{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:23:41Z","timestamp":1780579421085,"version":"3.54.1"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001791","name":"Griffith University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001791","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Community Ment Health J"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>People with mental health challenges and problematic substance use may experience low quality of life (QoL) because of illness-related factors and psychosocial stressors. Evidence indicates that regular exercise can improve QoL for people with a range of mental health and substance use issues, and Accredited Exercise Physiologists (AEPs) provide evidence-based exercise interventions for people with a range of health conditions. This study examined QoL changes in people with mental health challenges and problematic substance use while engaged in an AEP service. The service was implemented over three years and involved weekly group exercise sessions and health education. Linear mixed-effects models were used to evaluate trajectories of QoL total score and each dimension (independent living, pain, senses, relationships, mental health, coping). A total of 295 participants were inducted, with 161 completing at least two assessments. QoL improved by 5.8% per year (95%CI: 1.8\u20139.8%), predominantly in mental health and coping dimensions. This study demonstrates the feasibility and adoption of AEP services to inform service planning for improving QoL in people with mental health challenges and problematic substance use.<\/jats:p>","DOI":"10.1007\/s10597-025-01518-0","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:44:29Z","timestamp":1758156269000},"page":"245-256","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Quality of Life of People with Mental Health Challenges and Problematic Substance Use while Engaged with an Exercise Physiology Service"],"prefix":"10.1007","volume":"62","author":[{"given":"Jane","family":"Kugelman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meg","family":"Doohan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Dyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jake","family":"O\u2019Brien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mridula","family":"Kayal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"issue":"178","key":"1518_CR1","first-page":"2577","volume":"4","author":"A Alyafei","year":"2020","unstructured":"Alyafei, A., & Albaker, W. (2020). Barriers and facilitators for regular physical exercise among adult females narrative review 2020. Journal of Community Medicine and Public Health, 4(178), 2577\u20132228100078.","journal-title":"Journal of Community Medicine and Public Health"},{"issue":"1","key":"1518_CR2","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1186\/s13690-022-00940-0","volume":"80","author":"B Armoon","year":"2022","unstructured":"Armoon, B., Fleury, M. J., Bayat, A. H., Bayani, A., Mohammadi, R., & Griffiths, M. D. (2022). Quality of life and its correlated factors among patients with substance use disorders: A systematic review and meta-analysis. Archives of Public Health, 80(1), 179.","journal-title":"Archives of Public Health"},{"issue":"1","key":"1518_CR3","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1080\/10413200.2023.2185699","volume":"36","author":"MD Bird","year":"2024","unstructured":"Bird, M. D., Swann, C., & Jackman, P. C. (2024). The what, why, and how of goal setting: A review of the goal-setting process in applied sport psychology practice. Journal of Applied Sport Psychology, 36(1), 75\u201397.","journal-title":"Journal of Applied Sport Psychology"},{"key":"1518_CR4","unstructured":"Borg, G. (1998). Borg\u2019s perceived exertion and pain scales. Human kinetics."