Comprehensive psychiatry最新文献

{"title":"Associations between borderline personality disorder symptomatology and major depressive disorder: Insights from a general population study","authors":"Eline Eigenhuis ,&nbsp;Margreet ten Have ,&nbsp;Marlous Tuithof ,&nbsp;Rosa E. Boeschoten ,&nbsp;Anna D.T. Muntingh ,&nbsp;Patricia C. van Oppen ,&nbsp;Neeltje M. Batelaan","doi":"10.1016/j.comppsych.2026.152670","DOIUrl":"10.1016/j.comppsych.2026.152670","url":null,"abstract":"<div><div>Understanding factors influencing the onset and course of major depressive disorder (MDD) is critical due to its frequently unfavorable prognosis. While Borderline Personality Disorder (BPD) seems to negatively affect the course of MDD, the role of subthreshold BPD symptoms remains unclear. This study investigated the impact of subthreshold BPD symptoms on the onset and persistence of MDD over a three-year follow-up in a general population sample of 4618 participants from the Netherlands Mental Health Survey and Incidence Study. MDD was assessed using the Composite International Diagnostic Interview 3.0 and BPD symptoms via the International Personality Examination. Logistic regression models were used. Respondents with 1–2 BPD symptoms (OR = 2.36, 95% CI = 1.56–3.56) and 3–4 BPD symptoms (OR = 4.36, 95% CI = 2.22–8.58) had significantly higher odds of developing MDD compared to those without BPD symptoms. These results remained robust after adjustment for potential confounders. Sensitivity analyses indicated BPD symptoms were linked to increased risk for both first onset and recurrence of MDD, with a seemingly stronger effect on recurrence. BPD symptoms were not significantly associated with MDD persistence, but limited power may have influenced this result. A significant dose-response relationship was observed for onset and recurrence, but not persistence. These findings suggest individuals with subthreshold BPD symptoms have elevated risk for new and recurrent depressive episodes, while no consistent association was observed with persistence of depression. Targeting BPD symptoms in (relapse) prevention may improve MDD outcomes.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152670"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attentional bias in people with moderate-to-severe cannabis use disorder","authors":"Marianna Quinones-Valera ,&nbsp;Gary Chan ,&nbsp;Madeleine I. Fraser ,&nbsp;Andrew Jones ,&nbsp;Tom P. Freeman ,&nbsp;Chandni Hindocha ,&nbsp;Hannah Thomson ,&nbsp;Eugene McTavish ,&nbsp;Hannah Sehl ,&nbsp;Adam Clemente ,&nbsp;Janna Cousijn ,&nbsp;Izelle Labuschagne ,&nbsp;Peter Rendell ,&nbsp;Gill Terrett ,&nbsp;Lisa-Marie Greenwood ,&nbsp;Govinda Poudel ,&nbsp;Chao Suo ,&nbsp;Victoria Manning ,&nbsp;Valentina Lorenzetti","doi":"10.1016/j.comppsych.2025.152658","DOIUrl":"10.1016/j.comppsych.2025.152658","url":null,"abstract":"<div><h3>Background</h3><div>Attentional bias to cannabis images is posited to drive loss of control over cannabis use and relapse in cannabis use disorder (CUD), but the literature is mixed and limited by inconsistent measurement of CUD and of confounders, including alcohol and nicotine use. This study examined attentional bias in moderate-to-severe CUD (<em>n</em> = 66) compared to controls (<em>n</em> = 42), and its relationship with cannabis/nicotine use, accounting for alcohol use.</div></div><div><h3>Methods</h3><div>We measured attentional bias using the visual probe task, as the difference in reaction times (RTs) for cannabis versus neutral images, in order to account for individual variability. Linear mixed effect models examined how RTs were affected by (i) group (CUD, control), image type (cannabis, neutral), group-by-image type, and group-by-image type-by-Stimulus Onset Asynchrony (SOA, 200/500 milliseconds) in the whole sample; and (ii) by image type, SOA, and moderators in the CUD group only (i.e., Cannabis Use Disorder Identification Test-Revised [CUDIT-R], subjective craving, arousal/valence ratings of the task’s cannabis/neutral images, and nicotine). All models were adjusted for alcohol use.</div></div><div><h3>Results</h3><div>There were no significant group differences in attentional bias. In the CUD group, image type-by-CUDIT-R subgroups differed on RTs (β = −0.748, <em>p</em> = .014), whereby the high-CUDIT-R versus lower CUDIT-R subgroups had significantly faster RTs to cannabis versus neutral images (<em>p</em> = .034, <em>d</em> = −0.10), but this effect did not survive Bonferroni correction for multiple comparisons. No other results were significant.</div></div><div><h3>Conclusion</h3><div>Attentional bias might not be a robust feature of CUD, though this notion requires validation in a larger sample using more direct measures of attentional bias.