Journal of traumatic stress最新文献_第7页

A functional approach to defining and repairing moral injury: Evidence, change agents, clinical strategies, and lessons learned 界定和修复道德伤害的功能性方法：证据、变革推动者、临床策略和经验教训。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-06-04 DOI: 10.1002/jts.23063

Brett T. Litz

{"title":"A functional approach to defining and repairing moral injury: Evidence, change agents, clinical strategies, and lessons learned","authors":"Brett T. Litz","doi":"10.1002/jts.23063","DOIUrl":"10.1002/jts.23063","url":null,"abstract":"This is a conceptual overview of a premeeting institute (PMI) I presented at the 39th International Society for Traumatic Stress Studies (ISTSS) annual meeting in November 2023 entitled, “A Functional Approach to Repairing Moral Injury and Traumatic Loss in Context: Evidence, Change Agents, Clinical Strategies, and Lessons Learned.” This paper was invited by the co-chairs of the Scientific Program Committee, Isaac Galatzer-Levy and Katharina Schultebraucks. I first describe the aims of the PMI and then summarize the foundational assumptions that led me to expand adaptive disclosure and create adaptive disclosure–enhanced (AD-E). The foundational assumptions are that (a) moral injury is a unique measurable potential clinical problem, (b) moral injury damages the sustaining building blocks to personal and collective humanity, and (c) repairing moral injury requires corrective humanizing and virtuous experiences and connections. I then provide an overview of AD-E and describe two new change agents— loving–kindness meditation and letter writing—that augment the original AD in service of promoting corrective experiences in the social world that are valued, valuing, and promote the experience of belonging.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 5","pages":"775-783"},"PeriodicalIF":2.4,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262207","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}

引用次数: 0

“Pitching” posttraumatic stress disorder treatment: A qualitative study of how providers discuss evidence-based psychotherapies with patients "推销 "创伤后应激障碍治疗：关于医疗服务提供者如何与患者讨论循证心理疗法的定性研究。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-05-29 DOI: 10.1002/jts.23058

Katinka Hooyer, Jessica Hamblen, Shannon M. Kehle-Forbes, Sadie E. Larsen

{"title":"“Pitching” posttraumatic stress disorder treatment: A qualitative study of how providers discuss evidence-based psychotherapies with patients","authors":"Katinka Hooyer, Jessica Hamblen, Shannon M. Kehle-Forbes, Sadie E. Larsen","doi":"10.1002/jts.23058","DOIUrl":"10.1002/jts.23058","url":null,"abstract":"The two widely available evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) are cognitive processing therapy and prolonged exposure. Although the U.S. Department of Veterans Affairs (VA) has invested in intensive clinical training to provide these first-line treatments, most military veterans do not receive these therapies. Prior research indicates that patient interest and motivation depend on how patients are educated, and differences in how information is presented shape their decision-making. To our knowledge, no studies have addressed how clinicians “pitch” EBPs for PTSD and examined whether certain approaches are more effective than others. We recorded and thematically analyzed 25 treatment planning sessions across 10 VA sites in the United States to better understand how providers talk to patients about treatment options. Five themes were identified: using rich description, integrating various forms of questioning to engage the patient, sharing prior patient success stories, using inviting and direct language, and tailoring therapy talk to fit patient needs. Providers learning to offer EBPs can use these strategies to serve as a “menu” of options that will allow them to present EBPs in a way that appeals to a particular patient.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 6","pages":"901-912"},"PeriodicalIF":2.4,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of emotion regulation and dyadic coping within posttraumatic stress symptoms and risky drinking patterns on relationship distress among trauma-exposed individuals 创伤后应激症状和危险饮酒模式中的情绪调节和二人应对对受创伤者的关系困扰的影响。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-05-27 DOI: 10.1002/jts.23057

Eileen P. Barden, Richard E. Mattson, Nadine Mastroleo, Christina Balderrama-Durbin

