{"id":"https://openalex.org/W7222944259","doi":"https://doi.org/10.1016/j.cpnec.2026.100386","title":"Does the use of hormonal contraceptives induce negative metacognitions, brooding, and depressive symptoms in an adolescent community sample?","display_name":"Does the use of hormonal contraceptives induce negative metacognitions, brooding, and depressive symptoms in an adolescent community sample?","publication_year":2026,"publication_date":"2026-10-19","ids":{"openalex":"https://openalex.org/W7222944259","doi":"https://doi.org/10.1016/j.cpnec.2026.100386","pmid":"https://pubmed.ncbi.nlm.nih.gov/42921161","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13692103"},"language":"en","primary_location":{"id":"doi:10.1016/j.cpnec.2026.100386","doi":"https://doi.org/10.1016/j.cpnec.2026.100386","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.cpnec.2026.100386","pdf_url":null,"source":{"id":"https://openalex.org/S4210212588","display_name":"Comprehensive Psychoneuroendocrinology","issn_l":"2666-4976","issn":["2666-4976"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Comprehensive Psychoneuroendocrinology","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://doi.org/10.1016/j.cpnec.2026.100386","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057253131","display_name":"Leif Edward Ottesen Kennair","orcid":"https://orcid.org/0000-0002-2713-7096","observed_orcids":["https://orcid.org/0000-0002-2713-7096"]},"institutions":[{"id":"https://openalex.org/I204778367","display_name":"Norwegian University of Science and Technology","ror":"https://ror.org/05xg72x27","country_code":"NO","type":"education","lineage":["https://openalex.org/I204778367"]}],"countries":["NO"],"is_corresponding":true,"raw_author_name":"Leif Edward Ottesen Kennair","raw_affiliation_strings":["Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway"],"raw_orcid":"https://orcid.org/0000-0002-2713-7096","affiliations":[{"raw_affiliation_string":"Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway","institution_ids":["https://openalex.org/I204778367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116562043","display_name":"Marius Stavang","orcid":"https://orcid.org/0009-0007-3819-6802","observed_orcids":["https://orcid.org/0009-0007-3819-6802"]},"institutions":[{"id":"https://openalex.org/I204778367","display_name":"Norwegian University of Science and Technology","ror":"https://ror.org/05xg72x27","country_code":"NO","type":"education","lineage":["https://openalex.org/I204778367"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Marius Stavang","raw_affiliation_strings":["Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway","institution_ids":["https://openalex.org/I204778367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018298279","display_name":"Ingrid Gr\u00f8nn\u00e6ss","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ingrid Gr\u00f8nn\u00e6ss","raw_affiliation_strings":["Barne- og familiesenteret (Children and Family Center), Holmestrand Municipality, Holmestrand, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barne- og familiesenteret (Children and Family Center), Holmestrand Municipality, Holmestrand, Norway","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159042388","display_name":"Helene Borgen Myhr","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204778367","display_name":"Norwegian University of Science and Technology","ror":"https://ror.org/05xg72x27","country_code":"NO","type":"education","lineage":["https://openalex.org/I204778367"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Helene Borgen Myhr","raw_affiliation_strings":["Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway","institution_ids":["https://openalex.org/I204778367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108022688","display_name":"Roger Hagen","orcid":"https://orcid.org/0000-0003-1824-6271","observed_orcids":["https://orcid.org/0000-0003-1824-6271"]},"institutions":[{"id":"https://openalex.org/I184942183","display_name":"University of Oslo","ror":"https://ror.org/01xtthb56","country_code":"NO","type":"education","lineage":["https://openalex.org/I184942183"]},{"id":"https://openalex.org/I204778367","display_name":"Norwegian University of Science and Technology","ror":"https://ror.org/05xg72x27","country_code":"NO","type":"education","lineage":["https://openalex.org/I204778367"]},{"id":"https://openalex.org/I4210124767","display_name":"Modum Bad \u2013 Gordon Johnsens stiftelse","ror":"https://ror.org/026nfkh32","country_code":"NO","type":"other","lineage":["https://openalex.org/I4210124767"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Roger Hagen","raw_affiliation_strings":["Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway","Department of Psychology, University of Oslo, Oslo, Norway","Research Institute, Modum Bad, Vikersund, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway","institution_ids":["https://openalex.org/I204778367"]},{"raw_affiliation_string":"Department of Psychology, University of Oslo, Oslo, Norway","institution_ids":["https://openalex.org/I184942183"]},{"raw_affiliation_string":"Research Institute, Modum Bad, Vikersund, Norway","institution_ids":["https://openalex.org/I4210124767"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059048403","display_name":"Trond Viggo Gr\u00f8ntvedt","orcid":"https://orcid.org/0000-0002-6601-5200","observed_orcids":["https://orcid.org/0000-0002-6601-5200"]},"institutions":[{"id":"https://openalex.org/I204778367","display_name":"Norwegian University of Science and