Aging & Mental HealthPub Date : 2025-04-01Epub Date: 2025-01-10DOI: 10.1080/13607863.2025.2450262
Feliciano Villar, Juan J Zacarés, Clicia Jatahy, Sacramento Pinazo-Hernandis
{"title":"'Aside from my limitations, I'm aging very successfully': a qualitative approach to successful ageing among older people with early onset motor disabilities.","authors":"Feliciano Villar, Juan J Zacarés, Clicia Jatahy, Sacramento Pinazo-Hernandis","doi":"10.1080/13607863.2025.2450262","DOIUrl":"10.1080/13607863.2025.2450262","url":null,"abstract":"<p><strong>Objectives: </strong>The concept of successful aging has been criticized for overlooking the experiences of older adults aging with disabilities, which may accentuate segregation and consolidate inequities. This qualitative study explored how older people living with early-onset mobility disabilities define successful aging, whether their definitions differ from those proposed by academia and from those of older people without disabilities, and to what extent older people with motor disabilities perceive themselves as aging successfully.</p><p><strong>Method: </strong>Thirty-two people (20 women, 12 men) aged over 60 and living with motor disabilities for a minimum of 20 years were interviewed about their definition of successful aging and whether they considered that they were aging successfully. Responses were analyzed thematically.</p><p><strong>Results: </strong>We identified five main themes: (a) activity, (b) supportive context, (c) proactive attitude, (d) autonomy and (e) adaptation. Most participants considered that they were aging successfully, according to the themes underlined in their definition of successful aging.</p><p><strong>Conclusion: </strong>Participants see successful aging as based far more on psychosocial than biomedical aspects. Successful aging is defined as process in which the maintenance of desired activities and independence is attained due to contextual and psychological resources, which allows participants to perceive themselves as aging successfully.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"660-668"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959193","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}
Aging & Mental HealthPub Date : 2025-04-01Epub Date: 2024-11-04DOI: 10.1080/13607863.2024.2422938
Hyejin Kim, Olimpia Paun, Jessica Bishop-Royse, Masako Mayahara, Sarang Chong
{"title":"Living between two cultures: stress in Korean American family caregivers of individuals with Alzheimer's disease and related dementias.","authors":"Hyejin Kim, Olimpia Paun, Jessica Bishop-Royse, Masako Mayahara, Sarang Chong","doi":"10.1080/13607863.2024.2422938","DOIUrl":"10.1080/13607863.2024.2422938","url":null,"abstract":"<p><strong>Objectives: </strong>Korean-American primary family caregivers of individuals with Alzheimer's disease and related dementias (ADRD) may face unique stress, attributable to the distinctive characteristics of Korean-Americans, including their immigration history, culture, and language. Using narrative inquiry, we explored caregiving experiences, focusing on stress, and identified factors contributing to stress among Korean-American family caregivers providing in-home care to individuals with ADRD.</p><p><strong>Method: </strong>We conducted one-on-one, semi-structured interviews with 15 Korean-American family caregivers of individuals with ADRD. We analyzed the participants' stress in the context of temporality (i.e. timelines of their caregiving), sociality (i.e. cultural and familiar contexts), and place (i.e. various life settings).</p><p><strong>Results: </strong>The majority of participants were female (73%), Korean-born immigrants (93%), and had relatively high levels of education with an average of 16 years of education. We found that 1) caregivers' stress continued but varied along the ADRD caregiving trajectory, 2) cultural expectations and relationship dynamics amplified stress levels, and 3) maintaining a Korean identity while living in the United States limited caregivers' social connections.</p><p><strong>Conclusion: </strong>Our findings highlight the nuances of stress among Korean-American ADRD family caregivers. Specific support needs should be addressed in the development of culturally tailored stress reduction interventions for this understudied population.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"606-613"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570524","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}
Aging & Mental HealthPub Date : 2025-04-01Epub Date: 2024-12-26DOI: 10.1080/13607863.2024.2444348
Kylie A Arsenault, Ying C MacNab, Gordon G J G Asmundson, Thomas Hadjistavropoulos
