{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:27:42Z","timestamp":1740148062628,"version":"3.37.3"},"reference-count":85,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:00:00Z","timestamp":1735171200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:00:00Z","timestamp":1735171200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/05380\/2020","2021.01871.CEECIND","2022.07175.CEECIND"],"award-info":[{"award-number":["UIDB\/05380\/2020","2021.01871.CEECIND","2022.07175.CEECIND"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005727","name":"Universidade de Coimbra","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005727","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Gend. Issues"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Despite the critical role of clinicians in facilitating access to healthcare by transgender and gender diverse (TGD) people, their insight and practice-based knowledge have been underresearched. Also, they may complement TGD people's experiences by giving an insider perspective. This exploratory qualitative study, conducted online in a sample of 25 clinicians who work with TGD people (n\u2009=\u200911 clinical sexologists), explores how clinicians working with TGD people in Portugal perceive healthcare provision to TGD people, using a summative content analysis. Results showed that clinicians perceive their role to be all-encompassing, ranging from helping to cope with individual and interpersonal issues, and to cope with other health services. Participants highlighted the increase of TGD people\u2019s visibility, awareness, and scientific knowledge, albeit more is needed as evidenced by several challenges derived from clinicians (e.g., lack of national guidelines, lack of training for standardized care, and lack of professional skills) and from the TGD clients (e.g., unrealistic expectations and lack of compliance). The proposed solutions include increasing the investment in specialized training and human resources, raising awareness within the healthcare system, and increasing interdisciplinary specialized care. Clinicians specialized in clinical sexology highlighted changes in scientific knowledge, more available evidence, and a need for socio-political changes and awareness raising. This study reveals that healthcare providers are self-critical but also reflect upon the difficulties of navigating between organizational, human, and personal constraints, claiming that to provide better healthcare there, policymakers must take concerted measures that can have a social impact.<\/jats:p>","DOI":"10.1007\/s12147-024-09347-3","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T07:18:15Z","timestamp":1735197495000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinicians\u2019 Experiences in Transgender Healthcare: The Impact of Sexology Training on Roles, Challenges, and Solutions"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8757-8424","authenticated-orcid":false,"given":"S\u00e9rgio A.","family":"Carvalho","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3817-7410","authenticated-orcid":false,"given":"Teresa","family":"Forte","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9376-6336","authenticated-orcid":false,"given":"Andreia A.","family":"Man\u00e3o","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2810-4034","authenticated-orcid":false,"given":"Patr\u00edcia M.","family":"Pascoal","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,12,26]]},"reference":[{"key":"9347_CR1","unstructured":"Administra\u00e7\u00e3o Central do Sistema de Sa\u00fade, IP & Dire\u00e7\u00e3o-Geral da Sa\u00fade. (2017). URGUS - Unidade do SNS para o acompanhamento de utentes no processo de reatribui\u00e7\u00e3o sexual. https:\/\/www.acss.min-saude.pt\/wp-content\/uploads\/2017\/10\/Circular_Informativa_Conjunta_27_2017.pdf"},{"issue":"1","key":"9347_CR2","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1037\/a0038642","volume":"46","author":"A Austin","year":"2015","unstructured":"Austin, A., & Craig, S. L. (2015). Transgender affirmative cognitive behavioral therapy: Clinical considerations and applications. Professional Psychology: Research and Practice, 46(1), 21\u201329. https:\/\/doi.org\/10.1037\/a0038642","journal-title":"Professional Psychology: Research and Practice"},{"issue":"3","key":"9347_CR3","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1192\/bji.2020.21","volume":"17","author":"J Boardman","year":"2020","unstructured":"Boardman, J., & Dave, S. (2020). Person-centred care and psychiatry: Some key perspectives. Bjpsych International, 17(3), 65\u201368. https:\/\/doi.org\/10.1192\/bji.2020.21","journal-title":"Bjpsych International"},{"issue":"1","key":"9347_CR4","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1037\/sgd0000306","volume":"6","author":"NC Borgogna","year":"2019","unstructured":"Borgogna, N. C., McDermott, R. C., Aita, S. L., & Kridel, M. M. (2019). Anxiety and depression across gender and sexual minorities: Implications for transgender, gender nonconforming, pansexual, demisexual, asexual, queer, and questioning individuals. Psychology of Sexual Orientation and Gender Diversity, 6(1), 54. https:\/\/doi.org\/10.1037\/sgd0000306","journal-title":"Psychology of Sexual Orientation and Gender Diversity"},{"issue":"3","key":"9347_CR5","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1086\/643401","volume":"50","author":"T