CINXE.COM
Just a moment...
<!DOCTYPE html><html lang="en-US"><head><title>Just a moment...</title><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"><meta http-equiv="X-UA-Compatible" content="IE=Edge"><meta name="robots" content="noindex,nofollow"><meta name="viewport" content="width=device-width,initial-scale=1"><style>*{box-sizing:border-box;margin:0;padding:0}html{line-height:1.15;-webkit-text-size-adjust:100%;color:#313131;font-family:system-ui,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,Noto Sans,sans-serif,Apple Color Emoji,Segoe UI Emoji,Segoe UI Symbol,Noto Color Emoji}body{display:flex;flex-direction:column;height:100vh;min-height:100vh}.main-content{margin:8rem auto;max-width:60rem;padding-left:1.5rem}@media (width <= 720px){.main-content{margin-top:4rem}}.h2{font-size:1.5rem;font-weight:500;line-height:2.25rem}@media (width <= 720px){.h2{font-size:1.25rem;line-height:1.5rem}}#challenge-error-text{background-image:url(data:image/svg+xml;base64,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);background-repeat:no-repeat;background-size:contain;padding-left:34px}@media (prefers-color-scheme:dark){body{background-color:#222;color:#d9d9d9}}</style><meta http-equiv="refresh" content="390"></head><body class="no-js"><div class="main-wrapper" role="main"><div class="main-content"><noscript><div class="h2"><span id="challenge-error-text">Enable JavaScript and cookies to continue</span></div></noscript></div></div><script>(function(){window._cf_chl_opt={cvId: '3',cZone: "psychiatryonline.org",cType: 'managed',cRay: '92a9cb985d1f4489',cH: 'F48SZ07wppCaWISvr3WRs3IUoE4sOnk6vxe4Y6wefP4-1743696198-1.2.1.1-d9cYx.gePx5XnkgxbSvgC6jXl0gZLQv8CpeU1G.5UXlTDj.jVwj1AlvKEnbaTqB4',cUPMDTk: "\/doi\/10.1176\/ps.36.6.632?__cf_chl_tk=Q3hrvtrsby2iuDjNycmHiXwr_Fr7I6WwNfKO7tMZ2_8-1743696198-1.0.1.1-l0RUY1.u9ZLf3fQdchIGQ2KhUdGBzy4zflnrJCz0zBo",cFPWv: 'g',cITimeS: '1743696198',cTTimeMs: '1000',cMTimeMs: '390000',cTplC: 0,cTplV: 5,cTplB: 'cf',cK: "",fa: "\/doi\/10.1176\/ps.36.6.632?