Discover mental health最新文献

{"title":"A cross-sectional study on the physical and mental health condition of university newcomers in Bangladesh.","authors":"Arpita Roy, Sadia Amrin, Md Ashraful Alam, Hafsa Akter, Sadhon Kumar Ray, Md Momin Islam, Munawar Sultana","doi":"10.1007/s44192-025-00276-5","DOIUrl":"10.1007/s44192-025-00276-5","url":null,"abstract":"<p><p>In Bangladesh, an extensive enrollment examination is required to enroll in different universities, where students from all 64 districts of Bangladesh compete to get a place. Students either migrate from their home districts to another place or continue from home if they reside in the same city. However, it is undeniable that there is a huge and sudden change in the lifestyle of the newly enrolled students. This study was conducted on 50 universities in Bangladesh to investigate the overall health conditions of the university newcomers (N = 605) in six academic sessions from 2016 to 2022. The study showed that more than half of the students (52.6%) became physically sick after admission. The majority (81.5%) of the respondents felt mental pressure, and the maximum (83.3%) were concerned about their mental health condition, which is often unnoticed for this group of students. This also highlighted that during COVID-19, participants' mental health deteriorated drastically (71.7%). Nevertheless, the medical centers of the respective institutions were completely heedless in the majority (79.3%) of cases. Lastly, the respondents themselves tried to provide appropriate suggestions that will be helpful for the future well-being management of the newcomers. Thus, unveiling the overall health condition of newcomers is necessary so that every respective individual becomes aware of the condition and the current situation changes into a student-friendly and lively environment. To our knowledge, this is one of the first kinds of investigation in Bangladesh.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"129"},"PeriodicalIF":2.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of behavioral emotion regulation and relationship with mental health in adults: BERQ Japanese version.","authors":"Yoshiko Kato, Takahiro Yamane, Yasunori Murata","doi":"10.1007/s44192-025-00272-9","DOIUrl":"10.1007/s44192-025-00272-9","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the psychometric properties of the Japanese version of the Behavioral Emotion Regulation Questionnaire (BERQ) and explore the relation between the BERQ and mental health (depression, anxiety, and well-being).</p><p><strong>Methods: </strong>First, with a sample of 489 adult participants (246 males and 243 females; mean age 45.8 ± 13.5 years), the psychometric properties of the BERQ and its correlation with mental health were examined. Second, with a two-wave, three-week panel design among 375 Japanese participants (189 males and 186 females; mean age 46.9 ± 13.2 years), structural equation modeling was employed to examine the cross-lagged associations between the subscales of BERQ score and mental health.</p><p><strong>Results: </strong>Confirmatory factor analysis supported the allocation of the items to the subscales, with high Cronbach's alpha coefficients for all the scales. Greater use of various factors, such as Seeking Distraction, Actively Approaching, and Seeking Social Support, was correlated with greater well-being. Conversely, greater use of Withdrawal was related to higher depression and anxiety levels but lower well-being. However, interestingly, the results of latent cross-lagged panel analysis indicated Withdrawal had a positive effect on depression, a negative effect on well-being, however, no significant effect on anxiety. Whereas anxiety had a positive effect on Withdrawal.</p><p><strong>Conclusion: </strong>The results of this study highlight BERQ Japanese version is useful tool to assess the behavioral emotion regulation strategies. Moreover, an aspect of psychological process has been suggested, indicating that anxiety may play a key role in amplifying withdrawal, and may lead depression.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"128"},"PeriodicalIF":2.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the causal role of serum metabolites in substance use disorder risk: a study integrating Mendelian randomization and synthesis analysis.","authors":"WeiXiong Xu, DanDan Xie, ZhenZhu Zhang, PiBo Du, YongJian Ye, XuBo Dai","doi":"10.1007/s44192-025-00275-6","DOIUrl":"10.1007/s44192-025-00275-6","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore how serum metabolites affect the risk of substance use disorders (SUD).</p><p><strong>Methods: </strong>In the initial stage, Mendelian randomization was applied to assess the relationship between 1,400 serum metabolites and SUD. Inverse variance weighting, the Wald ratio odds ratio, and 95% confidence intervals were primarily used to evaluate causal relationships, and the false discovery rate was used for multiple comparison corrections. Sensitivity analysis was conducted via Cochran's Q test and MR-PRESSO. The MR-Steiger test was used to examine reverse causality. In the validation stage, we sought additional GWAS data on SUD to verify the initial results. Furthermore, the pathway enrichment analysis was conducted for known metabolites that exhibited causal relationships with SUD in both phases.