{"title":"Psychometric evaluation and item response theory analysis of the COVID Stress Scales in an older adult population.","authors":"Kylie A Arsenault, Ying C MacNab, Gordon G J G Asmundson, Thomas Hadjistavropoulos","doi":"10.1080/13607863.2024.2444348","DOIUrl":"10.1080/13607863.2024.2444348","url":null,"abstract":"<p><strong>Objectives: </strong>The COVID Stress Scales (CSS) represent a widely used self-report measure of stress and anxiety-related responses to COVID-19. Although the CSS have been validated across various nations and languages, their psychometric properties have not been assessed at the factor- or item-level with older adults. We aimed to psychometrically evaluate the CSS in older adults.</p><p><strong>Method: </strong>The CSS was examined with 486 North American older adults aged 65 years and older. Data were collected in January 2024 using Qualtrics Panels. Reliability was assessed using Cronbach's alpha and McDonald's omega coefficients, structural validity using confirmatory factor analysis, and discriminant validity using a social desirability measure. Item properties were examined using item response theory.</p><p><strong>Results: </strong>The CSS demonstrated robust internal consistency and a defensible five- and six-factor structure, with the six-factor providing the most optimal model of measurement. All items adequately discriminated among respondents with varying levels of COVID-related stress.</p><p><strong>Conclusion: </strong>This study is first to demonstrate that the CSS functions as a reliable and valid tool for evaluating COVID-related stress among older adults, a necessary step for supporting its use in assessing mental health impacts of pandemics in a population at high risk of negative post-infection outcomes.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"726-735"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900638","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}
{"title":"Physical health problems, views on ageing, and emotional distress among older Chinese population: a moderated mediation model.","authors":"Jia Li, Wenhan Xu, Qi Wang, Xiaochen Zhou, Chengyue Peng","doi":"10.1080/13607863.2024.2448212","DOIUrl":"10.1080/13607863.2024.2448212","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate the mediation effect of negative views on ageing (VoA) between physical health problems and emotional distress, and the moderation effect of urban/rural residence ('<i>hukou</i>').</p><p><strong>Methods: </strong>We adopted a sample of 936 older Chinese people aged 60 and above from the China General Social Survey (CGSS). A structural equation model (SEM) approach was adopted to test the measurement model of latent variables and the structural model examining the hypothesized pathway. The bootstrapping bias-corrected approach (5000 bootstrap samples) was adopted.</p><p><strong>Results: </strong>The SEM shows that negative VoA mediates physical health problems and emotional distress (<i>β</i> = 0.041, <i>B</i> = 0.063, 95% CI [0.029, 0.102], <i>p</i> = 0.001). The relationship between negative VoA and emotional distress is more pronounced among urban than rural older residents (<i>β</i> = 0.181, <i>B</i> = 0.168, 95% CI [0.004, 0.377], <i>p</i> = 0.076), which may suggest that being dependent on others is less desirable among urban older people.</p><p><strong>Conclusion: </strong>This study underscores the importance of having positive VoA, especially for urban older residents. More studies on the formation and impacts of older people's expectations of their own ageing are warranted.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"747-756"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959208","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}
Aging & Mental HealthPub Date : 2025-04-01Epub Date: 2025-01-01DOI: 10.1080/13607863.2024.2445136
Ying Chen, Julia S Nakamura, Eric S Kim, Laura D Kubzansky, Tyler J VanderWeele
{"title":"Changes in optimism and subsequent health and wellbeing outcomes in older adults: an outcome-wide analysis.","authors":"Ying Chen, Julia S Nakamura, Eric S Kim, Laura D Kubzansky, Tyler J VanderWeele","doi":"10.1080/13607863.2024.2445136","DOIUrl":"10.1080/13607863.2024.2445136","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined whether changes in optimism in older adulthood are associated with subsequent health and wellbeing outcomes.</p><p><strong>Method: </strong>Longitudinal data are from the Health and Retirement Study, a nationally representative sample of U.S. older adults (<i>N</i> = 12,998, 2006/2008 to 2014/2016 waves). To evaluate changes in optimism, we examined optimism assessed in 2010/2012 and adjusted for optimism assessed 4 years earlier in 2006/2008 in regression models, which, under the specified statistical models, is equivalent to assessing changes in optimism during the 4-year interval. We examined 35 outcomes assessed in 2014/2016, including: indicators of physical health, health behaviors, psychological distress, psychological wellbeing, and social factors.</p><p><strong>Results: </strong>Increases in optimism (e.g. from the lowest to highest quartile) were favorably associated with several physical health outcomes such as a reduced risk of mortality (relative risk [RR] = 0.76; 95% confidence interval [CI]: 0.62, 0.94) and better self-rated health, but were not associated with specific disease outcomes (e.g. diabetes, stroke) or health behaviors. Increased optimism was also inversely associated with all psychological distress indicators and positively associated with multiple aspects of psychosocial wellbeing.</p><p><strong>Conclusion: </strong>An optimistic mindset may be desirable in its own right. Increased optimism may also enhance health and wellbeing among older adults.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"736-746"},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916352","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}
