Myrian Sze Nga Fan, William Ho Cheung Li, Laurie Long Kwan Ho, Kai Chow Choi, Lophina Phiri, Sara Pacchiani, Brigitta Antal, Clement Shek Kei Cheung, Daoud Kamal Abu Khaleel
{"title":"Nature-based interventions for enhancing resilience in children: a systematic review and meta-analysis.","authors":"Myrian Sze Nga Fan, William Ho Cheung Li, Laurie Long Kwan Ho, Kai Chow Choi, Lophina Phiri, Sara Pacchiani, Brigitta Antal, Clement Shek Kei Cheung, Daoud Kamal Abu Khaleel","doi":"10.1007/s44192-025-00258-7","DOIUrl":"10.1007/s44192-025-00258-7","url":null,"abstract":"<p><p>Despite increasing interest in nature-based interventions (NBIs) for mental health, no or very few prior reviews have quantitatively synthesised their effects on children's resilience, a key developmental outcome. This study systematically reviews and meta-analyses available evidence following PRISMA guideline. The Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, Education Resources Information Center, Medline, APA PsycArticles, SPORTDiscus, and Web of Science were searched from inception to November 28, 2024. For additional studies, Google Scholar and references from included studies were searched. The review included randomised clinical trials, controlled trials, and single-group pre-post studies reporting resilience. Findings not synthesised quantitatively were summarised narratively. A total of 13 articles involved 15 studies with 2,571 participants (mean age 15.57 years; range 13 to 17 years; 1315 [53%] female). Random-effect meta-analysis indicated significant moderate-to-large short-term effects of NBIs on children's resilience (standardised mean difference, 0.64; 95% confidence level, 0.36 to 0.91; p <.001). Substantial heterogeneity of intervention effects was observed (I<sup>2</sup> = 98%). This review provides preliminary evidence that NBIs may be associated with short-term improvements in resilience among children, though results should be interpreted cautiously due to study limitations. This early evidence highlights a community-based approach that may support resilience development through nature. Sailing showed some promise as an early observation noted in subgroup analysis and narrative synthesis emphasising nature-human kinship. High-quality trials are needed to evaluate the effects of sailing on resilience and address gaps: the long-term effect of NBIs and their impact on children outside the 13-17 age range. Trail registration: PROSPERO database (CRD42025634371).</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"109"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692610","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":"A systematic review and meta-analysis on association between social non-participation and falling in depressive state among the older adult people.","authors":"Priya Das, Subhadeep Saha, Tanu Das, Partha Das, Ranjan Roy, Tamal Basu Roy","doi":"10.1007/s44192-025-00255-w","DOIUrl":"10.1007/s44192-025-00255-w","url":null,"abstract":"<p><p>Geriatric depression is one of the most common mental disorders globally. The relationship between social participation and having depressive disorders can be considered as reciprocal. The main aim of this present study was systemizing the evidences on the influence of social non-participation on depression among older adults. Systematic review specifically Meta-analysis was performed to show the adverse impact of social non-participation on depression among the older adults. Maintaining all the inclusion and exclusion criteria required for this systematic review, empirical studies conducted within the last decade only investigating the association between social non-participation and depression were retrieved and summarized. Database searches were performed in Scopus, PubMed, Medline, Google scholar, Web of Science, SocINDEX, PsycINFO and ProQuest platforms. A total number of 10 studies were added to conduct meta-analysis. Majority of the studies (6) examined that the older people who did not participate socially had more likelihood of getting depressed. The average effect size across all studies using random effects model was found as OR-2.07 [95% CI: 1.49-2.65] which suggested that the older people having no social participation were 2.07 times more likely of becoming depressed than those participated in social events. As with increasing ages, different health issue arises and social isolation increases; effective social gerontological interventions are required for achieving better mental health of older people. Future research should include long-term follow up and repeated measures to longitudinally investigate the effect of social participation on geriatric depression.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"108"},"PeriodicalIF":2.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692609","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":"The relationship between perceived stress and emotional eating among university students in Saudi Arabia.","authors":"Ayat El-Zayat, Sadia Sultan, Shimaa Alharthi, Dalal Jamal, Almaha Abdullah, Nora Albusati","doi":"10.1007/s44192-025-00215-4","DOIUrl":"10.1007/s44192-025-00215-4","url":null,"abstract":"<p><strong>Background: </strong>Emotional eating is defined as eating to alleviate negative emotions and is a maladaptive strategy to cope with stress. This cross-sectional study aims to evaluate the relationship between perceived stress and emotional eating among female university students from Saudi Arabia, a population potentially influenced by academic stress and cultural norms.