Discover mental health最新文献

{"title":"Assessing the economic case for public health interventions provided in non-health public sector settings: a feasibility study in job centres in Cornwall, South West of England.","authors":"Richard Alan Sharpe, Andrew James Williams, Ruth Goldstein, Tim Taylor","doi":"10.1007/s44192-025-00195-5","DOIUrl":"https://doi.org/10.1007/s44192-025-00195-5","url":null,"abstract":"<p><strong>Background: </strong>Poor mental wellbeing costs society over £105 billion/year in England. Those with a mental health condition face significant health inequalities and lower employment rates. This feasibility study assessed the cost benefit of a public health intervention to help unemployed people with poor mental wellbeing to access employment.</p><p><strong>Methods: </strong>Mental health employment advisors located in all 11 job centres supported people aged over 16 years. Support was provided over a 2-to-4-month period via an agreed action plan. Employment status, baseline and follow up wellbeing outcomes (using the Short Warwick-Edinburgh Mental Wellbeing scale) were obtained and used to estimate the return on investment.</p><p><strong>Results: </strong>Of the 540 people with baseline and follow-up wellbeing scores, a total of 57.79% had probable depression and/or anxiety when they accessed the intervention. The number of people with probable depression and/or anxiety reduced at follow up (23.82%). A total of 235 people accessed new employment after receiving the intervention. The resulting benefit/cost ratios were 8.4 and 17.6 (depending on whether a cost of illness or income equivalence approach is used to value the improvement in wellbeing).</p><p><strong>Discussion: </strong>This cross-sector public health intervention may provide a cost-effective way to reduce health inequalities for those who are unemployed, especially those whose mental wellbeing acts as a barrier to employment. The resultant outcomes may also be influenced by a range of other factors such as social isolation, financial precarity and housing. Despite this, the findings support the development of this approach to reduce health inequalities but is reliant on a close collaboration between local authorities, NHS, Department for Work and Pensions and the voluntary sector.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999191","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":"Long-term consequences of COVID-19 on sleep, mental health, fatigue, and cognition: a preliminary study.","authors":"Armin Adibi, Ali Motahharynia, Iman Adibi, Mehdi Sanayei","doi":"10.1007/s44192-025-00193-7","DOIUrl":"https://doi.org/10.1007/s44192-025-00193-7","url":null,"abstract":"<p><strong>Introduction: </strong>Post-COVID-19 Syndrome (PCS) is defined as symptoms persisting beyond 12 weeks from the onset of symptoms. Notably, COVID-19 has been associated with long-term effects on the brain and mental health. This cross-sectional study aims to investigate depression, fatigue, sleep quality, and cognitive dysfunction, particularly working memory, in individuals with PCS compared to a healthy control group.</p><p><strong>Material and methods: </strong>Between April and December 2021, 45 COVID-19 individuals and 60 healthy individuals met the eligibility criteria. Demographic information and the Montreal Cognitive Assessment were collected. Two visual working memory tasks, Delayed Match-to-Sample (DMS) and n-back, were performed, along with self-report questionnaires: Beck Depression Inventory, Modified Fatigue Impact Scale, and Pittsburgh Sleep Quality Index.</p><p><strong>Results: </strong>A total of 105 participants were enrolled. Findings reveal that the PCS group exhibited notably higher levels of cognitive impairment (13.3% vs. 1.6%, p = 0.04), depression (53.9% vs. 25.9%, p = 0.03), and sleep disturbances (53.9% vs. 18.6%, p = 0.01) compared to the healthy control group. Sleep latency and sleep duration were particularly affected. No significant differences in working memory function were observed between the two groups (p = 0.90 for DMS and p = 0.98 for n-back).</p><p><strong>Conclusion: </strong>The study highlights the higher prevalence of sleep disturbance, depression, and cognitive impairment in the PCS phase, with inflammation likely playing a significant role. Moreover, the study suggests that untreated depression and sleep disturbances may pose long-term risks for dementia. Understanding the underlying mechanisms is crucial for developing effective interventions and support for individuals recovering from the infection. Prospective longitudinal studies with larger and more diverse samples are warranted to confirm and expand upon these findings.