{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T09:46:21Z","timestamp":1785923181984,"version":"3.56.0"},"reference-count":65,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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>Psychosocial interventions for autistic adults remain limited. This study evaluated the implementation feasibility and potential clinical effectiveness of a manualized group psychotherapy program delivered under routine care conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 115 autistic adults who completed the program in routine outpatient care were analyzed. Outcomes included pre- to post-intervention changes in social responsiveness as primary outcome, as well as self-worth, depressive symptoms, and quality of life as secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall social responsiveness improved significantly from pre- to post-intervention. Significant post-intervention improvements were further detected for self-worth and depressive symptoms, while quality of life showed no significant change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The findings indicate that the manualized group psychotherapy program seems to be feasible in routine clinical care and was associated with improvements in social functioning, self-worth, and depressive symptoms, suggesting preliminary clinical effectiveness. However, randomized controlled trials are warranted to further establish efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1863942","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T09:11:54Z","timestamp":1785921114000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and effectiveness of a manualized group psychotherapy program for autistic adults: a naturalistic clinical study"],"prefix":"10.3389","volume":"17","author":[{"given":"Tina","family":"Schweizer","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Fangmeier","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lichtblau","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Peters","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manon","family":"Mannherz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Biscaldi-Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Medical Center, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"Ebert","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Riedel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludger","family":"Tebartz van Elst","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg","place":["Freiburg, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"B1","volume-title":"Autism. Spectrum, Causes, Diagnosis, Interventions, and Perspectives","author":"B\u00f6lte","year":"2009"},{"key":"B2","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":"B3","volume-title":"Das Asperger-Syndrom Im Erwachsenenalter Und Andere Hochfunktionale Autismus-Spektrum-St\u00f6rungen","author":"Tebartz van Elst","year":"2016"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-013-0459-3","article-title":"High-functioning autism spectrum disorder as a basic disorder in adult psychiatry and psychotherapy: psychopathological presentation, clinical relevance and therapeutic concepts","author":"Tebartz van Elst","year":"2013","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.38","article-title":"Epidemiology of autism spectrum disorders in adults in the community in England","volume":"68","author":"Brugha","year":"2011","journal-title":"Arch Gen Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6904a1","article-title":"Prevalence of autism spectrum disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 sites, United States 2016","volume":"69","author":"Maenner","year":"2020","journal-title":"Mmwr Surveillance Summaries"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2017.03.013","article-title":"What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis","volume":"56","author":"Loomes","year":"2017","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1704579","article-title":"Female gender and autism: underdiagnosis and misdiagnosis \u2013 clinical and scientific urgency","volume":"16","author":"Minutoli","year":"2026","journal-title":"Front Psychiatry"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2024.0525","article-title":"Examining sex differences in autism heritability","volume":"81","author":"Sandin","year":"2024","journal-title":"JAMA Psychiatry"},{"key":"B10","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.jaac.2014.10.003","article-title":"Sex\/gender differences and autism: setting the scene for future research","volume":"54","author":"Lai","year":"2015","journal-title":"J Am Acadamy Child Adolesc Psychiatry"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020835","article-title":"A behavioral comparison of male and female adults with high functioning autism spectrum conditions","volume":"6","author":"Lai","year":"2011","journal-title":"PloS One"},{"key":"B12","first-page":"452","article-title":"Borderline personality disorder and Asperger syndrome","volume":"9","author":"Fitzgerald","year":"2005","journal-title":"Autism"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.1097\/00004583-199811000-00005","article-title":"Borderline personality disorder vs. Asperger's disorder","volume":"37","author":"Pelletier","year":"1998","journal-title":"J Am Acadamy Child Adolesc Psychiatry"},{"key":"B14","article-title":"Autismus-spektrum-st\u00f6rung und borderline-pers\u00f6nlichkeitsst\u00f6rungen","volume-title":"Das Asperger-Syndrom Im Erwachsenenalter","author":"Tebartz van Elst","year":"2013"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-023-06157-6","article-title":"Longitudinal associations between autistic traits, self-compassion, anxiety and depression in autistic and non-autistic adults without intellectual disability","volume":"54","author":"Galvin","year":"2024","journal-title":"J Autism Dev Disord"},{"key":"B16","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 Psychiatry"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2024.100907","article-title":"Diagnosis of common health conditions among autistic adults in the UK: evidence from a matched cohort study","volume":"41","author":"O\u2019Nions","year":"2024","journal-title":"Lancet Regional Health \u2013 Europe"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1177\/1362361317708287","article-title":"Perspective-taking is two-sided: misunderstandings between people with Asperger\u2019s syndrome and their family