Community Mental Health Journal最新文献

{"title":"A Pilot Feasibility Study of a Virtual Lifestyle Intervention for Individuals with Schizophrenia.","authors":"Julia Browne, Brittany M Gouse, Janice Weinberg, Amelia Blanton, Gabrielle Simons, Olivia Thomas, Luisa Camacho, Lisa LeFeber, Nandini Agarwal, Abigail L Donovan, Corinne Cather, Hannah E Brown","doi":"10.1007/s10597-026-01722-6","DOIUrl":"https://doi.org/10.1007/s10597-026-01722-6","url":null,"abstract":"<p><p>Individuals with schizophrenia experience early mortality from physical health conditions. Lifestyle interventions are effective; however, barriers interfere with in-person program participation. This two-period randomized cross-over pilot study evaluated the feasibility and acceptability of a virtual lifestyle intervention in n = 19 individuals with schizophrenia. Secondary analyses explored outcome changes between intervention and control groups. Results indicated modest retention (58%) and intervention engagement (67%) for Period 1 (weeks 1-11) with especially low rates in Period 2 (weeks 12-22; retention: 37%, intervention engagement: 50%). Of participants with satisfaction data (n = 6), nearly all participants reported that the intervention was helpful and easy to follow. Secondary outcome changes during Period 1 favored the intervention group on nutritional knowledge, physical activity, mental health, physical health, exercise motivation, self-esteem, and weight/body mass index (Cohen's ds: 0.35-2.09). Due to attrition and sparsity of data, neither a cross-over design analysis nor examination of outcome changes during Period 2 was conducted. Although satisfaction results and outcome changes from Period 1 were encouraging, the low rates of retention and intervention engagement in Period 2 raise feasibility concerns. Intervention development research is needed to determine whether modifications to this virtual lifestyle intervention would enhance feasibility and acceptability for people with schizophrenia.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I'm Not the Only One\": A Qualitative Study on the Experiences of Peer Support for Bipolar Disorder in Chile.","authors":"Alemka Tomicic, Javiera Duarte, María José Valenzuela, Marcela Verni, Bernardo Lima, Issis Herrera, Francisco Encina, Flavia Gal, Rodrigo Valenzuela","doi":"10.1007/s10597-026-01718-2","DOIUrl":"https://doi.org/10.1007/s10597-026-01718-2","url":null,"abstract":"<p><p>Bipolar disorder (BD) is a chronic mental health condition often associated with emotional isolation, stigma, and social disengagement. While pharmacological and psychotherapeutic interventions remain central to treatment, peer support has emerged as a promising complementary approach that fosters agency, psychosocial recovery, and affective connection. This study explored the perceived effectiveness of Peer Support Groups (also known as Peer Support Circles or CAPs in Spanish)-a pioneering, community-based intervention in Chile for individuals diagnosed with bipolar disorder (BD). The research examined participants' experiences, focusing on relational benefits, challenges, and group dynamics. A qualitative design was used. In-depth semi-structured interviews were conducted with 17 participants (7 peer supporters and 10 peer participants). Data were analyzed using Constructivist Grounded Theory (CGT) and intersubjective validation was performed within the research team. Three main analytical categories were identified: (1) Benefits of participating in the CAPs, (2) Conditions that enable CAPs' effective functioning, and (3) Challenges and limitations CAPs face. The central phenomenon that emerged was the CAPs' capacity to lower the barrier of isolation commonly experienced by people with BD through relational safety and peer-driven meaning-making. CAPs operate not only as spaces for support and psychoeducation but also as platforms for identity reconstruction and community reintegration. Findings highlight the value of peer-led models for advancing recovery-oriented care and the importance of institutional support to sustain them and maximize their impact.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opportunities to Strengthen Implementation of the Medicaid Behavioral Health Home Model for Children with Serious Emotional Disturbance: A Systematic Review.","authors":"Teresa Winning Verry, Seth Eisen, Sarah Farabi, Rebecca Lengnick-Hall, Nathaniel A Dell","doi":"10.1007/s10597-026-01709-3","DOIUrl":"https://doi.org/10.1007/s10597-026-01709-3","url":null,"abstract":"<p><strong>Background: </strong>Children and adolescents with Serious Emotional Disturbance (SED) comprise 7-12% of the total U.S. youth population. Untreated, they risk negative outcomes such as school dropout, juvenile justice involvement, frequent hospitalization, and long-term residential placement. Integrated care approaches, like Medicaid's Behavioral Health Home (BHH), are considered effective for coordinating care and improving outcomes among adults, but less evidence is available for youth.</p><p><strong>Objectives: </strong>Using the Consolidated Framework for Implementation Research (CFIR), identify and synthesize literature on barriers and facilitators influencing implementation of Medicaid BHHs for children with SED.</p><p><strong>Methods: </strong>Following PRISMA guidelines, three electronic databases and relevant reference lists were searched for U.S. primary research articles published from 2010 to 2026. Inclusion criteria included documented barriers and facilitators to BHH implementation for children with SED. States with Medicaid BHHs serving youth were identified, and relevant grey literature was included if it met the inclusion criteria.