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Sense of coherence and psychological well-being among coronary heart disease patients: a moderated mediation model of affect and meaning in life. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-00982-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
AbstractThere are credible data that the indirect relationship of sense of coherence with well-being can involve potential mediation and moderation mechanisms related to emotional and meaning-oriented factors. The self-concordance model provides a theoretical framework through which these associations can be examined. The current research explored whether the relationship between sense of coherence and well-being in people with coronary heart disease can be mediated by affect and simultaneously moderated by meaning in life. A total of 176 patients with coronary heart disease completed four questionnaires. Positive and negative affect turned out to mediate, though differently, the relationship between feelings of coherence and well-being. Furthermore, meaning in life moderated the indirect effect of sense of coherence to well-being only through positive affect. This confirmed the validity of a moderated mediation model of affect and meaning in life in associations between sense of coherence and well-being in people with coronary heart disease problems.
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Ikeda A, Steptoe A, Shipley M, Wilkinson IB, McEniery CM, Tanigawa T, Singh-Manoux A, Kivimaki M, Brunner EJ. Psychological Wellbeing and Aortic Stiffness: Longitudinal Study. Hypertension 2020; 76:675-682. [PMID: 32654561 PMCID: PMC7418936 DOI: 10.1161/hypertensionaha.119.14284] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study investigated 2 distinct aspects of positive wellbeing: affective wellbeing and eudaimonia with progression of aortic stiffness, an index of subclinical cardiovascular disease. A total of 4754 participants (mean age 65.3 years, 3466 men, and 1288 women) from the Whitehall II cohort study provided data on affective and eudaimonic wellbeing using subscales from the control, autonomy, self-realization and pleasure-19 questionnaire. Aortic stiffness was measured by aortic pulse wave velocity (PWV) at baseline (2008-2009) and 5 years later (2012-2013). Linear mixed models were used to measure the effect of affective and eudaimonic wellbeing on baseline PWV and 5-year PWV longitudinal change. A 1-SD higher eudaimonic wellbeing was associated with lower baseline PWV in men (β=-0.100 m/s [95% CI=-0.169 to -0.032]), independent of social, behavioral, and biological factors. This association persisted over 5 years. No such association was found in women (β=-0.029 m/s [95% CI=-0.126 to 0.069]). We did not find any association of positive wellbeing with change in PWV over time in either men or women. In older men, higher levels of eudaimonic wellbeing were associated with lower long-term levels of arterial stiffness. These findings support the notion that the pattern of association between positive wellbeing and cardiovascular health outcomes involves eudaimonic rather than affective wellbeing and is sex-specific.
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Affiliation(s)
- Ai Ikeda
- From the Department of Epidemiology and Public Health, Institute of Epidemiology and Health, Faculty of Population Health Sciences, University College London, United Kingdom (A.I., A.S., M.S., A.S.-M., M.K., E.J.B.).,Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan (A.I., T.T.)
| | - Andrew Steptoe
- From the Department of Epidemiology and Public Health, Institute of Epidemiology and Health, Faculty of Population Health Sciences, University College London, United Kingdom (A.I., A.S., M.S., A.S.-M., M.K., E.J.B.)
| | - Martin Shipley
- From the Department of Epidemiology and Public Health, Institute of Epidemiology and Health, Faculty of Population Health Sciences, University College London, United Kingdom (A.I., A.S., M.S., A.S.-M., M.K., E.J.B.)
| | - Ian B Wilkinson
- Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom (I.B.W., C.M.M.)
| | - Carmel M McEniery
- Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom (I.B.W., C.M.M.)
| | - Takeshi Tanigawa
- Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan (A.I., T.T.)
| | - Archana Singh-Manoux
- From the Department of Epidemiology and Public Health, Institute of Epidemiology and Health, Faculty of Population Health Sciences, University College London, United Kingdom (A.I., A.S., M.S., A.S.-M., M.K., E.J.B.).,Université de Paris, Inserm U1153, Epidemiology of Ageing and Neurodegenerative Diseases, France (A.S.-M.)
| | - Mika Kivimaki
- From the Department of Epidemiology and Public Health, Institute of Epidemiology and Health, Faculty of Population Health Sciences, University College London, United Kingdom (A.I., A.S., M.S., A.S.-M., M.K., E.J.B.)
| | - Eric J Brunner
- From the Department of Epidemiology and Public Health, Institute of Epidemiology and Health, Faculty of Population Health Sciences, University College London, United Kingdom (A.I., A.S., M.S., A.S.-M., M.K., E.J.B.)
