International Journal of Mental Health Nursing最新文献

{"title":"Perceptions of Mental Health Challenges and Needs of Indonesian Adolescents: A Descriptive Qualitative Study","authors":"Desy Indra Yani,&nbsp;Joelle Yan Xin Chua,&nbsp;John Chee Meng Wong,&nbsp;Minna Pikkarainen,&nbsp;Yong Shian Shawn Goh,&nbsp;Shefaly Shorey","doi":"10.1111/inm.13505","DOIUrl":"10.1111/inm.13505","url":null,"abstract":"<p>Indonesian adolescents face an increased risk of developing mental health conditions such as depression and anxiety, largely due to insufficient mental health literacy and awareness. This lack of knowledge often leads to delayed recognition and treatment. To address this, the present descriptive qualitative study explores Indonesian adolescents' perceptions of mental health challenges and needs. Fourteen adolescents from two public schools in Indonesia were selected through purposive sampling based on their mental health literacy scores (either high or low). One-on-one semi-structured interviews were conducted in December 2023, and thematic analysis was used to uncover key patterns and themes. The study follows the consolidated criteria for reporting qualitative research guidelines. Three main themes emerged: (1) Transitioning to Adulthood: Journeys Through Emotional Turmoil and Societal Expectations, (2) Navigating Challenges: Diverse Adolescent Responses and (3) Breaking the Silence: Empowering Adolescents Through Comprehensive Mental Health Education and Support. This study found that adolescents faced specific challenges related to emotional regulation, body image and self-esteem, academic pressure and the influence of social media. In response to these difficulties, they employed various coping mechanisms, both adaptive and maladaptive. Despite the adversities, adolescents expressed a strong desire to learn how to better manage these challenges and pursue their future career goals. These findings highlight the importance of developing culturally appropriate mental health education and support programs for Indonesian adolescents. Future studies should include a more diverse sample of adolescents and incorporate perspectives from parents and educators to gain a more comprehensive understanding of adolescent mental health in Indonesia.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019017","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}

{"title":"Clinicians Perspectives on Effective Suicide Prevention in Secondary Care Adult Mental Health Services: An Appreciative Inquiry Approach","authors":"P. Holland,&nbsp;S. Haldane,&nbsp;T.R. Kake","doi":"10.1111/inm.13508","DOIUrl":"10.1111/inm.13508","url":null,"abstract":"<p>Suicide is a major health issue with devastating consequences for individuals, families and communities. In New Zealand, the latest confirmed suicide rates show an increase, with young adults, males and members of the indigenous Māori and LGBTQIA+ communities particularly affected. Until recently, most of the suicide research in New Zealand focused on the general population, rather than clinical populations such as those accessing mental health services. This evidence gap is especially important in New Zealand where almost half of those who die by suicide have known involvement with mental health services. The present qualitative study explored the question: What strategies and approaches do clinicians consider effective for preventing suicide in people accessing adult secondary care community mental health services? Eleven clinicians from a large metropolitan service were interviewed individually and in a focus group. Appreciative inquiry and thematic analysis were used. This report is adherent with COREQ. Four themes were identified for suicide prevention: Understanding who the person is, and for Indigenous Māori, this included use of cultural practices; providing a range of evidence-based prevention strategies; having an effective service structure that is part of a wider system; and suicide prevention work is important and staff need effective support. Clinicians identified strategies at the individual, family and service level for preventing suicide, most of which aligned with those recommended in the literature. There is a need for more suicide prevention research in secondary care mental health services and the effectiveness of suicide prevention in high-rate groups such as Māori and LGBTQIA+.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019024","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}