Technology","ror":"https://ror.org/05xg72x27","country_code":"NO","type":"education","lineage":["https://openalex.org/I204778367"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Trond Viggo Gr\u00f8ntvedt","raw_affiliation_strings":["Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway","institution_ids":["https://openalex.org/I204778367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031652532","display_name":"Steven W. Gangestad","orcid":"https://orcid.org/0000-0002-8879-4348","observed_orcids":["https://orcid.org/0000-0002-8879-4348"]},"institutions":[{"id":"https://openalex.org/I169521973","display_name":"University of New Mexico","ror":"https://ror.org/05fs6jp91","country_code":"US","type":"education","lineage":["https://openalex.org/I169521973"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven W. Gangestad","raw_affiliation_strings":["Department of Psychology, University of New Mexico, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, University of New Mexico, USA","institution_ids":["https://openalex.org/I169521973"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062341000","display_name":"Mons Bendixen","orcid":"https://orcid.org/0000-0002-5064-6956","observed_orcids":["https://orcid.org/0000-0002-5064-6956"]},"institutions":[{"id":"https://openalex.org/I204778367","display_name":"Norwegian University of Science and Technology","ror":"https://ror.org/05xg72x27","country_code":"NO","type":"education","lineage":["https://openalex.org/I204778367"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Mons Bendixen","raw_affiliation_strings":["Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway"],"raw_orcid":"https://orcid.org/0000-0002-5064-6956","affiliations":[{"raw_affiliation_string":"Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway","institution_ids":["https://openalex.org/I204778367"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5057253131"],"corresponding_institution_ids":["https://openalex.org/I204778367"],"apc_list":{"value":2180,"currency":"USD","value_usd":2180},"apc_paid":{"value":2180,"currency":"USD","value_usd":2180},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.81302331,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"28","issue":null,"first_page":"100386","last_page":"100386"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.9028000235557556,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10600","display_name":"Reproductive Health and Contraception","score":0.9028000235557556,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10853","display_name":"Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes","score":0.03720000013709068,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive 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/T10694","display_name":"Menopause: Health Impacts and Treatments","score":0.005400000140070915,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hormonal-contraception","display_name":"hormonal contraception","score":0.8880000114440918},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.9089999794960022},{"id":"https://openalex.org/keywords/brooding","display_name":"brooding","score":0.7480000257492065},{"id":"https://openalex.org/keywords/rumination","display_name":"rumination","score":0.9760000109672546},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.6340000033378601},{"id":"https://openalex.org/keywords/young-women","display_name":"young women","score":0.9179999828338623},{"id":"https://openalex.org/keywords/estradiol","display_name":"estradiol","score":0.9539999961853027},{"id":"https://openalex.org/keywords/progestins","display_name":"progestins","score":0.9829999804496765},{"id":"https://openalex.org/keywords/androgens","display_name":"androgens","score":0.9959999918937683},{"id":"https://openalex.org/keywords/relationship-status","display_name":"relationship status","score":0.6949999928474426},{"id":"https://openalex.org/keywords/age","display_name":"age","score":0.3370000123977661}],"concepts":[{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.6273999810218811},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.6212999820709229},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5899999737739563},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.5354999899864197},{"id":"https://openalex.org/C2776172332","wikidata":"https://www.wikidata.org/wiki/Q7292449","display_name":"Hormonal contraception","level":5,"score":0.49900001287460327},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.4092000126838684},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.40700000524520874},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.39320001006126404},{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.37720000743865967},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.37299999594688416},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.3582000136375427},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.353300005197525},{"id":"https://openalex.org/C162156334","wikidata":"https://www.wikidata.org/wiki/Q473420","display_name":"Dose","level":2,"score":0.33980000019073486},{"id":"https://openalex.org/C77350462","wikidata":"https://www.wikidata.org/wiki/Q1125472","display_name":"Confounding","level":2,"score":0.33880001306533813},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.31439998745918274},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.27709999680519104},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.2718999981880188},{"id":"https://openalex.org/C2776060345","wikidata":"https://www.wikidata.org/wiki/Q1411912","display_name":"Rumination","level":3,"score":0.267300009727478}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.cpnec.2026.100386","doi":"https://doi.org/10.1016/j.cpnec.2026.100386","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.cpnec.2026.100386","pdf_url":null,"source":{"id":"https://openalex.org/S4210212588","display_name":"Comprehensive