{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:14:11Z","timestamp":1793121251453,"version":"4.5.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T00:00:00Z","timestamp":1739577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Sciences"],"published-print":{"date-parts":[[2025,3]]},"DOI":"10.1016\/j.ijnss.2025.02.006","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T22:18:12Z","timestamp":1739657892000},"page":"152-160","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Exploring core symptoms and symptom clusters among patients with neuromyelitis optica spectrum disorder: A network analysis"],"prefix":"10.1016","volume":"12","author":[{"given":"Hao","family":"Liang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiehan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lixin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuyun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoyou","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaopei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.ijnss.2025.02.006_bib1","doi-asserted-by":"crossref","DOI":"10.1016\/j.autrev.2023.103465","article-title":"A\u00a0comprehensive review of the advances in neuromyelitis optica spectrum disorder","volume":"22","author":"Siriratnam","year":"2023","journal-title":"Autoimmun Rev"},{"issue":"6","key":"10.1016\/j.ijnss.2025.02.006_bib2","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1007\/s10072-023-06617-y","article-title":"Worldwide prevalence of neuromyelitis optica spectrum disorder (NMOSD) and neuromyelitis optica (NMO): a systematic review and meta-analysis","volume":"44","author":"Bagherieh","year":"2023","journal-title":"Neurol Sci"},{"issue":"6","key":"10.1016\/j.ijnss.2025.02.006_bib3","first-page":"423","article-title":"Chinese disease diagnosis and treatment guidelines on neuromyelitis optica spectrum disorder","volume":"28","year":"2021","journal-title":"Chin J Neuroimmunol Neurol"},{"key":"10.1016\/j.ijnss.2025.02.006_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2020.102128","article-title":"Evaluation of types of psychological disorders in patients with neuromyelitis optica spectrum disorder (NMOSD)","volume":"42","author":"Ebadi","year":"2020","journal-title":"Mult Scler Relat Disord"},{"key":"10.1016\/j.ijnss.2025.02.006_bib5","article-title":"Burden and cost of comorbidities in patients with neuromyelitis optica spectrum disorder","volume":"427","author":"Exuzides","year":"2021","journal-title":"J\u00a0Neurol Sci"},{"key":"10.1016\/j.ijnss.2025.02.006_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2020.102542","article-title":"Neuromyelitis optica spectrum disorder in China: quality of life and medical care experience","volume":"46","author":"Huang","year":"2020","journal-title":"Mult Scler Relat Disord"},{"key":"10.1016\/j.ijnss.2025.02.006_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.jns.2021.117546","article-title":"Patient-reported burden of symptoms in neuromyelitis optica: a secondary analysis on pain and quality of life","volume":"428","author":"Fujihara","year":"2021","journal-title":"J\u00a0Neurol Sci"},{"issue":"9","key":"10.1016\/j.ijnss.2025.02.006_bib8","doi-asserted-by":"crossref","first-page":"2713","DOI":"10.1111\/jan.15302","article-title":"The prognostic impact of symptom clusters in patients with heart failure: a systematic review and meta-analysis","volume":"78","author":"Qiu","year":"2022","journal-title":"J\u00a0Adv Nurs"},{"issue":"1","key":"10.1016\/j.ijnss.2025.02.006_bib9","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1002\/cam4.4904","article-title":"Contemporaneous symptom networks of multidimensional symptom experiences in cancer survivors: a network analysis","volume":"12","author":"Zhu","year":"2023","journal-title":"Cancer Med"},{"key":"10.1016\/j.ijnss.2025.02.006_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2023.102388","article-title":"Changes in the symptom clusters of elderly patients with lung cancer over the course of postoperative rehabilitation and their correlation with frailty and quality of life: a longitudinal study","volume":"67","author":"Chen","year":"2023","journal-title":"Eur J Oncol Nurs"},{"key":"10.1016\/j.ijnss.2025.02.006_bib11","doi-asserted-by":"crossref","DOI":"10.3389\/fonc.2023.1236129","article-title":"Identifying central symptom clusters and correlates in children with acute leukemia undergoing chemotherapy: a network