Journal of Clinical Psychology in Medical Settings最新文献

The Effect of Internet-Based Cognitive Behavioral Therapy (I-CBT) for Severe Fatigue in Adolescents with Immune Dysregulation Disorders: Preliminary Findings using a Multiple Single-Case Experimental Design. 基于网络的认知行为疗法（I-CBT）对免疫失调障碍青少年严重疲劳的效果：采用多例单例实验设计的初步结果

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-22 DOI: 10.1007/s10880-025-10096-y

Linde N Nijhof, Anouk Vroegindeweij, Jan Houtveen, Hans Knoop, Joris M van Montfrans, Patrick Onghena, Elise M van de Putte, Sanne L Nijhof

{"title":"The Effect of Internet-Based Cognitive Behavioral Therapy (I-CBT) for Severe Fatigue in Adolescents with Immune Dysregulation Disorders: Preliminary Findings using a Multiple Single-Case Experimental Design.","authors":"Linde N Nijhof, Anouk Vroegindeweij, Jan Houtveen, Hans Knoop, Joris M van Montfrans, Patrick Onghena, Elise M van de Putte, Sanne L Nijhof","doi":"10.1007/s10880-025-10096-y","DOIUrl":"https://doi.org/10.1007/s10880-025-10096-y","url":null,"abstract":"Severe fatigue in adolescents with immune dysregulation disorders (IDD) is prevalent and affects daily functioning. This study tested Internet-based cognitive behavior therapy (I-CBT) for the treatment of persistent fatigue in adolescents with IDD. This study used a multiple single-case experimental design (SCED) with a randomized waiting list period of 7-26 weeks, followed by 26 weeks of I-CBT and a 16-week follow-up. Nine adolescents participated, focusing on fatigue severity as the primary outcome. Secondary outcomes included physical functioning, school absence, and, if applicable, pain severity. Pre-post-differences were examined across subjects and individually for weekly measures. At the group level, pre-post-differences in primary and secondary outcomes were examined using mixed models. The across-subject analyses demonstrated the expected effect for fatigue severity. Furthermore, there was a significant reduction in fatigue severity and school absence, and improvement in physical functioning. Single-case analyses demonstrated significant reductions in fatigue in 5/9 patients post-I-CBT, with improvements in physical functioning noted in 6/9 patients. Effect sizes ranged from medium to large. Pain severity significantly improved in 1/5 patients with a small effect size. In a sample of nine adolescents, results indicated that I-CBT could be an effective and feasible treatment of persistent severe fatigue in IDD.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145345657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging Parenting Stress and Child Progress: Evaluating a Parent-Mediated Early Intervention for Autism. 父母压力与儿童进步的桥梁：评估父母对自闭症的早期干预。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-16 DOI: 10.1007/s10880-025-10105-0

Lisa M Gies, James D Lynch, Nick Hartley, Natalie Justice, Meg Stone-Heaberlin

{"title":"Bridging Parenting Stress and Child Progress: Evaluating a Parent-Mediated Early Intervention for Autism.","authors":"Lisa M Gies, James D Lynch, Nick Hartley, Natalie Justice, Meg Stone-Heaberlin","doi":"10.1007/s10880-025-10105-0","DOIUrl":"https://doi.org/10.1007/s10880-025-10105-0","url":null,"abstract":"Introduction: Parents of children newly diagnosed with autism report higher parenting stress levels than parents of typically developing children. Parent-mediated interventions include parents as interventionists in their child's intervention but often require increased parent effort and time to engage in the intervention. We investigated the influence of a parent-mediated early intervention for autistic children, the Bridge Skill Development Program, on parenting stress and child outcomes.Methods: Thirty-eight families of autistic children completed the Parenting Stress Index-4th Edition-Short Form (PSI-4-SF) at pre- and post-intervention. We used paired-samples t tests and linear regressions to examine the effects on intervention outcomes and parenting stress on program outcomes.Results: Controlling for mastered pre-intervention skills, children demonstrated significant improvements in core skills from pre- to post-intervention (t(37) = 6.81, p < .001). Parents reported significant pre- to post-intervention reduction in parental distress (t(37) = - 2.53, p = .008), parent-child dysfunction (t(37) = - 4.03, p < .001), parents' perception of their child's difficult behavior (t(37) = - 1.94, p = .03), and overall parenting stress (t(37) = - 3.34, p < .001).Discussion: Results suggest that families benefitted from this parent-mediated intervention, regardless of pre-intervention parenting stress levels, and intervention participation increased child skill development without increasing parenting stress.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating Complex Ethical Issues in Clinical Health Psychology: From Organ Transplants to Informed Choice with Historically Underserved Communities. 在临床健康心理学中导航复杂的伦理问题：从器官移植到历史上服务不足的社区的知情选择。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-16 DOI: 10.1007/s10880-025-10100-5