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152658"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dan J. Stein (1962–2025): A life dedicated to the science and Care of the Mind","authors":"Naomi A. Fineberg,&nbsp;Eric Hollander","doi":"10.1016/j.comppsych.2025.152654","DOIUrl":"10.1016/j.comppsych.2025.152654","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152654"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147398410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective and inhibitory intolerance of uncertainty, and certainty-seeking behaviours across adulthood in a Chinese sample","authors":"Yuan Cao ,&nbsp;Gerald S.Y. Kwan ,&nbsp;Yuanwei Yao ,&nbsp;Jiajing Chen ,&nbsp;Mandy H.M. Yu ,&nbsp;David H.K. Shum","doi":"10.1016/j.comppsych.2026.152671","DOIUrl":"10.1016/j.comppsych.2026.152671","url":null,"abstract":"<div><div>Difficulties in coping with the unknown, or intolerance of uncertainty (IU), has been established as an important risk factor for anxiety and other mental health problems. However, the conceptualisation so far is primarily based on self-report data from younger populations. Informed by theories on both anxiety and aging, the current study examined self-report IU and behavioural decisions made under uncertainty, across adulthood. A total of 300 participants between the age of 20–79 years were recruited from the community. They completed the self-reported Intolerance of Uncertainty Scale (IUS-12) and the behavioural Balloon Analogue Risk Task (BART). Results suggested that young adults had higher self-report prospective IU than older adults, and there were no differences on IUS-12 scores between middle-aged versus young/older adults. However, older adults had higher certainty-prone behaviours on the BART (less pumps and bursts) than both young and middle-aged adults. Exploratory modelling analysis on the BART responses suggested that young adults had both lower loss aversion and lower sensitivity to risk changes in the environment. The results are discussed in line with previous theories; whilst one's belief about their general ability to manage uncertainty in daily life increases with age, so does one's behavioural conservatism in the context of new (i.e., uncertain) situations. The results have practical implications for working with adults of various ages, in terms of needing to tailor uncertainty management and emotion regulation to the developmental stage of the person.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152671"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overall and sex-specific associations between secondary trauma exposure and health decline post October 7th, 2023: a population-based study","authors":"Liat Orenstein ,&nbsp;Arielle Kaim ,&nbsp;Bruria Adini ,&nbsp;Sharon Stein Merkin","doi":"10.1016/j.comppsych.2026.152665","DOIUrl":"10.1016/j.comppsych.2026.152665","url":null,"abstract":"<div><h3>Background</h3><div>Secondary trauma exposure is associated with secondary traumatic stress and impaired mental well-being, but effects on physical health and behaviors are less understood. This study addresses this gap by examining associations between secondary trauma exposure and physical, mental and behavioral health outcomes six months after the October 7th terror attack in Israel, and whether these differed by sex.</div></div><div><h3>Methods</h3><div>We administered a population-based survey among <em>n</em> = 1128 Israeli adults (50% women). Secondary trauma exposure was assessed by source: professional activity, firsthand accounts, and media (television, internet/social media, newspaper, radio). Outcomes included self-reported worsening mental and physical health, worsening sleep, and initiation of ≥2 negative health behaviors. Overall and sex-stratified logistic regression models were used to estimate average marginal effects adjusted for sociodemographic factors, social wellbeing and direct/indirect trauma.</div></div><div><h3>Results</h3><div>Unexpectedly, profession-related exposure was inversely associated with worsening health behaviors; in sex-stratified analyses, this trend appeared only in men and extended across outcomes (8.3–19.5% lower predicted probabilities). Exposure to firsthand accounts was associated with worsening health behaviors in men and worsening mental health in women (12.0% and 14.6% increases, respectively). Media exposure via television and internet/social media was associated with worsening sleep; exposure to multiple media sources was associated with both worsening sleep and mental health. A cumulative media-exposure effect was observed only in women.</div></div><div><h3>Conclusions</h3><div>Secondary trauma exposure was associated with decline in mental health, physical health and health behaviors, beyond direct/indirect war-related trauma. Source-specific and sex-specific patterns highlight the importance of tailored strategies to reduce health consequences of secondary trauma during crises.