{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:29:30Z","timestamp":1786361370411,"version":"build-2736575974"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>School-based mental health interventions show modest effects in reducing depression symptoms. However, most trials report only average effects that may mask important differences across symptom severity levels, which are important in assessing long term risk, particularly as sub-threshold depression is a risk factor for clinical depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study examined whether the effects of DISCOVER, a brief CBT-based self-referral workshop for adolescents, at 12- and 18-month follow-ups differed according to participants\u2019 baseline depression severity (clinical, subthreshold, or normal range).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is an exploratory secondary analysis of the BESST cluster randomised controlled trial involving 900 adolescents from 57 UK schools randomised to DISCOVER or treatment-as-usual (TAU). Participants were categorised by baseline depression severity using established Mood and Feelings Questionnaire (MFQ) cut-offs: clinical (&amp;gt;27), subthreshold (17-27), or normal (&amp;lt;17). We conducted multilevel mixed-effects multinomial logistic regression to examine transitions between severity categories and mixed-effects linear models for continuous outcomes (depression, anxiety, wellbeing, sleep quality, resilience) for each severity group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among adolescents with clinical-level depression at baseline (DISCOVER n=142, TAU n=172), DISCOVER significantly increased the odds of achieving normal-range symptoms at 12 months (RRR\u00a0=\u00a03.12, 95% CI: 1.48-15.97, p=0.006) and 18 months (RRR\u00a0=\u00a02.63, 95% CI: 1.11-6.24, p=0.029). Small-to-moderate effects were maintained for depression (d=0.44 at 12 months, d=0.30 at 18 months) and anxiety (d=0.38 at 12 months, d=0.30 at 18 months). For adolescents with subthreshold depression symptoms at baseline (DISCOVER n=170, TAU n=157), DISCOVER did not show benefits on depression but demonstrated specific anxiety benefits at 12 months (d=0.34, p=0.004).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>DISCOVER produces small to moderate sustained benefits for adolescents with clinical-level depression, with effects maintained through critical post-school transitions. The intervention shows more limited benefits for those with subthreshold symptoms, achieving specific anxiety reduction but not broader improvement. These findings suggest that self-referral school-based interventions are effective over the longer term for adolescents with clinical-level symptoms, while highlighting the need for tailored approaches for subthreshold presentations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1826587","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T10:46:21Z","timestamp":1786358781000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Do all adolescents benefit equally from school-based mental health interventions? A subgroup analysis by depression severity at 12 and 18 months follow-up"],"prefix":"10.3389","volume":"17","author":[{"given":"Denis","family":"Duagi","sequence":"first","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Carter","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Lisk","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June S.L.","family":"Brown","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1017\/s1352465800004070","article-title":"Multiple access points and levels of entry (MAPLE): Ensuring choice, accessibility and equity for CBT services","volume":"28","author":"Lovell","year":"2000","journal-title":"Behav Cogn Psychother"},{"key":"B2","doi-asserted-by":"crossref","DOI":"10.1080\/09638237.2023.2278101","article-title":"Implementing mental health support teams in schools and colleges: the perspectives of programme implementers and service providers","volume-title":"J Ment Health (Abingdon, England)","author":"Ellins","year":""},{"key":"B3","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1016\/j.cpr.2016.10.005","article-title":"School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis","volume":"51","author":"Werner-Seidler","year":"2017","journal-title":"Clin Psychol Rev"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102382","article-title":"Long-term effects of psychosocial interventions for adolescents on depression and anxiety: A systematic review and meta-analysis","volume":"68","author":"Duagi","year":"2024","journal-title":"EClinicalMedicine"},{"key":"B5","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1007\/s00787-013-0411-0","article-title":"Subthreshold depression in adolescence: A systematic review","volume":"22","author":"Bertha","year":"2013","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1080\/0954026021000046155","article-title":"Mental health of children and adolescents in Great Britain","volume":"15","author":"Meltzer","year":"2003","journal-title":"Int Rev Psychiatry"},{"key":"B7","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1001\/archpsyc.62.1.66","article-title":"Subthreshold depression in adolescence and mental health outcomes in adulthood","volume":"62","author":"Fergusson","year":"2005","journal-title":"Arch