Turk psikiyatri dergisi = Turkish journal of psychiatry最新文献

{"title":"The Relationship Between Post-earthquake Trauma Levels and Sleep Quality in University Students: A Cross-Sectional Study.","authors":"Rukuye Aylaz, Fidan Balkaya, Fatoş Uncu","doi":"10.5080/u27374","DOIUrl":"10.5080/u27374","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the relationship between the level of trauma experienced after the earthquake and sleep.</p><p><strong>Method: </strong>In this cross-sectional study, data were collected from 773 nursing students studying at two state universities located at the earthquake-affected provinces. Post-Earthquake Trauma Level Determination Scale, and Pittsburgh Sleep Quality Index were used in the study.</p><p><strong>Results: </strong>The average score on the Post-Earthquake Trauma Level Determination Scale was 56,81&plusmn;17,68 for female students and 50.84&plusmn;16.98 for male students (p&lt;0.001). The students who had a history of a psychiatric disorder, whose houses were severely damaged and whose relatives were trapped under rubble were more affected by the earthquake (p&lt;0.001). It was found that the students with low income, heavily damaged residences, and whose relatives were trapped under rubble had worse sleep quality (p&lt;0.001). A weak positive correlation was determined between the Post-Earthquake Trauma Level Determination Scale and the Pittsburgh Sleep Quality Index (r=0.444, p&lt;0.001).</p><p><strong>Conclusion: </strong>In this study, it was revealed that female students, who were trapped under the rubble and whose houses were heavily damaged, were greatly affected by the earthquake. These students should be identified by school administrations and receive psychological support. Their trauma levels and sleep qualities should also be assessed following the earthquake. ​Keywords: Earthquakes, Trauma, Sleep, Students.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260462","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":"Discrimination of Speech Content in Unipolar Depression and Bipolar Mania: A Computer-Based Analysis with \"General Inquirer\".","authors":"Aslı Tuğba Esen, Ahmet Levent Mete, Necip Çapraz, Almıla Erol","doi":"10.5080/u27618","DOIUrl":"10.5080/u27618","url":null,"abstract":"<p><strong>Objective: </strong>Speech disorders in mental illnesses are usually chronic and associated with poorer outcome. Recently, different types of speech features in mental illnesses can be examined by computer technology. The aim of our study is to examine the content of speech in depression and mania and to investigate the themes that differentiate the diagnostic groups.</p><p><strong>Method: </strong>30 patients diagnosed with depression, 30 patients diagnosed with bipolar disorder manic episode and 30 healthy control were included in the study. All participants were performed with the Structured Clinical Interview for DSM-IV Axis I Disorders. The participants were asked to speak free for ten minutes and then their speech content was analyzed with the &ldquo;General Inquirer&rdquo; computer program. This program analyzes the participants&rsquo; use of a total of 4919 words in the Harvard Psychosocial Dictionary, which are categorized in 83 themes on topics related to psychosocial, emotion, behavior, thought, natural and cultural environment.</p><p><strong>Results: </strong>The diagnostic groups were identified by speech content categories with an accuracy rate of 81%. Patients in mania and depression groups were clustered in the same direction in discriminant analysis by the themes of speech content. &lsquo;&rsquo;self&rsquo;&rsquo; and &lsquo;&rsquo;academic&rsquo;&rsquo; themes were the most discriminative categories between the patient and control groups.</p><p><strong>Conclusion: </strong>The content of speech in mania and depression is different from individuals without mental disorders and that computer-assisted analysis tools can distinguish diagnostic groups from each other and from healthy group. Future studies in which structural, vocal and content features of speech are evaluated together and used more advanced computer technologies will contribute to the literature.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260562","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":"Relationship Between Emotion Regulation Difficulties and Gambling Tendencies of University Students.","authors":"Dilek Ayakdaş Dağli, Nesrin Çunkuş Köktaş, Hülya Arslantaş, Leyla Baysan Arabaci","doi":"10.5080/u27412","DOIUrl":"10.5080/u27412","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the relationship between university students' difficulties regulating emotions and their tendency to gamble.