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High-Frequency Heart Rate Variability Is Prospectively Associated With Sleep Complaints in a Healthy Working Cohort. 高频心率变异性与健康工作人群的睡眠不适有前瞻性关联
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-05-01 Epub Date: 2024-03-04 DOI: 10.1097/PSY.0000000000001302
Matthew R Cribbet, Julian F Thayer, Marc N Jarczok, Joachim E Fischer

Objective: Vagus nerve functioning, as indexed by high-frequency heart rate variability (HF-HRV), has been implicated in a wide range of mental and physical health conditions, including sleep complaints. This study aimed to test associations between HF-HRV measured during sleep (sleep HF-HRV) and subjective sleep complaints 4 years later.

Methods: One hundred forty-three healthy employees (91% male; MAge = 47.8 years [time 2], SD = 8.3 years) of an industrial company in Southern Germany completed the Jenkins Sleep Problems Scale, participated in a voluntary health assessment, and were given a 24-hour ambulatory heart rate recording device in 2007. Employees returned for a health assessment and completed the Jenkins Sleep Problems Scale 4 years later.

Results: Hierarchical regression analyses showed that lower sleep HF-HRV measured in 2007 was associated with higher self-reported sleep complaints 4 years later after controlling for covariates (rab,c = -0.096, b = -0.108, 95% CI, -0.298 to 0.081, ΔR2 = 0.009, p = .050).

Conclusions: These data are the first to show that lower sleep HF-HRV predicted worse sleep 4 years later, highlighting the importance of vagus nerve functioning in adaptability and health.

目的:以高频心率变异性(HF-HRV)为指标的迷走神经功能与包括睡眠不适在内的多种身心健康状况有关。本研究旨在测试睡眠期间测量的高频心率变异性(睡眠高频心率变异性)与 4 年后主观睡眠投诉之间的关联:2007 年,德国南部一家工业公司的 143 名健康员工(91% 为男性;平均年龄 = 47.8 岁[时间 2],标差 = 8.3 岁)填写了詹金斯睡眠问题量表,参加了自愿健康评估,并获得了 24 小时动态心率记录装置。4 年后,员工再次接受健康评估并填写詹金斯睡眠问题量表:层次回归分析表明,在控制协变量后,2007 年测量的较低睡眠 HF-HRV 与 4 年后较高的自我报告睡眠投诉相关(rab,c = -0.096, b = -0.108, 95% CI, -0.298 to 0.081, ΔR2 = 0.009, p = .050):这些数据首次表明,较低的睡眠HF-HRV可预测4年后较差的睡眠,突出了迷走神经功能在适应性和健康方面的重要性。
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引用次数: 0
Objective and Subjective Intraindividual Variability in Sleep: Predisposing Factors and Health Consequences. 睡眠的客观和主观个体差异:诱发因素和健康后果。
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-05-01 Epub Date: 2024-03-04 DOI: 10.1097/PSY.0000000000001301
Chenlu Gao, Michael K Scullin

Objective: We investigated the factors that predispose or precipitate greater intraindividual variability (IIV) in sleep. We further examined the potential consequences of IIV on overall sleep quality and health outcomes, including whether these relationships were found in both self-reported and actigraphy-measured sleep IIV.

Methods: In Study 1, 699 US adults completed a Sleep Intra-Individual Variability Questionnaire and self-reported psychosocial, sleep quality, and health outcomes. In Study 2, 100 university students wore actigraphy and completed psychosocial, sleep, and health surveys at multiple timepoints.

Results: In cross-sectional analyses that controlled for mean sleep duration, predisposing/precipitating factors to greater IIV were being an underrepresented racial/ethnic minority (Study 1: F = 13.95, p < .001; Study 2: F = 7.03, p = .009), having greater stress (Study 2: r values ≥ 0.32, p values ≤ .002) or trait vulnerability to stress (Study 1: r values ≥ 0.15, p values < .001), and showing poorer time management (Study 1: r values ≤ -0.12, p values ≤ .004; Study 2: r values ≤ -0.23, p values ≤ .028). In addition, both studies showed that greater sleep IIV was associated with decreased overall sleep quality, independent of mean sleep duration (Study 1: r values ≥ 0.20, p values < .001; Study 2: r values ≥ 0.33, p values ≤ .001). Concordance across subjective and objective IIV measures was modest ( r values = 0.09-0.35) and similar to concordance observed for subjective-objective mean sleep duration measures.