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Krok D, Zarzycka B. Self-Efficacy and Psychological Well-Being in Cardiac Patients: Moderated Mediation by Affect and Meaning-Making. THE JOURNAL OF PSYCHOLOGY 2020; 154:411-425. [PMID: 32484755 DOI: 10.1080/00223980.2020.1772702] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Prior research suggests a potential moderated mediation effect between self-efficacy and psychological well-being. Based on the Meaning Making Model and the Broaden-and-Build Theory, this study examines the relationship between self-efficacy and psychological well-being in the moderated mediation perspective of affect and meaning-making in coronary heart disease patients. The questionnaires measuring self-efficacy, psychological well-being, affect, and meaning-making were used to collect data from one hundred and fifty six patients (73 women and 83 men) who were suffering from coronary heart disease. The patients had a history of coronary heart disease in the previous .1‒7.9 years and were aged 47‒82. Findings demonstrated that meaning-making mediated the indirect relationship between self-efficacy and psychological well-being. In addition, the moderated mediation effect of positive affect, but not of negative affect was significant. Positive affect moderated the indirect effect between self-efficacy and psychological well-being through meaning-making; the indirect effect was stronger when positive affect was high as opposed to low. The results suggest the interplay of affective and meaning-making processes in the relationship between self-efficacy and well-being.
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Depressive Symptoms in Women With Coronary Heart Disease: A Systematic Review of the Longitudinal Literature. J Cardiovasc Nurs 2020; 34:52-59. [PMID: 30138156 DOI: 10.1097/jcn.0000000000000533] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
BACKGROUND Interpreting studies about women with coronary heart disease and depressive symptoms is challenging: women continue to be underrepresented in research; data are often not presented separately by sex; many studies do not examine depressive symptoms longitudinally, leaving our understanding incomplete; and the use of multiple depressive symptom assessment instruments makes comparisons between studies problematic. PURPOSE The authors of this systematic review examined 20 longitudinal descriptive studies on women with coronary heart disease and depressive symptoms, including prevalence of elevated symptoms, changes in symptoms over time, findings in women versus men, and findings based on assessment instruments. CONCLUSIONS The prevalence of elevated depressive symptoms in women was 35.75% at baseline (hospitalization). The Beck Depression Inventory II yielded the highest baseline prevalence (40.3%), slightly higher than the Depression Interview and Structured Hamilton Scale (36%). The Hospital Anxiety and Depression Scale and the Kellner questionnaire yielded much lower prevalence (21.45% and 23%, respectively). Higher prevalence was linked to inclusion of somatic symptoms on measurement instruments except in post-coronary bypass surgery patients. Symptoms trended toward improvement, particularly in the first 6 months, although a few studies measured beyond this time. Women demonstrated higher prevalence than men initially (35.75% vs 23.46%, respectively) and over 24 months (22.71% vs 19.82%, respectively). CLINICAL IMPLICATIONS Women experienced significantly more depressive symptoms than men initially and over time, although most women's symptoms improved. Measurement varies widely based on instrument and the inclusion/exclusion of somatic symptoms. More longitudinal studies beyond 6 months with prevalence data and analysis by sex/gender are needed.
