aimed to explore the psychological challenges faced by women living with polycystic ovary syndrome (PCOS) and their subjective experiences. Using a cross-sectional, questionnaire-based design, we first conducted a comparative analysis of responses from 54 PCOS patients and 54 age-matched healthy participants. The analysis revealed a significant difference in satisfaction with life (SWL) between the two groups (F = 9.426, p < .005), while no significant differences were found in levels of anxiety and depression. Additionally, depression was found to have a significant impact on SWL (F = 55.309, p < .001). To further investigate the subjective well-being of PCOS patients, a larger group of 389 PCOS patients (age: M = 32.18 years, SD = 8.34) completed the Polycystic Ovary Syndrome Questionnaire (PCOSQ) (QoL Scale). A ranking of their concerns revealed that obesity-related issues were the most significant, while concerns about developing cancer were ranked last. The PCOSQ scores showed a strong negative correlation with the BDI (r = -0.754, p < .001), highlighting the profound impact of PCOS symptoms on depression. These findings underscore the importance of prevention, screening and treatment for depression in PCOS patients, as well as the importance of educating patients to improve their risk perception and disease management strategies.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2478987"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0