{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T21:55:11Z","timestamp":1784238911397,"version":"3.55.0"},"reference-count":72,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004421","name":"World Bank Group","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004421","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The rapid increasing prevalence of ASD has become a significant global health issue. Caregivers of children with ASD are experiencing higher level of psychological stress and mental disorders. However, interventions to improve the psychological health of caregivers of children with ASD have largely been neglected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Based on the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model, we initially did in-depth interviews with 8 caregivers, and conducted field observation in two rehabilitation centers to analyze the daily lives, the empowered components, the emotional moments of the children with autism and their caregivers. Then we designed the outline of the picture book, and developed it by a multi-disciplinary team by 4 rounds. After that, this picture book was sent out to 54 caregivers of children with ASD for family-child reading in one month. A quantitative questionnaire was administered before and after their reading to evaluate the efficacy of reducing their stress and affiliate stigma, and improving self-efficacy, resilience, empowerment capacity; and exit interviews were conducted after their initial reading to assess the acceptability, content appropriateness, perceived benefits and generalizability of this picture book. Quantitative data were analyzed by descriptive analysis and paired <jats:italic>t<\/jats:italic>-tests using IBM SPSS 26.0. Qualitative data were analyzed using template analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 54 caregivers read the picture book with their child, with the total of 149 (an average of 2.76 per family) times reading in one month. Among them, 39 caregivers returned the following-up questionnaires. Although most of the outcome measures did not showed significant changes except the stress level decreased statistically significant (13.38 \u00b1 3.864 to 11.79 \u00b1 3.238, P=0.001), caregivers reported that the picture book echoed their daily lives and gave them a sense of warmth, inspiration, and hope, as well as some insight on family relationships and attitudes towards the disorder. They also expressed a willingness to disseminate the book to other families with children suffering ASD and the public.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This specially designed picture book has been proven to be an acceptable, content-appropriate, and effective family-centered psychological intervention, which could be easily scaled up.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1390430","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T04:49:31Z","timestamp":1715143771000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers\u2019 psychological stress: a mixed method study"],"prefix":"10.3389","volume":"15","author":[{"given":"Lei","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinlin","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongrui","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianhong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1016\/S0140-6736(13)61539-1","article-title":"Autism","volume":"383","author":"Lai","year":"2014","journal-title":"Lancet"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.ss7202a1","article-title":"Prevalence and characteristics of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 sites, United States, 2020","volume":"72","author":"Maenner","year":"2023","journal-title":"MMWR Surveill Summ"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30289-5","article-title":"Prevalence of co-occurring mental health diagnoses in the autism population: a systematic review and meta-analysis","volume":"6","author":"Lai","year":"2019","journal-title":"Lancet Psychiat"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1177\/1362361316673570","article-title":"Parental sleep quality and behavior problems of children with autism","volume":"22","author":"Mihaila","year":"2018","journal-title":"Autism"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/1362361318815641","article-title":"Reaction to diagnosis and subsequent health in mothers of children with autism spectrum disorder","volume":"23","author":"Reed","year":"2019","journal-title":"AUTISM"},{"key":"B6","doi-asserted-by":"publisher","first-page":"2638","DOI":"10.1080\/09638288.2022.2103594","article-title":"Examining factors associated with sleep quality in parents of children 4-10 years with autism spectrum disorder","volume":"45","author":"Micsinszki","year":"2023","journal-title":"Disabil Rehabil"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2016.09.009","article-title":"Chronic stress is associated with reduced circulating hematopoietic progenitor cell number: A maternal caregiving model","volume":"59","author":"Aschbacher","year":"2017","journal-title":"Brain Behav Immun"},{"key":"B8","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1002\/aur.2213","article-title":"Parenting stress in caregivers of young children with ASD concerns prior to a formal diagnosis","volume":"13","author":"DesChamps","year":"2020","journal-title":"Autism Res"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0186536","article-title":"Family functioning, parenting stress and quality of life in mothers and fathers of Polish children with high functioning autism or Asperger syndrome","volume":"12","author":"Pisula","year":"","journal-title":"PloS One"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-018-3605-y","article-title":"The association between