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Article History

Received: 28 March 2025

Accepted: 5 November 2025

First Online: 27 November 2025

Declarations

:

: Ethical approval for this study was obtained from the Ethical Review Committee (ERC) of Mettu University Department of Psychiatry. Informed written consent was obtained from each participant after providing a clear explanation of the study’s purpose and objectives. Participants were assured that their participation was voluntary and that they had the right to withdraw at any time without any negative consequences. Written informed consent was sought and obtained from their parents or guardian for adolescent girls under 18 years old.To ensure confidentiality, participants’ identities were kept anonymous, and personal information was treated with strict confidentiality throughout the study. All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

: Not applicable.

: The authors declare no competing interests.