Journal of Psychosomatic Research最新文献

{"title":"Which cognitive-behavioural factors play a role in the reduction of post-COVID-19 fatigue following cognitive behavioural therapy and care as usual? A secondary analysis of the ReCOVer study","authors":"Tanja A. Kuut ,&nbsp;Mathilde G.E. Verdam ,&nbsp;Annemarie M.J. Braamse ,&nbsp;Chantal P. Rovers ,&nbsp;Hans Knoop ,&nbsp;Fabiola Müller","doi":"10.1016/j.jpsychores.2025.112467","DOIUrl":"10.1016/j.jpsychores.2025.112467","url":null,"abstract":"<div><h3>Objective</h3><div>A previous randomized controlled trial (RCT) showed the efficacy of cognitive behavioural therapy for fatigue (CBT-F) in relieving severe fatigue in a subgroup of post-COVID-19 patients as compared to care as usual (CAU). The aim of this study, a secondary analysis of the RCT, was to investigate which cognitive behavioural variables mediate the fatigue-reducing effect of CBT and which variables predict a reduction in fatigue independent of the intervention condition.</div></div><div><h3>Methods</h3><div>A total of 114 patients (CBT-F = 57, CAU = 57) were included. The primary outcome was fatigue severity assessed with the Checklist Individual Strength, subscale fatigue. Assessments were conducted at baseline and directly post-CBT-F or CAU. Mediation analyses and linear regression analyses were performed with purposeful selection of variables based on statistical significance and relevance.</div></div><div><h3>Results</h3><div>The final parallel mediation model included increased self-reported activity and self-efficacy regarding fatigue as well as a reduction in anticipated adverse consequences of activity as mechanisms explaining the reduction in fatigue in CBT-F as compared to CAU. Across conditions, the same three variables predicted a decrease in fatigue; problems with sleep and sleep-wake pattern was retained in the model based on purposeful selection principles.</div></div><div><h3>Conclusion</h3><div>Perceptions and beliefs regarding activity and the controllability of fatigue seem to mediate the effect of CBT-F on fatigue as compared to CAU. Changes in these variables might be generic mechanisms explaining reductions in fatigue as they also seem to be related to the reduction in fatigue across intervention conditions.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112467"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625398","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":"Prevalence of self-reported sensitivities to various environmental factors in Germany, Sweden, and Finland based on multiple classification criteria","authors":"Ferenc Köteles ,&nbsp;Michael Witthöft ,&nbsp;Anne-Kathrin Bräscher ,&nbsp;Josef Bailer ,&nbsp;Steven Nordin","doi":"10.1016/j.jpsychores.2025.112495","DOIUrl":"10.1016/j.jpsychores.2025.112495","url":null,"abstract":"<div><h3>Objective</h3><div>Our knowledge on the prevalence of self-reported sensitivities to environmental factors is poor. The lack of accepted criteria/assessment makes findings of different studies difficult to compare; the way of assessment might play a role in the reported prevalence rates. The present study aimed to report the prevalence rates of five environmental sensitivities for the German general population, to compare three of them with Swedish and Finnish data, and to demonstrate the impact of strictness of criterion on the results.</div></div><div><h3>Methods</h3><div>Data from a German (<em>n</em> = 2515), a Swedish (<em>n</em> = 3253) and a Finnish (<em>n</em> = 1467) population-based survey was used. Sentitivities were rated on ordinal scales in all samples.</div></div><div><h3>Results</h3><div>In the German sample, about 25 % of participants reported mild reactions to sounds, chemicals, and buildings, and about 10 % to electromagnetic fields (EMFs) and wind turbines, with a similar pattern for strong reactions, but with proportions of 1–2 %. Data from the Nordic countries show consistent similarities between these two countries, with prevalences exceeding 34 % for mild reactions to chemicals and sounds and about 5 % to EMFs, with a similar pattern for strong reactions, but with proportions of 1–8 %. Prevalence of sensitivity to EMFs was higher, whereas prevalence of sensitivity to chemicals and sounds was lower in Germany. Classification criteria significantly impacted the reported prevalence rates.</div></div><div><h3>Conclusion</h3><div>Various environmental sensitivities affect a considerable proportion of the general populations of the three countries. To improve comparability, self-report assessment of sensitivities should be based on at least an ordinal scale instead of the widely used yes-or-no question.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112495"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758128","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":"Corrigendum to “Functional neuroimaging in patients with catatonia: A systematic review”. [Journal of Psychosomatic Research. 