Ronn Johnson, R Emily Gonzalez, Omar Martinez, Anne M Lagges, Sarah Benuska

{"title":"Navigating Complex Ethical Issues in Clinical Health Psychology: From Organ Transplants to Informed Choice with Historically Underserved Communities.","authors":"Ronn Johnson, R Emily Gonzalez, Omar Martinez, Anne M Lagges, Sarah Benuska","doi":"10.1007/s10880-025-10100-5","DOIUrl":"https://doi.org/10.1007/s10880-025-10100-5","url":null,"abstract":"This paper examines ethical challenges in clinical health psychology through a diversity-informed lens, drawing on insights gained from a 2025 panel discussion at the biannual meeting of the Association of Psychologists in Academic Health Centers (APAHC), held at Johns Hopkins All Children's Hospital in St. Petersburg, FL. The ethically relevant outcomes from the panel centered on four key domains: (1) ethical practice with diverse patients using organ transplantation as an exemplar, (2) ethical oversight in academic medicine and research, including the roles of Institutional Review Boards (IRBs), (3) the implications of grant terminations based on \"gender identity\" or diversity, equity, and inclusion (DEI) considerations, and (4) the implications of legal challenges to training a health care workforce that represents the populations they will serve. Across these domains, the panel emphasized the importance of advancing ethical practices that address persistent disparities affecting historically underserved communities.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145300587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Leaving the Bedside to Mend the Bedside: Influencing Public Policy. 离开病床去修补病床：影响公共政策。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-15 DOI: 10.1007/s10880-025-10107-y

Lori Bruce

引用次数: 0

Navigating Challenges for Psychologist Leaders in Academic Health Centers. 为学术健康中心的心理学家领导导航挑战。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-15 DOI: 10.1007/s10880-025-10099-9

Sarah J Roane, Sivan Rotenberg, Lauren E Szkodny, Mary K Jankowski

{"title":"Navigating Challenges for Psychologist Leaders in Academic Health Centers.","authors":"Sarah J Roane, Sivan Rotenberg, Lauren E Szkodny, Mary K Jankowski","doi":"10.1007/s10880-025-10099-9","DOIUrl":"https://doi.org/10.1007/s10880-025-10099-9","url":null,"abstract":"While psychologists possess unique and valuable skills that can contribute to leadership within academic health centers (AHCs), there are common barriers within these institutions that impede psychologists' engagement in leadership. As a result, significant educational efforts and challenges to entrenched norms are often required to advocate for the field of psychology, particularly when working outside of centralized psychology departments. In the following article, four psychologist colleagues working in a centralized department of psychiatry at a single AHC share their recent experiences facing barriers to leadership roles. The authors describe the impact of historical context on the challenges they face, as well as the actions they have taken to support the advancement of psychologists. These actions include leveraging interdisciplinary support, learning from other fields, and developing a curriculum to enhance financial and business acumen in psychology trainees. The authors also review the importance of staying informed about state and federal policy changes that impact healthcare systems, so that psychologists can help lead in responding to these changes in value-consistent ways. By advocating for the unique contributions psychologists offer and addressing the structural barriers in many AHCs, psychologists can more effectively navigate and shape leadership pathways.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Individual Psychoeducational Interventions for Caregivers of Stroke Patients: A Systematic Review and Meta-Analysis. 个体心理教育干预对脑卒中患者照护者的有效性：系统回顾和荟萃分析。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-15 DOI: 10.1007/s10880-025-10097-x

Hesham Kelani, Hossam Tharwat Ali, Ahmed Naeem, Hazem Mohamed Salamah, Ali Ismail, Youmna Atef Younes, Ismail A Ibrahim, Ahmed Fikry Mohamed, Abdelrahman Mady, Ahmed Abd Elazim, Mohammad El-Ghanem, Volodymyr Vulkanov, Diana Greene-Chandos, May Noor, David P Lerner, Arthur D Kay, Lisa R Merlin, Priyank Khandelwal

