{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:54:48Z","timestamp":1792065288798,"version":"4.4.0"},"reference-count":78,"publisher":"Medical Journals Sweden AB","issue":"12","license":[{"start":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:00:00Z","timestamp":1639440000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Derm Venereol"],"abstract":"<jats:p>The disease burden of lichen planus and its impact on patients\u2019 quality of life have not been well studied. The aim of this mono-centre cross-sectional study was to investigate these factors. From June to September 2020, an anonymous survey was posted to 253 patients, who were diagnosed with lichen planus in our outpatient clinic from January 2018 to June 2020. Quality of life was evaluated using the Dermatology Life Quality Index (DLQI), the EuroQol 5-dimension 3-level score, and further quality of life indicators. Beck Depression Inventory II was used to evaluate symptoms of depression. A total of 100 patients completed and returned the survey. Lichen planus affected quality of life in 78% of cases. DLQI was higher for multiple localizations (r\u2009=\u20090.454, p\u2009&lt;\u20090.001). Patients with genital lichen planus had a significantly higher DLQI (mean\u2009\u00b1\u2009standard deviation (SD) 8.68\u2009\u00b1\u20096.96) than patients who were not affected in the genital area (5.01\u2009\u00b1\u20095.49; p\u2009=\u20090.009). DLQI was also significantly higher for ungual lichen planus (9.83\u2009\u00b1\u20097.6; not affected: 5.65\u2009\u00b1\u20095.84; p-value 0.039), and for cutaneous LP (mean 8.1, SD 6.22; not affected: 5.63\u2009\u00b1\u20096.12; p-value 0.045). Twenty-nine percent of patients had mild to moderate symptoms of depression, and 6% had severe symptoms of depression. Depression and reduced quality of life are an undetected and relevant burden affecting patients with lichen planus.<\/jats:p>","DOI":"10.2340\/actadv.v101.442","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T09:08:27Z","timestamp":1635239307000},"page":"adv00619","source":"Crossref","is-referenced-by-count":34,"title":["Quality of Life and Psychopathology in Lichen Planus: A Neglected Disease Burden"],"prefix":"10.2340","volume":"101","author":[{"given":"Zeno","family":"Fiocco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Kupf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leilah","family":"Patzak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till","family":"K\u00e4mmerer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teodora","family":"Pumnea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars E.","family":"French","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Reinholz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2021,12,14]]},"reference":[{"key":"11757","doi-asserted-by":"crossref","unstructured":"Le Cleach L, Chosidow O. Clinical practice. Lichen planus. N Engl J Med 2012; 366: 723-732.","DOI":"10.1056\/NEJMcp1103641"},{"key":"11758","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1056\/NEJMcp1103641","DOI":"10.1056\/NEJMcp1103641"},{"key":"11759","doi-asserted-by":"crossref","unstructured":"Browning J. Dermatology, Edited by Jean L. Bolognia Julie V. Schaffer Lorenzo Cerroni Fourth edition China: Elsevier, 2018, ISBN 978-0-7020-6275-9. Pediatric Dermatology 2018; 35: 289.","DOI":"10.1111\/pde.13439"},{"key":"11760","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/pde.13439","DOI":"10.1111\/pde.13439"},{"key":"11761","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-Moles M\u00c1, Warnakulasuriya S, Gonz\u00e1lez-Ruiz I, Gonz\u00e1lez-Ruiz L, Ay\u00e9n \u00c1, Lenouvel D, et al. Worldwide prevalence of oral lichen