Journal of traumatic stress最新文献

{"title":"Dimensional approaches to studying, assessing, and treating traumatic stress: Introduction to the Special Section","authors":"Matthew M. Yalch","doi":"10.1002/jts.23045","DOIUrl":"10.1002/jts.23045","url":null,"abstract":"<p>Dimensional models of psychopathology are gaining empirical support and are, thus, increasingly common in research and clinical practice. This is true for traumatic stress studies, although the movement toward dimensional conceptualizations of traumatic stress may be somewhat slower, perhaps due at least in part to how trauma is diagnosed. The purpose of this special section is to collect and showcase cutting-edge basic, applied, and conceptual work on dimensional models of traumatic stress. Its goal is to highlight the utility of such models and to facilitate greater connection between traumatic stress studies and the broader dimensional movement in psychopathology.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"357-360"},"PeriodicalIF":3.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586759","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":"Comparing diagnostic criteria for posttraumatic stress disorder in a diverse sample of trauma-exposed youth","authors":"Cody G. Dodd,&nbsp;Claire L. Kirk,&nbsp;Paul J. Rathouz,&nbsp;James Custer,&nbsp;Amy S. Garrett,&nbsp;Leslie Taylor,&nbsp;Justin F. Rousseau,&nbsp;Cynthia Claasen,&nbsp;Myesha M. Morgan,&nbsp;D. Jeffrey Newport,&nbsp;Karen D. Wagner,&nbsp;Charles B. Nemeroff","doi":"10.1002/jts.23037","DOIUrl":"10.1002/jts.23037","url":null,"abstract":"<p>Divergent conceptualization of posttraumatic stress disorder (PTSD) within the <i>Diagnostic and Statistical Manual of Mental Disorders</i> (5th ed.; <i>DSM-</i>5) and <i>International Statistical Classification of Diseases and Related Health Problems</i> (11th ed..; <i>ICD-11</i>) significantly confounds both research and practice. Using a diverse sample of trauma-exposed youth (<i>N</i> = 1,542, age range: 8–20 years), we compared these two diagnostic approaches along with an expanded version of the <i>ICD-11</i> PTSD criteria that included three additional reexperiencing symptoms (<i>ICD-11</i>+). Within the sample, PTSD was more prevalent using the <i>DSM-5</i> criteria (25.7%) compared to the <i>ICD-11</i> criteria (16.0%), with moderate agreement between these diagnostic systems, κ = .57. The inclusion of additional reexperiencing symptoms (i.e., <i>ICD-11</i>+) reduced this discrepancy in prevalence (24.7%) and increased concordance with <i>DSM-5</i> criteria, κ = .73. All three PTSD classification systems exhibited similar comorbidity rates with major depressive episode (MDE) or generalized anxiety disorder (GAD; 78.0%–83.6%). Most youths who met the <i>DSM-5</i> PTSD criteria also met the criteria for <i>ICD-11</i> PTSD, MDE, or GAD (88.4%), and this proportion increased when applying the <i>ICD-11</i>+ criteria (95.5%). Symptom-level analyses identified reexperiencing/intrusions and negative alterations in cognition and mood symptoms as primary sources of discrepancy between the <i>DSM-5</i> and <i>ICD-11</i> PTSD diagnostic systems. Overall, these results challenge assertions that nonspecific distress and diagnostically overlapping symptoms within <i>DSM-5</i> PTSD inflate comorbidity with depressive and anxiety disorders. Further, they support the argument that the <i>DSM-5</i> PTSD criteria can be refined and simplified without reducing the overall prevalence of psychiatric diagnoses in youth.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"606-616"},"PeriodicalIF":2.4,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586750","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":"Dispositional mindfulness moderates the links between potentially morally injurious event exposure and symptoms of anxiety and depression but not suicidal ideation","authors":"Elizabeth L. Wetzler,&nbsp;Ryan G. Erbe,&nbsp;James F. M. Cornwell,&nbsp;Michael D. Wood","doi":"10.1002/jts.23032","DOIUrl":"10.1002/jts.23032","url":null,"abstract":"<p>Exposure to potentially morally injurious events (PMIEs) is a pervasive threat for military service members and may be associated with symptoms of anxiety, depression, and suicidal ideation. However, coping mechanisms, such as mindfulness, may ameliorate symptoms and improve recovery. Two studies were conducted to test dispositional mindfulness as a moderator of the links between PMIEs, as assessed using the Moral Injury Events Scale (i.e., total score and Self-Transgression, Other-Transgression, and Betrayal subscale scores), and symptoms of anxiety, depression, and suicidal ideation among different samples of active-duty soldiers in garrison. In Sample 1 (<i>N</i> = 310), mindfulness buffered the links between PMIE exposure and symptoms of both anxiety, ∆<i>R</i>² = .02, and depression, ∆<i>R</i>² = .03. In Sample 2 (<i>N</i> = 669), mindfulness moderated the link between the MIES Betrayal subscale and anxiety symptoms, ∆<i>R</i>² = .01. The results suggest that dispositional mindfulness may be a protective factor against some of the negative impacts of PMIE exposure. Further implications are discussed.