{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T12:02:59Z","timestamp":1794139379676,"version":"4.8.0"},"reference-count":66,"publisher":"FapUNIFESP (SciELO)","issue":"7","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Abstract: This study sought to synthesize and reinterpret findings from primary qualitative studies on the experience of health professionals in caring for people with anorexia nervosa and bulimia nervosa. We conducted a systematic review of the literature with the SPIDER search strategy assessing six databases. A meta-synthesis was performed with data from qualitative studies. Two independent reviewers screened and assessed the articles, extracted data from the articles and elaborated thematic synthesis. Nineteen articles met the inclusion\/exclusion criteria. The meta-synthesis revealed three descriptive themes: Going outside the comfort zone: hard relational experiences of health professionals in providing care for people with anorexia nervosa and bulimia nervosa; Reflecting on treatment: relevance of discussion, communication, and flexibility in health professionals\u2019 work with anorexia nervosa and bulimia nervosa; and Dealing with ambivalences: experiences of health professionals with family members of people with anorexia nervosa and bulimia nervosa. We elaborated two analytical themes: Making work with eating disorders palatable: malleability necessary for health professionals in bonding with people with anorexia and bulimia nervosa and their families; and Leaving the professional comfort zone: transition from multi to interdisciplinary. Thus, mental health professionals who work with people diagnosed with anorexia and bulimia nervosa cope with hard emotional experiences that makes them feel out of their comfort zone, requiring flexibility to benefit a good therapeutic alliance, but there are still difficulties in promoting interdisciplinarity.<\/jats:p>","DOI":"10.1590\/0102-311xen223122","type":"journal-article","created":{"date-parts":[[2023,8,11]],"date-time":"2023-08-11T11:31:42Z","timestamp":1691753502000},"source":"Crossref","is-referenced-by-count":6,"title":["Perceptions of health professionals in providing care for people with anorexia nervosa and bulimia nervosa: a systematic review and meta-synthesis of qualitative studies"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7792-0663","authenticated-orcid":false,"given":"Bruna Bortolozzi","family":"Maia","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4190-0756","authenticated-orcid":false,"given":"Felipe Gon\u00e7alves","family":"Campelo","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3593-7007","authenticated-orcid":false,"given":"Elaine Campos Guijarro","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5129-4227","authenticated-orcid":false,"given":"\u00c9rika Arantes","family":"Oliveira-Cardoso","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8214-7767","authenticated-orcid":false,"given":"Manoel Antonio dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","series-title":"ICD-11. International classification of diseases, 11th revision."},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1056\/NEJMcp1803175","article-title":"Anorexia nervosa","volume":"382","author":"Mitchell JE","year":"2020","journal-title":"N Engl J Med"},{"key":"ref3","series-title":"Avalia\u00e7\u00e3o psicol\u00f3gica: contextos de atua\u00e7\u00e3o, teoria e modos de fazer","first-page":"165","volume-title":"Avalia\u00e7\u00e3o psicol\u00f3gica no contexto dos transtornos alimentares","author":"Oliveira-Cardoso EA","year":"2019"},{"key":"ref4","series-title":"Diagnostic and statistical manual of mental disorders.","year":"2013","edition":"5th Ed"},{"key":"ref5","first-page":"68","article-title":"Care group for mental health staff a professional development strategy","volume":"22","author":"Oliveira-Pereira TTS","year":"2012","journal-title":"J Hum Growth Dev"},{"key":"ref6","series-title":"Adolesc\u00eancia: psicoterapias e media\u00e7\u00f5es terap\u00eauticas na cl\u00ednica dos extremos","first-page":"51","volume-title":"Adolescentes intransigentes: revisitando as psicoterapias no contexto da anorexia e bulimia","author":"Santos MA","year":"2020"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1136\/medhum-2019-011723","article-title":"Healthcare providers' engagement with eating disorder recovery narratives opening to complexity and diversity","volume":"47","author":"LaMarre A","year":"2021","journal-title":"Med Humanit"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1002\/erv.2816","article-title":"The value of including families in the treatment of anorexia nervosa","volume":"29","author":"Treasure J","year":"2021","journal-title":"Eur Eat Disord Rev"},{"key":"ref9","first-page":"168","article-title":"The influence of mothers on the development of their daughter's eating disorders an integrative review","volume":"48","author":"Ferreira IMS","year":"2021","journal-title":"Arch Clin Psychiatry"},{"key":"ref10","first-page":"24","article-title":"Estrutura e funcionamento de uma equipe de sa\u00fade mental de Trieste na perspectiva de seus integrantes um estudo qualitativo","volume":"12","author":"Oliveira TTSS","year":"2018","journal-title":"Psicol Pesqui"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1186\/1471-244X-13-282","article-title":"Resistance