</p><p><strong>Results: </strong>Of the 4,700 references that were imported into Ryyan software for screening, 1,529 were duplicates. Following review of the remaining 3,171 titles and abstracts, 3144 were excluded for being unrelated to the Medicaid BHH intervention, focusing on adult care, or having non-empirical designs. The remaining twenty-seven full-text studies were assessed by two independent reviewers. All 27 articles were excluded because they did not meet the inclusion criteria, including ineligible intervention (not a Medicaid BHH intervention), ineligible population, ineligible publication type, or ineligible outcome. Consequently, no studies were included in the review. Data extraction and deductive coding according to the CFIR were not possible.</p><p><strong>Conclusion: </strong>Despite the widespread use of BHHs, no studies were found describing the unique factors affecting implementation for children with SED. Insights may be drawn from related models, adult BHHs and evidence based parenting programs. Future research should explore specific barriers and facilitators for children's BHH implementation.</p><p><strong>Systematic review registration: </strong>Prospero CRD42025645796.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Psychotherapy Discontinuation Among Ethnically Minoritised Adults: A Systematic Review and Qualitative Synthesis.","authors":"Julianah Fakolade, Peter Kinderman, Shaima Hassan, Anam Elahi","doi":"10.1007/s10597-026-01720-8","DOIUrl":"https://doi.org/10.1007/s10597-026-01720-8","url":null,"abstract":"<p><p>Psychotherapy discontinuation remains a persistent challenge for mental health services, with approximately half of clients ending therapy prematurely. Individuals from ethnically minoritised backgrounds are disproportionately affected by early discontinuation; however, less is known about how these populations understand and experience this process. This review aimed to explore the lived experiences and perceived reasons for psychotherapy discontinuation among adults from ethnically minoritised backgrounds. A systematic review and qualitative synthesis were conducted. Six electronic databases were searched from 1983 to February 2026. Eligible studies included qualitative and mixed-methods designs where qualitative findings could be extracted. After screening, 13 studies involving 286 participants were included. Study quality was assessed using the Critical Appraisal Skills Programme qualitative checklist. Data were synthesised using narrative synthesis. Six interconnected themes were identified: (1) perspectives and expectations of therapy; (2) cultural and societal influences; (3) practical and accessibility-related barriers; (4) the therapeutic relationship; (5) systemic and service-level barriers; and (6) autonomy and control in treatment engagement. Across studies, psychotherapy discontinuation was characterised as a multidimensional process shaped by interacting individual, cultural, relational, and structural factors. Discontinuation was not solely attributable to lack of motivation but was strongly influenced by structural inequalities, cultural incongruence in care, ruptures in the therapeutic relationship, and limited patient autonomy. Findings suggest that improving engagement and reducing psychotherapy discontinuation among ethnically minoritised populations requires interventions that extend beyond service provision alone. Culturally responsive practice, stronger therapeutic alliances, shared decision-making, and flexible models of care delivery may help address the complex barriers to sustained engagement in psychotherapy.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing an Integrated Approach to Prevention, Early Identification, and Intervention for Youth with Co-Occurring Substance Use and Mental Health Challenges.","authors":"Olivia Banach, Linda Richter","doi":"10.1007/s10597-026-01717-3","DOIUrl":"https://doi.org/10.1007/s10597-026-01717-3","url":null,"abstract":"<p><p>Substance use and mental health challenges are common in youth and may result in co-occurring disorders. Yet prevention, screening, and treatment services for mental health and for substance use often are delivered separately, creating missed opportunities for effective integrated, co-occurring competent care. This Fresh Focus Policy and Practice commentary makes the case for a more intentional and systematic recognition of mental health drivers of substance use initiation and escalation to substance use disorder and of substance use drivers of mental health challenges and progression to mental health disorders, particularly among young people. A targeted, non-systematic review of relevant literature illustrates that the interplay between mental health and substance use often is recognized only in hindsight by people in treatment - and by those who care for them, which may limit the provision of appropriate interventions and the prevention of co-occurring disorders. An integrated approach to prevention, early identification, and intervention for both substance use and mental health challenges in youth is grounded in research, practical, and cost-effective, yet its implementation continues to lag behind the evidence. This commentary highlights concrete opportunities for prevention professionals, educators, clinicians, and policymakers to advance earlier, more integrated, co-occurring competent care.