179 (2024) 111640]","authors":"Laura Duque ,&nbsp;Mohammad Ghafouri ,&nbsp;Nicolas A. Nunez ,&nbsp;Juan Pablo Ospina ,&nbsp;Kemuel L. Philbrick ,&nbsp;John D. Port ,&nbsp;Rodolfo Savica ,&nbsp;Larry J. Prokop ,&nbsp;Teresa A. Rummans ,&nbsp;Balwinder Singh","doi":"10.1016/j.jpsychores.2025.112497","DOIUrl":"10.1016/j.jpsychores.2025.112497","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112497"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769718","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":"Preoperative sleep quality and anxiety as predictors of postoperative pain and recovery in Gynecologic oncology surgery: A prospective observational study","authors":"Celal Akdemir ,&nbsp;Suna Aşkın Turan ,&nbsp;Mücahit Furkan Balcı ,&nbsp;Süleyman Özen ,&nbsp;Nefise Şeker ,&nbsp;Denizhan Bayramoğlu ,&nbsp;Zeynep Bayramoğlu ,&nbsp;Muzaffer Sancı","doi":"10.1016/j.jpsychores.2025.112496","DOIUrl":"10.1016/j.jpsychores.2025.112496","url":null,"abstract":"<div><h3>Purpose</h3><div>This study evaluated associations between preoperative sleep quality, anxiety, and short-term postoperative outcomes in patients undergoing gynecologic oncology surgery.</div></div><div><h3>Methods</h3><div>This prospective observational study included 72 women undergoing open gynecologic cancer surgery. Preoperative sleep quality and anxiety were assessed 24–48 h before surgery using the Pittsburgh Sleep Quality Index (PSQI) and the Beck Anxiety Inventory (BAI). Postoperative pain was measured using the Numerical Rating Scale (NRS) at 0, 4, 8, 12, and 24 h. Complications, rescue analgesia use, and length of stay were recorded.</div></div><div><h3>Results</h3><div>Poor sleep quality (%31.9) and clinically significant anxiety (%19.4) were both associated with higher mean postoperative pain scores (PSQI ≥5: 6.3 ± 1.2 vs 5.1 ± 1.3, <em>p</em> = 0.002; BAI ≥16: 6.5 ± 1.1 vs 5.2 ± 1.4, <em>p</em> = 0.001). In adjusted analyses, higher PSQI (β = 0.112, 95 % CI 0.039–0.185, <em>p</em> = 0.003) and higher BAI scores (β = 0.044, 95 % CI 0.023–0.065, <em>p</em> &lt; 0.001) remained significantly associated with increased mean pain. Poor sleep quality was also linked to longer hospitalization (4 vs 3 days, <em>p</em> &lt; 0.001) and higher complication rates (%52.2 vs %12.2, p &lt; 0.001). Elevated anxiety was similarly associated with higher complication rates (%57.1 vs %17.2, <em>p</em> = 0.004) and more frequent rescue analgesia use (%64.3 vs %29.3, <em>p</em> = 0.014).</div></div><div><h3>Conclusion</h3><div>Preoperative sleep disturbances and anxiety are significantly associated with worse postoperative pain, higher complication rates, and prolonged recovery; routine screening and targeted interventions may therefore improve surgical outcomes.</div></div><div><h3>Trial registration</h3><div>The study was retrospectively registered at <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (Identifier: <span><span>NCT07036549</span><svg><path></path></svg></span>) on June 24, 2025.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112496"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748514","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":"Age, sex and mental distress as predictors of rate and deterioration of persistent physical symptoms over three and six years in a general population","authors":"Karl Fjellborg ,&nbsp;Clara Cervin ,&nbsp;Michael Witthöft ,&nbsp;Ferenc Köteles ,&nbsp;Steven Nordin","doi":"10.1016/j.jpsychores.2025.112505","DOIUrl":"10.1016/j.jpsychores.2025.112505","url":null,"abstract":"<div><h3>Background</h3><div>Better understanding for persistent physical symptoms (PPS) may improve prevention of symptoms from becoming persistent and deteriorating over time. This study tested the hypotheses of age and level of mental distress symptoms of anxiety, depression, sleep disturbance and burnout statistically predicting rate of PPS and deterioration of PPS over three and six years in a general adult population. We also addressed whether sex is associated with these two aspects of PPS.</div></div><div><h3>Method</h3><div>A population-based sample (<em>n</em> = 1837) aged 18–79 years from Västerbotten in Sweden was used. Longitudinal data were collected based on the 15-item Patient Health Questionnaire for PPS assessment as well as other validated questionnaire instruments at baseline and 3- and 6-year follow-up. Deterioration was assessed with the reliable change index paradigm. Chi-square tests and analyses of covariance were applied.</div></div><div><h3>Results</h3><div>Old age was found to statistically predict deterioration, but not long-term rate, of PPS over three and six years, and female sex to predict rate, but not deterioration. Symptom levels of all four types of mental distress predicted both PPS rate (η² = 0.097–0.202) and deterioration (η² = 0.007–0.023) over both three and six years. When controlling for the other three types of mental distress, sleep disturbance, and in particular burnout, explained most unique variance in predicting rate and deterioration.