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A conceptual review on pretreatment anxiety management in a dental setting using hypnosis and progressive muscle relaxation 在牙科设置使用催眠和渐进式肌肉放松预处理焦虑管理的概念回顾
Pub Date : 2022-04-07 DOI: 10.17352/2455-5460.000070
Sabherwal Puja, Kalra Namita, Tyagi Rishi, K. Amit, Srivastava Shruti
Dental anxiety is associated with the thought or idea of seeing the dentist and undergoing dental procedures. Anxiety-associated problems in the dental setting include avoidance of appointments, inability to provide successful dental care, and delay in optimal recovery. Anxiolysis is important to the level of being mandatory for suitable administration of dental care. Since times immemorial, dentists have struggled to manage anxiety successfully by employing changing concepts and strategies over time. Pharmacological modalities to allay anxiety-like sedation and general anesthesia are popular yet associated with an added cost per patient, side effects, expensive armamentarium, documentation, and patient monitoring. Non-pharmacological modalities for anxiety management have been employed over time but have limited nature of success. The use of hypnosis as a therapeutic modality for healing and resolving anxiety is known for over five thousand years and has been a part of many cultures over time. Progressive Muscle Relaxation, which was documented first in 1908 is based on the principle of releasing neuromuscular tension in the body which creates a state of emotional equilibrium. In the present paper, an in-depth review of the techniques i.e. Hypnosis and Progressive Muscle Relaxation is provided from the perspective of a dental clinician from historical evolution to practical recommendations. Both Hypnosis and Progressive Muscle Relaxation hold promise to be adjunct tools in the modern dentist’s armamentarium to manage anxiety.
牙科焦虑与看牙医和接受牙科手术的想法或想法有关。在牙科设置焦虑相关的问题包括回避预约,无法提供成功的牙科护理,并延迟最佳的恢复。焦虑解是重要的水平是强制性的适当的管理牙科保健。自古以来,牙医一直在努力通过不断变化的概念和策略来成功地控制焦虑。减轻焦虑的镇静和全身麻醉的药理学方法很受欢迎,但与每位患者的额外费用、副作用、昂贵的器械、文件和患者监测有关。非药物治疗焦虑的方法已经使用了很长时间,但成功的性质有限。催眠作为一种治疗方式来治愈和解决焦虑已经有5000多年的历史了,随着时间的推移,它已经成为许多文化的一部分。渐进式肌肉放松法于1908年首次被记录在案,其原理是释放体内的神经肌肉紧张,从而创造一种情绪平衡状态。本文从牙科临床医生的角度,从历史演变到实际建议,对催眠和渐进式肌肉放松技术进行了深入的回顾。催眠和渐进式肌肉放松都有望成为现代牙医治疗焦虑的辅助工具。
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引用次数: 0
Hysteria and its deceptive masks 歇斯底里及其欺骗性面具
Pub Date : 2022-03-29 DOI: 10.17352/2455-5460.000069
B. Michel
Hysteria still exists, even if this stigmatizing term has been abandoned in favor of more descriptive terms (dissociative disorders, conversion disorders, functional disorders), and represents a frequent and disabling pathology. Even if in some situations, the establishment of a definitive diagnosis remains difficult, more and more clinical and paraclinical signs are developing to help in the diagnosis and the error rate is low. Thus, the clinician must currently make a positive diagnosis of conversion and no longer, as unfortunately often in the past, confine himself to evoking by default such a possibility in the face of an atypical picture accompanied by an extensive negative paraclinical assessment. The most probable etiology concerns triggering factors of a psychiatric nature (traumatic episode or psychic stress, vulnerability with a field of abuse in childhood, comorbidity of anxio-depressive disorders), which can, in turn, lead to changes in brain function, the exact neurobiological correlate of which remains to be determined, even if many leads have recently been suggested by brain imaging. The care of these patients requires an in-depth and specialized examination, if possible, with the help of a neurologist, then psychiatric care, combined with somatic follow-up. In the future, a better understanding of the etiological mechanisms will make it possible to develop more specific treatments.
歇斯底里仍然存在,即使这个污名化的术语已经被抛弃,取而代之的是更具描述性的术语(解离性障碍、转换障碍、功能性障碍),并且代表了一种常见的致残性病理。即使在某些情况下,确定最终诊断仍然很困难,越来越多的临床和临床旁体征正在发展,以帮助诊断,错误率也很低。因此,临床医生目前必须对转化做出阳性诊断,而不再像过去那样,在面对非典型图片并伴有广泛的阴性临床旁评估时,局限于默认唤起这种可能性。最可能的病因涉及精神性质的触发因素(创伤发作或精神压力、儿童时期易受虐待、焦虑抑郁障碍的合并症),这些因素反过来会导致大脑功能的变化,其确切的神经生物学相关性仍有待确定,即使最近大脑成像已经提出了许多线索。这些患者的护理需要在可能的情况下,在神经学家的帮助下进行深入和专门的检查,然后进行精神护理,并结合身体随访。在未来,更好地了解病因机制将有可能开发出更具体的治疗方法。
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引用次数: 0
Effect of Pulmonary Rehabilitation on the Health-Related Quality of Life (Hqol), Activities of Daily Living (ADL) and mental health among COVID-19 patients; A systematic review 肺部康复对新冠肺炎患者健康相关生活质量(Hqol)、日常生活活动(ADL)及心理健康的影响系统回顾
Pub Date : 2022-03-17 DOI: 10.17352/2455-5460.000068
Dar Javid Ahmad, Amber Shagufa
Objective: It is a systematic review on the COVID-19 and its post complication by using pulmonary rehabilitation as an intervention. This review paper aims at collecting, focusing, and presenting the current evidence and information on pulmonary rehabilitation to patients with COVID-19 and also its effect upon the HRQoL, ADL and mental health. Design: It is a systematic review, where 3756 studies were searched on the web of science, Scopus, PubMed, PEDro, and google scholar. published from 18th Jan 2020-19th Sep 2020. We searched the reference lists of selected studies, registries, international clinical trials, and respiratory conference abstracts to look for qualifying studies. Selection criteria; Randomised controlled trial, case reports, cohort and cross-sectional studies in which pulmonary rehabilitation as an intervention in COVID-19 patients and its effect on the HRQoL, ADL and mental anxiety depression health were included. Result: Eleven, out of 3765 studies were included, consisting of 4 RCTs, 4, cross-sectional, 2 case reports, and one cohort the studies evaluated effects of PR on HQoL, ADL, mental health, anxiety, and depression. In COVID-19 patients. The 11 studies included evaluated HQoL, ADL and mental health. among these Four studies reported using SF-36, IE (impact of the event) scale, and VAS. Three studies evaluated ADL through the FIM scale and Barthel index. Five studies evaluated mental health, depression, and anxiety using SDS (Self-Rating Depression Scale), SAS (Self-Rating Anxiety Scale), STAI (State-Trait Anxiety Scale), PHQ-9 (physical health questionnaire), MHLS(Mental Health Lifestyle Scale) and HADS(hospital anxiety and depression scale). Conclusion: The studies included in this systematic review showed that PR is an effective treatment option for patients with COVID-19, its post complications, and the effects upon HQoL, ADL, mental health, depression, and anxiety. There is a future need for more studies of a high methodological quality addressing PR effects on COVID-19 patients. Trial registration number: PROSPERO CRD42020209619.