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"66"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042989","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":"Attracting and retaining the psychology workforce in public mental health: a study based in Melbourne, Victoria.","authors":"Madeleine Jaffe, Liza Hopkins, Stephen Halperin","doi":"10.1007/s44192-025-00196-4","DOIUrl":"https://doi.org/10.1007/s44192-025-00196-4","url":null,"abstract":"<p><p>Workforce shortages pose a significant barrier to meeting the mental health needs of Australians. This study sought to explore the factors contributing to the recruitment and retention of public (salaried) psychologists and psychologists working as private practitioners within a public mental health service in metropolitan Melbourne. The project involved an online survey of staff and semi-structured interviews. The study found that both private and salaried psychologists identified a number of reasons as to why they were attracted to working in this setting compared with the higher salaries available in full-fee paying private practice. Issues included working with a specific cohort of clients, support of intake and administration teams, flexible working hours, teamwork, the location of the service, the profile of the organisation, and not having to pay room rent or advertise. Salaried staff highlighted the team culture and access to other clinicians for informal discussions as important factors, while private practitioners within the public mental health service most commonly identified financial concerns, including remuneration and failure to attend/cancellations as the biggest challenges. Lack of income was the most commonly cited reason for clinicians' decisions to leave public mental health. Private practitioners within this setting identified the absence of supervision and professional development, feelings of isolation and lack of team culture as significant deterrents. In sum, numerous issues influence the decisions of psychologists to work in public mental health services rather than, or as well as holding private roles. Public health services need to recognise these and ameliorate identified challenges if they are to attract and retain an adequate psychological workforce.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051856","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":"Telepsychiatry in Africa: overcoming barriers to access and care.","authors":"Nicholas Aderinto, Gbolahan Olatunji, Emmanuel Kokori, Adetola Emmanuel Babalola, Ikponmwosa Jude Ogieuhi, John Ehi Aboje, Emmanuel Egbunu, Temiloluwa Adefusi, Bonaventure Michael Ukoaka, Abdulrahmon Moradeyo, Oluwatobi Omoworare, Doyin Olatunji","doi":"10.1007/s44192-025-00197-3","DOIUrl":"https://doi.org/10.1007/s44192-025-00197-3","url":null,"abstract":"<p><p>Telepsychiatry presents a transformative opportunity to address Africa's significant mental health challenges. With a high prevalence of psychiatric disorders and limited access to care, particularly in rural and marginalized communities, innovative solutions are urgently needed. This paper has explored the potential of telepsychiatry to overcome geographical barriers and address the shortage of mental health professionals in Africa. Despite its potential, telepsychiatry faces challenges such as technological barriers, stigma, and regulatory issues. However, these challenges can be addressed with concerted efforts from governments, healthcare organizations, and communities. Developing robust regulatory frameworks, investing in infrastructure, and promoting cultural sensitivity are essential steps towards realizing the full potential of telepsychiatry in Africa. Looking to the future, telepsychiatry holds promise for revolutionizing mental healthcare delivery on the continent. Through continued research, evaluation, and innovation, telepsychiatry can become a cornerstone of mental healthcare provision, ensuring that no one is left behind in accessing the care they need.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042498","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":"Individual placement and support; service development and implementation of an evidence-based practice in Iran.","authors":"Zahra Mirsepassi, Maryam Tabatabaee, Mansoureh Panahi, Shahrzad Chehrenegar, Vandad Sharifi, Pardis Shekari, Elnaz Pashaei Ghelichi, Zohreh Tadbiri Nooshabadi, Maryam Rasoulian","doi":"10.1007/s44192-025-00174-w","DOIUrl":"https://doi.org/10.1007/s44192-025-00174-w","url":null,"abstract":"<p><strong>Background: </strong>Individuals with severe mental illness (SMI) often face challenges in obtaining and maintaining employment, resulting in low occupational rates. The Individual Placement and Support (IPS) program has been proven effective in promoting employment for people with SMI. However, its implementation in low-resource settings is limited. This study aims to share the experience of developing and implementing IPS in Iran and to discuss the challenges encountered.</p><p><strong>Methods: </strong>An interdisciplinary team was formed, including academic members and experts in providing occupational services. Employment specialists were trained through workshops and supervision sessions. Stakeholders, including hospital administrators and psychiatrists, were engaged to promote the adoption of IPS. The study included individuals with SMI who accepted the invitation to participate. The IPS fidelity scale was utilized to assess the quality of the service.</p><p><strong>Results: </strong>During the 36-month study period, 40 clients were referred, with a majority being male and having a diploma or university degree. The IPS fidelity scale scores were 74 at 6 months and 96 at 12 months. However, a significant dropout rate was observed, with the majority occurring during the first and third steps of the IPS process.</p><p><strong>Conclusion: </strong>The implementation of IPS in Iran faced challenges, including limited resources and high dropout rates. Despite these challenges, the study demonstrates the feasibility of developing and implementing IPS in a low-resource setting. Efforts to secure funding and engage stakeholders were crucial for the sustainability of the service. This study highlights the need for comprehensive, evidence-based occupational programs for individuals with SMI in Iran and similar settings. Further research and interventions are warranted to address the identified challenges and improve employment outcomes for individuals with SMI.