{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:35:14Z","timestamp":1792510514508,"version":"4.5.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Res Child Adolesc Psychopathol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Youth with complex health needs (CHNs; e.g., requiring daily assistance or equipment for care) and their parents face heightened vulnerabilities during natural disasters, potentially leading to poorer mental health outcomes compared to those without CHNs. However, limited research has focused on this group\u2019s disaster-related experiences and their impact on mental health outcomes. This study aimed to investigate the disaster experiences, perceptions, and mental health outcomes of youth with CHNs and their parents\u2019 post-hurricane and to evaluate the unique influence of CHN- and disaster-related factors on their psychological functioning. Parents (<jats:italic>N<\/jats:italic>\u2009=\u2009142) of youth with CHNs (<jats:italic>n<\/jats:italic>\u2009=\u200948) and without CHNs (<jats:italic>n<\/jats:italic>\u2009=\u200994) who experienced a hurricane reported on their youth\u2019s and their own psychological functioning, disaster perceptions, experiences, and CHN-related information. Youth with CHNs exhibited greater perceived life threat compared to youth without CHNs. Families of youth with CHNs were more likely to evacuate and faced greater evacuation barriers. They also exhibited greater PTS, depressive, and anxiety symptom severity compared to those without CHNs. Financial healthcare concerns were not associated with youth with CHNs or their parents\u2019 mental health symptomatology. Hurricane-impeded access to healthcare necessities was associated with youth and parent PTS and depressive symptom severity and youth anxiety symptom severity. These findings underscore the vulnerabilities of youth with CHNs and their parents\u2019 post-hurricane, emphasizing the need for tailored mental health services and improved disaster planning resources to support this population effectively.<\/jats:p>","DOI":"10.1007\/s10802-024-01279-6","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T12:48:22Z","timestamp":1737550102000},"page":"905-919","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Complex Health Needs in Hurricane-Affected Youth and Their Families: Barriers, Vulnerabilities, and Mental Health Outcomes"],"prefix":"10.1007","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9694-3586","authenticated-orcid":false,"given":"Jessica T.","family":"Kelly","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1555-7525","authenticated-orcid":false,"given":"BreAnne A.","family":"Danzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"issue":"2","key":"1279_CR1","doi-asserted-by":"publisher","first-page":"885","DOI":"10.3758\/s13428-021-01665-8","volume":"54","author":"J Agley","year":"2022","unstructured":"Agley, J., Xiao, Y., Nolan, R., & Golzarri-Arroyo, L. (2022). Quality control questions on Amazon\u2019s mechanical Turk (MTurk): A randomized trial of impact on the USAUDIT, PHQ-9, and GAD-7. Behavior Research Methods, 54(2), 885\u2013897. https:\/\/doi.org\/10.3758\/s13428-021-01665-8","journal-title":"Behavior Research Methods"},{"issue":"9","key":"1279_CR2","doi-asserted-by":"publisher","first-page":"832","DOI":"10.1037\/a0039906","volume":"70","author":"American Psychological Association","year":"2015","unstructured":"American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70(9), 832\u2013864. https:\/\/doi.org\/10.1037\/a0039906","journal-title":"American Psychologist"},{"issue":"2","key":"1279_CR3","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1037\/1040-3590.10.2.176","volume":"10","author":"MM Antony","year":"1998","unstructured":"Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176. https:\/\/doi.org\/10.1037\/1040-3590.10.2.176","journal-title":"Psychological Assessment"},{"issue":"6","key":"1279_CR4","doi-asserted-by":"publisher","first-page":"989","DOI":"10.1111\/cch.12233","volume":"41","author":"KL Berg","year":"2015","unstructured":"Berg, K. L., Shiu, C. S., Msall, M. E., & Acharya, K. (2015). Victimization