Journal of studies on alcohol and drugs最新文献

{"title":"Childhood Maltreatment, Internalizing and Externalizing Symptoms, and Later Drug Use.","authors":"Magda Javakhishvili, Cathy Spatz Widom","doi":"10.15288/jsad.24-00266","DOIUrl":"https://doi.org/10.15288/jsad.24-00266","url":null,"abstract":"<p><strong>Objective: </strong>Numerous studies have reported associations between child maltreatment and drug use and abuse. We ask whether internalizing and externalizing symptoms during young adulthood mediate the relationship between childhood maltreatment and illicit drug use and use of prescribed medications later in middle adulthood.</p><p><strong>Method: </strong>Utilizing a prospective cohort design, a large group of court-substantiated cases of childhood maltreatment (ages 0 -11) and demographically matched controls were followed into adulthood. Internalizing symptoms (depression and anxiety), externalizing symptoms (antisocial personality disorder), and drug abuse and dependence symptoms were assessed in young adulthood (M_age = 29) in interviews during 1989-1995 (<i>N</i> = 1,196). Information about the use of illicit drugs and prescribed medications was obtained in middle adulthood in interviews during 2003-2005 (N = 807, M_age = 41). Parallel mediation models were tested for depression and anxiety separately using path analysis.</p><p><strong>Results: </strong>Childhood maltreatment predicted more internalizing and externalizing symptoms during young adulthood. Internalizing symptoms during young adulthood mediated the effect of childhood maltreatment on prescription drug use in middle adulthood, whereas externalizing symptoms mediated the relationship between childhood maltreatment and illicit drug use in middle adulthood, despite controls for drug abuse/dependence symptoms in young adulthood.</p><p><strong>Conclusions: </strong>These new findings suggest that efforts should be directed at reducing internalizing symptoms of anxiety and depression and externalizing symptoms in maltreated children to reduce risk for drug use later in life. The unique mediating effects of internalizing versus externalizing symptoms on prescription drug and illicit drug use, respectively, suggest the need for tailored interventions for different kinds of drug use.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Acceptability of a Bar-Staff Bystander Intervention Training Program for Reducing Sexual Aggression.","authors":"Karyn Roberts, Kelly Cue Davis, Mary P Koss, Elise C Lopez","doi":"10.15288/jsad.24-00031","DOIUrl":"10.15288/jsad.24-00031","url":null,"abstract":"<p><strong>Objective: </strong>This article explores the challenges, opportunities, and successes encountered in implementing <i>Safer Bars</i>, a bystander intervention training program to prevent sexual aggression in bars. The study aims to assess the feasibility of program implementation and its acceptability among bar staff and bar owners/managers.</p><p><strong>Method: </strong>Using a mixed-methods approach, the study assessed the feasibility of <i>Safer Bars</i> by documenting bar participation, reasons for declination, and the time elapsed during recruitment, offering insights into experienced challenges and successes. Acceptability was gauged through posttraining surveys for bar staff (<i>N</i> = 220) and owners/managers (<i>N</i> = 22), including Likert-scale questions on various aspects of the program and open-ended inquiries about the training's best aspects and potential improvements.</p><p><strong>Results: </strong>Despite challenges in bar enrollment due to time constraints and financial considerations, the program demonstrated high acceptability among participating bars. Bar staff expressed confidence in applying acquired bystander skills, emphasizing the importance of skilled and knowledgeable trainers. The qualitative analysis of participant feedback revealed valuable insights into the practicality and reception of the intervention.</p><p><strong>Conclusions: </strong>This study provides data from implementation to guide upscaling <i>Safer Bars</i>. Despite feasibility challenges amidst the COVID-19 pandemic, the program showed high acceptability among bar staff and owners/managers, indicating its potential impact on addressing sexual aggression in nightlife settings. Future efforts must consider the reality of the alcohol-serving industry and focus on innovative strategies to overcome additional industry-specific barriers to enhance program feasibility.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"238-245"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Substance Misuse and Sexual Victimization History on Sexual Violence Risk Perception in Men Who Have Sex With Men: A Novel Paradigm.","authors":"Brooke E Wells, Damon Mitchell, D J Angelone, Dustin Fife, Megan Korovich, Elizabeth Pakan, Justin Sitron","doi":"10.15288/jsad.24-00019","DOIUrl":"10.15288/jsad.24-00019","url":null,"abstract":"<p><strong>Objective: </strong>Sexual victimization (SV) is common among men who have sex with men (MSM), as is dating and sexual networking (DSN) app use. We developed a novel laboratory paradigm (\"G-Date\") of sexual violence risk perception in DSN app environments and explored its validity and the role of substance misuse and SV history on sexual violence risk perception.