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  1. Article: Different aspects of failing to recover from proactive semantic interference predicts rate of progression from amnestic mild cognitive impairment to dementia.

    Curiel Cid, Rosie E / Crocco, Elizabeth A / Duara, Ranjan / Vaillancourt, David / Asken, Breton / Armstrong, Melissa J / Adjouadi, Malek / Georgiou, Mike / Marsiske, Michael / Wang, Wei-In / Rosselli, Monica / Barker, William W / Ortega, Alexandra / Hincapie, Diana / Gallardo, Liz / Alkharboush, Feras / DeKosky, Steven / Smith, Glenn / Loewenstein, David A

    Frontiers in aging neuroscience

    2024  Volume 16, Page(s) 1336008

    Abstract: Introduction: This study investigated the role of proactive semantic interference (frPSI) in predicting the progression of amnestic Mild Cognitive Impairment (aMCI) to dementia, taking into account various cognitive and biological factors.: Methods: ... ...

    Abstract Introduction: This study investigated the role of proactive semantic interference (frPSI) in predicting the progression of amnestic Mild Cognitive Impairment (aMCI) to dementia, taking into account various cognitive and biological factors.
    Methods: The research involved 89 older adults with aMCI who underwent baseline assessments, including amyloid PET and MRI scans, and were followed longitudinally over a period ranging from 12 to 55 months (average 26.05 months).
    Results: The findings revealed that more than 30% of the participants diagnosed with aMCI progressed to dementia during the observation period. Using Cox Proportional Hazards modeling and adjusting for demographic factors, global cognitive function, hippocampal volume, and amyloid positivity, two distinct aspects of frPSI were identified as significant predictors of a faster decline to dementia. These aspects were fewer correct responses on a frPSI trial and a higher number of semantic intrusion errors on the same trial, with 29.5% and 31.6 % increases in the likelihood of more rapid progression to dementia, respectively.
    Discussion: These findings after adjustment for demographic and biological markers of Alzheimer's Disease, suggest that assessing frPSI may offer valuable insights into the risk of dementia progression in individuals with aMCI.
    Language English
    Publishing date 2024-01-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2558898-9
    ISSN 1663-4365
    ISSN 1663-4365
    DOI 10.3389/fnagi.2024.1336008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Semantic intrusion errors are associated with plasma Ptau-181 among persons with amnestic mild cognitive impairment who are amyloid positive.

    Curiel Cid, Rosie E / Ortega, Alexandra / Crocco, Elizabeth A / Hincapie, Diana / McFarland, Karen N / Duara, Ranjan / Vaillancourt, David / DeKosky, Steven T / Smith, Glenn / Sfakianaki, Efrosyni / Rosselli, Monica / Barker, Warren W / Adjouadi, Malek / Barreto, Yarlenis / Feito, Yuleidys / Loewenstein, David A

    Frontiers in neurology

    2023  Volume 14, Page(s) 1179205

    Abstract: Introduction: Semantic intrusion errors (SI) have distinguished between those with amnestic Mild Cognitive Impairment (aMCI) who are amyloid positive (A+) versus negative (A-) on positron emission tomography (PET).: Method: This study examines the ... ...

    Abstract Introduction: Semantic intrusion errors (SI) have distinguished between those with amnestic Mild Cognitive Impairment (aMCI) who are amyloid positive (A+) versus negative (A-) on positron emission tomography (PET).
    Method: This study examines the association between SI and plasma - based biomarkers. One hundred and twenty-eight participants received SiMoA derived measures of plasma pTau-181, ratio of two amyloid-β peptide fragments (Aβ42/Aβ40), Neurofilament Light protein (NfL), Glial Fibrillary Acidic Protein (GFAP), ApoE genotyping, and amyloid PET imaging.
    Results: The aMCI A+ (
    Discussion: A combination of plasma biomarkers, ApoE positivity and SI had high specificity in identifying A+ from A- aMCI cases.
    Language English
    Publishing date 2023-08-04
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2023.1179205
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Pharmacological Management of Anxiety Disorders in the Elderly.

    Crocco, Elizabeth A / Jaramillo, Sindy / Cruz-Ortiz, Caroline / Camfield, Katherine

    Current treatment options in psychiatry

    2017  Volume 4, Issue 1, Page(s) 33–46

    Abstract: Anxiety disorders are common in the elderly. Additionally, anxiety symptoms often accompany co-morbid psychiatric, medical, as well as neurodegenerative diseases in the older population. Anxiety in the elderly, often accompanied by depression, can lead ... ...

