{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T17:03:32Z","timestamp":1779901412323,"version":"3.53.1"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005183","name":"Atilim University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005183","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The impact of attention deficit, impulsivity, and anger on various types of injuries is a subject of ongoing research. Hand tendon injuries are frequently encountered clinical conditions; however, their potential relationships with the aforementioned factors have not been previously investigated. This study aimed to examine the mechanisms of hand tendon injuries from certain psychiatric perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>32 patients presenting to the physical therapy and rehabilitation outpatient clinic with hand tendon injuries and 32 healthy controls were evaluated. The assessment included sociodemographic data, causes of injury, Quick Disabilities of the Arm, Shoulder, and Hand (Q-DASH) and Visual Analog Scale (VAS) scores, as well as the physical and functional consequences of the injury. Patients and controls were assessed for attention deficit, impulsivity, and anger using the Adult ADHD Self-Report Scale (ASRS), Barratt Impulsivity Scale-11 (BIS-11), and State-Trait Anger Expression Inventory self-report scales. Statistical analyses of the results were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients with tendon injuries were found to have significantly higher scores in ASRS attention and BIS-11 Motor impulsivity compared to the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.040). Individuals with hand tendon injuries resulting from work accidents demonstrated significantly lower ASRS total, ASRS hyperactivity and impulsivity scores, and VAS rest scores compared to those with tendon injuries resulting from other causes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.045,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.038).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hand tendon injuries are associated with elevated impulsivity and inattention, suggesting that psychiatric screening could guide injury prevention and rehabilitation strategies. In contrast, the finding that work-related accidents are characterized by lower impulsivity indicates that prevention in this subgroup should prioritize environmental safety and occupational regulations over individual behavioral interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>NCT07126899.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-026-06354-9","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T16:13:11Z","timestamp":1779898391000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impulsivity and inattention in hand tendon injuries: a case-control study revealing distinct profiles for work-related accidents"],"prefix":"10.1007","volume":"146","clinical-trial-number":[{"clinical-trial-number":"nct07126899","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Ece","family":"A\u011fta\u015f Ertan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fclseren","family":"Demir Karak\u0131l\u0131\u00e7","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Batu","family":"Ertan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"6354_CR1","doi-asserted-by":"publisher","first-page":"233","DOI":"10.32098\/mltj.02.2020.08","volume":"10","author":"V Schoffl","year":"2020","unstructured":"Schoffl V, Schoffl I, Frank L et al (2020) Tendon injuries in the hands in rock climbers:epidemiology, anatomy, biomechanics and treatment an update. Muscle Ligaments Tendons J 10:233. https:\/\/doi.org\/10.32098\/mltj.02.2020.08","journal-title":"Muscle Ligaments Tendons J"},{"key":"6354_CR2","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/s0266-7681(85)80047-4","volume":"10","author":"DP Clark","year":"1985","unstructured":"Clark DP, Scott RN, Anderson IW (1985) Hand problems