{"id":"https://openalex.org/W7220897799","doi":"https://doi.org/10.3389/fpsyg.2026.1939936","title":"Psychometric properties of the Childhood Trauma Questionnaire\u2013Short Form (CTQ-SF) in adolescents from the Peruvian Amazon","display_name":"Psychometric properties of the Childhood Trauma Questionnaire\u2013Short Form (CTQ-SF) in adolescents from the Peruvian Amazon","publication_year":2026,"publication_date":"2026-10-08","ids":{"openalex":"https://openalex.org/W7220897799","doi":"https://doi.org/10.3389/fpsyg.2026.1939936","pmid":"https://pubmed.ncbi.nlm.nih.gov/42923025","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13686878"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyg.2026.1939936","doi":"https://doi.org/10.3389/fpsyg.2026.1939936","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1939936","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1939936/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1939936/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157913375","display_name":"Marita Mily Paz-Vilchez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210140760","display_name":"Universidad Peruana Uni\u00f3n","ror":"https://ror.org/042gckq23","country_code":"PE","type":"education","lineage":["https://openalex.org/I4210140760"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Marita Mily Paz-Vilchez","raw_affiliation_strings":["Postgraduate Unit of Psychology, Universidad Peruana Uni\u00f3n"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Postgraduate Unit of Psychology, Universidad Peruana Uni\u00f3n","institution_ids":["https://openalex.org/I4210140760"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157891434","display_name":"Yosmeli Moreno-Acosta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210140760","display_name":"Universidad Peruana Uni\u00f3n","ror":"https://ror.org/042gckq23","country_code":"PE","type":"education","lineage":["https://openalex.org/I4210140760"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Yosmeli Moreno-Acosta","raw_affiliation_strings":["Postgraduate Unit of Psychology, Universidad Peruana Uni\u00f3n"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Postgraduate Unit of Psychology, Universidad Peruana Uni\u00f3n","institution_ids":["https://openalex.org/I4210140760"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034964662","display_name":"Julio Cjuno","orcid":"https://orcid.org/0000-0001-6732-0381","observed_orcids":["https://orcid.org/0000-0001-6732-0381"]},"institutions":[{"id":"https://openalex.org/I4210140760","display_name":"Universidad Peruana Uni\u00f3n","ror":"https://ror.org/042gckq23","country_code":"PE","type":"education","lineage":["https://openalex.org/I4210140760"]}],"countries":["PE"],"is_corresponding":false,"raw_author_name":"Julio Cjuno","raw_affiliation_strings":["Postgraduate Unit of Psychology, Universidad Peruana Uni\u00f3n"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Postgraduate Unit of Psychology, Universidad Peruana Uni\u00f3n","institution_ids":["https://openalex.org/I4210140760"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5133001798","display_name":"Jhordan Jhonny Mayta Llanos","orcid":"https://orcid.org/0000-0003-3033-2455","observed_orcids":["https://orcid.org/0000-0003-3033-2455"]},"institutions":[{"id":"https://openalex.org/I4210140760","display_name":"Universidad Peruana Uni\u00f3n","ror":"https://ror.org/042gckq23","country_code":"PE","type":"education","lineage":["https://openalex.org/I4210140760"]}],"countries":["PE"],"is_corresponding":true,"raw_author_name":"Jhordan Mayta-Llanos","raw_affiliation_strings":["Professional School of Psychology, Universidad Peruana Uni\u00f3n"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professional School of Psychology, Universidad Peruana Uni\u00f3n","institution_ids":["https://openalex.org/I4210140760"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5133001798"],"corresponding_institution_ids":["https://openalex.org/I4210140760"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77587911,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1939936","last_page":"1939936"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10426","display_name":"Child Abuse and Trauma","score":0.9955999851226807,"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"}},"topics":[{"id":"https://openalex.org/T10426","display_name":"Child Abuse and Trauma","score":0.9955999851226807,"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"}},{"id":"https://openalex.org/T10467","display_name":"Psychometric Methodologies and Testing","score":0.0024999999441206455,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":0.0003000000142492354,"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/childhood-trauma-questionnaire-short-form","display_name":"Childhood Trauma Questionnaire-Short Form","score":0.972000002861023},{"id":"https://openalex.org/keywords/childhood-trauma","display_name":"childhood trauma","score":0.9760000109672546},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.9079999923706055},{"id":"https://openalex.org/keywords/psychometric-validation","display_name":"psychometric validation","score":0.7490000128746033},{"id":"https://openalex.org/keywords/factor-structure","display_name":"factor structure","score":0.7919999957084656},{"id":"https://openalex.org/keywords/sexual-abuse","display_name":"sexual