emotional and behavioral problems in children with autism spectrum disorder and psychological distress in their parents: A systematic review and meta-analysis","volume":"48","author":"Yorke","year":"2018","journal-title":"J\u00a0Autism Dev Disord"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171400172X","article-title":"The epidemiology and global burden of autism spectrum disorders","volume":"45","author":"Baxter","year":"2015","journal-title":"Psychol Med"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.956637","article-title":"How do autistic severity and family functioning influence parental stress in caregivers of children with autism spectrum disorder in China? The important role of parental self-efficacy","volume":"14","author":"Kishimoto","year":"2023","journal-title":"Front Psychol"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-021-05180-9","article-title":"Factors contributing to psychological ill-effects and resilience of caregivers of children with developmental disabilities during a nation-wide lockdown during the COVID-19 pandemic","volume":"52","author":"Lim","year":"2022","journal-title":"J Autism Dev Disord"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.0254-1769.2022.10.010","article-title":"Analysis of the current situation of family empowerment of children with autismand its influencing factors","volume":"57","author":"Xianwei","year":"2022","journal-title":"Chin J Nurs"},{"key":"B15","doi-asserted-by":"publisher","first-page":"104243","DOI":"10.1016\/j.ridd.2022.104243","article-title":"Longitudinal impact of public stigma and courtesy stigma on parents of children with autism spectrum disorder: The moderating role of trait mindfulness","volume":"127","author":"Yip","year":"2022","journal-title":"Res Dev Disabil"},{"key":"B16","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1007\/s10567-006-0010-4","article-title":"Parenting interventions for children with autism spectrum and disruptive behavior disorders: opportunities for cross-fertilization","volume":"9","author":"Brookman-Frazee","year":"2006","journal-title":"Clin Child Fam Psych"},{"key":"B17","doi-asserted-by":"publisher","first-page":"341","DOI":"10.3390\/ijerph15020341","article-title":"Mental health interventions for parent carers of children with autistic spectrum disorder: practice guidelines from a critical interpretive synthesis (CIS) systematic review","volume":"15","author":"Catalano","year":"2018","journal-title":"Int J Env Res Pub He"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-017-3045-0","article-title":"Examining the efficacy of a family peer advocate model for black and hispanic caregivers of children with autism spectrum disorder","volume":"47","author":"Jamison","year":"2017","journal-title":"J Autism Dev Disord"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.859145","article-title":"Assessing the satisfaction and acceptability of an online parent coaching intervention: A mixed-methods approach","volume":"13","author":"Qu","year":"2022","journal-title":"Front Psychol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"814","DOI":"10.1186\/s13063-020-04750-z","article-title":"Cognitive-behavioral family therapy as psychoeducation for adolescents with high-functioning autism spectrum disorders: Aware and Care for my Autistic Traits (ACAT) program study protocol for a pragmatic multisite randomized controlled trial","volume":"21","author":"Oshima","year":"2020","journal-title":"Trials"},{"key":"B21","doi-asserted-by":"publisher","first-page":"880","DOI":"10.3390\/brainsci11070880","article-title":"The effect of acceptance and commitment therapy for improving psychological well-being in parents of individuals with autism spectrum disorders: A randomized controlled trial","volume":"11","author":"Marino","year":"2021","journal-title":"Brain Sci"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3164","article-title":"Reducing distress in mothers of children with autism and other disabilities: a randomized trial","volume":"134","author":"Dykens","year":"2014","journal-title":"Pediatrics"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.782958","article-title":"Application of augmented reality technology in children\u2019s picture books based on educational psychology","volume":"13","author":"Wang","year":"2022","journal-title":"Front Psychol"},{"key":"B24","volume-title":"The international encyclopedia of media effects","author":"Green","year":"2008"},{"key":"B25","first-page":"7","volume-title":"The Family Stress Process: The Double ABCX Model of adjustment and adaptation","author":"McCubbin","year":"1983"},{"key":"B26","doi-asserted-by":"publisher","first-page":"105596","DOI":"10.1016\/j.bandc.2020.105596","article-title":"Parent-child joint reading is related to an increased fixation time on print during storytelling among preschool children","volume":"143","author":"Zivan","year":"2020","journal-title":"Brain Cogn"},{"key":"B27","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1002\/nur.22143","article-title":"Bibliotherapy for improving caregiving appraisal of informal caregivers of people with dementia: A pilot randomized controlled trial","volume":"44","author":"Wang","year":"2021","journal-title":"Res Nurs Health"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1111\/desc.12764","article-title":"Parents\u2019 early book reading to children: Relation to children\u2019s later language and literacy outcomes controlling for other parent language input","volume":"22","author":"Ece","year":"2019","journal-title":"Dev Sci"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-0723","article-title":"Reading aloud and child development: A cluster-randomized trial in Brazil","volume":"141","author":"Weisleder","year":"2018","journal-title":"Pediatrics"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1037\/dev0000940","article-title":"Beyond