Borkman","year":"1976","unstructured":"Borkman, T. (1976). Experiential knowledge: A new concept for the analysis of Self-help groups. Social Service Review, 50(3), 445\u2013456. https:\/\/doi.org\/10.1086\/643401","journal-title":"Social Service Review"},{"issue":"7","key":"9347_CR6","doi-asserted-by":"publisher","first-page":"2611","DOI":"10.1007\/s10508-020-01660-8","volume":"49","author":"T Brik","year":"2020","unstructured":"Brik, T., Vrouenraets, L. J., de Vries, M. C., & Hannema, S. E. (2020). Trajectories of adolescents treated with gonadotropin-releasing hormone analogues for gender dysphoria. Archives of Sexual Behavior, 49(7), 2611\u20132618. https:\/\/doi.org\/10.1007\/s10508-020-01660-8","journal-title":"Archives of Sexual Behavior"},{"issue":"1","key":"9347_CR7","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1080\/15532739.2017.1374227","volume":"19","author":"S Brown","year":"2018","unstructured":"Brown, S., Kucharska, J., & Marczak, M. (2018). Mental health practitioners\u2019 attitudes towards transgender people: A systematic review of the literature. International Journal of Transgenderism, 19(1), 4\u201324. https:\/\/doi.org\/10.1080\/15532739.2017.1374227","journal-title":"International Journal of Transgenderism"},{"key":"9347_CR8","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-024-00981-w","author":"SA Carvalho","year":"2024","unstructured":"Carvalho, S. A., Lima, M., & Pascoal, P. (2024). Sociopolitical trends and attitudes towards transgender people: A validation study of the transgender knowledge, attitudes, and beliefs (T-KAB) scale in a Portuguese sample. Sexuality Research and Social Policy. https:\/\/doi.org\/10.1007\/s13178-024-00981-w","journal-title":"Sexuality Research and Social Policy"},{"issue":"4","key":"9347_CR9","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/S2352-4642(19)30403-1","volume":"4","author":"D Chew","year":"2020","unstructured":"Chew, D., Tollit, M. A., Poulakis, Z., Zwickl, S., Cheung, A. S., & Pang, K. C. (2020). Youths with a non-binary gender identity: A review of their sociodemographic and clinical profile. The Lancet Child & Adolescent Health, 4(4), 322\u2013330. https:\/\/doi.org\/10.1016\/S2352-4642(19)30403-1","journal-title":"The Lancet Child & Adolescent Health"},{"issue":"1","key":"9347_CR10","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1089\/trgh.2016.0026","volume":"2","author":"M Chisolm-Straker","year":"2017","unstructured":"Chisolm-Straker, M., Jardine, L., Bennouna, C., Morency-Brassard, N., Coy, L., Egemba, M. O., & Shearer, P. L. (2017). Transgender and gender nonconforming in emergency departments: A qualitative report of patient experiences. Transgender Health, 2(1), 8\u201316. https:\/\/doi.org\/10.1089\/trgh.2016.0026","journal-title":"Transgender Health"},{"key":"9347_CR11","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1080\/26895269.2022.2100644","volume":"23","author":"E Coleman","year":"2022","unstructured":"Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., De Vries, A. L., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M., Green, J., Hancock, A. B., Johnson, T. W., Karasic, D. H., Knudson, G. A., Leibowitz, S. F., Meyer-Bahlburg, H. F. L., Monstrey, S. J., Motmans, J., Nahata, L., \u2026 Arcelus, J. (2022). Standards of care for the health of transgender and gender diverse people, version 8. International Journal of Transgender Health, 23, S1\u2013S259. https:\/\/doi.org\/10.1080\/26895269.2022.2100644","journal-title":"International Journal of Transgender Health"},{"issue":"12","key":"9347_CR12","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1016\/0277-9536(95)00127-S","volume":"41","author":"A Cornwall","year":"1995","unstructured":"Cornwall, A., & Jewkes, R. (1995). What is participatory research? Social Science & Medicine, 41(12), 1667\u20131676. https:\/\/doi.org\/10.1016\/0277-9536(95)00127-S","journal-title":"Social Science & Medicine"},{"issue":"5","key":"9347_CR13","doi-asserted-by":"publisher","first-page":"376","DOI":"10.3390\/bs13050376","volume":"13","author":"IB Costa","year":"2023","unstructured":"Costa, I. B., Man\u00e3o, A. A., & Pascoal, P. M. (2023). Clinical sexologists\u2019 perceptions of the potentials, downfalls, and best practices for digitally delivered therapy: A lesson from lockdown due to COVID-19 in Portugal. Behavioral Sciences, 13(5), 376. https:\/\/doi.org\/10.3390\/bs13050376","journal-title":"Behavioral Sciences"},{"key":"9347_CR14","unstructured":"Equaldex. (2024). LGBT Equality Index. https:\/\/www.equaldex.com\/issue\/gender-affirming-care"},{"key":"9347_CR16","unstructured":"Eurobarometer. (2023). Discrimination in the European Union. https:\/\/europa.eu\/eurobarometer\/surveys\/detail\/2972"},{"issue":"3","key":"9347_CR17","doi-asserted-by":"publisher","first-page":"235","DOI":"10.5172\/hesr.451.17.3.235","volume":"17","author":"R Factor","year":"2008","unstructured":"Factor, R., & Rothblum, E. (2008). Exploring gender identity and community among three groups of transgender individuals in the United States: MTFs, FTMs, and genderqueers. Health Sociology Review, 17(3), 235\u2013253. https:\/\/doi.org\/10.5172\/hesr.451.17.3.235","journal-title":"Health Sociology Review"},{"key":"9347_CR18","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1007\/s40618-016-0552-3","volume":"40","author":"AD