abuse","score":0.8130000233650208},{"id":"https://openalex.org/keywords/family-neglect","display_name":"family neglect","score":0.6389999985694885},{"id":"https://openalex.org/keywords/perceived-family-support","display_name":"perceived family support","score":0.9319999814033508},{"id":"https://openalex.org/keywords/measurement-invariance","display_name":"measurement invariance","score":0.8939999938011169},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.8220000267028809},{"id":"https://openalex.org/keywords/peruvian-amazon","display_name":"Peruvian Amazon","score":0.921999990940094}],"concepts":[{"id":"https://openalex.org/C120107772","wikidata":"https://www.wikidata.org/wiki/Q168554","display_name":"Discriminant validity","level":4,"score":0.7975000143051147},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7875000238418579},{"id":"https://openalex.org/C1589151","wikidata":"https://www.wikidata.org/wiki/Q6804207","display_name":"Measurement invariance","level":4,"score":0.6460000276565552},{"id":"https://openalex.org/C2992354236","wikidata":"https://www.wikidata.org/wiki/Q43414","display_name":"Sexual abuse","level":4,"score":0.525600016117096},{"id":"https://openalex.org/C40722632","wikidata":"https://www.wikidata.org/wiki/Q5160137","display_name":"Confirmatory factor analysis","level":3,"score":0.5238000154495239},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4991999864578247},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.4869000017642975},{"id":"https://openalex.org/C49453240","wikidata":"https://www.wikidata.org/wiki/Q1592163","display_name":"Construct validity","level":3,"score":0.4645000100135803},{"id":"https://openalex.org/C121244757","wikidata":"https://www.wikidata.org/wiki/Q1783487","display_name":"Convergent validity","level":4,"score":0.4571000039577484},{"id":"https://openalex.org/C101595628","wikidata":"https://www.wikidata.org/wiki/Q7552788","display_name":"Socioemotional selectivity theory","level":2,"score":0.4555000066757202},{"id":"https://openalex.org/C171606756","wikidata":"https://www.wikidata.org/wiki/Q506132","display_name":"Psychometrics","level":2,"score":0.4122999906539917},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.391400009393692},{"id":"https://openalex.org/C165957694","wikidata":"https://www.wikidata.org/wiki/Q5421350","display_name":"Exploratory factor analysis","level":3,"score":0.38830000162124634},{"id":"https://openalex.org/C71104824","wikidata":"https://www.wikidata.org/wiki/Q1476639","display_name":"Structural equation modeling","level":2,"score":0.3882000148296356},{"id":"https://openalex.org/C3018868096","wikidata":"https://www.wikidata.org/wiki/Q2693233","display_name":"Internal consistency","level":3,"score":0.3716999888420105},{"id":"https://openalex.org/C2993946119","wikidata":"https://www.wikidata.org/wiki/Q167191","display_name":"Child abuse","level":4,"score":0.3400999903678894},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3260999917984009},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.3151000142097473},{"id":"https://openalex.org/C182050348","wikidata":"https://www.wikidata.org/wiki/Q5186576","display_name":"Criterion validity","level":4,"score":0.3037000000476837},{"id":"https://openalex.org/C116211729","wikidata":"https://www.wikidata.org/wiki/Q5372350","display_name":"Test validity","level":3,"score":0.2892000079154968},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.27799999713897705},{"id":"https://openalex.org/C2780416715","wikidata":"https://www.wikidata.org/wiki/Q2827132","display_name":"Physical abuse","level":5,"score":0.2761000096797943},{"id":"https://openalex.org/C174106493","wikidata":"https://www.wikidata.org/wiki/Q1057880","display_name":"External validity","level":2,"score":0.2596000134944916},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.25760000944137573}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fpsyg.2026.1939936","doi":"https://doi.org/10.3389/fpsyg.2026.1939936","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1939936","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1939936/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},{"id":"pmid:42923025","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42923025","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in psychology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13686878","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13686878/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Psychol","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:458b5db1cfcb4ece92f07cb507363dfb","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/458b5db1cfcb4ece92f07cb507363dfb","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":"Frontiers in Psychology, Vol 17 