</p><p><strong>Results: </strong>In the initial phase, we analysis suggests that these 77 metabolites may have potential causal associations with SUD, including 14 metabolite ratios and 63 metabolites (49 known and 14 unknown). In the validation phase, for 57 metabolites (38 known, 6 unknown, 13 ratios), confirmed associations may indicate causal effects on SUD incidence. The synthesis analysis results indicated that the overall effect of the combined metabolites was consistent with the primary analysis with two identified as risk factors and four as protective factors for SUD. Specifically, Erythronate levels, 1-(1-enyl-stearoyl)-2-oleoyl-GPE (P-18:0/18:1) levels, aspartate to citrulline ratios, and cis-4-decenoate (10:1n6) levels were negatively correlated with SUD, whereas gamma-glutamyl-alpha-lysine and ethyl alpha-glucopyranoside levels were positively correlated with disease incidence. The metabolites linked to the risk of SUD in both phases were primarily enriched in several metabolic pathways, including pantothenate and CoA biosynthesis; pyrimidine metabolism; biosynthesis of valine, leucine, and isoleucine; taurine and hypotaurine metabolism; histidine metabolism; and glycerolipid metabolism.</p><p><strong>Conclusion: </strong>Circulating metabolites may have a causal relationship with the risk of SUD. \"Specific metabolites may be potential biomarkers for SUD, contributing to risk prediction and the development of personalized treatment strategies\".</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"126"},"PeriodicalIF":2.7,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of socio-economic, demographic and cultural factors on the development of children's mental health: a cross-sectional study in Bangladesh.","authors":"Sarmin Akhter, Mohammad Omar Faruk, Riyadh Hossain, Susmita Begum","doi":"10.1007/s44192-025-00269-4","DOIUrl":"10.1007/s44192-025-00269-4","url":null,"abstract":"<p><p>Mental health in childhood brings up the state of a child's emotional and psychological well-being, encompassing their ability to navigate challenges, form relationships, and get by stressors, laying the foundation for their future mental and emotional resilience. This cross-sectional study, conducted between December 1, 2023, and February 1, 2024, intended to identify the substantial risk factors of children's mental health (CMH) development in Bangladesh. The data were collected using two-phase sampling through a questionnaire filled out by trained interviewers. To test the normality of the dependent variable, Kolmogorov-Smirnov and Shapiro-Wilk tests were applied, and the tests confirmed the non-normality assumption (P < 0.05) of the study variables. Mann-Whitney U and Kruskal-Wallis H tests were applied as bivariate analyses, and generalized gamma regression was performed to determine the significant risk factors of mental development. The odds ratio (OR) and 95% confidence interval (CI) were the measuring parameters of the risk factors of CMH. The results revealed that early childhood disease (OR 0.9537, CI 0.93-0.97, p = 0.000769), monthly family income (OR 0.9247, CI 0.87-0.98, p = 0.015046), and providing supplementary food sometimes (OR 1.0583, CI 1.02-1.09, p = 0.001819) were significant socio-economic factors influencing CMH. Among demographic factors, gender (OR 0.9693, CI 0.94-0.99, p = 0.025684) and division (OR 1.0496, CI 1.007-1.09, p = 0.021429) showed significant associations. Additionally, child opportunities to play outside (OR 0.9451, CI 0.91-0.98, p = 0.007235), which may be shaped by cultural attitudes toward child supervision, gender roles, and norms around outdoor activity, was also found to be significantly associated with children's mental health. The results of this study would assist policymakers to take initiatives in mental health development including the funding of interventions so that children in Bangladesh can achieve their developmental potential.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"127"},"PeriodicalIF":2.7,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-time aggression in youth and its connection to region-specific structural brain alterations.","authors":"Melissa Hatch, Ahria Dominguez, Johannah Bashford-Largo, R James R Blair, Karina S Blair, Matthew Dobbertin, Patrick Tyler, Sahil Bajaj","doi":"10.1007/s44192-025-00273-8","DOIUrl":"10.1007/s44192-025-00273-8","url":null,"abstract":"<p><p>Aggression is expressed across psychiatric diagnoses. Literature displays associations between aggression and grey matter volume (GMV) in frontal, limbic, and striatal areas. Aggression is commonly assessed using self-report. Real-time aggressive incidents may provide a distinctive representation of the neural correlates of aggression. Structural MRI data were collected from 185 youth: 97 (32F/65 M) in the aggression group (AG) [mean age: 16.22 (SD = 1.10)] and 88 (36F/52 M) in the non-aggressive group (NG) [mean age: 16.29 (SD = 1.31)]. Data were acquired through the Boys Town National Database. Youth were included in AG if they had at least one aggressive incident within the first three months of residential care at Boys Town. FreeSurfer was used to estimate region-specific