analysis","volume":"13","author":"Fang","year":"2023","journal-title":"Front Oncol"},{"key":"10.1016\/j.ijnss.2025.02.006_bib12","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.jpsychires.2024.02.001","article-title":"Symptom clusters in adolescent depression and differential responses of clusters to pharmacologic treatment","volume":"172","author":"Kim","year":"2024","journal-title":"J\u00a0Psychiatr Res"},{"issue":"4","key":"10.1016\/j.ijnss.2025.02.006_bib13","first-page":"259","article-title":"Network analysis in systems epidemiology","volume":"54","author":"Park","year":"2021","journal-title":"J\u00a0Prev Med Public Health"},{"issue":"1","key":"10.1016\/j.ijnss.2025.02.006_bib14","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3758\/s13428-017-0862-1","article-title":"Estimating psychological networks and their accuracy: a tutorial paper","volume":"50","author":"Epskamp","year":"2018","journal-title":"Behav Res Methods"},{"key":"10.1016\/j.ijnss.2025.02.006_bib15","article-title":"Family function, anxiety and depression in adults with disabilities: a network analysis","volume":"11","author":"Wang","year":"2023","journal-title":"Front Public Health"},{"issue":"1","key":"10.1016\/j.ijnss.2025.02.006_bib16","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1186\/s12888-024-05982-y","article-title":"Adolescent anxiety and depression: perspectives of network analysis and longitudinal network analysis","volume":"24","author":"Liu","year":"2024","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.ijnss.2025.02.006_bib17","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.jad.2023.04.065","article-title":"A\u00a0network analysis of anxiety and depression symptoms in Chinese disabled elderly","volume":"333","author":"Zhang","year":"2023","journal-title":"J\u00a0Affect Disord"},{"issue":"8","key":"10.1016\/j.ijnss.2025.02.006_bib18","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1111\/j.1468-1331.2010.03066.x","article-title":"EFNS guidelines on diagnosis and management of neuromyelitis optica","volume":"17","author":"Sellner","year":"2010","journal-title":"Eur J Neurol"},{"key":"10.1016\/j.ijnss.2025.02.006_bib19","author":"Memon"},{"issue":"5","key":"10.1016\/j.ijnss.2025.02.006_bib20","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1046\/j.1365-2648.2001.01697.x","article-title":"Advancing the science of symptom management","volume":"33","author":"Dodd","year":"2001","journal-title":"J\u00a0Adv Nurs"},{"issue":"3","key":"10.1016\/j.ijnss.2025.02.006_bib21","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1111\/biom.12647","article-title":"Statistical significance for hierarchical clustering","volume":"73","author":"Kimes","year":"2017","journal-title":"Biometrics"},{"issue":"4","key":"10.1016\/j.ijnss.2025.02.006_bib22","first-page":"367","article-title":"Network visualizations of relationships in psychometric data","volume":"48","author":"Epskamp","year":"2012","journal-title":"J\u00a0Stat Software"},{"issue":"1\u20132","key":"10.1016\/j.ijnss.2025.02.006_bib23","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1002\/ajcp.12158","article-title":"Network analysis in community psychology: looking back, looking forward","volume":"60","author":"Neal","year":"2017","journal-title":"Am J Community Psychol"},{"issue":"2","key":"10.1016\/j.ijnss.2025.02.006_bib24","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/00273171.2019.1614898","article-title":"Bridge centrality: a network approach to understanding comorbidity","volume":"56","author":"Jones","year":"2021","journal-title":"Multivariate Behav Res"},{"key":"10.1016\/j.ijnss.2025.02.006_bib25","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1146\/annurev-clinpsy-050212-185608","article-title":"Network analysis: an integrative approach to the structure of psychopathology","volume":"9","author":"Borsboom","year":"2013","journal-title":"Annu Rev Clin Psychol"},{"key":"10.1016\/j.ijnss.2025.02.006_bib26","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2022.104192","article-title":"Pain in neuromyelitis optic spectrum disorder","volume":"68","author":"Xue","year":"2022","journal-title":"Mult Scler Relat Disord"},{"key":"10.1016\/j.ijnss.2025.02.006_bib27","doi-asserted-by":"crossref","first-page":"778","DOI":"10.3389\/fneur.2020.00778","article-title":"Pain in NMOSD and MOGAD: a systematic literature review of pathophysiology, symptoms, and current treatment