members","volume":"22","author":"Heasman","year":"2018","journal-title":"Autism"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00715","article-title":"The 'Reading the Mind in the Eyes' Test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism","volume":"42","author":"Baron-Cohen","year":"2001","journal-title":"J Child Psychol Psychiatry"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-013-0453-9","article-title":"Automatic metaphor processing in adults with Asperger syndrome: a metaphor interference effect task","author":"Hermann","year":"2013","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropsychologia.2012.09.038","article-title":"Perception of emotions from facial expressions in high-functioning adults with autism","volume":"50","author":"Kennedy","year":"2012","journal-title":"Neuropsychologia"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1069028","article-title":"Reduced impact of nonverbal cues during integration of verbal and nonverbal emotional information in adults with high-functioning autism","volume":"13","author":"Pelzl","year":"2023","journal-title":"Front Psychiatry"},{"key":"B23","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1177\/1362361319857375","article-title":"Self-reported social impairments predict depressive disorder in adults with autism spectrum disorder","volume":"24","author":"Day","year":"2020","journal-title":"Autism"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1007\/s40489-022-00331-9","article-title":"Depression and employment outcomes in autistic adults: A systematic review","volume":"11","author":"Schwartzman","year":"2024","journal-title":"Rev J Autism Dev Disord"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1002\/aur.1433","article-title":"The relationship between stress and social functioning in adults with autism spectrum disorder and without intellectual disability","volume":"8","author":"Bishop-Fitzpatrick","year":"2015","journal-title":"Autism Res"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-023-06019-1","article-title":"The relationship between attention, sensory processing, and social responsiveness among adults on the autism spectrum","volume":"54","author":"Crasta","year":"2024","journal-title":"J Autism Dev Disord"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-021-05186-3","article-title":"In our own words: the complex sensory experiences of autistic adults","volume":"52","author":"Maclennan","year":"2022","journal-title":"J Autism Dev Disord"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1177\/25739581251369235","article-title":"Dating and sexual experiences of autistic young adults: \u201cIt takes a village to plan a first date","author":"Kohn","year":"2025","journal-title":"Autism Adulthood"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1038\/s44159-022-00099-z","article-title":"A capabilities approach to understanding and supporting autistic adulthood","volume":"1","author":"Pellicano","year":"2022","journal-title":"Nat Rev Psychol"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2012.08.025","article-title":"Chronic intranasal oxytocin causes long-term impairments in partner preference formation in male prairie voles","volume":"74","author":"Bales","year":"2013","journal-title":"Biol Psychiatry"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1126\/science.339.6117.267","article-title":"Neuroscience. The promise and perils of oxytocin","volume":"339","author":"Miller","year":"2013","journal-title":"Science"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1007\/s40489-024-00428-3","article-title":"Intranasal oxytocin for patients with autism spectrum disorder: A comprehensive meta-analysis of preclinical and clinical studies","volume":"13","author":"Rahim","year":"2026","journal-title":"Rev J Autism Dev Disord"},{"key":"B33","volume-title":"Asperger-Autismus Und Hochfunktionaler Autismus Bei Erwachsenen. Das Therapiemanual Der Freiburger Autismus-Studiengruppe","author":"Ebert","year":"2013"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1007\/s00115-010-3121-6","article-title":"Psychotherapy of Asperger syndrome in adults","volume":"82","author":"Fangmeier","year":"2011","journal-title":"Der Nervenarzt"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-011-1350-6","article-title":"Social skills training for young adults with high-functioning autism spectrum disorders: a randomized controlled pilot study","volume":"42","author":"Gantman","year":"2012","journal-title":"J Autism Dev Disord"},{"key":"B36","volume-title":"Hochfunktionaler Autismus Im Erwachsenenalter. Verhaltenstherapeutisches Gruppenmanual","author":"Gawronski","year":"2012"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1177\/1362361313493681","article-title":"Group cognitive behavioural therapy and group recreational activity for adults with autism spectrum disorders: a preliminary randomized controlled trial","volume":"18","author":"Hesselmark","year":"2014","journal-title":"Autism"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2012.08.009","article-title":"Mindfulness-based therapy in adults with an autism spectrum disorder: a randomized controlled trial","volume":"34","author":"Spek","year":"2013","journal-title":"Res Dev Disabil"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-018-3797-1","article-title":"Outpatient psychotherapy for adults with high-functioning autism spectrum condition: utilization, treatment satisfaction, and preferred modifications","volume":"49","author":"Lipinski","year":"2019","journal-title":"J Autism Dev Disord"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-015-2504-8","article-title":"A randomized controlled trial to improve social skills in young adults with autism spectrum disorder: the UCLA PEERS\u00ae program","volume":"45","author":"Laugeson","year":"2015","journal-title":"J Autism Dev Disord"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-016-2911-5","article-title":"A replication and extension of the PEERS(R) for young adults social skills intervention: examining effects on social skills and social anxiety in young adults with autism spectrum disorder","volume":"46","author":"McVey","year":"2016","journal-title":"J Autism Dev Disord"},{"key":"B42","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.rasd.2017.08.001","article-title":"A pilot randomised controlled trial of a group based social skills intervention for adults with autism spectrum disorder","author":"Ashman","year":"2017","journal-title":"Res Autism Spectr Disord"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1265066","article-title":"Psychosocial