</p><p><strong>Method: </strong>The population of this cross-sectional and correlational study consisted of 69,000 undergraduate level students studying at three state universities in three different provinces in Turkey between February-September 2022. Based on the calculation using the sampling method of the known population, study data were collected face-to-face from 750 students. The data were collected using three tools: a descriptive information form, the South Oaks Gambling Screening Test (SOGS), and the Difficulties in Emotion Regulation Scale-Brief Form (DERS-16). Descriptive statistics, Pearson correlation and Multiple Linear Regression analysis were used to analyze the relationship among the scales' mean scores.</p><p><strong>Results: </strong>Of the participating university students, 51.6% were female and 48.4% were male. Of these students, 42% stated that they had gambled at least once in their lives and 25.3% of them were still gambling. The mean DERS score was 38.14±14.37, which indicated a moderate difficulty in emotional regulation, and the mean SOGS score was 5.12±3.18. A positive and significant correlation was found between DERS SOGS (r=0.304, p<0.05). It was determined that university students' tendency to gamble was predicted by the three sub-dimensions of the DERS (Clarity (β=0.258, p=0.001), Purpose (β=0.156, p=0.021) and Non-Acceptance (β=1.768, p=0.001)), being male and gambling status in the family (p<0.05).</p><p><strong>Conclusion: </strong>Emotional regulation difficulties in university students may play an important role in their gambling tendencies.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260458","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":"Turkish Adaptation of the Revised Version of the Diagnostic Criteria for Psychosomatic Research (DCPR-R): A Validity and Reliability Study.","authors":"Muhammed Hakan Aksu, Damla Erbil, İrem Ekmekçi Ertek, Buket Koparal, Doğa Yöntem Aykurt, İhsan Yelli, Fatma Yaprak, Gökçenur Şimşek Avci, Çağatay Haşim Yurtseven, Meltem Çinar Bozdağ, Bahadır Geniş, Behcet Coşar, Ömer Aydemir","doi":"10.5080/u27635","DOIUrl":"10.5080/u27635","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to adapt the Diagnostic Criteria for Psychosomatic Research-Revised Semi-Structured Interview (DCPR-R-SSI) into Turkish and assess its psychometric properties.</p><p><strong>Method: </strong>This study was conducted with two separate samples of patients diagnosed with psychosomatic disorders between the ages of 18-65 at Gazi University Psychiatry Clinic. For inter-rater reliability analysis, a sample of 100 participants was evaluated by two raters and kappa coefficient was calculated. Validity analysis used samples from both patient and community groups. For criterion validity, the relationship between DCPR diagnoses and the Hospital Anxiety Depression Scale (HADS), Patient Health Questionnaire 15 (PHQ- 15), Health Anxiety Inventory (HAI) and Toronto Alexithymia Scale (TAS) was analyzed with the Point Biserial Correlation Coefficient. The distribution of DCPR diagnoses in the community and hospital samples was analyzed.</p><p><strong>Results: </strong>The mean age of the sample for inter-rater reliability analysis was 33.5&plusmn;13.0 years and 55% were female. Kappa values for 14 DCPR-R diagnoses were between 0.823-0.964. The hospital and community samples included 110 people from the community and 100 from the hospital. In the validity analyses, Allostatic Overload showed a significant relationship with HADS-Depression, HADS-Anxiety, PHQ-15 and HAI. Demoralization and Demoralization with Hopelessness showed a significant relationship with all scales. Type A Behavior was weakly correlated with all scales, whereas Alexithymia was strongly correlated with the TAS. The five most common DCPR-R diagnoses were Allostatic Overload (55.2%), Demoralization (36.1%), Alexithymia (29.0%), Type A Behavior (27.6%), Irritable Mood (15.7%), Persistent Somatization (11.9%) and Health Anxiety (10.9%).</p><p><strong>Conclusion: </strong>This study demonstrated that the Turkish version of DCPR-R is a valid and reliable measurement tool.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260485","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":"Approach To Families Of Children With Developmental Language Disorder From A Neurodevelopmental Perspective.","authors":"Begüm Yuluğ-Taş, Gonca Özyurt, Öykü Yavuz-Kan, Gözde Ulaş, Gonca Gökmen, Elif Oral","doi":"10.5080/u27755","DOIUrl":"10.5080/u27755","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the presence of neurodevelopmental disorder symptoms in the parents of children diagnosed with language disorder (LD) and to compare these characteristics with those of parents of typically developing children.