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Manifestation of Psychosis and Impairments of Executive Functions emphasize the Interaction of Psychological and Neurological Dysfunctions in People who use Methamphetamine 吸食甲基苯丙胺者的精神病表现和执行功能障碍强调心理和神经功能障碍的相互作用
IF 0.4 Q4 PSYCHIATRY Pub Date : 2024-01-09 DOI: 10.2174/0126660822267387231215061934
Nutthika Chaidee, Natcharee Kraiwattanapirom, Vorasith Siripornpanich, Jirapa Chetsawang, B. Chetsawang
Cumulative evidence has demonstrated the neurotoxic effect of methamphetamine(Meth on the central nervous system. Meth can induce psychotic symptoms and impairments of cognitiveabilities, including executive function (EF).Cumulative evidence has demonstrated the neurotoxic effect of methamphetamine (Meth) on the central nervous system (CNS).In this study, we hypothesized the interaction of the neurotoxic effects of Meth on psychoticsymptoms and EF performances. The Stroop test evaluated the EF performances, Go/No-Go task,one-back test (OBT), and Wisconsin Card Sorting Test (WCST) in people who use Meth with psychosis(MWP) and without psychosis (MWOP) compared with healthy control participantsIn this study, we hypothesized that the psychotic symptoms might be vulnerable factors to disturb EF performances in Meth abusers.The results showed that MWOP and MWP exhibited EF deficits in attention, workingmemory, and initial conceptualization. Moreover, a deficit in inhibition was observed in MWOP,while poorer processing speed and cognitive flexibility were found in MWP.The correlation between psychotic symptoms and poor EF performances was observedin MWP. These findings underline the interaction of the mechanistic neurotoxic effect of Meth toinduce psychological and neurological dysfunctions in people who use Meth.
累积的证据表明,甲基苯丙胺对中枢神经系统具有神经毒性作用。在本研究中,我们假设甲基苯丙胺的神经毒性效应对精神病症状和执行功能(EF)表现的相互作用。在本研究中,我们假设精神病症状可能是干扰冰毒滥用者EF表现的易感因素。结果显示,MWOP和MWP在注意力、工作记忆和初始概念化方面表现出EF缺陷。此外,在甲基苯丙胺滥用者中还发现了抑制能力的缺陷,而在甲基苯丙胺滥用者中则发现了较差的处理速度和认知灵活性。这些发现强调了甲基安非他明的机理神经毒性效应与使用甲基安非他明的人的心理和神经功能障碍之间的相互作用。
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引用次数: 0
Exploring the Link between Autistic Traits, EmotionalIntelligence, and Self-efficacy in Understanding Social Anhedonia 探索自闭症特质、情商和自我效能之间的联系,理解社交厌恶症
IF 0.4 Q4 PSYCHIATRY Pub Date : 2024-01-03 DOI: 10.2174/0126660822265651231215074803
U. Barahmand, Kefira Carvey, Naila Shamsina, Angelica Mae Ancheta, Oscar Sanchez
Autism severity has been found to be associated with social anhedonia. However, the mechanisms linking the two have not been clarified.The study was designed to examine the link between autistic traits and socialanhedonia. The present study tested a serial mediation model, in which it was hypothesizedthat emotional intelligence and self-efficacy were serial mediators of the relationship between autistic traits and social anhedonia.Data from 245 participants (57.4% females, n = 134) ranging in age from 18to 65 years were collected through self-report. Participants completed an online compositequestionnaire consisting of The Comprehensive Autistic Trait Inventory, the Wong andLaw Emotional Intelligence Scale, The General Self-Efficacy Scale and the Revised SocialAnhedonia Scale.The relationship between autistic traits and social anhedonia was mediated byemotional intelligence and serially mediated by emotional intelligence and self-efficacy.Self-efficacy alone failed to link autistic traits to social anhedonia.The study provides evidence for the significant role of emotional intelligenceand self-efficacy as mechanisms underlying the relationship between autistic traits andsocial anhedonia. The findings are discussed in terms of elucidating the processes throughwhich autistic traits may confer vulnerability to compromised emotional intelligence andself-efficacy, which then serve as additional risk factors for social anhedonia.
