Child Psychiatry & Human Development最新文献_第10页

Correction: Self-Rated Symptoms of Oppositional Defiant Disorder and Conduct Disorder: Factor Structure, Reliability, and Validity in a Clinical Sample of Adolescents. 更正：对立违抗障碍和行为障碍的自评症状：青少年临床样本的因素结构、信度和效度。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-03-06 DOI: 10.1007/s10578-025-01821-7

Simon Klos, Ann-Kathrin Thöne, Manfred Döpfner, Anja Görtz-Dorten

引用次数: 0

Longitudinal Comorbidity of Anxiety and Depressive Symptoms: The Risk of Cyber Sexual Harassment. 焦虑和抑郁症状的纵向共病：网络性骚扰的风险

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-03-05 DOI: 10.1007/s10578-025-01820-8

Timothy I Lawrence, Thomas Wojciechowski, Kelly Lee, Briana Amador

{"title":"Longitudinal Comorbidity of Anxiety and Depressive Symptoms: The Risk of Cyber Sexual Harassment.","authors":"Timothy I Lawrence, Thomas Wojciechowski, Kelly Lee, Briana Amador","doi":"10.1007/s10578-025-01820-8","DOIUrl":"https://doi.org/10.1007/s10578-025-01820-8","url":null,"abstract":"Prior literature has suggested that the comorbidity of anxiety and depressive symptoms is often high and common among adolescents and has indicated low, moderate, and high developmental classes. However, there are measurement and theoretical limitations in the literature. Thus, the purpose of the current study is to utilize the correlated liability model of psychopathology to address these limitations: (1) estimating longitudinal classes of the co-occurrence of anxiety and depressive symptoms; (2) exploring whether baseline experience of cyber sexual harassment predicts each class (n = 3064). Group-based trajectory modeling (GBTM) results identified four longitudinal classes of the comorbidity of anxiety and depressive symptoms (e.g., Declining, Low, Moderate, and High Chronic). Multinominal logistic regression results indicated that experiencing cyber sexual harassment at baseline was associated with a lower risk of assignment to the Moderate and Low groups relative to the High Chronic group. These results suggest that adolescents who were sexually harassed online were more likely to report high and chronic comorbidity of anxiety and depressive symptoms over time. Practical and theoretical implications are discussed.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations Between Peer Relationships and Depressive Symptoms in Rural Children: Undirected and Bayesian Network Analyses. 农村儿童同伴关系与抑郁症状的关系：无向和贝叶斯网络分析

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-27 DOI: 10.1007/s10578-025-01818-2

Jianjing Jiang, Shengnan Zhang, Zhongyan Su, Xiaoman Yang, Yujie Zhang, Ningning Huang, Yuan Fang, Zhiyan Chen

{"title":"Associations Between Peer Relationships and Depressive Symptoms in Rural Children: Undirected and Bayesian Network Analyses.","authors":"Jianjing Jiang, Shengnan Zhang, Zhongyan Su, Xiaoman Yang, Yujie Zhang, Ningning Huang, Yuan Fang, Zhiyan Chen","doi":"10.1007/s10578-025-01818-2","DOIUrl":"https://doi.org/10.1007/s10578-025-01818-2","url":null,"abstract":"Previous studies have noted links between peer relationships and depressive symptoms, but few have explored the subtle internal connections and inherent directionalities of these associations. Undirected and Bayesian network analyses were utilized to explore the interrelationships among key constructs in this study, which focused on 802 Chinese rural children (Mage= 12.16 years, SD = 0.83, 46.13% boys). Undirected network analysis revealed that Self-hatred, Sadness, and Loneliness were central nodes within the networks of peer relationships and depressive symptoms. Mutual support, Friendship skills, and Popularity emerged as key nodes linking peer relationships with the network of depressive symptoms. Bayesian network analysis demonstrated that Sadness and Popularity act as triggering nodes within the network, which are ultimately leading to depressive symptoms such as Pessimism, School difficulty, Indecisiveness, and Feeling unloved. These findings provide supports for the development of targeted interventions to reduce depressive symptoms in rural children, with a focus on different aspects of peer relationship.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moderating Effects of Age and Gender on the Relationship Between Pediatric Obsessive-Compulsive Symptoms and Parental Accommodation. 年龄、性别对儿童强迫症与父母迁就关系的调节作用。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-26 DOI: 10.1007/s10578-025-01816-4