    Abstract Anxiety disorders are common in the elderly. Additionally, anxiety symptoms often accompany co-morbid psychiatric, medical, as well as neurodegenerative diseases in the older population. Anxiety in the elderly, often accompanied by depression, can lead to worsening physical, cognitive and functional impairments in this vulnerable population. Antidepressants are considered first line treatment. Both SSRIs and SNRIs are efficacious and well-tolerated in the elderly. Some SSRIs are strong inhibitors of the cytochrome P450 hepatic pathway whereas others have less potential for drug interaction. Those antidepressants with more favorable pharmacokinetic profiles should be considered first-line in the treatment of anxiety. Mirtazapine and vortioxetine are also considered safe treatment options. Buspirone may have benefit, but lacks studies in elderly populations. Although tricyclic/tetracyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) may be effective in the elderly, their side effect and safety profiles are suboptimal and thus are not recommended in late-life. Benzodiazepines and beta blockers should generally be avoided when treating anxiety in the elderly. There is not enough evidence to support the use of antipsychotics or mood stabilizers given their risk of problems in both the long and short term. In addition, antipsychotics have a black box warning for increased mortality in elderly patients with dementia.
    Language English
    Publishing date 2017-02-10
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2196-3061
    ISSN 2196-3061
    DOI 10.1007/s40501-017-0102-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Persistent Failure to Recover from Proactive Semantic Interference on the Cognitive Stress Test Differentiates Between Amnestic Mild Cognitive Impairment, Pre-Mild Cognitive Impairment, and Cognitively Unimpaired Older Adults.

    Loewenstein, David A / Curiel Cid, Rosie E / Kitaigorodsky, Marcela / Ortega, Alexandra / Hincapie, Diana / Zheng, D Diane / Amaya, Alexandra / Gallardo, Liz / Manso, Leslie / Sosa, Jaylene / Crocco, Elizabeth A

    Journal of Alzheimer's disease : JAD

    2022  Volume 90, Issue 1, Page(s) 313–322

    Abstract: Background: Susceptibility to proactive semantic interference (PSI) and the inability to ameliorate these difficulties with one additional learning trial have repeatedly been implicated as early features of incipient Alzheimer's disease (AD). ... ...

    Abstract Background: Susceptibility to proactive semantic interference (PSI) and the inability to ameliorate these difficulties with one additional learning trial have repeatedly been implicated as early features of incipient Alzheimer's disease (AD). Unfortunately, persistent failure to recover from PSI (frPSI) after repeated learning trials, are not captured by existing memory measures, or been examined in pre-mild cognitive impairment (PreMCI).
    Objective: A novel Cognitive Stress Test (CST) was employed to measure the impact of PSI, initial failure to recover from PSI and persistent effects of PSI, despite multiple learning trials of the new to-be-remembered material (pfrPSI). We hypothesized that PSI deficits on the CST would persist in both PreMCI and amnestic MCI (aMCI) groups over repeated learning trials when compared to cognitively unimpaired (CU) older adults.
    Methods: One hundred fifty older adults (69 CU, 31 PreMCI, and 50 aMCI) underwent a standardized clinical and neuropsychological evaluation. The CST was independent of diagnostic classification.
    Results: Even after adjusting for strength of initial learning, aMCI and PreMCI groups demonstrated greater persistent PSI (pfrPSI) relative to the CU group despite repeated learning trials of List B. Further, the aMCI group made a higher number of semantic intrusion errors relative to the PreMCI and CU groups on all List B Cued Recall trials.
    Conclusion: Persistent PSI appears to be a common feature of aMCI and PreMCI. The possible theoretical mechanisms and empirical implications of these new findings are discussed.
    MeSH term(s) Humans ; Aged ; Semantics ; Exercise Test ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/psychology ; Neuropsychological Tests ; Alzheimer Disease/diagnosis ; Alzheimer Disease/psychology ; Cognition
    Language English
    Publishing date 2022-09-16
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 1440127-7
    ISSN 1875-8908 ; 1387-2877
    ISSN (online) 1875-8908
    ISSN 1387-2877
    DOI 10.3233/JAD-220348
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Intrusion Errors and Progression of Cognitive Deficits in Older Adults with Mild Cognitive Impairment and PreMCI States.