in an accident and emergency department. J Hand Surg Br 10:297\u2013299. https:\/\/doi.org\/10.1016\/s0266-7681(85)80047-4","journal-title":"J Hand Surg Br"},{"key":"6354_CR3","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1097\/01.sap.0000168884.88016.e1","volume":"55","author":"D Tuncali","year":"2005","unstructured":"Tuncali D, Yavuz N, Terzioglu A, Aslan G (2005) The rate of upper-extremity deep-structure injuries through small penetrating lacerations. Ann Plast Surg 55:146\u2013148. https:\/\/doi.org\/10.1097\/01.sap.0000168884.88016.e1","journal-title":"Ann Plast Surg"},{"key":"6354_CR4","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/j.jphys.2020.09.012","volume":"66","author":"J Blanquero","year":"2020","unstructured":"Blanquero J, Cort\u00e9s-Vega M-D, Rodr\u00edguez-S\u00e1nchez-Laulh\u00e9 P et al (2020) Feedback-guided exercises performed on a tablet touchscreen improve return to work, function, strength and healthcare usage more than an exercise program prescribed on paper for people with wrist, hand or finger injuries: a randomised trial. J Physiother 66:236\u2013242. https:\/\/doi.org\/10.1016\/j.jphys.2020.09.012","journal-title":"J Physiother"},{"key":"6354_CR5","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.jht.2020.10.005","volume":"35","author":"S Sava\u015f","year":"2022","unstructured":"Sava\u015f S, Aydo\u011fan \u00c7 (2022) Factors affecting orthosis adherence after acute traumatic hand tendon repairs: A prospective cohort study. J Hand Ther 35:32\u201340. https:\/\/doi.org\/10.1016\/j.jht.2020.10.005","journal-title":"J Hand Ther"},{"key":"6354_CR6","doi-asserted-by":"publisher","first-page":"e0229530","DOI":"10.1371\/journal.pone.0229530","volume":"15","author":"KD Bergmeister","year":"2020","unstructured":"Bergmeister KD, Gro\u00dfe-Hartlage L, Daeschler SC et al (2020) Acute and long-term costs of 268 peripheral nerve injuries in the upper extremity. PLoS ONE 15:e0229530. https:\/\/doi.org\/10.1371\/journal.pone.0229530","journal-title":"PLoS ONE"},{"key":"6354_CR7","doi-asserted-by":"publisher","first-page":"1165","DOI":"10.1016\/j.jhsa.2025.06.017","volume":"50","author":"M Harirah","year":"2025","unstructured":"Harirah M, Basagaoglu B, Depani M et al (2025) Resource utilization and cost associated with hand trauma: an analysis outside of the surgical global period. J Hand Surg Am 50:1165\u20131173. https:\/\/doi.org\/10.1016\/j.jhsa.2025.06.017","journal-title":"J Hand Surg Am"},{"key":"6354_CR8","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1097\/00043764-200204000-00015","volume":"44","author":"GS Sorock","year":"2002","unstructured":"Sorock GS, Lombardi DA, Hauser RB et al (2002) Acute traumatic occupational hand injuries: type, location, and severity. J Occup Environ Med 44:345\u2013351. https:\/\/doi.org\/10.1097\/00043764-200204000-00015","journal-title":"J Occup Environ Med"},{"key":"6354_CR9","doi-asserted-by":"publisher","first-page":"196","DOI":"10.4055\/cios.2014.6.2.196","volume":"6","author":"JP de Jong","year":"2014","unstructured":"de Jong JP, Nguyen JT, Sonnema AJM et al (2014) The incidence of acute traumatic tendon injuries in the hand and wrist: a 10-year population-based study. Clin Orthop Surg 6:196\u2013202. https:\/\/doi.org\/10.4055\/cios.2014.6.2.196","journal-title":"Clin Orthop Surg"},{"key":"6354_CR10","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1192\/bjp.bp.111.101196","volume":"201","author":"M Michielsen","year":"2012","unstructured":"Michielsen M, Semeijn E, Comijs HC et al (2012) Prevalence of attention-deficit hyperactivity disorder in older adults in The Netherlands. Br J Psychiatry 201:298\u2013305. https:\/\/doi.org\/10.1192\/bjp.bp.111.101196","journal-title":"Br J Psychiatry"},{"key":"6354_CR11","doi-asserted-by":"publisher","first-page":"1295","DOI":"10.1001\/archgenpsychiatry.2012.271","volume":"69","author":"RG Klein","year":"2012","unstructured":"Klein RG, Mannuzza S, Olazagasti