Document is current

Article History

Received: 23 January 2026

Accepted: 13 March 2026

First Online: 26 March 2026

Declarations

:

: This study was approved by the Institutional Review Board of Liuzhou Workers’ Hospital (approval number: KY2020040). All procedures were conducted in accordance with the Declaration of Helsinki.

: Individual, de-identified participant data that underlie the results reported in this article (including a data dictionary) will be made available upon reasonable request to the corresponding author. Requests will be reviewed by the study team in accordance with participant consent and institutional policies. Data will be available beginning 3 months after publication and ending 24 months after publication.

: The authors did not use generative AI to generate scientific content, data, results, or conclusions. An AI-assisted language tool was used solely for language editing. All content was reviewed and approved by the authors, who take full responsibility for the manuscript.

: Written informed consent was obtained from all participants and their legal guardians prior to participation. A copy of the consent form is available for review by the editor of this journal .All authors have read and approved the final version of the manuscript for submission to BMC Psychiatry, and agree with the authorship and the order of authors listed in the paper. Any future changes, extensions, or supplements to the paper will be handled by all parties involved in accordance with the journal’s policies and with the necessary approvals obtained.

: The authors declare no competing interests.