Conclusion: Risk for irregular sleep patterns is increased in specific demographic groups and may be precipitated by, or contribute to, higher stress and time management inefficiencies. Irregular sleep may lead to poor sleep quality and adverse health outcomes, independent of mean sleep duration, underscoring the importance of addressing sleep consistency.

目的我们研究了导致或加剧睡眠个体内变异性(IIV)的因素。我们进一步研究了个体内变异性对整体睡眠质量和健康结果的潜在影响,包括在自我报告的睡眠个体内变异性和行动仪测量的睡眠个体内变异性中是否发现了这些关系:在研究 1 中,699 名美国成年人填写了睡眠个体内变异性问卷,并自我报告了社会心理、睡眠质量和健康状况。在研究 2 中,100 名大学生在多个时间点佩戴了行动计,并完成了社会心理、睡眠和健康调查:结果:在控制了平均睡眠时间的横截面分析中,导致 IIV 增加的易感/诱发因素包括:少数种族/族裔代表性不足(研究 1:F = 13.95,p < .001;研究 2:F = 7.03,p = .009)、压力较大(研究 2:r 值≥ 0.32,p 值≤ 0.002)或特质易受压力影响(研究 1:rs ≥ 0.15,ps < 0.001),以及时间管理能力较差(研究 1:r = -0.23,p < 0.001;研究 2:rs ≤ -0.26,ps ≤ 0.013)。此外,两项研究均表明,睡眠 IIV 越大,总体睡眠质量越低,这与平均睡眠时间无关(研究 1:rs ≥ 0.20,ps < 0.001;研究 2:rs ≥ 0.33,ps ≤ 0.001)。主观和客观 IIV 测量的一致性不高(rs:0.09-0.35),与主观-客观平均睡眠时间测量的一致性相似:结论:睡眠不规律的风险在特定人口群体中有所增加,可能是由于压力较大和时间管理效率较低造成的。睡眠不规律可能导致睡眠质量差和不良健康后果,这与平均睡眠时间无关,因此强调了解决睡眠一致性问题的重要性。
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引用次数: 0
Article Summaries for May 2024 Psychosomatic Medicine, Volume 86, Issue 4. 2024 年 5 月文章摘要 《心身医学》第 86 卷第 4 期。
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.1097/PSY.0000000000001318
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引用次数: 0
Nightly Sleep Predicts Next-Morning Expectations for Stress and Positive Experiences. 夜间睡眠可预测第二天早晨对压力和积极体验的预期。
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-05-01 Epub Date: 2024-03-13 DOI: 10.1097/PSY.0000000000001303
Jin H Wen, Patrick Klaiber, Kate A Leger, Patrick L Hill, Gabrielle N Pfund, Danica C Slavish, Anita DeLongis, Nancy L Sin

Objective: Abundant research has linked nightly sleep as an antecedent of daily psychosocial experiences; however, less is known about sleep's influence on daily expectations of these experiences. Therefore, this research examined the day-to-day associations of sleep quality, duration, and efficiency with next-day expectations for stress(ors) and positive experiences, as well as whether these expectations were related to end-of-day reports of physical symptoms.

Methods: In Study 1, U.S. adults ( n = 354; ages 19 to 74) completed twice-daily diaries for 10 weekdays about sleep, expectations for encountering daily stressors and positive events, and physical symptoms. In Study 2, adults in Canada ( n = 246; ages 25 to 87) wore a sleep watch for 14 consecutive days and completed mobile surveys 5×/day about sleep, stressfulness and pleasantness expectations, and physical symptoms.