MAR et al (2012) Clinical and functional outcome of childhood attention-deficit\/hyperactivity disorder 33 years later. Arch Gen Psychiatry 69:1295\u20131303. https:\/\/doi.org\/10.1001\/archgenpsychiatry.2012.271","journal-title":"Arch Gen Psychiatry"},{"key":"6354_CR12","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1177\/1087054713486699","volume":"20","author":"T Hurtig","year":"2016","unstructured":"Hurtig T, Ebeling H, Jokelainen J et al (2016) The association between hospital-treated injuries and ADHD symptoms in childhood and adolescence. J Atten Disord 20:3\u201310. https:\/\/doi.org\/10.1177\/1087054713486699","journal-title":"J Atten Disord"},{"key":"6354_CR13","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1111\/apa.12213","volume":"102","author":"J-H Kang","year":"2013","unstructured":"Kang J-H, Lin H-C, Chung S-D (2013) Attention-deficit\/hyperactivity disorder increased the risk of injury: a population-based follow-up study. Acta Paediatr 102:640\u2013643. https:\/\/doi.org\/10.1111\/apa.12213","journal-title":"Acta Paediatr"},{"key":"6354_CR14","doi-asserted-by":"crossref","unstructured":"Kaya A, Taner Y, Guclu B et al (2008) Trauma and adult attention deficit hyperactivity disorder","DOI":"10.1177\/147323000803600102"},{"key":"6354_CR15","doi-asserted-by":"publisher","unstructured":"Merrill R, Lyon J, Baker R, Gren L (2009) Attention deficit hyperactivity disorder and increased risk of injury. Adv Med Sci 54. https:\/\/doi.org\/10.2478\/v10039-009-0022-7","DOI":"10.2478\/v10039-009-0022-7"},{"key":"6354_CR16","doi-asserted-by":"publisher","unstructured":"Swensen A, Birnbaum HG, Ben Hamadi R et al (2004) Incidence and costs of accidents among attention-deficit\/hyperactivity disorder patients. J Adolesc Health 35. https:\/\/doi.org\/10.1016\/j.jadohealth.2003.12.003. 346.e1-346.e9","DOI":"10.1016\/j.jadohealth.2003.12.003"},{"key":"6354_CR17","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1111\/j.1365-2214.2011.01278.x","volume":"38","author":"Y Shilon","year":"2012","unstructured":"Shilon Y, Pollak Y, Aran A et al (2012) Accidental injuries are more common in children with attention deficit hyperactivity disorder compared with their non-affected siblings. Child Care Health Dev 38:366\u2013370. https:\/\/doi.org\/10.1111\/j.1365-2214.2011.01278.x","journal-title":"Child Care Health Dev"},{"key":"6354_CR18","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1001\/archpedi.1988.02150120061041","volume":"142","author":"P Bijur","year":"1988","unstructured":"Bijur P, Golding J, Haslum M, Kurzon M (1988) Behavioral predictors of injury in school-age children. Am J Dis Child 142:1307\u20131312. https:\/\/doi.org\/10.1001\/archpedi.1988.02150120061041","journal-title":"Am J Dis Child"},{"key":"6354_CR19","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1542\/peds.90.5.697","volume":"90","author":"LL Davidson","year":"1992","unstructured":"Davidson LL, Taylor EA, Sandberg ST, Thorley G (1992) Hyperactivity in school-age boys and subsequent risk of injury. Pediatrics 90:697\u2013702","journal-title":"Pediatrics"},{"key":"6354_CR20","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1016\/j.paid.2003.09.027","volume":"37","author":"DC Schwebel","year":"2004","unstructured":"Schwebel DC (2004) Temperamental risk factors for children\u2019s unintentional injury: the role of impulsivity and inhibitory control. Pers Individ Dif 37:567\u2013578. https:\/\/doi.org\/10.1016\/j.paid.2003.09.027","journal-title":"Pers Individ Dif"},{"key":"6354_CR21","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1111\/j.1469-7610.2006.01674.x","volume":"48","author":"R Rowe","year":"2007","unstructured":"Rowe R, Simonoff E, Silberg JL (2007) Psychopathology, temperament and unintentional injury: cross-sectional and longitudinal relationships. J Child Psychol Psychiatry 48:71\u201379. https:\/\/doi.org\/10.1111\/j.1469-7610.2006.01674.x","journal-title":"J Child