Psychiatric Quarterly最新文献

Risk Assessment of Somatic Symptom Disorder Among Patients Attending a Family Medicine Practice in an Academic Center.

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-04-01 DOI: 10.1007/s11126-025-10132-y

Nasser Saeed Alqahtani

{"title":"Risk Assessment of Somatic Symptom Disorder Among Patients Attending a Family Medicine Practice in an Academic Center.","authors":"Nasser Saeed Alqahtani","doi":"10.1007/s11126-025-10132-y","DOIUrl":"https://doi.org/10.1007/s11126-025-10132-y","url":null,"abstract":"The prevalence of somatic symptom disorder (SSD) among primary care patients is a significant concern. Despite advancements in medical services, many patients with unexplained symptoms remain undetected in primary care settings. This underscores the urgent need to improve detection rates and identify relevant factors associated with SSD. The study aimed to assess the prevalence of SSD, and the risk factors associated with its development among adult patients in primary care practice. This cross-sectional study was conducted in September 2023 across seven clinics within the Department of Family and Community Medicine at an academic center. Using a simple sampling technique, 300 adult patients were included. Data were collected through a designed questionnaire that comprised sections on sociodemographic information, medical characteristics, and screening questions for SSD. The study revealed a 38.7% prevalence of SSD, with higher rates observed among younger individuals, females, rural and semi-urban residents, the unemployed, those in toxic relationships, individuals with low socioeconomic status, and those experiencing stress. Multivariate regression analysis identified female sex, abusive relationships, stress, and sleep problems as significant risk factors for SSD. These findings underscore the need for improved detection of SSD in primary care settings to reduce healthcare overuse and enhance patient satisfaction. Addressing SSD requires an understanding of its diverse presentations across demographic and psychosocial factors, highlighting the importance of comprehensive assessments and tailored interventions.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated with Leaving Ambulatory Psychiatric Treatment in a Large, Academic Health System During the COVID-19 Pandemic.

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-19 DOI: 10.1007/s11126-025-10129-7

Nathaniel A Sowa, Xiaoming Zeng

{"title":"Factors Associated with Leaving Ambulatory Psychiatric Treatment in a Large, Academic Health System During the COVID-19 Pandemic.","authors":"Nathaniel A Sowa, Xiaoming Zeng","doi":"10.1007/s11126-025-10129-7","DOIUrl":"https://doi.org/10.1007/s11126-025-10129-7","url":null,"abstract":"Detailed evaluation of changes in patient retention in psychiatric care as a result of the onset of the COVID-19 pandemic have not been studied. Here, we present a retrospective analysis of aggregate data from a large academic health system (n = 16,701 patients) to examine if there were differences in patients leaving psychiatric care from the pre-COVID-19 period to the first 12 months of the COVID-19 pandemic. Demographic, clinical, and behavioral factors were studied using logistic regressions to determine significant associations in leaving psychiatric care during COVID-19 and in the 12 months immediately prior to the pandemic. Factors identified with a higher odds of leaving psychiatric care during COVID-19 that were not associated with leaving care prior to COVID-19 included demographic (male sex, uninsured (self-pay) status), behavioral (inactive patient health portal), and diagnostic (anxiety and trauma stressor disorders, pervasive and specific developmental disorders, and disorders of childhood) factors. These results highlight that the reasons patients left care during the period immediately after the COVID-19 pandemic may have been multifactorial in nature, although certain patterns seem to have appeared. Further study is needed to elucidate why these specific factors may have driven patients to leave psychiatric treatment during the COVID-19 pandemic.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal Serial Mediation Study after the 2023 Earthquake in Türkiye: Associations Between Difficulties in Emotion Regulation, Psychological Distress, Resilience and Mental Well-Being.

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-15 DOI: 10.1007/s11126-025-10130-0