{"title":"‘Wisdom Is Knowledge Plus Experience’: Qualitative Study of Lived Experience and Researcher Perspectives on Suicide Research Co-Production","authors":"Karolina Krysinska,&nbsp;Ingrid Ozols,&nbsp;Trisnasari Fraser,&nbsp;Michelle Banfield,&nbsp;Jacinta Hawgood,&nbsp;Kairi Kõlves,&nbsp;Victoria Ross,&nbsp;Martina McGrath,&nbsp;Bronwen Edwards,&nbsp;Karl Andriessen","doi":"10.1111/inm.13507","DOIUrl":"10.1111/inm.13507","url":null,"abstract":"<p>The need for involvement of people with lived experience of suicide in the conduct of suicide research and intervention has been recognised in research and policy. However, there is limited understanding and guidance on how to support their genuine and safe engagement in suicide research. This qualitative study considered the perspectives of 19 people with lived experience of suicide, and 17 researchers engaged in suicide-related research to explore their needs, expectations and experience of co-produced suicide-related research. Data was collected between October and December 2020 via semi-structured interviews. Thematic analysis resulted in five themes: (1) towards co-production, (2) power imbalances, (3) heterogeneity of lived experience, (4) enhancing safety and (5) value of co-production. Participants considered lived experience involvement at all stages of research to improve research impact and outcomes. However, persisting power imbalances were experienced by participants and participatory approaches did not always align with existing research systems and organisational structures. Complexities identified by participants related to accommodating different skills, experiences and social identities of those with a lived experience perspective and balancing safeguarding principles with strength-based approaches that may capitalise on participants' existing strengths. Delphi guidelines developed from an associated consensus study on active involvement of people with lived experience of suicide in suicide research address some of the concerns mentioned by study participants and form a useful resource to guide future research endeavours.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019043","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}

{"title":"Determining the Mental Health Literacy Level of University Students and Examining Their Attitudes Towards Seeking Psychological Help","authors":"Nevra Didem Kılınç,&nbsp;Gülcan Kendirkıran","doi":"10.1111/inm.13506","DOIUrl":"10.1111/inm.13506","url":null,"abstract":"<p>This descriptive study examined the mental health literacy levels and attitudes towards seeking psychological help among university students. The study was conducted with 317 students from a university in Türkiye. Data were collected via an online platform using a Personal Information Form, the Mental Health Literacy Scale (MHLS) and the Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (ATSPPHS-SF). Participants, with an average age of 20 ± 1, were predominantly female (89%). Most had previously sought psychological support (75.1%) and believed the psychology information obtained online was accurate (61.2%). Significant differences were found between residential location (<i>p</i> = 0.034) and maternal education level (<i>p</i> = 0.017) with the Knowledge Subscale of MHLS, and between history of seeking psychological support (<i>p</i> = 0.010) with the Resource Subscale of MHLS. Additionally, there was a significant difference between seeking psychological support history and mean ATSPPHS-SF scores (<i>p</i> = 0.060). The scores on MHLS (13.15 ± 3.38) and ATSPPHS-SF (18.38 ± 3.77) indicated moderate levels, with a positive and significant relationship between the scales' total scores (<i>p</i> = 0.000). The study concluded that mental health literacy is crucial for increasing the rate of seeking psychological help. Addressing the lack of knowledge regarding mental health is essential for early diagnosis, prevention and maintenance of mental health. It is recommended incorporating mental health literacy content into university curricula, initiating efforts to provide information about psychological help resources and engaging psychiatric nurses in educational roles on campus through multidisciplinary planning.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018960","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}

{"title":"‘Changing People's Hearts’: The Lived Expertise Perspective of Communicating With Nursing Students at a Mental Health Clinical Placement","authors":"Hannah Thompson,&nbsp;Christopher Patterson,&nbsp;Kelly Lewer,&nbsp;Lorna Moxham","doi":"10.1111/inm.13465","DOIUrl":"10.1111/inm.13465","url":null,"abstract":"<p>Escalating rates of mental illness emphasise the necessity for sufficient and appropriate mental health services. However, stigma and discrimination remain and can be seen through the multifaceted ways nurses communicate. Clinical placements, where nursing students engage directly with individuals experiencing mental illness, are vital for addressing these challenges by fostering empathy and reducing stigma. This study aimed to explore how individuals with lived experience of mental illness experience the communication of nursing students during their participation in the mental health nursing clinical placement, <i>Recovery Camp</i>. Using a Heideggerian phenomenological approach, five individuals with lived experience of mental illness, referred to as Experts by Experience, participated in individual semi-structured interviews. van Kaam's psychophenomenological approach was used for data analysis. The findings highlight the importance of being <i>Valued for My Lived Experience Expertise</i>, which emerged as a central theme. The two primary themes were <i>Communication</i> and <i>Engagement</i>. <i>Communication</i> entailed students demonstrating <i>Active Listening</i> and <i>Attributes</i> and <i>Engagement</i> was seen through <i>Actions and Behaviours</i> and <i>Rapport</i>. The findings support the growing body of evidence highlighting the substantial impact of Experts by Experience on mental health nursing education. Integrating Experts by Experience into mental health nursing education enhances communication skills by improving students' understanding of mental illness directly from those who experience it. These changes are essential for advancing nursing education and improving mental health services.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019023","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}