language: Impacts of shared reading on parenting stress and early parent-child relational health","volume":"56","author":"Canfield","year":"2020","journal-title":"Dev Psychol"},{"key":"B31","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1038\/s41390-022-02419-8","article-title":"Pre-pandemic support for shared reading buffers adverse parenting impacts: an RCT in Brazil","volume":"94","author":"Piccolo","year":"2023","journal-title":"Pediatr Res"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1002\/pfi.2015.54.issue-2","article-title":"In search of the elusive ADDIE model","volume":"54","author":"Molenda","year":"2015","journal-title":"Perform Improvement"},{"key":"B33","volume-title":"Instructional design: the ADDIE approach","author":"Branch","year":"2010"},{"key":"B34","volume-title":"Basics of qualitative research: Grounded theory procedures and techniques","author":"Strauss","year":"1990"},{"key":"B35","volume-title":"Battle Notes on Henoch-Schonlein purpura","author":"Xianhong","year":"2019"},{"key":"B36","volume-title":"Adventures in the Dark House","author":"Xianhong","year":"2022"},{"key":"B37","doi-asserted-by":"publisher","first-page":"17","DOI":"10.3352\/jeehp.2021.18.17","article-title":"Sample size determination and power analysis using the G*Power software","volume":"18","author":"Kang","year":"2021","journal-title":"J Educ Eval Health P"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-020-04692-0","article-title":"Brief report: A randomized controlled trial of the effects of RECALL (Reading to engage children with autism in language and learning) for preschoolers with autism spectrum disorder","volume":"51","author":"Lo","year":"2021","journal-title":"J Autism Dev Disord"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1002\/(ISSN)1520-6629","article-title":"The questionnaire on resources and stress: An instrument to measure family response to a handicapped family member","volume":"2","author":"Holroyd","year":"1974","journal-title":"J Community Psychol"},{"key":"B40","first-page":"27","article-title":"Construction of questionnaire on mental stress ofParents with disabled children","author":"Ningsheng","year":"1999","journal-title":"Chin J Special Educ"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1080\/10615809908248327","article-title":"Assessment of perceived general self-efficacy on the internet: Data collection in cyberspace","volume":"12","author":"Schwarzer","year":"1999","journal-title":"Anxiety Stress Copin"},{"key":"B42","doi-asserted-by":"publisher","first-page":"37","DOI":"10.3969\/j.issn.1006-6020.2001.01.007","article-title":"Evidences for reliability and validity of the chinese version of generalSelfEfficacy scale","volume":"1","author":"Caikang","year":"2001","journal-title":"Chin J Appl Psychol"},{"key":"B43","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1002\/(ISSN)1520-6394","article-title":"Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)","volume":"18","author":"Connor","year":"2003","journal-title":"Depress Anxiety"},{"key":"B44","first-page":"19","article-title":"Factor analysis and psychometric evaluation of the connor-davidson resilience scale (cd-risc) with chinese people","volume-title":"Social Behavior and Personality","author":"Yu","year":"2007"},{"key":"B45","article-title":"Measuring empowerment in families whose children have emotional disabilities: a brief questionnaire","volume-title":"Rehabilitation Psychology","author":"Koren","year":"1992"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.16821\/j.cnki.hsjx.2020.09.004","article-title":"Reliability and validity of the Chinese version of the family empowermentscale in parents of handicapped children","volume":"35","author":"Ying","year":"2020","journal-title":"J Nurses Training"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3148.2008.00426.x","article-title":"Affiliate stigma among caregivers of people with intellectual disability or mental illness","volume":"21","author":"Mak","year":"2008","journal-title":"J Appl Res Intellect"},{"key":"B48","doi-asserted-by":"publisher","first-page":"99","DOI":"10.3870\/j.issn.1001-4152.2016.08.099","article-title":"Affiliate stigma among parents of children with autism spectrum disorders:a literature review","volume":"31","author":"Binbin","year":"2016","journal-title":"J Nurs Sci"},{"key":"B49","doi-asserted-by":"publisher","DOI":"10.1177\/09697330211008638","article-title":"Does midwifery-led care demonstrate care ethics: A template analysis","volume":"29","author":"Buchanan","year":"2022","journal-title":"Nurs Ethics"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.974816","article-title":"How does self-compassion help people adjust to chronic skin conditions? A template analysis study","volume":"9","author":"Clarke","year":"2022","journal-title":"Front Med-Lausanne"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2014.955224","article-title":"The utility of template analysis in qualitative psychology research","volume":"12","author":"Brooks","year":"2015","journal-title":"Qual Res Psychol"},{"key":"B52","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1111\/nicc.12589","article-title":"Intensive care nurses\u2019 experiences during the COVID-19 pandemic: A qualitative study","volume":"26","author":"Fern\u00e1ndez-Castillo","year":"2021","journal-title":"Nurs Crit Care"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.2196\/39718","article-title":"Development of a mobile app for self-care against COVID-19 using the analysis, design, development, implementation, and evaluation (ADDIE) model: methodological study","volume":"6","author":"Saeidnia","year":"2022","journal-title":"JMIR Form