{"title":"The impact of emotion regulation and dyadic coping within posttraumatic stress symptoms and risky drinking patterns on relationship distress among trauma-exposed individuals","authors":"Eileen P. Barden, Richard E. Mattson, Nadine Mastroleo, Christina Balderrama-Durbin","doi":"10.1002/jts.23057","DOIUrl":"10.1002/jts.23057","url":null,"abstract":"Individuals with posttraumatic stress symptoms (PTSS) often consume alcohol to manage PTSS-related discomfort, which can negatively impact individual and interpersonal functioning. Processes including emotion regulation and dyadic coping may influence the effects of PTSS and drinking patterns on relationship functioning. The present study examined how PTSS and risky drinking may function through the associations between maladaptive individual and interpersonal coping strategies and relationship distress among trauma-exposed individuals. Participants were 237 adults in a romantic relationship who endorsed lifetime trauma exposure and alcohol consumption within the past year and completed an online battery of self-report measures. Path analyses showed mixed support for the hypothesized theoretical causal model. PTSS was associated with maladaptive emotion regulation, β = .537, p = .010, and negative dyadic coping, β = .264, p = .009, whereas risky drinking was only related to negative dyadic coping, β = .193, p = .024. Negative dyadic coping was significant in the pathways between PTSS and relationship distress, β = .021, p = .009, and risky drinking and relationship distress, β = .030, p = .014. Exploratory analyses based on trauma type did not significantly change the overall model; however, a direct path suggested PTSS may have a stronger negative impact on relationship distress among individuals who experienced assault trauma (e.g., physical or sexual assault), β = .340, p = .012. Findings highlight the interrelations among intra- and interpersonal regulation and provide clinical targets of maladaptive emotion regulation and dyadic coping strategies for individuals with PTSS and harmful drinking.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 6","pages":"890-900"},"PeriodicalIF":2.4,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158391","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}

引用次数: 0

Trauma exposure correlates among patients receiving care in federally qualified health centers 在联邦合格医疗中心接受治疗的病人所受创伤的相关性。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-05-14 DOI: 10.1002/jts.23055

Brittany E. Blanchard, Ellen J. Bluett, Morgan Johnson, Anya Zimberoff, John C. Fortney

{"title":"Trauma exposure correlates among patients receiving care in federally qualified health centers","authors":"Brittany E. Blanchard, Ellen J. Bluett, Morgan Johnson, Anya Zimberoff, John C. Fortney","doi":"10.1002/jts.23055","DOIUrl":"10.1002/jts.23055","url":null,"abstract":"Over 80% of adults in the general population experience trauma. Rates of patients with posttraumatic stress disorder (PTSD) are high in primary care settings and are likely to be even higher in federally qualified health centers (FQHCs). Trauma exposure has been linked to psychiatric symptoms and physical health comorbidities, though little research has focused on FQHC patients. This study addresses this by examining clinical and sociodemographic correlates of specific trauma types among FQHC patients. We analyzed secondary data from patients who screened positive for PTSD and were receiving health care in FQHCs in a clinical trial (N = 978). Individuals who did versus did not experience a specific trauma type were compared using between-group tests. In the sample, 91.3% of participants were exposed to a DSM-5 Criterion A traumatic event, with 79.6% experiencing two or more trauma types. Witnessing a life-threatening event (57.3%) and physical assault (55.7%) were the most common traumatic experiences. Physical health comorbidities and worse physical health functioning were associated with a higher likelihood of exposure to all trauma types, with effect sizes larger than PTSD, ds = 0.78–1.35. Depressive and anxiety symptoms were also associated with a higher likelihood of experiencing nearly all trauma types to a lesser magnitude. People of color, OR = 2.45, and individuals experiencing financial inequities, OR = 1.73, had higher odds of experiencing serious accidents as well as other trauma types. The findings highlight the need for trauma-informed care, including routine trauma and PTSD screening, for FQHC patients.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 6","pages":"864-876"},"PeriodicalIF":2.4,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922472","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}

引用次数: 0

The influence of pretreatment respiratory sinus arrhythmia dimensions on trauma-focused cognitive behavioral therapy outcomes: Findings from a randomized controlled feasibility trial 治疗前呼吸窦性心律失常对创伤认知行为疗法结果的影响：随机对照可行性试验结果。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-05-14 DOI: 10.1002/jts.23053

Michelle P. Brown, Chad E. Shenk, Brian Allen, Emily D. Dunning, Metzli A. Lombera, Ashley M. Bucher, Nancy A. Dreschel