Fisher","year":"2017","unstructured":"Fisher, A. D., Castellini, G., Ristori, J., Casale, H., Giovanardi, G., Carone, N., Fanni, N., Mosconi, M., Ciocca, G., Jannini, E. A., Ricca, V., Lingiardi, V., & Maggi, M. (2017). Who has the worst attitudes toward sexual minorities? Comparison of transphobia and homophobia levels in gender dysphoric individuals, the general population and health care providers. Journal of Endocrinological Investigation, 40, 263\u2013273. https:\/\/doi.org\/10.1007\/s40618-016-0552-3","journal-title":"Journal of Endocrinological Investigation"},{"issue":"3","key":"9347_CR19","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1080\/15532739.2017.1342503","volume":"18","author":"MP Galupo","year":"2017","unstructured":"Galupo, M. P. (2017). Researching while cisgender: Identity considerations for transgender research. International Journal of Transgenderism, 18(3), 241\u2013242. https:\/\/doi.org\/10.1080\/15532739.2017.1342503","journal-title":"International Journal of Transgenderism"},{"issue":"2","key":"9347_CR20","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1089\/trgh.2020.0041","volume":"6","author":"MP Galupo","year":"2021","unstructured":"Galupo, M. P., Pulice-Farrow, L., & Pehl, E. (2021). \u201cThere is nothing to do about it\u201d: Nonbinary individuals\u2019 experience of gender dysphoria. Transgender Health, 6(2), 101\u2013110. https:\/\/doi.org\/10.1089\/trgh.2020.0041","journal-title":"Transgender Health"},{"key":"9347_CR21","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2024.2307359","author":"NC Gieles","year":"2024","unstructured":"Gieles, N. C., Gerritse, K., Zandbergen, E., Both, S., & Kreukels, B. P. (2024). \u201cSex is not just an act but also a place to be human, to be authentic\u201d. A qualitative interview study on practices of healthcare professionals in sexological care for transgender and non-binary people. International Journal of Transgender Health. https:\/\/doi.org\/10.1080\/26895269.2024.2307359","journal-title":"International Journal of Transgender Health"},{"issue":"6","key":"9347_CR22","doi-asserted-by":"publisher","first-page":"416","DOI":"10.31128\/AJGP-05-20-5454","volume":"50","author":"R Grant","year":"2021","unstructured":"Grant, R., Smith, A. K., Nash, M., Newett, L., Turner, R., & Owen, L. (2021). Health practitioner and student attitudes to caring for transgender patients in Tasmania: An exploratory qualitative study. Australian Journal of General Practice, 50(6), 416\u2013421. https:\/\/doi.org\/10.31128\/AJGP-05-20-5454","journal-title":"Australian Journal of General Practice"},{"issue":"5","key":"9347_CR23","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1037\/a0029597","volume":"43","author":"ML Hendricks","year":"2012","unstructured":"Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the Minority Stress Model. Professional Psychology: Research and Practice, 43(5), 460\u2013467. https:\/\/doi.org\/10.1037\/a0029597","journal-title":"Professional Psychology: Research and Practice"},{"issue":"4","key":"9347_CR24","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1080\/15532739.2018.1502711","volume":"19","author":"A Heng","year":"2018","unstructured":"Heng, A., Heal, C., Banks, J., & Preston, R. (2018). Transgender peoples\u2019 experiences and perspectives about general healthcare: A systematic review. International Journal of Transgenderism, 19(4), 359\u2013378. https:\/\/doi.org\/10.1080\/15532739.2018.1502711","journal-title":"International Journal of Transgenderism"},{"issue":"4","key":"9347_CR25","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1080\/15532739.2019.1650408","volume":"20","author":"A Heng","year":"2019","unstructured":"Heng, A., Heal, C., Banks, J., & Preston, R. (2019). Clinician and client perspectives regarding transgender health: A North Queensland focus. International Journal of Transgenderism, 20(4), 434\u2013446. https:\/\/doi.org\/10.1080\/15532739.2019.1650408","journal-title":"International Journal of Transgenderism"},{"key":"9347_CR26","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1057\/s41285-019-00102-3","volume":"17","author":"AP Hil\u00e1rio","year":"2019","unstructured":"Hil\u00e1rio, A. P. (2019). (Re) Making gender in the clinical context: A look at how ideologies shape the medical construction of gender dysphoria in Portugal. Social Theory & Health, 17, 463\u2013480. https:\/\/doi.org\/10.1057\/s41285-019-00102-3","journal-title":"Social Theory & Health"},{"issue":"3","key":"9347_CR27","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1080\/09589236.2018.1544066","volume":"29","author":"AP Hil\u00e1rio","year":"2020","unstructured":"Hil\u00e1rio, A. P. (2020). Rethinking trans identities within the medical and psychological community: A path towards the depathologization and self-definition of gender identification in Portugal? Journal of Gender Studies, 29(3), 245\u2013256. https:\/\/doi.org\/10.1080\/09589236.2018.1544066","journal-title":"Journal of Gender Studies"},{"key":"9347_CR28","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2021.1964409","author":"B Hoffman","year":"2011","unstructured":"Hoffman, B., Tomes, N., Grob, R., & Schlesinger, M. (2011). Patients as policy actors: A century of changing markets and missions. Rutgers University Press. https:\/\/doi.org\/10.1080\/26895269.2021.1964409","journal-title":"Rutgers University Press"},{"issue":"9","key":"9347_CR29","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","volume":"15","author":"HF