Revista Colombiana de Psiquiatria最新文献

{"title":"Dimensionality and Measurement Invariance of the 5-Item Coronavirus Fear Scale in Brazilian General Population","authors":"Carlos Arturo Cassiani-Miranda ,&nbsp;Leonardo Fernandes Martins ,&nbsp;Telmo Mota Ronzani ,&nbsp;Orlando Scoppetta ,&nbsp;Yinneth Andrea Arismendy-López ,&nbsp;Andrés Felipe Tirado-Otálvaro","doi":"10.1016/j.rcp.2023.07.001","DOIUrl":"10.1016/j.rcp.2023.07.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The COVID-19 Fear Scale (FCV-19S) is the most widely used instrument to assess fear of coronaviruses. Although preliminary analyses of the Brazilian–Portuguese version showed promising data for the 7-item version, several studies in Latin America suggest that the 5- and 6-item versions present better psychometric indicators.</div></div><div><h3>Objective</h3><div>To replicate and compare the Brazilian–Portuguese version of the (FCV-5S), studying its homogeneity and dimensionality.</div></div><div><h3>Methods</h3><div>A total of 1003 adults between 18 and 78 voluntarily participated. The data were analyzed through exploratory factorial analysis and structural equations modeling. A Multiple Indicators and Multiples Causes model (MIMIC) was used to check the differential functioning of each item regressed on age. Likewise, Cronbach's alpha and McDonald's omega were calculated for FCV-5S. Finally, as a test of nomological validity, the mean scores and standard deviation between men and women were compared after testing similarity invariance.</div></div><div><h3>Results</h3><div>73.3% were younger adults (18–44 years old), 71.3% were women, and 59.7% had a university education. The 5-item version (FCV-5S) of the COVID-19 Fear Scale has better goodness-of-fit indicators than the 6-item version for a one-factor structure. FCV-5S accomplish with invariance by gender and partial invariance by age in the general population of Brazil.</div></div><div><h3>Conclusions</h3><div>The FCV-5S has a dimensional structure with partial invariance by gender and age and can be used to assess COVID-19 fear in the general population in Brazil.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 454-460"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45244929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigación mixta: ¿qué es y qué no?","authors":"Lina María González Ballesteros ,&nbsp;Carlos Gómez Restrepo ,&nbsp;Viviana Alejandra Rodríguez ,&nbsp;Sebastián Fernández de Castro ,&nbsp;Mariana Vásquez Ponce","doi":"10.1016/j.rcp.2024.04.002","DOIUrl":"10.1016/j.rcp.2024.04.002","url":null,"abstract":"<div><div>This article reflects on the importance of designing and applying mixed-method research in mental health to understand the studied phenomena better. Using different means at the research stages, quantitative and qualitative approaches can enrich data collection and analysis and their interpretation. However, some studies presented as mixed have characteristics of multi-method research. Therefore, this article highlights some methodological elements of mixed research, tools for evaluating the quality of research, and reports developed with mixed methodologies so that researchers can have more precise direction in their research efforts.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 518-523"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Access to Mental Health Services in Pregnant Women With Mental Pathology Residing in Colombia","authors":"Santiago Mora Martínez,&nbsp;Jorge Eliécer Gaitán Sánchez,&nbsp;Nathaly Berrío García,&nbsp;Mauricio Mora Ladino,&nbsp;Marta Cecilia Ceballos Giraldo,&nbsp;Daniela Katherin Rodríguez Chacón,&nbsp;Eilyn Dahiana Herrera Franco,&nbsp;Juan Sebastian Restrepo Marroquín,&nbsp;Sergio Daniel Hurtado Rivera,&nbsp;Susana Cadena Correa,&nbsp;Mariana García Peláez,&nbsp;Lizeth Páez Hernández,&nbsp;Valentina Villanueva Escobar,&nbsp;María José Álvarez Arbeláez,&nbsp;John Alexander Arango Enrriquez,&nbsp;Laura Alejandra González Montoya,&nbsp;Luis David Saldarriaga Agamez,&nbsp;Valentina Galeano Medina","doi":"10.1016/j.rcp.2023.07.003","DOIUrl":"10.1016/j.rcp.2023.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Pregnancy is associated with multiple physiological changes. Anxiety, depression, suicide, and consumption of psychoactive substances during gestation have been phenomena rarely studied by Colombian academia. These disorders are among the principal causes of maternal morbidity–mortality; however, the presence of barriers to care constitutes a public health problem that must be studied.</div></div><div><h3>Method</h3><div>A prospective longitudinal observational descriptive study was conducted, during one year, with 166 pregnant women. The prevalence of these diseases was evaluated and the most significant supply and demand barriers were identified, for which a battery of mental health measurement instruments was applied to identify the risk of consuming psychoactive substances, depression, and anxiety.