Psychiatry Research最新文献

{"title":"Comment on “Prevalence of subthreshold depression among older adults with mild cognitive impairment: a systematic review and meta-analysis”","authors":"Hailun Xia , Yuanyi Yang","doi":"10.1016/j.psychres.2026.116984","DOIUrl":"10.1016/j.psychres.2026.116984","url":null,"abstract":"","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"358 ","pages":"Article 116984"},"PeriodicalIF":3.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor regarding “Efficacy of esketamine after cesarean section for women with symptoms of prenatal depression: A randomized controlled trial”","authors":"Yuanyi Yang , Hailun Xia","doi":"10.1016/j.psychres.2026.116976","DOIUrl":"10.1016/j.psychres.2026.116976","url":null,"abstract":"","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"358 ","pages":"Article 116976"},"PeriodicalIF":3.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Data analysis of mortality patterns in psychiatry: A retrospective study of sociodemographic and service-related risk factors","authors":"Esther Bloemhof-Bris ,&nbsp;Masha Dubrovsky ,&nbsp;Shai Fogelhut ,&nbsp;Yerus Falaka ,&nbsp;Sharon Nir Genesh ,&nbsp;Assaf Shelef ,&nbsp;Zohar Barnett-Itzhaki","doi":"10.1016/j.psychres.2026.116993","DOIUrl":"10.1016/j.psychres.2026.116993","url":null,"abstract":"<div><div>Individuals with severe mental illness (SMI) experience markedly reduced life expectancy, yet evidence on the sociodemographic and service-related factors contributing to premature mortality within psychiatric populations remains limited, particularly in Israel. Here we analyzed electronic health records from 4253 patients who underwent a total of 19,902 hospitalizations at Lev Hasharon Mental Health Center in 2020–2024. Among these patients, 346 were confirmed deceased. Sociodemographic and clinical variables were extracted, including sex, marital status, parenthood, immigration characteristics, and hospitalization history. Statistical analyses included descriptive statistics, correlation tests, and inferential statistics. The mean age at death was 59.97 ± 18.29 years, significantly lower than national life expectancy for both men and women (<em>p</em> &lt; 0.001). Male patients died younger than females (58.2 vs 63.1 years), reflecting an average life-expectancy reduction of 22.5 years in men and 21.5 years in women. Earlier mortality was associated with male gender, single marital status, absence of children, and a higher number of hospitalizations (Spearman <em>R</em> = –0.223, <em>p</em> &lt; 0.001). Life expectancy varied significantly by region, with younger deaths observed among patients born in Israel, Ethiopia, and American countries.</div><div>In conclusion, psychiatric patients in Israel die approximately two decades earlier than the general population. Social and service-related characteristics, particularly male sex, social isolation, and repeated hospitalizations emerge as key predictors of premature death. These findings underscore the need for targeted, socially informed interventions to mitigate excess mortality in severe mental illness.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"358 ","pages":"Article 116993"},"PeriodicalIF":3.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health stigma in Latin American youth with obsessive-compulsive disorder","authors":"Ryan J. McCarty ,&nbsp;Matias Jensen ,&nbsp;Elissa Paz Jensen Santa Cruz ,&nbsp;Melisa N. Sagarnaga ,&nbsp;Pamela Claisse Quiroz ,&nbsp;Tomás Miño ,&nbsp;Paola Giusti-Rodriguez ,&nbsp;Mayra C. Martinez Mallen ,&nbsp;Maria B. Moyano ,&nbsp;Dayan Berrones ,&nbsp;Jacey L. Anderberg ,&nbsp;Renee M. Frederick ,&nbsp;Hannah C. Moore ,&nbsp;Josselyn S. Muñoz ,&nbsp;Vanessa Zavala Cruz ,&nbsp;Latin American Trans-ancestry INitiative for OCD genomics (LATINO),&nbsp;Victor R. Adorno ,&nbsp;Victoria Agostini ,&nbsp;William W. Aguilar ,&nbsp;Cinthia Aguirre ,&nbsp;Eric A. Storch","doi":"10.1016/j.psychres.2026.117113","DOIUrl":"10.1016/j.psychres.2026.117113","url":null,"abstract":"<div><div>Obsessive-compulsive disorder (OCD) is an impairing mental health condition that affects individuals across the lifespan. Some literature has evaluated mental health stigma in adults with OCD but limited attention has been given to youth, as well as those of Latino ancestry. The present study reported the extent of stigma experiences among Latin American youth with OCD, as well as examined sociodemographic, clinical and psychological correlates. 