Hsieh","year":"2005","unstructured":"Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277\u20131288. https:\/\/doi.org\/10.1177\/1049732305276687","journal-title":"Qualitative Health Research"},{"key":"9347_CR30","unstructured":"ILGA Europe. (2023). Rainbow Europe Map and Index 2023. https:\/\/www.ilga-europe.org\/report\/rainbow-europe-2023\/"},{"key":"9347_CR31","unstructured":"James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The report of the 2015 U.S. Transgender Survey. National Center for Transgender Equality. https:\/\/transequality.org\/sites\/default\/files\/docs\/usts\/USTS-AIAN-Report-Dec17.pdf"},{"key":"9347_CR32","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1007\/s11154-018-9452-5","volume":"19","author":"S Korpaisarn","year":"2018","unstructured":"Korpaisarn, S., & Safer, J. D. (2018). Gaps in transgender medical education among healthcare providers: A major barrier to care for transgender persons. Reviews in Endocrine and Metabolic Disorders, 19, 271\u2013275. https:\/\/doi.org\/10.1007\/s11154-018-9452-5","journal-title":"Reviews in Endocrine and Metabolic Disorders"},{"issue":"10","key":"9347_CR33","first-page":"134","volume":"5","author":"R Koselleck","year":"1992","unstructured":"Koselleck, R. (1992). Uma hist\u00f3ria dos conceitos: Problemas te\u00f3ricos e pr\u00e1ticos. Revista Estudos Hist\u00f3ricos, 5(10), 134\u2013146.","journal-title":"Revista Estudos Hist\u00f3ricos"},{"issue":"4","key":"9347_CR34","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1037\/cou0000339","volume":"66","author":"GT Lefevor","year":"2019","unstructured":"Lefevor, G. T., Boyd-Rogers, C. C., Sprague, B. M., & Janis, R. A. (2019). Health disparities between genderqueer, transgender, and cisgender individuals: An extension of minority stress theory. Journal of Counseling Psychology, 66(4), 385\u2013395. https:\/\/doi.org\/10.1037\/cou0000339","journal-title":"Journal of Counseling Psychology"},{"issue":"1","key":"9347_CR35","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1177\/1363459317708824","volume":"23","author":"I Linander","year":"2019","unstructured":"Linander, I., Alm, E., Goicolea, I., & Harryson, L. (2019). \u201cIt was like I had to fit into a category\u201d: Care-seekers\u2019 experiences of gender regulation in the Swedish trans-specific healthcare. Health, 23(1), 21\u201338. https:\/\/doi.org\/10.1177\/1363459317708824","journal-title":"Health"},{"issue":"4","key":"9347_CR36","doi-asserted-by":"publisher","first-page":"1518","DOI":"10.1353\/hpu.2019.0089","volume":"30","author":"SLR Madera","year":"2019","unstructured":"Madera, S. L. R., D\u00edaz, N. V., Padilla, M., Pibernus, A. R., Neilands, T. B., Segarra, E. R., Vel\u00e1zquez, C. M., & Bockting, W. (2019). \u201cJust like any other patient\u201d: Transgender stigma among physicians in Puerto Rico. Journal of Health Care for the Poor and Underserved, 30(4), 1518\u20131542. https:\/\/doi.org\/10.1353\/hpu.2019.0089","journal-title":"Journal of Health Care for the Poor and Underserved"},{"key":"9347_CR37","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1007\/s13178-020-00491-5","volume":"18","author":"I Marinho","year":"2021","unstructured":"Marinho, I., Gato, J., & Coimbra, S. (2021). Parenthood intentions, pathways to parenthood, and experiences in the health services of trans people: An exploratory study in Portugal. Sexuality Research and Social Policy, 18, 682\u2013692. https:\/\/doi.org\/10.1007\/s13178-020-00491-5","journal-title":"Sexuality Research and Social Policy"},{"issue":"713","key":"9347_CR38","doi-asserted-by":"publisher","first-page":"e941","DOI":"10.3399\/BJGP.2021.0179","volume":"71","author":"M Mikulak","year":"2021","unstructured":"Mikulak, M., Ryan, S., Ma, R., Martin, S., Stewart, J., Davidson, S., & Stepney, M. (2021). Health professionals\u2019 identified barriers to trans health care: A qualitative interview study. British Journal of General Practice, 71(713), e941\u2013e947. https:\/\/doi.org\/10.3399\/BJGP.2021.0179","journal-title":"British Journal of General Practice"},{"issue":"5","key":"9347_CR39","doi-asserted-by":"publisher","first-page":"e2315083","DOI":"10.1001\/jamanetworkopen.2023.15083","volume":"6","author":"GH Miller","year":"2023","unstructured":"Miller, G. H., Marquez-Velarde, G., Mills, A. R., Hernandez, S. M., Brown, L. E., Mustafa, M., & Shircliff, J. E. (2023). Patients\u2019 perceived level of clinician knowledge of transgender health care, self-rated health, and psychological distress among transgender adults. JAMA Network Open, 6(5), e2315083\u2013e2315083. https:\/\/doi.org\/10.1001\/jamanetworkopen.2023.15083","journal-title":"JAMA Network Open"},{"key":"9347_CR40","unstructured":"Moleiro, C., Raposo, C. S., Moita, G., Pereira, H., Gato, J., Silva, M., & Neves, S. (2015) Guia Orientador da Interven\u00e7\u00e3o Psicol\u00f3gica Com Pessoas L\u00e9sbicas, Gays, Bissexuais e Trans (LGBT). https:\/\/www.ordemdospsicologos.pt\/ficheiros\/documentos\/guidelines_opp_lgbt_marco_2017.pdf"},{"key":"9347_CR41","first-page":"159","volume":"20","author":"C Moleiro","year":"2009","unstructured":"Moleiro, C., & Pinto, N. (2009). Diversidade e psicoterapia: Expectativas e experi\u00eancias de pessoas LGBT acerca das compet\u00eancias multiculturais de psicoterapeutas. Ex Aequo, 20, 159\u2013172.","journal-title":"Ex Aequo"},{"key":"9347_CR42","doi-asserted-by":"publisher","DOI":"10.19164\/ijgsl.v1i1.991","author":"C