to treatment in eating disorders a critical challenge","volume":"13","author":"Fassino S","year":"2013","journal-title":"BMC Psychiatry"},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0169493","article-title":"Metasynthesis of the views about treatment of anorexia nervosa in adolescents perspectives of adolescents, parents, and professionals","volume":"12","author":"Sibeoni J","year":"2017","journal-title":"PLoS One"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1590\/0047-2085000000104","article-title":"Tratamento dos transtornos alimentares fatores associados ao abandono","volume":"65","author":"Souza APL","year":"2016","journal-title":"J Bras Psiquiatr"},{"key":"ref14","article-title":"Significados do abandono do tratamento para pacientes com transtornos alimentares","volume":"39","author":"Souza APL","year":"2019","journal-title":"Psicol Ci\u00eanc Prof"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1002\/eat.23441","article-title":"How are families included in the treatment of adults affected by eating disorders A scoping review","volume":"54","author":"Fleming C","year":"2021","journal-title":"Int J Eat Disord"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1590\/1982-43272354201313","article-title":"Acolhimento e v\u00ednculo em um servi\u00e7o de assist\u00eancia a portadores de transtornos alimentares","volume":"23","author":"Ramos TMB","year":"2013","journal-title":"Paid\u00e9ia (Ribeir\u00e3o Preto)"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1007\/s40519-021-01281-7","article-title":"Alliance matters but how much? A systematic review on therapeutic alliance and outcome in patients with anorexia nervosa and bulimia nervosa","volume":"27","author":"Werz J","year":"2022","journal-title":"Eat Weight Disord"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.apnu.2016.09.002","article-title":"Attitudes and challenges of healthcare professionals managing people with eating disorders a literature review","volume":"31","author":"Seah XY","year":"2017","journal-title":"Arch Psychiatr Nurs"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1176\/appi.ps.201100050","article-title":"Clinician reactions to patients with eating disorders a review of the literature","volume":"63","author":"Thompson-Brenner H","year":"2012","journal-title":"Psychiatr Serv"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.1590\/s1980-220x2016026003230","article-title":"Resilience of the health team in caring for people with mental disorders in a psychiatric hospital","volume":"51","author":"Brolese DF","year":"2017","journal-title":"Rev Esc Enferm USP"},{"key":"ref21","first-page":"993","article-title":"Health professionals' mental health a look at their suffering","volume":"27","author":"Monteiro DT","year":"2019","journal-title":"Trends Psychol"},{"key":"ref22","doi-asserted-by":"crossref","DOI":"10.1192\/bjo.2019.48","article-title":"Current eating disorder healthcare services - the perspectives and experiences of individuals with eating disorders, their families and health professionals systematic review and thematic synthesis","volume":"5","author":"Johns G","year":"2019","journal-title":"BJPsych Open"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1002\/cpp.2723","article-title":"Investigating service users' perspectives of eating disorder services a meta-synthesis","volume":"29","author":"Babb C","year":"2022","journal-title":"Clin Psychol Psychother"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1002\/eat.23260","article-title":"A framework to conceptualize personal recovery from eating disorders a systematic review and qualitative meta-synthesis of perspectives from individuals with lived experience","volume":"53","author":"Wetzler S","year":"2020","journal-title":"Int J Eat Disord"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1002\/cpp.1984","article-title":"The experience of caring for or living with an individual with an eating disorder a meta-synthesis of qualitative studies","volume":"24","author":"Fox JR","year":"2017","journal-title":"Clin Psychol Psychother"},{"key":"ref26","article-title":"Percep\u00e7\u00e3o de familiares de pessoas com transtornos alimentares acerca do tratamento uma metass\u00edntese da literatura","volume":"38","author":"Gil M","year":"2022","journal-title":"Psicol Teor Pesqui"},{"key":"ref27","article-title":"Paternity and parenting in the context of eating disorders an integrative literature review","volume":"37","author":"Sim\u00f5es M","year":"2021","journal-title":"Psicol Teor Pesq"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1590\/0034-7167-2016-0671","article-title":"Care provided by the father to the child with cancer under the influence of masculinities qualitative meta-synthesis","volume":"71","author":"Polita NB","year":"2018","journal-title":"Rev Bras Enferm"},{"key":"ref29","series-title":"CASP checklist: 10 questions to help you make sense of qualitative reasearch."},{"key":"ref30","series-title":"PROSPERO. International prospective register of systematic reviews."