{"title":"Reciprocal relationship between sense of control and social support: a random-intercept cross-lagged panel model.","authors":"Eunbea Kim, Gina Lee, Jeong Eun Lee, Peter Martin","doi":"10.1080/13607863.2025.2484354","DOIUrl":"https://doi.org/10.1080/13607863.2025.2484354","url":null,"abstract":"<p><strong>Objectives: </strong>Although prior research has indicated the relationship between sense of control and social support in the context of older adults' well-being, little attention has been given to examining the inter-relationship between them longitudinally. Shedding light on the relationship between sense of control and social support, this study aimed to examine the reciprocal relationship between them, considering the two dimensions of sense of control (mastery/constraints) and the distinctive effects of different sources of social support (family/friends support). We also explored the gender differences in the associations.</p><p><strong>Method: </strong>This study included 9540 individuals 50 and older from the Health and Retirement study (HRS; 2006/2008, 2010/2012, 2014/2016, and 2018/2020). To observe intra-individual changes in the relationship between sense of control and social support over time, we used a random-intercept cross-lagged panel model with the four waves. We also conducted multi-group analyses to examine the moderating effect of gender on the associations.</p><p><strong>Results: </strong>We found that sense of control and social support were concurrently related. Although not consistent across waves, mastery and constraints predicted friends support among women.</p><p><strong>Conclusion: </strong>This study suggests that sense of control may emerge as significant for women's perceived social support from friends, while it may not hold the same importance for men.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755996","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}
Razak M Gyasi, Emelia Aikins, Priscilla Appiah, Emmanuel Nyaaba, Desmond Agyei, Emmanuel Konadu, Veronica Teye Angmorkwor, André Hajek, Louis Jacob, Karl Peltzer, Lee Smith
{"title":"Pain burden and sleep quality in community-dwelling adults aged ≥50 years in Ghana: potential psychosomatic mechanisms.","authors":"Razak M Gyasi, Emelia Aikins, Priscilla Appiah, Emmanuel Nyaaba, Desmond Agyei, Emmanuel Konadu, Veronica Teye Angmorkwor, André Hajek, Louis Jacob, Karl Peltzer, Lee Smith","doi":"10.1080/13607863.2025.2483334","DOIUrl":"https://doi.org/10.1080/13607863.2025.2483334","url":null,"abstract":"<p><strong>Objectives: </strong>Pain has been related to adverse health outcomes in old age. However, evidence from low-income countries is limited, and the potential mediators are poorly understood. Therefore, the aim of this study was to analyze the association between pain burden (PB) and sleep problems (SP) among older adults in Ghana and explore potential psychosomatic mediators.</p><p><strong>Method: </strong>We analyzed data from the Aging, Health, and Health-seeking Behavior study administered to 1201 adults aged ≥50 years. PB was assessed using the pain subscale of the Medical Outcomes Study Short Form-36. SP was assessed using nighttime/daytime SP in the last 30 days. Multivariable OLS and mediation models evaluated the hypotheses.</p><p><strong>Results: </strong>Mean (SD) age was 66.14 (11.85) years, and 63.3% were women. After full adjustment, PB (versus no PB) was positively associated with SP in the overall sample (<i>b</i> = 0.227, 95% CI = 0.124 - 0.331) and women (<i>b</i> = 0.363, 95% CI = 0.233 - 0.492) but not in men. Moreover, the association was pronounced in the ≥65 year group (<i>b</i> = 0.317) than in the 50-64 year group (<i>b</i> = 0.216). Self-rated health (54.4%), immobility (23.4%), physical activity (12.2%), restlessness (12.1%), depression (6.4%), anxiety (6.3%), and social isolation (7.2%) mediated the PB-SP association.</p><p><strong>Conclusion: </strong>PB was positively associated with SP among older adults in Ghana. Bio-psychosomatic factors were identified as potential mediators in this association. Addressing these factors may improve sleep health in older adults with pain.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722615","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}
Eleanor Batista-Malat, Zachary D Gassoumis, Kathleen H Wilber, Bonnie J Olsen, Laura Mosqueda
{"title":"Caregiver characteristics associated with caregiver neglect in persons living with dementia.","authors":"Eleanor Batista-Malat, Zachary D Gassoumis, Kathleen H Wilber, Bonnie J Olsen, Laura Mosqueda","doi":"10.1080/13607863.2025.2484356","DOIUrl":"https://doi.org/10.1080/13607863.2025.2484356","url":null,"abstract":"<p><strong>Objectives: </strong>Caregiver neglect and abuse are typically studied together as elder mistreatment but have distinct features. We examined the relationship between neglect reported by caregivers of persons living with dementia and caregiver stressors that have been identified as risk factors for mistreatment.</p><p><strong>Method: </strong>Caregivers of persons living with dementia (<i>N</i> = 81) completed a cross-sectional survey about caregiving and mistreatment. Bivariate chi-square tests and <i>t</i>-tests and a multivariable logistic regression controlling for caregiver demographics were used to compare characteristics of caregivers who did and did not self-report neglect.