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Health in Psychiatry: Bridging the Communication Gap and Training Needs between Patients and Clinicians - A Cross-Sectional Exploratory Pilot Study.","authors":"Teresa Schweitzer, Peter Martl, Douglas Dubrovin Leão, Lena Hammerl, Theresa Halms, Katharina Domani, Sophia Vom Baur, Anna-Sophia Eder, Andrea Rabenstein, Tobias Rüther, Alkomiet Hasan, Marcus Gertzen","doi":"10.1007/s10597-026-01716-4","DOIUrl":"https://doi.org/10.1007/s10597-026-01716-4","url":null,"abstract":"<p><p>Sexual health is integral to mental well-being, yet it remains under-addressed in psychiatric care. Mental disorders and psychotropic medications can cause sexual dysfunctions. Despite its clinical relevance, sexual health is often not routinely assessed or discussed in psychiatric assessment and treatment, possibly due to insufficient training, stigma, and clinicians' uncertainty. This pilot study examined how sexuality is addressed in psychiatric treatment and how relevant the topic is perceived, integrating patient and clinician perspectives. A cross-sectional, anonymous online survey was conducted between February and July 2025 in two German academic psychiatric hospitals. Psychiatric patients and mental-health professionals completed questionnaires tailored to their perspectives. Patients completed measures of sexual functioning, well-being, and communication about sexuality, whereas mental-health professionals completed measures of attitudes, clinical practice, and professional training. Data were analysed using descriptive and inferential statistics. A total of 231 patients and 194 clinicians participated. Nearly all patients reported at least one sexual dysfunction (100% women, 97% men), while only 18.7% reported being sexually satisfied. Although most patients (62.0%) considered sexuality an important topic, only 12.5% reported that it had been addressed. Clinicians reported addressing sexuality more frequently (psychotherapists: 44.0%; specialists: 62.1%). Among physicians, confidence and years of professional experience predicted actively discussing sexual issues (p = .013). More than 80% of clinicians reported insufficient coverage of sexual health during their education. Sexual health remains a neglected domain in psychiatric care despite being recognized as important by both patients and clinicians. Strengthening clinicians' confidence through targeted training, routine screening, and institutional support may help normalize the assessment of sexual health as part of holistic, patient-centred psychiatric care.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The LIFE-ACE Framework of Building Therapeutic Relationships that Support Recovery in Japanese Community Mental Health: A Qualitative Study.","authors":"Satoshi Okumura, Fujika Katsuki, Rintaro Imafuku","doi":"10.1007/s10597-026-01667-w","DOIUrl":"https://doi.org/10.1007/s10597-026-01667-w","url":null,"abstract":"<p><p>Recovery-oriented practice emphasizes collaborative, person-centered relationships. However, culturally grounded frameworks describing how therapeutic relationships support recovery in Japan remain limited. This study explored the perspectives of Japanese community mental health service users to identify relational components that facilitate recovery and develop a culturally responsive conceptual framework. Using a phenomenological-qualitative design, semi-structured interviews were conducted with ten service users receiving community-based care. The data were analyzed through reflexive thematic analysis. Seven components were identified and organized into a two-stage structure. The listening, individuality, friendliness, and empowerment (LIFE) stage describes relational processes that build psychological safety through respectful communication, personal identity recognition, approachable interpersonal interaction, and self-determined decision-making support. The awareness, commitment, and exposure (ACE) stage captures subsequent processes that promote recovery-oriented action, including gaining new perspectives, setting and pursuing personally meaningful goals, and engaging in social roles and group interactions. Together, the LIFE-ACE framework illustrates the transformation of therapeutic relationships from trust-building to fostering social participation. It aligns with recovery principles while reflecting Japanese cultural values such as interpersonal harmony, empathy, and relational subtlety. The findings highlight the importance of approachable communication, recognition of individuality, and supportive opportunities for social engagement in cultivating recovery-oriented practice. The framework offers practical guidance for mental health professionals seeking to create culturally responsive therapeutic relationships that enhance psychological safety, autonomy, and meaningful participation in community life.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148872889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of Supportive Telephone Outreach for Caregivers after Pediatric Mental Health Emergencies.","authors":"Hanae Fujii, Amy Sarlo, Laura Prichett, Cameron Lee, Aanya Shahani, Sydney Cho, Yu Bin Na, Rachel Boro-Hernandez, Leticia Ryan, Holly Wilcox","doi":"10.1007/s10597-026-01712-8","DOIUrl":"https://doi.org/10.1007/s10597-026-01712-8","url":null,"abstract":"<p><p>Youth mental health emergencies are an increasingly prevalent problem, with many families experiencing barriers to accessing mental health resources after a hospital visit for a mental health emergency. This study aims to evaluate the feasibility of a post-discharge telephone contact pilot program designed to assist caregivers of youths experiencing mental health emergencies in navigating these