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Bauersachs R, Zeymer U, Brière JB, Marre C, Bowrin K, Huelsebeck M. Burden of Coronary Artery Disease and Peripheral Artery Disease: A Literature Review. Cardiovasc Ther 2019; 2019:8295054. [PMID: 32099582 PMCID: PMC7024142 DOI: 10.1155/2019/8295054] [Citation(s) in RCA: 180] [Impact Index Per Article: 36.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 04/28/2019] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Atherothrombotic disease, including coronary artery disease (CAD) and peripheral artery disease (PAD), can lead to cardiovascular (CV) events, such as myocardial infarction, stroke, limb ischemia, heart failure, and CV death. AIM Evaluate the humanistic and economic burden of CAD and PAD and identify unmet needs through a comprehensive literature review. METHODS Relevant search terms were applied across online publication databases. Studies published between January 2010 and August 2017 meeting the inclusion/exclusion criteria were selected; guidelines were also included. Two rounds of screening were applied to select studies of relevance. RESULTS Worldwide data showed approximately 5-8% prevalence of CAD and 10-20% prevalence of PAD, dependent on the study design, average age, gender, and geographical location. Data from the REACH registry indicated that 18-35% of patients with CAD and 46-68% of patients with PAD had disease in one or more vascular beds. Use of medication to control modifiable CV risk factors was variable by country (lower in France than in Canada); statins and aspirin were the most widely used therapies in patients with chronic disease. Survival rates have improved with medical advancements, but there is an additional need to improve the humanistic burden of disease (i.e., associated disability and quality of life). The economic burden of atherothrombotic disease is high and expected to increase with increased survival and the aging population. CONCLUSION CAD and PAD represent a substantial humanistic and economic burden worldwide, highlighting a need for new interventions to reduce the incidence of atherothrombotic disease.
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Affiliation(s)
- Rupert Bauersachs
- Department of Vascular Medicine, Klinikum Darmstadt GmbH, Darmstadt, Germany
- Center of Thrombosis and Haemostasis, University of Mainz, Mainz, Germany
| | - Uwe Zeymer
- Klinikum der Stadt Ludwigshafen, Medizinische Klinik B, Ludwigshafen am Rhein, Germany
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The impact of health on economic and social outcomes in the United Kingdom: A scoping literature review. PLoS One 2018; 13:e0209659. [PMID: 30596730 PMCID: PMC6312330 DOI: 10.1371/journal.pone.0209659] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 12/09/2018] [Indexed: 12/18/2022] Open
Abstract
This is the first review of the evidence, based on longitudinal studies in the United Kingdom, on the association of ill health at any life stage and later social and economic outcomes. The review included a wide range of physical and mental health exposures, both self-reported and objectively measured, as well as social (e.g. life satisfaction) and economic (e.g. employment) outcomes. We searched the Web of Science, key longitudinal datasets based in the UK, major economic journals, Google Scholar and reference lists of relevant publications. The review includes 80 studies. There was strong evidence for the association between early mental health, mainly attention deficit hyperactivity disorder, and lifetime educational, occupational and various social outcomes. Also, both poor physical and mental health in early and middle adulthood, tended to be associated with unemployment and lower socioeconomic status. Among older adults, the evidence quite consistently indicated an association between mental health, chronic conditions, disability/functional limitations, self-rated general health and quality of life, life satisfaction and early retirement. Overall, mental health was consistently found to be associated with a range of social and economic outcomes throughout the lifespan. The evidence for the association between physical health and later outcomes is more inconsistent. A number of methodological challenges need to be addressed, particularly related to causal inference, to produce robust evidence with potential to inform public health policy.
