Mental health responses to COVID-19 around the world

Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide.Objective: To assess the impact of COVID-19 on a wide range of mental h...

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Published inEuropean journal of psychotraumatology Vol. 12; no. 1; p. 1929754
Main Authors Olff, Miranda, Primasari, Indira, Qing, Yulan, Coimbra, Bruno M., Hovnanyan, Ani, Grace, Emma, Williamson, Rachel E., Hoeboer, Chris M., Consortium, the GPS-CCC
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 01.01.2021
Taylor & Francis Ltd
Taylor & Francis Group
Subjects
Online AccessGet full text
ISSN2000-8066
2000-8198
2000-8066
DOI10.1080/20008198.2021.1929754

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Abstract Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide.Objective: To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events.Method: 7034 respondents (74% female) participated in the worldwide Global Psychotrauma Screen - Cross-Cultural responses to COVID-19 study (GPS-CCC), reporting on mental health symptoms related to COVID-19 (n = 1838) or other stressful events (n = 5196) from April to November 2020.Results: Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America.Conclusions: The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs. In a large global sample, COVID-19 was associated with more severe mental health symptoms compared to other stressful or traumatic events. The impact of COVID-19 on mental health differed around the world with an especially large impact in Latin America.
AbstractList Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide. Objective: To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events. Method: 7034 respondents (74% female) participated in the worldwide Global Psychotrauma Screen - Cross-Cultural responses to COVID-19 study (GPS-CCC), reporting on mental health symptoms related to COVID-19 (n = 1838) or other stressful events (n = 5196) from April to November 2020. Results: Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America. Conclusions: The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs.Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide. Objective: To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events. Method: 7034 respondents (74% female) participated in the worldwide Global Psychotrauma Screen - Cross-Cultural responses to COVID-19 study (GPS-CCC), reporting on mental health symptoms related to COVID-19 (n = 1838) or other stressful events (n = 5196) from April to November 2020. Results: Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America. Conclusions: The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs.
Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide.Objective: To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events.Method: 7034 respondents (74% female) participated in the worldwide Global Psychotrauma Screen - Cross-Cultural responses to COVID-19 study (GPS-CCC), reporting on mental health symptoms related to COVID-19 (n = 1838) or other stressful events (n = 5196) from April to November 2020.Results: Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America.Conclusions: The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs. In a large global sample, COVID-19 was associated with more severe mental health symptoms compared to other stressful or traumatic events. The impact of COVID-19 on mental health differed around the world with an especially large impact in Latin America.
: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide. : To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events. : 7034 respondents (74% female) participated in the worldwide ), reporting on mental health symptoms related to COVID-19 ( = 1838) or other stressful events ( = 5196) from April to November 2020. : Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America. : The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs.
Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide.Objective: To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events.Method: 7034 respondents (74% female) participated in the worldwide Global Psychotrauma Screen – Cross-Cultural responses to COVID-19 study (GPS-CCC), reporting on mental health symptoms related to COVID-19 (n = 1838) or other stressful events (n = 5196) from April to November 2020.Results: Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America.Conclusions: The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs.
Background : The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide. Objective : To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events. Method : 7034 respondents (74% female) participated in the worldwide Global Psychotrauma Screen – Cross-Cultural responses to COVID-19 study (GPS-CCC ), reporting on mental health symptoms related to COVID-19 ( n = 1838) or other stressful events ( n = 5196) from April to November 2020. Results : Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America. Conclusions : The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs. In a large global sample, COVID-19 was associated with more severe mental health symptoms compared to other stressful or traumatic events. The impact of COVID-19 on mental health differed around the world with an especially large impact in Latin America.
Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide.Objective: To assess the impact of COVID-19 on a wide range of mental health symptoms, to identify relevant risk factors, to identify the effect of COVID-19 country impact on mental health, and to evaluate regional differences in psychological responses to COVID-19 compared to other stressful events.Method: 7034 respondents (74% female) participated in the worldwide Global Psychotrauma Screen – Cross-Cultural responses to COVID-19 study (GPS-CCC), reporting on mental health symptoms related to COVID-19 (n = 1838) or other stressful events (n = 5196) from April to November 2020.Results: Events related to COVID-19 were associated with more mental health symptoms compared to other stressful events, especially symptoms of PTSD, anxiety, depression, insomnia, and dissociation. Lack of social support, psychiatric history, childhood trauma, additional stressful events in the past month, and low resilience predicted more mental health problems for COVID-19 and other stressful events. Higher COVID-19 country impact was associated with increased mental health impact of both COVID-19 and other stressful events. Analysis of differences across geographic regions revealed that in Latin America more mental health symptoms were reported for COVID-19 related events versus other stressful events, while the opposite pattern was seen in North America.Conclusions: The mental health impact of COVID-19-related stressors covers a wide range of symptoms and is more severe than that of other stressful events. This difference was especially apparent in Latin America. The findings underscore the need for global screening for a wide range of mental health problems as part of a public health approach, allowing for targeted prevention and intervention programs.