</div></div><div><h3>Conclusions</h3><div>The findings encourage healthcare professionals to assess PPS at an early stage, especially in persons at old age, in women and in patients with mental distress.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112505"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797685","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":"Depressed or delirious? Overdiagnosis of depression in medically hospitalized patients","authors":"Molly Howland ,&nbsp;Nicolas Thompson ,&nbsp;Arushi Mahajan ,&nbsp;Nona Nichols ,&nbsp;Marielle Collins ,&nbsp;Jack H. Owens Jr ,&nbsp;Adele Viguera","doi":"10.1016/j.jpsychores.2025.112493","DOIUrl":"10.1016/j.jpsychores.2025.112493","url":null,"abstract":"<div><h3>Objective</h3><div>Misdiagnosis of depression and delirium by non-psychiatric clinicians is common. Depression over-diagnosis can cause stigmatization of normal emotional reactions and delays in addressing delirium. We performed a multisite retrospective chart review to examine diagnostic agreement between non-psychiatric services and the consultation-liaison psychiatry (CLP) service.</div></div><div><h3>Methods</h3><div>We reviewed inpatient depression and delirium referrals across two Cleveland Clinic sites. Agreement between referral reason and CLP service diagnosis was assessed. We fit multivariable logistic regression models for the dependent variables of depression overdiagnosis and delirium masquerading as depression, with independent variables that included the primary team discipline and demographic and clinical variables.</div></div><div><h3>Results</h3><div>Diagnostic agreement for delirium, strict depression diagnosis, and broad depression diagnosis were 88 %, 67 %, and 80 %, respectively. Of patients referred for depression who did not receive a CL psychiatry diagnosis of depression, 49 % were diagnosed with adjustment disorder, 18 % with anxiety/OCD, 16 % with delirium, and 4 % with neurocognitive disorders. Older age and prior psychiatric diagnoses decreased the likelihood of depression overdiagnosis. Psychotropic medication use increased the likelihood of delirium misdiagnosed as depression.</div></div><div><h3>Conclusion</h3><div>Primary services overidentify depression and more accurately identify delirium. However, given that most alternative diagnoses were anxiety disorders or adjustment disorders, primary services seem adept at identifying psychological distress, which may be related to destigmatization and education efforts by psychiatrists. Primary services recognize prior psychiatric diagnoses as a depression risk factor and demonstrate awareness of geriatric presentations. However, prior psychotropic use may introduce bias. Further research, including direct knowledge and attitude assessments, is needed.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112493"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710299","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":"Reduced distress tolerance and elevated depression in functional tremor: A comparative cross-sectional observational study of tremor disorders","authors":"Patrick Sheehan ,&nbsp;Yongjia Deng ,&nbsp;Holly E. Phelps ,&nbsp;Nicholas Jasinski ,&nbsp;Kierstan Pyle ,&nbsp;Michelle M. Coleman ,&nbsp;Danielle Sblendorio ,&nbsp;Delanie Talkington ,&nbsp;Ann Murray ,&nbsp;Adeel A. Memon ,&nbsp;Maria C. Moreno-Escobar ,&nbsp;Jessica Frey","doi":"10.1016/j.jpsychores.2025.112479","DOIUrl":"10.1016/j.jpsychores.2025.112479","url":null,"abstract":"<div><h3>Background</h3><div>Patients with Parkinson's Disease (PD) frequently experience depression and anxiety, while those with Essential Tremor (ET) report anxiety and embarrassment related to their tremor. The emotional burden of functional tremor (FT) is less well understood.</div></div><div><h3>Objective</h3><div>To examine distress tolerance and related psychological symptoms across tremor subtypes.</div></div><div><h3>Methods</h3><div>Patients with FT (<em>n</em> = 20), ET (<em>n</em> = 21), and PD (n = 20) completed the Distress Tolerance Scale, Beck's Depression Inventory, and Essential Tremor Embarrassment Assessment. Adverse childhood experiences (ACEs), tremor-related disability, and tremor severity were also assessed.</div></div><div><h3>Results</h3><div>Patients with FT reported significantly higher depression than both PD and ET groups (overall: F(2,54) = 6.85, <em>p</em> = .002; FT vs. PD: <em>p</em> = .005; FT vs. ET: p = .005), and lower distress tolerance than the PD group (F(2,54) = 3.54, <em>p</em> = .036). No significant differences were found between groups in embarrassment, ACEs, nor disability.