Moleiro","year":"2020","unstructured":"Moleiro, C., & Pinto, N. (2020). Legal gender recognition in Portugal: A path to self- determination. International Journal of Gender, Sexuality and Law. https:\/\/doi.org\/10.19164\/ijgsl.v1i1.991","journal-title":"International Journal of Gender, Sexuality and Law"},{"issue":"4","key":"9347_CR43","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1002\/capr.12559","volume":"22","author":"PC Mollitt","year":"2022","unstructured":"Mollitt, P. C. (2022). Exploring cisgender therapists\u2019 attitudes towards, and experience of, working with trans people in the United Kingdom. Counselling and Psychotherapy Research, 22(4), 1013\u20131029. https:\/\/doi.org\/10.1002\/capr.12559","journal-title":"Counselling and Psychotherapy Research"},{"issue":"2\u20133","key":"9347_CR44","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1080\/15532739.2019.1640514","volume":"20","author":"J Motmans","year":"2019","unstructured":"Motmans, J., Nieder, T. O., & Bouman, W. P. (2019). Transforming the paradigm of nonbinary transgender health: A field in transition. International Journal of Transgenderism, 20(2\u20133), 119\u2013125. https:\/\/doi.org\/10.1080\/15532739.2019.1640514","journal-title":"International Journal of Transgenderism"},{"issue":"5","key":"9347_CR45","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1089\/trgh.2021.0027","volume":"7","author":"KD Newsom","year":"2022","unstructured":"Newsom, K. D., Riddle, M. J., Carter, G. A., & Hille, J. J. (2022). They \u201cDon\u2019t Know How to Deal with People Like Me\u201d: Assessing health care experiences of gender minorities in Indiana. Transgender Health, 7(5), 453\u2013460. https:\/\/doi.org\/10.1089\/trgh.2021.0027","journal-title":"Transgender Health"},{"key":"9347_CR46","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-021-00647-x","author":"FM Nimbi","year":"2021","unstructured":"Nimbi, F. M., Galizia, R., Rossi, R., Limoncin, E., Ciocca, G., Fontanesi, L., Jannini, E. A., Simonelli, C., & Tambelli, R. (2021). The biopsychosocial model and the sex-positive approach: An integrative perspective for sexology and general health care. Sexuality Research and Social Policy. https:\/\/doi.org\/10.1007\/s13178-021-00647-x","journal-title":"Sexuality Research and Social Policy"},{"issue":"1","key":"9347_CR47","doi-asserted-by":"publisher","first-page":"146","DOI":"10.3390\/healthcare10010146","volume":"10","author":"M Pieri","year":"2022","unstructured":"Pieri, M., & Brilhante, J. (2022). \u201cThe Light at the End of the Tunnel\u201d: Experiences of LGBTQ+ adults in Portuguese healthcare. Healthcare, 10(1), 146. https:\/\/doi.org\/10.3390\/healthcare10010146","journal-title":"Healthcare"},{"issue":"1","key":"9347_CR48","doi-asserted-by":"publisher","first-page":"129","DOI":"10.17575\/rpsicol.v26i1.266","volume":"26","author":"N Pinto","year":"2012","unstructured":"Pinto, N., & Moleiro, C. (2012). As experi\u00eancias dos cuidados de sa\u00fade de pessoas transexuais em Portugal: Perspetivas de profissionais de sa\u00fade e utentes. Psicologia, 26(1), 129\u2013151. https:\/\/doi.org\/10.17575\/rpsicol.v26i1.266","journal-title":"Psicologia"},{"issue":"4","key":"9347_CR49","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1037\/sgd0000444","volume":"8","author":"HA Powell","year":"2021","unstructured":"Powell, H. A., & Cochran, B. N. (2021). Mental health providers\u2019 biases, knowledge, and treatment decision making with gender-minority clients. Psychology of Sexual Orientation and Gender Diversity, 8(4), 451. https:\/\/doi.org\/10.1037\/sgd0000444","journal-title":"Psychology of Sexual Orientation and Gender Diversity"},{"issue":"1","key":"9347_CR50","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1080\/26895269.2021.1937437","volume":"24","author":"JA Puckett","year":"2023","unstructured":"Puckett, J. A., Aboussouan, A. B., Ralston, A. L., Mustanski, B., & Newcomb, M. E. (2023). Systems of cissexism and the daily production of stress for transgender and gender diverse people. International Journal of Transgender Health, 24(1), 113\u2013126. https:\/\/doi.org\/10.1080\/26895269.2021.1937437","journal-title":"International Journal of Transgender Health"},{"issue":"4","key":"9347_CR51","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1080\/26895269.2020.1861574","volume":"22","author":"L Pulice-Farrow","year":"2021","unstructured":"Pulice-Farrow, L., Gonzalez, K. A., & Lindley, L. (2021). \u2018None of my providers have the slightest clue what to do with me\u2019: Transmasculine individuals\u2019 experiences with gynecological healthcare providers. International Journal of Transgender Health, 22(4), 381\u2013393. https:\/\/doi.org\/10.1080\/26895269.2020.1861574","journal-title":"International Journal of Transgender Health"},{"issue":"3","key":"9347_CR52","doi-asserted-by":"publisher","first-page":"100473","DOI":"10.1016\/j.ijchp.2024.100473","volume":"24","author":"CF Raposo","year":"2024","unstructured":"Raposo, C. F., Nobre, P. J., Man\u00e3o, A. A., & Pascoal, P. M. (2024). Understanding sexual distress related to sexual function (SDRSF): A preliminary framework based on a qualitative study with clinical sexologists. International Journal of Clinical and Health Psychology, 24(3), 100473. https:\/\/doi.org\/10.1016\/j.ijchp.2024.100473","journal-title":"International Journal of Clinical and Health Psychology"},{"issue":"4","key":"9347_CR53","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1016\/j.pedhc.2018.11.003","volume":"33","author":"GN