},{"key":"ref31","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1186\/1471-2288-12-181","article-title":"Enhancing transparency in reporting the synthesis of qualitative research ENTREQ","volume":"12","author":"Tong A","year":"2012","journal-title":"BMC Med Res Methodol"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1177\/1049732312452938","article-title":"Beyond PICO the SPIDER tool for qualitative evidence synthesis","volume":"22","author":"Cooke A","year":"2012","journal-title":"Qual Health Res"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan-a web and mobile app for systematic reviews","volume":"5","author":"Ouzzani M","year":"2016","journal-title":"Syst Rev"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1177\/0894439315596311","article-title":"Advancing qualitative research using qualitative data analysis software (QDAS) Reviewing potential versus practice in published studies using ATLAS.ti and NVivo, 1994-2013","volume":"34","author":"Woods M","year":"2015","journal-title":"Soc Sci Comput Rev"},{"key":"ref35","first-page":"360","article-title":"Understanding interobserveragreement the Kappa statistic","volume":"37","author":"Viera A","year":"2005","journal-title":"Fam Med"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","journal-title":"BMJ"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/1471-2288-8-45","article-title":"Methods for the thematic synthesis of qualitative research in systematic reviews","volume":"8","author":"Thomas J","year":"2008","journal-title":"BMC Med Res Methodol"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s40337-021-00528-z","article-title":"Clinicians' perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings","volume":"10","author":"Webb H","year":"2022","journal-title":"J Eat Disord"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1007\/s11013-021-09721-w","article-title":"Therapists' experiences of working with ethnic minority females with eating disorders a qualitative study","volume":"46","author":"Kanakam N","year":"2021","journal-title":"Cult Med Psychiatry"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1111\/papt.12340","article-title":"Service user and eating disorder therapist views on anorexia nervosa recovery criteria","volume":"94","author":"McDonald S","year":"2021","journal-title":"Psychol Psychother"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1002\/erv.2795","article-title":"Facilitators and barriers to supporting young people with eating disorders during their transition to, and time at, university an exploration of clinicians' perspectives","volume":"29","author":"Webb H","year":"2021","journal-title":"Eur Eat Disord Rev"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1111\/inm.12886","article-title":"Nurses' perceptions on and experiences in conflict situations when caring for adolescents with anorexia nervosa a qualitative study","volume":"30","author":"Wu W","year":"2021","journal-title":"Int J Mental Health Nurs"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1111\/jpm.12619","article-title":"\"I found it daunting\": an exploration of educational needs and experiences of mental health student nurses working with children and adolescents with eating disorders.","volume":"27","author":"Farrington A","year":"2020","journal-title":"J Psychiatr Ment Health Nurs"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40337-018-0231-1","article-title":"Physicians' perspectives on the treatment of patients with eating disorders in the acute setting","volume":"7","author":"Davidson AR","year":"2019","journal-title":"J Eat Disord"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s40337-019-0240-8","article-title":"Stay the course practitioner reflections on implementing family-based treatment with adolescents with atypical anorexia","volume":"7","author":"Dimitropoulos G","year":"2019","journal-title":"J Eat Disord"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1177\/1363459317715778","article-title":"The role of sociocultural perspectives in eating disorder treatment a study of health professionals","volume":"22","author":"Holmes S","year":"2018","journal-title":"Health (London)"},{"key":"ref47","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-021934","article-title":"Clinicians' views on treatment adaptations for men with eating disorders a qualitative study","volume":"8","author":"Kinnaird E","year":"2018","journal-title":"BMJ Open"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1111\/jcap.12206","article-title":"Community-based mealtime management for adolescents with anorexia nervosa a qualitative study of clinicians' perspectives and experiences","volume":"31","author":"Watt J","year":"2018","journal-title":"J Child Adolesc Psychiatr Nurs"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1177\/1363459317721100","article-title":"Understanding each other in the medical encounter exploring therapists' and patients' understanding of each other's experiential knowledge through the Imitation Game","volume":"22","author":"Wehrens R","year":"2018","journal-title":"Health (London)"},{"key":"ref50","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1016\/j.pedn.2017.02.008","article-title":"Perceptions of caring for adolescents with eating disorders hospitalized on a general pediatric unit","volume":"34","author":"Harken W","year":"2017","journal-title":"J Pediatr Nurs"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1186\/s12888-017-1455-3","article-title":"Clinicians' views on working with