Current Opinion in Psychiatry最新文献

Update on eating disorders and disordered eating behaviors in metabolic bariatric surgery patients. 代谢性减肥手术患者饮食失调和饮食行为紊乱的最新情况。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-08-16 DOI: 10.1097/YCO.0000000000000962

Eva Conceição, James E Mitchell, David B Sarwer

{"title":"Update on eating disorders and disordered eating behaviors in metabolic bariatric surgery patients.","authors":"Eva Conceição, James E Mitchell, David B Sarwer","doi":"10.1097/YCO.0000000000000962","DOIUrl":"10.1097/YCO.0000000000000962","url":null,"abstract":"Purpose of review: Recent literature suggests a potential causal link between metabolic bariatric surgery (MBS) and an increased risk of eating disorders. However, the available literature offers unclear results regarding the definition of eating problems among MBS patients, their potential impact on weight outcomes, and the efficacy of adjunctive treatment.Recent findings: Although eating disorders may be rare phenomena after surgery, disordered eating behaviors are more common and tend to be more consistently associated with suboptimal weight loss. There also appear to be clear problems when using Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria to assess eating disorders among MBS patients, particularly for restrictive eating, binge-eating episodes, and the core psychopathology of eating disorders. Finally, preoperative interventions appear to offer effects limited to the presurgery period, and the evidence for the efficacy of postoperative interventions remains limited. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) offer promising benefits for weight loss and the treatment of binge-eating problems, but their potential risks must be carefully managed.Summary: Recognizing the diverse presentations of these problems among individuals undergoing MBS is crucial. Clinical attention should focus on intensive specialized care during the postoperative period for those who develop eating-related problems.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139571","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}

引用次数: 0

Systematic review of the epidemiology of eating disorders in the Arab world. 阿拉伯世界饮食失调流行病学系统回顾。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-08-16 DOI: 10.1097/YCO.0000000000000960

Bernou Melisse, Eric van Furth, Hans W Hoek

{"title":"Systematic review of the epidemiology of eating disorders in the Arab world.","authors":"Bernou Melisse, Eric van Furth, Hans W Hoek","doi":"10.1097/YCO.0000000000000960","DOIUrl":"10.1097/YCO.0000000000000960","url":null,"abstract":"Purpose of review: The Arab world is dealing with modernization and sociocultural changes both associated with eating disorders. The present review provides an update of 'Eating disorders in the Arab world: a literature review', which was published in 2020.Recent findings: There are 22 recent epidemiological studies on eating disorders in five different countries in the Arab world. A large-scale national mental health survey reported a 12-month eating disorder prevalence of 3.2% and an eating disorder lifetime prevalence of 6.1%. Binge-eating disorder was the most common eating disorder (12-month prevalence = 2.1%, lifetime prevalence = 2.6%), 1.6% was at high risk for binge-eating disorder. Overall, between 23.8 and 34.8% was at high risk for any eating disorder. Body-shape dissatisfaction, a high BMI and separated/widowed/single marital status were associated with eating disorder pathology.Summary: Although there is still a lack of studies compared to the western world, the number of epidemiological studies on eating disorders in the Arab world is growing and there is an increase in studies using appropriate assessment-tools and norms. It is recommended to offer specialized treatment and to implement preventive programs.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11426976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early intervention for eating disorders. 饮食失调的早期干预。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-09-18 DOI: 10.1097/YCO.0000000000000963

Regan Mills, Lucy Hyam, Ulrike Schmidt

{"title":"Early intervention for eating disorders.","authors":"Regan Mills, Lucy Hyam, Ulrike Schmidt","doi":"10.1097/YCO.0000000000000963","DOIUrl":"10.1097/YCO.0000000000000963","url":null,"abstract":"Purpose of review: Research on early intervention for eating disorders has started to gain traction and examples of this in practice are increasing. This review summarizes findings over the past 3 years, focusing on the clinical effectiveness of early intervention in practice and the barriers and facilitators to its implementation.Recent findings: Recent developments in early intervention for eating disorders can be divided into three broad themes: research that has examined the efficacy of early intervention pathways in practice, research that has informed understanding of the target patient groups of early intervention (via clinical staging models, e.g.), and research that has suggested new ways to progress early intervention, towards becoming a standard part of best practice care.Summary: Early intervention pathways have shown promising clinical outcomes and are viewed positively by patients, clinicians and other stakeholders. However, more robust trials of their efficacy, effectiveness and cost-effectiveness are needed. Additionally, barriers to early intervention have been identified (e.g. delayed help-seeking); research must now develop and evaluate strategies to address these. Finally, the early intervention models in practice are underpinned partly by clinical staging models for eating disorders, which require further development, especially for eating disorders other than anorexia nervosa.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11426982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness and predictors of psychotherapy in eating disorders: state-of-the-art and future directions. 饮食失调症心理治疗的效果和预测因素：最新进展和未来方向。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI: 10.1097/YCO.0000000000000961