Gen Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/s0165-0327(97)00055-4","article-title":"The role and clinical significance of subsyndromal depressive symptoms (SSD) in unipolar major depressive disorder","volume":"45","author":"Judd","year":"1996","journal-title":"J Affect Disord"},{"key":"B9","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1037\/10449-010","article-title":"Gender-specific vulnerability to depression in children of depressed mothers","volume-title":"Children of depressed parents: Mechanisms of risk and implications for treatment","author":"Sheeber","year":"2002"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2004.00301.x","article-title":"Subthreshold depression as a risk indicator for major depressive disorder: A systematic review of prospective studies","volume":"109","author":"Cuijpers","year":"2004","journal-title":"Acta Psychiatrica. Scandinavica"},{"key":"B11","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.jad.2018.07.023","article-title":"Stigma related to targeted school-based mental health interventions: A systematic review of qualitative evidence","volume":"240","author":"Gronholm","year":"2018","journal-title":"J Affect Disord"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2009.07.004","article-title":"Systematic review of school-based prevention and early intervention programs for depression","volume":"33","author":"Calear","year":"2010","journal-title":"J Adolescence"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0120004","article-title":"Mental health service use by young people: The role of caregiver characteristics","volume":"10","author":"Gronholm","year":"2015","journal-title":"PloS One"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2022-300439","article-title":"School-based mindfulness training in early adolescence: What works, for whom and how in the MYRIAD trial","volume":"25","author":"Montero-Marin","year":"2022","journal-title":"Evidence-Based Ment Health"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.E6058","article-title":"Classroom based cognitive behavioural therapy in reducing symptoms of depression in high risk adolescents: Pragmatic cluster randomised controlled trial","volume":"345","author":"Stallard","year":"2012","journal-title":"BMJ"},{"key":"B16","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1136\/EBMENTAL-2021-300396","article-title":"Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: The MYRIAD cluster randomised controlled trial","volume":"25","author":"Kuyken","year":"2022","journal-title":"Evidence-Based Ment Health"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1111\/CAMH.12753","article-title":"Debate: Where to next for universal school-based mental health interventions? Time to move towards more effective alternatives","volume":"30","author":"Andrews","year":"2025","journal-title":"Child Adolesc Ment Health"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1017\/s135246581000072x","article-title":"Outcome, costs and patient engagement for group and individual CBT for depression: A naturalistic clinical study","volume":"28","author":"Brown","year":"2000","journal-title":"Behav Cogn Psychother"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1017\/s135246581000072x","article-title":"Outcome, costs and patient engagement for group and individual cognitive behaviour therapy for depression: A naturalistic clinical study","volume":"33","author":"Brown","year":"2005","journal-title":"Behav Cogn Psychother"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-014-0275-y","article-title":"Seeking informal and formal help for mental health problems in the community: A secondary analysis from a psychiatric morbidity survey in South London","volume":"14","author":"Brown","year":"2014","journal-title":"BMC Psychiatry"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2018.11.009","article-title":"School-based early intervention for anxiety and depression in older adolescents: A feasibility randomised controlled trial of a self-referral stress management workshop programme (\"DISCOVER\")","volume":"71","author":"Brown","year":"2019","journal-title":"J Adolescence"},{"key":"B22","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1186\/S13063-022-06830-8","article-title":"Brief educational workshops in secondary schools trial (BESST): Protocol for a school-based cluster randomised controlled trial of open-access psychological workshop programme for 16-18-year-olds","volume":"23","author":"Lisk","year":"2022","journal-title":"Trials"},{"key":"B23","article-title":"Development of a Short Questionnaire for Use in Epidemiological Studies of Depression in Children and Adolescents: Factor Composition and Structure Across Development","author":"Angold","year":"1995","journal-title":"Int J Methods Psychiatr Res"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-012-0572-z","article-title":"Sub-syndromal depression in adolescents attending primary care: frequency, clinical features and 6 months outcome","volume":"48","author":"Gledhill","year":"2013","journal-title":"Social psychiatry and psychiatric epidemiolog"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.173.6.508","article-title":"Psychiatric disorders in adolescents in primary care","volume":"173","author":"Kramer","year":"1998","journal-title":"Br J Psychiatry"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1995.tb01828.x","article-title":"Properties