</p><p><strong>Method: </strong>Using convenience sampling, we recruited 145 MSM to use G-Date to interact with two bogus speed dates whose responses were scripted to be risky or nonrisky. Risky dates displayed several cues indicating risk for sexual violence perpetration. Dependent variables included pre/post changes in ratings of their dating partner's appeal, ratings of the presence of each embedded risk cue, and the duration of the speed dates.</p><p><strong>Results: </strong>Compared with nonrisky dates, participants terminated risky dates significantly sooner, rated them higher in each risk cue, and gave them pre- to postdate ratings of partner appeal that declined significantly more. Participants' drug misuse was associated with reduced interest in the nonrisky date but not the risky date and predicted shorter speed date length and lower partner appeal ratings across date types. Substance-facilitated SV history interacted with alcohol misuse and date type to predict sexual violence risk perception.</p><p><strong>Conclusions: </strong>Results provide evidence for the paradigm's validity and suggest that drug misuse and substance-facilitated SV history shape MSM's risk perception in DSN apps. Efforts to prevent SV among MSM should consider individual characteristics, including substance misuse, in risk perception.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"195-205"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol and Sexual and Intimate Partner Violence: A Review, Current Trends, and a Look Toward the Future.","authors":"Jennifer P Read","doi":"10.15288/jsad.25-00079","DOIUrl":"10.15288/jsad.25-00079","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"161-165"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Integrative Model of Alcohol-Facilitated Intimate Partner Aggression Perpetration in Sexual and Gender Diverse Couples.","authors":"Dominic Parrott, Ruschelle M Leone, Amy Hequembourg, Ryan C Shorey, Christopher Eckhardt, Gregory L Stuart","doi":"10.15288/jsad.24-00008","DOIUrl":"10.15288/jsad.24-00008","url":null,"abstract":"<p><strong>Objective: </strong>Sexual and gender diverse (SGD) individuals are at heightened risk for intimate partner aggression (IPA) perpetration relative to their heterosexual and cisgender peers. Alcohol is a well-established cause of IPA perpetration in cisgender, heterosexual couples; however, minimal research has investigated the alcohol-IPA perpetration link in SGD couples. The relative lack of work in this area is a major barrier to addressing this health disparity. SGD individuals experience unique stressors related to their and/or their partner's intersecting minoritized identities that are crucial to understanding alcohol-IPA etiology and informing culturally affirming intervention programming.</p><p><strong>Method: </strong>We advance prior work by members of the authorship team to propose an integrative theoretical model that invokes (a) the I³ Model to organize risk and resilience factors at the individual and dyadic level and (b) alcohol myopia theory to explain the mechanism by which proximal alcohol use facilitates IPA as a function of individual differences in those factors.</p><p><strong>Results: </strong>This integrative model provides a framework to understand how the confluence of stigma, minority stressors, proximal alcohol use, and other factors contribute to IPA perpetration in SGD couples.</p><p><strong>Conclusions: </strong>Application of this integrative model has the potential to facilitate more rigorous research (e.g., intensive longitudinal designs, dyadic analysis) focused on putative risk and resilience factors across the social ecology. Further, the model provides guidance for intervention development by identifying how individual (e.g., minority stress), relationship (e.g., relationship functioning), and structural factors (e.g., SGD stigma) interactively contribute to alcohol-facilitated IPA perpetration.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"218-228"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Men's Coercive Condom Use Resistance: The Roles of Alcohol and Emotional Factors.","authors":"Kelly Cue Davis, Mitchell Kirwan, Weiqi Chen, Julia F Hammett, Nolan Eldridge, Cynthia A Stappenbeck","doi":"10.15288/jsad.23-00413","DOIUrl":"10.15288/jsad.23-00413","url":null,"abstract":"<p><strong>Objective: </strong>Men's coercive condom use resistance (CUR) with female partners is common and is associated with greater alcohol consumption than men's noncoercive CUR engagement. Prior research indicates that emotion-related factors are relevant to alcohol-involved coercive CUR. Thus, in this alcohol administration study, we examined emotional factors as distal and proximal predictors of alcohol-involved coercive CUR among young men who have sex with women.</p><p><strong>Method: </strong>Non-problem-drinking young adult men who have sex with women (<i>N</i> = 282) were recruited from the local community, and as part of a larger study, completed a background survey and an in-lab alcohol administration session that included a mood induction and sexual scenario task using a 2 (sober vs. intoxicated) × 2 (positive mood vs. negative mood) experimental design.