Alessio Maria Monteleone, Giovanni Abbate-Daga

{"title":"Effectiveness and predictors of psychotherapy in eating disorders: state-of-the-art and future directions.","authors":"Alessio Maria Monteleone, Giovanni Abbate-Daga","doi":"10.1097/YCO.0000000000000961","DOIUrl":"10.1097/YCO.0000000000000961","url":null,"abstract":"Purpose of review: Psychotherapy is the cornerstone of the multidisciplinary treatment approach for eating disorders. This review examines recent evidence regarding effectiveness, predictors, and mechanisms of change of psychotherapy in eating disorders, providing a road map for clinicians and researchers.Recent findings: Family-based treatments (FBT) are effective in adolescents with anorexia nervosa and bulimia nervosa. Evidence-based psychotherapies for anorexia nervosa have no evidence of superiority compared with treatment as usual (TAU) in adults with anorexia nervosa. Cognitive-behavioural therapy (CBT) is the first-choice psychotherapy recommended for adults with bulimia nervosa and binge-eating disorder (BED). Self-help interventions have some evidence of effectiveness in nonunderweight individuals with eating disorders. Early symptom improvement and adolescent age predict more favourable outcomes.Summary: Evidence-based psychotherapies can be suggested for eating disorders, although follow-up data are needed. Beyond anorexia nervosa, bulimia nervosa, and BED, there is no evidence of psychotherapy effectiveness in other eating disorders. The effectiveness of novel (e.g. 'third-wave') psychotherapies, treatment delivery modality (e.g. internet-delivered), and adjunctive interventions (e.g. virtual reality) needs to be further explored. A broader definition of recovery is recommended, including behavioural, physical, and psychological criteria. Predictors and mechanisms of changes have not been studied enough: quantitative and qualitative studies are needed to promote more tailored and individualized psychotherapy interventions.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987557","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}

引用次数: 0

Eating disorders: etiology, risk factors, and suggestions for prevention. 饮食失调症：病因、风险因素和预防建议。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-08-22 DOI: 10.1097/YCO.0000000000000965

Anna Keski-Rahkonen

{"title":"Eating disorders: etiology, risk factors, and suggestions for prevention.","authors":"Anna Keski-Rahkonen","doi":"10.1097/YCO.0000000000000965","DOIUrl":"10.1097/YCO.0000000000000965","url":null,"abstract":"Purpose of review: The incidence of eating disorders has increased worldwide. This narrative review gives an overview of research on etiology and risk factors of eating disorders published in 2022-2024.Recent findings: Eating disorders arise from a complex set of risk factors. The recent increase in incidence of eating disorders can be linked to root causes that include sociocultural pressure to conform to unrealistic and gendered body ideals, rise in obesogenic environments, and the global COVID-19 pandemic. Recent studies have shown that screen time and social media intensify sociocultural pressure to look a certain way. Individual-specific risk factors also increase the likelihood of onset of eating disorders. These include sports, stressful and traumatic life events, family factors, and psychological factors, including disgust sensitivity, aversive experiences, low self-esteem, perfectionism, neuroticism, obsessive-compulsive and impulsive features, and emotional dysregulation. Preexisting mental health conditions, particularly anxiety, depression, and posttraumatic stress disorder, and neurodevelopmental conditions, such as autism and attention-deficit hyperactive disorder, are also associated with increased eating disorder risk. Genetic and biological factors contribute both to risk and resiliency.Summary: The risk factors of eating disorders are well established. Future studies should focus on increasing resilience and preventive interventions.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139568","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}

引用次数: 0

Treatment escalation for people with anorexia nervosa: setting, therapies and nutritional interventions. 神经性厌食症患者的治疗升级：环境、疗法和营养干预。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-09-04 DOI: 10.1097/YCO.0000000000000964