Results: Multilevel models indicated that self-reported sleep quality and duration, but not efficiency, were associated with lower next-day expectations for stressors (Study 1) and stressfulness (Study 2). Self-reported sleep quality (Study 1) and all sleep indices (Study 2) predicted greater next-day expectations for positive events and pleasantness, respectively. For actigraphy-assessed sleep (Study 2), only longer-than-usual actigraphic sleep duration was associated with lower stressfulness expectations, whereas both sleep duration and efficiency were positively linked with daily pleasantness expectations. Only pleasantness expectations (Study 2)-but not daily stressfulness and event expectations (Study 1)-predicted end-of-day physical symptoms.

Conclusion: Findings suggest the importance of sleep on expectations of next-day stress and positive experiences, of which may have implications for daily physical health.

研究目的大量研究表明,夜间睡眠是日常社会心理体验的先决条件;然而,人们对睡眠对这些体验的日常预期的影响却知之甚少。因此,本研究考察了睡眠质量、持续时间和效率与第二天对压力(或)和积极体验的预期之间的日常关联,以及这些预期是否与当天结束时的身体症状报告有关:在研究1中,美国成年人(n = 354;年龄在19至74岁之间)在10个工作日内每天两次填写有关睡眠、对日常压力和积极事件的预期以及身体症状的日记。在研究2中,加拿大的成年人(n = 246;年龄在25岁至87岁之间)连续14天佩戴睡眠手表,每天5次完成有关睡眠、压力和愉快预期以及身体症状的移动调查:多层次模型显示,自我报告的睡眠质量和持续时间(而非效率)与第二天较低的压力预期(研究 1)和压力预期(研究 2)有关。自我报告的睡眠质量(研究 1)和所有睡眠指数(研究 2)分别预测了第二天对积极事件和愉快程度的更高期望值。就动图法评估的睡眠而言(研究 2),只有比正常动图法睡眠时间长的睡眠才与较低的压力感预期相关,而睡眠时间和睡眠效率都与每日愉快感预期呈正相关。只有愉快度预期(研究2),而非每日压力性预期和事件预期(研究1)可预测日终身体症状:结论:研究结果表明,睡眠对第二天的压力和积极体验的预期具有重要影响,这可能会对日常身体健康产生影响。
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引用次数: 0
Cover 封面
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.1097/01.psy.0001022940.03461.48
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引用次数: 0
Exploring the Interplay Between Stress, Sleep, and Health: A Special Issue Commemorating the Contributions of Dr. Martica Hall. 探索压力、睡眠与健康之间的相互作用:纪念 Martica Hall 博士贡献的特刊。
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.1097/PSY.0000000000001309
Wendy M Troxel, Julian F Thayer, Daniel J Buysse
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引用次数: 0
Effects of Chronic Pain Diagnoses on the Antidepressant Efficacy of Transcranial Magnetic Stimulation. 慢性疼痛诊断对经颅磁刺激抗抑郁疗效的影响
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-04-26 DOI: 10.1097/psy.0000000000001311
Houtan Totonchi Afshar, Joel N Fishbein, Erica J Martinez, Gage M Chu, Mohammad A Shenasa, Dhakshin Ramanathan, Matthew S Herbert
Major depressive disorder (MDD) and chronic pain are highly comorbid and bidirectionally related. Repetitive transcranial magnetic stimulation (rTMS) over the dorsolateral prefrontal cortex is effective in treating MDD, but additional research is needed to determine if chronic pain interferes with rTMS for MDD.
重度抑郁障碍(MDD)和慢性疼痛是高度合并和双向相关的疾病。对背外侧前额叶皮层进行重复经颅磁刺激(rTMS)可有效治疗重度抑郁症,但慢性疼痛是否会干扰经颅磁刺激治疗重度抑郁症还需要进一步研究。
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引用次数: 0
Unconscious activation of negative emotional memories increases pain unpleasantness. 负面情绪记忆的无意识激活会增加疼痛的不愉快感。
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-04-26 DOI: 10.1097/PSY.0000000000001315
Stephan Frisch, Steffen Walter, Vanessa Rebhann, Sascha Gruss, Daniela Geisel, Karl-Jürgen Bär, Harald Gündel, R. D. Lane, Ryan Smith