Megan C DuBois, Evan Realbuto, Christopher A Flessner

{"title":"Moderating Effects of Age and Gender on the Relationship Between Pediatric Obsessive-Compulsive Symptoms and Parental Accommodation.","authors":"Megan C DuBois, Evan Realbuto, Christopher A Flessner","doi":"10.1007/s10578-025-01816-4","DOIUrl":"https://doi.org/10.1007/s10578-025-01816-4","url":null,"abstract":"Parental accommodation is a well-established anxiogenic parenting practice that is ubiquitous among parents of youth with obsessive-compulsive symptoms (OCS). Accommodation is associated with heightened symptom severity (i.e., high levels of accommodation reinforce and maintain OCS). The present study sought to evaluate whether child age and gender moderated the relationship between parental accommodation and symptom severity. Participants included parents of children with a broad range of psychiatric disorders, as well as some youth with no psychiatric disorder (N = 61, children ages 7-17). Parents completed questionnaires related to their accommodation practices and their child's obsessive-compulsive symptoms. Age significantly moderated the relationship between accommodation and symptom severity, such that the relationship was stronger among older children. Gender significantly moderated the relationship between accommodation and symptom severity, such that the relationship was stronger among boys. Additional research is needed to further delineate the impact of age and gender on parental accommodation and OCS.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing Health Literacy on ADHD: A Cross-Disciplinary Integrative Review Examining the Impact of ADHD on Brain Maturation, Composition and Function and Cognitive Processes Across the Life Course. 提高ADHD的健康素养：一项跨学科综合综述，研究ADHD对整个生命过程中大脑成熟、组成和功能以及认知过程的影响。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-26 DOI: 10.1007/s10578-025-01815-5

Louise E Brown, Mary Tallon, Mark A Bellgrove, Daniel Rudaizky, Garth Kendall, Mark Boyes, Bronwyn Myers

{"title":"Increasing Health Literacy on ADHD: A Cross-Disciplinary Integrative Review Examining the Impact of ADHD on Brain Maturation, Composition and Function and Cognitive Processes Across the Life Course.","authors":"Louise E Brown, Mary Tallon, Mark A Bellgrove, Daniel Rudaizky, Garth Kendall, Mark Boyes, Bronwyn Myers","doi":"10.1007/s10578-025-01815-5","DOIUrl":"https://doi.org/10.1007/s10578-025-01815-5","url":null,"abstract":"There is a significant need to improve ADHD health literacy. This cross-disciplinary integrative review was conducted to synthesise the evidence on the impact ADHD has on brain maturation, composition and function as well as cognitive processes, across the life course. Although results are highly heterogenous, ADHD appears to be associated with (1) a significant delay in cortical maturation and differences in neuroanatomy that do not appear to fully resolve in adulthood, (2) atypical brain function, and (3) atypical cognitive processes. The cognitive processes implicated include working memory, inhibitory control, cognitive flexibility, alerting attention, reward processing, long-term memory, reaction time, time perception and estimation, planning, and complex decision making/problem-solving. We aim to use this data to develop a 'framework/checklist\" that parents, adults and clinicians can use to identify the possible mechanisms that may be contributing to an individual with ADHD's challenges. This information can also be used to inform the content of ADHD education programs to ensure participants receive empirically-determine information from high quality review studies and meta-analysis that accurately reflects the rigor and limitations of study findings.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive Aspects of Generalised Anxiety Disorder in Adolescents: Exploring Intolerance of Uncertainty, Cognitive Avoidance, and Positive Beliefs About Worry. 青少年广泛性焦虑障碍的认知方面：探索不确定性的不耐受、认知回避和对担忧的积极信念。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-25 DOI: 10.1007/s10578-025-01809-3

Lottie Shipp, Eleanor Leigh, Amy Laverton, Ray Percy, Polly Waite

{"title":"Cognitive Aspects of Generalised Anxiety Disorder in Adolescents: Exploring Intolerance of Uncertainty, Cognitive Avoidance, and Positive Beliefs About Worry.","authors":"Lottie Shipp, Eleanor Leigh, Amy Laverton, Ray Percy, Polly Waite","doi":"10.1007/s10578-025-01809-3","DOIUrl":"https://doi.org/10.1007/s10578-025-01809-3","url":null,"abstract":"Intolerance of uncertainty, cognitive avoidance, and positive beliefs about worry have been well researched in adults with Generalised Anxiety Disorder (GAD), but few studies have explored these aspects in adolescent clinical samples. To address this gap, we compared the three cognitive variables amongst 12-18 year-olds with diagnoses of GAD (n = 46), those with other anxiety disorders (n = 18), and a group with low self-reported anxiety (n = 38). Adolescents with GAD reported significantly higher intolerance of uncertainty and positive beliefs about worry relative to their peers with other anxiety diagnoses, whilst levels of cognitive avoidance did not differ significantly. Intolerance of uncertainty and cognitive avoidance, but not positive beliefs about worry, were significantly higher amongst young people with GAD compared to the non-anxious community group. This novel study provides preliminary evidence for the relevance and specificity of intolerance of uncertainty to the maintenance of GAD in adolescence.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining Changes in Behavioral, Emotional, and Tic Symptoms in a Pediatric Sample in the First Year of the Pandemic. 在大流行的第一年检查儿童样本的行为、情绪和抽搐症状的变化。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-24 DOI: 10.1007/s10578-025-01817-3

