{"id":"https://openalex.org/W7204083007","doi":"https://doi.org/10.1155/dth/3463004","title":"Neuropsychological and Psychiatric Outcomes During Isotretinoin Treatment in Adolescents With Acne Vulgaris: A Single\u2010Arm Prospective Cohort Study","display_name":"Neuropsychological and Psychiatric Outcomes During Isotretinoin Treatment in Adolescents With Acne Vulgaris: A Single\u2010Arm Prospective Cohort Study","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7204083007","doi":"https://doi.org/10.1155/dth/3463004"},"language":"en","primary_location":{"id":"doi:10.1155/dth/3463004","doi":"https://doi.org/10.1155/dth/3463004","is_oa":true,"landing_page_url":"https://doi.org/10.1155/dth/3463004","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/dth/3463004","source":{"id":"https://openalex.org/S67424211","display_name":"Dermatologic Therapy","issn_l":"1396-0296","issn":["1396-0296","1529-8019"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dermatologic Therapy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/dth/3463004","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5147987650","display_name":"Hansa Bet\u00fcl \u00d6z Geni\u015fo\u011flu","orcid":"https://orcid.org/0009-0004-4682-8580","observed_orcids":["https://orcid.org/0009-0004-4682-8580"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Hansa Bet\u00fcl \u00d6z Geni\u015fo\u011flu","raw_affiliation_strings":["Department of Child and Adolescent Psychiatry ,  Tuzla State Hospital ,  Istanbul ,  Tu\u0308rkiye"],"raw_orcid":"https://orcid.org/0009-0004-4682-8580","affiliations":[{"raw_affiliation_string":"Department of Child and Adolescent Psychiatry ,  Tuzla State Hospital ,  Istanbul ,  Tu\u0308rkiye","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045936400","display_name":"Buse Ak\u0131nc\u0131","orcid":"https://orcid.org/0000-0002-4340-5097","observed_orcids":["https://orcid.org/0000-0002-4340-5097"]},"institutions":[{"id":"https://openalex.org/I204585392","display_name":"Usak University","ror":"https://ror.org/05es91y67","country_code":"TR","type":"education","lineage":["https://openalex.org/I204585392"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Buse Ak\u0131nc\u0131","raw_affiliation_strings":["Department of Child and Adolescent Psychiatry ,  Us\u0327ak Training and Research Hospital ,  Us\u0327ak ,  Tu\u0308rkiye"],"raw_orcid":"https://orcid.org/0000-0002-4340-5097","affiliations":[{"raw_affiliation_string":"Department of Child and Adolescent Psychiatry ,  Us\u0327ak Training and Research Hospital ,  Us\u0327ak ,  Tu\u0308rkiye","institution_ids":["https://openalex.org/I204585392"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088162661","display_name":"Tuna Sezer","orcid":"https://orcid.org/0000-0002-6861-2869","observed_orcids":["https://orcid.org/0000-0002-6861-2869"]},"institutions":[{"id":"https://openalex.org/I76973811","display_name":"Bolu Abant \u0130zzet Baysal University","ror":"https://ror.org/01x1kqx83","country_code":"TR","type":"education","lineage":["https://openalex.org/I76973811"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Tuna Sezer","raw_affiliation_strings":["Department of Dermatology ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr"],"raw_orcid":"https://orcid.org/0000-0002-6861-2869","affiliations":[{"raw_affiliation_string":"Department of Dermatology ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr","institution_ids":["https://openalex.org/I76973811"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059226700","display_name":"Mualla Polat","orcid":"https://orcid.org/0000-0001-9226-5134","observed_orcids":["https://orcid.org/0000-0001-9226-5134"]},"institutions":[{"id":"https://openalex.org/I76973811","display_name":"Bolu Abant \u0130zzet Baysal University","ror":"https://ror.org/01x1kqx83","country_code":"TR","type":"education","lineage":["https://openalex.org/I76973811"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Mualla Polat","raw_affiliation_strings":["Department of Dermatology ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr"],"raw_orcid":"https://orcid.org/0000-0001-9226-5134","affiliations":[{"raw_affiliation_string":"Department of Dermatology ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr","institution_ids":["https://openalex.org/I76973811"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068662554","display_name":"Yasemin \u0130mrek","orcid":"https://orcid.org/0000-0002-7925-6783","observed_orcids":["https://orcid.org/0000-0002-7925-6783"]},"institutions":[{"id":"https://openalex.org/I76973811","display_name":"Bolu Abant \u0130zzet Baysal University","ror":"https://ror.org/01x1kqx83","country_code":"TR","type":"education","lineage":["https://openalex.org/I76973811"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Yasemin \u0130mrek","raw_affiliation_strings":["Department of Child and Adolescent Psychiatry ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr"],"raw_orcid":"https://orcid.org/0000-0002-7925-6783","affiliations":[{"raw_affiliation_string":"Department of Child and Adolescent Psychiatry ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr","institution_ids":["https://openalex.org/I76973811"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071726245","display_name":"Mesut Sar\u0131","orcid":"https://orcid.org/0000-0002-9433-1892","observed_orcids":["https://orcid.org/0000-0002-9433-1892"]},"institutions":[{"id":"https://openalex.org/I76973811","display_name":"Bolu Abant \u0130zzet Baysal University","ror":"https://ror.org/01x1kqx83","country_code":"TR","type":"education","lineage":["https://openalex.org/I76973811"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Mesut Sari","raw_affiliation_strings":["Department of Child and Adolescent Psychiatry ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr"],"raw_orcid":"https://orcid.org/0000-0002-9433-1892","affiliations":[{"raw_affiliation_string":"Department of Child and Adolescent Psychiatry ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr","institution_ids":["https://openalex.org/I76973811"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061382841","display_name":"Ali Evren Tufan","orcid":"https://orcid.org/0000-0001-5207-6240","observed_orcids":["https://orcid.org/0000-0001-5207-6240"]},"institutions":[{"id":"https://openalex.org/I76973811","display_name":"Bolu Abant \u0130zzet Baysal University","ror":"https://ror.org/01x1kqx83","country_code":"TR","type":"education","lineage":["https://openalex.org/I76973811"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Ali Evren Tufan","raw_affiliation_strings":["Department of Child and Adolescent Psychiatry ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr"],"raw_orcid":"https://orcid.org/0000-0001-5207-6240","affiliations":[{"raw_affiliation_string":"Department of Child and Adolescent Psychiatry ,  Faculty of Medicine ,  Bolu Abant Izzet Baysal University ,  Bolu ,  Tu\u0308rkiye , ibu.edu.tr","institution_ids":["https://openalex.org/I76973811"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5147987650"],"corresponding_institution_ids":[],"apc_list":{"value":2700,"currency":"USD","value_usd":2700},"apc_paid":{"value":2700,"currency":"USD","value_usd":2700},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2026","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11553","display_name":"Acne and Rosacea Treatments and Effects","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11553","display_name":"Acne and Rosacea Treatments and Effects","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10837","display_name":"Dermatology and Skin Diseases","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12663","display_name":"Body Image and Dysmorphia Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/isotretinoin","display_name":"isotretinoin","score":0.9909999966621399},{"id":"https://openalex.org/keywords/acne-vulgaris","display_name":"acne","score":0.9990000128746033},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.9639999866485596},{"id":"https://openalex.org/keywords/neuropsychological-outcomes","display_name":"neuropsychological outcomes","score":0.9729999899864197},{"id":"https://openalex.org/keywords/mental-health-outcomes","display_name":"mental health outcomes","score":0.9459999799728394},{"id":"https://openalex.org/keywords/internalizing-problems","display_name":"internalizing problems","score":0.8529999852180481},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.7009999752044678},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9990000128746033},{"id":"https://openalex.org/keywords/inflammatory-markers","display_name":"inflammatory markers","score":0.875},{"id":"https://openalex.org/keywords/neutrophil-to-lymphocyte-ratio","display_name":"neutrophil-to-lymphocyte