{"title":"Effectiveness of Individual Psychoeducational Interventions for Caregivers of Stroke Patients: A Systematic Review and Meta-Analysis.","authors":"Hesham Kelani, Hossam Tharwat Ali, Ahmed Naeem, Hazem Mohamed Salamah, Ali Ismail, Youmna Atef Younes, Ismail A Ibrahim, Ahmed Fikry Mohamed, Abdelrahman Mady, Ahmed Abd Elazim, Mohammad El-Ghanem, Volodymyr Vulkanov, Diana Greene-Chandos, May Noor, David P Lerner, Arthur D Kay, Lisa R Merlin, Priyank Khandelwal","doi":"10.1007/s10880-025-10097-x","DOIUrl":"https://doi.org/10.1007/s10880-025-10097-x","url":null,"abstract":"Stroke is a major cause of disability, and patients who suffer strokes have limited mobility and functional tasks, necessitating daily reliance on caregivers. However, caregivers of stroke patients often experience depression and anxiety, negatively impacting their mental health and reducing their quality of life. Psychoeducational interventions may be a solution to support the well-being of stroke caregivers. This study is performed to assess the overall effectiveness of individual psychoeducational interventions for caregivers of stroke patients. A thorough search of Scopus, PubMed, Web of Science, and Cochrane databases was performed for published studies in English up to June 2023. Clinical trials assessing the efficacy of psychoeducational interventions on quality of life, depression, or care burden among stroke caregivers compared to usual care were included. A total of 18 clinical trials, 16 randomized clinical trials (RCTs), and two non-RCTs, with a total of 2007 patients, were included. The study's pooled results revealed a significant increase in the quality of life in the group receiving psychoeducational interventions compared to the comparison group (SMD = 0.34, 95% CI 0.13-0.55, p value = 0.002), while no significant difference was found in terms of depression (SMD = - 0.05, 95% CI - 0.23 to 0.14, p value = 0.62) or caregiver burden (SMD = - 0.61, 95% CI - 1.65 to 0.44, p value = 0.25). Psychoeducation programs should be considered as a supportive intervention to improve quality of life in caregivers; however, their impact on depression and caregiver burden remains inconclusive. However, further studies with a larger sample size are needed to confirm the results.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are we Optimizing Multidisciplinary Care when it Matters Most? Evaluating Psychosocial Involvement in Critical Conversations in a Pediatric Oncology Clinic. 我们是否在最重要的时候优化了多学科护理？评估心理社会参与关键对话在儿科肿瘤诊所。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-12 DOI: 10.1007/s10880-025-10103-2

Kelsey Largen, Katerina Levy, Jessa Flowers

{"title":"Are we Optimizing Multidisciplinary Care when it Matters Most? Evaluating Psychosocial Involvement in Critical Conversations in a Pediatric Oncology Clinic.","authors":"Kelsey Largen, Katerina Levy, Jessa Flowers","doi":"10.1007/s10880-025-10103-2","DOIUrl":"https://doi.org/10.1007/s10880-025-10103-2","url":null,"abstract":"Providing care to pediatric oncology patients involves delivering sensitive information to families, addressing diverse psychosocial needs, and navigating patient and family emotions. Psychosocial providers embedded within pediatric oncology clinics are uniquely qualified to address communication gaps between patients and providers, provide support to patients, and facilitate collaborative discussions between patients and the medical team. This quality improvement project aimed to describe the impact of including psychosocial providers in critical conversations between medical teams and families. Through conversation tracking, members of the psychosocial team recorded their involvement in thirty-six critical conversations. The psychosocial team offered various interventions including therapeutic processing, emotional assessment, medical translation, psychosocial support, child-focused support, and facilitation of discussions between families and medical providers. While challenges were identified including time and availability, physicians noted several benefits of psychosocial involvement, particularly in addressing emotional needs and enhancing communication with families. Psychosocial providers also noted benefits including demonstrating alignment with the medical team and enhancing the support that they are able to provide the family following the conversation. By integrating psychosocial support into critical conversations, medical providers can foster a patient-centered approach to care and optimize care delivery to effectively support families facing childhood cancer diagnoses.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence in and Beyond Healthcare Psychology. 人工智能在医疗心理学中的应用。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-10 DOI: 10.1007/s10880-025-10101-4