Sinan Okur, Seydi Ahmet Satıcı, Beste Erdinç, Yusuf Akyıl

{"title":"Longitudinal Serial Mediation Study after the 2023 Earthquake in Türkiye: Associations Between Difficulties in Emotion Regulation, Psychological Distress, Resilience and Mental Well-Being.","authors":"Sinan Okur, Seydi Ahmet Satıcı, Beste Erdinç, Yusuf Akyıl","doi":"10.1007/s11126-025-10130-0","DOIUrl":"https://doi.org/10.1007/s11126-025-10130-0","url":null,"abstract":"Although the concepts of mental well-being, difficulties in emotion regulation, resilience, and psychological distress have been investigated in cross-sectional studies, their absence from a longitudinal study demonstrates a gap in the literature. Following the earthquake disaster in Türkiye, addressing these concepts together in a longitudinal study may offer important implications for the field of mental health. The longitudinal mediation of resilience and psychological distress in the relationship between difficulties in emotion regulation and mental well-being was investigated in a Turkish adult sample. The study sample consisted of 219 participants aged between 18 and 45 (51.1% male, Mage = 31.60, SD = 7.19). To avoid the limitations of cross-sectional studies, data for the current study were examined at three-month intervals and at two time points in a cross-lagged panel model with a half-longitudinal design to investigate the mediating role of resilience and psychological distress between difficulties in emotion regulation and mental well-being. The analysis found that resilience and psychological distress played a longitudinal mediating role in the relationship between emotion regulation challenges and mental well-being. In conclusion, people's ability to regulate their emotions, be resilient, and avoid psychological distress may improve their mental health. These findings underscore the importance of integrative interventions that simultaneously target difficulties in emotion regulation, resilience, and psychological distress to better support mental well-being in post-disaster contexts.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Flourishing through Social Development Activities and Social Support: A Holistic Strategy for Problematic Smartphone Use.

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-03 DOI: 10.1007/s11126-025-10126-w

Orhan Koçak, Orhan Çevik, Orçun Muhammet Şimşek

{"title":"Flourishing through Social Development Activities and Social Support: A Holistic Strategy for Problematic Smartphone Use.","authors":"Orhan Koçak, Orhan Çevik, Orçun Muhammet Şimşek","doi":"10.1007/s11126-025-10126-w","DOIUrl":"https://doi.org/10.1007/s11126-025-10126-w","url":null,"abstract":"While some research has indicated the relationship between participation in social development activities (PSDA) and perceived social support (PSS) with problematic smartphone use (PSU), there has been a lack of studies examining these relationships through the lens of the flourishing theory, particularly among adolescents. To address this gap in the literature, this study conducted between April and May 2022 included 4965 high school students from 20 different cities in Türkiye. Researchers utilized questionnaires assessing participants' demographic information, levels of participation in social development activities, The Smartphone Application-Based Addiction Scale, The Short Version of the Scales of General Well-Being (GWB), and The Multidimensional Scale of Perceived Social Support as instruments. Structural Equation Modeling was employed for analyzing the relationships between variables using IBM SPSS v26 and AMOS v24 software packages. Hierarchical regression analysis was used to understand how GWB and PSS were associated with the relationships between PSDA and PSU. Findings indicated a predominantly negative relationship between PSDA and PSU, with GWB mediating this relationship negatively across all PSDA and PSS playing a contributory role in many indirect relationships between PSDA and PSU, if not directly. The importance of the approach in interventions aimed at addressing PSU was emphasized.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

International Trends in Antidepressant Consumption: a 10-year Comparative Analysis (2010-2020).

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-03 DOI: 10.1007/s11126-025-10122-0

Alberto Peano, Francesco Calabrese, Konstantinos Pechlivanidis, Riccardo Mimmo, Gianfranco Politano, Manuela Martella, Maria Michela Gianino

{"title":"International Trends in Antidepressant Consumption: a 10-year Comparative Analysis (2010-2020).","authors":"Alberto Peano, Francesco Calabrese, Konstantinos Pechlivanidis, Riccardo Mimmo, Gianfranco Politano, Manuela Martella, Maria Michela Gianino","doi":"10.1007/s11126-025-10122-0","DOIUrl":"https://doi.org/10.1007/s11126-025-10122-0","url":null,"abstract":"The present study aims to analyze country-specific antidepressant consumption rates across 30 OECD countries, comparing them with the OECD average from 2010 to 2020. This analysis examines annual variations in consumption and identifies potential trends over time. Using a retrospective observational design, the study employs pooled secondary data from 30 OECD countries. A time trend analysis was conducted to assess overall and country-specific linear and quadratic trends, modeling the variation in Defined Daily Dose (DDD) per 1,000 inhabitants from 2010 to 2020. Findings reveal a significant increase in antidepressant consumption across most countries. The mean DDD value rose from 52.42 in 2010 to 69.5 in 2020. Three distinct trend patterns emerged: linear, concave, and convex. While 15 countries exhibited a significant linear increase, five showed a plateauing trend, and others experienced exponential growth with a convex trajectory. Denmark was the only country to show a decline in consumption, whereas Norway displayed no significant change over time. These results underscore a notable rise in antidepressant use across most OECD countries, alongside variations in consumption trajectories. By assessing and comparing national consumption rates, this study highlights the importance of international collaboration in addressing mental health challenges and optimizing healthcare accessibility and outcomes.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions. 急性精神病的治疗偏好：患者和医护人员对症状优先级和生物心理社会干预的观点比较。