研究发现,自闭症的严重程度与社交失认症有关。本研究旨在探讨自闭症特质与社交失调之间的联系。本研究通过自我报告的方式收集了 245 名参与者(57.4% 为女性,n = 134)的数据,他们的年龄从 18 岁到 65 岁不等。参与者填写了一份在线综合问卷,其中包括自闭症特质综合量表、Wong and Law情商量表、一般自我效能感量表和修订版社交厌恶量表。该研究证明了情绪智力和自我效能感在自闭症特质与社交厌恶之间的关系中发挥着重要作用。研究结果的讨论旨在阐明自闭症特质可能导致情绪智力和自我效能受损的过程,而情绪智力和自我效能又是社交性失乐症的额外风险因素。
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引用次数: 0
Leveraging Social Networks to Integrate Depression Treatment into Primary Health and Tuberculosis Care in Brazil. 在巴西,利用社交网络将抑郁症治疗纳入初级保健和结核病治疗。
IF 0.3 Q4 PSYCHIATRY Pub Date : 2024-01-01 Epub Date: 2023-10-17 DOI: 10.2174/0126660822243332230921052022
Annika C Sweetland, Claudio Gruber Mann, Maria Jose Fernandes, Camila Matsuzaka, Fatima Virginia de Silva, Jae Lee, Christopher McCarty, Afrânio Kritski, Sandra Fortes, Maria Cavalcanti, Marcelo Feijó Mello, Maria A Oquendo, Thomas Valente, Harold Pincus, Milton L Wainberg

Background: Tuberculosis (TB) and depression are highly comorbid and linked to higher rates of death and disability. Several evidence-based treatments for depression have been successfully implemented in low- and middle-income countries, but more knowledge is needed on how to bring these innovations to scale within complex 'real world' public health systems.

Objective: To explore whether the principles of social network analysis could be used to enhance receptivity to integrating depression treatment into primary care for individuals with and without TB in Brazil.

Methods: We used existing scales to identify settings and providers with high receptivity and connectivity within the primary care network. We trained and supervised existing staff in three primary care sites to deliver a brief evidence-based intervention over one year, coupled with active dissemination activities. Afterwards, we reassessed receptivity among individuals involved, and not involved, in the pilot.

Results: Highly significant changes were observed in mental health literacy, attitudes towards evidence-based practices, work self-efficacy, and implementation leadership supporting our hypothesis. Limited social connections between primary care clinics precluded the examination of the hypothesis that targeting settings with high connectivity could capitalize on the information flow between and transcend the decentralized structure of the network, but leveraging the centralized nature of the TB program to integrate mental health services emerged as a promising alternative.

Conclusions: The findings of this study strongly suggest that social networks may be leveraged to change individual providers' attitudes, thereby contributing to the enhanced dissemination of evidence-based interventions.

背景:结核病(TB)和抑郁症是高度并发症,与较高的死亡率和残疾率相关。一些基于证据的抑郁症治疗方法已在中低收入国家成功实施,但如何在复杂的 "现实世界 "公共卫生系统中推广这些创新方法还需要更多知识:目的:探讨是否可以利用社会网络分析的原理来提高巴西结核病患者和非结核病患者对将抑郁症治疗纳入初级保健的接受程度:我们使用现有的量表来确定初级医疗网络中接受度高、连接性强的医疗机构和医疗服务提供者。我们对三个基层医疗机构的现有员工进行了为期一年的培训和监督,以提供简短的循证干预,并积极开展传播活动。之后,我们重新评估了参与和未参与试点的个人的接受程度:结果:在心理健康素养、对循证实践的态度、工作自我效能感和实施领导力方面观察到了非常明显的变化,支持了我们的假设。由于初级保健诊所之间的社会联系有限,因此无法对以下假设进行检验,即针对连接性高的环境,可以利用网络分散结构之间的信息流并超越这种分散结构,但利用结核病项目的集中性来整合心理健康服务则是一个很有前景的替代方案:本研究的结果有力地表明,可以利用社会网络来改变个体医疗服务提供者的态度,从而促进循证干预措施的推广。
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引用次数: 0
The Psychological Health and Professional Well-being of OperatorsWorking with Forced Migrants in Italy: A Cross-sectionalEpidemiological Study 在意大利从事强迫移民工作的操作员的心理健康和职业福祉:一项横断面流行病学研究
IF 0.4 Q4 PSYCHIATRY Pub Date : 2024-01-01 DOI: 10.2174/0126660822272705231121111221