and depression among youth with disabilities in the child welfare system. Child: Care Health and Development, 41(6), 989\u2013999. https:\/\/doi.org\/10.1111\/cch.12233","journal-title":"Child: Care Health and Development"},{"key":"1279_CR39","doi-asserted-by":"publisher","unstructured":"Brunet, A., Weiss, D. S., Metzler, T. J., Best, S. R., Neylan, T. C., Rogers, C., Fagan, J., & Marmar, C. R. (2001). The Peritraumatic Distress Inventory: A proposed measure of PTSD criterion A2. American Journal of Psychiatry, 158(9), 1480\u20131485. https:\/\/doi.org\/10.1176\/appi.ajp.158.9.1480","DOI":"10.1176\/appi.ajp.158.9.1480"},{"key":"1279_CR5","unstructured":"Bucci, L., Alaka, L., Hagen, A., Delgado, S., & Beven, J. (2022). National hurricane center tropical cyclone report: Hurricane Ian. National Hurricane Center, 1\u201372. https:\/\/www.nhc.noaa.gov\/data\/tcr\/AL092022_Ian.pdf"},{"issue":"7","key":"1279_CR6","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.1037\/amp0000905","volume":"76","author":"NT Buchanan","year":"2021","unstructured":"Buchanan, N. T., Perez, M., Prinstein, M. J., & Thurston, I. B. (2021). Upending racism in psychological science: Strategies to change how science is conducted, reported, reviewed, and disseminated. American Psychologist, 76(7), 1097\u20131112. https:\/\/doi.org\/10.1037\/amp0000905","journal-title":"American Psychologist"},{"key":"1279_CR7","unstructured":"Center for Disease Control and Prevention (2020). Disability and Health Overview. Retrieved from https:\/\/www.cdc.gov\/ncbddd\/disabilityandhealth\/disability.html"},{"key":"1279_CR8","doi-asserted-by":"crossref","unstructured":"Cloitre, M., Bisson, J. I., Brewin, C. R., Hyland, P., Karatzias, T., Lueger-Schuster, B., & Shevlin, M. (2018). International Trauma Questionnaire-Child and Adolescent Version (ITQ-CA). https:\/\/www.traumameasuresglobal.com\/itqca","DOI":"10.1037\/t73478-000"},{"issue":"1","key":"1279_CR9","doi-asserted-by":"publisher","first-page":"19179","DOI":"10.1038\/s41598-024-69692-x","volume":"14","author":"BA Danzi","year":"2024","unstructured":"Danzi, B. A., Knowles, E. A., & Kelly, J. T. (2024). Improving posttraumatic stress disorder assessment in young children: Comparing measures and identifying clinically-relevant symptoms in children ages six and under. Scientific Reports, 14(1), 19179. https:\/\/doi.org\/10.1038\/s41598-024-69692-x","journal-title":"Scientific Reports"},{"key":"1279_CR10","doi-asserted-by":"publisher","first-page":"e446","DOI":"10.1017\/dmp.2023.115","volume":"17","author":"SA Davis","year":"2023","unstructured":"Davis, S. A., Carpenter, D. M., Loughlin, C. E., Garcia, N., & Sleath, B. (2023). Impact of Hurricane Matthew on a cohort of adolescents with asthma in North Carolina. Disaster Medicine and Public Health Preparedness, 17, e446. https:\/\/doi.org\/10.1017\/dmp.2023.115","journal-title":"Disaster Medicine and Public Health Preparedness"},{"key":"1279_CR11","doi-asserted-by":"publisher","first-page":"103981","DOI":"10.1016\/j.ridd.2021.103981","volume":"114","author":"EM Ducy","year":"2021","unstructured":"Ducy, E. M., & Stough, L. M. (2021). Psychological effects of the 2017 California wildfires on children and youth with disabilities. Research in Developmental Disabilities, 114, 103981. https:\/\/doi.org\/10.1016\/j.ridd.2021.103981","journal-title":"Research in Developmental Disabilities"},{"issue":"1","key":"1279_CR12","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1037\/cps0000111","volume":"30","author":"SR Forkus","year":"2023","unstructured":"Forkus, S. R., Raudales, A. M., Rafiuddin, H. S., Weiss, N. H., Messman, B. A., & Contractor, A. A. (2023). The posttraumatic stress disorder (PTSD) checklist for DSM\u20135: A systematic review of existing psychometric evidence. Clinical Psychology: Science and Practice, 30(1), 110. https:\/\/doi.org\/10.1037\/cps0000111","journal-title":"Clinical Psychology: Science and Practice"},{"key":"1279_CR13","doi-asserted-by":"publisher","first-page":"103273","DOI":"10.1016\/j.ijdrr.2022.103273","volume":"81","author":"J