目的:对新型冠状病毒肺炎(COVID-19)及其术后并发症进行系统评价。本综述旨在收集、聚焦和介绍COVID-19患者肺康复的现有证据和信息,以及肺康复对患者HRQoL、ADL和心理健康的影响。设计:这是一项系统综述,在科学网、Scopus、PubMed、PEDro和谷歌scholar上搜索了3756项研究。2020年1月18日至2020年9月19日发布。我们检索了选定研究、注册、国际临床试验和呼吸会议摘要的参考文献列表,以寻找符合条件的研究。选择标准;纳入了随机对照试验、病例报告、队列和横断面研究,其中肺康复作为COVID-19患者的干预措施及其对HRQoL、ADL和精神焦虑抑郁健康的影响。结果:在3765项研究中纳入了11项研究,包括4项随机对照试验、4项横断面研究、2项病例报告和1项队列研究,这些研究评估了PR对HQoL、ADL、心理健康、焦虑和抑郁的影响。在COVID-19患者中这11项研究包括评估HQoL、ADL和心理健康。在这四项研究中,使用SF-36、IE(事件影响)量表和VAS进行报道。三项研究通过FIM量表和Barthel指数评估ADL。5项研究采用SDS(抑郁自评量表)、SAS(焦虑自评量表)、STAI(状态-特质焦虑量表)、PHQ-9(身体健康问卷)、MHLS(心理健康生活方式量表)和HADS(医院焦虑抑郁量表)评估心理健康、抑郁和焦虑。结论:本系统综述纳入的研究表明,PR是COVID-19患者的有效治疗选择,其术后并发症以及对HQoL、ADL、心理健康、抑郁和焦虑的影响。未来需要更多高质量的研究来解决PR对COVID-19患者的影响。试验注册号:PROSPERO CRD42020209619。
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引用次数: 1
Prevalence of anxiety and depression among physiotherapy students of private institutes in Faisalabad 费萨拉巴德私立学院物理治疗学生焦虑和抑郁的患病率
Pub Date : 2022-02-02 DOI: 10.17352/2455-5460.000067
Shabbir Umer, Tanveer Wassam, Warraich Rameeza, Iftikhar Saad, Afzal M Umer, A. M.
Objective: The objective of this study was to determine the prevalence, incidence, and related variables of anxiety and depressive disorders among physical therapy students in Faisalabad's private institutes. Material and methodology: This is a cross-sectional study including medical students from the University of Faisalabad's Department of Physical Therapy. Using convenient sampling, 98 subjects were enrolled in the study after the ethics committee approved it. Questions about socio-demographic characteristics like gender, age, and parental education were included in the data collection tool. Descriptive results are represented in the form of Mean ± S.D. Chi-square test was applied for comparison of anxiety and depression with other variables. Checked significance at p-value 0.05. Results: Out of 98 participants, 63(64%) were male and 35(36%) were female. Out of 98 participants, 31(31.36%) were in age group pf 18-22 years, 39(39.79%) were in age group of 23-26 years and 28(27.57%) were in age group of 27-30 year. Average of age was 25.22 ± 2.19 years. Semester wise students included in the study out of 98 26.53% belonged to 2nd semester. 32.65% belonged to 4th semester and 40.85% belonged to 6th semester. After checking the association between variables and anxiety and depression significant difference were found between all variables with p-values less than 0.05. Conclusion: The study discovered high discomfort among physical therapy students. Furthermore, no significant gender variations in the incidence of anxiety and depression were found. Anxiety and depression have a significant societal and individual cost, including failure in clinical and written exams, medical dropouts, professionalism and personality development.
