PCN reports : psychiatry and clinical neurosciences最新文献

{"title":"Service intensity of community mental health outreach among people with untreated mental health problems in Japan: A retrospective cohort study.","authors":"Mai Iwanaga, Sosei Yamaguchi, Sayaka Sato, Kiyoaki Nakanishi, Erisa Nishiuchi, Michiyo Shimodaira, Yugan So, Kaori Usui, Chiyo Fujii","doi":"10.1002/pcn5.138","DOIUrl":"10.1002/pcn5.138","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to clarify the association between treatment status (untreated or treated) at the start of community mental health outreach services and service intensity.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted using the Tokorozawa City mental health outreach service users' data. Treatment status at the start of service (exposure variable) and the service intensity (outcome variables) were taken from clinical records. Poisson regression and linear regression analyses were conducted. The frequency of medical or social service use 12 months after service initiation was also calculated. This study was approved by the Research Ethics Committee at the National Center of Neurology and Psychiatry (No. A2020-081).</p><p><strong>Results: </strong>Of 89 people, 37 (42%) were untreated. Family members in the untreated group were more likely to be targets or recipients of services than in the treated group (<i>b</i> = 0.707, <i>p</i> < 0.001, Bonferroni-adjusted <i>p</i> < 0.001). Compared to the treated group, the untreated group received fewer services themselves (<i>b</i> = -0.290, <i>p</i> = 0.005), and also fewer services by telephone (<i>b</i> = -0.252, <i>p</i> = 0.012); by contrast, they received more services at the health center (<i>b</i> = 0.478, <i>p</i> = 0.031) and for family support (<i>b</i> = 0.720, <i>p</i> = 0.024), but these significant differences disappeared after Bonferroni adjustment. At least 11% of people in the untreated group were hospitalized and 35% were outpatients 12 months after service initiation.</p><p><strong>Conclusion: </strong>Family involvement may be a key service component for untreated people. The service intensity with and without treatment may vary by service location.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":" ","pages":"e138"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45164942","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":"Postpartum depression: The prevalence and associated factors among women attending postnatal clinics in the Bawku municipality, Upper East Region of Ghana","authors":"Dennis Bomansang Daliri, Agani Afaya, Richard Adongo Afaya, Nancy Abagye","doi":"10.1002/pcn5.143","DOIUrl":"https://doi.org/10.1002/pcn5.143","url":null,"abstract":"Abstract Introduction This study examined postpartum depression (PPD) among mothers in the Bawku municipality of Ghana, aiming to assess its prevalence and associated risk factors. Methods A total of 242 women, 2–12 weeks postpartum, were randomly recruited for this cross‐sectional analytical study. The Edinburgh Postnatal Depression Scale was used for depression screening, and multivariate logistic regression analysis was employed to assess the factors associated with PPD. Results The study showed that 34.7% of the postpartum mothers were within the age range of 25–29, with a mean age of 27.9 (standard deviation [SD] ± 6.33). The prevalence of PPD was 50.4% (95% confidence interval [CI] 43.9–56.9). Several significant risk factors were identified, including inadequate prenatal visits (adjusted odds ratio [aOR] = 13.44, 95% CI 3.66–49.37, P < 0.001), obstetric complications (aOR = 3.39, 95% CI 1.23–11.19, P = 0.019), less than 3 weeks postpartum (aOR = 8.14, 95% CI 1.95, 33.94, P = 0.004), 6–8 weeks postpartum (aOR = 7.72, 95% CI 1.71–34.80, P = 0.008), and stressful life events (aOR = 3.30, 95% CI 1.23–8.89, P = 0.018). Conclusion The study concluded that the prevalence of PPD in the Bawku municipality is higher than previously reported in Ghana, emphasizing the need for early identification of pregnant women at risk for PPD.","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135304865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed neuropsychiatric sequelae with improvement of decreased cerebral bold flow by single‐photon emission computed tomography during hyperbaric oxygen therapy: A case report with a 10‐year follow‐up","authors":"Kosuke Hagiwara, Toshio Matsubara, Shin Nakagawa","doi":"10.1002/pcn5.139","DOIUrl":"https://doi.org/10.1002/pcn5.139","url":null,"abstract":"Abstract Background Delayed neuropsychiatric sequelae (DNS) occurs in 10%–30% of acute carbon monoxide poisoning cases. Patients with this condition present higher brain dysfunction. Hyperbaric oxygen (HBO) therapy was reportedly an effective treatment for DNS in the acute phase. Favorable predictive factors affecting the prognosis of patients with DNS after HBO therapy include younger age and longer interictal periods. However, the relationship between these factors and neuroimaging findings remains unclear. Case Presentation The patient was a 59‐year‐old man with DNS, who developed major depressive disorder and attempted suicide with charcoal briquettes. He was diagnosed with carbon monoxide poisoning and underwent acute HBO therapy. After a 