planus: A systematic review and meta-analysis. Oral Dis 2021; 27: 813-828.","DOI":"10.1111\/odi.13323"},{"key":"11762","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/odi.13323","DOI":"10.1111\/odi.13323"},{"key":"11763","doi-asserted-by":"crossref","unstructured":"Sawant NS, Vanjari NA, Khopkar U, Adulkar S. A study of depression and quality of life in patients of lichen planus. Scientific World Journal 2015; 2015: 817481.","DOI":"10.1155\/2015\/817481"},{"key":"11764","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1155\/2015\/817481","DOI":"10.1155\/2015\/817481"},{"key":"11765","doi-asserted-by":"crossref","unstructured":"Mansur AT, Kilic Z, Atalay F. Psychological evaluation of patients with cutaneous lichen planus. Dermatol Psychosomat 2004; 5: 132-136.","DOI":"10.1159\/000081157"},{"key":"11766","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1159\/000081157","DOI":"10.1159\/000081157"},{"key":"11767","doi-asserted-by":"crossref","unstructured":"Dalgard FJ, Gieler U, Tomas-Aragones L, Lien L, Poot F, Jemec GBE, et al. The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries. J Invest Dermatol 2015; 135: 984-991.","DOI":"10.1038\/jid.2014.530"},{"key":"11768","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1038\/jid.2014.530","DOI":"10.1038\/jid.2014.530"},{"key":"11769","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-Jornet P, Camacho-Alonso F. Quality of life in patients with oral lichen planus. J Eval Clin Pract 2010; 16: 111-113.","DOI":"10.1111\/j.1365-2753.2009.01124.x"},{"key":"11770","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1365-2753.2009.01124.x","DOI":"10.1111\/j.1365-2753.2009.01124.x"},{"key":"11771","doi-asserted-by":"crossref","unstructured":"Cheng H, Oakley A, Conaglen JV, Conaglen HM. Quality of life and sexual distress in women with erosive vulvovaginal lichen planus. J Low Genit Tract Dis 2017; 21: 145-149.","DOI":"10.1097\/LGT.0000000000000282"},{"key":"11772","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1097\/LGT.0000000000000282","DOI":"10.1097\/LGT.0000000000000282"},{"key":"11773","doi-asserted-by":"crossref","unstructured":"Radwan-Oczko M, Zwyrtek E, Owczarek JE, Szcze\u015bniak D. Psychopathological profile and quality of life of patients with oral lichen planus. J Appl Oral Sci 2018; 26: e20170146.","DOI":"10.1590\/1678-7757-2017-0146"},{"key":"11774","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1590\/1678-7757-2017-0146","DOI":"10.1590\/1678-7757-2017-0146"},{"key":"11775","doi-asserted-by":"crossref","unstructured":"Rojo-Moreno J, Bag\u00e1n J, Rojo-Moreno J, Donat JS, Mili\u00e1n MA, Jim\u00e9nez Y. Psychologic factors and oral lichen planus: a psychometric evaluation of 100 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 86: 687-691.","DOI":"10.1016\/S1079-2104(98)90205-0"},{"key":"11776","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/S1079-2104(98)90205-0","DOI":"10.1016\/S1079-2104(98)90205-0"},{"key":"11777","doi-asserted-by":"crossref","unstructured":"Van Voorhees AS, Fried R. Depression and quality of life in psoriasis. Postgrad Med 2009; 121: 154-161.","DOI":"10.3810\/pgm.2009.07.2040"},{"key":"11778","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.3810\/pgm.2009.07.2040","DOI":"10.3810\/pgm.2009.07.2040"},{"key":"11779","doi-asserted-by":"crossref","unstructured":"Jafferany M, Patel A. Understanding psychocutaneous disease: psychosocial & psychoneuroimmunologic perspectives. Int J Dermatol 2020; 59: 8-15.","DOI":"10.1111\/ijd.14629"},{"key":"11780","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/ijd.14629","DOI":"10.1111\/ijd.14629"},{"key":"11781","doi-asserted-by":"crossref","unstructured":"Ghosh