目的:本研究的目的是确定费萨拉巴德私立学院物理治疗学生中焦虑和抑郁障碍的患病率、发病率和相关变量。材料和方法:这是一项横断面研究,包括费萨拉巴德大学物理治疗系的医学生。通过方便的抽样,在伦理委员会批准后,98名受试者被纳入了这项研究。数据收集工具中包括了有关性别、年龄和父母教育等社会人口特征的问题。描述性结果以平均值±S.D.的形式表示。卡方检验用于将焦虑和抑郁与其他变量进行比较。p值0.05时的检查显著性。结果:在98名参与者中,63名(64%)为男性,35名(36%)为女性。在98名参与者中,31人(31.36%)在18-22岁年龄组,39人(39.79%)在23-26岁年龄组和28人(27.57%)在27-30岁年龄组。平均年龄25.22±2.19岁。在98名26.53%的学生中,包括在研究中的学期学生属于第二学期。第4学期占32.65%,第6学期占40.85%。在检查变量与焦虑和抑郁之间的相关性后,发现所有变量之间存在显著差异,p值小于0.05。结论:该研究发现,物理治疗学生的不适感较高。此外,在焦虑和抑郁的发生率上没有发现显著的性别差异。焦虑和抑郁会带来巨大的社会和个人成本,包括临床和笔试失败、医学辍学、专业精神和个性发展。
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引用次数: 0
Self-rating of depression in elderly prisoners in North Rhine-Westphalia, Germany 德国北莱茵-威斯特法伦州老年囚犯抑郁自评
Pub Date : 2021-10-08 DOI: 10.17352/2455-5460.000066
S. Verhülsdonk, K. Dietrich, AK Folkerts, J. Christl, B. Höft, T. Supprian, E. Kalbe
Aim: Against the background of the rising number of elderly people being incarcerated and the rare data on this special subgroup, the aim of our study was to collect first empirical data on the affective state of elderly prisoners in North Rhine Westphalia, Germany. Methods: Data were collected in nine German prisons. We included elderly prisoners from pretrial prevention, penal sentences, open enforcement, preventive detention and from special detention units for elderly inmates. For the evaluation of the affective state, we used the Patient Health Questionnaire (PHQ-9). Sociodemographic and crime-related characteristics were documented. Findings: In total, n=116 prisoners (91.4% male) were included. The age ranged from 53 to 91 years (65.6±6.3 years). In our sample, 48% reported at least mild depressive symptoms, which is a significantly higher prevalence of depressive symptomatology than in the general population aged 60 years and older. Differences were found with regard to the type of detention, as prisoners in open enforcement showed significantly less symptoms compared to those in pretrial prevention and preventive detention. The participants reported in general more somatic symptoms as sleep disturbances and fatigue compared to mood items as feelings of sadness. Originality: It is the first study assessing the affective state of older prisoners in Germany. The high rate of depressive symptoms in our sample is in line with findings from international studies underlining the need for adequate diagnostics and therapy. In addition, in a previous study depression was indirectly linked with a greater risk of re-incarceration, fortifying the need for successful treatment of depression in prison both for the individuum and for society.
目的:在被监禁的老年人数量不断增加以及这一特殊亚组数据稀少的背景下,我们的研究目的是收集德国北莱茵-威斯特法伦州老年囚犯情感状态的首次实证数据。方法:收集9所德国监狱的资料。我们包括审前预防、刑事判决、公开执行、预防性拘留和老年囚犯特别拘留所的老年囚犯。为了评估情感状态,我们使用了患者健康问卷(PHQ-9)。记录了社会形态和犯罪相关特征。调查结果:总共包括116名囚犯(91.4%为男性)。年龄53~91岁(65.6±6.3岁)。在我们的样本中,48%的人报告至少有轻度抑郁症状,这比60岁及以上的普通人群的抑郁症状发生率高得多。拘留类型存在差异,因为与审前预防和预防性拘留相比,公开执行中的囚犯表现出的症状明显较少。与悲伤情绪相比,参与者报告的睡眠障碍和疲劳等躯体症状通常更多。独创性:这是德国第一项评估老年囚犯情感状态的研究。我们样本中抑郁症状的高发生率与国际研究的结果一致,这些研究强调了充分诊断和治疗的必要性。此外,在之前的一项研究中,抑郁症与更大的再次监禁风险间接相关,这加强了个人和社会在监狱中成功治疗抑郁症的必要性。
{"title":"Self-rating of depression in elderly prisoners in North Rhine-Westphalia, Germany","authors":"S. Verhülsdonk, K. Dietrich, AK Folkerts, J. Christl, B. Höft, T. Supprian, E. Kalbe","doi":"10.17352/2455-5460.000066","DOIUrl":"https://doi.org/10.17352/2455-5460.000066","url":null,"abstract":"Aim: Against the background of the rising number of elderly people being incarcerated and the rare data on this special subgroup, the aim of our study was to collect first empirical data on the affective state of elderly prisoners in North Rhine Westphalia, Germany. Methods: Data were collected in nine German prisons. We included elderly prisoners from pretrial prevention, penal sentences, open enforcement, preventive detention and from special detention units for elderly inmates. For the evaluation of the affective state, we used the Patient Health Questionnaire (PHQ-9). Sociodemographic and crime-related characteristics were documented. Findings: In total, n=116 prisoners (91.4% male) were included. The age ranged from 53 to 91 years (65.6±6.3 years). In our sample, 48% reported at least mild depressive symptoms, which is a significantly higher prevalence of depressive symptomatology than in the general population aged 60 years and older. Differences were found with regard to the type of detention, as