</p><p><strong>Methods: </strong>This cross-sectional study included 1050 female university students, with an average age of 21 ± 5. The data was collected from August 2023 to July 2024 by snowball sampling technique. The Emotional Eater Questionnaire, a validated Arabic version, was used to assess eating behaviour, and the 10-item Cohen Perceived Stress Scale, an Arabic version, was used to evaluate individuals' perceptions of stress.</p><p><strong>Results: </strong>About 21% of the students were classified as highly emotional eaters, while 54% were classified as emotional eaters. Perceived stress levels was moderate for 57.9% of the students, while 41.5% reported high levels of stress. Emotional eating was found to be significantly associated with perceived stress (P-value < 0.05). Multivariate regression analysis revealed that students in higher academic years (β = 0.079, CI = 0.083, 0.542) and those with higher perceived stress scores (β = 0.298, CI = 0.321, 0.475) were significant predictors of emotional eating.</p><p><strong>Conclusion: </strong>The findings indicate a significant association between emotional eating, higher academic year of study, and elevated levels of perceived stress. However, given the cross-sectional nature of the study, causality cannot be established. Further longitudinal and interventional studies are needed to confirm the effectiveness of stress management programs in reducing emotional eating.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"107"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661158","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}
Eman Ali Younis, Asmaa Mohammad Ahmad Mohammad, Aya Farag Attia Elsebaey
{"title":"Toward healthy behavior: fear of missing out, smartphone, social networking addiction, and life satisfaction among medical students at Tanta University, Egypt.","authors":"Eman Ali Younis, Asmaa Mohammad Ahmad Mohammad, Aya Farag Attia Elsebaey","doi":"10.1007/s44192-025-00227-0","DOIUrl":"10.1007/s44192-025-00227-0","url":null,"abstract":"<p><strong>Background: </strong>The global shift in culture towards \"digitalization,\" particularly among youth, has made individuals increasingly vulnerable to the behavioral effects of social networking sites and smartphones. This study aims to measure the degree of smartphone and social networking addiction, as well as fear of missing out (FOMO), among medical students and to investigate the relationship between these constructs and life satisfaction.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at the Faculty of Medicine, Tanta University, between December 2023 and March 2024. A total of 630 students were selected by a simple random technique. Data were collected using a structured self-administered questionnaire that involved the FOMO, smartphone and social media addiction, and life satisfaction scales. The chi-square test was used for categorical variables. Pearson correlation was employed to examine relationships between different scales.</p><p><strong>Results: </strong>The prevalence of FOMO among medical students is 57.8% moderate and 2.5% high grade. Sixty-three percent are moderate, and 13.2% are high social media addicts. Seventy percent are moderate, and 10.4% are high-level smartphone addicts. FOMO is significantly positively correlated with both smartphone addiction (p < 0.001, rs = 0.393) and social media addiction (p < 0.00, rs = 0.304). FOMO shows a slight but significant negative correlation with life satisfaction (p = 0.027, rs = -0.088). Smartphone addiction has a moderate positive correlation with social media addiction (p < 0.00, rs = 0.542).</p><p><strong>Conclusion: </strong>The prevalence of FOMO among medical students was an alarming sign. Also, social media and smartphone addiction have been becoming issues of concern. The findings of the study showed that FOMO is significantly positively correlated with both smartphone addiction and social media addiction. Smartphone addiction has a moderate positive correlation with social media addiction. FOMO shows a small but significant negative correlation with life satisfaction.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"106"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661159","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":"Effects of emotion vocabulary size and sensitivity to bodily sensations on depression: examining the role of mindfulness in adjustment.","authors":"Shinnosuke Ikeda","doi":"10.1007/s44192-025-00250-1","DOIUrl":"10.1007/s44192-025-00250-1","url":null,"abstract":"<p><p>Emotions consist of bodily sensations and emotional concepts. This study examined how sensitivity to bodily sensations and emotional vocabulary size, which encompasses knowledge of emotional concepts, independently impact depression, and whether mindfulness can modulate these effects. A cross-sectional online survey involving 470 participants assessed the influence of somatosensory sensitivity and emotional vocabulary on depression, and the potential moderating role of mindfulness. Results indicated that both bodily sensory sensitivity and emotional vocabulary size independently affected depression. However, mindfulness was found to moderate the impact of bodily sensory sensitivity on depression, but not the effect of emotional vocabulary size. These findings underscore the significance of both bodily sensations and emotional concepts in the etiology of depression and suggest mindfulness practices as a beneficial intervention for those with high bodily sensitivity.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"105"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638839","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}
