International Journal of Social Psychiatry最新文献

{"title":"Experience report: Mental health interventions during the 2024 floods in Rio Grande do Sul, Brazil.","authors":"Joana Corrêa de Magalhães Narvaez, Sheila Gonçalves Câmara, Tonantzin Ribeiro Gonçalves, Daniela Centenaro Levandowski, Daniel Tornaim Spritzer, Georgius Cardoso Esswein, Alice Zelmanowicz, Mayte Raya Amazarray, Luiza Maria de Oliveira Braga Silveira, Caroline Tozzi Reppold, Luciana Boose Pinheiro, Juliana Gomes Roloff, Rafaela Luiza Telöken, Everson Veiga, Fernanda Dos Santos de Luvizon, Lucas Silva Camargo, Arthur Bezerra Falcão, Mariana Calesso Moreira, Artur Ramos, Helena Moura, João Maurício Castaldelli-Maia","doi":"10.1177/00207640251336738","DOIUrl":"https://doi.org/10.1177/00207640251336738","url":null,"abstract":"<p><strong>Introduction: </strong>This Experience Report explores the mobilisation of mental health professionals and students who responded to the catastrophic floods in Rio Grande do Sul (RS), Brazil, in 2024. Triggered by prolonged rainfall and exacerbated by urbanisation and the influence of El Niño, this event caused unprecedented devastation, with over 615,000 individuals displaced and severe socioeconomic impacts. This paper aims to describe the experiences of mental health professionals and students involved in psychosocial care provided to victims between May and July 2024 in rescue sites and shelters at Porto Alegre.</p><p><strong>Method: </strong>Drawing from the collective reflections of a multidisciplinary team, this report highlights the challenges, adaptations, and lessons learned during psychosocial interventions conducted in rescue sites and shelters. The 18 participants included were psychologists, psychiatrists, nursing students, and faculty members from prominent academic institutions, providing a diverse range of perspectives. Data collection was conducted using a structured questionnaire distributed via Google Forms, data analysis used thematic analysis (Braun & Clarke, 2006) to interpret the open-ended questionnaire responses.</p><p><strong>Results: </strong>The report identifies significant gaps in disaster-specific planning and training, revealing how the absence of clear protocols led to disorganisation during initial responses. Despite challenges, mental health teams adapted flexibly and demonstrated resilience, implementing interventions that addressed acute emotional symptoms, grief, and long-term psychological impacts. Vulnerable populations, including low-income and racialised groups, faced compounded risks due to systemic inequities and inadequate public policies. Mental health professionals themselves experienced substantial emotional strain, navigating their dual roles as responders and affected community members.</p><p><strong>Conclusion: </strong>The findings emphasised the critical need to integrate mental health into disaster planning, prioritise training in psychosocial care, and adopt community-focused approaches to enhance collective resilience. This report contributes to disaster response discussions by providing insights into the lived experiences of mental health responders. It offers recommendations to strengthen preparedness and response frameworks, ensuring equitable and sustainable recovery for affected populations.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251336738"},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150364","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":"Commodified upbringings: A narrative review on commercial determinants of child and adolescent mental health.","authors":"Juan Pablo Carrasco, Pablo Estrella-Porter, Álvaro Cerame","doi":"10.1177/00207640251341078","DOIUrl":"https://doi.org/10.1177/00207640251341078","url":null,"abstract":"<p><strong>Introduction: </strong>The mental health of children and adolescents has become a major global health concern, with increasing diagnoses and use of psychotropic drugs. The commercial determinants of health (CDoH) paradigm links economic and social forces to health outcomes. Highlighting the influence of industries such as food, pharmaceuticals, technology, social media, gambling, alcohol, tobacco and pornography on the mental health of this population is crucial.</p><p><strong>Materials and methods: </strong>This narrative review synthesises existing literature on the impact of commercial determinants on child and adolescent mental health. A comprehensive search was conducted using PubMed, PsycINFO and Google Scholar, covering publications from 2000 to 2024. The review focused on peer-reviewed articles, reports and relevant grey literature examining the influence of commercial practices on mental health.</p><p><strong>Results and discussion: </strong>The review found 45 studies from different countries and industries, highlighting how commercial practices and exposure to their content negatively impact children's and adolescents' mental health. Beyond traditional industries like tobacco, food and alcohol, the review explores others. Social media use is associated with increased anxiety and depression due to social comparison and cyberbullying. Easy access to pornographic content distorts perceptions of relationships and sexuality, contributing to anxiety, depression and behavioural disorders. The gambling industry's normalisation of betting through advertising influences addictive behaviour from an early age. Aggressive marketing by the pharmaceutical industry can lead to excessive or inappropriate use of diagnostic labels and psychotropic medications, exacerbating mental health problems and posing significant ethical and public health challenges.