of the Mood and Feelings Questionnaire in adolescent psychiatric outpatients: A research note","volume":"36","author":"Wood","year":"1995","journal-title":"J Child Psychol Psychiatry"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1610","article-title":"Validation of the Mood and Feelings Questionnaire (MFQ) and Short Mood and Feelings Questionnaire (SMFQ) in New Zealand help-seeking adolescents","volume":"27","author":"Thabrew","year":"2018","journal-title":"Int J Methods Psychiatr Res"},{"key":"B28","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen","year":"2023"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1002\/da.22249","article-title":"What is the threshold for a clinically relevant effect? The case of major depressive disorders","volume":"31","author":"Cuijpers","year":"2014","journal-title":"Depression Anxiety"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20238","article-title":"How important are the common factors in psychotherapy? An update","volume":"14","author":"Wampold","year":"2015","journal-title":"World Psychiatry"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1177\/2515245919847202","article-title":"Evaluating effect size in psychological research: Sense and nonsense","volume":"2","author":"Funder","year":"2019","journal-title":"Adv Methods Pract. psychol Sci"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1136\/bmjment-2024-301192","article-title":"Brief Educational Workshops in Secondary Schools Trial (BESST): a cluster randomised controlled trial. Secondary analysis in those with elevated symptoms of depression","volume":"27","author":"Lisk","year":"2024","journal-title":"BMJ mental health"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13209","article-title":"Practitioner review: Effectiveness of indicated school-based interventions for adolescent depression and anxiety - a meta-analytic review","volume":"61","author":"Gee","year":"2020","journal-title":"J Child Psychol Psychiatry"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.3310\/hta17470","article-title":"A cluster randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of classroom-based cognitive-behavioural therapy (CBT) in reducing symptoms of depression in high-risk adolescents","volume":"17","author":"Stallard","year":"2013","journal-title":"Health Technol Assess"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1136\/bmjment-2024-301426","article-title":"Future Proofing Study: A cluster randomised controlled trial evaluating the effectiveness of a universal school-based cognitive-behavioural programme for adolescent depression","volume":"28","author":"Werner-Seidler","year":"2025","journal-title":"BMJ Ment Health"},{"key":"B36","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.eurpsy.2018.12.008","article-title":"Effectiveness of CBT for children and adolescents with depression: A systematic review and meta-regression analysis","volume":"57","author":"Oud","year":"2019","journal-title":"Eur Psychiatry"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1002\/jad.70083","article-title":"Qualitative process evaluation of a school-based group intervention (DISCOVER) for depression and anxiety for older adolescents","volume":"98","author":"Weaver","year":"2026","journal-title":"J adolescence"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2020.11.024","article-title":"Psychological treatment of subthreshold depression in children and adolescents: A meta-analytic review","volume":"124","author":"Cuijpers","year":"2021","journal-title":"Acta Psychiatrica. Scandinavica"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13494","article-title":"Commentary: Is prevention of adolescent depression a lost cause? \u2013 A commentary on Cuijpers et\u00a0al., (2021)","volume":"62","author":"Myers","year":"2021","journal-title":"J Child Psychol Psychiatry"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1007\/S00787-019-01469-4\/FIGURES\/5","article-title":"Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies","volume":"30","author":"Radez","year":"2021","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2009.03.005","article-title":"Improving treatment seeking among adolescents with depression: Understanding readiness for treatment","volume":"45","author":"Tanielian","year":"2009","journal-title":"J Adolesc Health Off Publ Soc For. Adolesc Med"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e3181a56606","article-title":"Subthreshold depressive disorder in adolescents: predictors of escalation to full-syndrome depressive disorders","volume":"48","author":"Klein","year":"2009","journal-title":"J Am Acad Child Adolesc Psych"},{"key":"B43","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1016\/j.jaac.2020.11.004","article-title":"Personalized depression prevention: A randomized controlled trial to optimize effects through risk-informed personalization","volume":"60","author":"Young","year":"2021","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00210-7","article-title":"Clinical effectiveness and cost-effectiveness of a school-based stress-management workshop programme ('DISCOVER') for older adolescents: Findings of a pragmatic cluster randomised controlled trial","volume":"11","author":"Brown","year":"2024","journal-title":"Lancet