OBJECTIVEThe influence of unconscious emotional processes on pain remains poorly understood. The present study tested whether cues to forgotten unpleasant images might amplify pain (i.e., in the absence of conscious recall).METHODS72 healthy female adults (19 to 34 years) performed an adapted Think/No-think paradigm (T/NT) using 72 combinations of neutral face images (cues) paired with 36 neutral & 36 unpleasant images. After completion of the T/NT task, cues associated with forgotten neutral or unpleasant images were identified. Cues to either neutral or unpleasant images from the NT condition were then presented in randomized order while participants received intermediate-level thermal pain stimulation on the left hand. Ratings of both pain intensity and unpleasantness were acquired after each trial.RESULTSMean pain unpleasantness ratings were greater during presentation of cues to forgotten negative vs. neutral images (5.52 [SD = 2.06] vs. 5.23 [SD = 2.10]; p = 0.02). This pattern was also present when comparing cues to remembered negative vs. neutral images (5.62 [SD = 1.94] vs. 5.04 [SD = 1.90]; p < .001). Mean pain intensity ratings were higher for cues to negative vs. neutral images when remembered (5.48 [SD = 1.79] vs. 5.00 [SD = 1.69]; p < .001), but not when forgotten (5.27 [SD = 1.96] vs. 5.16 [SD = 1.93]; p = 0.30).CONCLUSIONSUsing an adapted T/NT-Pain paradigm, this study demonstrated that cues to non-recallable (but potentially unconsciously activated) negative emotional memories amplify pain unpleasantness, similar to known effects of conscious negative emotions.
目的:人们对无意识情绪过程对疼痛的影响仍然知之甚少。本研究测试了被遗忘的不愉快图像的线索是否会放大疼痛(即在没有有意识回忆的情况下)。方法72名健康女性成人(19-34岁)使用72种中性面部图像(线索)组合与36种中性和36种不愉快图像配对,进行了改编的 "思考/不思考 "范式(T/NT)。完成 T/NT 任务后,识别出与被遗忘的中性或不愉快图像相关的线索。然后,在参与者左手接受中度热痛刺激的同时,以随机顺序显示 NT 条件下的中性或不愉快图像提示。结果在呈现被遗忘的负面图像提示时,平均疼痛不快感评分高于中性图像(5.52 [SD = 2.06] vs. 5.23 [SD = 2.10];P = 0.02)。当比较记忆中的负面图像与中性图像的提示时,也出现了这种模式(5.62 [SD = 1.94] vs. 5.04 [SD = 1.90]; p < .001)。在记忆时,负性图像与中性图像线索的平均疼痛强度评分更高(5.48 [SD = 1.79] vs. 5.00 [SD = 1.69];p < .001),但在遗忘时则不然(5.27 [SD = 1.96] vs. 5.16 [SD = 1.93];p = 0.30)。结论通过改编的T/NT-疼痛范式,本研究证明了不可回忆(但可能在无意识中被激活)的负面情绪记忆线索会放大疼痛的不快感,这与已知的有意识负面情绪的影响类似。
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引用次数: 0
Putting the Vicious Cycle to the Test: Evidence for the Cognitive Behavioral Model of Persistent Somatic Symptoms from an Online Study. 恶性循环测试:一项在线研究为持续性躯体症状的认知行为模型提供了证据。
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-04-26 DOI: 10.1097/PSY.0000000000001313
Alexander H. J. Sahm, M. Witthöft, Josef Bailer, Daniela Mier
OBJECTIVEIn clinical practice, persistent somatic symptoms are regularly explained using a cognitive-behavioral model (CBM). In the CBM, predisposing, perpetuating, and precipitating factors are assumed to interact and to cause the onset and endurance of somatic symptoms. However, these models are rarely investigated in their entirety.METHODSWe conducted an online-survey during the Corona pandemic. 