S, Behere RV, Sharma P, Sreejayan K. Psychiatric evaluation in dermatology: an overview. Indian J Dermatol 2013; 58: 39-43.","DOI":"10.4103\/0019-5154.105286"},{"key":"11782","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.4103\/0019-5154.105286","DOI":"10.4103\/0019-5154.105286"},{"key":"11783","doi-asserted-by":"crossref","unstructured":"Magin PJ, Pond CD, Smith WT, Watson AB, Goode SM. A cross-sectional study of psychological morbidity in patients with acne, psoriasis and atopic dermatitis in specialist dermatology and general practices. J Eur Acad Dermatol Venereol 2008; 22: 1435-1444.","DOI":"10.1111\/j.1468-3083.2008.02890.x"},{"key":"11784","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1468-3083.2008.02890.x","DOI":"10.1111\/j.1468-3083.2008.02890.x"},{"key":"11785","doi-asserted-by":"crossref","unstructured":"Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI) - a simple practical measure for routine clinical use. Clin Exp Dermatol 1994; 19: 210-216.","DOI":"10.1111\/j.1365-2230.1994.tb01167.x"},{"key":"11786","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1365-2230.1994.tb01167.x","DOI":"10.1111\/j.1365-2230.1994.tb01167.x"},{"key":"11787","unstructured":"Group E. EQ-5D-3L. [accessed 18 April 2017] Available from: https:\/\/euroqol.org\/eq-5d-instruments\/eq-5d-3l-about\/2017."},{"key":"11788","doi-asserted-by":"crossref","unstructured":"Smarr KL, Keefer AL. Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Arthritis Care Res (Hoboken) 2011; 63: S454-S566.","DOI":"10.1002\/acr.20556"},{"key":"11789","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1002\/acr.20556","DOI":"10.1002\/acr.20556"},{"key":"11790","unstructured":"Eckstein PP. Angewandte Statistik mit SPSS: Praktische Einf\u00fchrung f\u00fcr Wirtschaftswissenschaftler. Springer Medizin Verlag, Heidelberg, 2006."},{"key":"11791","unstructured":"Field, Andy. 2013. Discovering Statistics Using IBM SPSS Statistics. 4th ed. London, England: SAGE Publications."},{"key":"11792","doi-asserted-by":"crossref","unstructured":"Eckey H-F, T\u00fcrck M. Statistische Signifikanz (p-Wert). WiSt-Wirtschaftswissenschaftliches Studium 2006; 35: 415-418.","DOI":"10.15358\/0340-1650-2006-7-415"},{"key":"11793","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.15358\/0340-1650-2006-7-415","DOI":"10.15358\/0340-1650-2006-7-415"},{"key":"11794","doi-asserted-by":"crossref","unstructured":"Lehmann EL. Consistency and unbiasedness of certain nonparametric tests. Ann Math Statist 1951; 22: 165-179.","DOI":"10.1214\/aoms\/1177729639"},{"key":"11795","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1214\/aoms\/1177729639","DOI":"10.1214\/aoms\/1177729639"},{"key":"11796","doi-asserted-by":"crossref","unstructured":"Hedderich J, Sachs L. Angewandte Statistik. Springer-Verlag Berlin, Heidelberg, 2016 .","DOI":"10.1007\/978-3-662-45691-0"},{"key":"11797","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1007\/978-3-662-45691-0","DOI":"10.1007\/978-3-662-45691-0"},{"key":"11798","doi-asserted-by":"crossref","unstructured":"Fahrmeir L, Heumann C, K\u00fcnstler R, Pigeot I, Tutz G. Statistik: Der weg zur datenanalyse. Springer-Verlag Berlin, Heidelberg, 2016 .","DOI":"10.1007\/978-3-662-50372-0"},{"key":"11799","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1007\/978-3-662-50372-0","DOI":"10.1007\/978-3-662-50372-0"},{"key":"11800","unstructured":"Bortz J, Lienert GA. Kurzgefasste Statistik f\u00fcr die klinische Forschung: Leitfaden f\u00fcr die verteilungsfreie Analyse kleiner Stichproben. Springer Medizin Verlag, Heidelberg, 2008."