{"title":"Prevalence and Factors Associated With Depression and Depressive Symptoms Among Chinese Older Persons: An Integrative Review","authors":"Yue Wu,&nbsp;Nicola Cornally,&nbsp;Aine O'Donovan,&nbsp;Caroline Kilty,&nbsp;Anqi Li,&nbsp;Teresa Wills","doi":"10.1111/inm.13484","DOIUrl":"10.1111/inm.13484","url":null,"abstract":"<p>China is the country with the largest population of older persons. Depression is the most common mental health issue among older adults, a trend expected to increase as societies continue to age. With the global increase in depression and depressive symptoms among this demographic, the resulting disease burden poses a significant challenge to health and social care systems in China. To map, summarise and examine the empirical literature on the prevalence and factors associated with depression and depressive symptoms in Chinese older adults, an integrative literature review was conducted informed by the guidelines of Whittemore and Knafl. The literature search encompassed EMBASE, SCOPUS, CINAHL, Web of Science, PubMed, PsycINFO, SocINDEX, China National Knowledge Infrastructure Database and Wanfang Database. The review included 65 studies, 29 in English and 36 in Chinese. The reported prevalence of depression or depressive symptoms in Chinese older adults was 3.78%–84.3%. Based on the biopsychosocial model, the associated factors were clustered as follows: biological factors (physical health, disability, drug effects, gender, age, diets, physical activities), psychological factors (self-esteem, coping skills, trauma, emotions, beliefs, hobbies, lifestyle) and social factors (family relationships, peers, family circumstances, school, residential areas, social support, social structure). This review synthesised research on depression among older adults in China, highlighting varying prevalence across diverse geographical locations. Given the high prevalence among certain older Chinese cohorts, the early identification and assessment of the factors associated with depression is essential to reducing disease burden. The use of the biopsychosocial model provided a theoretical lens to examine depression in this population in an integrative and holistic way. Thus, furthering understanding of the factors that require close consideration in future research and practice innovations on depression in older persons.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018945","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}

{"title":"The Potential of Poetry in Mental Health Nurse Pre-registration Education","authors":"Mark Pearson","doi":"10.1111/inm.13509","DOIUrl":"10.1111/inm.13509","url":null,"abstract":"<p>This paper examines the potential of poetry as a resource within mental health nurse pre-registration education. There has long been a debate as to whether the art or the science of nursing should be foregrounded within pre-registration education, especially in the UK within recent years as the latest Nursing and Midwifery Council's standards of pre-registration education appear to have shifted the focus towards the acquisition of skills, giving less consideration to the holistic transformatory process of education. The paper uses the conceptualisation of education by Beista, who proposes that education can be considered in relation to the three domains of qualification, socialisation and subjectification. Qualification refers to the acquisition of knowledge and skills, socialisation refers to the process of joining a professional group, and subjectification refers to the development of the individual as a reflective, thoughtful and responsible individual. The paper explores each of these domains in turn and considers how poetry can make a unique contribution in supporting both personal development, and the acquisition of professional knowledge and skills. The reading and writing of poetry can support students to challenge epistemic blinders, enhance their interpersonal skills and develop a more authentic professional identity.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019039","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}