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"62"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035985","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":"Liberating the mental health and wellbeing benefits of laughing alone: a new taxonomic model and scoping review for future research.","authors":"Freda Gonot-Schoupinsky, Xavier Gonot-Schoupinsky, Mark Weeks","doi":"10.1007/s44192-025-00183-9","DOIUrl":"https://doi.org/10.1007/s44192-025-00183-9","url":null,"abstract":"<p><p>Laughter has been predominantly viewed as a social behavior, and laughing alone is often regarded doubtfully, even pathologized. While solitary laughter can be symptomatic of mental health issues, one motivation of this review was to explore whether it can also offer mental health benefits. Research demonstrates that over 10% of laughter occurs in solitude and there is increasing awareness that it is not only enjoyed but can serve important roles in supporting health and wellbeing. To establish a useful foundation for further exploration of its potential in enhancing health and wellbeing, this review scopes the subject across disciplines. An unprecedented search revealed 120 records (n = 83 academic articles n = 37 literary and book references) that mention solitary laughter in meaningful ways. The Solitary Laughter Model (SLM) developed for this research supported an initial classification according to the conditions in which the laughter took place be it complete solitary, public solitary, assisted solitary, or social solitary laughter. Our research reveals that laughing alone tends to be perceived as particularly problematic when done in public. Nevertheless, we also uncovered favorable mental health perspectives on solitary laughter and recent exciting clinical applications in assisted solitary laughter. The implications of these findings are discussed. The SLM is proposed as a pragmatic model to encourage precision in this nascent field of investigation and health practice. This review concludes that solitary laughter is an important human behavior deserving more scientific investigation to further unlock its mental health and wellbeing benefits.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029769","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":"Access to mental health care for Black and Latino teens with anxiety and depression: a qualitative study.","authors":"Lora Daskalska, David Nelson, Jacquelyn Smith, Staci Young","doi":"10.1007/s44192-025-00190-w","DOIUrl":"https://doi.org/10.1007/s44192-025-00190-w","url":null,"abstract":"<p><strong>Background: </strong>Anxiety and depression are common mental disorders among children and their prevalence has increased in recent years. Unfortunately, some children do not have access to mental health care. Black and Latino children have been reported to be more likely to have unmet mental health care needs than other racial or ethnic groups. This study sought to identify the influential factors in accessing mental health care for Black and Latino teens with anxiety or depression in Milwaukee, Wisconsin, and identify recommendations to improve access for this group.</p><p><strong>Methods: </strong>Ten qualitative, key informant interviews were conducted between February 2022 and January 2023 and analyzed using thematic analysis as the research approach.</p><p><strong>Results: </strong>Study findings were categorized into six themes:(1) Mental health during the COVID-19 pandemic, (2) First points of contact, (3) Preferences for mental health professional characteristics, (4) Adequate care: Culturally-appropriate, trauma-informed, and family-centered, (5) Community awareness of mental health and resources available, (6) Availability of mental health services.</p><p><strong>Conclusions: </strong>Recommendations for public health policy and practice to increase access for these groups are discussed.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047697","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 health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study.","authors":"Samira Silakhori, Safa Mousavi, Sadra Sarandili, Mojgan Rahmanian","doi":"10.1007/s44192-025-00192-8","DOIUrl":"https://doi.org/10.1007/s44192-025-00192-8","url":null,"abstract":"<p><strong>Background: </strong>Maternal health literacy (MHL) and happiness can significantly impact pregnancy outcomes (POs) and neonatal health. This study primarily aimed to assess the level of maternal health literacy. Additionally, we sought to determine how maternal health literacy, happiness, socio-demographics, and pregnancy outcomes influence neonatal anthropometrics, thereby providing a more comprehensive understanding of the determinants of maternal and neonatal health.</p><p><strong>Methods: </strong>In a 2-year cohort study on 591 pregnant women with normal pregnancies, we recorded the maternal socio-demographic and obstetric factors. Moreover, the Maternal Health Literacy and Pregnancy Outcomes Questionnaire (MHLAPQ) and Happiness Questionnaire were used to gather health-related information. After delivery, the neonatal anthropometric measurements, including body weight (BW), supine length (SL), and head circumference (HC), were recorded at birth.