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152665"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to antidepressant treatment guidelines in France: A five-year nationwide cohort study","authors":"Chloé Saint-Dizier ,&nbsp;Aurélie Lescroart ,&nbsp;Florian Dufrenois ,&nbsp;Matthieu Calafiore ,&nbsp;Eiya Ayed ,&nbsp;Mathilde Horn ,&nbsp;Emmanuel Chazard ,&nbsp;Antoine Lamer ,&nbsp;Maxime Bubrovszky","doi":"10.1016/j.comppsych.2026.152676","DOIUrl":"10.1016/j.comppsych.2026.152676","url":null,"abstract":"<div><h3>Purpose</h3><div>The objective of our study was to assess whether the initial antidepressant deliveries in France from 2017 to 2021 adhered to current guidelines regarding the types of antidepressants prescribed and the duration of treatment.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study using the French national health insurance database. Antidepressant prescriptions dispensed between January 1, 2016, and December 31, 2023, were extracted. A gap in a sequence of antidepressant treatments was defined as an interval of more than 56 days between two successive dispensations.</div></div><div><h3>Results</h3><div>Guideline recommendations were generally followed for the choice of antidepressant class. However, only 27.5% of sequences had durations within the recommended range of 9 to 24 months. Introducing the continuity criterion reduces the proportion of sequences adhering to the recommendations to only 4.1%.</div></div><div><h3>Conclusion</h3><div>These results align with existing literature, underscoring the need to encourage adherence to guidelines, particularly concerning treatment duration, to help prevent recurrence of depressive episodes.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152676"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care coordinator delivered method of levels therapy to improve engagement and other outcomes in early psychosis (CAMEO): A feasibility cluster-randomised controlled trial","authors":"Robert Griffiths ,&nbsp;Sara Tai ,&nbsp;Chris J. Sutton ,&nbsp;Elizabeth Camacho ,&nbsp;Jasper Palmier-Claus ,&nbsp;James Dixon ,&nbsp;Adam Jones ,&nbsp;Ashma Krishan ,&nbsp;Natalie Welsh ,&nbsp;Susan Ormrod ,&nbsp;Alison Dawber ,&nbsp;Vicky Taxiarchi ,&nbsp;Karina Lovell","doi":"10.1016/j.comppsych.2026.152668","DOIUrl":"10.1016/j.comppsych.2026.152668","url":null,"abstract":"<div><div>The Method of Levels (MOL) is a theoretically-informed, transdiagnostic cognitive therapy that could improve service user engagement and recovery for individuals with early psychosis. We aimed to assess the feasibility and acceptability of training care coordinators in early intervention in psychosis teams to deliver MOL, and to assess the feasibility of conducting a two-arm parallel-group cluster-randomised controlled trial (C-RCT) with randomisation at the level of teams. Randomisation was in a ratio of 1:2 to either (1: control) treatment as usual (TAU); or (2: intervention) TAU plus support from a care coordinator who has received training in MOL. Clinical and health economic outcomes were collected at baseline, three, and six months. Fourteen early intervention in psychosis teams (117% of target), 31 care coordinators (129% of target), and 49 service users (51% of target) were recruited. Results suggest that some aspects of this study are feasible in their current form (e.g., care coordinator recruitment), other aspects are likely to be feasible with relatively minor adjustments (e.g., service user retention), and some aspects would need substantial changes to make the delivery of an evaluation C-RCT feasible (e.g., service user recruitment; MOL supervision for care coordinators). Progression to an evaluation trial would be justified if plausible solutions can be found to address the feasibility issues identified in this study.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152668"},"PeriodicalIF":4.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficient screening and outcome assessment for borderline personality disorder: A psychometric evaluation of the uBPDc","authors":"Carlijn J.M. Wibbelink ,&nbsp;Jan H. Kamphuis ,&nbsp;Marieke Effting ,&nbsp;Roland Sinnaeve ,&nbsp;Michiel Boog ,&nbsp;Eliane C.P. Dek ,&nbsp;Arnoud Arntz","doi":"10.1016/j.comppsych.2025.152656","DOIUrl":"10.1016/j.comppsych.2025.152656","url":null,"abstract":"<div><div>There is a need for a brief and psychometrically sound questionnaire to assess borderline personality disorder (BPD) symptomatology that can serve both as a screening tool and outcome measure. We conducted a comprehensive psychometric evaluation of a shortened version of the validated BPD Checklist, the Ultrashort BPD Checklist (uBPDc). Data from 204 individuals diagnosed with BPD, 57 individuals diagnosed with Cluster-C personality disorder, and 103 non-clinical controls were analysed. As an initial step, we determined the final item composition, with separate items to index the presence or absence of intense anger or difficulty controlling anger (DSM-5 BPD criterion 8), and of paranoid ideation or dissociation (DSM-5 BPD criterion 9). The final 11-item version demonstrated strong internal consistency, and our findings provide consistent support for its concurrent and known-group validity. The uBPDc also showed satisfactory diagnostic accuracy and sensitivity to change. The one-factor structure of the uBPDc was confirmed by factor analysis. Measurement invariance was subsequently assessed across individuals with BPD and non-clinical controls, revealing support for partial measurement invariance. To conclude, the uBPDc demonstrated strong psychometric properties and thus makes for an efficient tool for screening and outcome assessment in BPD.