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-01 Epub Date: 2024-10-29 DOI: 10.1007/s11126-024-10099-2

Rabea Fischer, Steffen Moritz, Jakob Scheunemann, Matthias Nagel, Charlotte Osthues, Daniel Schöttle, Daniel Luedecke

{"title":"Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions.","authors":"Rabea Fischer, Steffen Moritz, Jakob Scheunemann, Matthias Nagel, Charlotte Osthues, Daniel Schöttle, Daniel Luedecke","doi":"10.1007/s11126-024-10099-2","DOIUrl":"10.1007/s11126-024-10099-2","url":null,"abstract":"Patients with acute psychosis are often confronted with the prejudice that they refuse all treatment due to lack of insight. This study examined and compared the aims and preferences for treatment of patients with acute psychosis and of psychiatric inpatient staff. A total of 142 inpatients being treated for a psychotic disorder on either a locked or an open ward indicated which of a range of symptoms they want to be treated and which of various biopsychosocial treatment options they would like to receive. Staff members from the same wards reported which psychiatric symptoms they deemed relevant in the treatment of psychosis and which treatment options should be offered. Patients assigned the highest treatment need to neurocognitive symptoms, followed by affective and positive symptoms. In contrast, staff assigned the highest treatment need to positive symptoms, followed by neurocognitive and affective symptoms. Patients and staff on open wards expressed more treatment needs overall than did patients and staff on locked wards. Patients' desire for treatment differed across treatment types. In comparing patients on locked versus open wards, patients on open wards expressed higher approval of medication than patients on locked wards. Even patients with highly acute psychosis being treated on locked psychiatric wards endorsed treatment. Treatment preferences of this group deviated markedly in some instances from staffs' preferences. Considering their specific needs may contribute to increasing patient self-efficacy, and improving adherence to treatment.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"1-16"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Correction: Treatment Preferences in Acute Psychosis: A Comparison of Patient and Staff Perspectives on Symptom Prioritization and Biopsychosocial Interventions. 更正：急性精神病的治疗偏好：比较患者和工作人员对症状优先级和生物心理社会干预的看法。

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-01 DOI: 10.1007/s11126-024-10107-5

Rabea Fischer, Steffen Moritz, Jakob Scheunemann, Matthias Nagel, Charlotte Osthues, Daniel Schöttle, Daniel Luedecke

引用次数: 0

The Mediating Role of Difficulties in Emotion Regulation and Earthquake Stress Coping in the Relationship Between Posttraumatic Cognitive Attribution and Posttraumatic Stress Disorder in Türkiye 2023 Earthquake Survivors.

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-01 Epub Date: 2025-01-29 DOI: 10.1007/s11126-025-10118-w

Azmi Çağlar

{"title":"The Mediating Role of Difficulties in Emotion Regulation and Earthquake Stress Coping in the Relationship Between Posttraumatic Cognitive Attribution and Posttraumatic Stress Disorder in Türkiye 2023 Earthquake Survivors.","authors":"Azmi Çağlar","doi":"10.1007/s11126-025-10118-w","DOIUrl":"10.1007/s11126-025-10118-w","url":null,"abstract":"Natural disasters such as earthquakes leave deep psychological effects on individuals that can lead to posttraumatic stress disorder, and understanding these effects is vital to support psychological recovery processes after trauma. In this context, the aim of this study was to examine the mediating role of emotion regulation difficulties, religious coping, positive reappraisal and seeking social support in the relationship between posttraumatic cognitive attributions and posttraumatic stress disorder in 2023 Kahramanmaraş Pazarcık, Elbistan and Hatay Yayladağı earthquake survivors (N = 408). The findings from the multiple mediation analysis showed the indirect effect of posttraumatic cognitive attribution on PTSD through difficulties in emotion regulation, religious coping, positive reappraisal, and seeking social support. Therefore, difficulties in emotion regulation may be a risk factor for PTSD, while religious coping, positive reappraisal and seeking social support may be protective factors. Strategies to reduce difficulties in emotion regulation and to improve religious coping, positive reappraisal and social support seeking in earthquake survivors may be necessary to reduce PTSD that may be caused by the earthquake.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"201-212"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Barriers to Treatment of Mental Disorders in Saudi Arabia. 沙特阿拉伯精神障碍治疗的障碍。