Rider","year":"2019","unstructured":"Rider, G. N., McMorris, B. J., Gower, A. L., Coleman, E., Brown, C., & Eisenberg, M. E. (2019). Perspectives from nurses and physicians on training needs and comfort working with transgender and gender-diverse youth. Journal of Pediatric Health Care, 33(4), 379\u2013385. https:\/\/doi.org\/10.1016\/j.pedhc.2018.11.003","journal-title":"Journal of Pediatric Health Care"},{"key":"9347_CR54","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-024-00864-z","author":"MG Rodrigues","year":"2024","unstructured":"Rodrigues, M. G., Man\u00e3o, A. A., Tomada, N., & Pascoal, P. M. (2024). The role and needs of family doctors in sexual medicine: Contributions of a preliminary Portuguese qualitative study for a global action. International Journal of Impotence Research. https:\/\/doi.org\/10.1038\/s41443-024-00864-z","journal-title":"International Journal of Impotence Research"},{"issue":"1","key":"9347_CR55","doi-asserted-by":"publisher","first-page":"267","DOI":"10.3390\/ijerph19010267","volume":"19","author":"L Rodrigues","year":"2021","unstructured":"Rodrigues, L., Soares, M., & Nogueira, C. (2021). Psychomedical interventions with transgender people in Portugal and Brazil: A Critical Approach. International Journal of Environmental Research and Public Health, 19(1), 267. https:\/\/doi.org\/10.3390\/ijerph19010267","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"9347_CR56","unstructured":"Rosas, F. (2022). Revolu\u00e7\u00e3o Portuguesa [Portuguese Revolution] 1974\u20131975. Tinta da China."},{"issue":"1","key":"9347_CR57","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1080\/26895269.2021.1964409","volume":"24","author":"MB Ross","year":"2023","unstructured":"Ross, M. B., van de Grift, T. C., Elaut, E., Nieder, T. O., Becker-Hebly, I., Heylens, G., & Kreukels, B. P. (2023). Experienced barriers of care within European treatment seeking transgender individuals: A multicenter ENIGI follow-up study. International Journal of Transgender Health, 24(1), 26\u201337.","journal-title":"International Journal of Transgender Health"},{"issue":"1","key":"9347_CR58","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1177\/27551938231187863","volume":"54","author":"M Saadat","year":"2024","unstructured":"Saadat, M., Keramat, A., Jahanfar, S., Nazari, A. M., Ranjbar, H., & Motaghi, Z. (2024). Barriers and facilitators to accessing sexual and reproductive health services among transgender people: A meta-synthesis. International Journal of Social Determinants of Health and Health Services, 54(1), 40\u201351. https:\/\/doi.org\/10.1177\/27551938231187863","journal-title":"International Journal of Social Determinants of Health and Health Services"},{"issue":"3","key":"9347_CR59","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1386\/pjss_00039_1","volume":"20","author":"SP Saleiro","year":"2021","unstructured":"Saleiro, S. P. (2021). (Trans) gender recognition in Portugal: From a \u2018void\u2019to the right to gender self-determination. Portuguese Journal of Social Science, 20(3), 153\u2013170. https:\/\/doi.org\/10.1386\/pjss_00039_1","journal-title":"Portuguese Journal of Social Science"},{"key":"9347_CR60","doi-asserted-by":"publisher","DOI":"10.1057\/9781137296405","volume-title":"Sexual movements and sexual citizenship in southern Europe","author":"AC Santos","year":"2013","unstructured":"Santos, A. C. (2013). Sexual movements and sexual citizenship in southern Europe. Springer."},{"issue":"2","key":"9347_CR61","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1386\/ijis.29.2.157_1","volume":"29","author":"AC Santos","year":"2016","unstructured":"Santos, A. C. (2016). \u2018In the old days, there were no gays\u2019\u2013democracy, social change and media representation of sexual diversity. International Journal of Iberian Studies, 29(2), 157\u2013172. https:\/\/doi.org\/10.1386\/ijis.29.2.157_1","journal-title":"International Journal of Iberian Studies"},{"issue":"1","key":"9347_CR62","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/00224499.2014.893553","volume":"52","author":"AI Scheim","year":"2015","unstructured":"Scheim, A. I., & Bauer, G. R. (2015). Sex and gender diversity among transgender persons in Ontario, Canada: Results from a respondent-driven sampling survey. The Journal of Sex Research, 52(1), 1\u201314. https:\/\/doi.org\/10.1080\/00224499.2014.893553","journal-title":"The Journal of Sex Research"},{"issue":"3","key":"9347_CR63","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1177\/0022146516660343","volume":"57","author":"S Shuster","year":"2016","unstructured":"Shuster, S. (2016). Uncertain expertise and the limitations of clinical guidelines in transgender healthcare. Journal of Health and Social Behavior, 57(3), 319\u2013332. https:\/\/doi.org\/10.1177\/0022146516660343","journal-title":"Journal of Health and Social Behavior"},{"key":"9347_CR64","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1472-6963-12-110","volume":"12","author":"JW Snelgrove","year":"2012","unstructured":"Snelgrove, J. W., Jasudavisius, A. M., Rowe, B. W., Head, E. M., & Bauer, G. R. (2012). \u201cCompletely out-at-sea\u201d with \u201ctwo-gender medicine\u201d: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients. BMC Health Services Research, 12, 1\u201313. https:\/\/doi.org\/10.1186\/1472-6963-12-110","journal-title":"BMC