therapeutic approaches for high-functioning autistic adults","volume":"14","author":"Schweizer","year":"2024","journal-title":"Front Psychiatry"},{"key":"B44","unstructured":"Autism Spectrum Disorders in Children, Adolescents, and Adults: Diagnosis and Treatment. Guideline No. 028-045\n          \n          2021"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-9-35","article-title":"Psychiatric and psychosocial problems in adults with normal-intelligence autism spectrum disorders","volume":"9","author":"Hofvander","year":"2009","journal-title":"BMC Psychiatry"},{"key":"B46","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1055\/s-0034-1387494","article-title":"Well educated unemployed--On education, employment and comorbidities in adults with high-functioning autism spectrum disorders in Germany","volume":"43","author":"Riedel","year":"2016","journal-title":"Psychiatr Prax"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.1002\/aur.49","article-title":"Assessing autistic traits: cross-cultural validation of the social responsiveness scale (SRS)","volume":"1","author":"B\u00f6lte","year":"2008","journal-title":"Autism Res"},{"key":"B48","doi-asserted-by":"publisher","DOI":"10.1002\/aur.1813","article-title":"Validating the social responsiveness scale for adults with autism","volume":"10","author":"Chan","year":"2017","journal-title":"Autism Res"},{"key":"B49","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1007\/s10803-011-1242-9","article-title":"Investigating the clinical usefulness of the Social Responsiveness Scale (SRS) in a tertiary level, autism spectrum disorder specific assessment clinic","volume":"42","author":"Aldridge","year":"2012","journal-title":"J Autism Dev Disord"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1023\/a:1025014929212","article-title":"Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised","volume":"33","author":"Constantino","year":"2003","journal-title":"J Autism Dev Disord"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-010-1128-2","article-title":"The efficacy of a Social Skills Group Intervention for improving social behaviors in children with High Functioning Autism Spectrum disorders","volume":"41","author":"DeRosier","year":"2011","journal-title":"J Autism Dev Disord"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-010-0989-8","article-title":"RCT of a manualized social treatment for high-functioning autism spectrum disorders","volume":"40","author":"Lopata","year":"2010","journal-title":"J Autism Dev Disord"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-006-0343-3","article-title":"Social skills training for adolescents with Asperger syndrome and high-functioning autism","volume":"37","author":"Tse","year":"2007","journal-title":"J Autism Dev Disord"},{"key":"B54","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-011-1424-5","article-title":"Brief report: the Social Responsiveness Scale for Adults (SRS-A): initial results in a German cohort","volume":"42","author":"B\u00f6lte","year":"2012","journal-title":"J Autism Dev Disord"},{"key":"B55","first-page":"5","article-title":"Multiple imputation analysis","volume-title":"Stata Multiple-Imputation Reference Manual Release 17","year":"2021"},{"key":"B56","volume-title":"Stata Statistical Software: Release 17.0","year":"2021"},{"key":"B57","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-023-06214-0","article-title":"Investigating social competence in a pilot randomized clinical trial of a theatre-based intervention enhanced for adults with autism spectrum disorder","volume":"55","author":"Corbett","year":"2025","journal-title":"J Autism Dev Disord"},{"key":"B58","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-017-3421-9","article-title":"A pilot randomized controlled trial of the ACCESS program: a group intervention to improve social, adaptive functioning, stress coping, and self-determination outcomes in young adults with autism spectrum disorder","volume":"48","author":"Oswald","year":"2018","journal-title":"J Autism Dev Disord"},{"key":"B59","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0003755","article-title":"Behavioural and developmental interventions for autism spectrum disorder: a clinical systematic review","volume":"3","author":"Ospina","year":"2008","journal-title":"PloS One"},{"key":"B60","doi-asserted-by":"publisher","first-page":"100672","DOI":"10.1016\/j.invent.2023.100672","article-title":"An internet-based behavioral intervention for adults with autism spectrum disorder \u2013 A randomized controlled trial and feasibility study","volume":"34","author":"Westerberg","year":"2023","journal-title":"Internet Interventions"},{"key":"B61","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1002\/aur.1910","article-title":"Defining behavioral components of social functioning in adults with autism spectrum disorder as targets for treatment","volume":"11","author":"Pallathra","year":"2018","journal-title":"Autism Res"},{"key":"B62","doi-asserted-by":"publisher","DOI":"10.1177\/13623613241287586","article-title":"Quality-of-life measurement in randomised controlled trials of mental health interventions for autistic adults: A systematic review","volume":"29","author":"Timmerman","year":"2025","journal-title":"Autism"},{"key":"B63","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1177\/2156869318804297","article-title":"Extending the Minority Stress Model to understand mental health problems experienced by the autistic population","volume":"10","author":"Botha","year":"2020","journal-title":"Soc Ment Health"},{"key":"B64","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-017-3342-7","article-title":"Experiences of autism acceptance and mental health in autistic adults","volume":"48","author":"Cage","year":"2018","journal-title":"J Autism Dev Disord"},{"key":"B65","doi-asserted-by":"publisher","DOI":"10.1002\/ejsp.2297","article-title":"Social identity, self-esteem, and mental health in autism","volume":"47","author":"Cooper","year":"2017","journal-title":"Eur J Soc Psychol"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1863942\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T09:11:58Z","timestamp":1785921118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2026.1863942\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,5]]},"references-count":65,"alternative-id":["10.3389\/fpsyt.2026.1863942"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2026.1863942","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,5]]},"article-number":"1863942"}}