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"574-585"},"PeriodicalIF":2.4,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140318597","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 influence of trauma symptoms on interpersonal attributions in daily life","authors":"Emily A. Dowgwillo,&nbsp;Jared R. Ruchensky","doi":"10.1002/jts.23036","DOIUrl":"10.1002/jts.23036","url":null,"abstract":"<p>There is well-documented evidence that trauma exposure can disrupt relationships. However, limited research has examined whether posttraumatic stress symptoms (PTSS) moderate interpersonal processes in daily life. To this end, undergraduates (<i>N</i> = 98) completed a measure of PTSS at baseline. They then completed smartphone-based surveys after every interpersonal interaction that lasted longer than 3 min. for 10 days. These surveys assessed perceptions of self and other agency and communion as well as feelings of rejection, neglect, abandonment, worthlessness, emptiness, guilt, and shame. Results of multilevel modeling suggest that interpersonal perception and PTSS predicted 10%–26% of the variance in outcomes. Regarding agency, more agentic participants reported higher levels of negative attributions, γs = .47–.56. Participants also reported higher rejection and guilt when they experienced their interaction partner as more agentic than usual, γs = .07, and PTSS did not moderate these associations. For communal perceptions, participants who experienced themselves and others as warmer than other participants reported fewer negative outcomes, γs = −.44–−.58. Individuals also reported more negative outcomes when they experienced themselves and others as warmer than they usually did, γs = −.10–−.28, and PTSS moderated these associations. The negative associations between self- and other communion ratings and feelings of neglect, abandonment, and shame were stronger in individuals with higher PTSS scores. Together, these findings support continued efforts to understand the ways in which trauma exposure and PTSS disrupt interpersonal dynamics in daily life.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"410-421"},"PeriodicalIF":3.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306096","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":"From posttraumatic stress symptoms to suicidal ideation among military veterans: Pathways founded on meaning in life and gratitude","authors":"Shaina A. Kumar,&nbsp;Emily Taverna,&nbsp;Shelby Borowski,&nbsp;Brian N. Smith,&nbsp;Dawne Vogt","doi":"10.1002/jts.23033","DOIUrl":"10.1002/jts.23033","url":null,"abstract":"<p>Military veterans experience higher rates of suicidal ideation compared to nonveteran populations. Importantly, suicidal ideation often precedes and predicts fatal and nonfatal suicide attempts, and thus it is critical to better understand factors that increase risk for suicidal ideation to inform suicide prevention efforts in this population. One key predictor of suicidal ideation is exposure to traumatic experiences and their sequelae, particularly posttraumatic stress symptoms (PTSS). However, little work has explored how deficits in well-being contribute to this association among veterans. We tested two aspects of well-being—meaning in life and gratitude—as potential mechanisms underlying the pathway from PTSS to suicidal ideation among 7,388 men and women veterans who recently separated from service. A parallel mediation analysis revealed significant paths from more severe PTSS to more frequent suicidal ideation through diminished meaning in life, <i>B</i> = 0.005, <i>SE</i> = 0.001, 95% CI [0.004, 0.007], and gratitude, <i>B</i> = 0.001, <i>SE</i> = 0.001, 95% CI [&lt; 0.001, 0.002]. Gender differences were also observed. Although the results related to meaning in life appeared to replicate across gender, pathways involving gratitude differed among men and women. Overall, our findings suggest that helping veterans build meaning and appreciation in everyday life may be a proactive and holistic approach to suicide prevention.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"594-605"},"PeriodicalIF":2.4,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140288417","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":"Impact of the revised VA/DoD Clinical Practice Guideline for Management of Posttraumatic Stress Disorder and Acute Stress Disorder for couples and families: Commentary on Lang et al. (2024)","authors":"Candice M. Monson,&nbsp;Steffany J. Fredman,&nbsp;Skye Fitzpatrick,&nbsp;Alexandra Macdonald,&nbsp;Nicole D. Pukay-Martin,&nbsp;Megan Shepherd-Banigan,&nbsp;Emily R. Dworkin,&nbsp;Brandi Luedtke,&nbsp;Rachel Dekel,&nbsp;Yael Shoval-Zuckerman,&nbsp;Fred Sautter,&nbsp;Shirley M. Glynn","doi":"10.1002/jts.23039","DOIUrl":"10.1002/jts.23039","url":null,"abstract":"<p>As a multinational group of clinicians and researchers focused on including family in veterans’ and military members’ care for posttraumatic stress disorder (PTSD), we wrote this commentary to raise specific considerations related to the revised Department of Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guideline (CPG) for PTSD and Acute Stress Disorder (VA/DoD, <span>2023</span>) regarding couple- and family-based treatment. We discuss concerns regarding: (a) insufficient guidance about the role of intimate partners and families, (b) issues with using and defining specific treatments in the CPG evidence rubric, and (c) algorithm and recommendations for guiding patient preference toward individual interventions.