</p><p><strong>Conclusion: </strong>Commercial determinants significantly impact child and adolescent mental health, necessitating a multifaceted approach to address these challenges. Parents and children's education, implementation of public policies and regulation of harmful commercial practices are essential to protect and promote mental health in future generations. Understanding and mitigating the effects of CDoH are crucial for ensuring a healthy developmental environment for children.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251341078"},"PeriodicalIF":2.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142575","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":"Psychosocial interventions in bipolar disorders: A guidelines' review.","authors":"Antonio Ventriglio, Fabiana Ricci, Daniela Giallanella, Costanza Gaggiano, Julio Torales, João Mauricio Castaldelli-Maia, Alexander Smith, Michael Liebrenz, Tomás Caycho-Rodríguez, Antonello Bellomo","doi":"10.1177/00207640251333296","DOIUrl":"https://doi.org/10.1177/00207640251333296","url":null,"abstract":"<p><strong>Introduction: </strong>Psychosocial interventions are essential in the treatment of severe mental disorders, including Bipolar Disorder. These interventions aim to enhance patients' psychopathology, alongside pharmacological treatments, while also improving personal functioning and quality of life.</p><p><strong>Methods: </strong>We conducted a comprehensive review of available international guidelines concerning the treatment of Bipolar Disorder, specifically examining their recommendations on the efficacy and implementation of psychosocial interventions across different phases of the illness. The guidelines included in our review were from the National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN), the Royal Australian and New Zealand College of Psychiatrists (RANZCP), the American Psychiatric Association (APA), the Canadian Network for Mood and Anxiety Treatments (CANMAT), the International Society for Bipolar Disorders (ISBD), the British Association for Psychopharmacology (BAP), Bangladesh Association of Psychiatrists (BAP 2022), and the World Federation of Societies of Biological Psychiatry (WFSBP).</p><p><strong>Results: </strong>The international guidelines endorse psychosocial interventions as supportive treatments in conjunction with pharmaceutical or psychotherapeutic approaches for Bipolar Disorder.</p><p><strong>Conclusions: </strong>Further research is needed to validate the suggested effectiveness of psychosocial interventions on the long-term outcomes of Bipolar Disorder.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251333296"},"PeriodicalIF":2.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136218","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":"Financial stress as a mediator of financial position and depressive symptoms among rural Nepali women.","authors":"Alexandria Ree Hadd, Abbie Shervinskie, Cari Jo Clark","doi":"10.1177/00207640251340820","DOIUrl":"https://doi.org/10.1177/00207640251340820","url":null,"abstract":"<p><p>BackgroundAssets, income, socioeconomic status, and other measures of financial position are consistent predictors of depression. Although financial stress has been proposed as a mediator of this relationship, no study has explored this hypothesis using a rigorous longitudinal design or outside of high-income countries.AimsWe address this gap using longitudinal cohort data across four timepoints.MethodThe sample comprised 831 women (<i>M</i> = 35.9 years old) living in Nawalpur, a rural district in the Gandaki province of Nepal; the majority were married (88%) and of Janajati caste/ethnicity (61%). The direct effect of financial position on depressive symptoms and its indirect effect through financial stress were estimated using a cross-lagged panel mediation model (CLPM); we also conducted cross-sectional mediation models - of the sort typically employed in mediation analyses - for comparison and bias estimation.ResultsIn the CLPM, financial stress significantly mediated the financial position-depressive symptom relationship between timepoints one and three, but not between timepoints two and four (likely due to loss of power). After accounting for financial stress as a mediator, the direct effects of financial position on depressive symptoms were not statistically significant. The cross-sectional models overestimated the relationship between financial stress and depressive symptoms; otherwise, results between the CLPM and cross-sectional models were comparable.ConclusionsOur findings suggest that interventions addressing financial stress may improve depressive symptoms. Methodologically, we argue that more researchers should employ longitudinal designs when investigating mediation processes.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251340820"},"PeriodicalIF":2.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085972","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 relationship between future anxiety and awareness of global climate change in nursing students.","authors":"Fatma Melike Erkan, Funda Kavak Budak","doi":"10.1177/00207640251339892","DOIUrl":"https://doi.org/10.1177/00207640251339892","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to determine the relationship between nursing students' future anxiety and awareness of global climate change.</p><p><strong>Method: </strong>The population of this correlational descriptive study consisted of nursing students studying at a nursing faculty. Three hundred and thirty nursing students were included in the study. The researcher collected data through google forms using a Descriptive Characteristics Form, the Awareness Scale of University Students About Global Climate Change (ASUSGCC) and the Future Anxiety Scale in University Students (FASUS) between March and May 2024.