Francesca Tessitore, Alessia Caffieri, Claudia Giordano, Giovanna Celia, G. Margherita
The aims of the present study are twofold. First, it aims to investigatethe prevalence of secondary traumatic stress levels, emotion regulation, burnout, and compassionsatisfaction in professionals working with forced migrants in Italy. Second, it aimsto explore the associations between some socio-demographic and work-related characteristicsand the psychological health and professional well-being status of professionals.An online survey was administered via Google Modules to the Italian associationsand Third Sector entities working in the field of forced migration from May, 2021 toMarch, 2022. A total of 264 professionals (mean age: 39.9; 76.1% females) responded tothe survey.On the background of good levels of psychological health and professional wellbeing,significant differences emerged in mental health status and professional quality oflife related to professional roles, age, gender, and geographic provenience.Understanding the psychological health and professional well-being of thoseworking with asylum seekers and refugees is crucial in providing appropriate healthcareinterventions that might be able to take care of professionals’ well-being as well as of theirbeneficiaries themselves.
本研究有两个目的。首先,它旨在调查在意大利从事被迫移民工作的专业人员的二次创伤压力水平、情绪调节、职业倦怠和同情心满意度的普遍程度。其次,本研究旨在探讨一些社会人口特征和工作相关特征与专业人员的心理健康和职业幸福感之间的关联。本研究于 2021 年 5 月至 2022 年 3 月期间通过谷歌模块对意大利从事被迫移民工作的协会和第三部门实体进行了在线调查。共有 264 名专业人员(平均年龄:39.9 岁;76.1% 为女性)对调查做出了回应。在心理健康和职业幸福感处于良好水平的背景下,心理健康状况和职业生活质量出现了与职业角色、年龄、性别和地理位置相关的显著差异。了解从事寻求庇护者和难民工作的人员的心理健康和职业幸福感对于提供适当的医疗干预至关重要,这些干预可能会照顾到专业人员及其受益人本身的幸福感。
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引用次数: 0
The Psychological Status of Healthcare Workers of a COVID-19- Free Cancer Hospital during COVID-19 Pandemic in Turkey - A Cross-sectional Study 土耳其2019冠状病毒病大流行期间无COVID-19肿瘤医院医护人员心理状况的横断面研究
Q4 PSYCHIATRY Pub Date : 2023-11-06 DOI: 10.2174/0126660822252790231102102410
Ali ÇAYKÖYLÜ, Hayriye Dilek HAMURCU, Ersin Hatice KARSLIOĞLU, Pakize Evşen ATA, Neşe Burcu BAL
Background: Identifying the psychosocial effects on healthcare workers is critical in dealing with the COVID-19 pandemic. Objective: In this study, we aimed to examine the psychological effects of the COVID-19 pandemic on healthcare workers of a cancer hospital in Turkey and to determine its predictors. Methods: The psychosocial effects of the epidemic on hospital staff were evaluated by a psychiatrist through a face-to-face psychiatric interview. A semi-structured questionnaire containing socio-demographic variables and questions about social changes, and Symptom Checklist-90 Revised (SCL-90-R) were administered to the hospital staff that agreed to participate in the study. Results: Twenty-three percent of the subjects had threshold values for the Global Severity Index in SCL-90-R. The most common symptoms were obsessions and depressive symptoms (42% and 36.5%, respectively). Being young, being a woman, being single, worsening economic situation, high education level, history of past psychiatric disorders, isolation and/or quarantine history, lack of personal protective equipment, separation from the family, fear of infecting a family member or cancer patient were determined as risk factors. Conclusions: The COVID-19 pandemic has resulted in significant psychosocial impact on healthcare workers, highlighting the need for appropriate strategies to understand and mitigate these effects.