volumetric parameters following whole brain parcellation into 68 cortical and 14 sub-cortical regions. A multivariate analysis of covariance (MANCOVA) was conducted on pre-hypothesized bilateral brain regions of interest (ROIs) [i.e., middle frontal cortex, orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), pericalcarine, insula, amygdala, and striatum], including age and intracranial volume as covariates. Our MANCOVA showed significant differences in GMV [F(24,158) = 1.61, p ≤ 0.05]. AG showed lower GMV relative to NG in left lateral OFC [F(1,183) = 4.54, p ≤ 0.05], bilateral caudal ACC [F(1,183) = 5.21-6.37, ps ≤ 0.05], bilateral rostral ACC [F(1,183) = 3.80-5.54, ps ≤ 0.05], and bilateral caudate [F(1,183) = 4.60-5.61, ps < 0.05]. Remaining ROIs had no significant differences in GMV. Our results provide insight regarding the structural brain biomarkers of real-time aggression in youth. These findings provide consistent evidence for region-specific structural alterations in the adolescent brain that may aid in clinical applications across diagnoses.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"124"},"PeriodicalIF":2.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking a tightrope: a scoping review of the use, perceptions and experiences of harm reduction strategies in self-harm management.","authors":"Nina Veetnisha Gunnarsson, Cecilia Moberg","doi":"10.1007/s44192-025-00235-0","DOIUrl":"10.1007/s44192-025-00235-0","url":null,"abstract":"<p><p>Harm reduction involves safer practices for self-harm, a concept well-established in drug management but less explored in the context of self-harm. This scoping study examines empirical research on harm reduction strategies in self-harm management, focusing on practitioners' and individuals' perspectives. The scoping review follows the Joanna Briggs Institute (JBI) recommendations and analyses internationally peer-reviewed empirical studies. Systematic searches in databases like CINAHL, Scopus, Sociological Abstracts, PsycINFO, and PubMed identified 377 studies, with seven meeting the inclusion criteria. Originating from the UK and focused on the nursing field, recent publications highlighted substitution strategies and alternatives to existing self-harm behaviours, such as snapping an elastic band on the wrist. Both practitioners and those who self-harm used and recommended substitution strategies, but these were also viewed as a form of self-harm. One social scientific study revealed a preference for harm reduction among self-harming individuals, advocating its use to counter oppressive practices. The study metaphorically illustrates practitioners navigating a delicate balance, akin to \"walking a tightrope,\" striving to prevent harm while recognizing that individuals at times needs to harm themselves in specific situations. The review's emphasis on harm reduction in clinical settings suggests a narrower focus, prompting a call for broader research to understand autonomy and the dynamics of harm reduction in diverse contexts related to self-harm decision-making.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"125"},"PeriodicalIF":2.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the psychosocial landscape of Ehlers-Danlos syndrome: an autobiographic case study.","authors":"Jessica D Locke, Jason T Eastman","doi":"10.1007/s44192-025-00268-5","DOIUrl":"10.1007/s44192-025-00268-5","url":null,"abstract":"<p><p>Living with a rare disorder, such as Ehlers-Danlos Syndrome (EDS), presents unique psychosocial challenges. This autobiographical case study explores the psychological, social, and professional impacts of navigating life with hypermobile EDS (hEDS), a condition marked by chronic pain, joint instability, and diagnostic uncertainty. Placing personal experiences into the context of clinical findings and research, this study highlights both the physical and emotional toll of the syndrome, including stigma, isolation, and medical gaslighting often accompanying rare conditions. The first-person case study of the first author extracted by the second author experienced in qualitative interviewing provides a first-hand account of the importance of addressing the psychosocial dimensions of rare disorders to foster understanding, empathy, and systemic improvements in patient care. In addition to calls for more encompassing medical care, this work also advocates for increased access to psychosocial support and recognition of the broader implications of living with rare, often invisible conditions.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"123"},"PeriodicalIF":2.7,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationship between spiritual health and professionalism in Iranian operating room interns.","authors":"Behzad Imani, Iman Khahan-Yazdi, Roya Najafi-Vosough","doi":"10.1007/s44192-025-00244-z","DOIUrl":"10.1007/s44192-025-00244-z","url":null,"abstract":"<p><strong>Background: </strong>Recognizing the importance of spiritual health in professional practice is crucial for providing effective patient care. This study examines the relationship between spiritual health and professionalism among Iranian operating room interns in 2024.