Janmejaya Samal, Ranjit Kumar Dehury, M Benson Thomas, Hari Singh
{"title":"Prevalence and predictors of depression in tuberculosis patients in india: a systematic review and meta-analysis.","authors":"Janmejaya Samal, Ranjit Kumar Dehury, M Benson Thomas, Hari Singh","doi":"10.1007/s44192-025-00248-9","DOIUrl":"10.1007/s44192-025-00248-9","url":null,"abstract":"<p><strong>Introduction: </strong>TB and common mental disorders pose significant global health challenges that considerably impact human health. The combination of depression with TB can lead to a poor quality of life, low medication adherence, progression to drug-resistant tuberculosis, and ultimately, mortality.</p><p><strong>Objectives: </strong>This study aimed to estimate the pooled prevalence of depression in TB patients and identify the predictors of depression in this population in India.</p><p><strong>Methods: </strong>The preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed for reporting this systematic review and meta-analysis. Data were extracted from October to December 2024 using the PUBMED, Scopus, EMBASE, and DOAJ databases. A total of 25 articles were selected, and the included articles underwent quality assessment using the Joanna Briggs Institute Critical Appraisal checklist. The pooled prevalence of depression in TB patients was estimated at a 95% confidence interval using a random effects model, assuming potential heterogeneity. STATA 18 (Stata Corp LLC, College Station, TX, USA) was used for analysis.</p><p><strong>Results: </strong>The total sample across 25 studies included 12,033 (Mean(SD) = 481(1377), Median = 169, IQR = 106-302). The pooled prevalence of depression in TB patients in India was estimated at 37% (95% CI: 26- 49%). A subgroup analysis based on the types of TB cases indicated that the prevalence of depression in different kinds of TB cases did not vary substantially, with 39% (95% CI: 26- 54%) in both Drug-Resistant (DR) and Drug-Sensitive (DS) Tuberculosis (TB) cases, followed by DR-TB cases [36% (95% CI: 09-68%)] and DS-TB cases [32% (95% CI: 14- 53%)]. Of the nine assessment tools used to assess depression, the pooled prevalence utilising the Patient Health Questionnaire (PHQ)-9 tool was highest [43% (95% CI: 31-56%)]. There was considerable heterogeneity (I<sup>2</sup> = 99.10%) observed in the random-effects model. Factors associated with depression in TB patients included gender, demographics, education, occupation, marital and relationship issues, religion, socio-economic status, habitat, disease-related factors, treatment-related factors, and social and Behavioural factors.</p><p><strong>Conclusion: </strong>The study found that over one-third of TB patients experienced depression. The coexistence of depression and TB constitutes a significant public health issue that needs addressing at both the community and health facility levels.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"104"},"PeriodicalIF":0.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621508","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}
Anthony Isiwele, Gillian Stokes, Christine Callender, Carol Rivas
{"title":"Navigating trauma and strength: experiences of Ghanaian and Nigerian youth in inner London.","authors":"Anthony Isiwele, Gillian Stokes, Christine Callender, Carol Rivas","doi":"10.1007/s44192-025-00233-2","DOIUrl":"10.1007/s44192-025-00233-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the lived experiences of trauma, loss, and resilience among Black African Ghanaian and Nigerian young people in Inner London. It examines how cultural identity, race, and systemic barriers shape their mental health and coping mechanisms, including silence, faith, and community support.</p><p><strong>Methods: </strong>A qualitative approach using Interpretative Phenomenological Analysis (IPA) was employed to analyse semi-structured interviews with ten participants (aged 16-25) and a participatory impact workshop. The study applied ecological systems theory (EST), critical race theory (CRT), and cultural humility to provide a nuanced understanding of mental health experiences.</p><p><strong>Results: </strong>Participants described trauma as profoundly disruptive, affecting their identity, social relationships, and emotional well-being. Cultural norms often discouraged emotional expression, reinforcing silence as both a coping mechanism and a barrier to healing. Faith and spirituality emerged as key sources of resilience, offering emotional stability and, for some, integration with formal mental health support.</p><p><strong>Conclusion: </strong>Culturally sensitive mental health interventions that integrate faith and community support frameworks are essential to addressing the unique challenges faced by Black African youth in London. Additionally, addressing systemic barriers, including racism, marginalisation, and inequitable access to care, is crucial to improving mental health outcomes and promoting long-term well-being.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"103"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593080","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}