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-01 Epub Date: 2024-11-30 DOI: 10.1007/s11126-024-10104-8

Sumayah Aljhani, Sultan Aldughayim, Ziyad Alsweed, Sulaiman Alherbish, Faris Alhumaid, Rayan Alismail, Saleh Alkhalaf, Ibrahim AlBahouth

{"title":"Barriers to Treatment of Mental Disorders in Saudi Arabia.","authors":"Sumayah Aljhani, Sultan Aldughayim, Ziyad Alsweed, Sulaiman Alherbish, Faris Alhumaid, Rayan Alismail, Saleh Alkhalaf, Ibrahim AlBahouth","doi":"10.1007/s11126-024-10104-8","DOIUrl":"10.1007/s11126-024-10104-8","url":null,"abstract":"Mental disorders are a global health issue affecting millions of individuals. People with mental disorders often face barriers to treatment, including stigma and discrimination, social, religious, and familial barriers, and a lack of knowledge about available treatment options. These barriers can lead to delayed or untreated mental illnesses, with serious consequences for the individuals, their families, and communities. This cross-sectional study explores the treatment barriers for different mental disorders as they significantly impact people's lives. It includes patients diagnosed with mental disorders. The data were collected from the patients or their companions attending Qassim Mental Health Hospital's outpatient clinic. We used a self-administered online questionnaire, sociodemographic variables, and the barrier to access to care evaluation (BACE) scale. Our sample included 332 adult patients with mental disorders (men, 63.9%; women, 36.1%). The mean percentage scores for stigma-, attitude-, and instrument-related barriers were 26.7%, 33.0%, and 18.7%, respectively. Younger age was associated with higher scores in all three BACE domains. Patients with psychotic disorders faced stigma- and attitude-related barriers, but not instrument-related barriers. Patients with multiple mental conditions faced increased stigma- and instrument-related barriers but not attitude-related barriers. Further longitudinal studies are required to better understand these barriers to help patients with mental conditions.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"75-89"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Changes in Usage of Mental Health Services for Rhode Island Children and Youth Before, During, and After Onset of the COVID-19 Pandemic. 在COVID-19大流行发生之前、期间和之后，罗德岛州儿童和青少年心理健康服务使用的患病率和变化

IF 2.7 4区医学

Psychiatric Quarterly Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI: 10.1007/s11126-024-10103-9

Sharon Zanti, Chenyi Ma

{"title":"Prevalence and Changes in Usage of Mental Health Services for Rhode Island Children and Youth Before, During, and After Onset of the COVID-19 Pandemic.","authors":"Sharon Zanti, Chenyi Ma","doi":"10.1007/s11126-024-10103-9","DOIUrl":"10.1007/s11126-024-10103-9","url":null,"abstract":"This study reports the prevalence of inpatient, emergency department (ED), and outpatient mental health service usage of children/youth before, during, and after onset of the COVID-19 pandemic in Rhode Island. Additionally, we identify significant changes in usage across these time periods and the prevalence of each service type contingent upon various demographic profiles. This retrospective observational analysis used Rhode Island Medicaid claims to identify the unique children and youth who used inpatient, ED, and outpatient mental health services across three key time periods: pre-onset (March 2019-February 2020); onset (March 2020-February 2021); and post-onset (March 2021-February 2022). We used z-tests to analyze changes in the proportion of children/youth who accessed these services in each period. We examined relationships between demographic characteristics and time period with chi-square tests. Significant decreases in inpatient and ED usage were identified from pre-onset to onset (p < .05). While inpatient nearly returned to pre-pandemic usage in post-onset, ED usage remained lower. Outpatient usage increased significantly leading up to the pandemic but remained at similar levels between pre-onset and post-onset. From pre-onset to post-onset, females grew as a percentage of all inpatient, ED, and outpatient users. Over this same period, the proportion of inpatient users aged 12-18 increased and the proportion of ED and outpatient users aged 19-24 increased. Female usage of mental health services increased significantly, and older children/youth seemed to drive any significant increases. Future public health and disaster preparedness policies should focus on the unique mental health needs of these socially vulnerable groups.","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"91-116"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0