    Crocco, Elizabeth A / Curiel Cid, Rosie / Kitaigorodsky, Marcela / Grau, Gabriella A / Garcia, Jessica M / Duara, Ranjan / Barker, Warren / Chirinos, Cesar L / Rodriguez, Rosemarie / Loewenstein, David A

    Dementia and geriatric cognitive disorders

    2021  Volume 50, Issue 2, Page(s) 135–142

    Abstract: Introduction: Among persons with amnestic mild cognitive impairment (aMCI), intrusion errors on subscales that measure proactive semantic interference (PSI) may be among the earliest behavioral markers of elevated Alzheimer's disease brain pathology. ... ...

    Abstract Introduction: Among persons with amnestic mild cognitive impairment (aMCI), intrusion errors on subscales that measure proactive semantic interference (PSI) may be among the earliest behavioral markers of elevated Alzheimer's disease brain pathology. While there has been considerable cross-sectional work in the area, it is presently unknown whether semantic intrusion errors are predictive of progression of cognitive impairment in aMCI or PreMCI (not cognitively normal but not meeting full criteria for MCI).
    Methods: This study examined the extent to which the percentage of semantic intrusion errors (PIE) based on total responses on a novel cognitive stress test, the Loewenstein-Acevedo Scales for Semantic Interference and Learning (LASSI-L), could predict clinical/cognitive outcomes over an average 26-month period in older adults initially diagnosed with aMCI, PreMCI, and normal cognition.
    Results: On the LASSI-L subscale sensitive to PSI, a PIE cut point of 44% intrusion errors distinguished between those at-risk individuals with PreMCI who progressed to MCI over time compared to individuals with PreMCI who reverted to normal on longitudinal follow-up. Importantly, PIE was able to accurately predict 83.3% of aMCI individuals who later progressed to dementia.
    Discussion: These preliminary findings indicate that PIE on LASSI-L subscales that measure PSI may be a useful predictor of clinical progression overtime in at-risk older adults.
    MeSH term(s) Aged ; Alzheimer Disease ; Cognition ; Cognitive Dysfunction/diagnosis ; Cross-Sectional Studies ; Disease Progression ; Humans ; Neuropsychological Tests
    Language English
    Publishing date 2021-06-23
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1026007-9
    ISSN 1421-9824 ; 1013-7424
    ISSN (online) 1421-9824
    ISSN 1013-7424
    DOI 10.1159/000512804
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Semantic Intrusion Error Ratio Distinguishes Between Cognitively Impaired and Cognitively Intact African American Older Adults.

    Capp, Kimberly E / Curiel Cid, Rosie E / Crocco, Elizabeth A / Stripling, Ashley / Kitaigorodsky, Marcela / Sierra, Luis A / Melo, Jose G / Loewenstein, David A

    Journal of Alzheimer's disease : JAD

    2019  Volume 73, Issue 2, Page(s) 785–790

    Abstract: Background: Semantic intrusion errors on memory tests may represent very early cognitive changes associated with elevated Alzheimer's disease pathology within the brain, including amyloid-β (Aβ). Subscales that measure proactive semantic interference ( ... ...

    Abstract Background: Semantic intrusion errors on memory tests may represent very early cognitive changes associated with elevated Alzheimer's disease pathology within the brain, including amyloid-β (Aβ). Subscales that measure proactive semantic interference (PSI) and intrusions related to PSI on the Loewenstein Acevedo Scales of Semantic Interference and Learning (LASSI-L) have been associated with high levels of brain amyloid load, structural changes on brain MRI in Hispanic and non-Hispanic groups. It is presently unknown whether intrusion errors or other measures of the LASSI-L can differentiate between African-American (AA) older adults diagnosed with amnestic mild cognitive impairment (aMCI) or classified as cognitively normal (CN).
    Objective: This study examined the extent to which a high percentage of semantic intrusion errors on LASSI-L subscales susceptible to PSI and other LASSI-L measures could differentiate between AA aMCI and CN groups.
    Methods: Forty-eight AA older adults were recruited (27 CN and 21 aMCI) and received a through clinical and neuropsychological evaluation. The LASSI-L was administered independent of diagnostic classification.
    Results: With and without statistical adjustment for literacy, AA aMCI participants scored lower on all LASSI-L measures. ROC analyses revealed an area under the curve exceeding 90% and correctly classified 86% of AA aMCI with 82% specificity for AA CN participants.
    Conclusions: Percentage of intrusion errors on the LASSI-L subscales susceptible to PSI differentiated AA aMCI from AA CN. This adds to emerging evidence indicating that the LASSI-L may be culturally appropriate and can differentiate between aMCI and CN in diverse ethnic/cultural groups.
    MeSH term(s) African Americans/psychology ; Aged ; Aged, 80 and over ; Cognition ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/psychology ; Cues ; Female ; Humans ; Longitudinal Studies ; Male ; Memory ; Mental Recall ; Middle Aged ; Neuropsychological Tests ; ROC Curve ; Semantics ; Sensitivity and Specificity
    Language English
    Publishing date 2019-12-26
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1440127-7
    ISSN 1875-8908 ; 1387-2877
    ISSN (online) 1875-8908
    ISSN 1387-2877
    DOI 10.3233/JAD-191022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A novel method of evaluating semantic intrusion errors to distinguish between amyloid positive and negative groups on the Alzheimer's disease continuum.