</p><p><strong>Method: </strong>The study included 76 children diagnosed with LD and 71 typically developing controls, along with their parents. The diagnosis of LD was based on DSM-5 criteria. Language and other developmental domains were assessed using the Denver II developmental screening test. Neurodevelopmental symptoms in parents were evaluated using the Wender-Utah Rating Scale (WURS), the Toronto Alexithymia Scale (TAS), and the Autism Spectrum Quotient (AQ).</p><p><strong>Results: </strong>Maternal education level was significantly lower in the LD group compared to parents of typically developing children (p&lt;0.001). Parents of children with LD scored significantly higher on the TAS, WURS, and AQ scales compared to the control group (all p &lt;0.001). Deficits in speech and language abilities were observed among the children of parents who obtained high scores (p&lt;0.001, p&lt;0.001, p=0.006).</p><p><strong>Conclusion: </strong>The presence of neurodevelopmental symptoms in parents may confer the risk of language, cognitive, and other neurodevelopmental delays in their children. Early diagnosis and family-centered intervention approaches are critical to mitigating these risks and supporting psychosocial functioning.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"651-658"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852167","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 Impulse Control, Emotional and Cognitive Regulation Mechanisms and Heart Rate Variability.","authors":"Gülizar Yakut, Hayri Can Özden, Yusuf Ziya Şener, Uğur Canpolat, Necla Özer, Jale Karakaya, Başaran Demir","doi":"10.5080/u27525","DOIUrl":"10.5080/u27525","url":null,"abstract":"<p><strong>Objectives: </strong>The study aims to compare heart rate variability (HRV) in borderline personality disorder (BPD) with healthy individuals and to investigate the relationships between HRV parameters and impulsivity, emotion regulation, and neurocognitive performances.</p><p><strong>Method: </strong>Twenty-one female patients with the diagnosis of BPD and twenty healthy women were enrolled in this study. All participants were assessed by a structured clinical interview for DSM-IV Axis I Disorders and the Minnesota Impulse Control Disorder Interview Scale. They were asked to fill out a sociodemographic information form, a Borderline Personality Inventory, the Barratt Impulsivity Scale-11, the UPPS Impulsive Behavior Scale, and the Difficulties in Emotion Regulation Scale. The trial-making test, the Wisconsin card sorting test, the verbal fluency test, the Stroop test-TABG form, and the continuous performance test were applied. Holter recordings were taken from the participants at rest and while they watched emotion-evoking videos, and HRV parameters were calculated.</p><p><strong>Results: </strong>While watching neutral and fear videos, the low-frequency band/ high-frequency band ratio (LF/HF) was found to be higher in the patient group compared to the control group, and no difference was found in the other parameters. A number of differences in terms of impulse control, affect regulation, and neurocognitive skills have been determined (p&lt;0.05). However, there was no correlation between HRV and self-report scales and neurocognitive test scores.</p><p><strong>Conclusion: </strong>Contrary to our hypothesis, HRV is found to be similar between BPD patients and healthy subjects. HRV was not associated with impulse control, affect regulation or cognitive functions.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260464","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 Scope Of Authorıty For Securıty Personnel In Addıctıon Rehabılıtatıon Centers: An Ongoıng Issue.","authors":"Mustafa Danişman, Gamze Zengin Ispir, Kübra Sezer Katar, Zehra Uçar Hasanli","doi":"10.5080/u27558","DOIUrl":"10.5080/u27558","url":null,"abstract":"<p><p>Based on our experiences over the past years, individuals who either apply for outpatient services or are receiving inpatient treatment at Alcohol and Substance Abuse Treatment Centers (AMATEM) may attempt to bring in narcotic drugs or substances for purposes such as drug use or drug trafficking to these clinics (&Ouml;gel 2010).</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260395","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":"Continued or Discontinued Antidepressant Treatment During Pregnancy? A Single Center Long Term Follow-up Study.","authors":"Zeynep Tirmikçioğlu","doi":"10.5080/u27730","DOIUrl":"10.5080/u27730","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the long-term follow-up data and risks associated with untreated depression and antidepressant use in pregnancy.</p><p><strong>Method: </strong>Patients who received consultation at the Clinical Pharmacology and Toxicology Unit at the Izmir Ataturk Research and Training Hospital for concerns related to use of medication during pregnancy between 2016 and 2020 were included in the study. During the initial interviews with the patients, data were collected regarding maternal characteristics and drug exposures. In follow-up calls after delivery, detailed information about pregnancy and birth outcomes was gathered.