Psychiatric Quarterly最新文献

{"title":"Validation of the Romanian Version of Autism Spectrum Quotient (AQ) and Empathy Quotient (EQ) in the General Population.","authors":"Alexandra Dolfi, Darian Faur, Mihai-Rareș Scălcău, Emilia-Maria Sorescu, Mugur-Daniel Ciumăgeanu, Cătălina Tudose","doi":"10.1007/s11126-025-10144-8","DOIUrl":"10.1007/s11126-025-10144-8","url":null,"abstract":"<p><strong>Introduction: </strong>The diagnosis of Autism Spectrum Disorder (ASD) can be difficult to achieve, especially since the diagnostic criteria have changed in the last decade. This challenge is even greater for Romanian clinicians, as there are currently no screening tools validated for diagnosing ASD in adults within the Romanian population.</p><p><strong>Purpose: </strong>This study aims to validate two screening instruments used to identify autistic traits in the Romanian general population: the Autism Spectrum Quotient (AQ) and the Empathy Quotient (EQ).</p><p><strong>Methods: </strong>Data was collected by administering the Romanian version of the scales to a sample of 916 Romanian native speakers from the non-clinical population. 108 individuals were re-tested after 2 years. The scales were validated by determining their reliability with respect to the stability of the results and evaluating their construct and structural validity in correlation with the following instruments: QCAE (Questionnaire of Cognitive and Affective Empathy), PAQ (Perth Alexithymia Questionnaire) and BVAQ (Bermond-Vorst Alexithymia Questionnaire).</p><p><strong>Results: </strong>Our data revealed that, regarding reliability, the Romanian version of AQ presents slightly lower internal consistency compared to the original validation study. Concerning structural validity, confirmatory factor analysis (CFA) revealed suboptimal fit indices for the original 5-factor structure. Based on a subsequent exploratory factor analysis (EFA), a 2-factor solution returned improved fit indices.</p><p><strong>Conclusion: </strong>Despite employing more items to measure the constructs than needed, this study confirmed that both instruments present a valuable resource for clinicians working with neurodivergent patients, as interest in this area of pathology has increased greatly in Romania over the past few years. Practical implications and methodological issues regarding the two instruments are discussed.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"803-818"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812159","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}

{"title":"Underlying Dimensions of Borderline Personality Disorder: A Systematic Review of Factor Analytic Studies.","authors":"Alexandra Triantafyllou, George Konstantakopoulos, Pentagiotissa Stefanatou, Eleni Giannouli, Ioannis A Malogiannis","doi":"10.1007/s11126-025-10141-x","DOIUrl":"10.1007/s11126-025-10141-x","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is considered to be a heterogeneous diagnostic entity, with multiple facets of the disorder influencing its course. Disentangling the structure of BPD criteria is fundamental to better understanding the disorder and targeting problematic behaviors. To identify and critically appraise factor analytic studies examining the structure of BPD criteria. A systematic review was conducted according to PRISMA guidelines. Three computerized databases (Pubmed, Scopus,PsycNET) were searched, resulting in the inclusion of 27 relevant studies. The unified model of BPD has been confirmed by a number of studies, while among multidimensional models, a three-factor model has also gained considerable empirical support. Multidimensional models of BPD tend to cluster together \"disordered self\" symptoms (identity disturbance and emptiness), affective symptoms (affective instability and anger), and behavioral symptoms (impulsivity and self-harming behaviors). Unidimensional and multidimensional models of the BPD structure are not necessarily in competition. An understanding of BPD as a unified diagnosis composed of three underlying dimensions, could serve the purpose of recognizing and targeting different aspects of the disorder, while maintaining a robust, and clinically useful diagnosis.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"751-785"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12647336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788706","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}