{"title":"The influence of pretreatment respiratory sinus arrhythmia dimensions on trauma-focused cognitive behavioral therapy outcomes: Findings from a randomized controlled feasibility trial","authors":"Michelle P. Brown, Chad E. Shenk, Brian Allen, Emily D. Dunning, Metzli A. Lombera, Ashley M. Bucher, Nancy A. Dreschel","doi":"10.1002/jts.23053","DOIUrl":"10.1002/jts.23053","url":null,"abstract":"Child maltreatment is associated with respiratory sinus arrhythmia (RSA) dysregulation, a physiological indicator of emotion regulation that predicts elevated posttraumatic stress disorder (PTSD) symptoms and may be a mechanism of action for exposure-based therapies, such as trauma-focused cognitive behavioral therapy (TF-CBT). Animal-assisted therapy (AAT) has been proposed as an adjunct to TF-CBT for improving emotion regulation following maltreatment. The current study reports findings from a randomized controlled feasibility trial (N = 33; Mage = 11.79 years, SD = 3.08; 63.6% White; 66.7% female) that measured youths’ resting RSA, RSA reactivity, and RSA recovery in response to a pretreatment laboratory challenge. We tested whether (a) lower pretreatment resting RSA was associated with blunted RSA during the challenge; (b) either of the pretreatment RSA dimensions predicted more severe pretreatment PTSD symptoms; and (c) either of the pretreatment RSA dimensions predicted less severe posttreatment PTSD symptoms and, as an exploratory aim, whether this was moderated by treatment group (i.e., TF-CBT vs. TF-CBT + AAT). Results from multiple linear regression indicated that, after controlling for pretreatment symptom severity, there was a large effect size for higher resting RSA predicting less severe caregiver-reported posttreatment PTSD symptoms, β = −.52, p = .058, and higher RSA during recovery predicting less severe child-reported posttreatment PTSD symptoms, β = −.70, p = .056, although these findings were not significant. These preliminary results offer important insights for future studies to investigate how the ability to regulate RSA informs which children need additional support to benefit from psychotherapeutic treatment.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 6","pages":"850-863"},"PeriodicalIF":2.4,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using the Moral Injury and Distress Scale to identify clinically meaningful moral injury 使用道德伤害和痛苦量表来识别具有临床意义的道德伤害。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-24 DOI: 10.1002/jts.23050

Shira Maguen, Brandon J. Griffin, Robert H. Pietrzak, Carmen P. McLean, Jessica L. Hamblen, Sonya B. Norman

{"title":"Using the Moral Injury and Distress Scale to identify clinically meaningful moral injury","authors":"Shira Maguen, Brandon J. Griffin, Robert H. Pietrzak, Carmen P. McLean, Jessica L. Hamblen, Sonya B. Norman","doi":"10.1002/jts.23050","DOIUrl":"10.1002/jts.23050","url":null,"abstract":"Despite the proliferation of moral injury studies, a remaining gap is distinguishing moral injury from normative distress following exposure to potentially morally injurious events (PMIEs). Our goal was to leverage mental health and functional measures to identify clinically meaningful and functionally impairing moral injury using the Moral Injury and Distress Scale (MIDS). Participants who endorsed PMIE exposure (N = 645) were drawn from a population-based sample of military veterans, health care workers, and first responders. Using signal detection methods, we identified the optimally efficient MIDS score for detecting clinically significant posttraumatic stress and depressive symptom severity, trauma-related guilt, and functional impairment. The most efficient cut scores across outcomes converged between 24 and 27. We recommend a cut score of 27 given that roughly 70% of participants who screened positive on the MIDS at this threshold reported clinically significant mental health symptoms, and approximately 50% reported severe trauma-related guilt and/or functional impairment. Overall, 10.2% of respondents exposed to a PMIE screened positive for moral injury at this threshold, particularly those who identified as a member of a minoritized racial or ethnic group (17.9%) relative to those who identified as White, non-Hispanic (8.0%), aOR = 2.52, 95% CI [1.45, 4.42]. This is the first known study to establish a cut score indicative of clinically meaningful and impairing moral injury. Such scores may enhance clinicians’ abilities to conduct measurement-based moral injury care by enabling them to identify individuals at risk of negative outcomes and better understand risk and protective factors for moral injury.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"685-696"},"PeriodicalIF":2.4,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660186","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}

引用次数: 0

State of the Science: Prolonged exposure therapy for the treatment of posttraumatic stress disorder 科学现状：用于治疗创伤后应激障碍的长时间暴露疗法。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-23 DOI: 10.1002/jts.23046

Carmen P. McLean, Edna B. Foa

{"title":"State of the Science: Prolonged exposure therapy for the treatment of posttraumatic stress disorder","authors":"Carmen P. McLean, Edna B. Foa","doi":"10.1002/jts.23046","DOIUrl":"10.1002/jts.23046","url":null,"abstract":"Prolonged exposure therapy (PE) is a well-established first-line treatment for posttraumatic stress disorder (PTSD) that is based on emotional processing theory. PE has been rigorously evaluated and tested in a large number of clinical trials in many countries covering a wide range of trauma populations. In this review, we summarize the evidence base supporting the efficacy of PE across populations, including adults with sexual assault–related PTSD and mixed trauma–related PTSD, military populations, and adolescents. We highlight important strengths and gaps in the research on PE with individuals from marginalized communities. We discuss the efficacy of PE on associated psychopathology and in the presence of the most commonly comorbid conditions, either alone or integrated with other treatments. In addition, we provide an overview of research examining strategies to augment PE. Much of this work remains preliminary, but numerous trials have tested PE in combination with other psychological or pharmacological approaches, interventions to facilitate extinction learning, and behavioral approaches, in the hopes of further increasing the efficiency and efficacy of PE. There are now several trials testing PE in novel formats that may have advantages over standard in-person PE, such as lower dropout and increased scalability. We examine this recent work on new models of delivering PE, including massed treatment, telehealth, and brief adaptations for primary care, all of which have the potential to increase access to PE. Finally, we highlight several promising areas for future research.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"535-550"},"PeriodicalIF":2.4,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671325","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}