235 youth with clinician confirmed diagnoses of OCD from 10 North and South American countries completed questionnaires assessing stigma experiences, symptomatology, and functioning. Sociodemographic and clinical variables were also collected. The average OCD stigma response corresponded to a frequency rating of “rarely” (<em>M</em>=16.4 on an 8 to 40 possible range), though 42.1% of the sample endorsed experiencing at least one stigma-related item “often” or greater. Multivariate regression analyses indicated that depressive symptomatology was the strongest predictor of stigma, with no sociodemographic or clinical variables independently associated with stigma. Additional regression analyses revealed that stigma was uniquely associated with higher clinician-rated OCD symptom severity and higher parent-rated impact of OCD, but stigma did not independently associate with youth-rated quality of life. Findings highlight that stigma related concerns affect many Latin American youth with OCD, with links to worse psychological health.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"361 ","pages":"Article 117113"},"PeriodicalIF":3.9,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147614436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicide ideation, suicide risk, and firearm storage practices and attitudes among U.S. uniformed law enforcement officers’","authors":"Michael LeDuc,&nbsp;Julianne Cary,&nbsp;Cole Marvin,&nbsp;Sean M. Mitchell","doi":"10.1016/j.psychres.2026.116940","DOIUrl":"10.1016/j.psychres.2026.116940","url":null,"abstract":"<div><h3>Background</h3><div>U.S. uniformed law enforcement officers’ (ULEOs’) intention to purchase firearms increased recently, coinciding with increasing suicide risk, but research in this area remains sparse. We examined firearm storage practices and attitudes among U.S. ULEOs and their relation to suicide ideation (SI) and suicide risk.</div></div><div><h3>Method</h3><div>Currently employed U.S. ULEOs (<em>N</em> = 271) completed a cross-sectional online-based survey in June and July 2023.</div></div><div><h3>Results</h3><div>On average, ULEOs “agree” with positive firearm statements. Regarding firearm storage practices, 54.6% always store a firearm at home, 35.2% always keep a firearm loaded, 35.2% always store their firearm with a locking device, and 50.2% always safely store firearms in a locked location. Higher SI was associated with lower odds of always storing a firearm at home, loaded, and in a secure location, whereas higher suicide risk was associated with lower odds of always storing a firearm at home and in a secure location.</div></div><div><h3>Conclusion</h3><div>ULEOs reported higher positive firearm attitudes and rates of always storing a firearm loaded and never using a locking device than other samples in the literature. Our findings highlight the importance of SI and suicide risk in safe firearm storage practices, which could aid in firearm death and suicide prevention efforts.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116940"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single fixed-dose intranasal racemic ketamine treatment for the treatment of acute suicidality in a transdiagnostic patient population: Results of a pilot study","authors":"Gijsbrecht H.J. Roelandt ,&nbsp;Jurriaan F.M. Strous ,&nbsp;Radboud M. Marijnissen ,&nbsp;Jeanine Kamphuis ,&nbsp;Jens. H. van Dalfsen ,&nbsp;Robert A. Schoevers","doi":"10.1016/j.psychres.2025.116909","DOIUrl":"10.1016/j.psychres.2025.116909","url":null,"abstract":"<div><h3>Aims</h3><div>Ketamine has been shown to decrease suicidality in patients with depression. However, little is known about tolerability and efficacy in heterogenous, acutely suicidal patients in emergency settings. This pilot study aimed to assess the feasibility, acceptability, and safety of generic intranasal racemic ketamine (75 mg) in the treatment of acute suicidality regardless of the underlying diagnosis, as preparation for a subsequent double-blind randomized placebo-controlled trial (RCT).</div></div><div><h3>Method</h3><div>From September 2021 to June 2022, 12 patients with acute suicidality were recruited. All received a single open-label dose of 75 mg intranasal racemic ketamine. Suicidality was assessed with the Beck Scale for Suicidal Ideation (BSSI), depression with the Montgomery-Åsberg Depression Rating Scale (MADRS), side effects with the Systematic Assessment for Treatment Emergent Effects (SAFTEE) and Clinician Administered Dissociative Symptom Scale (CADSS), and overall improvement with the Clinical Global Impression (CGI) at 60 min, 180 min, and at 1, 3, and 7 days post-treatment. The CADSS and SAFTEE were administered only at baseline, 60 and 180 min post intervention. Vital signs were monitored for the first 240 min post intervention. Optional blood sampling occurred at baseline and 180 min post-treatment, and Magnetic Resonance Imaging one day post intervention.</div></div><div><h3>Results</h3><div>Treatment was well-tolerated. We observed a downward trend in both BSSI and MADRS scores one day post treatment, though this effect declined by day seven. One patient developed ketamine misuse several weeks after participation.</div></div><div><h3>Conclusions</h3><div>The treatment was generally feasible, well-tolerated and safe. Intranasal ketamine reduced acute suicidality in some cases but regarding efficacy, no definitive conclusions can be drawn from this pilot study. Amendments were made to the study protocol with extended follow-up time, investigation of drug liking and craving, less questionnaires and longer inclusion window.