},{"key":"11801","doi-asserted-by":"crossref","unstructured":"Bender R, Lange S. Was ist der p-Wert? Deutsche Medizinische Wochenschrift 2001; 126: T39-T40.","DOI":"10.1055\/s-2001-12739"},{"key":"11802","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1055\/s-2001-12739","DOI":"10.1055\/s-2001-12739"},{"key":"11803","doi-asserted-by":"crossref","unstructured":"Bland JM, Bland D. Statistics notes: one and two sided tests of significance. BMJ 1994; 309: 248.","DOI":"10.1136\/bmj.309.6949.248"},{"key":"11804","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1136\/bmj.309.6949.248","DOI":"10.1136\/bmj.309.6949.248"},{"key":"11805","doi-asserted-by":"crossref","unstructured":"Manolache L, Seceleanu-Petrescu D, Benea V. Lichen planus patients and stressful events. J Eur Acad Dermatol Venereol 2008; 22: 437-441.","DOI":"10.1111\/j.1468-3083.2007.02458.x"},{"key":"11806","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1468-3083.2007.02458.x","DOI":"10.1111\/j.1468-3083.2007.02458.x"},{"key":"11807","doi-asserted-by":"crossref","unstructured":"Picardi A, Amerio P, Baliva G, Barbieri C, Teofoli P, Bolli S, et al. Recognition of depressive and anxiety disorders in dermatological outpatients. Acta Derm Venereol 2004; 84: 213-217.","DOI":"10.1080\/00015550410025264"},{"key":"11808","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1080\/00015550410025264","DOI":"10.1080\/00015550410025264"},{"key":"11809","doi-asserted-by":"crossref","unstructured":"Picardi A, Abeni D. Stressful life events and skin diseases: disentangling evidence from myth. Psychother Psychosom 2001; 70: 118-136.","DOI":"10.1159\/000056237"},{"key":"11810","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1159\/000056237","DOI":"10.1159\/000056237"},{"key":"11811","doi-asserted-by":"crossref","unstructured":"Allen CM, Beck FM, Rossie KM, Kaul TJ. Relation of stress and anxiety to oral lichen planus. Oral Surg Oral Med Oral Pathol 1986; 61: 44-46.","DOI":"10.1016\/0030-4220(86)90201-X"},{"key":"11812","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/0030-4220(86)90201-X","DOI":"10.1016\/0030-4220(86)90201-X"},{"key":"11813","doi-asserted-by":"crossref","unstructured":"Hong J, Koo B, Koo J. The psychosocial and occupational impact of chronic skin disease. Dermatol Ther 2008; 21: 54-59.","DOI":"10.1111\/j.1529-8019.2008.00170.x"},{"key":"11814","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1529-8019.2008.00170.x","DOI":"10.1111\/j.1529-8019.2008.00170.x"},{"key":"11815","doi-asserted-by":"crossref","unstructured":"Boehm D, Schmid-Ott G, Finkeldey F, John SM, Dwinger C, Werfel T, et al. Anxiety, depression and impaired health-related quality of life in patients with occupational hand eczema. Contact Dermatitis 2012; 67: 184-192.","DOI":"10.1111\/j.1600-0536.2012.02062.x"},{"key":"11816","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1600-0536.2012.02062.x","DOI":"10.1111\/j.1600-0536.2012.02062.x"},{"key":"11817","doi-asserted-by":"crossref","unstructured":"Dowlatshahi EA, Wakkee M, Arends LR, Nijsten T. The prevalence and odds of depressive symptoms and clinical depression in psoriasis patients: a systematic review and meta-analysis. J Invest Dermatol 2014; 134: 1542-1551.","DOI":"10.1038\/jid.2013.508"},{"key":"11818","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1038\/jid.2013.508","DOI":"10.1038\/jid.2013.508"},{"key":"11819","doi-asserted-by":"crossref","unstructured":"Rapp SR, Feldman SR, Exum ML, Fleischer AB, Jr, Reboussin DM. Psoriasis causes as much disability as other major medical diseases. J Am Acad Dermatol 1999; 41: 401-407.","DOI":"10.1016\/S0190-9622(99)70112-X"},{"key":"11820","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/S0190-9622(99)70112-X","DOI":"10.1016\/S0190-9622(99)70112-X"},{"key":"11821","doi-asserted-by":"crossref","unstructured":"Feldman