prisoners in open enforcement showed significantly less symptoms compared to those in pretrial prevention and preventive detention. The participants reported in general more somatic symptoms as sleep disturbances and fatigue compared to mood items as feelings of sadness. Originality: It is the first study assessing the affective state of older prisoners in Germany. The high rate of depressive symptoms in our sample is in line with findings from international studies underlining the need for adequate diagnostics and therapy. In addition, in a previous study depression was indirectly linked with a greater risk of re-incarceration, fortifying the need for successful treatment of depression in prison both for the individuum and for society.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42837049","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}
引用次数: 0
Depths of despair: Experience report 绝望的深度:经验报告
Pub Date : 2021-09-29 DOI: 10.17352/2455-5460.000065
de Azevedo Maria Joana Nunes
Between 2017 and 2019 I went through the experience of depression and consequently I developed anxiety. In the beginning, in the months of November and December 2017, I found myself in a deep despair, not knowing how to identify what was happening. As an intervention, I went through consultations with the psychologist, where I had conversations, writing and positive affirmations. After these consultations I improved and got out of my depressed state. Awareness in the consultations with the psychologist made me realize how far I was from who I am and from this contact with a professional I was able to gain clarity about my condition and learned techniques to maintain my self-care constant.
2017年至2019年间,我经历了抑郁症,因此产生了焦虑。一开始,在2017年11月和12月,我发现自己陷入了深深的绝望,不知道如何识别正在发生的事情。作为干预措施,我与心理学家进行了咨询,在那里我进行了交谈、写作和积极的肯定。经过这些咨询,我的病情有所好转,摆脱了抑郁状态。在与心理学家的咨询中,我意识到自己离自己还有多远,从与专业人士的接触中,我能够清楚地了解自己的病情,并学会了保持自我护理的技巧。
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引用次数: 0
“Perrotta Human Defense Mechanisms Questionnaire” (PDM-Q): The new psychodiagnostic tool to identify human psychological defense mechanisms and their clinical implications “Perrotta人类防御机制问卷”(PDM-Q):一种新的心理诊断工具,用于识别人类心理防御机制及其临床意义
Pub Date : 2021-09-09 DOI: 10.17352/2455-5460.000063
Perrotta Giulio
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引用次数: 9
Comparison of level of mental stress between exercising and non-exercising undergraduate physical therapy students of LUMHS, Jamshoro Jamshoro LUMHS运动与非运动本科物理治疗学生心理压力水平的比较
Pub Date : 2021-01-01 DOI: 10.17352/2455-5460.000064
Naqi Sana, Faizan Kainat, Chandio Fayaz, Ali Aadil Ameer, Waqas Shoaib, Bhatti Suhani, Bachani Aiman
Objective: To Compare the Level of Mental Stress among Exercising and Non-Exercising under graduate Physiotherapy Students of LUMHS, Jamshoro. Methodology: A cross sectional survey was conducted from October to December 2019, and the data was collected from the undergraduates students of Institute of Physiotherapy & Rehabilitation Sciences, Liaquat University of Medical and Health Science Jamshoro, Pakistan. The Perceived Stress Scale (PSS) was used among 194 undergraduate physiotherapy students. Apart from the demographics (age, gender, education & locality) the PSS questionnaire consist of 10 questions. The Statistical Package for Social Sciences (SPSS) version 22 was used to interpret the data. Result: The majority (n=101, 51.7%) were from the age group of 18 to 21 years and (n=127, 65.1%) were female. Mostly (n=49, 25.1%) were the students of 1st year Doctor of Physical Therapy and (n=116, 59.4%) of the students were the residents of urban area. Among the non-exercising group of students majority (n=66,68%) were suffering from low level of mental stress, (n=33,34%) were suffering from moderate level of mental stress and (n=24,24.7%) were suffering from severe level of mental stress followed by the exercise group, in which (n=40,41.2%) were suffering from low level of mental stress, (n=21,21.6%) were suffering from moderate level of mental stress and (n=10,10.%) were suffering from severe level of mental stress. Conclusion: The study finalized that the exercising group of students had lower level of mental stress as compare to the non-exercising group of students. However both groups have the individuals with mental stress but the exercising students group had low number of those individuals.
