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Article History

Received: 12 June 2025

Accepted: 8 November 2025

First Online: 26 November 2025

Declarations

:

: This study was designed and carried out in adherence to the principles outlined in the Declaration of Helsinki and the European Data Protection Law. Ethical approval was granted by the Ethics Commission of the Hamburg Medical Chamber (No. 2020-10194-BO-ff). Written informed consent to participate in the study was obtained from all participants. Participants were assured of the strict confidentiality of their data and informed of their right to withdraw consent at any time without incurring adverse consequences. Recognizing the potentially sensitive nature of the interview content, it was ensured that telephone interviews were held only by the researcher and no one else present. In case of participants experiencing severe psychological distress during the interview, the Outpatients Clinic for Psychosomatic Medicine and Psychotherapy at the University Medical Center Hamburg-Eppendorf could be contacted by telephone. All data and quotations presented in publications are pseudonymized to protect participant identity.

: Not applicable.

: The authors declare no competing interests.