},{"key":"1518_CR5","doi-asserted-by":"publisher","first-page":"249","DOI":"10.3389\/fpsyg.2018.00249","volume":"9","author":"S Brand","year":"2018","unstructured":"Brand, S., Colledge, F., Ludyga, S., Emmenegger, R., Kalak, N., Bahmani, S., Holsboer-Trachsler, D., P\u00fchse, E., U., & Gerber, M. (2018). Acute bouts of exercising improved mood, rumination and social interaction in inpatients with mental disorders. Frontiers in Psychology, 9, 249.","journal-title":"Frontiers in Psychology"},{"issue":"5","key":"1518_CR6","doi-asserted-by":"publisher","first-page":"448","DOI":"10.3109\/09638237.2016.1167847","volume":"25","author":"JJ Chapman","year":"2016","unstructured":"Chapman, J. J., Fraser, S. J., Brown, W. J., & Burton, N. W. (2016). Physical activity preferences, motivators, barriers and attitudes of adults with mental illness. Journal of Mental Health, 25(5), 448\u2013454.","journal-title":"Journal of Mental Health"},{"key":"1518_CR7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1477-7525-10-138","volume":"10","author":"J Connell","year":"2012","unstructured":"Connell, J., Brazier, J., O\u2019Cathain, A., Lloyd-Jones, M., & Paisley, S. (2012). Quality of life of people with mental health problems: A synthesis of qualitative research. Health and Quality of Life Outcomes, 10, 1\u201316.","journal-title":"Health and Quality of Life Outcomes"},{"key":"1518_CR8","unstructured":"R Core Team (2023). R: A Language and Environment for Statistical Computing. In (Version R version 4.2.3) R Foundation for Statistical Computing. https:\/\/www.R-project.org\/"},{"key":"1518_CR9","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1007\/s11136-006-9002-6","volume":"16","author":"S Evans","year":"2007","unstructured":"Evans, S., Banerjee, S., Leese, M., & Huxley, P. (2007). The impact of mental illness on quality of life: A comparison of severe mental illness, common mental disorder and healthy population samples. Quality of Life Research, 16, 17\u201329.","journal-title":"Quality of Life Research"},{"key":"1518_CR10","unstructured":"Exercise & Sports Science Australia (2024). Accredited Exercise Physiologist Scope of Practice. https:\/\/www.essa.org.au\/Common\/Uploaded%20files\/Standards\/AEP%20Scope%20of%20Practice.pdf"},{"issue":"12","key":"1518_CR11","doi-asserted-by":"publisher","first-page":"2104","DOI":"10.1017\/S0033291720000884","volume":"51","author":"D Fernandez","year":"2021","unstructured":"Fernandez, D., Vigo, D., Sampson, N. A., Hwang, I., Aguilar-Gaxiola, S., Al-Hamzawi, A. O., Alonso, J., Andrade, L. H., Bromet, E. J., & de Girolamo, G. (2021). Patterns of care and dropout rates from outpatient mental healthcare in low-, middle-and high-income countries from the World Health Organization\u2019s world mental health survey initiative. Psychological Medicine, 51(12), 2104\u20132116.","journal-title":"Psychological Medicine"},{"key":"1518_CR12","doi-asserted-by":"publisher","first-page":"791125","DOI":"10.3389\/fpsyt.2021.791125","volume":"12","author":"H Fibbins","year":"2021","unstructured":"Fibbins, H., Edwards, L., Morell, R., Lederman, O., Ward, P., & Curtis, J. (2021). Implementing an exercise physiology clinic for consumers within a community mental health service: A real-world evaluation. Frontiers in Psychiatry, 12, 791125.","journal-title":"Frontiers in Psychiatry"},{"issue":"14","key":"1518_CR13","doi-asserted-by":"publisher","first-page":"2869","DOI":"10.1017\/S0033291716001732","volume":"46","author":"J Firth","year":"2016","unstructured":"Firth, J., Rosenbaum, S., Stubbs, B., Gorczynski, P., Yung, A., & Vancampfort, D. (2016). Motivating factors and barriers towards exercise in severe mental illness: A systematic review and meta-analysis. Psychological Medicine, 46(14), 2869\u20132881. https:\/\/doi.org\/10.1017\/S0033291716001732","journal-title":"Psychological Medicine"},{"issue":"2","key":"1518_CR14","doi-asserted-by":"publisher","first-page":"85","DOI":"10.3109\/09593985.2013.816894","volume":"30","author":"N Freene","year":"2014","unstructured":"Freene, N., Waddington, G., Chesworth, W., Davey, R., & Cochrane, T. (2014). Community group exercise versus physiotherapist-led home-based physical activity program: Barriers, enablers and preferences in middle-aged adults. Physiotherapy Theory and Practice, 30(2), 85\u201393.","journal-title":"Physiotherapy Theory and Practice"},{"issue":"1","key":"1518_CR15","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1177\/1039856220943030","volume":"29","author":"BJ Furzer","year":"2021","unstructured":"Furzer, B. J., Wright, K. E., Edoo, A., & Maiorana, A. (2021). Move your mind: Embedding accredited exercise physiology services within a hospital-based mental health service. Australasian Psychiatry, 29(1), 52\u201356.","journal-title":"Australasian Psychiatry"},{"issue":"5","key":"1518_CR16","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1123\/jpah.7.5.571","volume":"7","author":"JLJ Greenwood","year":"2010","unstructured":"Greenwood, J. L. J., Joy, E. A., & Stanford, J. B. (2010). The physical activity vital sign: A primary care tool to guide counseling for obesity. Journal of Physical Activity & Health, 7(5), 571\u2013576. https:\/\/doi.org\/10.1123\/jpah.7.5.571","journal-title":"Journal of Physical Activity & Health"},{"issue":"1","key":"1518_CR17","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1097\/00006199-199501000-00003","volume":"44","author":"BM Hagerty","year":"1995","unstructured":"Hagerty, B. M., & Patusky, K. (1995). Developing a measure of sense of belonging. Nursing Research, 44(1), 9\u201313.","journal-title":"Nursing Research"},{"key":"1518_CR18","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1111\/j.1600-0447.2005.00717.x","volume":"113","author":"L Hansson","year":"2006","unstructured":"Hansson, L. (2006). Determinants of quality of life in people with severe mental illness. Acta Psychiatrica Scandinavica, 113, 46\u201350.","journal-title":"Acta Psychiatrica Scandinavica"},{"issue":"null","key":"1518_CR19","doi-asserted-by":"publisher","first-page":"3041","DOI":"10.2147\/NDT.S96559","volume":"11","author":"M Holubova","year":"2015","unstructured":"Holubova, M., Prasko, J., Hruby, R., Kamaradova, D., Ociskova, M., Latalova, K., & Grambal, A. (2015). Coping strategies and quality of life in schizophrenia: Cross-sectional study. Neuropsychiatric Disease And Treatment, 11(null), 3041\u20133048. https:\/\/doi.org\/10.2147\/NDT.S96559","journal-title":"Neuropsychiatric Disease And Treatment"},{"key":"1518_CR20","doi-asserted-by":"publisher","first-page":"319","DOI":"10.3389\/fpsyt.2020.00319","volume":"11","author":"N Korman","year":"2020","unstructured":"Korman, N., Fox, H., Skinner, T., Dodd, C., Suetani, S., Chapman, J., Parker, S., Dark, F., Collins, C., & Rosenbaum, S. (2020). Feasibility and acceptability of a student-led lifestyle (diet and exercise) intervention within a residential rehabilitation setting for people with severe mental illness, GO HEART (Group occupation, health, exercise and rehabilitation treatment). Frontiers in Psychiatry, 11, 319. https:\/\/doi.org\/10.3389\/fpsyt.2020.00319","journal-title":"Frontiers in Psychiatry"},{"key":"1518_CR21","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1016\/j.schres.2023.04.012","volume":"256","author":"N Korman","year":"2023","unstructured":"Korman, N., Stanton, R., Vecchio, A., Chapman, J., Parker, S., Martland, R., Siskind, D., & Firth, J. (2023). The effect of exercise on global, social, daily living and occupational functioning in people living with schizophrenia: A systematic review and meta-analysis. Schizophrenia Research, 256, 98\u2013111.","journal-title":"Schizophrenia Research"},{"issue":"4","key":"1518_CR22","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1111\/eip.12871","volume":"14","author":"O Lederman","year":"2020","unstructured":"Lederman, O., Ward, P. B., Rosenbaum, S., Maloney, C., Watkins, A., Teasdale, S., Morell, R., & Curtis, J. (2020). Stepping up early treatment for help-seeking youth with at-risk mental states: Feasibility and acceptability of a real-world exercise program. Early Intervention in Psychiatry, 14(4), 450\u2013462. https:\/\/doi.org\/10.1111\/eip.12871","journal-title":"Early Intervention in Psychiatry"},{"issue":"1","key":"1518_CR23","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1080\/11038128.2017.1409266","volume":"26","author":"K Lund","year":"2019","unstructured":"Lund, K., Argentzell, E., Leufstadius, C., Tj\u00f6rnstrand, C., & Eklund, M. (2019). Joining, belonging, and re-valuing: A process of meaning-making through group participation in a mental health lifestyle intervention. Scandinavian Journal of Occupational Therapy, 26(1), 55\u201368.","journal-title":"Scandinavian Journal of Occupational Therapy"},{"key":"1518_CR24","unstructured":"Porter, M. R. (2013). An analysis of treatment retention and attrition in an Australian therapeutic community for substance abuse treatment."},{"key":"1518_CR25","unstructured":"Richardson, J., Sinha, K., Iezzi, A., & Khan, M. (2011). Modelling the utility of health states with the Assessment of Quality of Life (AQoL) 8D instrument: overview and utility scoring algorithm. Research Paper 63, Center for Health Economics."