目的:比较Jamshoro LUMHS运动与非运动物理治疗本科生的心理应激水平。方法:于2019年10月至12月进行横断面调查,数据收集自巴基斯坦贾姆肖洛Liaquat医学与健康科学大学物理治疗与康复科学研究所的本科生。采用感知压力量表(PSS)对194名物理治疗专业本科生进行问卷调查。除了人口统计数据(年龄、性别、教育和地区)外,PSS问卷由10个问题组成。使用社会科学统计软件包(SPSS)第22版来解释数据。结果:患者以18 ~ 21岁为主(n=101, 51.7%),女性为主(n=127, 65.1%)。以物理治疗博士一年级学生居多(n=49, 25.1%),城镇居民居多(n=116, 59.4%)。在非运动组中,以轻度精神压力为主(n=66,68%),中度精神压力为主(n=33,34%),重度精神压力为主(n=24,24.7%),其次是运动组,其中轻度精神压力为主(n=40,41.2%),中度精神压力为主(n=21,21.6%),重度精神压力为主(n=10, 10.0%)。结论:运动组学生的心理压力水平低于非运动组学生。然而,两组都有精神压力的个体,但运动学生组的人数较少。
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引用次数: 0
Bipolar disorder in children and adolescents 儿童和青少年的双相情感障碍
Pub Date : 2020-12-03 DOI: 10.17352/2455-5460.000056
M. Bourin
Bipolar Disorder (BD) in children and adolescents is poorly understood and underdiagnosed. We describe its clinical manifestations, its interweaving of comorbidity with frequent psychopathological manifestations,
儿童和青少年的双相情感障碍(BD)了解甚少,诊断不足。我们描述了它的临床表现、合并症与频繁的精神病理学表现的交织,
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引用次数: 0
A Discussion of Anxiety over the Last Millennium (1000 to 2000) 千年焦虑论(1000-2000)
Pub Date : 2020-11-02 DOI: 10.17352/2455-5460.000053
B. Michel
COVID-19 pandemic required compulsory social isolations to control the transmission of infection, so people had to stay at home for months in most part of the world.
新冠肺炎大流行需要强制进行社会隔离以控制感染的传播,因此在世界大部分地区,人们不得不在家呆上几个月。
{"title":"A Discussion of Anxiety over the Last Millennium (1000 to 2000)","authors":"B. Michel","doi":"10.17352/2455-5460.000053","DOIUrl":"https://doi.org/10.17352/2455-5460.000053","url":null,"abstract":"COVID-19 pandemic required compulsory social isolations to control the transmission of infection, so people had to stay at home for months in most part of the world.","PeriodicalId":92986,"journal":{"name":"Archives of depression and anxiety","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43231585","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}
引用次数: 0
期刊
Archives of depression and anxiety
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