PsychopathologyPub Date : 2024-01-01Epub Date: 2023-07-05DOI: 10.1159/000531027
Joke C van Nieuw Amerongen-Meeuse, Arjan W Braam, Gerlise Westerbroek, Eva Ouwehand, Christa Anbeek, Hanneke Schaap-Jonker
{"title":"Varieties of Religious and Spiritual Struggles by Type of Mental Disorder: A Qualitative Approach.","authors":"Joke C van Nieuw Amerongen-Meeuse, Arjan W Braam, Gerlise Westerbroek, Eva Ouwehand, Christa Anbeek, Hanneke Schaap-Jonker","doi":"10.1159/000531027","DOIUrl":"10.1159/000531027","url":null,"abstract":"<p><strong>Introduction: </strong>Little is known about types of religious/spiritual (R/S) struggles with regard to various diagnostic groups in mental health care. The current qualitative study aims to give an impression of R/S struggles as observed in six diagnostic groups in clinical mental health care.</p><p><strong>Methods: </strong>Inductive thematic content analysis was applied to 34 semi-structured interviews. The interviews were performed among (day) clinical mental health care patients in two institutions.</p><p><strong>Results: </strong>Among patients with depression, a lack of positive R/S experiences, isolation, and feelings of guilt and shame were present. Those with cluster C and anxiety disorders reported uncertainty toward God and faith and R/S reticence. Psychotic disorders were accompanied by impressive R/S experiences, reticence to share these, and mistrust toward health professionals. Patients with bipolar disorder struggled with the interpretation of their R/S experiences and with both attraction and distance toward R/S. Cluster B patients showed ambivalence and anger toward God and others, and some reported existential tiredness. Patients with autism mentioned doubts and troubles with religious beliefs. In all groups, many patients had questions like \"why?\" or \"where is God?\"</p><p><strong>Conclusion: </strong>R/S struggles to some extent may be the language of the illness. Mental health professionals are recommended to take this into account, taking heed of the content of individual R/S struggles and considering using R/S interventions.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"27-38"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9761693","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2023-10-18DOI: 10.1159/000533655
Tim Schnitzler, Thomas Fuchs
{"title":"Autism as a Disorder of Affective Empathy.","authors":"Tim Schnitzler, Thomas Fuchs","doi":"10.1159/000533655","DOIUrl":"10.1159/000533655","url":null,"abstract":"<p><p>Since the first description by Leo Kanner, individuals with autism spectrum disorder (ASD) have been attributed a reduced empathy. However, it has not yet been clarified how empathy is specifically impaired in autism. Typically, scholars distinguish between the affective and the cognitive dimensions of empathy. The latter largely overlaps with the concept of the theory of mind (ToM), according to which we need internal inferences or simulations for gaining access to the hidden mental states of others. Since a deficit in ToM is a widely accepted explanation for difficulties of individuals with ASD in social interactions, limitations in cognitive empathy are accordingly assumed. Regarding affective empathy, there are contradictory results using various methods, showing an impaired affective empathy. The main aim of the paper is to present ASD primarily as a disorder of shared interpersonal and interaffective experiences and thus of affective empathy by means of a phenomenological analysis considering empirical studies. In this framework, a deficit of the ToM is accepted but criticized as a central explanatory approach for ASD since (1) it assumes a fundamental inaccessibility of other people, which does not correspond to our everyday social situations, and (2) it manifests developmentally long after the first signs of ASD, which means that its deficit cannot explain the basic autistic difficulties in social interactions.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"53-62"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49681627","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2023-10-11DOI: 10.1159/000532076
Alessandro Capodici, Antonio Pennisi, Gaetano Rizzo, Alessandra Falzone, Carmelo Mario Vicario
{"title":"Interoceptive and Affective Alterations in Body Integrity Dysphoria: An Online Self-Reporting Study.","authors":"Alessandro Capodici, Antonio Pennisi, Gaetano Rizzo, Alessandra Falzone, Carmelo Mario Vicario","doi":"10.1159/000532076","DOIUrl":"10.1159/000532076","url":null,"abstract":"<p><strong>Introduction: </strong>Body integrity dysphoria (BID) is a rare condition in which individuals experience a long-lasting desire to achieve a specific physical disability. In this study, we tested the hypothesis of interoceptive and affective abnormalities in BID, in line with the evidence of structural and functional alteration of the interoceptive-affective neural system in these individuals.</p><p><strong>Method: </strong>Our study involved 68 participants with BID (mean age: 35.6, SD: 16.4). Among these participants, 47 expressed a desire for amputation, 14 desired paralysis, 3 sought sensory deprivation, and 3 desired a combination of these forms. For comparisons, we recruited a control group of 79 participants (mean age: 35.2, SD: 15.8). We administered assessment measures to investigate alexithymia level (TAS-20), disgust sensitivity (DS-R), interoceptive awareness (MAIA-2), and (affective and cognitive) empathy (QCAE). We also administered the Short Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE) to identify psychiatric comorbidities. Subgroups with low O-LIFE scores (BID = 31; controls = 43) and subgroups with high O-LIFE scores (BID = 37; controls = 36) were derived through a median-split procedure.