Lina V Dimitrov, Adam B Lewin

{"title":"Examining Changes in Behavioral, Emotional, and Tic Symptoms in a Pediatric Sample in the First Year of the Pandemic.","authors":"Lina V Dimitrov, Adam B Lewin","doi":"10.1007/s10578-025-01817-3","DOIUrl":"https://doi.org/10.1007/s10578-025-01817-3","url":null,"abstract":"Previous studies have documented worsening behavioral and emotional symptoms in children during the COVID-19 pandemic, although much focus has been on internalizing conditions with relatively short follow-up time. We examined a range of symptoms before and during the pandemic through mid-2021 in a primary care sample. Children 4-17 (n = 181) who completed emotional and behavioral assessments prior to the pandemic and then completed a follow-up assessment during the pandemic were included in our analyses. We examined changes in broad-based and clinical scales, including the Behavior Assessment System for Children and the Diagnostic and Statistical Manual of Mental Disorders, across the total sample and among subgroups using paired t-tests. Subgroups included sex, race, and ethnicity, and baseline internalizing, externalizing, and adaptive scores. Children without clinically significant elevations in internalizing, externalizing, and adaptive scores at baseline experienced worsening of symptoms in a greater number of areas than children with clinically significant elevations at baseline. Females and Black children tended to experience greater worsening of symptoms than males and White children, respectively. Our findings suggest worsening symptoms in children persisting one year into the pandemic, particularly for those without clinically significant symptoms at baseline.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parental Involvement in Child Anxiety and Depression: Exploring the Impact of Delivery Format on Modifiable Parental Factors. 父母参与对儿童焦虑和抑郁的影响：分娩方式对可调整父母因素的影响。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-13 DOI: 10.1007/s10578-025-01814-6

Kristin Ytreland, Elisabeth Valmyr Bania, Stian Lydersen, Anne Mari Sund, Simon-Peter Neumer, Frode Adolfsen, Kristin Dagmar Martinsen, Lene-Mari Potulski Rasmussen, Jo Magne Ingul

{"title":"Parental Involvement in Child Anxiety and Depression: Exploring the Impact of Delivery Format on Modifiable Parental Factors.","authors":"Kristin Ytreland, Elisabeth Valmyr Bania, Stian Lydersen, Anne Mari Sund, Simon-Peter Neumer, Frode Adolfsen, Kristin Dagmar Martinsen, Lene-Mari Potulski Rasmussen, Jo Magne Ingul","doi":"10.1007/s10578-025-01814-6","DOIUrl":"https://doi.org/10.1007/s10578-025-01814-6","url":null,"abstract":"Prior research has linked parental factors such as parent psychopathology, family functioning, parenting style, and parental practices to child anxiety and depression. Parents are often involved in interventions for these disorders. However, previous research suggests that this does not always add to the effect of child treatment alone. Furthermore, little research report changes in known parental risk and protective factors. As part of the ECHO-trial, we examined two delivery formats of parental involvement in the Emotion intervention, an indicated school-based cognitive behavioral therapy (CBT) program to prevent child anxiety and depression. Parents received either five parent group sessions or a brochure, while their children attended group sessions. Parents (N = 1028) completed our online survey at baseline, post-intervention, and/or 12-month follow-up. On average, parents showed small improvements in anxiety and depression symptoms and parental practices over time. There was no difference in parental factors between parents in the group sessions and the brochure condition.The trial was preregistered at https://www.clinicaltrials.gov/ (NCT04263558), in February 2020.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Preliminary Examination of the Associations Between Sleep Quality and Body Dysmorphia Symptoms Among Two Separate Samples of Adolescents. 两个独立的青少年样本中睡眠质量与身体畸形症状之间关系的初步研究。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-11 DOI: 10.1007/s10578-025-01813-7