__cf_chl_f_tk=Q3hrvtrsby2iuDjNycmHiXwr_Fr7I6WwNfKO7tMZ2_8-1743696198-1.0.1.1-l0RUY1.u9ZLf3fQdchIGQ2KhUdGBzy4zflnrJCz0zBo",md: "GVBUUqWrlrj8dGQ0NUKQzDpf9VVu.oChA1uC0S2DhUM-1743696198-1.2.1.1-SLml6j.JAmeDGo3ECc.p.y2lLN6JTkr.nnzoigQI0_Mq8Ns7dGUGRrDio9Bht.PTJzrX2E06yc6NljoqUCHMDbwXz2MWSjUmBuirBB05fUxR.UTzhHMj7YKjV3pw5DtVdDsmb.eFAyznoLTTPKusB1J2lvizeKg6MZT5GGfeiavclXsQUpkyxBlzJr7wIgJeBysPLSyrKcaxszuyQe__2.PB1NINQtCeXWeJSv752Ddunj_w7jqwyjkVvuUOHzDezo287E4JEcBXlur6rcWJ5.ETOhWA_TpT4pPrvZxfI1mTD7NWJ5dwIbbUnjNoqog.jdfN7whcpx8ood1pNhjsJRmYKjcSXRmBLCoCNKKB4KQnTc.6T7Ih6V4FF2H9byb2LuiAx6_b068cpgBK5uIBXgH79Dl.cYJoFur9GbMqw49xS.swd0Z53AD7soNu5uL6av0UbKnad9ycTeOR7sarlFAeMio2q2QSWLs9D7Qo.cZyTKYzHbn1DvWDzf2WRwFZlwtzOhId06_4WUDl3eE4NJr.Ma3R7UtAOCEik71nAZJldHi0GYqf0NhgN0GrGg560wBptaWLoWn2u9QxluDNgON8bDqv2L08u04rB_W6l7XKHAp1obLx3AXuMu.s.Jxl4rZd.h.oDgcItNbYUl_oomg7fBY6GpjpKcYPjmko1YE8CpW5cuZ1EIwAABmAkV0JvwUfXEFlsxsmmuGTrdDjFi3Q1ReqwFE9m10.V_81.wrN_8Yl9HPab3I_5d0NbfBQi.UrsoCe14Q2vIzmFRSqdrVgh8GUuEnlN4E9RSYMHLDqhL_myv.LktVy6J2UJfRAuABFefU8NXN7Jd4Qs_k6QKVtwzA76lq99jyFs0sdGdwH5YKELprPQ_nuBEgpJtLmx13ozhjuQYJJbm14Oc1cHnbu__rIOsjwSTl78oPyuf9qpw.rfmNrLJxmCcOJGPdtVdbi0_VLjXNjo0cReQB5zOcpum1bz117KyrfqB4mGsZ6FHAFXyVR2Y9CHXB76OZwRdmLPGYnC87pnhw_vkiwh7J5SWF8MaADo4MPlU6a8LfzVMnjx3qrI16UmU4fH3.gq7CovpADRAb3nz_YKlgfwyRSsD628UOAR2Udfn2JMTI.meNc1b5R9k1zwgofSlaJ1TT4RpP2O28isWwlQqDAOpRxTTiimSj0N36BH92nLM91GORq7dtUMmNNPC0F9r9UvimXP7P.RjSplUGAhOIzl4PpBxAQUclVfj9jakmWeoNXV1c7lIh4X8qyFJ7FphXRrO9m6DuDssrN62NMNqLCjw",mdrd: "RAvXjX7Q3211a7vJFJ6wrITr7ywMzv9xDxUlyihft0g-1743696198-1.2.1.1-fx84HMO6JRD9j8bv1WnhrY0uXvpioQI4ivE0xQgi10HwXAqXecI8vnWoj3IgiqxN2yemrCh3dD3MiQpFecBgM2NGOPthXuOfxQ7QmsO50FvOQ.YnlNZ41TGzsx5dO4J29pBWi4jXkYcmHsqzJAnbSS860BiU11OI2QazzbLQgfLjRYhhek.9xyToUZNwbkNBe5GaaTTD_yEqdZzcPdFkT1.OV9SWCp9vYpvEiFviS.oRvu780vJEN9.5XjVqPJdBVPn3O3vbWQm3B1ys2yP1Mb0eGPOLDUDoyOyPnQOCVGODhKWiROKIN9awzYLSxZgN_I7gXYP0yYy.WrzAVLx5IbY3LytXMpeX.FPG3PFr6QknBuGJ8w9odLrwnkW7QL9vgHE5aHxj8ctUFjaY2CVcICaCJSXy6sTIOEWFpFvZkt8ws1Qe.eDWRo2bvX2wV7feM6ms3MYwKSMb.zKTNNOrK4GW_RiOLyzaxIdf4diiogtgSDXpQyXyJ2nthd_eYjZu5hwuAMLgu9WlzswOd7ctZy4VcPrbYK0NtLAX7XPNuM16p2OgOT9FMFgu85tpAgreMDxDN_B7AWypQYdsFvyDdXxuEres.KkAm1WxOQecgcwpnvx5fo8_ZD6NpH6DpL470lXEU_cedtHQ8Q1nj21q0anYF3C9zc4VcwPalCdfBLFLlOHmUFTQnqRJrbOpN7x14Om1AMWkQmXsdsGTHrwajAAvF5OrNoQBvqNY0Uq6j8_4mck8lzxl8SOaZOwFbpUixO5CvkYgcGkEpA_YxpHUdUmsRVOLIpjQdtVOw5zaxFyy0sfxROiur0kCKkxqSZbqQ7b8MiiwO1A15Sxy9wnoF0YArLusDbGN70QtOLosXkvf27ofdU4Q7wSFmbM6LlWDxanaf9hHDk9SVDC8LTnq3D.w_HiuD7gW0MViTSiNwjQ.2MuoRwGPl72xkf2UmPvQj.qCxGxAmwzjE9mdCFMXWNH879qYiI7eusrJ7HRNsswFoo60ZzSc9LVA_cgwdUsJYJqt04qLD7IhFoWfHitflajbXRCie54aAS3CRGiwlRXrJUMvotBrHic6_apald55bMhrjOHDDdSABw37P8.bVveCfCJtBDSIIM_MnPbDBSuI1OqvXHTzEtPDMfRI_yRSFZVIs5R2BzYLf4.3RCxzK85isJD02hmXCixt_lZuaVYQsxJ62eO3diCq.lBQWwSi.9oeJ0NGR0NNI3LI0hZdYKapSvgYtk.aORUpXG7RAERvbXPqsMimKnHJcqP.l5kqzdH09tPo3o.nWSXcS38PkgHSDhfW.XZjmm0qjkaPE7ewCJ0UtJ3Fu9s_aEszthy.esFEbAaqA.yCFfW64DTNsgckdwYEex4zPl18UTLpaXmBrHtosOkcTroNIRo42GbMhJqD0AGlEGGCCrvFBuGRq2.weoHB5tmli2O86bSHbl6KQWYIQgMjVKjn7LWsZ6wdTv.z1k4mudB5r_btX5M0yTDZ3pM3QCGx0kpsFtUpq4zyVGI5g8gKsMYxPKPAPtQXIKOVWVyolFO4o92LehsED7YWG3hP094IpnfQsO.c8L9bZ2RvR0Q7vFxTo7kHbIYj0QXBbt5eg9RKn2UaJZ.g5_1jysLO13QDVuMfxAPBr1MYcsLUT2CYpGtgs0.24tUNq17deqgHk05bPD5zTViznLbJzGOL2ib3ePO2uDfLwLYUtFb5S9W4VDHEhNFI1r9TA8ynZJdFUJY9Q7dtRtrqbq19csm4HihbJzpIz840153oP172_EA9FqyboQpLsCJdlPaJqb5a5grRGVXCPT1SBJiAvqN7kesyUD8Cv5OMg_MKK5oL1G5GpxTpqlRTOfGezVnTu8xrp1mXY1wQhCWo4TlCtXk__M9p0Sboj7l5DSLrIurFvxSiQ.OLlXnJ6ACtvSrtvCjUdGrPORqbhuHDlOtAZKSHNejCJVsCu_UglOYn4rzM3E9WM2HDyeVNg5lnapeuFsFfEZpjg7ev3G.A0Fk1iaW4.b40CFqoDcEYIOZpz1ZhFum50Y1NZ9RRHYfNHekHhcsn.1oc_QqXYTtE6A"};var cpo = document.createElement('script');cpo.src = '/cdn-cgi/challenge-platform/h/g/orchestrate/chl_page/v1?ray=92a9cb985d1f4489';window._cf_chl_opt.cOgUHash = location.hash === '' && location.href.indexOf('#') !== -1 ? '#' : location.hash;window._cf_chl_opt.cOgUQuery = location.search === '' && location.href.slice(0, location.href.length - window._cf_chl_opt.cOgUHash.length).indexOf('?') !== -1 ? '?' : location.search;if (window.history && window.history.replaceState) {var ogU = location.pathname + window._cf_chl_opt.cOgUQuery + window._cf_chl_opt.cOgUHash;history.replaceState(null, null, "\/doi\/10.1176\/ps.36.6.632?__cf_chl_rt_tk=Q3hrvtrsby2iuDjNycmHiXwr_Fr7I6WwNfKO7tMZ2_8-1743696198-1.0.1.1-l0RUY1.u9ZLf3fQdchIGQ2KhUdGBzy4zflnrJCz0zBo" + window._cf_chl_opt.cOgUHash);cpo.onload = function() {history.replaceState(null, null, ogU);}}document.getElementsByTagName('head')[0].appendChild(cpo);}());</script></body></html>