</p><p>Candice M. Monson and Steffany J. Fredman receive royalties from Guilford Press for their published treatment manual on cognitive behavioral conjoint therapy for posttraumatic stress disorder (PTSD) and payment for providing psychotherapy workshops on PTSD and/or conjoint interventions for psychopathology. Candice M. Monson also receives royalties from Guilford Press and the American Psychological Association Press for books related to the treatment of PTSD (i.e., cognitive processing therapy, cognitive-behavioral therapy for PTSD) and couples/families and trauma, and she owns equity in Nellie Health, a digital mental health intervention company. Skye Fitzpatrick receives payment for providing psychotherapy workshops, including conjoint interventions for psychopathology, and owns equity in Nellie Health. No other authors have conflicts of interest to declare.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 2","pages":"344-347"},"PeriodicalIF":3.3,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207170","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}

{"title":"Maltreatment, resilience, and sexual relationship power in a sample of justice-involved women with opioid use disorder","authors":"Jaxin Annett,&nbsp;Martha Tillson,&nbsp;Megan Dickson,&nbsp;Mary Levi,&nbsp;J. Matthew Webster,&nbsp;Michele Staton","doi":"10.1002/jts.23030","DOIUrl":"10.1002/jts.23030","url":null,"abstract":"<p>Justice-involved women frequently report maltreatment and intimate relationships characterized by violence and abuse throughout adulthood. The present study aimed to (a) investigate the association between victimization and sexual relationship power (SRP) among justice-involved women with opioid use disorder (OUD) and (b) explore resilience as a potential moderating factor of the association between victimization and SRP. Under the ongoing Kentucky Justice Community Opioid Innovation Network (JCOIN) cooperative, justice-involved women (<i>N</i> = 700) were randomly selected from eight jails in Kentucky, screened for OUD, consented to participate, and interviewed by research staff. SRP was examined using the Sexual Relationship Power Scale, a validated instrument with two distinct subscales measuring decision-making dominance (DMD) and relationship control (RC); prior maltreatment was measured using the Global Appraisal of Individual Needs General Victimization Scale, and resilience was assessed using the Brief Resilience Scale. Linear regression was used to examine the association between maltreatment and SRP, with three models constructed to account for SRP, DMD, and RC, controlled for demographic characteristics. Finally, we examined whether the association between victimization and SRP varied as a function of resilience. Significant negative associations between maltreatment and the SRP were observed, <i>p</i>s &lt; .001. Resilience moderated the association between maltreatment and DMD, <i>p = </i>.005; however, resilience did not moderate the associations between maltreatment and SRP, <i>p =</i> .141, or RC, <i>p =</i> .735. These findings highlight the importance of increasing resilience in justice-involved women with OUD to reduce the impact of maltreatment on SRP. Prioritizing resilience may offer significant benefits for preventing and addressing maltreatment.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"516-526"},"PeriodicalIF":3.3,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194080","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":"BPD Compass: Using a dimensional model of psychopathology to treat co-occurring borderline personality disorder and posttraumatic stress symptoms","authors":"Caitlyn O. Hood,&nbsp;Matthew W. Southward,&nbsp;Christal L. Badour,&nbsp;Shannon Sauer-Zavala","doi":"10.1002/jts.23024","DOIUrl":"10.1002/jts.23024","url":null,"abstract":"<p>BPD Compass is a transdiagnostic psychotherapy that includes cognitive, behavioral, and mindfulness skills targeting the personality dimensions of negative affectivity, disinhibition, and antagonism. Given considerable symptom comorbidity and overlap in etiology between borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD), this study investigated whether BPD Compass holds promise as an integrated approach to simultaneously treating co-occurring BPD features and PTSD symptoms. Participants included 84 trauma-exposed adults who participated in a two-phase clinical trial (Phase 1: randomized controlled trial of BPD Compass vs. waitlist [<i>n</i> = 43]; Phase 2: open trial of BPD Compass [<i>n =</i> 41]). Compared to waitlist, BPD Compass led to medium-to-large–sized, significant improvements in BPD features, βs = −.57 −.44, and facets of neuroticism, βs &lt; −.55–−.73, as well as small, nonsignificant improvements in