ratio","score":0.8510000109672546},{"id":"https://openalex.org/keywords/platelet-to-lymphocyte-ratio","display_name":"platelet-to-lymphocyte ratio","score":0.9929999709129333},{"id":"https://openalex.org/keywords/treatment-resistant-acne","display_name":"treatment-resistant acne","score":0.5550000071525574},{"id":"https://openalex.org/keywords/acne-severity","display_name":"acne severity","score":0.5789999961853027}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8379999995231628},{"id":"https://openalex.org/C14216870","wikidata":"https://www.wikidata.org/wiki/Q3872","display_name":"Neuropsychology","level":3,"score":0.6413000226020813},{"id":"https://openalex.org/C172467417","wikidata":"https://www.wikidata.org/wiki/Q1670397","display_name":"Neurocognitive","level":3,"score":0.6150000095367432},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.6098999977111816},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5543000102043152},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.5350000262260437},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5101000070571899},{"id":"https://openalex.org/C2776285725","wikidata":"https://www.wikidata.org/wiki/Q287029","display_name":"Isotretinoin","level":3,"score":0.45410001277923584},{"id":"https://openalex.org/C162967406","wikidata":"https://www.wikidata.org/wiki/Q384176","display_name":"Stroop effect","level":3,"score":0.38690000772476196},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.36550000309944153},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.3495999872684479},{"id":"https://openalex.org/C113280763","wikidata":"https://www.wikidata.org/wiki/Q2326546","display_name":"Subclinical infection","level":2,"score":0.34360000491142273},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.31850001215934753},{"id":"https://openalex.org/C2777673923","wikidata":"https://www.wikidata.org/wiki/Q79928","display_name":"Acne","level":2,"score":0.31189998984336853},{"id":"https://openalex.org/C536788834","wikidata":"https://www.wikidata.org/wiki/Q7002588","display_name":"Neuropsychological assessment","level":4,"score":0.3066999912261963},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.2851000130176544},{"id":"https://openalex.org/C2776811091","wikidata":"https://www.wikidata.org/wiki/Q3818443","display_name":"Neuropsychological test","level":4,"score":0.2784000039100647},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.27250000834465027},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.26179999113082886},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.2606000006198883},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.2597000002861023},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.2565999925136566}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1155/dth/3463004","doi":"https://doi.org/10.1155/dth/3463004","is_oa":true,"landing_page_url":"https://doi.org/10.1155/dth/3463004","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/dth/3463004","source":{"id":"https://openalex.org/S67424211","display_name":"Dermatologic Therapy","issn_l":"1396-0296","issn":["1396-0296","1529-8019"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dermatologic Therapy","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:6a5a9fc9c1384af6b63b596f62d52c26","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6a5a9fc9c1384af6b63b596f62d52c26","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Dermatologic Therapy, Vol 2026, Iss 1, Pp n/a-n/a (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1155/dth/3463004","doi":"https://doi.org/10.1155/dth/3463004","is_oa":true,"landing_page_url":"https://doi.org/10.1155/dth/3463004","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/dth/3463004","source":{"id":"https://openalex.org/S67424211","display_name":"Dermatologic Therapy","issn_l":"1396-0296","issn":["1396-0296","1529-8019"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dermatologic Therapy","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204083007.pdf","grobid_xml":"https://content.openalex.org/works/W7204083007.