引用次数: 0

The contributions of social network support and reciprocity to posttraumatic stress symptoms across time among parents and caregivers impacted by the ABC Day Care Center fire in Hermosillo, Mexico 受墨西哥埃莫西利洛 ABC 日托中心火灾影响的父母和照顾者的社会网络支持和互惠对创伤后应激症状的贡献。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-23 DOI: 10.1002/jts.23041

Austin Arceneaux, Eric C. Jones, Arthur D. Murphy

{"title":"The contributions of social network support and reciprocity to posttraumatic stress symptoms across time among parents and caregivers impacted by the ABC Day Care Center fire in Hermosillo, Mexico","authors":"Austin Arceneaux, Eric C. Jones, Arthur D. Murphy","doi":"10.1002/jts.23041","DOIUrl":"10.1002/jts.23041","url":null,"abstract":"In 2009, a fire occurred in the ABC Day Care Center in Hermosillo, Mexico, that killed and injured many children who were in attendance that day. This study investigated the association between the posttraumatic stress symptoms (PTSS) of socially connected parents and caregivers whose children were affected by the fire. Parents and caregivers of the children who were in attendance the day of the fire were interviewed 8–11 months and 20–23 months postfire. Linear network autocorrelation modeling was used to test for autocorrelations of the outcome variable count of PTSS within different configurations of the network of caregivers. No significant network effects appeared in models from the first interview period, but effects did appear in the second period, specifically in the three models in which network ties consisted of “receive informational support” (.220), “give and receive emotional support” (.167), and “give and receive both informational and emotional support” (.213). The findings suggest that in these three network configurations, as relationships grew in strength from the first interview to the second, the level of one's own PTSS was more comparable to the level of PTSS of one's social connections. Two theoretical mechanisms that may explain this result are homophily and social influence.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"631-642"},"PeriodicalIF":2.4,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140671096","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}

引用次数: 0

Understanding trauma as contextualized adverse life events that threaten the individual: Commentary in response to Marx et al. (2024) 将创伤理解为威胁个人的背景化不利生活事件：回应 Marx 等人（2024 年）的评论。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-04-22 DOI: 10.1002/jts.23048

Philipp Herzog

引用次数: 0

Racial discrimination increases the risk for nonremitting posttraumatic stress disorder symptoms in traumatically injured Black individuals living in the United States 种族歧视增加了在美国生活的受创伤黑人出现非缓解性创伤后应激障碍症状的风险。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-22 DOI: 10.1002/jts.23051

Lucas Torres, Timothy J. Geier, Carissa W. Tomas, Claire M. Bird, Sydney Timmer-Murillo, Christine L. Larson, Terri A. deRoon-Cassini

{"title":"Racial discrimination increases the risk for nonremitting posttraumatic stress disorder symptoms in traumatically injured Black individuals living in the United States","authors":"Lucas Torres, Timothy J. Geier, Carissa W. Tomas, Claire M. Bird, Sydney Timmer-Murillo, Christine L. Larson, Terri A. deRoon-Cassini","doi":"10.1002/jts.23051","DOIUrl":"10.1002/jts.23051","url":null,"abstract":"Traumatic, life-threatening events are experienced commonly among the general U.S. population, yet Black individuals in the United States (i.e., Black Americans) exhibit higher prevalence rates of posttraumatic stress disorder (PTSD) and more severe symptoms than other populations. Although empirical research has noted a range of symptom patterns that follow traumatic injury, minimal work has examined the role of racial discrimination in relation to PTSD symptom trajectories. The current study assessed racial discrimination and PTSD symptom trajectories at 6 months postinjury across two separate samples of traumatically injured Black Americans (i.e. emergency department (ED)–discharged and hospitalized). Identified PTSD symptom trajectories largely reflect those previously reported (i.e., ED: nonremitting, moderate, remitting, and resilient; hospitalized: nonremitting, delayed, and resilient), although the resilient trajectory was less represented than expected given past research (ED: 55.8%, n = 62; hospitalized: 46.9%, n = 38). Finally, higher racial discrimination was associated with nonremitting, ED: relative risk ratio (RR) = 1.32, hospitalized: RR = 1.23; moderate, ED: RR = 1.18; and delayed, hospitalized: RR = 1.26, PTSD symptom trajectories. Overall, the current findings not only emphasize the inimical effects of racial discrimination but also demonstrate the unique ways in which race-related negative events can impact PTSD symptom levels and recovery across time.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"697-709"},"PeriodicalIF":2.4,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140674825","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}

引用次数: 0