背景:确定对卫生保健工作者的心理社会影响对于应对COVID-19大流行至关重要。目的:在本研究中,我们旨在研究COVID-19大流行对土耳其一家癌症医院医护人员的心理影响,并确定其预测因素。方法:由精神科医师通过面对面的精神病学访谈,评估疫情对医院工作人员的心理社会影响。对同意参与本研究的医院工作人员使用包含社会人口变量和社会变化问题的半结构化问卷和症状检查表-90修订版(SCL-90-R)。结果:23%的受试者具有SCL-90-R中整体严重程度指数的阈值。最常见的症状是强迫症和抑郁症状(分别为42%和36.5%)。年轻、女性、单身、经济状况恶化、受教育程度高、既往精神疾病史、隔离和/或检疫史、缺乏个人防护装备、与家人分离、害怕感染家庭成员或癌症患者被确定为危险因素。结论:COVID-19大流行对卫生保健工作者造成了重大的心理社会影响,强调需要采取适当的战略来了解和减轻这些影响。
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引用次数: 0
Relation Between Monocyte-to-lymphocyte Ratio and Depressive Symptoms in Patients with Non-severe Covid-19 Infection 非重症Covid-19感染患者单核细胞/淋巴细胞比值与抑郁症状的关系
Q4 PSYCHIATRY Pub Date : 2023-11-06 DOI: 10.2174/0126660822257804231026054939
Doaa Ibrahim, Shaymaa Mohammed Arafa, Eman Mostafa Moazen, Fatima Gaber Yehia, Ahmed Mohamed Khalifa, Sara Sallam, Eman Ali
Background and Aim: Mental health of non-hospitalized patients and those with non-severe infections has attracted lower attention in comparison to other patients. Circulating monocytes are deeply involved in all stages of COVID-19 infection. The present study aimed to investigate the relationship between monocyte-to-lymphocyte ratio (MLR) and depressive symptoms in patients with non-severe COVID-19 infection. Patients and Methods: The study included 312 patients with non-severe COVID-19 infection diagnosed on the basis of a positive reverse-transcriptase polymerase chain reaction (RT-PCR) test of nasopharyngeal swabs. Depressive symptoms were assessed using the validated Arabic version of the 7-item Hamilton Depression Rating Scale (HAMD). According to the obtained scores, patients were classified to have mild (10-13), moderate (14- 17), or severe depression (>17). Results: The present study included 312 patients with non-severe COVID-19. According to HAMDS, clinically significant depression was diagnosed in 144 patients (46.2 %). They comprised 38 patients (12.2 %) with mild depression, 30 patients (9.6 %) with mild-tomoderate depression and 76 patients (24.4 %) with moderate-to-severe depression. Multivariate logistic regression analysis identified male sex [OR (95% CI): 2.07 (1.27-3.36), p = 0.003], presence of dyspnea [(OR (95 % CI): 1.99 (1.21-3.27), p = 0.007], D dimer levels [OR (95% CI): 2.32 (1.19-4.52), p = 0.013], MLR [OR (95% CI): 0.52 (0.28-0.99), p = 0.046] and abnormal CT findings [OR (95% CI): 1.79 (1.08-2.95), p = 0.023] as significant predictors of depression in the studied patients. Conclusion: Low MLR is related to depressive symptoms in patients with non-severe covid-19 infection. Other predictors include male sex, dyspnea, abnormal CT findings and elevated D-dimer levels.