</div></div><div><h3>Results</h3><div>The most-frequent mental pathology was gestational depression, occurring in 57.22% of the sample; the second most-frequent pathology was gestational anxiety, diagnosed in 46.98% of the patients. The disorder due to consumption of most-frequent substances was smoking; followed by cannabis and alcohol. Access barriers, both in supply and demand, were present in most of the population; 53.01% of the pregnant women were not evaluated by psychology. The principal supply barrier was not assigning appointments or, failing that, these were assigned for a very distant date.</div></div><div><h3>Conclusions</h3><div>A clear relationship exists among depression and anxiety, number of children and age, and supply barriers and access to specialized mental health care. Our findings suggest a high frequency of access barriers in the gestating population with mental pathology.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 398-404"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46178053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With the Severity of Suicide Attempts by Poisoning in Adolescents","authors":"Giovanna Cristina Spagnuolo Brunello ,&nbsp;Daniela Frizon Alfieri ,&nbsp;Camilo Molino Guidoni ,&nbsp;Edmarlon Girotto","doi":"10.1016/j.rcp.2024.03.008","DOIUrl":"10.1016/j.rcp.2024.03.008","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze factors associated with more severe outcomes of suicide attempt due to toxicological events in adolescents.</div></div><div><h3>Methods</h3><div>A cross-sectional study involving adolescents between 10 and 19 years of age treated due to attempted suicide from 2017 to 2020. The dependent variable was the final severity, divided into two categories: asymptomatic or mild and moderate, severe or fatal, and the independent variables were those related to patients, exposure, and clinical conditions. For association analyses, logistic regression was used, with the calculation of the odds ratio (OR) and 95% confidence interval (95% CI).</div></div><div><h3>Results</h3><div>A total of 1462 suicide attempts in adolescents were evaluated, and 21.1% (<em>N</em> <!-->=<!--> <!-->306) were classified moderate, severe or fatal outcome. Suicide attempts due to toxicological events in adolescents showed a higher prevalence of the moderate, severe or fatal outcome in males (OR 1.52; 95% CI 1.11–2.07), in the summer months (OR 1.81; 95% CI 1.31–2.48) and in cases whose time until attendance was equal to or greater than 300<!--> <!-->min (OR 1.72; 95% CI 1.29–2.29), with evidence of increasing severity of cases over the years (2019: OR 1.87; 95% CI 1.21–2.98; 2020: OR 2.80; 95% CI 1.31–2.48).</div></div><div><h3>Conclusions</h3><div>Since adolescents need a more rigorous psychosocial follow-up due to the adversities inherent to the age group, there is a clear need for better identification of striking prodromal signs of suicide attempts in order to develop therapeutic interventions and preventive strategies.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 446-453"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efectividad de la toma de decisiones conjunta comparada con el tratamiento usual en pacientes con trastorno mental severo: revisión sistemática de experimentos clínicos aleatorizados","authors":"Ricardo de la Espriella ,&nbsp;Magda Cepeda ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcp.2024.07.002","DOIUrl":"10.1016/j.rcp.2024.07.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The study seeks to describe the effectiveness, in terms of clinical, relational, epidemiological, or economic outcomes, of shared decision-making for the implementation of treatment compared to usual management in patients with severe mental disorders.</div></div><div><h3>Method</h3><div>Systematic review of randomized clinical trials published in any language in PubMed, ClinicalTrials.gov, ICTRP, ProQuest, Embase, PsycInfo, and LILACS. Studies with hypothetical decisions, which only addressed the performance of decision-making tools, scale evaluation or research participation, were excluded.</div></div><div><h3>Results</h3><div>Eight studies (5 countries) were included, with 596 patients in the shared decision-making group and 586 in control groups. All 8 studies included patients with schizophrenia and related disorders, one included patients with bipolar disorder, another included patients with major depressive disorder. The intervention consisted of communication and negotiation techniques (5 studies), decision support material (4 studies), explicit treatment goals (3 studies), family participation preferences (one study) and problem solving (one study). Shared decision-making showed improvement in social functioning, perceived participation, knowledge, satisfaction, and participation of family members.</div></div><div><h3>Conclusions</h3><div>The inclusion criteria, intervention, comparator and outcomes were heterogeneous; the studies showed risk of bias. The model must be adequately defined, seeking relevant clinical and economic outcomes, and studied in the different diagnoses of severe mental disorder. There are limitations of the evidence due to heterogeneity, small sample size, and lack of measurement in the medium- and long-term outcomes.