Gim","year":"2022","unstructured":"Gim, J., & Shin, S. (2022). Disaster vulnerability and community resilience factors affecting post-disaster wellness: A longitudinal analysis of the Survey on the change of life of disaster victim. International Journal of Disaster Risk Reduction, 81, 103273. https:\/\/doi.org\/10.1016\/j.ijdrr.2022.103273","journal-title":"International Journal of Disaster Risk Reduction"},{"issue":"3","key":"1279_CR14","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1037\/fsh0000027","volume":"32","author":"A Goudie","year":"2014","unstructured":"Goudie, A., Narcisse, M. R., Hall, D. E., & Kuo, D. Z. (2014). Financial and psychological stressors associated with caring for children with disability. Families Systems & Health, 32(3), 280\u2013290. https:\/\/doi.org\/10.1037\/fsh0000027","journal-title":"Families Systems & Health"},{"key":"1279_CR15","unstructured":"Individuals With Disabilities Education Act (2004). 20 U S C \u00a7 1400."},{"key":"1279_CR16","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.ajp.2016.07.007","volume":"23","author":"SNI Isa","year":"2016","unstructured":"Isa, S. N. I., Ishak, I., Ab Rahman, A., Saat, N. Z. M., Din, N. C., Lubis, S. H., & Ismail, M. F. M. (2016). Health and quality of life among the caregivers of children with disabilities: A review of literature. Asian Journal of Psychiatry, 23, 71\u201377. https:\/\/doi.org\/10.1016\/j.ajp.2016.07.007","journal-title":"Asian Journal of Psychiatry"},{"issue":"1","key":"1279_CR17","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1017\/dmp.2019.9","volume":"13","author":"AM La Greca","year":"2019","unstructured":"La Greca, A. M., Brodar, K. E., Danzi, B. A., Tarlow, N., Silva, K., & Comer, J. S. (2019). Before the storm: Stressors associated with the Hurricane Irma evacuation process for families. Disaster Medicine and Public Health Preparedness, 13(1), 63\u201373. https:\/\/doi.org\/10.1017\/dmp.2019.9","journal-title":"Disaster Medicine and Public Health Preparedness"},{"key":"1279_CR18","doi-asserted-by":"publisher","DOI":"10.1037\/t01004-000","author":"SH Lovibond","year":"1995","unstructured":"Lovibond, S. H., & Lovibond, P. F. (1995). Depression anxiety stress scales (DASS\u201321, DASS\u201342). APA PsycTests. https:\/\/doi.org\/10.1037\/t01004-000. Database record.","journal-title":"APA PsycTests"},{"key":"1279_CR19","unstructured":"Lueger-Schuster, B., Negr\u00e3o, M., Veiga, E., Henley, S., & Rocha, J. (2023). International Trauma Questionnaire- Caregiver Version (ITQ-CG). https:\/\/www.traumameasuresglobal.com\/_files\/ugd\/be25b4_051ac56764d04d5b99dfc6713f6bd904.pdf"},{"issue":"10","key":"1279_CR20","doi-asserted-by":"publisher","first-page":"1677","DOI":"10.1007\/s10802-019-00540-7","volume":"47","author":"BA Makol","year":"2019","unstructured":"Makol, B. A., De Los Reyes, A., Ostrander, R. S., & Reynolds, E. K. (2019). Parent-youth divergence (and convergence) in reports of youth internalizing problems in psychiatric inpatient care. Journal of Abnormal Child Psychology, 47(10), 1677\u20131689. https:\/\/doi.org\/10.1007\/s10802-019-00540-7","journal-title":"Journal of Abnormal Child Psychology"},{"key":"1279_CR38","doi-asserted-by":"publisher","unstructured":"Mehtar, M., & Mukaddes, N. M. (2011). Posttraumatic stress disorder in individuals with diagnosis of autistic spectrum disorders.\u00a0Research in Autism Spectrum Disorders,\u00a05(1), 539\u2013546. https:\/\/doi.org\/10.1016\/j.rasd.2010.06.020","DOI":"10.1016\/j.rasd.2010.06.020"},{"key":"1279_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11920-021-01295-z","volume":"23","author":"M Mann","year":"2021","unstructured":"Mann, M., McMillan, J. E., Silver, E. J., & Stein, R. E. (2021). Children and adolescents with disabilities and exposure to disasters, terrorism, and the COVID-19 pandemic: A scoping review. Current Psychiatry Reports, 23, 1\u201312. https:\/\/doi.org\/10.1007\/s11920-021-01295-z","journal-title":"Current Psychiatry Reports"},{"issue":"11","key":"1279_CR22","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1037\/ccp0000432","volume":"87","author":"KL