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For the secondary analysis involving real data, we used a dataset originally reported by Aksekili et al. (2023;\n                      \n                      ), which included responses to the full SRS-22 scale items from 192 individuals. Ethical approval for the original data collection was obtained by the authors from the local ethics committee (Approval No. 26379996\/83), as reported in their publication. For our secondary analysis, we obtained written permission from the author of the original study and signed a formal data sharing agreement specifying that the data would be used solely for research purposes. The dataset was fully anonymized prior to sharing and contained no identifiable personal information. 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