</div></div><div><h3>Conclusion</h3><div>This distinct psychological profile in patients with FT highlights the need for integrated biopsychosocial care, and the development of targeted, comprehensive interventions.</div><div>Tremor is the most common symptom in movement disorder clinics (Sharma and Pandey, 2016 [<span><span>1</span></span>]). Essential Tremor (ET) affects ∼5.8 % of people over 65 (Louis and McCreary, 2021 [<span><span>2</span></span>]), while Parkinson's Disease (PD) affects ∼1 % of people over 60 (Tysnes and Storstein, 2017 [<span><span>3</span></span>]). Functional tremors (FT), the most common functional movement disorder (FMD), comprise 55 % of FMD diagnoses (Bhatia and Schneider, 2007 [<span><span>4</span></span>]).</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112479"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625399","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":"Non-pharmacological palliative interventions for cancer-related pain and fatigue: A network meta-analysis","authors":"Yan Adi Wibawa ,&nbsp;Tsai-Wei Huang ,&nbsp;Yan Wisnu Prajoko ,&nbsp;Made Satya Nugraha Gautama ,&nbsp;Sri Setyowati ,&nbsp;Enggar Purnaningsih ,&nbsp;Sri Indah Ekowati ,&nbsp;Endang Fatmawati ,&nbsp;Indriyani ,&nbsp;Nur Aini ,&nbsp;Fitria Endah Janitra","doi":"10.1016/j.jpsychores.2025.112501","DOIUrl":"10.1016/j.jpsychores.2025.112501","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112501"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828975","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":"Self-efficacy mediates social support and self-management behaviors in kidney transplant recipients: A systematic review and meta-analytic structural equation modeling analysis","authors":"Jiaxin Fang ,&nbsp;Liu Han ,&nbsp;Xiaohong Lin ,&nbsp;Keke Lin ,&nbsp;Xiangru Li ,&nbsp;Yingtian Jia ,&nbsp;Xinran Yang ,&nbsp;Hongxia Liu ,&nbsp;Rongmei Zhang","doi":"10.1016/j.jpsychores.2025.112470","DOIUrl":"10.1016/j.jpsychores.2025.112470","url":null,"abstract":"<div><h3>Background</h3><div>Self-management among kidney transplant recipients (KTRs) is crucial for preventing postoperative complications and improving health outcomes. However, challenges such as a lack of physical activity and the frequent consumption of high-calorie foods persist. Therefore, targeted interventions for enhancing post-transplant self-management behaviors are essential. Currently, scientific evidence on effective strategies to improve self-management among KTRs is lacking. Enhancing social support and promoting self-efficacy may be significant approaches.</div></div><div><h3>Design and methods</h3><div>This study employs a meta-analytic structural equation modeling (MASEM) approach to examine the mediating role of self-efficacy in the relationship between social support and self-management behaviors in KTRs. A comprehensive search was conducted across multiple databases, including PubMed, Embase, APA PsycInfo, Cochrane Library, CINAHL, Web of Science, ERIC, Springer, CNKI, VIP, and Wanfang, from the inception of each database until August 9, 2024. Statistical analyses were performed using Comprehensive Meta-Analysis software, Mplus for Mac, and R Studio for Mac.</div></div><div><h3>Results</h3><div>A total of 1990 titles and abstracts were screened in this study, resulting in the inclusion of 19 studies. The MASEM was constructed using a two-stage structural equation modeling approach. The analysis revealed that self-efficacy partially mediated the relationship between social support and self-management behaviors (direct effect: 0.140; indirect effect: 0.299; 95 % CI: 0.268, 0.331).</div></div><div><h3>Conclusions</h3><div>This study highlights the importance of clinical interventions aimed at enhancing social support and self-efficacy to improve self-management behaviors in KTRs.</div></div><div><h3>Registration</h3><div><span><span>https://doi.org/10.17605/OSF.IO/MXBZY</span><svg><path></path></svg></span>(<span><span>https://osf.io/</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112470"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624869","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":"Corrigendum to ‘Machine learning–based prediction of delirium in older patients with chronic kidney disease requiring intensive care: A hospital-based retrospective cohort study’ [Journal of Psychosomatic Research, 200 (2026), article PSR_112454]","authors":"Chia-Rung Wu ,&nbsp;Yung-Chun Chang ,&nbsp;Victoria Traynor ,&nbsp;Shu-Tai Shen Hsiao ,&nbsp;Shu-Liu Guo ,&nbsp;Shu-Chuan Lin ,&nbsp;Sen-Kuang Hou ,&nbsp;Hsiao-Yean Chiu","doi":"10.1016/j.jpsychores.2025.112494","DOIUrl":"10.1016/j.jpsychores.2025.112494","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112494"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716582","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}