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpsyg.2026.1939936","doi":"https://doi.org/10.3389/fpsyg.2026.1939936","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1939936","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1939936/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Psychology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220897799.pdf","grobid_xml":"https://content.openalex.org/works/W7220897799.grobid-xml"},"referenced_works_count":46,"referenced_works":["https://openalex.org/W1154807952","https://openalex.org/W1819467863","https://openalex.org/W1826521770","https://openalex.org/W1913957972","https://openalex.org/W1971410477","https://openalex.org/W1973225155","https://openalex.org/W1982475016","https://openalex.org/W1993760488","https://openalex.org/W1994950269","https://openalex.org/W1997029803","https://openalex.org/W2005532382","https://openalex.org/W2020417834","https://openalex.org/W2035639136","https://openalex.org/W2048717541","https://openalex.org/W2056864356","https://openalex.org/W2063085086","https://openalex.org/W2070760561","https://openalex.org/W2078870036","https://openalex.org/W2088477804","https://openalex.org/W2089871805","https://openalex.org/W2105846236","https://openalex.org/W2120890618","https://openalex.org/W2144918153","https://openalex.org/W2146456356","https://openalex.org/W2156702515","https://openalex.org/W2463350095","https://openalex.org/W2469775770","https://openalex.org/W2947052479","https://openalex.org/W3001242601","https://openalex.org/W3036764878","https://openalex.org/W3046700073","https://openalex.org/W3134697231","https://openalex.org/W3193170558","https://openalex.org/W4235678817","https://openalex.org/W4296750676","https://openalex.org/W4315619289","https://openalex.org/W4318457133","https://openalex.org/W4320073346","https://openalex.org/W4322217129","https://openalex.org/W4362716185","https://openalex.org/W4388745611","https://openalex.org/W4390049400","https://openalex.org/W4392352961","https://openalex.org/W4400460908","https://openalex.org/W4400732056","https://openalex.org/W4408901246"],"related_works":["https://openalex.org/W7169196961","https://openalex.org/W4408346389","https://openalex.org/W4376646991","https://openalex.org/W4322217129","https://openalex.org/W4223492233","https://openalex.org/W2921899189","https://openalex.org/W4220976803","https://openalex.org/W2002892646","https://openalex.org/W2048717541","https://openalex.org/W7097912566"],"abstract_inverted_index":{"Childhood":[0,36],"trauma":[1],"is":[2,221],"a":[3,123,225,230],"significant":[4],"public":[5,66],"health":[6],"problem":[7],"owing":[8],"to":[9,27,247,256],"its":[10,240,250],"effects":[11],"on":[12],"the":[13,31,35,44,70,218],"socioemotional":[14],"development":[15],"of":[16,34,80,128,181],"adolescents,":[17],"which":[18],"calls":[19],"for":[20,84,166,179,193],"validated":[21],"assessment":[22],"instruments.":[23],"This":[24],"study":[25,50],"aimed":[26],"adapt":[28],"and":[29,87,94,97,134,152,158,169,175,177,243,258],"examine":[30],"psychometric":[32],"properties":[33],"Trauma":[37],"Questionnaire\u2013Short":[38],"Form":[39],"(CTQ-SF)":[40],"in":[41,69],"adolescents":[42,55],"from":[43,65],"Peruvian":[45,219],"Amazon.":[46],"An":[47],"instrumental,":[48],"cross-sectional":[49],"was":[51,164,191,205],"conducted":[52],"with":[53,117],"878":[54],"aged":[56],"12\u201317":[57],"years":[58],"(M":[59],"=":[60,63,141,144,147,150,160,173,186,198],"14.0;":[61],"SD":[62],"1.46)":[64],"secondary":[67],"schools":[68],"San":[71],"Mart\u00edn":[72],"Region,":[73],"Peru,":[74],"randomly":[75],"divided":[76],"into":[77],"two":[78],"subsamples":[79],"439":[81],"participants":[82],"each":[83],"exploratory":[85],"(EFA)":[86],"confirmatory":[88],"factor":[89,195],"analysis":[90],"(CFA);":[91],"reliability,":[92],"convergent":[93],"discriminant":[95,189],"validity,":[96],"measurement":[98],"invariance":[99,202],"across":[100,203],"sex":[101,204],"were":[102],"also":[103,206],"examined.":[104],"The":[105],"original":[106],"five-factor":[107],"model":[108],"did":[109],"not":[110],"show":[111],"adequate":[112,138,165],"performance.":[113],"After":[114],"removing":[115],"items":[116],"weak":[118],"loadings":[119],"or":[120],"redundant":[121],"content,":[122],"three-factor,":[124],"18-item":[125],"structure":[126],"emerged\u2014lack":[127],"perceived":[129,182],"family":[130,183],"support/neglect,":[131],"sexual":[132,167],"abuse,":[133],"physical\u2013emotional":[135,170],"abuse\u2014which":[136],"showed":[137],"fit":[139],"(CFI":[140],"0.958;":[142],"TLI":[143],"0.951;":[145],"RMSEA":[146],"0.051;":[148],"SRMR":[149],"0.067)":[151],"satisfactory":[153],"internal":[154],"consistency":[155],"(ordinal":[156],"\u03b1":[157],"\u03c9":[159],"0.76\u20130.95).":[161],"Convergent":[162],"validity":[163,190,245],"abuse":[168,171],"(AVE":[172,185],"0.81":[174],"0.50)":[176],"borderline":[178],"lack":[180],"support/neglect":[184],"0.42),":[187],"whereas":[188],"supported":[192],"all":[194],"pairs":[196],"(HTMT":[197],"0.262\u20130.626).":[199],"Full":[200],"scalar":[201],"established":[207],"(\u0394CFI":[208],"\u2264":[209,212],"0.002;":[210],"\u0394RMSEA":[211],"0.003).":[213],"These":[214],"findings":[215],"indicate":[216],"that":[217,233],"CTQ-SF":[220],"better":[222],"represented":[223],"by":[224],"three-factor":[226],"correlated":[227],"structure,":[228],"yielding":[229],"brief":[231],"version":[232],"allows":[234],"comparisons":[235],"between":[236],"sexes;":[237],"nevertheless,":[238],"because":[239],"temporal":[241],"stability":[242],"external":[244],"remain":[246],"be":[248,254],"examined,":[249],"use":[251],"should":[252],"currently":[253],"restricted":[255],"research":[257],"preliminary":[259],"screening":[260],"purposes.":[261]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-10-09T00:00:00"}