Yao, Suchan
Cai, Weijing
Qin, Ling
Article History
Received: 13 September 2025
Accepted: 17 March 2026
First Online: 26 March 2026
Declarations
:
: Ethical approval was obtained from the Institutional Review Board of Guangdong Ocean University (GDOU-IRB-2021/217). All procedures adhered to the Declaration of Helsinki and applicable national regulations. Participants (aged 18–45 years) provided written informed consent for interviews and medical-record abstraction. Data were de-identified and stored in an electronic password-protected database with role-based access; a distress-safety protocol ensured rapid referral for participants screening positive for severe distress.
: The authors declare no competing interests.