Psychological Services最新文献

{"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}

{"title":"Quality improvement in a regional learning network: A case study on optimizing mental health services.","authors":"Jillian Austin, Allison Blackburn, Diane King, Brandy Seger, Joe Rieman, Sarah Hughes, Jessica McClure","doi":"10.1037/ser0001070","DOIUrl":"https://doi.org/10.1037/ser0001070","url":null,"abstract":"<p><p>Demand for pediatric mental and behavioral health (MBH) services continues to rise, yet access to clinicians delivering evidence-based practices remains limited. Less effective treatment prolongs care episodes, restricts access, and contributes to provider burnout and turnover. This article describes a case example of collaboration between an academic medical center and a community MBH organization within the Pediatric Improvement Network for Quality. Using improvement science and implementation practice strategies (training, consultation, and quality improvement), the partnership executed a system-wide rollout of measurement-based care training. We outline quality improvement processes for setting organization-specific aims, designing interventions, and tracking outcomes; detail the development of expert case consultation groups; and summarize the MBH organization's quality improvement journey from identifying priorities to implementing targeted strategies. Core interventions included provider training, integration of the Brief Outcome Survey into treatment, weekly expert case consultation, and efforts to mitigate provider burnout. Outcomes demonstrated increased provider self-efficacy and adherence to measurement-based care, improved caregiver engagement and satisfaction, shorter treatment durations, and reduced provider turnover. This case example demonstrates the significant impact that a coordinated academic-community partnership can have on expanding access to high-quality pediatric MBH care. The findings underscore the potential of scalable, cross-sector implementation strategies to address the nationwide shortage of effective pediatric MBH services. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520816","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":"Leadership support and the informal practice of mindfulness in the military.","authors":"Amy B Adler, Paul D Bliese, Ian A Gutierrez, Thomas H Nassif, Amishi P Jha","doi":"10.1037/ser0001056","DOIUrl":"10.1037/ser0001056","url":null,"abstract":"<p><p>While research has documented the beneficial effects of greater formal as well as informal mindfulness practice in mindfulness training programs, it is less clear what drives informal practice engagement. In a high-stakes occupational context like the military, where performance is paramount, leader behaviors that support mindfulness training may influence individuals' engagement in informal practice. In a study assessing a combined mindfulness training and yoga intervention, 813 soldiers attending 10 weeks of basic combat training were surveyed at two time points about their informal practice of mindfulness and their perceptions of leader support for mindfulness training. More than one third of participants reported engaging in informal practice at least 3 days per week (343 [48.0%] at 4 weeks and 249 [36.9%] at 9 weeks); participants most frequently reported informally practicing when they felt stressed in training or in the barracks. Individuals reporting higher levels of leadership support for mindfulness training were more likely to report engaging in informal practice compared to those with lower levels of leadership support. This analysis controlled for sex, rank, previous mindfulness experience, and overall leadership ratings. The relationship between leader support for mindfulness and informal mindfulness practice was also found when examined in terms of specific practice contexts (e.g., engaging in a task, getting stressed). Exploratory models assessing group-level ratings of leadership resulted in similar findings. Future implementation efforts should further examine the influence of leader support for mindfulness training in the military and other high-stakes occupational contexts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520771","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":"Strategies to address burnout and trauma among psychiatric workers: Codeveloping recommendations and examining implementation priorities.","authors":"Elke Ham, Nicole C Rodrigues, Ashley Melvin, Christopher Canning, Junqiang Zhao, Kristy Allen, N Zoe Hilton","doi":"10.1037/ser0001054","DOIUrl":"10.1037/ser0001054","url":null,"abstract":"<p><p>Mental health care providers face heightened risk for burnout, posttraumatic stress disorder, and other mental health problems due to workplace violence exposure and chronic stressors, exacerbated by postpandemic workforce challenges. Little evidence exists to guide interventions to reduce workplace trauma and burnout in psychiatric hospitals or to establish a baseline for evaluating implementation efforts. We consulted with 28 cross-sector stakeholders to share research and generate actions, then elicited further suggestions and feedback from 120 participants, producing 12 detailed recommended strategies to address workplace violence, burnout, and trauma. We then conducted a preimplementation survey of hospital leaders (<i>N</i> = 22) and union representatives (<i>N</i> = 18) at Canadian hospitals with inpatient mental health beds. Participants ranked