Psychological Services最新文献

{"title":"Providers' use and perceived benefits and barriers of delivering cognitive behavioral therapy for nightmares (CBT-N) to veterans.","authors":"Katherine E Miller, Courtney J Bolstad, Jessica A Carlile, Noelle E Balliett, Shilpa Trivedi, Joanne L Davis, Jessica Schubert, Christina Krieg, Mauli Shah","doi":"10.1037/ser0000994","DOIUrl":"10.1037/ser0000994","url":null,"abstract":"<p><p>Training and consultation in cognitive behavioral therapy for nightmares (CBT-N) were introduced for Veterans Health Administration (VHA) providers to reduce the frequency and severity of nightmares and improve functioning of veterans experiencing chronic nightmares. This study aimed to evaluate providers' sustained delivery of CBT-N and their perceptions of benefits and barriers to implementation to improve the successful adoption and long-term use of CBT-N throughout the VHA. VHA providers (<i>N</i> = 100) who completed the CBT-N training program at least 6 months prior to the study were sent an online survey about their continued use, feedback, and perceptions of CBT-N. The survey received a 65% response rate. Overall, perceptions of CBT-N were favorable. Ninety-five percent of providers reported continued delivery of CBT-N since completing the training program, with 100% of responders intending to use CBT-N in the future. Among CBT-N users, treatment was perceived to reduce nightmare frequency and/or severity and improve other domains of functioning (i.e., sleep health, trauma symptoms, quality of life). A third of the CBT-N users denied any barriers to using CBT-N. Primary barriers to use were related to providers' facility inner setting (e.g., unable to accommodate required session length or frequency, veteran population not appropriate for CBT-N) or veteran factors (e.g., schedule constraints, patient decision in shared decision making). Results encourage ongoing CBT-N training initiatives within the VHA. Directly tracking veteran outcomes and identifying necessary modifications to adapt CBT-N within the constraints of the inner setting, while preserving treatment integrity, are warranted to ensure and promote intervention effectiveness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"403-410"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community living center-mental health integration in the Veterans Health Administration: Evaluation of practice patterns.","authors":"Kim Curyto, Kyle S Page, Elizabeth Macdonald, Benjamin R Szymanski, Michele J Karel","doi":"10.1037/ser0001029","DOIUrl":"10.1037/ser0001029","url":null,"abstract":"<p><p>Starting in 2008, the Veterans Health Administration required mental health (MH) provider integration in nursing homes, called Community Living Centers (CLCs), to promote access to quality MH services. This project aimed to understand MH practice patterns and service integration in the CLC and to identify facilitators and barriers to integrated MH services. CLC physician and nurse leaders, and MH providers, were invited to participate in national surveys in the fall of 2022. Survey questions were designed to assess MH provider staffing and workload, organizational alignment and resources, practice and services provided, training and resource needs, MH provider satisfaction and burnout, integration, and CLC team functioning and morale. Questions included structured and open-ended formats. A total of 107 CLC MH providers and 85 CLC leaders completed their respective surveys. Descriptive and bivariate analyses were performed with quantitative data, and conventional content analysis procedures were used to analyze open-ended text responses. Findings highlighted that CLC MH providers care for Veterans with complex presentations across a range of treating specialties requiring many specialized skills, and MH integration is important and valued by CLC leaders. Results support Veterans Administration MH integration efforts and highlight the need for and importance of MH services in the CLC. MH provider job satisfaction and burnout were significantly related to team functioning, morale, and support. Findings will inform ongoing development of CLC MH practice resources and serve as a baseline for further evaluation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"462-478"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing mental health care utilization for veterans with PTSD in the year after a suicide attempt.","authors":"Kate Clauss, Vanessa C Somohano, Benjamin J Morasco, Emily A Young, Catherine Medina-Jimenez, Lauren M Denneson","doi":"10.1037/ser0001008","DOIUrl":"10.1037/ser0001008","url":null,"abstract":"<p><p>The goal of this study was to characterize mental health care utilization, including variables associated with initiation of a posttraumatic stress disorder (PTSD) evidence-based psychotherapy (EBP), among veterans with PTSD in the year following a suicide attempt. In a national survey of veterans with a recent suicide attempt, 431 had a diagnosis of PTSD and were included in the present study. Patients completed self-report measures of PTSD symptom severity, stigma, and logistic barriers to care. Mental health utilization data were extracted from the electronic health record. Descriptive