{"id":"https://openalex.org/W7224445448","doi":"https://doi.org/10.1093/schbul/sbag085","title":"Long-Term Course of Loneliness in Psychotic Disorders","display_name":"Long-Term Course of Loneliness in Psychotic Disorders","publication_year":2026,"publication_date":"2026-05-01","ids":{"openalex":"https://openalex.org/W7224445448","doi":"https://doi.org/10.1093/schbul/sbag085","pmid":"https://pubmed.ncbi.nlm.nih.gov/42951683","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13716496"},"language":"en","primary_location":{"id":"doi:10.1093/schbul/sbag085","doi":"https://doi.org/10.1093/schbul/sbag085","is_oa":false,"landing_page_url":"https://doi.org/10.1093/schbul/sbag085","pdf_url":null,"source":{"id":"https://openalex.org/S117485531","display_name":"Schizophrenia Bulletin","issn_l":"0586-7614","issn":["0586-7614","1745-1701","1745-1707"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Schizophrenia Bulletin","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716496/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014231445","display_name":"Colin D. Freilich","orcid":"https://orcid.org/0000-0002-6183-7520","observed_orcids":["https://orcid.org/0000-0002-6183-7520"]},"institutions":[{"id":"https://openalex.org/I59553526","display_name":"Stony Brook University","ror":"https://ror.org/05qghxh33","country_code":"US","type":"education","lineage":["https://openalex.org/I59553526"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Colin D Freilich","raw_affiliation_strings":["Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,"],"raw_orcid":"https://orcid.org/0000-0002-6183-7520","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,","institution_ids":["https://openalex.org/I59553526"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016894276","display_name":"Katherine Grace Jonas","orcid":"https://orcid.org/0000-0002-1910-223X","observed_orcids":["https://orcid.org/0000-0002-1910-223X"]},"institutions":[{"id":"https://openalex.org/I59553526","display_name":"Stony Brook University","ror":"https://ror.org/05qghxh33","country_code":"US","type":"education","lineage":["https://openalex.org/I59553526"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katherine G Jonas","raw_affiliation_strings":["Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,"],"raw_orcid":"https://orcid.org/0000-0002-1910-223X","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,","institution_ids":["https://openalex.org/I59553526"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034862094","display_name":"Sean Clouston","orcid":"https://orcid.org/0000-0002-6124-0329","observed_orcids":["https://orcid.org/0000-0002-6124-0329"]},"institutions":[{"id":"https://openalex.org/I59553526","display_name":"Stony Brook University","ror":"https://ror.org/05qghxh33","country_code":"US","type":"education","lineage":["https://openalex.org/I59553526"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sean A P Clouston","raw_affiliation_strings":["Department of Family, Population, and Preventive Medicine/Program in Public Health , Stony Brook University, Stony Brook, NY 11794 ,"],"raw_orcid":"https://orcid.org/0000-0002-6124-0329","affiliations":[{"raw_affiliation_string":"Department of Family, Population, and Preventive Medicine/Program in Public Health , Stony Brook University, Stony Brook, NY 11794 ,","institution_ids":["https://openalex.org/I59553526"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011309891","display_name":"Evelyn J. Bromet","orcid":"https://orcid.org/0000-0002-2648-5793","observed_orcids":["https://orcid.org/0000-0002-2648-5793"]},"institutions":[{"id":"https://openalex.org/I59553526","display_name":"Stony Brook University","ror":"https://ror.org/05qghxh33","country_code":"US","type":"education","lineage":["https://openalex.org/I59553526"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Evelyn J Bromet","raw_affiliation_strings":["Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,","institution_ids":["https://openalex.org/I59553526"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074056978","display_name":"Roman Kotov","orcid":"https://orcid.org/0000-0001-9569-8381","observed_orcids":["https://orcid.org/0000-0001-9569-8381"]},"institutions":[{"id":"https://openalex.org/I59553526","display_name":"Stony Brook University","ror":"https://ror.org/05qghxh33","country_code":"US","type":"education","lineage":["https://openalex.org/I59553526"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roman Kotov","raw_affiliation_strings":["Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,"],"raw_orcid":"https://orcid.org/0000-0001-9569-8381","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Stony Brook University , Stony Brook, NY 11794 ,","institution_ids":["https://openalex.org/I59553526"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I59553526"],"apc_list":{"value":4981,"currency":"USD","value_usd":4981},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83569292,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"52","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental 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/T10023","display_name":"Schizophrenia