Psychoneuroendocrinology","issn_l":"2666-4976","issn":["2666-4976"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Comprehensive Psychoneuroendocrinology","raw_type":"journal-article"},{"id":"pmid:42921161","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42921161","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":"Comprehensive psychoneuroendocrinology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13692103","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13692103/","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":"Compr Psychoneuroendocrinol","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:276ce70f155e4911bba7eef72f76ffb9","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/276ce70f155e4911bba7eef72f76ffb9","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":"Comprehensive Psychoneuroendocrinology, Vol 28, Iss , Pp 100386- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.cpnec.2026.100386","doi":"https://doi.org/10.1016/j.cpnec.2026.100386","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.cpnec.2026.100386","pdf_url":null,"source":{"id":"https://openalex.org/S4210212588","display_name":"Comprehensive Psychoneuroendocrinology","issn_l":"2666-4976","issn":["2666-4976"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Comprehensive Psychoneuroendocrinology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":40,"referenced_works":["https://openalex.org/W180781522","https://openalex.org/W1967581438","https://openalex.org/W1972735769","https://openalex.org/W1987266621","https://openalex.org/W2000195101","https://openalex.org/W2004190382","https://openalex.org/W2019175546","https://openalex.org/W2024283120","https://openalex.org/W2040053981","https://openalex.org/W2040115686","https://openalex.org/W2061773293","https://openalex.org/W2062687148","https://openalex.org/W2071659090","https://openalex.org/W2072833030","https://openalex.org/W2081759867","https://openalex.org/W2085781345","https://openalex.org/W2088496024","https://openalex.org/W2093246569","https://openalex.org/W2138196253","https://openalex.org/W2144054544","https://openalex.org/W2158598050","https://openalex.org/W2158752703","https://openalex.org/W2163649785","https://openalex.org/W2168522614","https://openalex.org/W2174766270","https://openalex.org/W2418658227","https://openalex.org/W2514601392","https://openalex.org/W2548659984","https://openalex.org/W2794152168","https://openalex.org/W2961280093","https://openalex.org/W3036079636","https://openalex.org/W3106341709","https://openalex.org/W3111564527","https://openalex.org/W3160087331","https://openalex.org/W3178460120","https://openalex.org/W3203726726","https://openalex.org/W4200074220","https://openalex.org/W4214665859","https://openalex.org/W4387077802","https://openalex.org/W4413684503"],"related_works":["https://openalex.org/W7100304844","https://openalex.org/W2168522614","https://openalex.org/W4241821103","https://openalex.org/W3131942994","https://openalex.org/W4385659932","https://openalex.org/W4229713424","https://openalex.org/W4402685413","https://openalex.org/W4414180434","https://openalex.org/W2606715855","https://openalex.org/W4391433620"],"abstract_inverted_index":{"In":[0],"western":[1],"countries":[2],"women":[3,30,103],"are":[4,78,150],"much":[5],"more":[6,174],"likely":[7],"to":[8,40],"suffer":[9],"from":[10],"depression":[11,26],"than":[12,179],"men":[13],"are.":[14],"Some":[15],"reports":[16],"have":[17],"suggested":[18],"that":[19,166],"there":[20],"is":[21,67],"an":[22,37,161],"increased":[23],"risk":[24],"of":[25,45,55,100,120,131,137,154,160,173,183],"diagnoses":[27],"in":[28,50,65,96,152],"young":[29,102],"who":[31],"start":[32],"using":[33],"hormonal":[34,56,62,76,121,133],"contraception.":[35],"Using":[36],"established":[38],"approach":[39],"quantifying":[41],"levels":[42],"effective":[43],"dosages":[44,134],"estradiol,":[46],"progestins,":[47],"and":[48,53,72,91,112,163],"androgens":[49],"specific":[51,132],"brands":[52],"types":[54],"contraception,":[57],"we":[58],"address":[59],"a)":[60],"whether":[61],"contraception":[63,122],"use":[64],"general":[66],"associated":[68,79],"with":[69,80,85,110],"depressive":[70,81,124,142],"symptoms,":[71,143],"b)":[73],"which":[74],"contraceptive":[75],"effects":[77,130,182],"symptoms":[82],"as":[83],"measured":[84],"the":[86,138,164],"Beck":[87],"Depression":[88],"Inventory,":[89],"brooding":[90,144],"negative":[92,146],"metacognitions":[93],"about":[94],"rumination":[95],"a":[97],"community":[98],"sample":[99],"757":[101],"(age":[104],"16-19).":[105],"We":[106,115,126],"also":[107],"consider":[108],"associations":[109],"age":[111],"relationship":[113],"status.":[114],"detected":[116,128],"no":[117,129],"overall":[118],"effect":[119],"on":[123,135],"symptoms.":[125],"furthermore":[127],"any":[136],"three":[139],"outcome":[140],"measures":[141],"or":[145],"metacognitions.":[147],"The":[148],"results":[149],"discussed":[151],"light":[153],"previous":[155],"robust":[156,180],"but":[157],"limited":[158],"findings":[159],"association":[162],"possibility":[165],"health":[167,175],"care":[168,176],"system":[169],"contact":[170],"increases":[171],"likelihood":[172],"services,":[177],"rather":[178],"causal":[181],"hormones.":[184]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-20T00:00:00"}