</p><p><strong>Results: </strong>The ASUSGCC total mean score of the nursing students was 3.43 ± 0.88. Their FASUS total mean score was 61.39 ± 12.98. There was a statistically significant positive, weak correlation between their ASUSGCC and FASUS total mean scores (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>It was found that the nursing students had a moderate level of awareness about global climate change. It can be asserted that the participants had a moderate level of future anxiety based on their FASUS total mean score. In the study, as their level of awareness about climate change elevated, did so their level of future anxiety.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251339892"},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024745","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":"Exploring the impact of childhood trauma on obsessive-compulsive disorder: A systematic review focused on adult populations.","authors":"Valentina Baldini, Martina Gnazzo, Giorgia Varallo, Diana De Ronchi, Andrea Fiorillo","doi":"10.1177/00207640251339510","DOIUrl":"https://doi.org/10.1177/00207640251339510","url":null,"abstract":"<p><strong>Background: </strong>Childhood trauma has been linked to various psychiatric disorders, including obsessive-compulsive disorder (OCD). However, the relationship between specific types of childhood trauma and their impact on the subtypes and severity of obsessive-compulsive symptoms remains poorly understood. This systematic review aims to consolidate current evidence on the potential associations between childhood trauma and obsessive-compulsive symptoms.</p><p><strong>Methods: </strong>We conducted a systematic search across four electronic databases, including PubMed, Web of Science, EMBASE, and PsycINFO, to identify studies examining the relationship between childhood trauma and obsessive-compulsive symptoms. Eligible studies were screened, data extracted, and methodological quality assessed.</p><p><strong>Results: </strong>The final selection consisted of 22 studies corresponding to 5603 individuals with a diagnosis of OCD (mean age: 29.8 ± 9.9 years; 52% females). The findings suggest that individuals with OCD frequently have childhood trauma. Emotional abuse and neglect were significantly associated with higher Yale-Brown Obsessive-Compulsive Scale scores and increased prevalence of religious, sexual, and aggressive obsessions. Two studies identified potential mechanisms linking trauma to OCD, including cerebellar remodeling and dysregulation of stress-response systems.</p><p><strong>Conclusions: </strong>Childhood trauma, particularly emotional abuse and neglect, appears to contribute to OCD severity and symptom specificity, with trauma histories being more pronounced in treatment-resistant cases. These findings highlight the importance of trauma-informed care in OCD assessment and treatment. Future research should address methodological heterogeneity, explore longitudinal pathways, and investigate neurobiological mechanisms to elucidate the trauma-OCD relationship further.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251339510"},"PeriodicalIF":2.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966861","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":"A systematic review and meta-analysis on gender differences in the treatment of anxiety and depression.","authors":"María Bernal Arenas, Andrés Arroyo-Sánchez, Úrsula Torres Parejo, José Eduardo Muñoz-Negro","doi":"10.1177/00207640251331898","DOIUrl":"https://doi.org/10.1177/00207640251331898","url":null,"abstract":"<p><strong>Background: </strong>Gender disparity in mental health treatment has been a longstanding concern in healthcare. Women, who are disproportionately diagnosed with anxiety and depression, often receive more psychotropic medication than men.</p><p><strong>Aims: </strong>This study investigates gender disparity in the treatment of anxiety and depression, aiming to uncover the intersection of medical and social factors and their influence on psychiatric care.</p><p><strong>Methods: </strong>A systematic review methodology following PRISMA guidelines was performed. Literature searches were conducted on PubMed and Web of Science, including observational studies and excluding qualitative studies, which resulted in the screening of eight studies for an in-depth analysis which included meta-analysis. The GRADE approach was considered to address risk of bias.</p><p><strong>Results: </strong>The findings of this review reveal a clear gender disparity in the treatment of anxiety and depression, with women consistently experiencing over-treatment when compared to men, even after adjusting for mental health status and diagnosis frequency, with statistically significant results for the meta-analysis (PR = 1.45, 95% CI [1.12, 1.78]), concluding that women are 54% more likely than men of receiving psychotropic treatment for anxiety and depression. The reduced number of studies included is acknowledged as a limitation of the study.</p><p><strong>Conclusions: </strong>Addressing these issues requires a comprehensive understanding of biopsychosocial factors, integrating gender-inclusive politics into medical education and clinical practices. Recognizing and mitigating these underlying causes is paramount to reduce gender-based disparities in mental health and promoting better practices to achieve equitable health outcomes.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251331898"},"PeriodicalIF":2.