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Using multivariate analysis of covariance, the study investigated the disparities in the levels of FSS, ISS, and SOM among the four groups (comorbid, depression-only, PIU-only, and neither). The results indicated that LGB individuals suffering from the overlap of PIU and depression exhibited increased scores for both ISS and SOM in comparison to those affected by either condition alone. In addition, LGB persons with PIU or notable depression exhibited greater FSS and SOMs than
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