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Le J, Dorstyn DS, Mpofu E, Prior E, Tully PJ. Health-related quality of life in coronary heart disease: a systematic review and meta-analysis mapped against the International Classification of Functioning, Disability and Health. Qual Life Res 2018; 27:2491-2503. [PMID: 29779143 DOI: 10.1007/s11136-018-1885-5] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2018] [Indexed: 12/11/2022]
Abstract
BACKGROUND Health-related quality of life (HRQoL) is an important outcome in coronary heart disease (CHD). However, variability in HRQoL indicators suggests a need to consider domain coverage. This review applies a globally accepted framework, the International Classification of Functioning, Disability and Health (ICF), to map HRQoL measures that are reliable and valid among people with CHD. METHODS The Embase, Pubmed and PsycInfo databases were searched, with 10 observational studies comparing HRQOL among 4786 adults with CHD to 50949 controls identified. Study reporting quality was examined (QualSyst). Hedges' g statistic (with 95% CIs and p values) was used to measure the effect size for the difference between group means (≤ 0.2 small, ≤ 0.5 medium, ≤ 0.80 large difference), and between-study heterogeneity (tau, I2 test) examined using a random effects model. RESULTS Adults with CHD reported lowered HRQoL (gw = - 0.418, p < 0.001). Adjusted mean differences in HRQoL ratings, controlling for socio-demographics, were smaller but remained significant. Large group differences were associated with individual measures of activity and participation (WHOQOL g = - 1.199, p < 0.001) and self-perceived health (SF 36 g = - 0.616, p < 0.001). CONCLUSIONS The ICF provides a framework for evaluating and understanding the impact of CHD on HRQoL. The results demonstrate that HRQoL goes beyond physical symptoms, with activity limitations, social support and participation, and personal perceptions identified as key ICF domains in CHD assessment. Further investigations are needed to unravel the dynamic and inter-relationships between these domains, including longitudinal trends in HRQoL indicators.
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Affiliation(s)
- Jana Le
- School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia
| | - Diana S Dorstyn
- School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
| | - Elias Mpofu
- Department of Rehabilitation and Health Services, University of North Texas, Denton, USA
- Department of Educational Psychology and Inclusive Education, University of Johannesburg, Johannesburg, South Africa
- Faculty of Health Sciences, University of Sydney, Sydney, Australia
| | - Elise Prior
- School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia
| | - Phillip J Tully
- School of Medicine, Freemasons Foundation Centre For Men's Health, University of Adelaide, Adelaide, Australia
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Ward M, McGarrigle CA, Kenny RA. More than health: quality of life trajectories among older adults—findings from The Irish Longitudinal Study of Ageing (TILDA). Qual Life Res 2018; 28:429-439. [DOI: 10.1007/s11136-018-1997-y] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2018] [Indexed: 11/28/2022]
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Burns RA, Loh V, Byles JE, Kendig HL. The impact of childhood parental quality on mental health outcomes in older adults. Aging Ment Health 2018; 22:819-825. [PMID: 28436695 DOI: 10.1080/13607863.2017.1317331] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Parental bonding is cited as a determinant of mental health outcomes in childhood, adolescence and early-mid adulthood. Examination of the long-term impact for older adults is limited. We therefore examine the long-term risk of perceived poor parental bonding on mental health across the lifespan and into early-old age. METHODS Participants (N = 1255) were aged 60-64 years of age and drawn from the Australian Life Histories and Health study. Quality of parental bonding was assessed with the Parental Bonding Instrument (PBI). Self-reported history of doctors' mental health diagnoses and current treatment for each participant was recorded. Current depression was assessed with the Centre for Epidemiologic Studies Depression-8 (CESD-8). Due to known gender differences in mental health rates across the lifespan, analyses were stratified by sex. RESULTS A bi-factor analysis of the PBI in a structural equation framework indicated perceived Poor Parental Quality as a risk for both ever and current depression for both sexes. For males, Over-Protective Fathers were a risk for ever and current depression, whilst overall Poor Parental Quality was a risk for reporting current depression treatment. Whilst a number of the risks associated with current depression and treatment were attenuated when controlling for current mood, parental quality remained a significant risk for having reported a lifetime diagnosis for depression and anxiety for men. CONCLUSION Our results extend the existing literature base and demonstrate that mental health risk attributed to poor perceived parental quality continues across the life-course and into early-old age.
