an increasing trendP < 0.001
Repeated-measures ANOVA revealed statistically significant differences in psychology, physiology, social culture, and environment scores between the two groups (between-group effect: F = 21.465, P < 0.001; F = 24.402, P < 0.001; F = 28.680, P < 0.001; F = 9.031, P = 0.003), which demonstrated an increasing trend with time (time effect: F = 738.769, P < 0.001; F = 663.001, P < 0.001; F = 699.223, P < 0.001; F = 792.338, P < 0.001).