Psychol Psychiatry"},{"key":"6354_CR22","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1007\/s10067-010-1470-y","volume":"30","author":"S Koldas Dogan","year":"2011","unstructured":"Koldas Dogan S, Ay S, Evcik D, Baser O (2011) Adaptation of Turkish version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) in patients with carpal tunnel syndrome. Clin Rheumatol 30:185\u2013191. https:\/\/doi.org\/10.1007\/s10067-010-1470-y","journal-title":"Clin Rheumatol"},{"key":"6354_CR23","unstructured":"G\u00fcle\u00e7 H, Tamam L, Yaz M et al (2008) Psychometric properties of the Turkish sVersion of the Barratt. 251\u2013258"},{"key":"6354_CR24","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1017\/S0033291704002892","volume":"2","author":"RC Kessler","year":"2005","unstructured":"Kessler RC, Adler L, Ames M, Demler OF, Hiripi S E et al (2005) The World Health Organization Short, Adult ADHD Self-Report Scale (ASRS): a Population., screening scale for use in the general. Psychol Med 2:245\u2013256","journal-title":"Psychol Med"},{"key":"6354_CR25","unstructured":"Do\u011fan S, \u00d6nc\u00fc B, Varol-sara\u00e7o\u011flu G et al Do\u011fan ve ark. 77 Eri\u015fkin Dikkat Eksikli\u011fi Hiperaktivite Bozuklu\u011fu Kendi Bildirim \u00d6l\u00e7e\u011fi (ASRS-v1.1): T\u00fcrk\u00e7e formunun ge\u00e7erlilik ve g\u00fcvenilirli\u011fi Validity and reliability of the Turkish version of the Adult ADHD Self-Report Scale (ASRS-v1.1)"},{"key":"6354_CR26","unstructured":"\u00d6zer A (1994) S\u00fcrekli \u00d6fke (SL-\u00d6fke) ve \u00f6fke ifadesi tarz\u0131 (\u00f6fke-tarz) \u00f6l\u00e7ekleri \u00f6n \u00e7al\u0131\u015fmas\u0131. T\u00fcrk Psikoloji Dergisi 26\u201335"},{"key":"6354_CR27","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1176\/ajp.2006.163.4.716","volume":"163","author":"RC Kessler","year":"2006","unstructured":"Kessler RC, Adler L, Barkley R et al (2006) The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. Am J Psychiatry 163:716\u2013723. https:\/\/doi.org\/10.1176\/ajp.2006.163.4.716","journal-title":"Am J Psychiatry"},{"key":"6354_CR28","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.burns.2003.10.013","volume":"30","author":"CR Thomas","year":"2004","unstructured":"Thomas CR, Ayoub M, Rosenberg L et al (2004) Attention deficit hyperactivity disorder & pediatric burn injury: a preliminary retrospective study. Burns 30:221\u2013223. https:\/\/doi.org\/10.1016\/j.burns.2003.10.013","journal-title":"Burns"},{"key":"6354_CR29","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1093\/jpepsy\/jsh015","volume":"29","author":"R Rowe","year":"2004","unstructured":"Rowe R, Maughan B, Goodman R (2004) Childhood psychiatric disorder and unintentional injury: findings from a national cohort study. J Pediatr Psychol 29:119\u2013130. https:\/\/doi.org\/10.1093\/jpepsy\/jsh015","journal-title":"J Pediatr Psychol"},{"key":"6354_CR30","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.1007\/s40263-017-0485-1","volume":"31","author":"KKC Man","year":"2017","unstructured":"Man KKC, Ip P, Chan EW et al (2017) Effectiveness of pharmacological treatment for attention-deficit\/hyperactivity disorder on physical injuries: a systematic review and meta-analysis of observational studies. CNS Drugs 31:1043\u20131055. https:\/\/doi.org\/10.1007\/s40263-017-0485-1","journal-title":"CNS Drugs"},{"key":"6354_CR31","unstructured":"De Crescenzo F, Cortese S, Adamo N, Janiri L Pharmacological and non-pharmacological treatment of adults with ADHD: a meta-review"},{"key":"6354_CR32","doi-asserted-by":"publisher","first-page":"104277","DOI":"10.1016\/j.ajp.2024.104277","volume":"102","author":"Y Oh","year":"2024","unstructured":"Oh Y, Kim Y, Ryu V (2024) Heightened suicidal risk in ADHD and subthreshold ADHD: Understanding the role of psychiatric comorbidities. Asian J Psychiatr 102:104277. https:\/\/doi.org\/10.1016\/j.ajp.2024.104277","journal-title":"Asian J