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116909"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Purinergic signaling and energetic metabolism in bipolar disorder: From pathophysiology to precision therapeutics","authors":"Magda Malewska-Kasprzak ,&nbsp;Monika Dmitrzak-Weglarz ,&nbsp;Filip Rybakowski","doi":"10.1016/j.psychres.2025.116921","DOIUrl":"10.1016/j.psychres.2025.116921","url":null,"abstract":"<div><div>Bipolar disorder (BD) is a chronic psychiatric illness marked by recurrent manic and depressive episodes, with substantial disability and high comorbidity. Emerging evidence highlights purinergic signaling and cellular energy metabolism as convergent, interdependent drivers of BD pathophysiology. Purines—particularly adenosine and ATP—function dually as intracellular energy substrates and extracellular signaling molecules regulating neuroinflammation, neurotransmission, and redox balance. Dysregulation of purinergic pathways, including P2 × 7 receptor overactivation, elevated uric acid, and reduced neuroprotective adenosine, interacts with mitochondrial dysfunction—characterized by impaired oxidative phosphorylation, ATP depletion, increased reactive oxygen species, and redox imbalance—to form a pathological feedback loop. This bioenergetic–purinergic axis underlies mood cycling: mania reflecting bioenergetic upregulation with purinergic hyperactivity, and depression representing bioenergetic downregulation with purinergic hypoactivity.</div><div>Biomarkers such as uric acid, xanthine dehydrogenase and adenosine deaminase activity, phosphocreatine, ATP levels, and oxidative stress indices demonstrate phase-dependent alterations and hold promise for diagnosis, prognosis, and treatment monitoring. Therapeutic opportunities extend beyond conventional mood stabilizers to include xanthine oxidase inhibitors (e.g., allopurinol), P2 × 7 antagonists, adenosine modulators, and mitochondrial-supportive agents (e.g., creatine, carnitine, CoQ10, N-acetylcysteine). Integration of omics profiling, advanced neuroimaging, and biomarker-guided stratification may enable precision psychiatry approaches tailored to individual metabolic–inflammatory phenotypes.</div><div>This integrative model reframes BD as a systemic disorder of cellular energetics and purinergic signaling, offering novel mechanistic targets and guiding the development of personalized, phase-specific interventions to improve long-term outcomes.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116921"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factor structure of the Internet Gaming Disorder Scale: an Exploratory Graph Analysis approach in Spanish university gamers","authors":"Júlia Gisbert-Pérez,&nbsp;Adrián García-Mollá,&nbsp;José M. Tomás,&nbsp;Manuel Martí-Vilar,&nbsp;Laura Badenes-Ribera","doi":"10.1016/j.psychres.2025.116924","DOIUrl":"10.1016/j.psychres.2025.116924","url":null,"abstract":"<div><h3>Importance</h3><div>Internet gaming disorder (IGD) has emerged as a growing concern, particularly among adolescents and young adults. This concern has prompted the development of standardized tools for IGD assessment, such as the Internet Gaming Disorder Scale (IGDS). IGDS is based on the DSM-V diagnostic criteria, and has been mainly used as a unidimensional measure of IGD.</div></div><div><h3>Objective</h3><div>This study aimed to translate and validate the Spanish version of the IGDS in a sample of university students (<em>N</em> = 274, <em>M_age</em>= 21.64 years, <em>SD_age</em> = 2.93, % male = 59.7%).</div></div><div><h3>Methods</h3><div>Exploratory Graph Analysis (EGA) followed by Confirmatory Factor Analysis (CFA) were conducted, and internal consistency and convergent validity were assessed.</div></div><div><h3>Results</h3><div>EGA identified a bidimensional structure comprising (1) cognitive–emotional symptoms and (2) relational-problem outcomes, which was confirmed through CFA. Both dimensions demonstrated excellent reliability and adequate convergent validity.</div></div><div><h3>Conclusion</h3><div>The Spanish IGDS is a psychometrically valid instrument for assessing IGD, allowing for an accurate distinction between gaming intensity and functional impairment. These findings challenge the traditional unidimensional perspective and support a biaxial conceptualization of IGD.