    Curiel Cid, Rosie E / Crocco, Elizabeth A / Duara, Ranjan / Garcia, Jessica M / Rosselli, Monica / DeKosky, Steven T / Smith, Glenn / Bauer, Russell / Chirinos, Cesar L / Adjouadi, Malek / Barker, Warren / Loewenstein, David A

    Journal of psychiatric research

    2020  Volume 124, Page(s) 131–136

    Abstract: Background: The development and validation of clinical outcome measures to detect early cognitive decline associated with Alzheimer's disease (AD) biomarkers is imperative. Semantic intrusions on the Loewenstein Acevedo Scales of Semantic Interference ... ...

    Abstract Background: The development and validation of clinical outcome measures to detect early cognitive decline associated with Alzheimer's disease (AD) biomarkers is imperative. Semantic intrusions on the Loewenstein Acevedo Scales of Semantic Interference and Learning (LASSI-L) has outperformed widely used cognitive measures as an early correlate of elevated brain amyloid in prodromal AD and has distinguished those with amnestic mild cognitive impairment (aMCI) and high amyloid load from aMCI attributable to other non-AD conditions.
    Methods: Since intrusion errors on memory tasks vary widely, we employed a novel method that accounts for the percentage of intrusion errors (PIE) in relation to total responses. Individuals with either high or low amyloid load across the spectrum of aMCI and dementia and amyloid negative cognitively normal older adults (CN) were studied.
    Results: Mean PIE on indices sensitive to proactive semantic interference (PSI) and failure to recover from proactive semantic interference (frPSI) could distinguish amyloid positive from amyloid negative aMCI and dementia groups. Number of correct responses alone, while able to differentiate the different diagnostic groups, did not differentiate amyloid positive aMCI from their counterparts without amyloid pathology.
    Conclusions: PIE, a novel and sensitive index of early memory dysfunction, demonstrated high levels of sensitivity and specificity in differentiating CN from amyloid positive persons with preclinical AD. Mean levels of PIE are higher for amyloid positive aMCI and dementia participants relative to their amyloid negative counterparts.
    MeSH term(s) Aged ; Alzheimer Disease/diagnosis ; Brain ; Cognitive Dysfunction/diagnosis ; Cognitive Dysfunction/etiology ; Humans ; Neuropsychological Tests ; Semantics
    Language English
    Publishing date 2020-02-10
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2020.02.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: How late-life depression affects cognition: neural mechanisms.

    Crocco, Elizabeth A / Castro, Kenia / Loewenstein, David A

    Current psychiatry reports

    2010  Volume 12, Issue 1, Page(s) 34–38

    Abstract: Late-life depression is a major health problem and a significant cause of dysfunction that warrants closer evaluation and study. In contrast to younger depressed patients, most depressed older adults suffer more severe variants of the disorder, including ...

    Abstract Late-life depression is a major health problem and a significant cause of dysfunction that warrants closer evaluation and study. In contrast to younger depressed patients, most depressed older adults suffer more severe variants of the disorder, including significant cognitive impairments. These cognitive changes add to the severity of symptoms and disability that older depressed patients face and likely reflect compromise of certain neural circuits, linking cognitive impairment to late-life depression. Studies examining clinical correlates, neuropsychological testing, and functional and anatomic imaging have yielded a clearer understanding of the neural mechanisms underlying cognitive deficits in late-life depression. This article discusses cognitive impairment in geriatric depression and how developing a better understanding of its neural correlates may lead to improved understanding and outcome of this specific disorder.
    MeSH term(s) Aged ; Brain/physiopathology ; Cognition/physiology ; Cognition Disorders/complications ; Cognition Disorders/physiopathology ; Cognition Disorders/psychology ; Depression/complications ; Depression/physiopathology ; Depression/psychology ; Humans ; Neuropsychological Tests
    Language English
    Publishing date 2010-04-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1535-1645 ; 1523-3812
    ISSN (online) 1535-1645
    ISSN 1523-3812
    DOI 10.1007/s11920-009-0081-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Psychiatric aspects of mild cognitive impairment.