2,114 participants from the general German population completed questionnaires that measured different factors of the CBM. We used state negative affectivity and neuroticism as predisposing factors, fear of a COVID-19 infection as precipitating factor, and somatic symptoms, misinterpretation of bodily symptoms, attention allocation to bodily symptoms, and health anxiety as perpetuating factors. Moreover, we added safety and avoidance behavior as endpoints to the model. We conducted a psychological network analysis to exploratively study the relationships between the model's different factors and tested the assumptions of the CBM by evaluating a structural equation model (SEM) that incorporated all factors of the model.RESULTSNetwork analyses revealed clustering in our data: Health anxiety and different cognitive factors are closely related, while somatic symptoms and state negative affectivity are strongly associated. Our SEM showed adequate fit.CONCLUSIONSOur findings from an exploratory and a confirmatory approach give empirical support for the CBM, suggesting it as a suitable model to explain bodily symptoms in the general population and to possibly guide clinical practice. The network model additionally indicates the necessity to apply an individualized CBM for patients, depending on a preponderance of either persistent somatic symptoms or health concerns.
目的 在临床实践中,人们经常使用认知行为模型(CBM)来解释持续性躯体症状。在认知行为模型中,假定易感因素、持续因素和诱发因素相互作用,导致躯体症状的出现和持续。我们在科罗娜大流行期间进行了一次在线调查。我们在科罗娜大流行期间进行了一次在线调查,来自德国普通人群的 2,114 名参与者填写了调查问卷,测量了 CBM 的不同因素。我们将消极情绪和神经质作为易感因素,将对 COVID-19 感染的恐惧作为诱发因素,将躯体症状、对身体症状的误解、对身体症状的注意力分配和健康焦虑作为持续因素。此外,我们还在模型中加入了安全和回避行为作为终点。我们进行了心理网络分析,探索性地研究了模型中不同因素之间的关系,并通过评估包含模型中所有因素的结构方程模型(SEM)来检验 CBM 的假设:健康焦虑和不同的认知因素密切相关,而躯体症状和消极情绪状态密切相关。结论我们的探索性和确认性研究结果为 CBM 提供了实证支持,表明它是解释普通人群躯体症状的合适模型,并有可能指导临床实践。该网络模型还表明,有必要根据持续性躯体症状或健康问题的多寡,为患者应用个性化的 CBM。
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引用次数: 0
Mitochondrial health, physical functioning, and daily affect: Bioenergetic mechanisms of dementia caregiver well-being. 线粒体健康、身体机能和日常情绪:痴呆症照护者福祉的生物能量机制。
IF 3.3 3区 医学 Q2 Medicine Pub Date : 2024-04-26 DOI: 10.1097/PSY.0000000000001312
E. L. Wu-Chung, Luis D Medina, Jensine Paoletti-Hatcher, Vincent D. Lai, Jennifer M Stinson, Itee Mahant, Paul E Schulz, C. Heijnen, Christopher P Fagundes
OBJECTIVEChronic stress adversely affects mental and physical well-being. However, health outcomes vary among people experiencing the same stressor. Individual differences in physical and emotional well-being may depend on mitochondrial biology, as energy production is crucial for stress regulation. This study investigated whether mitochondrial respiratory capacity corresponds to individual differences in dementia spousal caregivers' mental and physical health.METHODSSpousal caregivers of individuals with Alzheimer's disease and related dementias (N = 102, mean age = 71, 78% female, 83% White) provided peripheral blood samples and completed self-report questionnaires on quality of life, caregiver burden, and a 7-day affect scale. Multiple and mixed linear regression were used to test the relationship between mitochondrial biology and well-being.RESULTSSpare respiratory capacity (b = 12.76, CI[5.23, 20.28 ], p = .001), maximum respiratory capacity (b = 8.45, CI [4.54, 12.35], p < .0001), and ATP-linked respiration (b = 10.11, CI [5.05, 15.18], p = .0001) were positively associated with physical functioning. At average (b = -2.23, CI [-3.64, -.82], p = .002) and below average (b = -4.96, CI [-7.22, 2.70], p < .0001) levels of spare respiratory capacity, caregiver burden was negatively associated with daily positive affect. At above average levels of spare respiratory capacity, caregiver burden was not associated with positive affect (p = .65).CONCLUSIONSFindings suggest that better mitochondrial health is associated with better psychological and physical health - a pattern consistent with related research. These findings provide some of the earliest evidence that cellular bioenergetics are related to well-being.