</p><p><strong>Results: </strong>Within the BID low O-LIFE group, we found reduced interoceptive sensibility, reduced disgust sensitivity, and increased difficulty in identifying feelings, which refers to a dimension of the alexithymia trait. Within the BID high O-LIFE group, we observed a reduced disgust sensitivity and interoceptive sensibility, accompanied by a diminished score in cognitive empathy.</p><p><strong>Conclusion: </strong>Our study suggests that BID can be associated with altered interoceptive and affective processing.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"102-110"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210696","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2024-07-16DOI: 10.1159/000538707
Helene Stephensen, Annick Urfer-Parnas, Josef Parnas
{"title":"An Empirical-Phenomenological Exploration of Anderssein (Feeling Different) in Schizophrenia: Being in-between Particular and Universal.","authors":"Helene Stephensen, Annick Urfer-Parnas, Josef Parnas","doi":"10.1159/000538707","DOIUrl":"10.1159/000538707","url":null,"abstract":"<p><strong>Introduction: </strong>In this paper, we wish to elucidate alterations of basic existential and intersubjective configurations in schizophrenia spectrum disorders (SSD) through the phenomenon of Anderssein (\"feeling different\"). Anderssein is an important yet neglected notion from German psychiatry, referring to a specific sense of feeling profoundly different from others occurring in SSD. Although phenomenological-psychopathological research mentions it as an aspect of the core disturbance of SSD (namely, \"self-disorders\"), the phenomenon has not yet been explored in empirical or theoretical detail.</p><p><strong>Method: </strong>We present material from a phenomenological-empirical study on the mode and onset of psychosis based on qualitative interviews with 25 patients with SSD.</p><p><strong>Results: </strong>Most of the participants in our study report having felt fundamentally and often ineffably different since childhood and articulate it as a sense of existing \"outside\" of the shared reality. Intersubjective reality appears progressively unreal or inauthentic, and simultaneously, the patient's intimate, subjective sphere is permeated by an alien otherness. Importantly, this outside position should be understood carefully as it is often accompanied by the sense of being invaded by social rules, other people's thoughts, or emotions. Incipient psychosis is described as a gradual extension of precedent alterations of the structures of (inter)subjectivity.</p><p><strong>Conclusion: </strong>We conceptualize the ontological feature of Anderssein as an altered \"being in-between\" - that is, some sort of halting of the dynamic movement between particularity and intersubjectivity. Finally, we discuss the critical implications of these results for research into the \"onset\" of schizophrenia.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"459-469"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627474","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2024-07-24DOI: 10.1159/000540003
Jan Dirk Blom
{"title":"Hallucinations and Vitamin B12 Deficiency: A Systematic Review.","authors":"Jan Dirk Blom","doi":"10.1159/000540003","DOIUrl":"10.1159/000540003","url":null,"abstract":"<p><strong>Introduction: </strong>Vitamin B12 deficiency is primarily associated with pernicious anaemia, polyneuropathy, and spinal-cord disease, but publications on its association with hallucinations are on the rise.</p><p><strong>Methods: </strong>I carried out a systematic literature search on these hallucinations in PubMed, PsycINFO, and Google Scholar, up until July 1, 2023.</p><p><strong>Results: </strong>The search yielded 50 case studies published between 1960 and 2023. The hallucinations described therein are predominantly visual and/or auditory in nature, with 20% being specified as complex, compound, or panoramic. They are often described in the context of vitamin B12-related neuropsychiatric conditions such as dementia, delirium, epilepsy, psychotic disorder, schizoaffective disorder, bipolar disorder, depressive disorder, catatonia, or obsessive-compulsive disorder. In the context of such disorders, they tend to appear first and also often appear to be the first to disappear with cobalamin treatment. Within an average of 2 months, full amelioration was thus obtained in 75% of the cases and partial amelioration in the remaining 25%. Remarkably, a quarter of the cases involved therapy-resistant hallucinations that fully resolved under cobalamin monotherapy, while other neuropsychiatric manifestations of vitamin B12 deficiency disappeared in 60% of the treated cases. Only 32% of the cases involved comorbid pernicious anaemia. This suggests that two separate or diverging pathways exist for perceptual and haematological symptoms of vitamin B12 deficiency.</p><p><strong>Conclusion: </strong>In the light of the high prevalence rate of vitamin B12 deficiency in the general population, the findings here presented should be interpreted with great caution. Nonetheless, they offer cues for further research and experimental application in clinical practice. This may be especially relevant in light of the recent increase in the popularity of vegetarianism and the recreational use of nitrous oxide (laughing gas), which are both risk factors for vitamin B12 deficiency.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"492-503"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760519","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2023-09-26DOI: 10.1159/000533989