背景与目的:与其他患者相比,非住院患者和非严重感染患者的心理健康受到的关注较少。循环单核细胞深入参与COVID-19感染的各个阶段。本研究旨在探讨单核细胞/淋巴细胞比(MLR)与非重症COVID-19感染患者抑郁症状的关系。患者和方法:本研究纳入312例经鼻咽拭子逆转录酶聚合酶链反应(RT-PCR)检测阳性诊断的非重症COVID-19感染患者。使用经验证的阿拉伯语版本的7项汉密尔顿抑郁评定量表(HAMD)评估抑郁症状。根据获得的评分,将患者分为轻度(10-13)、中度(14- 17)和重度抑郁(>17)。结果:本研究纳入312例非重症COVID-19患者。根据HAMDS, 144例(46.2%)患者被诊断为有临床意义的抑郁症。他们包括38例(12.2%)轻度抑郁症患者,30例(9.6%)轻度至中度抑郁症患者和76例(24.4%)中度至重度抑郁症患者。多因素logistic回归分析发现,男性[OR (95% CI): 2.07 (1.27-3.36), p = 0.003],呼吸困难[OR (95% CI): 1.99 (1.21-3.27), p = 0.007], D二聚体水平[OR (95% CI): 2.32 (1.19-4.52), p = 0.013], MLR [OR (95% CI): 0.52 (0.28-0.99), p = 0.046]和异常CT表现[OR (95% CI): 1.79 (1.08-2.95), p = 0.023]是研究患者抑郁的重要预测因素。结论:低MLR与非重症covid-19感染患者的抑郁症状有关。其他预测因素包括男性、呼吸困难、异常CT表现和d -二聚体水平升高。
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引用次数: 0
Cross-talk between Peptide Neurotransmitters and their Role in Homeostasis of Brain, Behavior, and Immunity 多肽神经递质间的相互作用及其在脑、行为和免疫稳态中的作用
Q4 PSYCHIATRY Pub Date : 2023-11-06 DOI: 10.2174/0126660822262191231024081805
Soni Rani, Soma Mondal Ghorai, Shubham Yadav
Abstract: The bidirectional communication among the different peptide neurotransmitters and their receptors influences brain, immunity, and behavior. Among the peptide neurotransmitters, Glutamate is the primary excitatory while; gamma-aminobutyrate (γ-GABA), is the inhibitory neurotransmitter. Glutamatergic/GABAergic imbalances are seen in many neurological and autoimmune disorders. With an aim to understand more deeply the intricacies of glutamate/GABA homeostasis, we provide a critical review of glutamate, glycine and GABA peptide neurotransmitters and their role in the brain, behavior, and immunity. Another aspect of maintaining this homeostasis has its origin in the gut-brain-axis which influences mood and behavior via the bidirectional biochemical exchange network between central (CNS) and enteric nervous system (ENS). This present review also provides evidence of the cross-talk between glutamate, glycine, and GABA along the microbiotagut- brain axis, thus any variations in this axis bear the consequences of the pathological condition. Drugs like alcohol, Benzodiazepines (Barbiturates) and neurosteroids inhibit the excitatory action of glutamate leading to an overall increase of glutamate/GABA ratio that causes relaxation of nerves. However, these drugs are misused and abused among drug addicts and now their commercial production is either banned or downsized and heavily monitored. Because only a limited number of drug molecules are considered in pharmaceutics and clinics as antidepressants, it is essential to focus on alternate peptide modulator analogues which are safe, eco-friendly and can be used as drugs to relieve stress and anxiety. In this review, we present a synopsis of the studies on synthetic GABAergic agonists or GABA modulators that can be targeted for future therapeutics and clinics.
摘要:不同多肽神经递质及其受体之间的双向交流影响着大脑、免疫和行为。在多肽神经递质中,谷氨酸是主要的兴奋性神经递质;γ-氨基丁酸(γ-GABA)是抑制性神经递质。谷氨酸能/ gaba能失衡见于许多神经和自身免疫性疾病。为了更深入地了解谷氨酸/GABA稳态的复杂性,我们对谷氨酸、甘氨酸和GABA肽神经递质及其在大脑、行为和免疫中的作用进行了综述。维持这种内稳态的另一个方面源于肠-脑轴,它通过中枢(CNS)和肠神经系统(ENS)之间的双向生化交换网络影响情绪和行为。本综述还提供了谷氨酸、甘氨酸和GABA在微生物-脑轴上的串扰的证据,因此这条轴上的任何变化都承担病理状况的后果。酒精、苯二氮卓类药物(巴比妥类药物)和神经类固醇等药物抑制谷氨酸的兴奋作用,导致谷氨酸/氨基丁酸比的整体增加,从而导致神经松弛。然而,这些药物在吸毒者中被误用和滥用,现在它们的商业生产要么被禁止,要么被缩小规模并受到严密监测。由于在制药和临床中只有有限数量的药物分子被认为是抗抑郁药,因此必须关注安全,环保并可作为缓解压力和焦虑的药物的替代肽调节剂类似物。在这篇综述中,我们介绍了合成GABA能激动剂或GABA调节剂的研究概况,这些研究可以作为未来治疗和临床的靶点。