},{"issue":"4","key":"1518_CR26","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1017\/S2045796017000786","volume":"28","author":"D Richter","year":"2019","unstructured":"Richter, D., & Hoffmann, H. (2019). Social exclusion of people with severe mental illness in Switzerland: Results from the Swiss health survey. Epidemiology and Psychiatric Sciences, 28(4), 427\u2013435.","journal-title":"Epidemiology and Psychiatric Sciences"},{"issue":"2","key":"1518_CR27","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1017\/S2045796011000862","volume":"21","author":"S Saha","year":"2012","unstructured":"Saha, S., Scott, J., Varghese, D., & McGrath, J. (2012). Social support and delusional-like experiences: A nationwide population-based study. Epidemiology and Psychiatric Sciences, 21(2), 203\u2013212.","journal-title":"Epidemiology and Psychiatric Sciences"},{"key":"1518_CR28","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.jad.2014.12.049","volume":"175","author":"ZI Santini","year":"2015","unstructured":"Santini, Z. I., Koyanagi, A., Tyrovolas, S., Mason, C., & Haro, J. M. (2015). The association between social relationships and depression: A systematic review. Journal Of Affective Disorders, 175, 53\u201365. https:\/\/doi.org\/10.1016\/j.jad.2014.12.049","journal-title":"Journal Of Affective Disorders"},{"key":"1518_CR29","doi-asserted-by":"publisher","DOI":"10.1101\/2019.12.11.12345678","author":"J Seymour","year":"2021","unstructured":"Seymour, J., Pratt, G., Patterson, S., Korman, N., Rebar, A., Tillston, S., & Chapman, J. (2021). Changes in self-determined motivation for exercise in people with mental illness participating in a community-based exercise service in Australia. Health and Social Care in the Community. https:\/\/doi.org\/10.1101\/2019.12.11.12345678","journal-title":"Health and Social Care in the Community"},{"key":"1518_CR30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2025.02.024","author":"M Solmi","year":"2025","unstructured":"Solmi, M., Basadonne, I., Bodini, L., Rosenbaum, S., Schuch, F. B., Smith, L., Stubbs, B., Firth, J., Vancampfort, D., & Ashdown-Franks, G. (2025). Exercise as a transdiagnostic intervention for improving mental health: An umbrella review. Journal of Psychiatric Research 184:91\u2013101. https:\/\/doi.org\/10.1016\/j.jpsychires.2025.02.024","journal-title":"Journal of Psychiatric Research"},{"key":"1518_CR31","doi-asserted-by":"publisher","unstructured":"Soundy, A., Kingstone, T., & Coffee, P. (2011). Understanding the psychosocial processes of physical activity for individuals with severe mental illness: A meta-ethnography. In Mental Illnesses - Evaluation, Treatments and Implications (pp. 3\u201320). InTech. https:\/\/doi.org\/10.5772\/2476","DOI":"10.5772\/2476"},{"key":"1518_CR32","unstructured":"Teasdale, S., Curtis, J., Ward, P., Watkins, A., Rosenbaum, S., Morell, R., & Fibbins, H. (2024). Keeping the body in mind: The evolution of a lifestyle program for mental health consumers. Mindgardens Neuroscience Network."},{"key":"1518_CR33","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(25)00170-1","author":"S Teasdale","year":"2025","unstructured":"Teasdale, S., Machaczek, K., Marx, W., Eaton, M., Chapman, J., Milton, A., Oyeyemi, A., Pelupessy, D., Schuch, F., Gatera, G., Ahmed, H., Diatri, H., Jidda, I., Guti\u00e9rrez-Pel\u00e1ez, M., Elshazly, M., Fugu, M., Grinko, N., Indu, P., Oo, S., \u2026 and the Lancet Psychiatry Physical Health Commission Consortium. (2025). Implementing lifestyle interventions in mental health care: Third report of the Lancet Psychiatry Physical Health Commission. The Lancet Psychiatry. https:\/\/doi.org\/10.1016\/S2215-0366(25)00170-1","journal-title":"The Lancet Psychiatry"},{"issue":"2","key":"1518_CR34","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1080\/17437199.2020.1715812","volume":"15","author":"LM Tweed","year":"2021","unstructured":"Tweed, L. M., Rogers, E. N., & Kinnafick, F. E. (2021). Literature on peer-based community physical activity programmes for mental health service users: A scoping review. Health Psychology Review, 15(2), 287\u2013313. https:\/\/doi.org\/10.1080\/17437199.2020.1715812","journal-title":"Health Psychology Review"},{"issue":"4","key":"1518_CR35","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s10865-006-9056-5","volume":"29","author":"BN Uchino","year":"2006","unstructured":"Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377\u2013387. https:\/\/doi.org\/10.1007\/s10865-006-9056-5","journal-title":"Journal