Junguo Zhang
{"title":"Reframing Anorexia Nervosa: A Phenomenological Exploration of the Self-Other Relationship with Husserl's Intersubjective Theory.","authors":"Junguo Zhang","doi":"10.1159/000533989","DOIUrl":"10.1159/000533989","url":null,"abstract":"<p><p>This paper explores the overlooked contributions of Husserl's Phenomenology of intersubjectivity in understanding anorexia nervosa. It highlights the intricate relationship between the self and others, emphasizing their mutual constitution while acknowledging inherent differences. The distorted body image approach often overlooks this perspective, leading to psychopathological issues in individuals with anorexia nervosa. By integrating subjective experience and external observation, a more balanced and equal intersubjective relationship can be established. Utilizing this philosophical framework allows for a deeper understanding of the disorder's dynamics and sheds new light on the subjective experiences of individuals with anorexia nervosa in relation to others.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"229-235"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150201","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2024-07-31DOI: 10.1159/000540319
George H Denfield, Evan J Kyzar
{"title":"The Nested States Model: A Phenomenologically-Grounded Model of the Mind.","authors":"George H Denfield, Evan J Kyzar","doi":"10.1159/000540319","DOIUrl":"10.1159/000540319","url":null,"abstract":"<p><strong>Background: </strong>Subjective experience is central to the nature of mental illness, yet it has not played a central role in most empirical approaches to psychopathology. While phenomenological perspectives in psychiatry have seen a recent resurgence, there remains a need for more detailed models of psychopathological processes based on explicit phenomenological and enactive foundations.</p><p><strong>Summary: </strong>We present a framework derived from the Nested States Model (NSM) through which such phenomenologically-grounded models might be constructed. The NSM describes the dynamic structure of subjective experience as a system of nested states that reciprocally influence one another across hierarchical layers. Here, we show how the NSM provides a scheme for characterizing patterns of experience that comprise various psychopathological processes. We demonstrate the utility of this scheme both for clinical practice and for building our knowledge of psychopathological processes more broadly.</p><p><strong>Key messages: </strong>The NSM can advance three aims that we see as critical for the lasting integration of phenomenological approaches to psychopathology within psychiatry. First, we show that the NSM provides a means for constructing clinical formulations and treatment considerations that center squarely on an individual's subjective experiences. Second, the NSM supplies a framework for organizing findings from clinical-phenomenological research that can guide the construction of broader phenomenologically-grounded models of psychopathological processes. Lastly, the NSM aligns our perspective on subjective experience with emerging perspectives on brain dynamics, helping to bridge phenomenological work with ongoing neurophysiological research.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"504-518"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11652238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860716","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2023-06-28DOI: 10.1159/000531254
Michael Linden, Barbara Lieberei
{"title":"Injustice and Embitterment: Crucial Stressors in Psychosomatic Patients.","authors":"Michael Linden, Barbara Lieberei","doi":"10.1159/000531254","DOIUrl":"10.1159/000531254","url":null,"abstract":"<p><strong>Objective: </strong>\"Disorders specifically associated with stress\" are receiving increasing attention in clinical practice, research, and modern classification systems of mental disorders. This includes not only reactions to \"extremely threatening or horrific events\" as it is characteristic for \"post-traumatic stress disorders\" but also a variety of day-to-day experiences. Examples are experiences of injustice, humiliation, or breach of trust which can have dire psychological consequences such as feelings of embitterment, a strong and crippling emotion. This study investigated the frequency of feelings of injustice and concomitant embitterment across different areas of daily life of psychosomatic patients.</p><p><strong>Methods: </strong>In an observational archival study, 200 inpatients of a department of behavioral medicine filled in the \"Differential Life Burden Scale, DLB-Scale\" and the \"Post-Traumatic Embitterment Scale, PTED-Scale\" which asks for experiences of injustice and embitterment.</p><p><strong>Results: </strong>More than half of all patients (58.5%) reported about very or extremely unjust and unfair life events and 51.5% additionally about feelings of embitterment. This was primarily associated with complaints about problems in the family and the workplace and was accompanied by an impairment of well-being.</p><p><strong>Conclusions: </strong>The findings indicate that experiences of injustice and embitterment are frequently seen in psychosomatic inpatients and should get special attention.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"39-44"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051302","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2023-06-13DOI: 10.1159/000530909