</p><p><strong>Results: </strong>Among 2323 pregnant women who sought consultation due to drug use during pregnancy, 17% were receiving antidepressant treatment (398/2323). In follow-up calls, 290 women were reached. In women who had received no therapy during pregnancy (n=240), rates of gestational diabetes (p=0.02), pregnancy depression (p=0.01), postpartum depression (p&lt;0.0001), and decreased breast milk (p=0.02) were significantly higher compared to women who continued treatment (n=50).</p><p><strong>Conclusion: </strong>In pregnant individuals with an ongoing antidepressant use, the benefits and risks of antidepressant continuation should be weighed carefully.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"639-650"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852144","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 Mediating Role of the Primary Emotional Systems and Rumination on the Relationship Between Resilience and Perceived Stress.","authors":"Jamal Hasanli, Yasemin Hoşgören Alici, Arda Bağcaz","doi":"10.5080/u27584","DOIUrl":"10.5080/u27584","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the potential mediating influence of primary emotional systems and rumination on the relationship between resilience and perceived stress.</p><p><strong>Method: </strong>A sample of 503 undergraduate students completed a selfreport battery including the Perceived Stress Scale (PSS), the Brief Resilience Scale (BRS), the Ruminative Responses Scale&ndash;Brief Form (RRS-BF), and the Affective Neuroscience Personality Scale (ANPS). Common method bias was assessed and found not to be a significant concern. Hypothesized relationships and indirect effects were tested using path analysis and mediation analysis (bootstrapping), with model fit assessed via CFI, TLI, RMSEA, and BIC indices.</p><p><strong>Results: </strong>The final model, controlling for gender and age, demonstrated good fit (&chi;&sup2;/df = 2.91, RMSEA = 0.068, TLI = 0.963, CFI = 0.998). Resilience was negatively associated with the FEAR, SADNESS, and ANGER systems, brooding, and perceived stress (all p&lt;0.001). FEAR and SADNESS were positively associated with brooding and perceived stress. Brooding was positively associated with perceived stress. Bootstrap analyses confirmed significant indirect effects of resilience on perceived stress through FEAR, SADNESS, ANGER, and brooding (&beta;= -0.253, p = 0.011).</p><p><strong>Conclusion: </strong>Resilience capacity may influence stress evaluation through its relationship with primary emotional systems and rumination. These findings suggest that interactions between subcortical emotional mechanisms and cortical processes play a role in stress perception. Further research should investigate negative primary emotional systems as potential neuromodulation targets in stress processing Keywords: Affective.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"615-626"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852118","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 the Role of Type D Personality Traits in Predicting Depression and Anxiety Symptoms in Postpartum Women.","authors":"Nesrin Çunkuş Köktaş, Gülay Taşdemir","doi":"10.5080/u27482","DOIUrl":"10.5080/u27482","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the role of type D personality traits in predicting depression and anxiety symptoms in women in the postpartum period.</p><p><strong>Method: </strong>The study is correlational and case-controlled. The sample consisted of 319 women in the postpartum period living in a province in western T&uuml;rkiye. Type D Personality Scale (DS14), Edinburgh Postpartum Depression Scale (EPDS), and State-Trait Anxiety Inventory (STAI) were administered. Data were collected via Google Forms between January and February 2022.</p><p><strong>Results: </strong>62.4% of women in the postpartum period had type D personality characteristics. Postpartum depression and state-trait anxiety levels of women with type D personality were significantly higher (p&lt;0.05). Additionally, the negative affect subscale of the Type D Personality Scale was the most significantly associated variable with postpartum depression (&beta;=0.548, p&lt;0.05) and state-trait anxiety (&beta;=0.709, p&lt;0.05).</p><p><strong>Conclusion: </strong>Personality traits can play an important role in the emergence of depression, anxiety and stress. Improving the coping and interpersonal skills of women with type D personality traits can help them to manage pregnancy, birth and motherhood related mental problems.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260558","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}