</p><p><strong>Results: </strong>Path analysis testing a moderated mediation model revealed that for participants in the sober, positive mood conditions and the intoxicated, negative mood conditions, there was a positive association between distal emotion regulation difficulties and motives to have sex to cope with negative emotions. In addition, distal emotion regulation difficulties were positively associated with proximal difficulties modulating one's emotions among intoxicated participants. Among those with greater proximal difficulties modulating their emotions, state anger was positively associated with coercive CUR intentions.</p><p><strong>Conclusions: </strong>Results demonstrate the importance of alcohol intoxication, emotions and emotion regulation, and sexual coping motives in men's coercive CUR likelihood, demonstrating potential malleable targets for prevention efforts.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"271-280"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prior Sexual Aggression as a Moderator of an Integrated Alcohol and Sexual Assault Prevention Program for Heavy-Drinking College Men: A Brief Report.","authors":"Lindsay M Orchowski, Jennifer E Merrill, Roselyn Peterson, Nancy P Barnett, Alan Berkowitz, Brian Borsari, Daniel W Oesterle, Caron Zlotnick","doi":"10.15288/jsad.24-00040","DOIUrl":"10.15288/jsad.24-00040","url":null,"abstract":"<p><strong>Objective: </strong>Sexual aggression and heavy drinking are interrelated concerns among college men. As a result, integrated prevention interventions now exist to address co-occurring risks for sexual aggression and heavy drinking. The Sexual Assault and Alcohol Feedback and Education (SAFE) program is a multi-session integrated alcohol and sexual assault prevention program for college men that addresses alcohol use, sexual activity, social norms, alcohol-related sexual consequences, understanding of consent, and engagement in bystander intervention. Given that prior sexual aggression is a risk factor for subsequent perpetration of sexual aggression, the present study examined whether the effect of SAFE on a range of outcomes (rape myth acceptance, hypergender ideology, labeling of consent, and bystander intervention intentions) depended on men's baseline history of perpetration.</p><p><strong>Method: </strong>Participants in the study were heavy-drinking college men (<i>N</i> = 115) randomly assigned to SAFE or a mindfulness-based control condition, who completed follow-ups at 2 and 6 months. Data were analyzed using multilevel modeling.</p><p><strong>Results: </strong>Degree of prior sexual aggression significantly moderated effects of SAFE on change in intentions to intervene, as well as rape myth acceptance, between baseline and 6 months. As baseline perpetration decreased, those receiving SAFE significantly increased bystander intervention intentions more than the control group. As baseline perpetration increased, those receiving SAFE significantly increased rape myth acceptance more than the control group.</p><p><strong>Conclusions: </strong>Findings emphasize the importance of continued examination of who benefits from integrated alcohol and sexual assault prevention programs.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"281-286"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Feasibility, Acceptability, and Initial Efficacy of a Multiple Behavior Change Intervention Addressing Alcohol Use, Sexual Risk-Taking, and Bystander Intervention.","authors":"Lucy E Napper, Shannon R Kenney, Laura C Wolter, Nicole L Johnson, Lindsay M Orchowski, Prachi H Bhuptani, Nancy P Barnett","doi":"10.15288/jsad.24-00009","DOIUrl":"10.15288/jsad.24-00009","url":null,"abstract":"<p><strong>Objective: </strong>Prevention programs that address the intersecting health problems of risky alcohol use, unsafe sexual behaviors, and sexual violence are needed. This pilot project assessed the feasibility, acceptability, and preliminary efficacy of a two-session group-based intervention, Sex Positive Lifestyles: Addressing Alcohol & Sexual Health (SPLASH), targeting these highly interconnected risks for college students across genders.</p><p><strong>Method: </strong>A total of 217 participants (51.6% male, ages 18-24) took part in the SPLASH intervention or a nutrition/exercise control condition. SPLASH included three approaches aimed at reducing the incidence of alcohol problems, unsafe sex, and sexual victimization: normative feedback to modify misperceptions around peers' drinking, sexual behaviors, and support of bystander intervention; drinking and sexual-related protective behavioral strategy training to enhance safer drinking and sex-risk behaviors; and bystander intervention skills training to promote bystander efficacy and engagement. Participants completed baseline and follow-up (1-month and 6-month) online assessments.</p><p><strong>Results: </strong>SPLASH demonstrated high acceptability and feasibility, as well as preliminary efficacy. SPLASH participants reported strong acceptability of the intervention, particularly its integrated content and interactive, in-person group format. Successful enrollment (70% randomized) and retainment point to the feasibility of recruiting students to this two-session in-person intervention. Results showed sustained trends toward more accurate perceived sex-related norms and indications of increasing bystander norms among intervention but not control participants.