</p><p><strong>Methods: </strong>A cross-sectional study investigated the relationship between spiritual health and professionalism among Iranian operating room interns in 2024. A random sample of 151 students completed a three-part questionnaire assessing demographics, the Spiritual Well-Being Scale (SWBS) developed by Ellison (1983), and the Penn State Professionalism Questionnaire (PSPQ) developed by Black et al. (2007). Data analysis, using SPSS version 26.0, included descriptive statistics and correlation analyses.</p><p><strong>Results: </strong>Participants had a mean (standard deviation) age of 23.24 (6.23) years, predominantly female (67.5%), mostly in their eighth semester (64.2%), with 70.2% achieving an average grade below 18 (out of 20 points). Mean (SD) scores indicated spiritual well-being at 89.23 (18.93) and professionalism at 137.75 (15.08), with religious well-being 47.66 (10.47) exceeding existential well-being 41.57 (9.66). Among professionalism dimensions, respect (25.36 ± 3.33) and honor and integrity (23.89 ± 3.39) ranked highest, while altruism (20.97 ± 3.05) and duty (21.79 ± 3.36) were lower. A significant relationship was found between religious well-being and all professionalism dimensions, while existential well-being correlated with accountability, duty, and excellence.</p><p><strong>Conclusion: </strong>The findings suggest that enhancing spiritual well-being, particularly religious aspects, may foster professionalism in medical practice, ultimately contributing to improved patient care and intern development in the healthcare setting.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"122"},"PeriodicalIF":2.7,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining relationships between bullying, social support, and mental health among transgender and other gender-diverse adolescents.","authors":"Abigail F Grimm, Krystal R Kittle, Elizabeth R Bertone-Johnson","doi":"10.1007/s44192-025-00201-w","DOIUrl":"10.1007/s44192-025-00201-w","url":null,"abstract":"<p><p>The prevalence of poor mental health among adolescents is high and increasing. Poor mental health is disproportionately high among transgender and gender-diverse adolescents. This research seeks to understand potential risk factors and reasons for this disproportionality by examining the relationship between social experiences and mental health among gender-diverse youth. We conducted a cross-sectional analysis of data collected via student health surveys administered by the Communities that Care Coalition of Western Massachusetts in 2023 to n = 1,439 high-school students in Franklin County, Massachusetts. Transgender and gender-diverse adolescents reported significantly adjusted higher rates of poor mental health. Associations between gender identity and this disproportionate risk of poor mental health were strongly modified by experiences of bullying and social support. Addressing victimization and social support may help reduce these outcomes among transgender and gender-diverse youth.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"121"},"PeriodicalIF":2.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating young fatherhood: experiences and coping strategies of unmarried fathers raising children born out of wedlock.","authors":"Oratile Sibongile Mafora, Tsholofelo Shophi, Frans Koketso Matlakala","doi":"10.1007/s44192-025-00271-w","DOIUrl":"10.1007/s44192-025-00271-w","url":null,"abstract":"<p><strong>Background: </strong>Young fatherhood is challenging, especially for young unmarried fathers. With limited research conducted with different cultural groups within South Africa, it has been established that young unmarried fathers face various challenges, such as accessing their children and having conflicts with the child's mother. However, there is a dearth of literature on studies conducted on the Batswana cultural group regarding challenges faced by young unmarried fathers. Thus, this study explores psychological challenges and coping strategies of unmarried fathers raising children born out of wedlock in Zeerust, South Africa.</p><p><strong>Methods: </strong>This study adopted the exploratory design and used face-to-face semi-structured interviews to interview 10 young unmarried fathers raising children born out of wedlock in Zeerust, South Africa. Reflexive thematic data analysis was used to analyse the collected data.</p><p><strong>Results: </strong>The study found that the experiences of young unmarried fathers include loss of freedom, emotional distress, and unemployment. However, the coping strategies adopted by these young fathers include both positive and negative coping strategies. These coping strategies include seeking financial stability, financial support, alcohol and substance use, avoidance, coping, and distancing from peer conversation.</p><p><strong>Conclusions: </strong>The study concludes that the experiences of young unmarried fathers are determined by their employment status and financial stability. Therefore, the study recommends that social workers should develop interventions targeted at addressing the challenges of young unmarried fathers raising children born out of wedlock and assist young unmarried fathers to develop positive coping strategies.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"120"},"PeriodicalIF":2.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}