strategies","volume":"11","author":"Asseyer","year":"2020","journal-title":"Front Neurol"},{"issue":"1","key":"10.1016\/j.ijnss.2025.02.006_bib28","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1186\/s12883-022-02841-9","article-title":"The risk factors of neuropathic pain in neuromyelitis optica spectrum disorder: a retrospective case-cohort study","volume":"22","author":"Li","year":"2022","journal-title":"BMC Neurol"},{"key":"10.1016\/j.ijnss.2025.02.006_bib29","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.jad.2023.10.131","article-title":"Central symptoms and network associations of depressive symptoms among school-aged students: a network analysis","volume":"345","author":"Li","year":"2024","journal-title":"J\u00a0Affect Disord"},{"issue":"1","key":"10.1016\/j.ijnss.2025.02.006_bib30","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1186\/s12883-021-02396-1","article-title":"Prevalence and burden of multiple sclerosis-related fatigue: a systematic literature review","volume":"21","author":"Oliva Ramirez","year":"2021","journal-title":"BMC Neurol"},{"issue":"2","key":"10.1016\/j.ijnss.2025.02.006_bib31","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.neucli.2017.02.004","article-title":"Fatigue in multiple sclerosis\u2013Insights into evaluation and management","volume":"47","author":"Ayache","year":"2017","journal-title":"Neurophysiol Clinique\/clinical Neurophysiol"},{"issue":"6","key":"10.1016\/j.ijnss.2025.02.006_bib32","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1136\/jnnp-2018-320050","article-title":"Pathophysiological and cognitive mechanisms of fatigue in multiple sclerosis","volume":"90","author":"Manjaly","year":"2019","journal-title":"J\u00a0Neurol Neurosurg Psychiatry"},{"key":"10.1016\/j.ijnss.2025.02.006_bib33","first-page":"24","article-title":"Multiple sclerosis-related fatigue lacks a unified definition: a narrative review","volume":"27","author":"Adibi","year":"2022","journal-title":"J\u00a0Res Med Sci"},{"issue":"5","key":"10.1016\/j.ijnss.2025.02.006_bib34","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0177230","article-title":"Fatigue in patients with neuromyelitis optica spectrum disorder and its impact on quality of life","volume":"12","author":"Seok","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.ijnss.2025.02.006_bib35","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.msard.2018.04.009","article-title":"Comparative study of quality of life, anxiety, depression, and fatigue among patients with neuromyelitis optica spectrum disorder and multiple sclerosis: the first report from Iran","volume":"22","author":"Barzegar","year":"2018","journal-title":"Mult Scler Relat Disord"},{"issue":"7","key":"10.1016\/j.ijnss.2025.02.006_bib36","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1111\/cns.12411","article-title":"Hypoxemia, sleep disturbances, and depression correlated with fatigue in neuromyelitis optica spectrum disorder","volume":"21","author":"Pan","year":"2015","journal-title":"CNS Neurosci Ther"},{"key":"10.1016\/j.ijnss.2025.02.006_bib37","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2022.103825","article-title":"Is there a link between neuropathic pain and constipation in NMOSD and MOGAD? Results from an online patient survey and possible clinical implications","volume":"63","author":"Lotan","year":"2022","journal-title":"Mult Scler Relat Disord"}],"container-title":["International Journal of Nursing Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352013225000183?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352013225000183?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T08:21:06Z","timestamp":1743582066000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352013225000183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["S2352013225000183"],"URL":"https:\/\/doi.org\/10.1016\/j.ijnss.2025.02.006","relation":{},"ISSN":["2352-0132"],"issn-type":[{"value":"2352-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Exploring core symptoms and symptom clusters among patients with neuromyelitis optica spectrum disorder: A network analysis","name":"articletitle","label":"Article Title"},{"value":"International Journal of Nursing Sciences","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijnss.2025.02.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V. on behalf of the Chinese Nursing Association\u00e9","name":"copyright","label":"Copyright"}]}}