Health Services Research"},{"issue":"3","key":"9347_CR65","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1093\/hsw\/hlz016","volume":"44","author":"A Snow","year":"2019","unstructured":"Snow, A., Cerel, J., Loeffler, D. N., & Flaherty, C. (2019). Barriers to mental health care for transgender and gender-nonconforming adults: A systematic literature review. Health & Social Work, 44(3), 149\u2013155. https:\/\/doi.org\/10.1093\/hsw\/hlz016","journal-title":"Health & Social Work"},{"issue":"1","key":"9347_CR66","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1186\/s12913-022-08517-x","volume":"22","author":"KRS Soled","year":"2022","unstructured":"Soled, K. R. S., Dimant, O. E., Tanguay, J., Mukerjee, R., & Poteat, T. (2022). Interdisciplinary clinicians\u2019 attitudes, challenges, and success strategies in providing care to transgender people: A qualitative descriptive study. BMC Health Services Research, 22(1), 1134. https:\/\/doi.org\/10.1186\/s12913-022-08517-x","journal-title":"BMC Health Services Research"},{"issue":"4\u20135","key":"9347_CR67","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1080\/00224499.2016.1271863","volume":"54","author":"R Stephenson","year":"2017","unstructured":"Stephenson, R., Riley, E., Rogers, E., Suarez, N., Metheny, N., Senda, J., Saylor, K. M., & Bauermeister, J. A. (2017). The sexual health of transgender men: A scoping review. The Journal of Sex Research, 54(4\u20135), 424\u2013445. https:\/\/doi.org\/10.1080\/00224499.2016.1271863","journal-title":"The Journal of Sex Research"},{"issue":"8","key":"9347_CR68","doi-asserted-by":"publisher","first-page":"e0271785","DOI":"10.1371\/journal.pone.0271785","volume":"17","author":"D Stroumsa","year":"2022","unstructured":"Stroumsa, D., Minadeo, L. A., Maksutova, M., Moravek, M. B., Stephenson, R., Pfeiffer, P. N., & Wu, J. P. (2022). Initiating gender-affirming hormones for transgender and non-binary people: A qualitative study of providers\u2019 perspectives on requiring mental health evaluations. PLoS ONE, 17(8), e0271785. https:\/\/doi.org\/10.1371\/journal.pone.0271785","journal-title":"PLoS ONE"},{"issue":"4","key":"9347_CR69","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1111\/medu.13796","volume":"53","author":"D Stroumsa","year":"2019","unstructured":"Stroumsa, D., Shires, D. A., Richardson, C. R., Jaffee, K. D., & Woodford, M. R. (2019). Transphobia rather than education predicts provider knowledge of transgender health care. Medical Education, 53(4), 398\u2013407. https:\/\/doi.org\/10.1111\/medu.13796","journal-title":"Medical Education"},{"issue":"1","key":"9347_CR70","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1080\/15532739.2019.1689880","volume":"21","author":"SD Stryker","year":"2020","unstructured":"Stryker, S. D., Pallerla, H., & Pickle, S. (2020). Considerations on medical training for gender-affirming care: Motivations and perspectives. International Journal of Transgender Health, 21(1), 79\u201388. https:\/\/doi.org\/10.1080\/15532739.2019.1689880","journal-title":"International Journal of Transgender Health"},{"issue":"1","key":"9347_CR71","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1089\/trgh.2015.0001","volume":"1","author":"D Su","year":"2016","unstructured":"Su, D., Irwin, J. A., Fisher, C., Ramos, A., Kelley, M., Mendoza, D. A. R., & Coleman, J. D. (2016). Mental health disparities within the LGBT population: A comparison between transgender and nontransgender individuals. Transgender Health, 1(1), 12\u201320. https:\/\/doi.org\/10.1089\/trgh.2015.0001","journal-title":"Transgender Health"},{"key":"9347_CR72","unstructured":"TGEU. (2023). Trans Rights Map: Europe and Central Asia. https:\/\/transrightsmap.tgeu.org\/home\/health"},{"issue":"2","key":"9347_CR73","doi-asserted-by":"publisher","first-page":"154","DOI":"10.2471\/BLT.16.183913","volume":"95","author":"R Thomas","year":"2017","unstructured":"Thomas, R., Pega, F., Khosla, R., Verster, A., Hana, T., & Say, L. (2017). Ensuring an inclusive global health agenda for transgender people. Bulletin of the World Health Organization, 95(2), 154\u2013156. https:\/\/doi.org\/10.2471\/BLT.16.183913","journal-title":"Bulletin of the World Health Organization"},{"key":"9347_CR74","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12887-015-0505-6","volume":"15","author":"CG Torres","year":"2015","unstructured":"Torres, C. G., Renfrew, M., Kenst, K., Tan-McGrory, A., Betancourt, J. R., & L\u00f3pez, L. (2015). Improving transgender health by building safe clinical environments that promote existing resilience: Results from a qualitative analysis of providers. BMC Pediatrics, 15, 1\u201310. https:\/\/doi.org\/10.1186\/s12887-015-0505-6","journal-title":"BMC Pediatrics"},{"issue":"3","key":"9347_CR75","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1080\/26895269.2020.1870189","volume":"23","author":"GJ Treharne","year":"2022","unstructured":"Treharne, G. J., Blakey, A. G., Graham, K., Carrington, S. D., McLachlan, L. A., Withey-Rila, C., Pearman-Beres, L., & Anderson, L. (2022). Perspectives on expertise in teaching about transgender healthcare: A focus group study with health professional programme teaching staff and transgender community members. International Journal of Transgender Health, 23(3), 334\u2013354. https:\/\/doi.org\/10.1080\/26895269.2020.1870189","journal-title":"International Journal of Transgender