1‐month lucid period, the patient developed intermittent carbon monoxide poisoning with cognitive dysfunction, following which HBO therapy was re‐initiated. Following treatment, the patient returned to work for 10 years. Frontal lobe hypoperfusion, measured by single‐photon emission computed tomography and cognitive impairment, improved with HBO therapy. However, magnetic resonance imaging revealed brain volume atrophy over time. Conclusion This study reported a case of DNS that completely resolved within a 10‐year follow‐up period. Cerebral blood flow reduction, mainly in the frontal lobe, improved along with cognitive recovery during HBO therapy. Despite gradually progressive brain atrophy over the past decade, no noted deficits in cerebral blood flow were observed in the frontal lobes. These findings suggest that improvement in cerebral blood flow during HBO therapy and its retention may be factors associated with a favorable prognosis in patients with DNS.","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135298461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescription patterns of psychotropics for adults treated with ADHD medications: Analysis of the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) of 2019","authors":"Kanako Ishizuka","doi":"10.1002/pcn5.147","DOIUrl":"https://doi.org/10.1002/pcn5.147","url":null,"abstract":"The use of psychotropic polypharmacy, defined as the use of medication from two or more psychotropic classes, is quite common in clinical practice despite limited evidence of efficacy and mounting safety concerns. Attention-deficit/hyperactivity disorder (ADHD) is one of the most disabling and common psychiatric disorders, persisting from childhood to adulthood. Individuals with ADHD are known to have many comorbid psychopathologies, making them candidates for psychotropic polypharmacy.1 In Japan, the approved psychotropic medications and the diagnosed disorders differ between pediatric and adult populations. Therefore, this study aimed to explore the utilization of multiple classes of psychotropics among patients undergoing ADHD pharmacotherapy, specifically targeting the adult population in Japan. A retrospective study was conducted using the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), which covered 99.9% of public health insurance claims from hospitals, 97.9% from clinics, and 99.9% from pharmacies as of May 2015. The sampling data set of outpatients consisted of 1% of all claims data that were randomly extracted based on standard demographic characteristics in terms of age and sex in Japan, and included anonymized data on diagnoses, prescribed medications, examinations conducted, age group, and sex. Since the sensitivity of diagnoses in the database is generally low,2, 3 this study focused on pharmacotherapy. Data on individuals aged 20 years and over prescribed any of three ADHD medications as of October 2019 were retrieved from the NDB. The number of psychotropic medications prescribed concurrently with ADHD medications—atomoxetine, guanfacine, and the osmotic-controlled-release oral delivery system methylphenidate—was identified. The drug classification, including antipsychotics, antidepressants, anxiolytics/hypnotics, and mood stabilizers, is shown in Supporting Information: Table S1. DB Browser for SQLite Version 3.12.2 for macOS (https://sqlitebrowser.org) was used for analysis. Less than half of individuals in their 20s and nearly 20% of those over age 30 were prescribed ADHD medications alone. Among patients in their 20s, anxiolytics/hypnotics, antidepressants, and antipsychotics were prescribed at similar rates, while among those aged 30 and above, antidepressants and anxiolytics/hypnotics were more frequently prescribed (Table 1). Based on these observations, two potential scenarios emerge. The first one is that ADHD medications were prescribed to those who meet the diagnostic criteria for ADHD. In this case, adults with ADHD might exhibit multiple psychiatric symptoms to require polypharmacy of psychiatric medications. The second scenario is that pharmacotherapy for ADHD was being administered to individuals who might not fully meet the ADHD diagnostic criteria, but who are experiencing specific symptoms, such as issues with attention, impulsivity, and hyperactivity. The author and coll","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"169 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134961545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Life philosophy of Bin Kimura","authors":"Kenjiro Fukao","doi":"10.1002/pcn5.145","DOIUrl":"https://doi.org/10.1002/pcn5.145","url":null,"abstract":"Abstract Bin Kimura, the most internationally renowned Japanese psychopathologist, developed a unique life‐theoretical position in his later years. The concept of “ aida ” or “betweenness,” which was in the social dimension in his earlier thought, came to be called “horizontal betweenness,” and the “vertical betweenness” in the vital dimension came to be emphasized. In relation to his time theory, the “intra festum,” which signifies the tendency to immerse oneself in the present, has come to be highlighted as a direct contact with life. He used many coupled concepts, such as “ mizukara / onozukara ” and “reality/actuality,” to