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 461-471"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145428696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indicadores de severidad clínica en la comorbilidad de trastorno bipolar y trastorno límite de personalidad: una revisión sistemática","authors":"Glauco Valdivieso-Jiménez ,&nbsp;Edgar Vásquez-Dextre ,&nbsp;Sergio A. Barroilhet","doi":"10.1016/j.rcp.2023.08.002","DOIUrl":"10.1016/j.rcp.2023.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Bipolar disorder (BD) is a severe chronic mental health condition with significant morbidity and mortality. It is characterized by affective episodes of mania and depression, as well as mixed states. Borderline personality disorder (BPD) is characterized by emotional instability and a pattern of impulsive behavior associated with suicidality. Both diagnoses can be comorbid and present high dysfunction and severity.</div></div><div><h3>Methods</h3><div>The aim of this study was to describe the differential characteristics in terms of clinical severity, present in samples of patients with BD–BPD comorbidity versus samples of patients with only one of these diagnoses. A systematic review of the literature of cross-sectional, case–control and cohort studies was carried out in which samples of BD or BPD patients were compared with samples of BD–BPD comorbidity, published in English and Spanish, and that considered a population between 18 and 65 years old. Those studies that considered samples of patients with other comorbidities were excluded.</div></div><div><h3>Results</h3><div>A total of 12 studies were included, which included a total of 4246 patients of both sexes. The comorbidity of BD and BPD presented higher suicidality, depressive episodes and mania/hypomania, aggressiveness, anger and hostility, hospitalizations, worse functioning and greater severity of symptoms compared to those with a single diagnosis, especially BD.</div></div><div><h3>Conclusions</h3><div>The comorbidity of BD and BPD presents evidence of a greater impact on the clinical course compared to those who do not present this condition.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 367-379"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46941205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questionnaires for Ages and Stages Adaptation and Validation Screening Scale for Social-Emotional Development in Children Aged 2–5 Years","authors":"Faridah Faridah ,&nbsp;Anies Anies ,&nbsp;Martha I. Kartasurya ,&nbsp;Bagoes Widjanarko ,&nbsp;Ika Febrian Kristiana ,&nbsp;Costrie Ganes Widayanti","doi":"10.1016/j.rcp.2024.01.004","DOIUrl":"10.1016/j.rcp.2024.01.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Ages and Stages Questionnaires: Social-Emotional Second Edition or ASQ: SE2 is a set of questionnaires to identify the social-emotional development of children from 6 to 60 months of age and is one of the most reliable measures of social development. This questionnaire has been adapted into several languages, but there is no version in Indonesian. This study aims to adaptation and validation the Ages and Stages Scale Social-Emotional Questionnaires – 2 (ASQ: SE2) for ages 2–5 for Indonesian children.</div></div><div><h3>Methods</h3><div>Research procedures based on the guidelines for Translating and Adapting Tests, Second Edition, namely, forward translation, backward translation, and expert judgment to analyze the suitability of the adapted version item with the original version and confirmation through validity and reliability tests. The participants were 350 mothers with children aged 2–5 years. Test validity and reliability with confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>The CFA results of the ASQ: SE2 questionnaire aged 2–5 years obtained all indicators resulted in a loading factor value of &gt;0.3. Construct Reliability (CR) values &gt;0.7 and goodness of fit indicate that, on average, values have met three criteria for fit integrity. ASQ: SE2 for the age group of 2–5 years is declared valid and reliable.</div></div><div><h3>Conclusions</h3><div>The ASQ: SE2 questionnaire is suitable to be applied as a measuring tool for screening social-emotional development in Indonesian children aged 2–5 years.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 380-389"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Precarious Employment and Disability in Adults Over 50 Years of Age in Mexico","authors":"Dulce María Ramírez-González ,&nbsp;Mireya Zamora-Macorra ,&nbsp;Claudia Iveth Astudillo García","doi":"10.1016/j.rcp.2023.06.007","DOIUrl":"10.1016/j.rcp.2023.06.007","url":null,"abstract":"<div><h3>Background</h3><div>The risk of disability increases when workers perform a precarious job, in unsafe conditions and without social benefits or any type of contract. The objective of the study was to identify the relationship between exposure to unstable employment and the prevalence of disability in men and women over 50 years of age.