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152656"},"PeriodicalIF":4.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Responses to social defeat in early- vs late-onset suicidal behavior: An experimental behavioral study","authors":"Anna Szücs ,&nbsp;Elizabeth Campbell ,&nbsp;Katalin Szanto ,&nbsp;Alexandre Y. Dombrovski","doi":"10.1016/j.comppsych.2025.152657","DOIUrl":"10.1016/j.comppsych.2025.152657","url":null,"abstract":"<div><h3>Background</h3><div>Social defeat is often cited as a motive for suicide. The experience of defeat may arise from feeling dominated in a dyadic conflict or from losing status in a group. We hypothesize that sensitivity to dyadic defeat will be related to the onset of suicidal behavior in early or mid-life and sensitivity to loss of status, in late life.</div></div><div><h3>Methods</h3><div>The study's sample of 245 adults aged 50 years and older (mean = 63.2 years, SD = 7.4) comprised 42 early-onset and 32 late-onset suicide attempters (aged &lt; 50 vs ≥ 50 years at their first suicide attempt), 114 depressed non-attempter comparisons, and 57 non-psychiatric comparisons. Using a validated rigged video game tournament task, we operationalized compensatory responses to the two forms of social defeat as point stealing from individual opponents (one-on-one defeat) and rank buying in the league table (loss of status in a group).</div></div><div><h3>Results</h3><div>Early-onset attempters increased point stealing the most over time (χ²₃ = 22.37, <em>p</em> &lt; .001), whereas late-onset attempters purchased more rank after losing trials than early-onset attempters and non-psychiatric comparisons (χ²₃ = 9.47, <em>p</em> = .024). Each effect was robust to adjusting for age and sex, other effects of interest, and to the exclusion of long-string responders.</div></div><div><h3>Conclusions</h3><div>Our behavioral findings suggest that socio-behavioral processes leading to suicide vary across the life cycle. While vulnerability to dyadic defeat could be suicidogenic for people of any age, loss of social status could play a role in suicidal crises specifically occurring in later life.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152657"},"PeriodicalIF":4.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency medical personnel perspectives on value and use of tailored discussion forum for mental health support. A qualitative longitudinal study","authors":"Milica Petrovic ,&nbsp;Anne Blume ,&nbsp;Mikołaj Zarzycki ,&nbsp;Nico Niedermeier ,&nbsp;Hanna Reich","doi":"10.1016/j.comppsych.2025.152655","DOIUrl":"10.1016/j.comppsych.2025.152655","url":null,"abstract":"<div><h3>Background</h3><div>Emergency medical personnel experience high job-related strain elevating their risk for mental ill-health and depressive symptoms. This study explored emergency medical personnel user-perspectives in terms of added value of the anonymous online discussion forum RUPERT dedicated to rescue and emergency workers mental health support.</div></div><div><h3>Methods</h3><div>Using a survey as a qualitative longitudinal tool, we explored emergency medical personnel perceptions, experiences, and expectations in terms of support needs, information and knowledge sought, perceived benefits of RUPERT, interests expressed, as well as perceived value and advantages of RUPERT.</div></div><div><h3>Results</h3><div>A total of 37 participants joined the qualitative survey in time-point 1 (T1), 17 in time-point 2 (T2), and four in time-point 3 (T3). The thematic analysis generated 34 dominant subthemes within seven a priori domains and six overarching themes across domains. The overarching themes showed present concepts in the context of the discussion forum and emergency medical personnel, including <em>Shared experiences and mutual understanding</em>, <em>Support networks and Social connection</em>, <em>Access to Information and Practical tools</em>, <em>Barriers to Participation and Usability</em>, <em>Mental health and Work-related challenges</em>, and <em>Curiosity and Passive participation</em>.</div></div><div><h3>Conclusion</h3><div>The current findings have an important role for enhancing forums as an online tool for supporting rescue workers and emergency medical personnel. The overarching themes can support the future user-centered design principles in terms of functionality, usability, accessibility and more importantly serve as a guideline for practitioners who work on the content development via online tools for this population.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152655"},"PeriodicalIF":4.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}