McDonald","year":"2019","unstructured":"McDonald, K. L., Vernberg, E. M., Lochman, J. E., Abel, M. R., Jarrett, M. A., Kassing, F., Powell, N., & Qu, L. (2019). Trajectories of tornado-related posttraumatic stress symptoms and pre-exposure predictors in a sample of at-risk youth. Journal of Consulting and Clinical Psychology, 87(11), 1003. https:\/\/doi.org\/10.1037\/ccp0000432","journal-title":"Journal of Consulting and Clinical Psychology"},{"issue":"4","key":"1279_CR23","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1111\/j.1467-8624.2010.01466.x","volume":"81","author":"L Peek","year":"2010","unstructured":"Peek, L., & Stough, L. M. (2010). Children with disabilities in the context of disaster: A social vulnerability perspective. Child Development, 81(4), 1260\u20131270. https:\/\/doi.org\/10.1111\/j.1467-8624.2010.01466.x","journal-title":"Child Development"},{"key":"1279_CR40","doi-asserted-by":"publisher","unstructured":"Pickering, C. J., Dancey, M., Paik, K., & O\u2019Sullivan, T. (2021). Informal caregiving and disaster risk reduction: A scoping review. International Journal of Disaster Risk Science, 12, 169\u2013187. https:\/\/doi.org\/10.1007\/s13753-021-00328-8","DOI":"10.1007\/s13753-021-00328-8"},{"key":"1279_CR24","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.jad.2017.04.022","volume":"218","author":"JA Piqueras","year":"2017","unstructured":"Piqueras, J. A., Mart\u00edn-Vivar, M., Sandin, B., San Luis, C., & Pineda, D. (2017). The revised child anxiety and Depression Scale: A systematic review and reliability generalization meta-analysis. Journal of Affective Disorders, 218, 153\u2013169. https:\/\/doi.org\/10.1016\/j.jad.2017.04.022","journal-title":"Journal of Affective Disorders"},{"key":"1279_CR25","doi-asserted-by":"publisher","first-page":"1241","DOI":"10.31234\/osf.io\/a42gw","volume":"49","author":"J Radez","year":"2020","unstructured":"Radez, J., Waite, P., Chorpita, B. F., Creswell, C., Orchard, F., Percy, R., Spence, S. H., & Reardon, T. (2020). Using a brief 11-item version of the RCADS to identify anxiety and depressive disorders in adolescents. Research on Child and Adolescent Psychopathology, 49, 1241\u20131257. https:\/\/doi.org\/10.31234\/osf.io\/a42gw","journal-title":"Research on Child and Adolescent Psychopathology"},{"key":"1279_CR37","doi-asserted-by":"publisher","unstructured":"Rath, B., Donato, J., Duggan, A., Perrin, K., Bronfin, D. R., Ratard, R., VanDyke, R., & Magnus, M. (2007). Adverse health outcomes after Hurricane Katrina among children and adolescents with chronic conditions. Journal of Health Care for the Poor and Underserved, 18(2), 405\u2013417. https:\/\/doi.org\/10.1353\/hpu.2007.0043","DOI":"10.1353\/hpu.2007.0043"},{"issue":"8","key":"1279_CR27","first-page":"1","volume":"5","author":"AS Sorour","year":"2014","unstructured":"Sorour, A. S., Mohamed, N., & El-Maksoud, M. (2014). Emotional and behavioral problems of primary school children with and without learning disabilities: A comparative study. Journal of Education and Practice, 5(8), 1\u201311. https:\/\/www.iiste.org\/Journals\/index.php\/JEP\/article\/view\/11635","journal-title":"Journal of Education and Practice"},{"issue":"7","key":"1279_CR28","doi-asserted-by":"publisher","first-page":"483","DOI":"10.3109\/08039488.2015.1005023","volume":"69","author":"C Steinert","year":"2015","unstructured":"Steinert, C., Hofmann, M., Leichsenring, F., & Kruse, J. (2015). The course of PTSD in naturalistic long-term studies: High variability of outcomes. A systematic review. Nordic Journal of Psychiatry, 69(7), 483\u2013496. https:\/\/doi.org\/10.3109\/08039488.2015.1005023","journal-title":"Nordic Journal of Psychiatry"},{"key":"1279_CR26","doi-asserted-by":"publisher","unstructured":"Stough, L. M., Ducy, E. M., & Kang, D. (2017). Addressing the needs of children with disabilities experiencing disaster or terrorism. Current Psychiatry Reports, 19(4). https:\/\/doi.org\/10.1007\/s11920-017-0776-8","DOI":"10.1007\/s11920-017-0776-8"},{"issue":"3","key":"1279_CR29","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1016\/j.braindev.2012.09.013","volume":"35","author":"S