Dong Y Han

{"title":"Artificial Intelligence in and Beyond Healthcare Psychology.","authors":"Dong Y Han","doi":"10.1007/s10880-025-10101-4","DOIUrl":"https://doi.org/10.1007/s10880-025-10101-4","url":null,"abstract":"Artificial Intelligence (AI) has been developed through interdisciplinary efforts since the 1940s, but generative AI and Large Language Models (LLMs) gained unprecedented attention with the launch of ChatGPT by OpenAI in late 2022. As these AI tools have become globally ubiquitous, significant implications arise for clinicians within and beyond healthcare settings. The simulation or emulation of human intelligence through coded heuristics now permeates clinical domains, creating new opportunities alongside ethical challenges that require careful exploration. For healthcare psychologists, regardless of specialty, it has become a priority to remain at the forefront of these technological advances. This includes developing literacy not only in psychological emulation software but also in the rapidly growing hardware that supports AI. Well-informed clinicians must act as responsible stewards of this advancing technology and its application in healthcare. These responsibilities must be approached through the lens of both existing and evolving ethical standards in human psychology. Although these tasks may seem daunting, the urgency, opportunities, and necessity for healthcare psychologists to engage thoughtfully with AI are clear. This engagement ensures that patient care benefits from innovation while upholding ethical principles. Said opportunities and the urgency for healthcare psychologists are discussed.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychologists' Unique Skills for Policy Engagement in Academic Health Settings. 心理学家在学术健康环境中政策参与的独特技能。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-03 DOI: 10.1007/s10880-025-10098-w

Amber A Hewitt

{"title":"Psychologists' Unique Skills for Policy Engagement in Academic Health Settings.","authors":"Amber A Hewitt","doi":"10.1007/s10880-025-10098-w","DOIUrl":"https://doi.org/10.1007/s10880-025-10098-w","url":null,"abstract":"Psychologists working in medical and academic health settings bring unique skills that make them well-suited for policy advocacy. Their training in trust-building, translating evidence, and understanding context can be applied to influence policies that impact access, quality, and equity in healthcare. This article explains how clinical and counseling skills align with policy engagement and shows their relevance through examples such as Medicaid reform, telehealth parity, and racial equity impact assessments. It introduces conceptual frameworks and practical strategies to demonstrate how psychologists can participate in coalition building, communication, and policy evaluation. Training recommendations emphasize the importance of incorporating advocacy skills into graduate programs, offering mentorship, and providing ongoing professional development to equip psychologists for leadership in evolving healthcare systems. Advocacy is presented not just as a supplement to practice, but as a natural part of psychologists' professional identity. By embedding advocacy into education and practice, psychologists can promote health equity and help ensure policies are based on both scientific evidence and lived experience.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Leadership for Psychologists in Academic Health Centers (L-PAHC): Establishing a Leadership Conference Curriculum. 学术健康中心（L-PAHC）心理学家的领导力：建立领导力会议课程。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-09-01 Epub Date: 2025-02-22 DOI: 10.1007/s10880-025-10066-4

Wendy L Ward, Sunnye Mayes, Philip J Fizur, William Robiner

{"title":"Leadership for Psychologists in Academic Health Centers (L-PAHC): Establishing a Leadership Conference Curriculum.","authors":"Wendy L Ward, Sunnye Mayes, Philip J Fizur, William Robiner","doi":"10.1007/s10880-025-10066-4","DOIUrl":"10.1007/s10880-025-10066-4","url":null,"abstract":"Psychologists have unique and valuable skill sets that are increasingly recognized and desired for leadership positions within academic health centers (AHCs; Kirch and Ast, in J Clin Psychol Med Settings 24:86-91, 2017). Despite this trend, there are not many specialized leadership training opportunities for psychologists employed at AHCs. The Leadership for Psychologists in Academic Health Centers (L-PAHC) Conference was conceptualized and implemented as a virtual conference offering to address this professional development need. This paper details the conference overview, target audience, content, and speakers, scheduling and implementation, and evaluation and feedback from the inaugural L-PAHC Virtual Conference. The conference was well attended (n = 97), with a range of career stages represented (41% early, 45% mid-career, 14% late career). Attendees included APAHC members (76.3%) and non-members, most of whom were already serving in leadership roles (86%). Interactive conference engagement was high, and feedback was generally positive and indicative of attainment of conference training goals (M = 4.85 of possible 5; SD = 0.36). All respondents recommended that L-PAHC should be held again and most reported that they would return. The L-PAHC Conference was well received and highly rated for addressing leadership training needs for psychologists in AHCs. Specific feedback and recommendations for future leadership training are provided.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"385-392"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0