Koki Takagaki, Satoshi Yokoyama
{"title":"Relationship between Value-Based Behaviors and Scheduled Activities of University Students before and during the COVID-19 Pandemic: A Longitudinal Cross-Lagged Model.","authors":"Koki Takagaki, Satoshi Yokoyama","doi":"10.1159/000530909","DOIUrl":"10.1159/000530909","url":null,"abstract":"<p><p>University students are in a phase during which they have various experiences typical in the academic environment and face situations that require adaptability and influence value formation. In the abnormal situation of the COVID-19 pandemic, university students' life rhythms, academic, interpersonal, and financial situations have changed drastically. In those situational cues, the value-based behavior of university students may have changed. Values provide purpose and direction for each action. Furthermore, values are situational goals that lead to specific real-time behavior. Therefore, this study aimed to examine whether there is a two-way influencing relationship between value-based behavior and scheduled activities of university students at two points in time (before the COVID-19 pandemic and during the COVID-19 pandemic). 417 university students answered a questionnaire at Times 1 and 2 (with a 1-year interval). We examined the relationship between value-based behavior and scheduled activities using a longitudinal cross-lagged model analysis. The findings of this study indicate that promoting value-based behaviors is positively associated with the frequency of value-based behaviors and scheduled activities even during anomalies such as the COVID-19 pandemic. Even in anomalous situations such as the COVID-19 pandemic, increasing value-based behaviors such as behavioral activation can improve the lives of university students. Future intervention studies should show whether behavioral activation is effective in decreasing depressive symptoms among university students even in abnormal situations such as the COVID-19 pandemic.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"70-75"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9627347","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}
PsychopathologyPub Date : 2024-01-01Epub Date: 2023-10-11DOI: 10.1159/000533647
Julia Brailovskaia, Silvia Schneider, Xiao Chi Zhang, Jürgen Margraf
{"title":"How Do Adherence to COVID-19 Mitigation Measures and Its Predictors Change between 2020 and 2021? An Explorative Investigation in Eight European Union and Non-European Union Countries.","authors":"Julia Brailovskaia, Silvia Schneider, Xiao Chi Zhang, Jürgen Margraf","doi":"10.1159/000533647","DOIUrl":"10.1159/000533647","url":null,"abstract":"<p><strong>Introduction: </strong>Adherence to COVID-19 mitigation measures is an important vehicle that has contributed to the fight against the pandemic. The present study investigated potential changes of the level of adherence and its predictors between 2020 and 2021 in eight countries.</p><p><strong>Methods: </strong>Adherence to COVID-19 measures and its potential predictors (perception of usefulness of the measures, rating of the governmental COVID-19 communication, mental health variables, COVID-19 burden) were compared between representative population samples from European Union countries (France, Germany, Poland, Spain, Sweden) and non-European Union countries (Russia, UK, USA) assessed in 2020 (N = 7,658) and 2021 (N = 8,244).</p><p><strong>Results: </strong>In the overall sample, multiple analyses of variance revealed significantly higher levels of adherence to the measures, their perception as useful, positive mental health, and feelings of being well supported and well informed by governments in 2020 than in 2021. In contrast, feelings of being left alone and symptoms of depression, anxiety, and stress were significantly higher in 2021 than in 2020. In France, Poland, Spain, and the UK, the adherence level was significantly higher in 2020 than in 2021. In European Union countries, ratings of governmental communication were less positive, and levels of mental health were lower in 2021 than in 2020. In non-European countries, an opposite result pattern was found.</p><p><strong>Conclusion: </strong>The current results indicate a decrease in adherence to the mitigation measures and factors that could foster it. Potential ways how governments and authorities could enhance the population's trust in COVID-19 mitigation measures are discussed.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"123-135"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210695","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}