of Behavioral Medicine"},{"key":"1518_CR36","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.genhosppsych.2015.11.008","volume":"39","author":"D Vancampfort","year":"2016","unstructured":"Vancampfort, D., Rosenbaum, S., Schuch, F. B., Ward, P. B., Probst, M., & Stubbs, B. (2016a). Prevalence and predictors of treatment dropout from physical activity interventions in schizophrenia: A meta-analysis. General Hospital Psychiatry, 39, 15\u201323. https:\/\/doi.org\/10.1016\/j.genhosppsych.2015.11.008","journal-title":"General Hospital Psychiatry"},{"issue":"2","key":"1518_CR37","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/j.schres.2016.01.001","volume":"170","author":"D Vancampfort","year":"2016","unstructured":"Vancampfort, D., Stubbs, B., Probst, M., De Hert, M., Schuch, F. B., Mugisha, J., Ward, P. B., & Rosenbaum, S. (2016b). Physical activity as a vital sign in patients with schizophrenia: Evidence and clinical recommendations. Schizophrenia Research, 170(2), 336\u2013340. https:\/\/doi.org\/10.1016\/j.schres.2016.01.001","journal-title":"Schizophrenia Research"},{"issue":"2","key":"1518_CR38","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1002\/wps.21314","volume":"24","author":"D Vancampfort","year":"2025","unstructured":"Vancampfort, D., Firth, J., Stubbs, B., Schuch, F., Rosenbaum, S., Hallgren, M., Deenik, J., Ward, P. B., Mugisha, J., & Van Damme, T. (2025). The efficacy, mechanisms and implementation of physical activity as an adjunctive treatment in mental disorders: A meta-review of outcomes, neurobiology and key determinants. World Psychiatry, 24(2), 227\u2013239.","journal-title":"World Psychiatry"},{"issue":"9904","key":"1518_CR39","doi-asserted-by":"publisher","first-page":"1575","DOI":"10.1016\/S0140-6736(13)61611-6","volume":"382","author":"HA Whiteford","year":"2013","unstructured":"Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., Charlson, F. J., Norman, R. E., Flaxman, A. D., & Johns, N. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. Lancet, 382(9904), 1575\u20131586.","journal-title":"Lancet"},{"issue":"4","key":"1518_CR40","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1080\/00207411.2020.1854023","volume":"51","author":"G Whybird","year":"2022","unstructured":"Whybird, G., Nott, Z., Savage, E., Korman, N., Suetani, S., Hielscher, E., Vilic, G., Tillston, S., Patterson, S., & Chapman, J. (2022). Promoting quality of life and recovery in adults with mental health issues using exercise and nutrition intervention. International Journal of Mental Health, 51(4), 424\u2013447.","journal-title":"International Journal of Mental Health"}],"updated-by":[{"DOI":"10.1007\/s10597-025-01528-y","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000}}],"container-title":["Community Mental Health Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10597-025-01518-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10597-025-01518-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10597-025-01518-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:10:46Z","timestamp":1769595046000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10597-025-01518-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,18]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["1518"],"URL":"https:\/\/doi.org\/10.1007\/s10597-025-01518-0","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-6858734\/v1","asserted-by":"object"}]},"ISSN":["0010-3853","1573-2789"],"issn-type":[{"value":"0010-3853","type":"print"},{"value":"1573-2789","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,18]]},"assertion":[{"value":"10 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 September 2025","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The second author name has been corrected.","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2025","order":8,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":9,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":10,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s10597-025-01528-y","URL":"https:\/\/doi.org\/10.1007\/s10597-025-01528-y","order":11,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study. Approval was granted by the QIMR Berghofer Medical Research Human Research Ethics Committee (P2398).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}