contrast his life‐theoretical position with the scientific‐epistemological one. He was also heavily influenced by the ideas of Viktor von Weizsäcker, and superimposed his concept of “vertical betweenness” over Weizsäcker's concept of “ground relationship” by interpreting it as expressing the dependence of individual life ( bios ) on life in general ( zoé ). However, the strongest influences on his life theory were the ideas of Kitaro Nishida, the leading philosopher of the Kyoto School, with whom he had been familiar since his youth. In his last years, Kimura, under Nishida's influence, came to equate life in general with generalized death. Kimura's life philosophy might provide the foundation of psychotherapy by deepening subjective and empathetic understanding of psychiatric patients.","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135484333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why mismatch negativity continues to hold potential in probing altered brain function in schizophrenia","authors":"Juanita Todd, Dean Salisbury, Patricia T. Michie","doi":"10.1002/pcn5.144","DOIUrl":"https://doi.org/10.1002/pcn5.144","url":null,"abstract":"Abstract The brain potential known as mismatch negativity (MMN) is one of the most studied indices of altered brain function in schizophrenia. This review looks at what has been learned about MMN in schizophrenia over the last three decades and why the level of interest and activity in this field of research remains strong. A diligent consideration of available evidence suggests that MMN can serve as a biomarker in schizophrenia, but perhaps not the kind of biomarker that early research supposed. This review concludes that MMN measurement is likely to be most useful as a monitoring and response biomarker enabling tracking of an underlying pathology and efficacy of interventions, respectively. The role of, and challenges presented by, pre‐clinical models is discussed as well as the merits of different methodologies that can be brought to bear in pursuing a deeper understanding of pathophysiology that might explain smaller MMN in schizophrenia.","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135484334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between precautionary behaviors against coronavirus disease and psychosocial factors in outpatients with a pre‐existing disease and their attendants","authors":"Keita Idemoto, Tomihisa Niitsu, Akihiro Shiina, Osamu Kobori, Misaki Onodera, Kiyomitsu Ota, Atsuhiro Miyazawa, Masumi Tachibana, Makoto Kimura, Ryota Seki, Tasuku Hashimoto, Kensuke Yoshimura, Shoichi Ito, Michiko Nakazato, Yoshito Igarashi, Eiji Shimizu, Masaomi Iyo","doi":"10.1002/pcn5.141","DOIUrl":"https://doi.org/10.1002/pcn5.141","url":null,"abstract":"Abstract Aim The spread of the novel coronavirus infection (coronavirus disease 2019 [COVID‐19]) has caused behavioral changes and mental illness in patients and their attendants during its early phase. The present study aimed to examine the association between precautionary behaviors against COVID‐19 and psychosocial factors in outpatients with pre‐existing disease and their attendants. Methods We conducted a cross‐sectional paper‐based questionnaire survey in Chiba University Hospital on 1019 patients and 513 attendants, and a web‐based questionnaire survey in Japan on 3981 individuals from the general population. We evaluated the participants' anxiety about COVID‐19, depression, health anxiety, and precautionary behaviors. Results Regarding knowledge and anxiety about COVID‐19, the protective factors for the high precautionary behaviors group were knowledge of COVID‐19 (odds ratio [OR] = 1.178, 95% confidence interval [CI]: 1.099–1.263), anxiety about the spread of COVID‐19 (OR = 1.348, 95% CI: 1.243–1.461), and anxiety about infecting someone with COVID‐19 (OR = 1.135, 95% CI: 1.039–0.239). Regarding psychosocial factors, the protective factors for the high precautionary behaviors group were patients (OR = 1.759, 95% CI: 1.056–2.929), their attendants (OR = 3.892, 95% CI: 1.416–10.700), health anxiety (OR = 2.005, 95% CI: 1.451–2.772), and nondepression states (OR = 1.368, 95% CI: 1.004–1.864). Conclusion Our findings suggest that patients and their attendants may perform high precautionary behaviors. Health anxiety and nondepression states may be associated with high precautionary behaviors.","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135388377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Crucial differential diagnosis of rapidly progressive dementia: A case of leptomeningeal metastasis","authors":"Yu Mimura, Hiroki Oi, Taketo Takata, Masaru Mimura, Michitaka Funayama","doi":"10.1002/pcn5.137","DOIUrl":"https://doi.org/10.1002/pcn5.137","url":null,"abstract":"Abstract Background Dementia that advances subacutely without accompanying neurological symptoms can often be misdiagnosed as a psychiatric condition. Leptomeningeal metastasis (LM), caused by the spread of malignant cells to the leptomeninges and the subarachnoid space, is a relatively unfamiliar condition to psychiatrists in this context. The diagnosis of LM remains challenging due to the scarcity of diagnostic tools possessing high sensitivity and specificity. Case Presentation We present the clinical