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Affiliation(s)
- R A Burns
- a Centre for Research on Ageing Health and Wellbeing, The Research School of Population Health , The Australian National University , Canberra , Australia.,b ARC Centre of Excellence in Population Ageing Research (CEPAR) , The Australian National University , Canberra , Australia
| | - V Loh
- b ARC Centre of Excellence in Population Ageing Research (CEPAR) , The Australian National University , Canberra , Australia.,c School of Psychology, University of Sydney , Sydney , Australia
| | - J E Byles
- b ARC Centre of Excellence in Population Ageing Research (CEPAR) , The Australian National University , Canberra , Australia.,d Research Centre for Gender, Health and Ageing , University of Newcastle and Hunter Medical Research Institute , Callaghan , Australia
| | - H L Kendig
- a Centre for Research on Ageing Health and Wellbeing, The Research School of Population Health , The Australian National University , Canberra , Australia.,b ARC Centre of Excellence in Population Ageing Research (CEPAR) , The Australian National University , Canberra , Australia
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Bahrami T, Rejeh N, Heravi-Karimooi M, Vaismoradi M, Tadrisi SD, Sieloff CL. Aromatherapy massage versus reflexology on female elderly with acute coronary syndrome. Nurs Crit Care 2017; 23:229-236. [DOI: 10.1111/nicc.12302] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Revised: 04/07/2017] [Accepted: 05/08/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Tahereh Bahrami
- Department of Nursing, Faculty of Nursing and Midwifery, Shahed University; Tehran Iran
| | - Nahid Rejeh
- Department of Nursing, Faculty of Nursing and Midwifery, Elderly Care Research Center, Shahed University; Tehran Iran
| | - Majideh Heravi-Karimooi
- Department of Nursing, Faculty of Nursing and Midwifery, Elderly Care Research Center, Shahed University; Tehran Iran
| | - Mojtaba Vaismoradi
- Faculty of Nursing and Health Sciences, Nord University; NO-8049, Bodø Norway
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Prata J, Quelhas Martins A, Ramos S, Rocha-Gonçalves F, Coelho R. Gender differences in quality of life perception and cardiovascular risk in a community sample. REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2016. [DOI: 10.1016/j.repce.2015.09.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Prata J, Quelhas Martins A, Ramos S, Rocha-Gonçalves F, Coelho R. Gender differences in quality of life perception and cardiovascular risk in a community sample. Rev Port Cardiol 2016; 35:153-60. [PMID: 26923365 DOI: 10.1016/j.repc.2015.09.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2015] [Accepted: 09/13/2015] [Indexed: 10/22/2022] Open
Abstract
INTRODUCTION Self-reported heath and quality of life is an independent predictor of overall and cardiovascular morbidity and mortality, and incident coronary heart disease. However, less is known regarding how gender differences in cardiovascular risk factors impact quality of life perception. METHODS Primary healthcare users (n=261, 158 women) were screened for cardiovascular risk factors and completed the Medical Outcomes Study Short Form (SF-36). RESULTS Women had significantly lower alcohol consumption, body mass index and exercise frequency than men, but more prevalent psychiatric history, depressive and anxiety symptoms, and negative affectivity. Prevalences of hypertension, diabetes, dyslipidemia and type D personality were similar between genders. Women reported significantly worse quality of life on most SF-36 subscales and gender differences were apparent in predictors of quality of life. Moreover, high negative affectivity was an independent predictor of worse general health for women, whereas high social inhibition and high anxiety had a comparable role for men. CONCLUSION Gender specifics in cardiovascular risk factors should be considered in prevention strategies. Women reported significantly worse quality of life, putting them at higher risk for cardiovascular morbidity and mortality. Therefore, gender differences in predictors of quality of life warrant further investigation.
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Affiliation(s)
- Joana Prata
- Unidade de Investigação & Desenvolvimento Cardiovascular, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.
| | - Amadeu Quelhas Martins
- Instituto Nacional de Engenharia Biomédica (INEB), Porto, Portugal; Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal
| | - Sónia Ramos
- Unidade de Investigação & Desenvolvimento Cardiovascular, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - Francisco Rocha-Gonçalves
- Unidade de Investigação & Desenvolvimento Cardiovascular, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - Rui Coelho
- Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal; Departamento de Neurociências Clínicas e Saúde Mental, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
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