{"title":"Longitudinal Impact of the ACT-Based Positive Psychology Intervention to Improve Happiness, Mental Health, and Well-Being.","authors":"Gökmen Arslan, Umut Aydoğdu, Kıvanç Uzun","doi":"10.1007/s11126-025-10145-7","DOIUrl":"10.1007/s11126-025-10145-7","url":null,"abstract":"<p><p>This study aims to examine the effectiveness of ACT-based positive psychology intervention on young people's mental health and well-being. Existing literature offers limited insights into the impacts of ACT-based PPIs, particularly concerning young people. The study explores the potential of this intervention to enhance positive psychological outcomes such as subjective well-being, self-compassion, and optimism, while reducing negative psychological outcomes like pessimism, anxiety, depressive symptoms, and somatic symptoms, and improving resilience. Conducted at a state university, the study involved 42 participants between the ages of 19 and 23 who were assigned to experimental (n = 20) and control (n = 22) group. The experimental group participated in an 8-week ACT-based PPI program. Employing a longitudinal experimental design, the study included a pre-test, post-test, and a follow-up test approximately two years later. Results indicated that the experimental group experienced significant improvements in positive psychological outcomes and reductions in negative outcomes, with the effects sustained during the follow-up period. Notably, long-term enhancements in resilience and self-compassion were observed. Overall, this study provides important evidence of the effectiveness of ACT-based PPI in promoting young people's long-term outcomes, with implications for developing intervention programs to support their mental health and well-being.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"847-868"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12647234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977739","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}

{"title":"Examination of Patient and Provider Satisfaction, Benefits, and Challenges with Psychiatric Outpatient and Hospital-Based Telehealth Treatment during the COVID-19 Pandemic.","authors":"Christina Marini, Margot H Steinberg, Carly D Miron, Matthew Irwin, Bryana L Schantz, David L Ginsberg, Charles R Marmar, Naomi M Simon, Paraskevi Noulas, Kristin L Szuhany","doi":"10.1007/s11126-025-10150-w","DOIUrl":"10.1007/s11126-025-10150-w","url":null,"abstract":"<p><strong>Objective: </strong>During the COVID-19 pandemic, telemental health (TMH) use rapidly increased. Though patients report satisfaction with TMH, acceptability among different psychiatric providers (inpatient, outpatient, nurses) and for various diagnoses is less understood. This study aimed to expand understanding by examining TMH acceptability, benefits, and barriers for providers and patients during the early transition to TMH in the COVID-19 pandemic.</p><p><strong>Methods: </strong>Online anonymous surveys evaluated patient (n = 64) and provider (n = 39) satisfaction with and perceived benefits and challenges to TMH from October-December 2020 on 5-point Likert scales. Qualitative data was collected and themes identified.</p><p><strong>Results: </strong>Outpatient (3.97 ± 1.05) and inpatient (3.11 ± 1.6) providers, including nurses, reported high satisfaction with TMH, despite over 50% never having used TMH prior to the pandemic. TMH was viewed as acceptable across diagnoses, including serious mental illness and substance use. Provider-rated benefits of outpatient TMH versus in-person visits included COVID safety (mean difference[MD] = 3.05), travel (MD = 2.95), and reduced cancellations (MD = 1.81). Inpatient TMH similarly included COVID safety benefits (MD = 3.31), but also challenges related to team-based service provision (MD = 1.68) and working with trainees (MD = 1.19). Qualitative themes identified TMH challenges (e.g., technological: 56.7% patients, 66.7% providers) and benefits (e.g., convenience/flexibility: 80% patients, 81.5% providers).</p><p><strong>Conclusions: </strong>TMH was associated with high satisfaction for patients and across provider types and patient diagnoses. This study provides further support that TMH across clinical settings allows for greater flexibility and accessibility to evidence-based care, and ongoing benefits even outside the context of the COVID-19 pandemic. It suggests the benefits of ongoing training of staff and trainees in TMH.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"869-885"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980240","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}