</div></div><div><h3>Methods</h3><div>Secondary analysis of the 2018 round of the National Survey on Health and Aging (ENASEM). A precarious employment variable was constructed using historical information on the main job; work activities were classified as cognitive or manual. Disability was assessed by limitations in performing the basic and essential activities of daily living. Bivariate analyses and a logistic regression model were conducted and stratified by sex to assess the association between employment and disability. An interaction between precarious employment and manual labor was calculated and adjusted for schooling and economic situation.</div></div><div><h3>Results</h3><div>The final sample consisted of 3480 adults over the age of 50. Fifty-eight percent of the population was classified as having had precarious employment throughout their working life. Associations were found between precarious employment and disability in women (OR 2.92, 95% CI: 1.33–18.87), as well as marginally significant associations with manual activities (OR 2.92, 95% CI: 0.99–8.59), and for the interaction between precarious employment and manual labor (OR 4.01, 95% CI: 0.96–16.61).</div></div><div><h3>Conclusion</h3><div>Disability is associated with precarious working conditions, especially in women.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 413-421"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47618826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Análisis de la violencia física de pareja en Perú: un análisis temporal antes y durante la pandemia por COVID-19","authors":"Víctor Roman-Lazarte ,&nbsp;Luz Ángela Roman ,&nbsp;Maryorie Katteryne Galeas-Torre","doi":"10.1016/j.rcp.2023.08.004","DOIUrl":"10.1016/j.rcp.2023.08.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Intimate partner violence is a frequent problem worldwide. The COVID-19 pandemic and confinement put both aggressors and victims in the same environment, which may have increased this problem. The aim of this study is to visualize the physical violence situation in couples from 2017 to 2022 in Peru.</div></div><div><h3>Materials and methods</h3><div>Using information provided by the Center for Women's Emergency, a descriptive analysis of temporal trends from January 2017 to December 2022 was carried out. To evaluate the relationship with the number of cases, a regression analysis was performed, and determination coefficients were reported before and after COVID-19 confinement.</div></div><div><h3>Results</h3><div>A total of 179,737 cases of physical violence in couples were obtained during the study period. A tendency towards a decrease was observed in the months following COVID-19 confinement in all categories. The rural area maintained a persistence in the number of cases before and after the pandemic. Significant differences were also found in couples or ex-couples who live together or apart, with those who do not live together having a greater decrease by the end of 2022.</div></div><div><h3>Conclusion</h3><div>The trends in the number of cases showed differences before and after the COVID-19 lockdown, according to the studied variables. Certain factors, such as post-pandemic family situations or the surveillance status in cases of violence, could impact the presented outcomes and necessitate a more rigorous analysis.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 436-445"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47968777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety Disorders in Pregnant Women and its Effects on Choosing the Delivery Method","authors":"Seyyedeh Neda Kazemi ,&nbsp;Roya Vaziri-harami ,&nbsp;Saharnaz Vaziri-harami ,&nbsp;Faeze Sadat Mousavian","doi":"10.1016/j.rcp.2023.11.003","DOIUrl":"10.1016/j.rcp.2023.11.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Cesarean section is usually limited to cases where natural childbirth is not possible or is associated with serious risks to the fetus and mother. In the past few years, cesarean section has become a preferred method of delivery among women who are not medically indicated for the procedure. This study aimed to investigate the prevalence of anxiety in pregnant women and its relationship with choosing delivery methods and other demographic parameters.</div></div><div><h3>Methods</h3><div>In this study, 300 mothers referring to the hospitals of Shahid Beheshti University of Medical Sciences were selected by convenience sampling. The medical history of all patients was obtained, and the Beck questionnaire was used to determine the levels of anxiety.</div></div><div><h3>Results</h3><div>57% of mothers chose cesarean section as the method of delivery and the frequency of mild, moderate, and severe anxiety was estimated to be 36.33%, 19.33%, and 2.33%, respectively. It was seen that the preference for cesarean section was associated with higher levels of anxiety, higher education, older age, having a history of previous abortion, first pregnancy, and a gestation period of over 28 weeks.</div></div><div><h3>Conclusions</h3><div>Due to the high prevalence of cesarean section in our country and its progress to higher percentages, it seems that the design and implementation of effective programs and interventions, including providing painless delivery, education, and psychological interventions.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 422-428"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139012812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}