</p><p><strong>Conclusions: </strong>Results demonstrate the potential for SPLASH to effectively address the interrelated health risks of risky alcohol use, unsafe sex, and sexual violence on college campuses and point to the need for larger-scale studies.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"246-260"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Virtual Reality in Sexual Aggression Alcohol Administration Research: Opportunities and Challenges.","authors":"Antonia Abbey, Angela J Jacques-Tiura, Elise Vanparis, Jaxon Hart, Dylan A John, Erica Nason, Grayson Lawrence, Ava Messisco, Kenneth Scott Smith","doi":"10.15288/jsad.24-00032","DOIUrl":"10.15288/jsad.24-00032","url":null,"abstract":"<p><strong>Objective: </strong>This article explores methodological opportunities, challenges, and potential solutions for alcohol administration research that uses a virtual reality (VR) analogue for sexual aggression.</p><p><strong>Method: </strong>We briefly review relevant sexual aggression, alcohol administration, and VR literature. The strengths and limitations of different types of analogues are described.</p><p><strong>Results: </strong>Most existing sexual aggression analogues use sexual assault scenarios that end the same way for all participants, who are then asked how they would respond in that situation. Studies using these analogues have produced valuable findings regarding alcohol's role in sexual aggression; however, one important limitation is that participants can distance themselves from the situation before responding. VR provides highly immersive behavioral analogues that require participants to make quick decisions; thus, they are less likely to be impacted by social desirability. In VR, participants make multiple decisions based on the feedback they receive from their virtual dating partner and the ending depends on the choices they make. For example, VR analogues can allow participants to select dates who are intoxicated or to encourage their virtual dating partner to drink alcohol. Thus, researchers can model different patterns of responses and strategies used to attempt to obtain sex, which can then be used to develop interventions targeted for individuals with different types of risk profiles.</p><p><strong>Conclusions: </strong>There are strengths and limitations associated with all experimental proxies. The field would benefit from greater discussion of the essential elements of sexual aggression and whether these vary for different types of perpetrators and situations that involve alcohol.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"166-176"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Online Program for Sexual and Gender Minority Youth Reduces Alcohol Use and Teen Dating Violence: A Randomized Controlled Trial.","authors":"Katie M Edwards, Heather Littleton, Joseph Gardella, Lorey A Wheeler, Alexander Farquhar-Leicester, Weiman Xu, Caroline Spitz, Paige Hespe, Alexis Chavez, Seungju Kim, Dongho Choi, Maeve Allen, Emily Camp, Sarah Ashworth, Minati Sharma, Joshua Girard, Molly Higgins, Skyler Hopfauf, Clayton Neighbors","doi":"10.15288/jsad.24-00007","DOIUrl":"10.15288/jsad.24-00007","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of the current study was to assess preliminary efficacy from a randomized controlled trial of the Promoting Resilient Youth with Strong Hearts and Mind (PRYSHM) Program. PRYSHM is an online, live-facilitated, nine-session group program for sexual and gender minority youth (SGMY) ages 15 to 18. The program focuses on reducing proximal forms of minority stress, promoting positive identity development, building LGBTQ+ community, developing social-emotional skills, and providing alcohol use and teen dating violence (TDV) prevention skills.</p><p><strong>Method: </strong>Participants (recruited predominantly via social media) included 304 recently dating SGMY (ages 15 to 18) from across the United States who were randomized to treatment or waitlist after completing a baseline survey. Participants completed post-test and 3-month follow-up surveys.</p><p><strong>Results: </strong>Relative to the waitlist, participants in the PRYSHM condition had reduced alcohol use and TDV perpetration. Dosage analyses supported that youth who attended six or more PRYSHM sessions had better outcomes than the control group, more so than youth who attended 0-2 sessions or 3-5 sessions.</p><p><strong>Conclusions: </strong>These data provide preliminary support for PRYSHM as an efficacious intervention to reduce TDV, alcohol use, and alcohol consequences among SGMY. Dosage analyses provided additional nuance in understanding program effects, with promising findings for those receiving a higher dosage of intervention content. Research is needed using larger samples of SGMY, including SGMY with identities underrepresented in the current trial (e.g., SGMY assigned male at birth), as well as work seeking to evaluate mechanisms of change and identify the optimum program dosage. There is also a need for studies with a longer-term follow-up to evaluate the intervention's durability and whether additional booster sessions are needed.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"287-296"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}