their top priorities (i.e., most important, valuable, and urgent) and rated the perceived barriers and facilitators to implementing the recommended strategies at their hospital. Recommendations rated the highest priority concerned proactive strategies: preventing workplace critical events, creating psychologically healthy workplaces, and strengthening staff's ability to prevent and safely respond to critical events. However, hospitals were most likely to have engaged responses at the postexposure phase, including operational debriefing and trauma prevention for exposed staff. Capacity-building recommendations were the least likely to be undertaken. Current practices were related to ratings of familiarity and feasibility rather than agreement with the recommendation. Hospital and union representatives had similar priorities. These findings highlight the need for collaboration among hospital leadership, employee associations, government agencies, and other stakeholders to prevent workplace burnout and trauma. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520785","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":"Dissemination and implementation of the Pain Coach App within a Brief Cognitive-Behavioral Therapy for Chronic Pain group for veterans seen in primary care.","authors":"Victoria F Allen, William E Conlin, Katherine Taylor, Amber Martinson","doi":"10.1037/ser0001065","DOIUrl":"10.1037/ser0001065","url":null,"abstract":"<p><p>The primary aim of the present study was to examine the initial impact and implementation of the Pain Coach app within a real-world Veterans Affairs Primary Care Mental Health Integration clinic. Specifically, this study represents a real-world trial of advancing the use of the Pain Coach app into a Brief Cognitive-Behavioral Therapy for Chronic Pain (CBT-CP) group among veterans with chronic pain being managed in primary care. A secondary aim was to determine participation characteristics of veterans who utilized the Pain Coach app, with a tertiary aim of providing a narrative review of how the Pain Coach app was integrated at our site. This was a retrospective chart review study in which outcomes were evaluated by comparing rates of app usage as defined by assessments completed at either pre- and/or posttreatment via the Pain Coach app. Veterans who used the Pain Coach app attended significantly more sessions of the Brief CBT-CP group than veterans who did not use it. Early engagement with the app predicted number of sessions of Brief CBT-CP completed, suggesting that early incorporation of the app may be beneficial for reducing attrition. Certain participant characteristics were associated with Pain Coach app use, such that women, those with a history of military sexual trauma, and no previous mental health diagnosis were more likely to use the app. Age was not associated with app use, indicating that older adults were just as likely to use the app as their younger counterparts. Though it was released in 2024, research on the Pain Coach app is limited. Current findings from the initial phase of dissemination and implementation of the Pain Coach app within a Brief CBT-CP group provide support for the feasibility and effectiveness of integrating mobile-assisted technology in a real-world Veterans Affairs Primary Care Mental Health Integration clinic. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520729","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":"Interventions to improve interpersonal relationships among homeless individuals: A scoping review.","authors":"Amanda Edwards-Stewart, Amanda Joy Anderson, Beth Carpenter, Jack Tsai","doi":"10.1037/ser0001057","DOIUrl":"10.1037/ser0001057","url":null,"abstract":"<p><p>Social support can be important for individuals experiencing homelessness who often have fragile or absent social networks. However, there is limited research on interventions to improve social support or interpersonal effectiveness in this population. A scoping review was conducted, in accordance with Joanna Briggs Institute methodology and with a protocol registered with the Open Science Framework, of qualitative and quantitative studies that reported outcomes of interventions focused on improving social support in homeless populations. The initial search yielded 5,534 studies, and 19 studies met full inclusion criteria. Ten of the included studies reported results from interventions designed to treat an adult parent-child relationship; there were no studies of interventions targeting adult parent-adult child relationships. The remaining nine studies evaluated interventions targeting social skills of homeless or unstably housed adults or families. In terms of study design, seven studies were randomized trials, one was a nonrandomized trial, three were qualitative, four were quantitative/pre-post designs, one was mixed methods, two were descriptive/observational, and one was a case study. All 19 studies evaluated a different social support or family therapy intervention. Family functioning or general social skills were often secondary to outcomes of treatment compliance and housing stability. These findings offer insights into general social skills building in homeless populations, but future research is needed on interventions that target rebuilding estranged adult relationships, which might serve as a buffer against housing instability. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520805","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}