Psychiatry"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.07.085","article-title":"Discriminative validity and interpretability of the mood and feelings questionnaire","volume":"363","author":"Mansueto","year":"2024","journal-title":"J Affect Disord"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2024.116017","article-title":"Clinical effectiveness and safety of adding a self-harm prevention app (BlueIce) to specialist mental health care for adolescents who repeatedly self-harm: A single blind randomised controlled trial (the BASH study)","volume":"339","author":"Stallard","year":"2024","journal-title":"Psych Res"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.3390\/IJERPH19052831","article-title":"How can we actually change help-seeking behaviour for mental health problems among the general public? Development of the \u2018PLACES\u2019 model","volume":"19","author":"Brown","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B48","doi-asserted-by":"publisher","DOI":"10.1186\/S13063-024-08116-7\/TABLES\/3","article-title":"Brief Educational Workshops in Secondary Schools Trial (BESST trial), a school-based cluster randomised controlled trial of the DISCOVER workshop for 16\u201318-year-olds: recruitment and baseline characteristics","volume":"25","author":"James","year":"2024","journal-title":"Trials"},{"key":"B49","doi-asserted-by":"publisher","DOI":"10.1016\/J.SOCSCIMED.2024.117385","article-title":"The double disadvantage faced by adolescents from low socioeconomic backgrounds with mental health problems affects earnings up to mid-life","volume":"362","author":"Evans-Lacko","year":"2024","journal-title":"Soc Sci Med"},{"key":"B50","article-title":"Randomized clinical trial of an internet-based intervention to prevent adolescent depression in a primary care setting (CATCH-IT): 2.5-year outcomes","volume":"16","author":"Richards","year":"2016","journal-title":"J Evidence-Based psychotherapies"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.14871","article-title":"Online transdiagnostic emotion regulation treatment for adolescents with mental health problems: A randomized clinical trial","volume":"8","author":"Sj\u00f6blom","year":"2025","journal-title":"JAMA Netw Open"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19095365","article-title":"Prevention of depression and anxiety in subclinical adolescents: Effects of a transdiagnostic internet-delivered CBT program","volume":"19","author":"Schmitt","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B53","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/j.jad.2021.07.008","article-title":"Stepped care for the treatment of depression: A systematic review and meta-analysis","volume":"294","author":"Rivero-Santana","year":"2021","journal-title":"J Affect Disord"},{"key":"B54","doi-asserted-by":"publisher","DOI":"10.1038\/srep29281","article-title":"The efficacy and cost-effectiveness of stepped care prevention and treatment for depressive and\/or anxiety disorders: A systematic review and meta-analysis","volume":"6","author":"Ho","year":"2016","journal-title":"Sci Rep"},{"key":"B55","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-017-0836-8","article-title":"Stepped care interpersonal psychotherapy treatment for depressed adolescents: A pilot study in pediatric clinics","volume":"45","author":"Mufson","year":"2018","journal-title":"Admin. Policy Ment Health"},{"key":"B56","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1186\/s40359-024-02082-0","article-title":"The modular approach to therapy for youths with anxiety, depression, trauma, and conduct problems (MATCH): Results from the Norwegian randomized-controlled trial","volume":"12","author":"Hukkelberg","year":"2024","journal-title":"BMC Psychol"},{"key":"B57","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.147","article-title":"Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial","volume":"69","author":"Weisz","year":"2012","journal-title":"Arch Gen Psychiatry"},{"key":"B58","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1007\/s44202-024-00154-1","article-title":"Adolescent engagement in a stepped care, transdiagnostic mental health intervention delivered in Indian schools","volume":"4","author":"Gellatly","year":"2024","journal-title":"Discover Psychol"},{"key":"B59","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1111\/1467-9752.12649","article-title":"Want to improve school mental health interventions? Ask young people what they actually think","volume":"56","author":"Foulkes","year":"2022","journal-title":"J Philosophy. Educ"},{"key":"B60","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2019.08.003","article-title":"The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) adapted as a school-based anxiety and depression prevention program: An initial cluster randomized wait-list-controlled trial","volume":"51","author":"Garc\u00eda-Escalera","year":"2020","journal-title":"Behav Ther"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1826587\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T10:46:23Z","timestamp":1786358783000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1826587\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":60,"alternative-id":["10.3389\/fpsyt.2026.1826587"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2026.1826587","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]},"article-number":"1826587"}}