research and treatment","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental 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/T10235","display_name":"Health disparities and outcomes","score":0.005100000184029341,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12844","display_name":"Psychology and Mental Health","score":0.00139999995008111,"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/loneliness","display_name":"loneliness","score":0.996999979019165},{"id":"https://openalex.org/keywords/psychosis","display_name":"psychosis","score":0.9039999842643738}],"concepts":[{"id":"https://openalex.org/C2779998236","wikidata":"https://www.wikidata.org/wiki/Q223270","display_name":"Loneliness","level":2,"score":0.9872000217437744},{"id":"https://openalex.org/C2779727114","wikidata":"https://www.wikidata.org/wiki/Q170082","display_name":"Psychosis","level":2,"score":0.5548999905586243},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5396999716758728},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.49869999289512634},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4927999973297119},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.47769999504089355},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.46140000224113464},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4498000144958496},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4332999885082245},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.43149998784065247},{"id":"https://openalex.org/C2776412080","wikidata":"https://www.wikidata.org/wiki/Q7431605","display_name":"Schizophrenia (object-oriented programming)","level":2,"score":0.4018000066280365},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3763999938964844},{"id":"https://openalex.org/C2776893239","wikidata":"https://www.wikidata.org/wiki/Q1778765","display_name":"Social isolation","level":2,"score":0.3199999928474426},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.28630000352859497},{"id":"https://openalex.org/C2779522443","wikidata":"https://www.wikidata.org/wiki/Q17118151","display_name":"UCLA Loneliness Scale","level":3,"score":0.28610000014305115}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008132","descriptor_name":"Loneliness","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008137","descriptor_name":"Longitudinal Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011618","descriptor_name":"Psychotic Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D011618","descriptor_name":"Psychotic Disorders","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D011618","descriptor_name":"Psychotic Disorders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D012559","descriptor_name":"Schizophrenia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D012559","descriptor_name":"Schizophrenia","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018450","descriptor_name":"Disease Progression","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/schbul/sbag085","doi":"https://doi.org/10.1093/schbul/sbag085","is_oa":false,"landing_page_url":"https://doi.org/10.1093/schbul/sbag085","pdf_url":null,"source":{"id":"https://openalex.org/S117485531","display_name":"Schizophrenia Bulletin","issn_l":"0586-7614","issn":["0586-7614","1745-1701","1745-1707"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Schizophrenia Bulletin","raw_type":"journal-article"},{"id":"pmid:42951683","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42951683","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":"Schizophrenia bulletin","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13716496","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716496/","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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Schizophr Bull","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13716496","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716496/","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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Schizophr Bull","raw_type":"Text"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G1963184129","display_name":"The Epidemiology of Newly Diagnosed Psychotic Disorders","funder_award_id":"R01MH044801","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G3873465957","display_name":"Trajectories of recovery from psychosis over two decades","funder_award_id":"R01MH094398","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G5077907183","display_name":"Trajectories of Aging in Psychotic Disorders Over 27 Years","funder_award_id":"R01MH110434","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G9000877947","display_name":"Trajectories and Determinants of Cognitive Decline in Psychotic Disorders Over 35 