Hubertus Himmerich, Johanna Louise Keeler, Kate Tchanturia, Janet Treasure

{"title":"Treatment escalation for people with anorexia nervosa: setting, therapies and nutritional interventions.","authors":"Hubertus Himmerich, Johanna Louise Keeler, Kate Tchanturia, Janet Treasure","doi":"10.1097/YCO.0000000000000964","DOIUrl":"10.1097/YCO.0000000000000964","url":null,"abstract":"Purpose of review: Adult patients with severe anorexia nervosa often receive the same unsuccessful treatment without changes regarding the setting, the therapies, or nutritional interventions.Recent findings: Settings where people with anorexia nervosa are treated include their general practitioner, an independent psychiatric practice, a community mental health team (CMHT), a specialized eating disorder outpatient service, eating disorder early intervention services, a highly intensive eating disorder outpatient or home treatment programme, eating disorder daycare, an inpatient eating disorder service, a general hospital or a general psychiatric hospital, or residential treatment. At a specialized eating disorder service, patients should be offered evidence-based psychotherapy for anorexia nervosa, dietary advice and physical health monitoring as a first step. Additionally, they may be allocated to a specific treatment pathway, family interventions and creative therapies. As a second step, clinicians may consider integrating interventions targeting psychiatric or physical comorbidities, medication for anorexia nervosa or noninvasive neurostimulation. After several years of futile treatment, deep brain stimulation (DBS) should be considered to prevent a chronic course of anorexia nervosa. Nutritional interventions can be escalated from nutritional counselling to nasogastric tube feeding. Patients who rely on nasogastric tube feeding might benefit from percutaneous endoscopic gastrostomy (PEG). Patients who vomit despite a nasogastric tube, might need nasojejunal tube feeding.Summary: Treatment for people with anorexia nervosa should be regularly reviewed and, if necessary, escalated to avoid a chronic and longstanding disease course.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11426991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urbanization and substance use in left-behind children and adolescents: a systematic review and meta-analysis. 城市化与留守儿童和青少年的药物使用：系统回顾和荟萃分析。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-10-04 DOI: 10.1097/YCO.0000000000000970

Kelly Lin, Nicholas Buys, Yannan Jiang, Jing Sun

{"title":"Urbanization and substance use in left-behind children and adolescents: a systematic review and meta-analysis.","authors":"Kelly Lin, Nicholas Buys, Yannan Jiang, Jing Sun","doi":"10.1097/YCO.0000000000000970","DOIUrl":"https://doi.org/10.1097/YCO.0000000000000970","url":null,"abstract":"Purpose of review: Inequalities in job opportunities between urban and rural regions have driven many parents to move from rural to urban regions with aims to improve household income. Financial and political barriers prevent children from moving with their parents, meaning that their children become left-behind in rural regions. This study aims to meta-analyse the risk of drinking, smoking, illicit drug use and drunk experiences in left behind children (LBC) and non-LBC.Recent findings: Previous studies have indicated the negative effects of prolonged parental separation on children and adolescent mental health. Parental separation and poor mental health have both been identified as proximal risk factors for substance use in adolescence.Summary: The results indicated that LBC were at significantly greater risk of drinking, smoking, using illicit drugs, and having drunk experiences. Positive psychology interventions are required to help provide LBC with positive coping strategies against psychological distress. Policy changes to reduce inequalities in job opportunities between urban and rural regions are required to reduce the prevalence of LBC.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388800","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}

引用次数: 0

Social media addiction, personality traits, and disorders: an overview of recent literature. 社交媒体成瘾、人格特质和障碍：最新文献综述。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-09-13 DOI: 10.1097/YCO.0000000000000969