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983760","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":"Association between ambient temperature and emergency psychiatric consultations: A case-crossover study in a South American emergency setting (2021-2023).","authors":"Julio Torales, Martín Laterza, Albert Persaud, Marcelo O'Higgins, Anthon Daniel Torres-Romero, Tomás Caycho-Rodríguez, Antonio Ventriglio, João Mauricio Castaldelli-Maia, Joseph El-Khoury, Egor Chumakov, Michael Liebrenz, Alexander Smith, Rachel Tribe, Afzal Javed, Dinesh Bhugra, Iván Barrios","doi":"10.1177/00207640251336725","DOIUrl":"https://doi.org/10.1177/00207640251336725","url":null,"abstract":"<p><strong>Background: </strong>Although environmental factors have been studied for their impact on mental health, the link between ambient temperature and mental disorders remains insufficiently explored.</p><p><strong>Aim: </strong>This study aimed to explore the relationship between ambient temperature and the frequency of emergency psychiatric consultations at the sole university hospital in Paraguay from 2021 to 2023.</p><p><strong>Methods: </strong>This investigation adopted a quantitative, observational, cross-sectional design, using a case-crossover approach. Data collection entailed reviewing patient records and meteorological data, focusing on the daily mean temperatures and other meteorological variables. Statistical analysis was conducted using RStudio and SPSS, applying a distributed lag non-linear model (DLNM) for a seven-day lag period. Multinomial logistic regression was used to estimate odds ratios (ORs) for the likelihood of specific diagnoses resulting in emergency consultations in relation to temperature exposure.</p><p><strong>Results: </strong>The analysis covered 2,186 first-time emergency psychiatric consultations, with anxiety disorders being the most frequent diagnosis (24.3%), followed by depressive disorders (23.4%) and personality disorders (15.8%). Women accounted for 70.6% of all patients. The findings indicated that higher temperatures were associated with a greater frequency of consultations for certain disorders, including bipolar (OR up to 27.12 at Lag 1) and eating disorders (OR up to 100 at Lag 1). Conversely, a negative association was observed for schizophrenia, dissociative disorders, and trauma- and stressor-related disorders as temperature increased. Additionally, a linear relationship was found between lower relative humidity and increased number of consultations.</p><p><strong>Conclusions: </strong>The findings underscore the impact of ambient temperature on psychiatric emergency consultations, revealing that the frequency of consultations for different conditions varies with temperature. These insights could inform public health strategies to mitigate the effects of climatic variation on mental health. These findings suggest the need for targeted mental health interventions to address vulnerabilities during periods of climatic stress, particularly in resource-limited settings.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251336725"},"PeriodicalIF":2.5,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009070","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":"Pre-disaster family visits and post-evacuation return to Fukushima among psychiatric inpatients evacuated to out-of-area hospitals after the nuclear accident.","authors":"Yuko Suzuki, Toshihiro Terui, Yasuto Kunii, Takeyasu Kakamu, Tomoo Hidaka, Daisuke Gotoh, Nobuo Anzai, Shin-Ichi Niwa, Hirooki Yabe","doi":"10.1177/00207640241288684","DOIUrl":"10.1177/00207640241288684","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to elucidate the effects of pre-evacuation family hospital visits on post-evacuation returns to Fukushima Prefecture (hometown) among psychiatric inpatients who mandatorily evacuated to hospitals outside the prefecture because of the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident.</p><p><strong>Method: </strong>Of the inpatients in Fukushima, 44 were admitted to a hospital in the nearby Soso district on March 11, 2011, and were therefore included in the current analysis. We collected information on their discharge after the evacuation and family visits before the evacuation by reviewing the medical records of both the evacuation destination and former hospitals.</p><p><strong>Results: </strong>The average durations from the accident to post-evacuation return among patients with and those without former family visits were 681.8 days (standard error [SE] = 163.3) and 1,027.8 days (SE = 152.0), respectively. The log-rank test showed a tendency of earlier return to Fukushima among inpatients who had received family visits to the hospital before evacuation (<i>p</i> = .073).</p><p><strong>Conclusions: </strong>The results highlight the critical need for close collaboration between psychiatric medical practitioners and families, to not only support patients' community reintegration into daily life but also facilitate a timely return to their hometowns following long-distance evacuation caused by an unforeseen large-scale disaster.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"609-611"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377802","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":"Overview Effect, addictions and social psychiatry.","authors":"Antonio Ventriglio, Dinesh Bhugra","doi":"10.1177/00207640251332354","DOIUrl":"https://doi.org/10.1177/00207640251332354","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":"71 3","pages":"442-443"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017102","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}