SR. Psoriasis causes as much disability as other major medical diseases. J Am Acad Dermatol 2020; 82: 256-257.","DOI":"10.1016\/j.jaad.2018.07.059"},{"key":"11822","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1016\/j.jaad.2018.07.059","DOI":"10.1016\/j.jaad.2018.07.059"},{"key":"11823","doi-asserted-by":"crossref","unstructured":"Connor CJ. Management of the psychological comorbidities of dermatological conditions: practitioners' guidelines. Clin Cosmet Investig Dermatol 2017; 10: 117-132.","DOI":"10.2147\/CCID.S111041"},{"key":"11824","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.2147\/CCID.S111041","DOI":"10.2147\/CCID.S111041"},{"key":"11825","doi-asserted-by":"crossref","unstructured":"Finlay AY, Salek MS, Abeni D, Tom\u00e1s-Aragon\u00e9s L, van Cranenburgh OD, Evers AW, et al. Why quality of life measurement is important in dermatology clinical practice: an expert-based opinion statement by the EADV Task Force on Quality of Life. J Eur Acad Dermatol Venereol 2017; 31: 424-431.","DOI":"10.1111\/jdv.13985"},{"key":"11826","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.13985","DOI":"10.1111\/jdv.13985"},{"key":"11827","doi-asserted-by":"crossref","unstructured":"Richards HL, Fortune DG, Weidmann A, Sweeney SKT, Griffiths CEM. Detection of psychological distress in patients with psoriasis: low consensus between dermatologist and patient. Br J Dermatol 2004; 151: 1227-1233.","DOI":"10.1111\/j.1365-2133.2004.06221.x"},{"key":"11828","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/j.1365-2133.2004.06221.x","DOI":"10.1111\/j.1365-2133.2004.06221.x"},{"key":"11829","doi-asserted-by":"crossref","unstructured":"Donnarumma M, Fattore D, Greco V, Ferrillo M, Vastarella M, Chiodini P, et al. How to increase adherence and compliance in acne treatment? A combined strategy of SMS and visual instruction leaflet. Dermatology 2019; 235: 463-470.","DOI":"10.1159\/000502575"},{"key":"11830","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1159\/000502575","DOI":"10.1159\/000502575"},{"key":"11831","doi-asserted-by":"crossref","unstructured":"Marasca C, Napolitano M, Monfrecola G, Masar\u00e0 A, Annunziata MC, Donnarumma M, et al. Quality of life in people living with patients suffering from hidradenitis suppurativa. J Eur Acad Dermatol Venereol 2020; 34: e342-34e3.","DOI":"10.1111\/jdv.16319"},{"key":"11832","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.16319","DOI":"10.1111\/jdv.16319"},{"key":"11833","doi-asserted-by":"crossref","unstructured":"Osman OT, Mufaddel A, Almugaddam F, Augusterfer EF. The psychiatric aspects of skin disorders. Exp Rev Dermatol 2011; 6: 195-209.","DOI":"10.1586\/edm.11.10"},{"key":"11834","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1586\/edm.11.10","DOI":"10.1586\/edm.11.10"}],"container-title":["Acta Dermato-Venereologica"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/actadv\/article\/download\/442\/1371","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/actadv\/article\/download\/442\/1372","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/actadv\/article\/download\/442\/1371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T09:20:38Z","timestamp":1675761638000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournalssweden.se\/actadv\/article\/view\/442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,14]]},"references-count":78,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,12,1]]}},"URL":"https:\/\/doi.org\/10.2340\/actadv.v101.442","relation":{},"ISSN":["1651-2057","0001-5555"],"issn-type":[{"value":"1651-2057","type":"electronic"},{"value":"0001-5555","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12,14]]}}}