Michael Liebrenz, Christian Imboden, Jill Colangelo, Anna Buadze, Alexander Smith
{"title":"The care episode of a young elite-level female cyclist with major depressive disorder and comorbid eating disorder: A sports psychiatry case report from Switzerland.","authors":"Michael Liebrenz, Christian Imboden, Jill Colangelo, Anna Buadze, Alexander Smith","doi":"10.1007/s44192-025-00242-1","DOIUrl":"10.1007/s44192-025-00242-1","url":null,"abstract":"<p><p>Elite-level athletes can experience mental illnesses as frequently as the general population. In professional cycling, distinctive psychosocial risk factors and inadequate formal support may heighten psychiatric vulnerabilities, yet treatment case examples remain scarce. Consequently, we outline the care episode of a 20-year-old female elite-level cyclist in Switzerland, who ceased competing and was thereafter diagnosed with major depressive disorder and a continuing diagnosis for a comorbid eating disorder, likely exacerbated by sport-specific stressors. Whilst psychopharmacological outpatient treatment yielded initial progress, the patient's persistent suicidality necessitated voluntary inpatient admission. Her mental health improved post-discharge, though reintegration into cycling entailed difficulties, prompting a transition to a team with a less demanding schedule that allowed for a better balance between sporting and personal commitments. At the time of writing, the patient's symptoms had stabilised and she was engaging in advocacy to raise awareness about athlete mental health. Accordingly, this case adds to the therapeutic evidence-base on elite-level athletes, demonstrating the importance of individualised psychiatric interventions that prioritise sustainable and holistic wellbeing.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"102"},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593081","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":"Harnessing technology for hope: a systematic review of digital suicide prevention tools.","authors":"Prachi Sherekar, Mita Mehta","doi":"10.1007/s44192-025-00245-y","DOIUrl":"10.1007/s44192-025-00245-y","url":null,"abstract":"<p><p>This systematic review scrutinizes digital interventions in suicide prevention, telehealth, mobile applications, artificial intelligence (AI), and digital psychotherapy. Apps with cognitive behavioural therapy (CBT) and crisis help worked well, but there were worries about keeping users engaged and data safe. AI tools were good at spotting suicide risk (72-93% accurate) by looking at social media and health data, but there are still ethical issues to solve. Safety planning and self-tracking on phones helped manage crises better. Using tablets in emergency rooms showed promise to boost coping skills. Online CBT and mindfulness training reduced increased distress. These digital tools have benefits, but there are still concerns about rules proving they work and keeping patients involved. The findings show that mixing digital tools with regular care can improve suicide prevention. However, we need more research to ensure they are used well in the long term.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"101"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12234914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577117","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":"War's psychological legacy: a study of mental health challenges among children and adolescents in Azerbaijan after the second Karabakh War.","authors":"Aynur Bunyatova","doi":"10.1007/s44192-025-00246-x","DOIUrl":"10.1007/s44192-025-00246-x","url":null,"abstract":"<p><p>As a result of the Second Karabakh War in 2020, a significant number of children and adolescents in Azerbaijan experienced severe psycho-emotional difficulties, including post-traumatic stress disorder (PTSD), anxiety, and depression. This mixed-method longitudinal study aimed to comprehensively assess levels of anxiety, depression, and PTSD among children and adolescents in the affected regions of Azerbaijan, and to evaluate the effectiveness of psychological support interventions across three sequential phases from 2020 to 2023. Psycho-emotional status was assessed through clinical interviews, behavioral observations, and standardized questionnaires (State-Trait Anxiety Inventory, Beck Depression Inventory-II, PTSD Checklist for DSM-5-PCL-5, and CATS, parent version). All instruments were used in validated Azerbaijani versions. The study covered 2,400 participants aged 5-16 years. Findings revealed high levels of anxiety (65%), depression (40%), and PTSD (70%), with adolescents aged 12-14 being the most affected (depression prevalence reaching 50%). Girls reported higher anxiety levels than boys (70% vs. 60%). Intervention programs-including art therapy, group sessions, and parental training-were associated with a significant reduction in anxiety (65%) and depressive symptoms (40%) (p < 0.05). This is the first large-scale empirical study in Azerbaijan to address post-war mental health in children and adolescents, emphasizing the importance of long-term psychological support and integrated rehabilitation in post-conflict settings.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"100"},"PeriodicalIF":0.0,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568184","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}