Psychiatr"},{"key":"6354_CR33","doi-asserted-by":"publisher","first-page":"1783","DOI":"10.1176\/appi.ajp.158.11.1783","volume":"158","author":"FG Moeller","year":"2011","unstructured":"Moeller FG, BES, DDM SJM, SAC (2011) Psychiatric aspects of impulsivity. Am J Psychiatry 158:1783\u20131793","journal-title":"Am J Psychiatry"},{"key":"6354_CR34","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1002\/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1","volume":"51","author":"JH Patton","year":"1995","unstructured":"Patton JH, Stanford MSBES (1995) Factor structure of the Barratt impulsiveness scale. J Clin Psychol 51:768\u2013774","journal-title":"J Clin Psychol"},{"key":"6354_CR35","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1093\/cercor\/10.3.295","volume":"10","author":"A Bechara","year":"2000","unstructured":"Bechara A, DAR (2000) Emotion, decision making and the orbitofrontal cortex. Cereb Cortex 10:295\u2013307","journal-title":"Cereb Cortex"},{"key":"6354_CR36","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1097\/00004583-200310000-00011","volume":"42","author":"T Ford","year":"2003","unstructured":"Ford T, Goodman R, Meltzer H (2003) The British child and adolescent mental Health Survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 42:1203\u20131211. https:\/\/doi.org\/10.1097\/00004583-200310000-00011","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"6354_CR37","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1007\/s00787-007-0607-2","volume":"16","author":"T Hurtig","year":"2007","unstructured":"Hurtig T, Ebeling H, Taanila A et al (2007) ADHD and comorbid disorders in relation to family environment and symptom severity. Eur Child Adolesc Psychiatry 16:362\u2013369. https:\/\/doi.org\/10.1007\/s00787-007-0607-2","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"6354_CR38","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1097\/00004583-199708000-00014","volume":"36","author":"PS Jensen","year":"1997","unstructured":"Jensen PS, Martin D, Cantwell DP (1997) Comorbidity in ADHD: implications for research, practice, and DSM-V. J Am Acad Child Adolesc Psychiatry 36:1065\u20131079. https:\/\/doi.org\/10.1097\/00004583-199708000-00014","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"6354_CR39","doi-asserted-by":"publisher","unstructured":"G\u00f6khan S, Altunci YA, Orak M et al (2011) Hand and wrist injuries caused by glass cuts: Accidental or due to sudden anger? 11:54\u201358. https:\/\/doi.org\/10.5505\/1304.7361.2011.26213","DOI":"10.5505\/1304.7361.2011.26213"},{"key":"6354_CR40","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1097\/MRR.0000000000000040","volume":"37","author":"B Dogu","year":"2014","unstructured":"Dogu B, Kuran B, Sirzai H et al (2014) The relationship between hand function, depression, and the psychological impact of trauma in patients with traumatic hand injury. Int J Rehabil Res 37:105\u2013109. https:\/\/doi.org\/10.1097\/MRR.0000000000000040","journal-title":"Int J Rehabil Res"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-026-06354-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-026-06354-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-026-06354-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T16:13:18Z","timestamp":1779898398000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-026-06354-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,27]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6354"],"URL":"https:\/\/doi.org\/10.1007\/s00402-026-06354-9","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,27]]},"assertion":[{"value":"28 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study commenced after obtaining approval from the relevant local ethics committee in accordance with the Declaration of Helsinki (2024-GOKAEK-2411_2024.10.16_164). The study was registered with ClinicalTrials.gov (NCT07126899).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}}],"article-number":"203"}}