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116924"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A bibliometric analysis of inhalant misuse among street-involved children: Trends, patterns, and research gaps","authors":"Faisal Adi Irawan ,&nbsp;Christina Yeni Kustanti ,&nbsp;Koko Srimulyo ,&nbsp;Rifky Octavia Pradipta ,&nbsp;Nuzul Qur’aniati ,&nbsp;Rika Sarfika ,&nbsp;Lisa McKenna ,&nbsp;Ferry Efendi","doi":"10.1016/j.psychres.2026.116949","DOIUrl":"10.1016/j.psychres.2026.116949","url":null,"abstract":"<div><h3>Introduction</h3><div>Inhalant misuse, particularly glue sniffing, is one of the most harmful yet least studied forms of substance abuse among street-involved children. Despite high prevalence in some low- and middle-income countries (LMICs), research is limited, fragmented, and often embedded within broader substance use studies. This study aimed to map global research trends, identify thematic patterns, and highlight gaps in the literature on inhalant misuse among this population.</div></div><div><h3>Methods</h3><div>A bibliometric analysis was conducted using Scopus and Web of Science databases, searched on June 12, 2025 without date restrictions, guided by a Population–Concept–Context framework. Screening and data cleaning were performed by two reviewers. Eligible records were analyzed using Bibliometrix (Biblioshiny) to examine publication trends, authorship, journal sources, keyword co-occurrence, and thematic patterns.</div></div><div><h3>Results</h3><div>From 343 records, 161 articles (1989–2025) were included. Publications spanned 94 sources and 532 authors, with 5.55% annual growth and a mean 26.23 citations per document. International co-authorship was 11.8%. The United States contributed most, followed by Canada and Australia. The <em>Journal of Adolescent Health</em> was the top source; <em>Substance Use &amp; Misuse</em> and <em>Children and Youth Services Review</em> also ranked highly. Eight keyword clusters were identified, led by terms including <em>“homelessness adolescents,” “street children,” “HIV,” “substance abuse,” “alcohol,” “substance use,” “homelessness,”</em> and <em>“adolescents.”</em>. Themes centered on abuse, risky behaviors, drug use, depression, and support, while socio-cultural and educational impacts in LMICs were notably sparse.</div></div><div><h3>Conclusion</h3><div>Inhalant misuse among street-involved children is an under-recognized global health and social issue. Strengthening interdisciplinary and geographically inclusive research can guide targeted interventions and policies aligned with Sustainable Development Goal (SDG) 3.5 on substance abuse prevention and treatment.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116949"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146011669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the roots of suicide in veterinarians to inform prevention: A scoping review","authors":"Mateus Eduardo Romão ,&nbsp;Giacomo Belli ,&nbsp;Rebeca Gomes de Oliveira ,&nbsp;Valentina Sommovigo ,&nbsp;Silvia Damiana Visonà ,&nbsp;Simone Scoccianti ,&nbsp;Ilaria Setti ,&nbsp;Makilim Nunes Baptista ,&nbsp;Serena Barello","doi":"10.1016/j.psychres.2026.116946","DOIUrl":"10.1016/j.psychres.2026.116946","url":null,"abstract":"<div><h3>Background</h3><div>Veterinarians experience one of the highest suicide rates of any profession. Beyond fatalities, growing evidence documents suicidal ideation and non-fatal attempts, but findings are fragmented.</div></div><div><h3>Objective</h3><div>To map risk and protective factors for suicidal behavior—including ideation, attempts, and death among licensed veterinarians.</div></div><div><h3>Methods</h3><div>Following Joanna Briggs Institute guidance and PRISMA-ScR reporting standards, we searched PubMed, Scopus, Web of Science, PsycINFO, and CINAHL (2009–2024). Eligible studies examined empirical associations between any risk or protective factor and suicidal outcomes in veterinarians. Data were extracted on study design, sample, country, outcome, and key findings.</div></div><div><h3>Results</h3><div>Twelve studies from six countries met inclusion criteria (nine cross-sectional surveys, one qualitative interview study, one focus-group study, one retrospective mortality analysis). Suicide risk reflected the convergence of occupational stressors (workload, client conflict, euthanasia), psychological vulnerabilities (depression, perfectionism, burnout), demographic variables (gender, early-career status), and access to lethal means (particularly pentobarbital). Protective elements included peer and social support, job satisfaction, adaptive coping, and indirect secure storage of euthanasia agents. Evidence was limited by the predominance of cross-sectional self-report designs and by restricted geographic coverage.</div></div><div><h3>Conclusions</h3><div>Veterinarians face distinctive pressures that heighten the risk of suicidal ideation, attempts, and death. Multi-level strategies, such as supportive work environments, coping-skills training, peer-support programs, and evaluation of means-restriction policies, should be prioritized. Further longitudinal and cross-national studies are needed to clarify risk trajectories and strengthen preventive action.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116946"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}