self-reported, β = −.20, and clinician-rated PTSD symptom severity, β = −.19. During treatment, within-person improvements in PTSD symptoms predicted subsequent improvements in BPD features, β = .13, but not vice versa, β = .07. Within-person PTSD symptom reduction also predicted subsequent improvement in all personality dimensions, whereas only within-person improvement in despondence, β = .12, affective dysregulation, β = .11, and dissociative tendencies, β = .12, predicted PTSD symptom reductions. Findings offer preliminary support for the potential of BPD Compass to target BPD features and aspects of neuroticism and agreeableness among trauma-exposed adults. Moreover, PTSD symptom change predicting subsequent improvement in BPD features runs counter to current stage-based treatment models that emphasize BPD feature stabilization before engaging in trauma-focused therapy.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"422-432"},"PeriodicalIF":3.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140158389","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":"A unique combination of horror and longing: Traumatic grief in post–October 7, 2023, Israel","authors":"Ilanit Hasson-Ohayon,&nbsp;Danny Horesh","doi":"10.1002/jts.23026","DOIUrl":"10.1002/jts.23026","url":null,"abstract":"<p>On October 7, 2023 (10/7), Hamas militants brutally attacked Israeli towns and villages surrounding the Gaza Strip, resulting in the killing of more than 1100 people, most of whom were civilians slaughtered in their own homes. The killings occurred under highly traumatic circumstances, including shooting, the burning of homes, hunting down people who attempted to escape, and severe sexual assault. Thus, many Israelis today experience a unique mix of both posttraumatic and severe grief reactions. Traumatic grief (TG) is often defined as a condition that results from the death of a significant other and includes symptoms similar to posttraumatic stress disorder (PTSD) that are specifically related to the deceased, such as intrusive thoughts and memories about the deceased and hypervigilance expressed by constantly looking for them or cues associated with them. However, whereas definitions, phenomenological descriptions, and clinical illustrations of PTSD are abundant and widely validated, TG has yet to receive formal diagnostic status. In this paper, we aim to reexamine TG in the context of post-10/7 Israel. We argue that TG is a critical concept for clinicians working in Israel and other conflict-exposed areas of the world today, as it accurately captures the painful mix of grief- and trauma-related symptoms. We also suggest potential explanations for the lack of acknowledgment of TG as a formal diagnosis and discuss the possible role of historical events in the formation of new, relevant psychiatric diagnoses.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 2","pages":"348-351"},"PeriodicalIF":3.3,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131834","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}

{"title":"Exploring the association between post–critical incident intervention preferences and self-reported coping self-efficacy among firefighters","authors":"Joselyn R. Sarabia,&nbsp;Elinam Dellor,&nbsp;Bridget Freisthler,&nbsp;Katherine Kieninger","doi":"10.1002/jts.23029","DOIUrl":"10.1002/jts.23029","url":null,"abstract":"<p>Critical incident stress debriefing (CISD) is a commonly utilized intervention in the fire service that aims to minimize psychological harm and adverse mental health outcomes after a potentially traumatic incident. This study aimed to explore firefighter preferences regarding CISD and alternative post–critical incident interventions in relation to firefighter coping self-efficacy (FFCSE) and trauma coping self-efficacy (CSE-T). Firefighters (<i>N</i> = 241) completed an online survey and provided complete data. Most participants were White (<i>n</i> = 203, 84.2%), non-Hispanic (<i>n</i> = 221, 91.7%) men (94.2%; <i>n</i> = 227). CISD was the most preferred intervention among firefighters (<i>n</i> = 113, 46.9%) as compared to informal peer support (<i>n</i> = 31, 12.9%), formal one-on-one counseling (<i>n</i> = 29, 12.0%), and no intervention (<i>n</i> = 68, 28.2%). Firefighters who preferred CISD had statistically significant lower levels of FFCSE, <i>R</i>² <i>=</i> .033–.044, <i>p</i>s = .012–.030, and CSE-T, <i>R</i>² <i>=</i> .035–.061 <i>p</i>s = .017–.024, compared to those who preferred no intervention. Firefighters who preferred formal one-on-one counseling had statistically significantly lower levels of FFCSE, <i>R</i>² <i>=</i> .033–.044, <i>p</i>s = .003–.011, and CSE-T, <i>R</i>² <i>=</i> .035–0.061, <i>p</i> &lt; .001–<i>p</i> = .002, compared to those who preferred no intervention. The findings from this study may guide future research to increase knowledge on firefighter intervention preferences and the association between preference and coping self-efficacy.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"504-515"},"PeriodicalIF":3.3,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110588","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}