{"title":"The Role of Sleep Quality and Sleepiness in the Relationship Between Cognitive Flexibility and Fatigue.","authors":"Ozge Ozkutlu, Ozgu Inal Ozun","doi":"10.1007/s11126-025-10135-9","DOIUrl":"10.1007/s11126-025-10135-9","url":null,"abstract":"<p><p>This study aimed to determine the pathways linking cognitive flexibility to fatigue through the serial mediation effect of sleep quality and sleepiness in 564 healthy adults using various scales, including the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Chalder Fatigue Scale, and Cognitive Flexibility Inventory. Analysis was performed using two mediating variables (sleep quality and sleepiness) with age and gender as covariates. The simple mediation effect was evaluated using the Causal Step. The indirect effect was examined using bootstrap method and Sobel test. The total and direct effects of cognitive flexibility on fatigue were both found to be statistically significant. The research model revealed three significant indirect effects: cognitive flexibility affecting fatigue through sleep quality, cognitive flexibility affecting fatigue through sleepiness and cognitive flexibility affecting fatigue through both sleep quality and sleepiness. Additionally, serial mediation analysis showed that the relationship between cognitive flexibility and fatigue is sequentially mediated by sleep quality and sleepiness (B = -0.064, SE = 0.013, 95% CI: -0.070 to -0.017). All effects were confirmed through the 95% confidence intervals, which did not include zero, and with significant p values. These findings highlight the role of sleep quality and sleepiness as serial mediators of the relationship between cognitive flexibility and fatigue. The study's major contribution is to provide insight on the independent and serial mediating role of sleep quality and sleepiness in the relationship between cognitive flexibility to fatigue.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"735-749"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12647325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788703","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}

{"title":"Psychological Problems and Academic Motivation in University Students: A Cross-Sectional Study One Year after the COVID-19 Lockdown in Italy.","authors":"Alda Troncone, Gaia Caldarelli, Marina Cosenza, Gaetana Affuso, Mariagiulia Sacco, Maria Ciccarelli, Barbara Pizzini","doi":"10.1007/s11126-025-10138-6","DOIUrl":"10.1007/s11126-025-10138-6","url":null,"abstract":"<p><p>This study was aimed at exploring students' psychological condition (operationalized through psychological distress and perceived loneliness) one year after the COVID-19 lockdown and testing its role in predicting academic motivation. The possible mediating role of emotional regulation in this relationship was also investigated. A non-random sample of university students completed a cross-sectional online survey assessing their psychological distress, feelings of loneliness, emotion regulation strategies, and academic motivation. Structural equation modeling multi-group analysis was used to examine the relation between variables. The final sample comprised 479 students (62.8% female, Mage = 22.16 ± 2.79 years) from several degree courses attending Italian universities. Of these, 56.6% and 41.5% of the participants showed high levels of psychological distress and perceived loneliness, respectively. Psychological distress and loneliness were positively associated with problems with emotion-regulation abilities and negatively associated with academic motivation. The lack of emotional awareness, in turn, reduced their academic motivation levels. Analysis of the indirect effects showed that psychological distress affected academic motivation via awareness (β = -.02, p < .05 and β = -.03, p < .05 in males and females, respectively). Overall, the model was able to predict academic motivation in university students, explaining a reasonable percentage of the variance (14% for males and 17% for females). These results indicate a meaningful effect of students' psychological condition on academic motivation. Implications for the definition and implementation of actions to support students in managing psychological problems and feelings of loneliness and to foster students' psychological health in university settings are discussed.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"683-704"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773229","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}

{"title":"The Moderation Effect of Resilience on the Relationship Between PTSD, Depression, and Life Satisfaction Among On-Duty Healthcare Professionals in Gaza.","authors":"Ayman M Hamdan-Mansour, Ismail Z Albalishi, Ahmad Rayani, Ali Alhaiti, Ebteasam Jibreel, Raneem A Hamdan-Mansour, Laith Hamdan-Mansour","doi":"10.1007/s11126-025-10123-z","DOIUrl":"10.1007/s11126-025-10123-z","url":null,"abstract":"<p><p>Psychological suffering of healthcare professionals, during War times, is ignored in literature. While struggling to provide ultimate care, HCP need support and psychological counseling. The purpose of this study was to examine the moderation effect of resilience on the relationship between life satisfaction, depression, and PTSD controlling for the sociodemographic and personal characteristics among on-duty healthcare professionals in Gaza. A convenience sample of 150 on-duty healthcare professionals filled out an online survey. The sample targeted a convenience sample of HCWs who are currently on duty in Gaza. Data collected regrading satisfaction with life, PTSD, depression, and resilience. Data collected from August to end of Sept 2024. Of the sample, 94.7% (n = 146) met criteria of PTSD, 85.3% (n = 128) reported a severe form of depression, 59.3% (n = 89) have a low level of resilience, and 74.7% (n = 112) reported that they are dissatisfied with their life. The analysis showed that resilience has no significant moderation effect on the relationship between psychological factors and PTSD controlling for demographic and personal characteristics as the R² change of 0.011 in the model was not statistically significant (p = 0.09). Years of experience, age and having mental illness were significant risk factors to develop PTSD. There is a need to provide an urgent psychological counselling to healthcare professionals in Gaza. Online and face-to-face help groups and peer to peer support need to be established.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"563-576"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493444","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}