Health"},{"issue":"4","key":"9347_CR76","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1089\/lgbt.2020.0437","volume":"8","author":"JL Turban","year":"2021","unstructured":"Turban, J. L., Loo, S. S., Almazan, A. N., & Keuroghlian, A. S. (2021). Factors leading to \u201cdetransition\u201d among transgender and gender diverse people in the United States: A mixed-methods analysis. LGBT Health, 8(4), 273\u2013280. https:\/\/doi.org\/10.1089\/lgbt.2020.0437","journal-title":"LGBT Health"},{"key":"9347_CR77","doi-asserted-by":"publisher","unstructured":"United Nations. (2015). Transforming Our World: The 2030 Agenda for Sustainable Development. Resolution Adopted by the General Assembly on 25 September 2015, 42809, 1\u201313. https:\/\/doi.org\/10.1007\/s13398-014-0173-7.2","DOI":"10.1007\/s13398-014-0173-7.2"},{"issue":"2","key":"9347_CR78","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/j.jadohealth.2014.11.002","volume":"56","author":"SR Vance Jr","year":"2015","unstructured":"Vance, S. R., Jr., Halpern-Felsher, B. L., & Rosenthal, S. M. (2015). Health care providers\u2019 comfort with and barriers to care of transgender youth. Journal of Adolescent Health, 56(2), 251\u2013253. https:\/\/doi.org\/10.1016\/j.jadohealth.2014.11.002","journal-title":"Journal of Adolescent Health"},{"issue":"4","key":"9347_CR79","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1080\/26895269.2022.2044425","volume":"23","author":"JF Veale","year":"2022","unstructured":"Veale, J. F., Deutsch, M. B., Devor, A. H., Kuper, L. E., Motmans, J., Radix, A. E., & Amand, C. S. (2022). Setting a research agenda in trans health: An expert assessment of priorities and issues by trans and nonbinary researchers. International Journal of Transgender Health, 23(4), 392\u2013408. https:\/\/doi.org\/10.1080\/26895269.2022.2044425","journal-title":"International Journal of Transgender Health"},{"issue":"2","key":"9347_CR80","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.jpag.2021.09.011","volume":"35","author":"RM Warwick","year":"2022","unstructured":"Warwick, R. M., Araya, A. C., Shumer, D. E., & Selkie, E. M. (2022). Transgender youths\u2019 sexual health and education: A qualitative analysis. Journal of Pediatric and Adolescent Gynecology, 35(2), 138\u2013146. https:\/\/doi.org\/10.1016\/j.jpag.2021.09.011","journal-title":"Journal of Pediatric and Adolescent Gynecology"},{"issue":"3","key":"9347_CR81","doi-asserted-by":"publisher","first-page":"799","DOI":"10.7910\/DVN\/FXXLTS","volume":"22","author":"M Williamson","year":"2024","unstructured":"Williamson, M. (2024). A global analysis of transgender rights: Introducing the Trans Rights Indicator Project (TRIP). Perspectives on Politics, 22(3), 799\u2013818. https:\/\/doi.org\/10.7910\/DVN\/FXXLTS","journal-title":"Perspectives on Politics"},{"issue":"4","key":"9347_CR82","doi-asserted-by":"publisher","first-page":"e14835","DOI":"10.1016\/j.heliyon.2023.e14835","volume":"9","author":"A Wolfe","year":"2023","unstructured":"Wolfe, A. (2023). Incongruous identities: Mental distress and burnout disparities in LGBTQ+ health care professional populations. Heliyon, 9(4), e14835. https:\/\/doi.org\/10.1016\/j.heliyon.2023.e14835","journal-title":"Heliyon"},{"issue":"2","key":"9347_CR83","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1176\/foc.8.2.foc199","volume":"8","author":"KM Wong","year":"2010","unstructured":"Wong, K. M., & Cloninger, C. R. (2010). A person-centered approach to clinical practice. Focus, 8(2), 199\u2013215. https:\/\/doi.org\/10.1176\/foc.8.2.foc199","journal-title":"Focus"},{"key":"9347_CR84","unstructured":"World Health Organization. (2006). Defining sexual health: Report of a technical consultation on sexual health, 28\u201331 Jan 2002. https:\/\/www.cesas.lu\/perch\/resources\/whodefiningsexualhealth.pdf"},{"issue":"8","key":"9347_CR85","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1001\/jamapediatrics.2024.1866","volume":"178","author":"DA Wright","year":"2024","unstructured":"Wright, D. A., Giordano, S., & Pang, K. C. (2024). Further considerations on gender-affirming care. JAMA Pediatrics, 178(8), 841\u2013842. https:\/\/doi.org\/10.1001\/jamapediatrics.2024.1866","journal-title":"JAMA Pediatrics"},{"key":"9347_CR86","volume-title":"Qualitative analysis of content","author":"Y Zhang","year":"2009","unstructured":"Zhang, Y., & Wildemuth, B. M. (2009). Qualitative analysis of content. Libraries Unlimited Inc."}],"container-title":["Gender Issues"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12147-024-09347-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12147-024-09347-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12147-024-09347-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T08:34:13Z","timestamp":1739781253000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12147-024-09347-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,26]]},"references-count":85,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["9347"],"URL":"https:\/\/doi.org\/10.1007\/s12147-024-09347-3","relation":{},"ISSN":["1098-092X","1936-4717"],"issn-type":[{"type":"print","value":"1098-092X"},{"type":"electronic","value":"1936-4717"}],"subject":[],"published":{"date-parts":[[2024,12,26]]},"assertion":[{"value":"26 November 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 December 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"There are no conflicts of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"4"}}