    Crocco, Elizabeth A / Loewenstein, David A

    Current psychiatry reports

    2005  Volume 7, Issue 1, Page(s) 32–36

    Abstract: Mild cognitive impairment in the elderly may represent a transitional phase between normal aging and early Alzheimer's disease (AD). It recently has been recognized as a distinct clinical entity with potentially different cognitive subtypes and ... ...

    Abstract Mild cognitive impairment in the elderly may represent a transitional phase between normal aging and early Alzheimer's disease (AD). It recently has been recognized as a distinct clinical entity with potentially different cognitive subtypes and etiologies. Like AD, studies have shown that psychiatric symptoms are more common than in the cognitively normal geriatric population. Understanding these symptoms has been recognized as important not only because they may impair patient function and caregiver burden, but also these symptoms may be relevant to understanding the development of AD in general. This article presents current information on psychiatric symptoms in mild cognitive impairment, their suggested role in the pathophysiology of AD and future research considerations on the subject.
    MeSH term(s) Aged ; Aging/psychology ; Alzheimer Disease/complications ; Alzheimer Disease/diagnosis ; Alzheimer Disease/physiopathology ; Cognition Disorders/complications ; Cognition Disorders/psychology ; Dementia/complications ; Dementia/psychology ; Depression/complications ; Depression/psychology ; Humans ; Incidence ; Severity of Illness Index
    Language English
    Publishing date 2005-02-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2055376-6
    ISSN 1523-3812
    ISSN 1523-3812
    DOI 10.1007/s11920-005-0021-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: A novel cognitive assessment paradigm to detect Pre-mild cognitive impairment (PreMCI) and the relationship to biological markers of Alzheimer's disease.

    Crocco, Elizabeth A / Loewenstein, David A / Curiel, Rosie E / Alperin, Noam / Czaja, Sara J / Harvey, Philip D / Sun, Xiaoyan / Lenchus, Joshua / Raffo, Arlene / Peñate, Ailyn / Melo, Jose / Sang, Lee / Valdivia, Rosemery / Cardenas, Karen

    Journal of psychiatric research

    2017  Volume 96, Page(s) 33–38

    Abstract: Objective: A number of older adults obtain normal scores on formal cognitive tests, but present clinical concerns that raise suspicion of cognitive decline. Despite not meeting full criteria for Mild Cognitive Impairment (MCI), these PreMCI states ... ...

    Abstract Objective: A number of older adults obtain normal scores on formal cognitive tests, but present clinical concerns that raise suspicion of cognitive decline. Despite not meeting full criteria for Mild Cognitive Impairment (MCI), these PreMCI states confer risk for progression to Alzheimer's disease (AD). This investigation addressed a pressing need to identify cognitive measures that are sensitive to PreMCI and are associated with brain biomarkers of neurodegeneration.
    Method: Participants included 49 older adults with a clinical history suggestive of cognitive decline but normal scores on an array of neuropsychological measures, thus not meeting formal criteria for MCI. The performance of these PreMCI participants were compared to 117 cognitively normal (CN) elders on the LASSI-L, a cognitive stress test that uniquely assesses the failure to recover from proactive semantic interference effects (frPSI). Finally, a subset of these individuals had volumetric analyses based on MRI scans.
    Results: PreMCI participants evidenced greater LASSI- L deficits, particularly with regards to frPSI and delayed recall, relative to the CN group. No differences on MRI measures were observed. Controlling for false discovery rate (FDR), frPSI was uniquely related to increased dilatation of the inferior lateral ventricle and decreased MRI volumes in the hippocampus, precuneus, superior parietal region, and other AD prone areas. In contrast, other LASSI-L indices and standard memory tests were not related to volumetric findings.
    Conclusions: Despite equivalent performance on traditional memory measures, the frPSI distinguished between PreMCI and CN elders and was associated with reductions in brain volume in numerous AD-relevant brain regions.
    MeSH term(s) Aged ; Alzheimer Disease/diagnostic imaging ; Brain/diagnostic imaging ; Cognitive Dysfunction/diagnosis ; Cues ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Mental Recall ; Neuropsychological Tests ; Organ Size ; Semantics ; Stress, Psychological
    Language English
    Publishing date 2017-08-24
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2017.08.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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