anorexia nervosa and autism spectrum disorder comorbidity a qualitative study","volume":"17","author":"Kinnaird E","year":"2017","journal-title":"BMC Psychiatry"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"175","DOI":"10.4067\/S0717-92272013000300003","article-title":"Facilitadores de la alianza terap\u00e9utica en la anorexia nerviosa una mirada desde la diada terapeuta-paciente","volume":"51","author":"Cruzat MC","year":"2013","journal-title":"Rev Chil Neuro-Psiquiatr"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10640266.2013.741964","article-title":"Challenges in making the transition between pediatric and adult eating disorder programs a qualitative study from the perspective of service providers","volume":"21","author":"Dimitropoulos G","year":"2013","journal-title":"Eat Disord"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1093\/fampra\/cmt013","article-title":"Diagnosing and managing anorexia nervosa in UK primary care a focus group study","volume":"30","author":"Hunt D","year":"2013","journal-title":"Fam Pract"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1002\/eat.22017","article-title":"Navigating the transition from pediatric to adult eating disorder programs perspectives of service providers","volume":"45","author":"Dimitropoulos G","year":"2012","journal-title":"Int J Eat Disord"},{"key":"ref56","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1002\/erv.976","article-title":"Perspectives on eating disorders and service provision a qualitative study of healthcare professionals","volume":"18","author":"Reid M","year":"2010","journal-title":"Eur Eat Disord Rev"},{"key":"ref57","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/10640266.2016.1269557","article-title":"Therapist self-disclosure and the therapeutic alliance in the treatment of eating problems","volume":"25","author":"Simonds LM","year":"2017","journal-title":"J Eat Disord"},{"key":"ref58","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1111\/jan.13410","article-title":"Therapeutic alliance, anorexia nervosa and the inpatient setting a mixed methods study","volume":"74","author":"Zugai JS","year":"2018","journal-title":"Int J Adv Nurs"},{"key":"ref59","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1590\/1982-370300132013","article-title":"Hist\u00f3rias de sucesso de profissionais da sa\u00fade no tratamento dos transtornos alimentares","volume":"35","author":"Souza LV","year":"2015","journal-title":"Psicol Ci\u00eanc Prof"},{"key":"ref60","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/0306-4603(96)00033-0","article-title":"Redefining success in eating disorders","volume":"21","author":"Miller PM","year":"1996","journal-title":"Addict Behav"},{"issue":"spe4","key":"ref61","article-title":"As oficinas terap\u00eauticas e a l\u00f3gica do cuidado psicossocial concep\u00e7\u00f5es dos(as) coordenadores(as)","volume":"41","author":"Oliveira ALM","year":"2021","journal-title":"Psicol Ci\u00eanc Prof"},{"key":"ref62","first-page":"78","article-title":"Parental involvement and child and adolescent eating disorders perspectives from residents in psychiatry, pediatrics, and family medicine","volume":"26","author":"Marcon TD","year":"2017","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref63","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1002\/erv.2733","article-title":"A systematic review of outcomes following residential treatment for eating disorders","volume":"28","author":"Peckmezian T","year":"2020","journal-title":"Eur Eat Disord Rev"},{"key":"ref64","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-050165","article-title":"Patient, carer and healthcare professional experiences of complex care quality in multidisciplinary primary healthcare centres qualitative study with face-to-face, in-depth interviews and focus groups in five French multidisciplinary primary healthcare centres","volume":"11","author":"Derriennic J","year":"2021","journal-title":"BMJ Open"},{"key":"ref65","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.2147\/JMDH.S226330","article-title":"How do interprofessional healthcare teams perceive the benefits and challenges of interdisciplinary ward rounds","volume":"12","author":"Walton V","year":"2019","journal-title":"J Multidiscip Healthc"},{"key":"ref66","first-page":"123","article-title":"Conflu\u00eancias das rela\u00e7\u00f5es familiares e transtornos alimentares revis\u00e3o integrativa da literatura","volume":"32","author":"Siqueira ABR","year":"2020","journal-title":"Psicol Cl\u00edn"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["Percep\u00e7\u00f5es de profissionais de sa\u00fade no cuidado a pessoas com anorexia e bulimia nervosa: revis\u00e3o sistem\u00e1tica e metass\u00edntese de estudos qualitativos"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-311X2023000702001&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,11]],"date-time":"2023-08-11T11:32:20Z","timestamp":1691753540000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2023000702001&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":66,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023]]}},"alternative-id":["S0102-311X2023000702001"],"URL":"https:\/\/doi.org\/10.1590\/0102-311xen223122","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e00223122"}}