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W1899965112","https://openalex.org/W1979154501","https://openalex.org/W1983302342","https://openalex.org/W1999031380","https://openalex.org/W2059796825","https://openalex.org/W2071599182","https://openalex.org/W2072500831","https://openalex.org/W2087484885","https://openalex.org/W2096547256","https://openalex.org/W2133939965","https://openalex.org/W2328865719","https://openalex.org/W2538623560","https://openalex.org/W2596173704","https://openalex.org/W2605376995","https://openalex.org/W2885929360","https://openalex.org/W2939981306","https://openalex.org/W2990670878","https://openalex.org/W2999538974","https://openalex.org/W3084100974","https://openalex.org/W3160388034","https://openalex.org/W3187741653","https://openalex.org/W3190491162","https://openalex.org/W3203602359","https://openalex.org/W3205456555","https://openalex.org/W4200539646","https://openalex.org/W4200556766","https://openalex.org/W4360852404","https://openalex.org/W4387233607","https://openalex.org/W4390143984","https://openalex.org/W4391339756","https://openalex.org/W4392965299","https://openalex.org/W4402549127","https://openalex.org/W4407958006","https://openalex.org/W4408695342","https://openalex.org/W4409369115","https://openalex.org/W4410615145"],"related_works":["https://openalex.org/W7221318540","https://openalex.org/W2939981306","https://openalex.org/W4392965299","https://openalex.org/W4398253134","https://openalex.org/W2151067845","https://openalex.org/W2356869389","https://openalex.org/W6902068386","https://openalex.org/W1996170893","https://openalex.org/W4211017933","https://openalex.org/W4383068277"],"abstract_inverted_index":{"Background":[0],"Acne":[1,153],"vulgaris":[2],"(AV)":[3],"is":[4,11,19],"a":[5,94,169],"common":[6],"condition":[7],"in":[8,46,75,168,172,183,199,219],"adolescents":[9,47,76,104,220],"and":[10,30,40,48,72,117,132,148,156,192,211],"associated":[12],"with":[13,53,77,108,221],"significant":[14,170,204],"psychosocial":[15],"burden.":[16],"Isotretinoin":[17],"(ISO)":[18],"highly":[20],"effective":[21],"for":[22],"AV,":[23],"but":[24,228],"concerns":[25],"remain":[26],"regarding":[27],"its":[28],"psychiatric":[29,41,58,71,214,241],"neurocognitive":[31],"effects.":[32],"This":[33],"study":[34,83],"aimed":[35,84],"to":[36,49,85,224,250],"evaluate":[37],"the":[38,57,133,140,200,237],"neuropsychological":[39,73,178,212],"outcomes":[42,74],"of":[43,60,121,177,239],"ISO":[44,61,91,122,165,217],"treatment":[45,92,166,218],"explore":[50],"their":[51],"associations":[52,205],"inflammatory":[54,157,209],"markers.":[55],"Although":[56],"effects":[59],"have":[62],"been":[63],"extensively":[64],"investigated,":[65],"comprehensive":[66],"prospective":[67,101],"studies":[68,247],"evaluating":[69],"both":[70],"AV":[78,112,222],"are":[79,248],"limited.":[80],"Therefore,":[81],"this":[82,100],"comprehensively":[86],"assess":[87],"these":[88,252],"domains":[89],"during":[90,196,232,243],"using":[93,128,139],"broad":[95],"assessment":[96],"battery.":[97],"Methods":[98],"In":[99],"study,":[102],"78":[103],"aged":[105],"13\u201318":[106],"years":[107],"severe":[109],"or":[110,213],"treatment\u2010resistant":[111],"were":[113,161,206],"assessed":[114,138],"at":[115],"baseline":[116],"after":[118],"3":[119],"months":[120],"treatment.":[123,233,244],"Psychiatric":[124],"status":[125],"was":[126,137,186],"evaluated":[127],"structured":[129],"interviews":[130],"(K\u2010SADS\u2010PL)":[131],"RCADS\u2010CV.":[134],"Neuropsychological":[135],"performance":[136],"Stroop":[141],"Color":[142],"Word":[143],"Test,":[144],"Visual\u2010Auditory":[145],"Digit":[146,149],"Span,":[147],"Span":[150],"Learning":[151],"Test.":[152],"severity":[154,174],"(GAGS)":[155],"markers":[158,210],"(NLR,":[159],"PLR)":[160],"also":[162],"measured.":[163],"Results":[164],"resulted":[167],"reduction":[171],"acne":[173],"without":[175],"evidence":[176],"decline.":[179],"A":[180],"modest":[181],"improvement":[182],"interference":[184],"control":[185],"observed.":[187],"Internalizing":[188],"symptoms,":[189,194],"particularly":[190],"depressive":[191],"anxiety":[193],"increased":[195,231],"treatment,":[197],"especially":[198],"imputed":[201],"analysis.":[202],"No":[203],"found":[207],"between":[208],"outcomes.":[215],"Conclusions":[216],"appears":[223],"be":[225],"neurocognitively":[226],"safe,":[227],"internalizing":[229],"symptoms":[230,242],"These":[234],"findings":[235],"highlight":[236],"importance":[238],"monitoring":[240],"Further":[245],"controlled":[246],"needed":[249],"confirm":[251],"results.":[253]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-08-25T00:00:00"}