</p><p><strong>Results: </strong>Among the 591 participants, 338 (57.2%) were in the 20-29-year age group. The mean maternal health literacy (MHL) score was 57.34 ± 8.67. MHL scores were associated with maternal and paternal education and occupation, as well as a history of miscarriage. Pregnancy outcomes were linked to maternal and paternal education and employment status, while higher happiness scores were found among housewives. BW showed significant differences based on maternal occupation and a history of stillbirth, while SL varied significantly with maternal occupation. Positive correlations were identified between BW and MHL, as well as between PO, MHL, and maternal happiness scores.</p><p><strong>Conclusion: </strong>In summary, our results revealed that MHL and happiness are important factors in improving the POs and neonatal health. In addition, maternal and paternal education and occupation were found to affect the MHL scores.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998397","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 lived experience of acculturative stress in second-generation Haitian American emerging adults.","authors":"Cassandre V Horne","doi":"10.1007/s44192-025-00191-9","DOIUrl":"https://doi.org/10.1007/s44192-025-00191-9","url":null,"abstract":"<p><p>Second-generation Haitian American emerging adults function within three cultures; the American culture, Black American culture, and the Haitian culture. Balancing and living within multiple cultures while trying to grow in autonomy and adulthood can affect the mental health of emerging adults. Gaining independence while finding identity coupled with cultural expectations can contribute to increasing stress levels. The aim of this phenomenological inquiry is to explore the lived experience of second generation Haitian American emerging adults while focusing on mental health. This descriptive phenomenological inquiry explored the mental health effects of acculturative stress in emerging adults who identified as second-generation Haitian Americans. The population sample consisted of 30 participants ages 19-29 years, with a mean of (M_age = 25.97, SD = 2.95). Data was collected through semi-structured one-on-one interviews, which were guided by fifteen open ended questions. Thematic analysis approach was applied to the qualitative data. Saturation was reached after 23 participant interviews and 7 additional interviews after saturation to confirm result findings. Resulting themes revealed that Haitian parents and culture were strict, a dual identity, and lack of awareness/support for mental health in the culture were stressors. Themes of admiration for the Haitian culture and resiliency serve as possibilities as to why participants pursued higher education. The triple minority status of the heritage culture has contributed to increased stress levels resulting in the expression of anxiety, depression and self-critical thoughts such as feelings of imposter syndrome.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"59"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063336","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":"Job stress prevalence in Iranian drivers and contributing factors: Systematic review and Meta-analysis.","authors":"Parvaneh Isfahani, Rasoul Corani Bahador, Somayeh Samani, Mahdieh Poodineh Moghadam, Mohammad Sarani, Mahnaz Afshari","doi":"10.1007/s44192-025-00188-4","DOIUrl":"https://doi.org/10.1007/s44192-025-00188-4","url":null,"abstract":"<p><strong>Background: </strong>Job stress is a significant concern among drivers, particularly in Iran, where its prevalence varies by geographical region. This study aims to systematically review and analyze the prevalence of job stress among Iranian drivers and identify contributing factors.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted following the PRISMA guidelines. A comprehensive search strategy was implemented across multiple databases, including Web of Science, Scopus, PubMed, SID, Magiran, and Google Scholar engine. Studies included were cross-sectional in nature, reporting on moderate to high job stress levels among Iranian drivers up to December 30, 2024. Quality assessment was performed using Mitton's checklist, and data were analyzed using Comprehensive Meta-Analysis Software.</p><p><strong>Results: </strong>Out of 320 articles screened, 11 studies met the inclusion criteria for meta-analysis. The overall prevalence of job stress among Iranian drivers was found to be 46.3% (95% CI: 30.3-63.1%). The highest prevalence was reported in North Khorasan province (87.9%), while the lowest was in Tehran (8.2%). Factors contributing to job stress included work shifts (31%) and noise exposure (23%), and working environment (23%). Meta-regression analysis indicated that sample size, average age, and work experience significantly influenced study heterogeneity (P < 0.05).</p><p><strong>Conclusion: </strong>This systematic review underscores the urgent need for policies aimed at reducing job stress among Iranian drivers, focusing on enhancing working conditions and providing mental health support to improve overall well-being and safety on the roads.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"58"},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060007","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}