</p><p><strong>Results: </strong>46% were caring for a parent and 51% were Hispanic/Latino. Fifteen (19%) caregivers reported neglect in the last year. Caregivers who reported having high expectations of the care recipient (OR = 3.78, <i>p</i> = 0.045), and financial dependence on the care recipient (OR = 4.20, <i>p</i> = 0.035) had higher likelihood of neglect. Caregiver burden, depression symptoms, and anxiety symptoms were significantly associated with neglect in bivariate tests but not in the multivariable model.</p><p><strong>Conclusion: </strong>Previous studies have identified financial dependency as a risk factor for elder mistreatment; caregivers' expectations are a more novel finding with important implications for intervention design. Our findings contribute to growing evidence that elder mistreatment subtypes should be studied individually.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722613","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}
{"title":"Evaluating a digital mental health intervention for people with Parkinson's (PACT): acceptability and feasibility randomised controlled trial.","authors":"Cathryn Pinto, Sam Norton, Patricia Cubi-Molla, Catherine Hurt, Sulayman Chowdhury, Niamh Dooley, Aamina Safwi, Jennie Brown, Riccardo Volpato, Simone Stumpf, Lance McCracken, Angeliki Bogosian","doi":"10.1080/13607863.2025.2478508","DOIUrl":"https://doi.org/10.1080/13607863.2025.2478508","url":null,"abstract":"<p><strong>Objectives: </strong>We developed a web application (PACT app) based on Acceptance and Commitment Therapy to support mental health for people with Parkinson's. Here, we assess the app's acceptability and the feasibility of conducting a randomised controlled trial to evaluate its effectiveness.</p><p><strong>Method: </strong>This was a two-armed parallel group design with 2:1 allocation to the PACT app or waiting-list control and a single, post-intervention follow-up. Feasibility outcomes included recruitment and retention rate, intervention engagement and satisfaction. Secondary outcomes included measures of anxiety, depression, quality of life, and cost-effectiveness. Treatment effects for secondary outcomes were estimated using linear regression, following the intention-to-treat principle.</p><p><strong>Results: </strong>Fifty-seven people with Parkinson's were randomised to 4 weeks of PACT app (<i>n</i> = 38) or waiting-list control (<i>n</i> = 19). Recruitment, retention rate, intervention use, and acceptability met our progression criteria. Intervention effects were in the expected direction for all outcomes and largest for measures of depression (Hedges g = -0.96; 95% CI = -1.47 to -0.46) and committed action (Hedges g = 0.87; 95% CI = 0.38 to 1.35).</p><p><strong>Conclusion: </strong>Progression criteria were met, and PACT was acceptable to people with Parkinson's. It has potential efficacy and cost-effectiveness. A future larger trial to fully evaluate efficacy is needed.Trial registration: ISRCTN65177345 (01/09/2023).</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712248","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}
Hua Ye, Ying Wang, Shiliang Xu, Jiajin Tu, Ming Hao, Xiaoliang Zhou
{"title":"The effects of body dissatisfaction, lifestyle, and loneliness on emotional eating among older adults in Northeast China.","authors":"Hua Ye, Ying Wang, Shiliang Xu, Jiajin Tu, Ming Hao, Xiaoliang Zhou","doi":"10.1080/13607863.2025.2479188","DOIUrl":"https://doi.org/10.1080/13607863.2025.2479188","url":null,"abstract":"<p><strong>Objectives: </strong>Emotional eating is a psychological aspect of eating disorders. Recent studies have found that emotional eating is prevalent among older adults. This study aimed to investigate the current situation of emotional eating and explore the factors influencing emotional eating in older adults.</p><p><strong>Method: </strong>1073 people aged 60 years and older were recruited from a community in Northeast China. Participants completed body measurements, emotional eating scale, sex-adapted silhouettes, Physical Activity Rating Scale, Loneliness Scale, and questionnaires.</p><p><strong>Results: </strong>Women had higher levels of emotional eating, loneliness, and body dissatisfaction thanmen. Multiple linear regression showed that loneliness (β = 0.29, <i>p</i> < 0.01), screen time (β = 0.29, <i>p</i> < 0.01), body dissatisfaction (β = 0.26, <i>p</i> < 0.01), BMI (β = 0.11, <i>p</i> < 0.01), and female sex (β = 0.07, <i>p</i> < 0.01) were risk factors for emotional eating, while physical activity (β = -0.18, <i>p</i> < 0.01) was a protective factor for emotional eating.</p><p><strong>Conclusion: </strong>Older adults with high levels of body dissatisfaction, may have higher levels of loneliness and lower levels of physical activity, are more likely to engage in emotional eating. These findings emphasize the influence of body dissatisfaction, loneliness, and physical activity on emotional eating in older adults in Northeast China.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712249","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}