Res"},{"key":"B54","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/s12912-021-00786-x","article-title":"Development of a blended emergent research training program for clinical nurses (part 1)","volume":"21","author":"Chen","year":"2022","journal-title":"BMC Nurs"},{"key":"B55","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.04.009","article-title":"An educational design and development project for pediatric heart transplant recipients and their families","volume":"66","author":"Kim","year":"2022","journal-title":"J Pediatr Nurs"},{"key":"B56","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/s12902-020-0514-9","article-title":"Establishment of a type 1 diabetes structured education programme suitable for Chinese patients: type 1 diabetes education in lifestyle and self adjustment (TELSA)","volume":"20","author":"Xie","year":"2020","journal-title":"BMC Endocr Disord"},{"key":"B57","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15934","article-title":"Effects of a blended emergent research training programme for clinical nurses on nursing research competence and critical thinking (Part 2): A quasi-experimental study","volume":"31","author":"Chen","year":"2022","journal-title":"J Clin Nurs"},{"key":"B58","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1186\/s12912-021-00622-2","article-title":"Development of a discharge education program using the teach-back method for heart failure patients","volume":"20","author":"Oh","year":"2021","journal-title":"BMC Nurs"},{"key":"B59","doi-asserted-by":"publisher","DOI":"10.1080\/15228959.2014.904214","article-title":"Modifying ADDIE: incorporating new technologies in library instruction","volume":"10","author":"Campbell","year":"2014","journal-title":"Public Serv Q"},{"key":"B60","article-title":"Application of multidisciplinary collaboration teaching in epilepsy clinical teaching","volume-title":"Chin J Med Educ","author":"Chen Jia","year":"2018"},{"key":"B61","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.20176","article-title":"Meta-analysis of family-centered helpgiving practices research","volume":"13","author":"Dunst","year":"2007","journal-title":"Ment Retard Dev Disabil Res Rev"},{"key":"B62","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.07.010","article-title":"Educational intervention through a comic book for preoperative anxiety in children, adolescents, and their parents: A randomized clinical trial","volume":"67","author":"Garcia","year":"2022","journal-title":"J Pediatr Nurs"},{"key":"B63","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1111\/famp.12730","article-title":"Building long-term family resilience through universal prevention: 10-year parent and child outcomes during the COVID-19 pandemic","volume":"61","author":"Feinberg","year":"2022","journal-title":"Fam Process"},{"key":"B64","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph110505113","article-title":"Does the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression","volume":"11","author":"Spence","year":"2014","journal-title":"Int J Env Res Pub He"},{"key":"B65","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1037\/prj0000015","article-title":"Mediation analysis of critical time intervention for persons living with serious mental illnesses: assessing the role of family relations in reducing psychiatric rehospitalization","volume":"37","author":"Tomita","year":"2014","journal-title":"Psychiatr Rehabil J"},{"key":"B66","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.1066876","article-title":"Predicting Chinese father involvement: Parental role beliefs, fathering self-efficacy and maternal gatekeeping","volume":"13","author":"Liu","year":"2022","journal-title":"Front Psychol"},{"key":"B67","volume-title":"Including fathers in the picture: A meta-analysis of parental involvement and students\u2019 academic achievement","author":"Kim","year":"2015"},{"key":"B68","doi-asserted-by":"publisher","DOI":"10.1177\/0192513X15622415","article-title":"Fathers\u2019 Involvement: correlates and consequences for child socioemotional behavior in the United Kingdom","volume":"38","author":"McMunn","year":"2017","journal-title":"J Fam Issues"},{"key":"B69","doi-asserted-by":"publisher","DOI":"10.1080\/03004430.2019.1679127","article-title":"A meta-analysis of the relationship between father involvement and problem behavior among preschool children","volume":"191","author":"Zhang","year":"2021","journal-title":"Early Child Dev Care"},{"key":"B70","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-005-0007-8","article-title":"Systems\u00a0analysis of stress and positive perceptions in mothers and fathers of pre-school children with autism","volume":"35","author":"Hastings","year":"2005","journal-title":"J Autism Dev Disord"},{"key":"B71","doi-asserted-by":"publisher","DOI":"10.1007\/BF02103658","article-title":"The Posttraumatic Growth Inventory: measuring the positive legacy of trauma","volume":"9","author":"Tedeschi","year":"1996","journal-title":"J Trauma Stress"},{"key":"B72","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-014-2051-8","article-title":"Brief report: effects of solution-focused brief\u00a0therapy group-work on promoting post-traumatic growth of mothers who have a child with ASD","volume":"44","author":"Zhang","year":"2014","journal-title":"J Autism Dev Disord"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2024.1390430\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T09:34:54Z","timestamp":1716888894000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2024.1390430\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,8]]},"references-count":72,"alternative-id":["10.3389\/fpsyt.2024.1390430"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2024.1390430","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,8]]},"article-number":"1390430"}}