Sarah A Bilsky, Leila C Sachner, Racheal A Embry, Kayce M Hopper

{"title":"A Preliminary Examination of the Associations Between Sleep Quality and Body Dysmorphia Symptoms Among Two Separate Samples of Adolescents.","authors":"Sarah A Bilsky, Leila C Sachner, Racheal A Embry, Kayce M Hopper","doi":"10.1007/s10578-025-01813-7","DOIUrl":"https://doi.org/10.1007/s10578-025-01813-7","url":null,"abstract":"Obsessive compulsive and related disorders have been linked to sleep disturbances. Given that adolescence is a core risk period for body dysmorphic disorder (BDD), and sleep difficulties are particularly prevalent during adolescence, the current study aims to examine associations between sleep quality and BDD symptoms among two separate samples of adolescents. It was hypothesized that lower reported sleep quality would be associated with higher reported BDD symptoms, even after controlling for anxiety and depression. Study 1 included 325 adolescents aged 11-18 years who completed an online survey via social media recruitment. The survey included questionnaires on BDD symptoms, sleep quality, and anxiety and depressive disorder symptoms. Study 2 included 396 adolescents who completed the same online survey. In study 1, a significant omnibus regression model accounted for 20.0% of the variance in adolescent BDD symptoms. After controlling for anxiety and depressive symptoms, adolescent sleep quality was significantly associated with BDD symptoms, with a small effect size (sr2 = 0.02). Study 2 yielded similar results, with a significant omnibus regression model accounting for 26.5% of the variance in adolescent BDD symptoms, and significant associations between adolescent sleep quality and BDD symptoms yielding a small effect size (sr2 = 0.01). Exploratory analyses in both studies demonstrated associations between difficulty returning to wakefulness and BDD symptoms. Adolescent sleep quality and BDD symptoms were linked, such that adolescents who reported lower quality sleep also reported higher levels of BDD symptoms. Future research can aim to replicate and extend these results using more rigorous (e.g., longitudinal, experimental) methods.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family Functioning and Parenting Styles in Adolescents Diagnosed with Trichotillomania. 被诊断患有毛手毛脚症的青少年的家庭功能和养育方式。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-04 DOI: 10.1007/s10578-025-01811-9

Hande Günal Okumuş, Meryem Kaşak, Yusuf Selman Çelik, Ayşe Selma Yenen Menderes, İsranur Yenen Sivri, Rahime Duygu Temeltürk, Devrim Akdemir

{"title":"Family Functioning and Parenting Styles in Adolescents Diagnosed with Trichotillomania.","authors":"Hande Günal Okumuş, Meryem Kaşak, Yusuf Selman Çelik, Ayşe Selma Yenen Menderes, İsranur Yenen Sivri, Rahime Duygu Temeltürk, Devrim Akdemir","doi":"10.1007/s10578-025-01811-9","DOIUrl":"https://doi.org/10.1007/s10578-025-01811-9","url":null,"abstract":"This study aimed to compare the family functioning and parenting styles in adolescents with trichotillomania (TTM) and healthy controls and to assess the relationships between the family functioning, parenting styles, and clinical features of TTM, including the severity of TTM, duration of illness, and concomitant psychiatric symptoms. The study sample consisted of 100 adolescents aged 12-18 years, 50 patients with TTM, and 50 healthy controls. All participants completed a sociodemographic and clinical data form, the Massachusetts General Hospital Hairpulling Scale (MGH-HPS), the Revised Children's Anxiety and Depression Scale-Child Version (RCADS-CV), the Family Assessment Device (FAD), and the Perceived Parental Attitude Scale (PPAS). Results show that adolescents with TTM reported higher levels of comorbid anxiety and depression symptoms than healthy controls, and 64% of adolescents with TTM had at least one comorbid psychiatric disorder. Parents of adolescents with TTM also reported more significant impairment in the affective responsiveness, problem-solving, and general family functioning subscales of the FAD. Adolescents with TTM endorsed significantly more authoritarian perceptions of both parents on the PPAS. While the severity of hairpulling symptoms showed only a positive and significant relationship with the RCADS-CV total internalizing score, the duration of illness was positively and moderately correlated with the impairment in affective responsiveness, problem-solving, and general family functioning subscales of FAD. Finally, the RCADS-CV total internalizing score and the general functioning subscale of FAD were the most important predictors of TTM. The implications of family functioning and parenting styles, future targets for family-focused approaches in TTM, and study limitations are discussed.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0