{"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":"10.1007/s11126-025-10129-7","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"593-606"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","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}

{"title":"Who Benefits from Home Treatment? Predictors of Treatment Outcome in an Acute Psychiatric Setting: an Observational Study.","authors":"Felix Baumann, Vera Bergamaschi, Ingeborg Warnke, Salvatore Corbisiero, Fabian Ludwig, Andreas Riedel, Kerstin Gabriel Felleiter, Hansjörg Znoj, Stefanie J Schmidt","doi":"10.1007/s11126-025-10131-z","DOIUrl":"10.1007/s11126-025-10131-z","url":null,"abstract":"<p><p>Systematic reviews have confirmed that home treatment (HT) is an appropriate alternative to conventional inpatient treatment. So far, research on predictors for treatment outcomes of HT has been rather inconsistent, and potential predictors have not been systematically investigated yet. This exploratory study has a prospective naturalistic design with repeated measurements of symptoms, well-being, and self-efficacy at baseline, at post-assessment (discharge from HT) and at follow-up. Repeated measures analysis of variance (ANOVA) was carried out to measure changes between assessment points. Changes in emotion regulation were analysed between baseline and post-assessment using t-tests. Potential predictor variables were assessed at baseline. Linear regression models were estimated with post scores of symptoms, well-being, self-efficacy and emotion regulation as dependent variables and potential predictors as independent variables. 58 patients participated in the study. Significant differences between baseline and post-assessment were found for psychiatric symptoms, well-being, self-efficacy and emotion regulation. No significant changes were found at follow-up. Of the investigated potential predictors, three significantly predicted outcome of HT: Patients with former treatments in a psychiatric institution had significantly higher post-assessment in symptoms (β = .26, p = .04) and lower well-being (β = -.28, p = .02) compared to patients without former treatment in a psychiatric institution. Furthermore, hope for change and symptoms of anxiety were found to be predictors of outcome. General improvement in symptoms and well-being indicate that HT was effective. Previous psychiatric history, hope of improvement and anxiety were identified as predictors of treatment outcome.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"623-639"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773234","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}

{"title":"Dysfunctional Pandemic Grief Model Among Nursing Professionals Who Experienced Death of Patients.","authors":"Seockhoon Chung, Young Rong Bang, Mohd Ashik Shahrier, Youjin Hong, Junseok Ahn","doi":"10.1007/s11126-025-10142-w","DOIUrl":"10.1007/s11126-025-10142-w","url":null,"abstract":"<p><p>Dysfunctional grief was not addressed adequately during the COVID-19 pandemic. This study aimed to develop a dysfunctional pandemic grief model specific to healthcare workers who experienced patient deaths during the COVID-19 pandemic. We conducted an anonymous online survey among 568 nursing professionals who had experienced a patient's death while working at three tertiary-level hospitals. We further assessed psychological status using the Pandemic Grief Scale (PGS) for Healthcare Workers, Pandemic Grief Risk Factors (PGEF), Utrecht Grief Rumination Scale (UGRS), Grief Support HealthCare Scale (GSHCS), Patient Health Questionnaire-9 (PHQ-9), and Stress and Anxiety in Viral Epidemic-9 (SAVE-9). PGS correlated with PGRF, UGRS, GSHCS, PHQ-9, and SAVE-9 (all p < 0.01). Linear regression analysis revealed that PGRF (𝛽=0.44, p < 0.001), UGRS (𝛽=0.24, p < 0.001), GSHCS (𝛽=-0.09, p = 0.004), and PHQ-9 (𝛽=0.23, p < 0.001) expected pandemic dysfunctional grief. Mediation analysis showed that PGRF directly influenced PGS; UGRS and GSHCS positively and negatively mediated the relationship between PGRF and PGS, respectively. The dysfunctional pandemic grief model shows that it is important to address grief risk factors, manage rumination, and provide effective psychological support to healthcare workers.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"705-719"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780972","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}