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Article History

Received: 14 April 2025

Accepted: 9 October 2025

First Online: 21 November 2025

Declarations

:

: This study was conducted in compliance with the principles established in the Declaration of Helsinki and with the applicable legislation in Spain, in accordance with the provisions of Ministerial Order SAS/3479/2009 concerning the conduct of observational studies. The study design was approved by the Ethics Committee and the Research Unit ( Unidad de Investigación ) of of Hospital Universitario de Gran Canaria Doctor Negrín . The Ethics Committee reference number is 2018-230-1. Written informed consent was obtained from all participants, ensuring confidentiality and anonymized data processing.It is important to mention that, to conduct this study, a grant from Fundación Canaria Instituto de Investigación Sanitaria de Canarias (Foundation of the Health Research Institute of the Canary Islands) was received. For the publication of this paper, the authors have received additional funding from the Dirección General de Salud Mental y Adicciones del Servicio Canario de la Salud (Directorate General for Mental Health and Addictions of the Canary Health Service) and the Sociedad para la Investigación en Salud Mental Doctor Negrín (Society for Mental Health Research Doctor Negrín).

: Not applicable.

: The authors declare no competing interests.