Years","funder_award_id":"R01MH135119","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":57,"referenced_works":["https://openalex.org/W1900061083","https://openalex.org/W1966460145","https://openalex.org/W1984202485","https://openalex.org/W2005115622","https://openalex.org/W2071589850","https://openalex.org/W2105405281","https://openalex.org/W2129672652","https://openalex.org/W2145372395","https://openalex.org/W2147342359","https://openalex.org/W2149639459","https://openalex.org/W2160113650","https://openalex.org/W2160788840","https://openalex.org/W2162420979","https://openalex.org/W2164534384","https://openalex.org/W2168289525","https://openalex.org/W2168334411","https://openalex.org/W2336497595","https://openalex.org/W2342843981","https://openalex.org/W2346521627","https://openalex.org/W2469775770","https://openalex.org/W2553203304","https://openalex.org/W2567083674","https://openalex.org/W2570888539","https://openalex.org/W2599899556","https://openalex.org/W2742259940","https://openalex.org/W2763058017","https://openalex.org/W2765240587","https://openalex.org/W2783109045","https://openalex.org/W2792419385","https://openalex.org/W2952367993","https://openalex.org/W2963446739","https://openalex.org/W2967430247","https://openalex.org/W3017163010","https://openalex.org/W3032643348","https://openalex.org/W3042814211","https://openalex.org/W3048871573","https://openalex.org/W3101465807","https://openalex.org/W3106297590","https://openalex.org/W3106576153","https://openalex.org/W3113077863","https://openalex.org/W3153999239","https://openalex.org/W4205384593","https://openalex.org/W4206737279","https://openalex.org/W4211106541","https://openalex.org/W4283029866","https://openalex.org/W4293710122","https://openalex.org/W4360866695","https://openalex.org/W4391138924","https://openalex.org/W4395466368","https://openalex.org/W4399568367","https://openalex.org/W4400874682","https://openalex.org/W4401969531","https://openalex.org/W4406455634","https://openalex.org/W4406605585","https://openalex.org/W4410941654","https://openalex.org/W4412345263","https://openalex.org/W4415476475"],"related_works":["https://openalex.org/W4400874682","https://openalex.org/W7128544824","https://openalex.org/W7124445303","https://openalex.org/W3003456734","https://openalex.org/W1900061083","https://openalex.org/W4200351344","https://openalex.org/W1569678496","https://openalex.org/W2981011658","https://openalex.org/W4395466368","https://openalex.org/W2490166899"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1],"HYPOTHESIS:":[2],"Among":[3],"individuals":[4,173,246,251],"with":[5,13,45,78,106,125,175,247,252],"psychotic":[6,255],"disorders,":[7],"loneliness":[8,34,53,105,184,216,236],"is":[9,40],"prevalent,":[10],"cross-sectionally":[11],"associated":[12],"symptom":[14,269],"severity,":[15],"and":[16,75,108,171,185,200,249,264,271],"frequently":[17],"reported":[18],"to":[19,27,101,135,178,229],"be":[20],"a":[21,64,79],"major":[22],"source":[23],"of":[24,33,43,52,82,104,114,142,156,221],"distress.":[25],"Due":[26],"limited":[28],"longitudinal":[29,211],"evidence,":[30],"the":[31,58,86,115,157,242],"course":[32,244],"in":[35,169,172,241],"psychosis":[36,71],"remains":[37],"unclear,":[38],"as":[39],"its":[41],"direction":[42],"effect":[44,141],"symptomatology.":[46],"STUDY":[47,118],"DESIGN:":[48],"We":[49,232],"modelled":[50],"trajectories":[51],"across":[54,111],"25":[55,138,151],"years":[56,139,152,263],"within":[57],"Suffolk":[59],"County":[60],"Mental":[61],"Health":[62],"Project,":[63],"cohort":[65],"enrolled":[66],"at":[67,130,137,150],"first":[68],"admission":[69,134],"for":[70],"(n":[72,90],"=":[73,91,188,195,198,204,207,227],"552)":[74],"compared":[76],"prevalence":[77,126,149],"matched":[80],"sample":[81],"never-psychotic":[83],"adults":[84],"from":[85,128],"same":[87],"zip":[88],"codes":[89],"257).":[92],"Then,":[93],"we":[94],"used":[95],"random":[96],"intercept":[97],"cross-lagged":[98],"panel":[99],"modelling":[100],"estimate":[102],"associations":[103,180,260],"positive":[107],"negative":[109],"symptoms":[110,222],"5":[112],"assessments":[113],"clinical":[116],"sample.":[117],"RESULTS:":[119],"Loneliness":[120,166],"decreased":[121],"gradually":[122],"over":[123,262],"time,":[124],"declining":[127],"62%":[129],"6":[131],"months":[132],"after":[133],"51%":[136],"(fixed":[140],"time:":[143],"P":[144,163,190,197,206],"<":[145,164,191],".001).":[146,165],"Still,":[147],"loneliness's":[148],"significantly":[153],"exceeded":[154],"that":[155,214,234,250],"comparison":[158],"group":[159],"(51%":[160],"vs.":[161],"28%,":[162],"was":[167,237],"greater":[168],"males":[170],"diagnosed":[174],"schizophrenia.":[176],"Moderate":[177],"strong":[179],"were":[181,257,265],"observed":[182],"between":[183],"avolition":[186],"(\u03b2":[187,194,203,226],".70,":[189],".001),":[192],"inexpressivity":[193],".44,":[196,205],".002),":[199],"reality":[201],"distortion":[202],".03)":[208],"symptoms.":[209],"Within-person":[210],"analyses":[212],"found":[213,233],"increasing":[215],"did":[217],"not":[218,266],"predict":[219],"worsening":[220],"or":[223],"vice":[224],"versa":[225],"-.04":[228],".04).":[230],"CONCLUSIONS:":[231],"subjective":[235],"most":[238],"prevalent":[239],"early":[240],"illness":[243],"among":[245],"psychosis,":[248],"more":[253],"severe":[254],"disorder":[256],"lonelier.":[258],"These":[259],"persisted":[261],"affected":[267],"by":[268],"waxing":[270],"waning.":[272]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-30T00:00:00"}