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引用次数: 0
Investigating the Effect of Ginger as an Adjunctive Treatment along with SSRIs to Reduce Anxiety in Patients with GAD: A Clinical Trial Study 研究生姜作为辅助治疗与SSRIs减少广泛性焦虑症患者焦虑的效果:一项临床试验研究
Q4 PSYCHIATRY Pub Date : 2023-11-02 DOI: 10.2174/0126660822258340231025171755
Sara Ataei, Leila Jahangard, Sina Anaraki, Dara Dastan, Salman Khazaei
Introduction: Generalized anxiety disorder (GAD) is characterized by exaggerated anxiety without any apparent cause of concern. The primary treatment of this disorder is usually SSRIs, which have many digestive side effects and do not provide complete treatment for the patient. The use of non-pharmacological methods may help reduce these complications. Therefore, the present study was conducted to investigate the effect of ginger as an adjunctive therapy along with SSRIs to reduce anxiety in patients with GAD. Materials and Methods: In this double-blind, controlled clinical trial study, a total of 80 patients with GAD were randomly assigned into two groups. For the intervention group, at the same time as SSRI drug, two 500-mg ginger capsules were used daily while in the control group, two starch capsules were used daily as a placebo along with SSRI. Data collection tools were Hamilton's anxiety questionnaire and a gastrointestinal symptom severity scale. Data were collected before the intervention and after the 12-week intervention. Results: There was no significant difference between the intervention and control groups in terms of average anxiety and severity of digestive symptoms before the intervention (P>0.05), but there was a significant difference between the groups after the intervention (P<0.05). Also, the average scores of anxiety and severity of gastrointestinal symptoms in the intervention group increased significantly from the beginning of the intervention to the follow-up (intragroup difference) (p<0.05). Conclusion: The results of the study showed that the use of ginger along with SSRIs reduced anxiety and released the severity of gastrointestinal symptoms in patients with GAD. In addition, in this study, it was found that ginger, along with SSRIs, can have beneficial effects on indigestion, diarrhea, and nausea in patients with GAD. However, these findings require more extensive research.
简介:广泛性焦虑障碍(GAD)的特征是没有任何明显原因的过度焦虑。这种疾病的主要治疗通常是ssri类药物,它有许多消化副作用,不能为患者提供完整的治疗。使用非药物方法可能有助于减少这些并发症。因此,本研究旨在探讨生姜与SSRIs联合治疗对GAD患者焦虑的缓解作用。材料与方法:本双盲对照临床研究将80例广泛性焦虑症患者随机分为两组。干预组在服用SSRI药物的同时,每天服用2粒500毫克生姜胶囊;对照组在服用SSRI的同时,每天服用2粒淀粉胶囊作为安慰剂。数据收集工具为汉密尔顿焦虑问卷和胃肠症状严重程度量表。在干预前和干预12周后收集数据。结果:干预组与对照组在干预前平均焦虑和消化系统症状严重程度方面差异无统计学意义(P>0.05),干预后两组间差异有统计学意义(P<0.05)。干预组患者的焦虑和胃肠道症状严重程度的平均得分从干预开始到随访期间均显著升高(组内差异)(p < 0.05)。结论:本研究结果表明,生姜与SSRIs联合使用可减轻GAD患者的焦虑,缓解胃肠道症状的严重程度。此外,在这项研究中,还发现生姜和SSRIs对广泛性焦虑症患者的消化不良、腹泻和恶心有有益的作用。然而,这些发现需要更广泛的研究。
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引用次数: 0
Acknowledgement to Reviewers 审稿人致谢
Q4 PSYCHIATRY Pub Date : 2023-11-01 DOI: 10.2174/266608221903230317164828
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引用次数: 0
Meet the Editorial Board Member 与编辑委员会成员见面
Q4 PSYCHIATRY Pub Date : 2023-11-01 DOI: 10.2174/266608221903230317162234
Marc Fakhoury
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引用次数: 0
期刊
Current Psychiatry Research and Reviews
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