resources. The pilot initiative was retrospectively evaluated after being integrated into routine clinical care across inpatient, ambulatory, and emergency settings within a children's hospital in Baltimore, Maryland, from August 2022 to August 2023. The primary outcomes evaluated included: (1) the successful contact of caregivers, (2) the establishment of an initial mental health appointment for their child after a mental health emergency, and (3) the solicitation of additional assistance. Over the course of one year, a dedicated social worker, contributing 10 h per week, contacted nearly 1,000 caregivers. The program successfully reached 55% of caregivers with only one follow-up attempt and provided additional assistance to 21% of those engaged. This pilot program demonstrated the feasibility of multilingual caregiver outreach across demographic groups using existing clinical infrastructure to help families navigate post-discharge mental health care. The study indicates that such a program can be successfully implemented within existing infrastructure using minimal additional resources for outreach while identifying ongoing caregiver support needs following pediatric mental health emergencies.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer Support Workers' Experiences of Supervision in Substance Use Services.","authors":"Daryl Mahon","doi":"10.1007/s10597-026-01715-5","DOIUrl":"https://doi.org/10.1007/s10597-026-01715-5","url":null,"abstract":"<p><p>Peer support workers are increasingly employed in substance use services, where they use lived experience to engage service users, instil hope and support recovery-oriented care. However, less is known about how peer support workers experience supervision in substance use settings. This study explored the experiences of supervision among peer support workers employed in substance use services. A qualitative design using a hybrid inductive-deductive analytic approach was used with 12 peer support workers from substance use services. Participants took part in qualitative interviews. Interviews were conducted online and data were analysed using thematic analysis. Four themes were developed: supervision as a space for emotional containment; supervision as role clarification; negotiating peer identity within professional systems; and the need for peer-informed and organisationally embedded supervision. Participants valued supervision when it provided safety, reflection, boundaries and recognition of the distinctiveness of lived experience work. However, supervision was experienced as less helpful where it was overly managerial, clinically framed or disconnected from the realities of peer work in substance use settings. This study contributes to the emerging literature on the peer support workforce by focusing specifically on supervision in substance use services. The findings suggest that supervision should not be treated as an administrative requirement only, but as a core implementation mechanism for sustaining peer workers, protecting role integrity and supporting recovery-oriented service delivery.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding the Recovery Support Workforce: Implementation of the Illinois CRSS Success Program.","authors":"Nora Marino, Olivia Golan, Adrienne Call, Lisa Rosenberger, Elizabeth Rovegno, Nanette Larson, Ricardo Anderson, Amy Watson","doi":"10.1007/s10597-026-01694-7","DOIUrl":"https://doi.org/10.1007/s10597-026-01694-7","url":null,"abstract":"<p><strong>Background: </strong>In response to increasing demand for peer support workers (PSWs), most states administer training programs for individuals interested in entering this workforce. However, few studies have explored the process of implementing these programs.</p><p><strong>Aims: </strong>The Illinois CRSS Success Program prepares students to obtain either (or both) the Certified Recovery Support Specialist (CRSS) or Certified Peer Recovery Specialist (CPRS) credential. This qualitative case study aims to examine facilitators, challenges, and successes related to the program's implementation at 11 institutions.</p><p><strong>Methods: </strong>Researchers conducted semi-structured interviews with program staff, including program coordinators (n=11), instructors (n=11), and student success coaches (n=8) and facilitated two focus groups with students and recent alumni (n=10). At least two staff, students, or recent alumni from the 11 institutions implementing the CRSS Success Program participated in an interview or focus group.</p><p><strong>Results: </strong>Semi-structured interviews and focus groups uncovered themes related to balancing equitable recruitment and readiness for success, navigating flexibility and standardization in course delivery, implementing internships in a shifting peer recovery support service landscape, preparing for credentialing exams with unclear expectations, supporting student success through comprehensive resources and support, building a supportive and collaborative learning community, and facilitating opportunities to increase purpose.</p><p><strong>Conclusions: </strong>As demand for peer support workers continues to grow, it is essential that Illinois and other entities continue to offer and expand accessible and high-quality training programs to equip them with skills and knowledge to be successful in the field. Employers that hire PSWs should also prioritize professional development and competitive salaries to increase retention and strengthen the workforce.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148825752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}