目的长期压力会对身心健康产生不利影响。然而,经历相同压力的人的健康状况却各不相同。身体和情绪健康方面的个体差异可能取决于线粒体生物学,因为能量产生对压力调节至关重要。本研究调查了线粒体呼吸能力是否与痴呆症配偶照顾者身心健康的个体差异相对应。方法阿尔茨海默氏症和相关痴呆症患者的配偶照顾者(102 人,平均年龄 71 岁,78% 为女性,83% 为白人)提供外周血样本,并完成关于生活质量、照顾者负担和 7 天情绪量表的自我报告问卷。结果剩余呼吸能力(b = 12.76,CI [5.23,20.28 ],p = .001)、最大呼吸能力(b = 8.45,CI [4.54,12.35],p < .0001)和 ATP 链接呼吸(b = 10.11,CI [5.05,15.18],p = .0001)与身体功能呈正相关。在剩余呼吸能力达到平均水平(b = -2.23,CI [-3.64, -.82],p = .002)和低于平均水平(b = -4.96,CI [-7.22, 2.70],p < .0001)时,照顾者的负担与日常积极情绪呈负相关。结论研究结果表明,更好的线粒体健康与更好的心理和身体健康相关--这一模式与相关研究一致。这些研究结果为细胞生物能与幸福感的关系提供了一些最早的证据。
{"title":"Mitochondrial health, physical functioning, and daily affect: Bioenergetic mechanisms of dementia caregiver well-being.","authors":"E. L. Wu-Chung, Luis D Medina, Jensine Paoletti-Hatcher, Vincent D. Lai, Jennifer M Stinson, Itee Mahant, Paul E Schulz, C. Heijnen, Christopher P Fagundes","doi":"10.1097/PSY.0000000000001312","DOIUrl":"https://doi.org/10.1097/PSY.0000000000001312","url":null,"abstract":"OBJECTIVE\u0000Chronic stress adversely affects mental and physical well-being. However, health outcomes vary among people experiencing the same stressor. Individual differences in physical and emotional well-being may depend on mitochondrial biology, as energy production is crucial for stress regulation. This study investigated whether mitochondrial respiratory capacity corresponds to individual differences in dementia spousal caregivers' mental and physical health.\u0000\u0000\u0000METHODS\u0000Spousal caregivers of individuals with Alzheimer's disease and related dementias (N = 102, mean age = 71, 78% female, 83% White) provided peripheral blood samples and completed self-report questionnaires on quality of life, caregiver burden, and a 7-day affect scale. Multiple and mixed linear regression were used to test the relationship between mitochondrial biology and well-being.\u0000\u0000\u0000RESULTS\u0000Spare respiratory capacity (b = 12.76, CI[5.23, 20.28 ], p = .001), maximum respiratory capacity (b = 8.45, CI [4.54, 12.35], p < .0001), and ATP-linked respiration (b = 10.11, CI [5.05, 15.18], p = .0001) were positively associated with physical functioning. At average (b = -2.23, CI [-3.64, -.82], p = .002) and below average (b = -4.96, CI [-7.22, 2.70], p < .0001) levels of spare respiratory capacity, caregiver burden was negatively associated with daily positive affect. At above average levels of spare respiratory capacity, caregiver burden was not associated with positive affect (p = .65).\u0000\u0000\u0000CONCLUSIONS\u0000Findings suggest that better mitochondrial health is associated with better psychological and physical health - a pattern consistent with related research. These findings provide some of the earliest evidence that cellular bioenergetics are related to well-being.","PeriodicalId":20918,"journal":{"name":"Psychosomatic Medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Psychosomatic Medicine
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