statistics were used to characterize mental health care utilization in the year after a suicide attempt, and regression analyses were used to identify patient- and health service-related factors associated with PTSD EBP initiation. The majority of the sample received eight or more outpatient mental health visits in the year following the index suicide attempt (95.8%); however, only 10.4% initiated a PTSD EBP, and even fewer (4.2%) received a minimally adequate treatment dose (e.g., eight or more sessions). PTSD severity, stigma, and logistic barriers to care did not account for significant variance in PTSD EBP initiation. In addition to outpatient psychotherapy, the majority of patients received an antidepressant-related medication (90.7%), and a substantial portion experienced subsequent psychiatric hospitalization (46.2%). Although the majority of patients received eight or more outpatient mental health visits, few engaged in a PTSD EBP, suggesting that additional work is needed to determine how best to time PTSD treatment in the context of a recent suicide attempt. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"608-614"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contextual determinants of the implementation of a mental health diversion policy in California: Lessons learned from local implementation partners.","authors":"Stephanie Brooks Holliday, Alex Sizemore, Tiffany Keyes, Brittani Kelly, Nicole K Eberhart","doi":"10.1037/ser0001026","DOIUrl":"10.1037/ser0001026","url":null,"abstract":"<p><p>In 2018, California passed Assembly Bill 1810, creating a pathway for pretrial diversion of individuals with mental health disorders. State statute dictates certain aspects of diversion eligibility and implementation. However, implementation of diversion occurs at the county level and counties have some degree of discretion as to how they implement the policy. This study conducted a qualitative implementation assessment of the contextual factors that have shaped the implementation of the state's mental health diversion policy. We recruited nine counties and conducted semistructured interviews with a total of 29 implementation partners. Qualitative coding was conducted to explore themes related to program implementation and these codes were analyzed using the Consolidated Framework for Implementation Research. An early challenge to the implementation process was the need to create infrastructure to support diversion and ensure oversight of mental health evaluations, treatment plans, and client progress. Many counties started with a decentralized process but found that standardizing the process was an important facilitator (e.g., having a dedicated judge for diversion cases). Some of the key implementation barriers related to perceptions of prosecutors and concerns related to public safety; however, even defense attorneys must balance diversion with other options their clients have (e.g., taking a plea in exchange for a short sentence). Jurisdictions implementing new mental health diversion programs can draw on the implementation science and literature related to other programs, such as drug courts, to address these implementation barriers. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"411-422"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aeromedical officer training for mental health professionals leads to better outcomes for U.S. Navy and Marine Corps flight personnel.","authors":"Carrie H Kennedy, Jacob R Westerberg","doi":"10.1037/ser0000998","DOIUrl":"10.1037/ser0000998","url":null,"abstract":"<p><p>This study examines whether aeromedical officer (AMO) training enhances outcomes for Navy and Marine Corps aviation personnel. The conceptual approach of this research is grounded in the literature on the importance of cultural competence in military mental health services; thus, this study hypothesizes that AMO-trained providers yield better outcomes than nontrained providers. Utilizing a sample of 501 waiver requests for personnel diagnosed with mental health conditions, we compared waiver approval rates and career impacts between those evaluated by AMO-trained and nontrained providers. Results from a binary logic regression indicated that individuals assessed by AMO-trained providers were 2.1 times more likely to be granted waivers, thus reducing the chance of career disruption, as well as reducing operational costs and loss of mission-ready personnel. Additionally, AMOs facilitated a more seamless waiver process, avoiding unnecessary delays in obtaining a waiver. Findings suggest that AMO training significantly improves service delivery by enhancing providers' cultural competence, leading to more favorable outcomes for both individuals and commands, underscoring the need for specialized training in mental health services. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"646-651"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider and leader perspectives on eating disorder screening and the importance of a clinical pathway in the Veterans Health Administration: A qualitative study.","authors":"Shira Maguen, Jennifer L Snow, Sarah E Siegel, Lindsay Fenn Munro, Joy Huggins, Alison B Hamilton, Robin M Masheb","doi":"10.1037/ser0000967","DOIUrl":"10.1037/ser0000967","url":null,"abstract":"<p><p>We explored U.S. provider and leader perspectives on eating disorder screening, implementation, and clinical pathways in the Veterans Health Administration using qualitative interviews with 10 medical providers and seven leaders from Veterans Health Administration's National Program Offices (<i>N</i> = 17). Providers included two frontline primary care medical support staff, two nurses, two primary care providers, one dietitian, one women's health provider, one health psychologist, and one weight management program provider. We asked about the utility of screening for eating disorders and potential implementation challenges. The tool was in development at the time the qualitative interviews were conducted so that feedback could be taken into consideration. Rapid qualitative analysis was used to identify themes. Three themes were identified. First, a gap was identified in eating disorder screening, with acknowledgement that there is not a uniform way to systemically screen patients. Second, most agreed that a brief tool such as the one we developed could be helpful in a large health care system, especially a tool with language that was mindful of stigma issues. Third, there was agreement that a screening tool would need to be part of a more extensive clinical pathway that included diagnosis and treatment within the larger health care system. While participants supported the need for an eating disorder screening tool, their perspectives varied on how such a tool would be implemented in a national health care system. Specific recommendations were made for ensuring that there was a clear clinical pathway from the tool to treatment referral to best serve veterans with eating disorders. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"553-559"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing meditation practice in individuals with elevated psychological distress via a meditation app intervention: An implementation science-informed qualitative investigation of barriers and facilitators.","authors":"Rachel L Dyer, Katherine M Zimmerman, Xinxuyang Zhao, Qiang Xie, Cortland J Dahl, Andrew Quanbeck, Simon B Goldberg","doi":"10.1037/ser0000980","DOIUrl":"10.1037/ser0000980","url":null,"abstract":"<p><p>In recent decades, depression and anxiety have worsened among American adults. Meditation apps may provide an accessible route for reducing these symptoms. However, many users experience barriers to persisting in their use of these apps. Prior research has identified psychosocial and practical barriers and facilitators to the use of meditation apps, as well as barriers and facilitators related to the apps themselves. Yet few prior studies have drawn on frameworks from the highly relevant field of implementation science, such as the Consolidated Framework for Implementation Research. A lack of unifying implementation science frameworks has limited shared language to describe barriers and facilitators and has made it challenging to identify and account for multilevel factors impacting the implementation of meditation apps. As such, this study used the Consolidated Framework for Implementation Research to explore the implementation of the Healthy Minds Program meditation app among users experiencing elevated depressive and/or anxiety symptoms. Participants (<i>n</i> = 20) were drawn from a meditation dosage clinical trial and interviewed about their experiences establishing a meditation practice using the Healthy Minds Program app. Using the Consolidated Framework for Implementation Research and deductive qualitative content analysis, four categories were generated: practical facilitators to developing a meditation practice, motivations for developing and maintaining a meditation practice, barriers to developing a meditation practice, and recommendations for improving the app. Overall, participants reported positive outcomes from their practice, which, for some, motivated their continued use of the Healthy Minds Program app. Future research should consider how barriers and facilitators may change over time with increased engagement and experience with meditation apps and practice. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"423-440"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider perspectives on care for veterans with electronic health record flags for high suicide risk: A mixed methods study.","authors":"Jessica A Chen, Andrew R Devendorf, Alta du Pont, Eric Epler, Larry D Pruitt, Jesse Markman, Mark A Reger","doi":"10.1037/ser0000995","DOIUrl":"10.1037/ser0000995","url":null,"abstract":"<p><p>Electronic health record (EHR) flags alert staff within the Veteran Health Administration (VHA) to patients at high suicide risk for the purpose of enhancing their care. VHA implemented patient record flags category I-high risk for suicide (HRS-PRFs) in 2008, yet little is known about provider perceptions. In non-VHA settings, some EHR flags and alerts are perceived unfavorably by providers. This mixed methods quality improvement study examined perspectives of VHA mental health clinicians and suicide prevention coordinators (SPCs) regarding the perceived utility and drawbacks of HRS-PRFs. We