Eiman Ahmed, Saad Ahmed

{"title":"Social media addiction, personality traits, and disorders: an overview of recent literature.","authors":"Eiman Ahmed, Saad Ahmed","doi":"10.1097/YCO.0000000000000969","DOIUrl":"https://doi.org/10.1097/YCO.0000000000000969","url":null,"abstract":"Purpose of review: The rapid proliferation of social media has raised concerns regarding the maladaptive use of these platforms. Individuals exhibiting specific personality traits and disorders may be particularly vulnerable to the adverse outcomes associated with social media addiction. Despite the increasing research attention this topic has received, the relationship between personality traits, personality disorders, and addiction to social media remains fragmented and unclear.Recent findings: Research has primarily investigated the association between Big Five and Dark Triad model personality traits and social media addiction. Findings indicate that while most of the traits within the Big Five model vary in terms of significance, personality disorders and traits within the Dark Triad, which are generally associated with maladaptive thoughts and behaviors, are positively related to addictive social media use.Summary: Personality traits and disorders play a vital role in individuals' behavior. Research shows discrepancies in the relationship between certain traits in the Big Five model and social media addiction, warranting further investigation. At the same time, research also underscores the role of social media in potentially exacerbating conditions for those with personality disorders.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343344","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}

引用次数: 0

A narrative review of community-based dementia care in India: experiences, challenges, and policy initiatives. 印度社区痴呆症护理回顾：经验、挑战和政策倡议。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-05-07 DOI: 10.1097/YCO.0000000000000944

Trisha Thomas, Jayashree Dasgupta

{"title":"A narrative review of community-based dementia care in India: experiences, challenges, and policy initiatives.","authors":"Trisha Thomas, Jayashree Dasgupta","doi":"10.1097/YCO.0000000000000944","DOIUrl":"10.1097/YCO.0000000000000944","url":null,"abstract":"Purpose of review: India is facing a significant increase in the aging population who are at risk for dementia. This review evaluates recent literature on community-based care, focusing on caregiver experiences, challenges and policy initiatives.Recent findings: Dementia care in India is traditionally provided by family members who take on the role of caregivers. Studies on caregiver experiences have reflected high caregiving burden and related impact on their mental health. During the pandemic, caregivers experienced several unprecedented challenges in providing care, emphasizing the need for more research on community-based dementia care across the country. Telehealth and online caregiver training were identified as viable alternatives to support community dementia care. However, it may not be a feasible mode of delivery suitable across the Indian context, underscoring the need for culturally relevant and acceptable interventions. India is currently undertaking concerted policy efforts for dementia care through multiple initiatives like the National Program for Healthcare of the Elderly, the Mental Healthcare Act, and initiatives like the Atal Vayo Abhyuday Yojna. These initiatives aim to address the healthcare requirements of the elderly; nevertheless, a comprehensive evaluation of their impact is yet to be discerned.Summary: There is a need for comprehensive research, to inform evidence-based policy and improve dementia care systems in India. Addressing gaps in existing dementia care capacities and healthcare initiatives, along with tailoring interventions to India's diverse contexts are critical for effective community care for dementia.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897544","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}

引用次数: 0

The role of human involvement and support in digital mental health interventions for people with schizophrenia spectrum disorders: a critical review. 人类参与和支持在针对精神分裂症谱系障碍患者的数字心理健康干预中的作用：评论性综述。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1097/YCO.0000000000000957

Urska Arnautovska, Alyssa Milton, Mike Trott, Rebecca Soole, Dan Siskind

{"title":"The role of human involvement and support in digital mental health interventions for people with schizophrenia spectrum disorders: a critical review.","authors":"Urska Arnautovska, Alyssa Milton, Mike Trott, Rebecca Soole, Dan Siskind","doi":"10.1097/YCO.0000000000000957","DOIUrl":"10.1097/YCO.0000000000000957","url":null,"abstract":"Purpose of review: Schizophrenia spectrum disorders (SDD) are characterized by a complex array of psychosis symptoms, and typically require ongoing and long-term support, including pharmacological and nonpharmacological management. Digital mental health interventions (DMHIs) have been suggested as a novel therapeutic approach to enable low-cost, scalable improvements in quality of care for adults living with SSD. However, the types and role of human involvement and support within DMHIs is currently unknown.Recent findings: Several recent systematic reviews and meta-analyses have investigated the potential efficacy of DMHIs for people with SSD, with scant yet emerging systematic evidence on the effects of human support within DMHIs on mental health outcomes. Further, several recent individual studies examined the efficacy of DMHIs with human support among people with SSD and provided valuable insights into the potential key elements of such support on outcomes relevant to this population.Summary: The current critical review provides the first narrative synthesis of available evidence to guide clinicians and intervention develops in designing DMHIs with adequate human support that may enhance long-term outcomes of people living with SSD.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":null,"pages":null},"PeriodicalIF":7.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589893","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}

引用次数: 0