Takada","year":"2013","unstructured":"Takada, S. (2013). Post-traumatic stress disorders and mental health care (lessons learned from the Hanshin-Awaji Earthquake, Kobe, 1995). Brain and Development, 35(3), 214\u2013219. https:\/\/doi.org\/10.1016\/j.braindev.2012.09.013","journal-title":"Brain and Development"},{"issue":"8","key":"1279_CR30","doi-asserted-by":"publisher","first-page":"e1200","DOI":"10.1038\/tp.2017.166","volume":"7","author":"AK Tay","year":"2017","unstructured":"Tay, A. K., Jayasuriya, R., Jayasuriya, D., & Silove, D. (2017). Twelve-month trajectories of depressive and anxiety symptoms and associations with traumatic exposure and ongoing adversities: A latent trajectory analysis of a community cohort exposed to severe conflict in Sri Lanka. Translational Psychiatry, 7(8), e1200\u2013e1200. https:\/\/doi.org\/10.1038\/tp.2017.166","journal-title":"Translational Psychiatry"},{"key":"1279_CR31","unstructured":"United Nations Department of Economic and Social Affairs (n.d.). Youth with disabilities. United Nations. Retrieved from https:\/\/www.un.org\/development\/desa\/youth\/youth-with-disabilities.html"},{"issue":"1","key":"1279_CR32","doi-asserted-by":"publisher","first-page":"84","DOI":"10.15448\/1980-6523.2018.1.29437","volume":"33","author":"J Valladares-Neto","year":"2018","unstructured":"Valladares-Neto, J. (2018). Effect size: A statistical basis for clinical practice. Revista Odonto Ci\u00eancia, 33(1), 84\u201390. https:\/\/doi.org\/10.15448\/1980-6523.2018.1.29437","journal-title":"Revista Odonto Ci\u00eancia"},{"key":"1279_CR33","unstructured":"Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). https:\/\/www.ptsd.va.gov\/professional\/assessment\/adult-sr\/ptsd-checklist.asp"},{"issue":"11","key":"1279_CR34","doi-asserted-by":"publisher","first-page":"4103","DOI":"10.1016\/j.ridd.2013.08.029","volume":"34","author":"S Werner","year":"2013","unstructured":"Werner, S., & Shulman, C. (2013). Subjective well-being among family caregivers of individuals with developmental disabilities: The role of affiliate stigma and psychosocial moderating variables. Research in Developmental Disabilities, 34(11), 4103\u20134114. https:\/\/doi.org\/10.1016\/j.ridd.2013.08.029","journal-title":"Research in Developmental Disabilities"},{"key":"1279_CR35","unstructured":"Young, N. A. E. (2021). Childhood Disability in the United States: 2019 (ACSBR-006). U.S. Census Bureau. https:\/\/www.census.gov\/content\/dam\/Census\/library\/publications\/2021\/acs\/acsbr-006.pdf"},{"issue":"1","key":"1279_CR36","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1177\/01650254211051086","volume":"46","author":"MJ Zimmer-Gembeck","year":"2022","unstructured":"Zimmer-Gembeck, M. J., Rudolph, J., Kerin, J., & Bohadana-Brown, G. (2022). Parent emotional regulation: A meta-analytic review of its association with parenting and child adjustment. International Journal of Behavioral Development, 46(1), 63\u201382. https:\/\/doi.org\/10.1177\/01650254211051086","journal-title":"International Journal of Behavioral Development"}],"container-title":["Research on Child and Adolescent Psychopathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10802-024-01279-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10802-024-01279-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10802-024-01279-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T09:30:24Z","timestamp":1749029424000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10802-024-01279-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,22]]},"references-count":40,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["1279"],"URL":"https:\/\/doi.org\/10.1007\/s10802-024-01279-6","relation":{},"ISSN":["2730-7166","2730-7174"],"issn-type":[{"value":"2730-7166","type":"print"},{"value":"2730-7174","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,22]]},"assertion":[{"value":"3 December 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 January 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}},{"value":"These authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}