Author Hovnanyan, Ani
Williamson, Rachel E.
Hoeboer, Chris M.
Olff, Miranda
Consortium, the GPS-CCC
Coimbra, Bruno M.
Grace, Emma
Qing, Yulan
Primasari, Indira
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  surname: Qing
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  organization: Amsterdam University Medical Centers Location AMC, Amsterdam Public Health
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  surname: Coimbra
  fullname: Coimbra, Bruno M.
  organization: Universidade Federal de São Paulo (UNIFESP)
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  surname: Grace
  fullname: Grace, Emma
  organization: The Chicago School of Professional Psychology
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  fullname: Williamson, Rachel E.
  organization: St. Lawrence College
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  surname: Hoeboer
  fullname: Hoeboer, Chris M.
  organization: Amsterdam University Medical Centers Location AMC, Amsterdam Public Health
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  surname: Consortium
  fullname: Consortium, the GPS-CCC
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34262666$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Contributor Kristensen, Christian H
Wang, Li
Wagner, Anne C
Haagsma, Juanita A
Cantoni, Lucia
Sobczak, Sjacko
Salgado, Caroline
Schnyder, Ulrich
Rabellino, Daniela
Kassam-Adams, Nancy
Videira Pinto, Janaina
Cloitre, Marylene
Lueger-Schuster, Brigitte
Ajdukovic, Dean
Mello, Marcelo F
Aakvaag, Helene F
Dyregrov, Atle
Smith, Andrew J
Langevin, Rachel
Semenova, Nadezhda B
Bröcker, Ernie E
Ozgen, Mihriban Heval
Ter Heide, Jackie June
Seedat, Soraya
Nickerson, Angela
Schellong, Julia
Zrnic, Irina
Anastassiou-Hadjicharalambous, Xenia
Manickam, Leister Ss
Ford, Julian D
Oe, Misari
Javakhishvili, Jana D
Bakker, Anne
de Soir, Erik Ljl
Vazquez, Carmelo
Dragan, Małgorzata
Marengo, David
Sales, Luisa
El-Hage, Wissam
Lanza, Juliana A
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Copyright 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2021
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Issue 1
Keywords COVID-19
PTSD
anxiety
risk factors
screening
dissociation
depression
global mental health
public health
insomnia
Language English
License open-access: http://creativecommons.org/licenses/by-nc/4.0/: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Dean Ajdukovic, Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia, ORCID 0000-0001-9223-360X
Wissam El-Hage, UMR 1253, iBrain, Université de Tours, CHRU de Tours, Inserm, Tours, France
Christian H Kristensen, School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil, ORCID 0000-0002-8273-2146
Marylene Cloitre, National Center for PTSD Dissemination and Training Division, Department of Psychiatry and Behavioural Sciences, VA Palo Alto Health Care System, Stanford University, Menlo Park, CA, USA, ORCID 0000-0001-8029-1570
Juliana A Lanza, Traumatic Stress Unit, Alvear Hospital - Human Factors SAME, Buenos Aires City, Argentina
Juanita A Haagsma, Department of Public Health, Erasmus MC University Medical Center Rotterdam, The Netherlands
Julia Schellong, Medical Faculty, Clinic of Psychotherapy and Psychosomatic, Technical University Dresden, ORCID 0000-0001-7614-3225
Erine E. Bröcker, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa, ORCID 0000-0002-9861-9527
Mihriban Heval Ozgen, LUMC, Leiden, The Netherlands, ORCID 0000-0002-8933-7122
Xenia Anastassiou-Hadjicharalambous, Psychology Program, University of Nicosia, 1700 Nicosia, Cyprus, 0000-0002-3993-8229
Carolina Salgado, Universidad Catolica del Maule, Department of Psychiatry, Talca, Chile, ORCID 0000-0003-1886-8273
Nadezhda B Semenova, Scientific Research Institute of Medical Problems of the North, Krasnoyarsk, Russian Federation, ORCID 0000-0002-6120-7860
Atle Dyregrov, Center for crisis psychology, University of Bergen, Norway, ORCID 0000-0003-3281-030X
Anne Bakker, Amsterdam UMC, University of Amsterdam, Department of Psychiatry, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, The Netherlands, ORCID 0000-0002-3248-2441
Lucia Cantoni, University of Padua, Department of Phylosophy, Sociology, Pedagogy and Applied Psychology (FISPPA), Padua, Italy.