presentation of a male in his seventies with LM secondary to gastric ring cell carcinoma. The patient exhibited an acute confusional state, visual hallucinations, irritability, and cognitive impairments over a 3‐week period. Initially, the patient was misdiagnosed with several conditions, including alcohol withdrawal syndrome, psychosis, and delirium associated with dementia, as there were no noteworthy findings on neurological examination or the head magnetic resonance imaging (MRI). Given the rapidly progressive cognitive decline, we maintained vigilance for potential neurological conditions, and a repeat investigation using head MRI and cerebrospinal fluid analysis led to the diagnosis of LM. Conclusion This critical case report underscores the rarity of psychiatric‐onset LM originating from gastric cancer and highlights the importance of comprehensive neurological evaluations.","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135298271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyperthymic temperament predicts neural responsiveness for nonmonetary reward","authors":"Yukiko Ogura, Yumi Wakatsuki, Naoki Hashimoto, Tamaki Miyamoto, Yukiei Nakai, Atsuhito Toyomaki, Yukio Tsuchida, Shin Nakagawa, Takeshi Inoue, Ichiro Kusumi","doi":"10.1002/pcn5.140","DOIUrl":"https://doi.org/10.1002/pcn5.140","url":null,"abstract":"Abstract Aim Hyperthymic temperament is a cheerful action orientation that is suggested to have a protective effect on depressive symptoms. We recently reported that hyperthymic temperament can positively predict activation of reward‐related brain areas in anticipation of monetary rewards, which could serve as a biomarker of hyperthymic temperament. However, the relationship between hyperthymic temperament and neural responsiveness to nonmonetary rewards (i.e., feedback indicating success in a task) remains unclear. Methods Healthy participants performed a modified monetary incentive delay task inside a functional magnetic resonance imaging scanner. To examine the effect of nonmonetary positive feedback, the participants performed feedback and no‐feedback trials. We explored brain regions whose neural responsiveness to nonmonetary rewards was predicted by hyperthymic temperament. Results There was premotor area activation in anticipation of a nonmonetary reward, which was negatively predicted by hyperthymic temperament. Moreover, brain areas located mainly in the primary somatosensory area and somatosensory association area were activated by performance feedback, which was positively predicted by hyperthymic temperament. Conclusion We found that hyperthymic temperament is related to neural responsiveness to both monetary and nonmonetary rewards. This may be related to the process of affective regulation in the somatosensory area.","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135304879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depressive symptoms, burnout, resilience, and psychosocial support in healthcare workers during the COVID-19 pandemic: A nationwide study in Japan.","authors":"Nene Oyama, Mayumi Seki, Mari Nakai, Kyoko Miyamoto, Kayoko Nagao, Reo Morimitsu","doi":"10.1002/pcn5.136","DOIUrl":"10.1002/pcn5.136","url":null,"abstract":"<p><strong>Aim: </strong>The coronavirus disease 2019 pandemic has significantly impacted the mental health of healthcare workers. This study aimed to assess the mental health of healthcare workers and identify risk and protective factors.</p><p><strong>Methods: </strong>We surveyed 48,031 healthcare workers at 63 Japanese Red Cross hospitals from December 15, 2022 to January 15, 2023. Mental health was assessed using the Center for Epidemiologic Studies Depression Scale, the Japanese Burnout Scale, and 10-item Connor-Davidson Resilience Scale. Furthermore, we inquired about the psychosocial support activities provided to the healthcare workers within their workplaces.</p><p><strong>Results: </strong>This study included 3815 healthcare workers (250 doctors, 32 residents, 2588 nurses, 504 co-medical staff, and 441 administrative staff). Symptoms of depression were noted in 31.5% of all participants and 46.9% of resident doctors. Women and those who were young, lived alone, had a nonmanagement position, had contact with coronavirus disease 2019 patients, or had passive motivation to coronavirus disease 2019 work had a significantly higher total Center for Epidemiologic Studies Depression Scale score than in the corresponding groups with the opposite characteristics. High emotional exhaustion and depersonalization scores on the Japanese Burnout Scale were risk factors for depressive symptoms, while living with family was a protective factor. Moreover, interventions such as job performance support (skills, knowledge, information, and safety), peer support, and organizational support (infection control team, patient care rotation systems) were effective.</p><p><strong>Conclusion: </strong>The impact of the prolonged coronavirus pandemic on mental health among healthcare workers is clear, and organized psychosocial support is needed.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":" ","pages":"e136"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42908189","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}