conducted a national survey of SPCs (<i>N</i> = 286; February-March 2022) and semistructured qualitative interviews (January-July 2022) with a separate sample of SPCs (<i>n</i> = 5) and mental health clinicians (<i>n</i> = 20) with recent HRS-PRF experience. Providers reported satisfaction with HRS-PRFs and believed that they identify at-risk veterans and facilitate engagement in care. Survey and interview findings highlighted differences between SPCs and mental health clinicians regarding negative perceptions of HRS-PRFs. In the survey, one in five SPCs were dissatisfied with the administrative burden of delivering caring contacts, a required evidence-based suicide prevention intervention mailed for a year following flag inactivation. In the interview findings, some clinicians expressed concerns about unintended consequences on therapeutic rapport and stigma. Additional evaluation is warranted to assess veterans' experiences and clinical effectiveness outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"525-534"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12614300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to and racial and ethnic differences in mental health care service utilization among staff in a large urban health care system.","authors":"Celestine He, Aysha Khan, Nicklas Klepser, Nicholas J Buehler, Ashley Doukas, Scarlett Ho, Uraina Clark, Nihal E Mohamed, Robert H Pietrzak, Lauren Peccoralo, Jonathan Ripp, Jonathan DePierro","doi":"10.1037/ser0001066","DOIUrl":"10.1037/ser0001066","url":null,"abstract":"<p><p>Health care staff work in high-stress environments that increase risk for mental health challenges; however, racial/ethnic minority staff may be less likely to access care. Understanding mental health service utilization patterns and barriers among diverse health care staff is essential for developing culturally responsive interventions. An anonymous cross-sectional survey was distributed to health care staff at a large urban hospital (September to October 2022). The survey assessed demographics, occupational stressors, mental health symptoms, service utilization, and perceived barriers to care. Descriptive and bivariate analyses examined differences by race/ethnicity, and multinomial logistic regression identified correlates of perceived need and service utilization. Of 4,998 invited staff, survey responses were available for 1,119 (22.4%) participants, and 811 were included in regression analyses. Participants identified as White (28.2%), Asian (24.2%), Hispanic (24.8%), and Black (22.8%); most were women (84%) and ages 20-39 (52.3%). Asian, Black, and Hispanic staff were more likely to report no perceived need for mental health services compared with White staff. Service utilization was highest among White participants (26.4%) and lowest among Asian participants (14.9%). Across all racial and ethnic groups, the most frequently endorsed barriers were related to behavioral intention to seek services, knowledge, and inconvenient timing. Racial and ethnic minority health care staff reported lower mental health service utilization despite similar workplace stressors. The lower perceived need among minority staff suggests that access-focused interventions alone may be insufficient. Efforts to improve equity should address both access barriers and factors influencing perceived need. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health treatment experiences and barriers and facilitators to treatment among sexual and gender minoritized adolescents at risk for self-harm.","authors":"Arushee Bhoja, Hannah G Vanlandingham, Matthew A Killam, Katie Chiou, Jameson Snead, Kathleen Wu, Jackson Doerr, Jessica R Peters, Shirley Yen, Ethan H Mereish","doi":"10.1037/ser0001064","DOIUrl":"10.1037/ser0001064","url":null,"abstract":"<p><p>Sexual and gender minoritized adolescents (SGMA) are at higher risk for self-injurious thoughts and behaviors (STB), such as suicide and nonsuicidal self-injury, compared to their heterosexual and cisgender peers. This study explored treatment experiences, barriers, and facilitators to treatment for SGMA at risk for STB. Participants were 18 SGMA, aged 13-19 years (<i>M</i> = 16.8; <i>SD</i> = 1.89); 61% were transgender or nonbinary; 61% plurisexual; and 78% White, non-Hispanic/Latine. Participants completed a semistructured interview, including questions about their experiences seeking mental health treatment for STB. Several themes emerged for negative treatment experiences (e.g., overemphasis on identity, invalidation), positive treatment experiences (e.g., affirmative work), barriers to treatment (e.g., shame, structural barriers), facilitators to treatment (e.g., family support), and recommendations to mental health professionals. The findings of this study provide insights into the varied STB treatment experiences of SGMA at risk for STB. These results underscore the importance of SGM-affirmative clinical practice and have significant implications for research and clinical interventions for SGMA. Additionally, our findings provide useful recommendations from SGMA to help guide mental health professionals in developing SGM-affirmative interventions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}