Daniela Rabellino, Department of Psychiatry, University of Western Ontario, London, Ontario, Canada, ORCID 0000-0002-3914-7363
Jackie June ter Heide, ARQ National Psychotrauma Centrum, Diemen, The Netherlands, ORCID 0000-0001-7593- 4359
Nancy Kassam-Adams, Children’s Hospital of Philadelphia, Center for Injury Research & Prevention, Philadelphia, USA, ORCID 0000-0001-7412-142
Li Wang, Laboratory for Traumatic Stress Studies, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China, ORCID 0000-0002-1459-3412
Małgorzata Dragan, Facultry of Psychology, University of Warsaw, Warsaw, Poland, ORCID 0000-0001-8221-2012
Ulrich Schnyder, University of Zurich, Switzerland, ORCID 0000-0003-3556-7990
Irina Zrnic, University of Vienna, Faculty of Psychology, Unit of Psychotraumatology, Vienna, Austria, ORCID 0000-0002-8583-7234
These authors contributed equally to this work
Julian D Ford, University of Connecticut School of Medicine, Dept Psychiatry, Farmignton CT, USA, ORCID 0000-0001-7923-0658
Angela Nickerson, School of Psychology, UNSW Sydney, Sydney, NSW Australia, ORCID 0000-0001-9171-4209
Helene F. Aakvaag, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway
Erik LJL de Soir, Department of Scientific and Technological Research, Royal Higher Institute of Defence, Belgium, ORCID 0000-0002-0770-1614
Marcelo, F, Mello, Department of Psyhchiatry, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil, ORCID 0000-0002-0475-4729
Jana D Javakhishvili, ILia State University, School of Arts and Science, Tbilisi, Georgia, ORCID 0000-0003-0196-7582
Davide Marengo, Department of Psychology, University of Turin, Italy, ORCID 0000-0002-7107-0810
GPS-CCC consortium members are
Rachel Langevin, McGill University, Department of Educational and Counselling Psychology, Montréal, Canada, ORCID 0000-0002-7671-745X
Anne C Wagner, Remedy, Canada, ORCID 0000-0002-6261-0133
Luisa Sales, Centro De Trauma, CES, University of Coimbra, and Hospital Militar de Coimbra, Coimbra, Portugal, 3000-995
Soraya Seedat, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa, ORCID 0000-0002-5118-786X
Carmelo Vazquez, Faculty of Psychology, Complutense University, Madrid, Spain, ORCID 0000-0003-1796-2161
Misari Oe, Department of Psychiatry, Kurume University School of Medicine, ORCID 0000-0003-4550-036X
Sjacko Sobczak, School for Mental Health and Neuroscience (MHeNS), Department of Psychiatry and Neuropsychology, Maastricht University Medical Centre, Maastricht, The Netherlands, ORCID 0000-0001-6351-0479
Janaina Videira Pinto, The University of Sydney, Faculty of Medicine and Health, Sydney, Australia, ORCID 0000-0002-3976-5196
Andrew J Smith, University of Utah School of Medicine, Dept of Psychiatry, Huntsman Mental Health Institute, Salt Lake City, UT, USA
Brigitte Lueger-Schuster, University of Vienna, Faculty of Psychology, Unit of Psychotraumatology, Vienna, Austria, ORCID 0000-0003-0784-8437
Leister SS Manickam, Centre for Applied Psychological Studies, Thiruvananthapuram, India
ORCID 0000-0003-4255-0580
0000-0002-8345-5136
0000-0003-4593-6358
0000-0003-1016-9515
0000-0002-0400-6827
0000-0002-0135-7330
0000-0002-5991-1963
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Snippet Background: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific...
: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific risk...
Background : The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms of psychological reactions, specific...
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StartPage 1929754
SubjectTerms ansiedad
anxiety
Basic
Coronaviruses
COVID-19
depresión
depression
disociación
dissociation
factores de riesgo
global mental health
insomnia
insomnio
Mental health
PTSD
public health
Resilience (Psychology)
risk factors
salud mental global
salud pública
screening
tamizaje
trastorno de estrés postraumático
全球心理健康
公共卫生
失眠
抑郁
焦虑
筛查
解离
风险因素
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Title Mental health responses to COVID-19 around the world
URI https://www.tandfonline.com/doi/abs/10.1080/20008198.2021.1929754
https://www.ncbi.nlm.nih.gov/pubmed/34262666
https://www.proquest.com/docview/2691935579
https://www.proquest.com/docview/2552059649
https://pubmed.ncbi.nlm.nih.gov/PMC8253206
https://doaj.org/article/2223648dc801490aa33fcd8ff6fb6a97
Volume 12
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