{"title":"Comparative Effectiveness of Mental Health Simulation Techniques in Nursing Education: A Systematic Review and Meta-Analysis","authors":"Xiaoyu Zhang,&nbsp;Hai Wang","doi":"10.1111/inm.13502","DOIUrl":"10.1111/inm.13502","url":null,"abstract":"<div>\u0000 \u0000 <p>Simulation-based training in mental health is increasingly recognised as an effective tool within nursing education. This systematic review and meta-analysis aimed to evaluate the effectiveness of various simulation modalities, including standardised participants (SPs), role-plays, virtual reality (VR), mannequins and voice simulations, in improving educational outcomes for nursing students. A comprehensive literature search was conducted to identify studies evaluating the impact of mental health simulation on nursing education. Data from 62 studies were extracted and analysed. The primary outcomes included knowledge, confidence, self-efficacy, competence and anxiety. Meta-analyses assessed both pretest/posttest changes and comparisons between simulation and control groups. Pretest/posttest analyses revealed significant improvements across multiple modalities: SPs enhanced knowledge (SMD = 1.26), confidence (SMD = 1.20), self-efficacy (SMD = 0.94), attitude (SMD = 0.22), competence (SMD = 2.30) and anxiety reduction (SMD = −0.88). Role-plays demonstrated gains in knowledge (SMD = 0.87), confidence (SMD = 1.24), self-efficacy (SMD = 0.74), attitude (SMD = 0.53), competence (SMD = 0.82) and reduced anxiety (SMD = −0.73). VR improved knowledge (SMD = 0.86), self-efficacy (SMD = 0.75) and competence (SMD = 0.69). Mannequins showed no significant changes in knowledge or competence. Voice simulations improved knowledge (SMD = 0.96). Comparisons with control groups indicated that SPs significantly increased knowledge (SMD = 1.31), competence (SMD = 1.51) and reduced anxiety (SMD = −2.01). Role-plays enhanced knowledge (SMD = 1.03) compared with inactive controls; VR increased knowledge (SMD = 0.86) compared with controls. Mannequins showed no significant differences, and voice simulations lacked sufficient data for comprehensive analysis. This meta-analysis underscores the value of simulation-based training in mental health nursing education, with SPs proving particularly effective in enhancing clinical preparedness. Role-plays, VR and voice simulations offer supplementary benefits but may require integration with more interactive methods for optimal impact. Future research should prioritise high-quality randomised controlled trials, standardised simulation protocols and long-term follow-up to clarify the sustained effects of simulation training on clinical practice.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960732","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":"Developing Empathy and Motivation Through an Arts-Based Project: A Mixed-Methods Study on Addressing Gaps in Nursing Education for Suicide","authors":"Diana Jefferies,&nbsp;Wenpeng You,&nbsp;Aileen Pamonag Lane,&nbsp;Lucie Ramjan,&nbsp;Paul Glew,&nbsp;Stephen Mcnally","doi":"10.1111/inm.13501","DOIUrl":"10.1111/inm.13501","url":null,"abstract":"<div>\u0000 \u0000 <p>The World Health Organisation (WHO) reports that 700 000 people die every year by suicide. An Arts Health education program was co-designed for pre-registration nursing students to conduct a risk assessment for self-harm and suicide with empathy and compassion. Nursing researchers collaborated with clinicians, a theatre professional and filmmakers to develop an engaging, authentic and evidence-based short film to be embedded in a nursing program. The education program was evaluated by second-year pre-registration students in a multiple-methods study. Quantitative and qualitative data were collected concurrently. Quantitative data were collected using surveys and revealed that the debriefing session which followed the education program fostered reflection, peer learning and critical thinking. To explore the students' perceptions of the short film, qualitative data were collected using five open-ended questions. This data was analysed to identify common themes from the qualitative data on student engagement with the short film. Four themes emerged: (1) The importance of asking risk assessment questions; (2) Making connections; (3) Developing empathy; and (4) Wanting to learn more. This Arts Health education program deepened the student's understanding of the importance of risk assessment and provided an opportunity to practice these skills in a safe environment. Conducting a risk assessment to identify the potential for self-harm and suicide is an important clinical skill that should be mastered by all nurses. It requires communication skills that show empathy and compassion so that the person develops trust to disclose their thoughts of harm.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967659","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":"Examining the Feasibility and Acceptability of Identifying Signs of Social Anxiety, in University Students Aged 18–25, While Watching 360° Immersive Films","authors":"Jessica Eve Jackson,&nbsp;Ann Cox,&nbsp;Chris Windmill,&nbsp;Reza Safari","doi":"10.1111/inm.13499","DOIUrl":"10.1111/inm.13499","url":null,"abstract":"<p>Timely, accurate assessment and treatment for social anxiety disorder (SAD) in young people is crucial. There is potential for the adoption of tailored virtual reality interventions for a complementary diagnostic tool using heart rate monitoring as a response indicator. This study examined the feasibility and acceptability of this concept by exposing healthy individuals, aged 18–25, to developed 360° immersive films while collecting heart rate sensor data. Two immersive scenarios were designed with a participatory advisory youth group. A clinical consultant nurse mapped scenario events against validated routine assessment subscales in child and adolescent services. The films were shown to seven participants through a VR headset while monitoring heart rate. They provided qualitative feedback on their quality, acceptability and usability. The study indicated that this approach has the potential to enhance assessments in child and adolescent mental health services. The study has several limitations which are discussed with recommendations for consideration if this concept is taken further. The intervention could act as a potential portable, user-friendly complementary diagnostic tool for clinicians in practice. However, further research is needed to examine its validity.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967660","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}