The International journal of social psychiatry最新文献

{"title":"Quality of life and clinical characteristics in a nonselected sample of patients with schizophrenia.","authors":"Clara R Medici,&nbsp;Claus H Vestergaard,&nbsp;Peter Hjorth,&nbsp;Mette V Hansen,&nbsp;Jan W D Shanmuganathan,&nbsp;Anne G Viuff,&nbsp;Povl Munk-Jørgensen","doi":"10.1177/0020764015585330","DOIUrl":"https://doi.org/10.1177/0020764015585330","url":null,"abstract":"<p><strong>Background: </strong>Patients with schizophrenia experience low quality of life (QOL).</p><p><strong>Aims: </strong>To examine QOL in these patients and the relation between QOL and illness duration, adjusted daily doses (ADDs) of antipsychotics, body mass index (BMI), waist circumference and smoking.</p><p><strong>Methods: </strong>In this naturalistic, cross-sectional study, 82 patients were interviewed about smoking habits. Patients completed a QOL questionnaire (World Health Organization Quality of Life-Bref) consisting of physical, psychological, social and environmental domains and had height, weight and waist circumference measured. The characteristics and QOL were correlated using multiple regression analysis.</p><p><strong>Results: </strong>QOL was significantly lower in the patients than in the general population (p < .01). In first-ever diagnosed patients, QOL was associated with BMI (regression coefficient (RC): physical -0.73, psychological -1.44 and environmental -0.55; all p < .05), ADD (RC: physical 3.71, psychological 4.37 and environmental 2.94; all p < .10) and smoking (RC: physical -0.69; p < .01). In the long-term ill patients, QOL was associated with BMI (RC: physical -1.19 and psychological -1.28; all p < .05) and illness duration (RC: physical 1.38; p < .05).</p><p><strong>Conclusion: </strong>Patients experienced low QOL. Lower QOL was associated with high BMI, low ADD and smoking in first-ever diagnosed patients and with high BMI and short illness duration in long-term ill patients.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"12-20"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015585330","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33314087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social relationships, depressive symptoms and suicidality in Korea: Examining mediating and moderating effects in men and women.","authors":"Min-Ah Lee","doi":"10.1177/0020764015592434","DOIUrl":"https://doi.org/10.1177/0020764015592434","url":null,"abstract":"<p><strong>Background: </strong>It has been widely recognized that social relationships and depressive symptoms predict suicidality. However, there are few empirical studies examining relationships among these three factors using an integrative approach.</p><p><strong>Aims: </strong>This study aimed to examine the effects of perceived quality of social relationships and depressive symptoms on suicidality and to analyze whether the effect of perceived quality of social relationships on suicidality is mediated by depressive symptoms or whether the perceived quality of social relationships has a moderating effect on the relationship between depressive symptoms and suicidality in men and women.</p><p><strong>Methods: </strong>The data were drawn from the 2012 Korean General Social Survey, a nationally representative survey. Multiple regression models and subsample analyses were conducted according to gender.</p><p><strong>Results: </strong>A higher perceived quality of social relationships decreased suicidality while depressive symptoms increased suicidality. The effect of perceived quality of social relationships was partially mediated by depressive symptoms. Perceived quality of social relationships also significantly interacted with depressive symptoms, suggesting that the harmful effect of depressive symptoms was ameliorated as perceived quality of social relationships increased. A subsample analysis according to gender, however, indicated a significant gender difference in that the perceived quality of social relationships moderated the effect of depressive symptoms only in women.</p><p><strong>Conclusion: </strong>The findings suggest that enhanced quality of social relationships can protect people from suicidal risk and are more effective for women with depressive symptoms than for men with the same symptoms.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"67-75"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015592434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34266725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing the terror of a dangerous world: Political attitudes as predictors of mental health stigma.","authors":"Joseph S DeLuca,&nbsp;Philip T Yanos","doi":"10.1177/0020764015589131","DOIUrl":"https://doi.org/10.1177/0020764015589131","url":null,"abstract":"<p><strong>Background: </strong>Previous research has associated self-reported political conservatism to mental health stigma. Although the limitations of self-reported political attitudes are well documented, no study has evaluated this relationship from a more nuanced perspective of sociopolitical identity.</p><p><strong>Aims: </strong>To assess the relationship between political attitudes and mental health stigma (i.e. negative stereotypes and intended social distance), particularly from a standpoint of Right-Wing Authoritarianism (RWA)--a more specific measure of political conservatism.</p><p><strong>Method: </strong>A sample of 505 New York State residents completed an online survey.</p><p><strong>Results: </strong>The results of this study indicated significant relationships between endorsements of self-reported conservatism and RWA to negative stereotypes and social distance in relation to mental illness. Individuals with 'High RWA' were more likely to see individuals with mental illness as dangerous and unpredictable, and less willing to want to socially associate with individuals with mental illness. These results remained statistically significant even when controlling for other factors that consistently predict mental health stigma. Negative stereotypes also partially mediated individuals with RWA's significant relationship to social distance.</p><p><strong>Conclusion: </strong>Characteristics of political conservatives and right-wing authoritarians (e.g. threat-aversion, personal responsibility) are predictive of mental health stigma. Terror Management Theory may also help to explain this phenomenon.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"21-30"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015589131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33404627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term course and outcome of acute and transient psychotic disorders: Differences from other types of psychosis with acute onset.","authors":"Augusto C Castagnini,&nbsp;Povl Munk-Jørgensen,&nbsp;Aksel Bertelsen","doi":"10.1177/0020764015590493","DOIUrl":"https://doi.org/10.1177/0020764015590493","url":null,"abstract":"<p><strong>Background: </strong>The category of 'acute and transient psychotic disorders' (ATPDs) appeared in the ICD-10 Classification of Mental and Behavioural Disorders (ICD-10), but its distinctive features remain uncertain.</p><p><strong>Aim: </strong>To examine the course and outcome of ATPDs, pointing out differences from other types of psychosis.</p><p><strong>Methods: </strong>A one-year follow-up investigation of patients enrolled at the former World Health Organization (WHO) Centre for Research and Training in Mental Health in Aarhus (Denmark) for the WHO collaborative study on acute psychoses.</p><p><strong>Results: </strong>Of 91 patients aged 15-60 years presenting with acute psychosis, 47 (51.6%) were diagnosed with ATPD, and it occurred more commonly in females; yet, the other acute psychoses featured mainly mood disorders and affected equally both genders. After 1 year, the ATPD diagnosis did not change in 28 cases (59.6%); the remaining developed either affective psychoses (27.7%), or schizophrenia and schizoaffective disorder (12.8%). Nearly, all patients with unchanged diagnosis of ATPD enjoyed full recovery, while those with other types of acute psychosis had significantly higher rates of recurrence or incomplete remission. Duration of illness within 4 weeks and stressful events in the 3 months before symptom onset predicted 1-year favourable clinical outcome for acute psychoses.</p><p><strong>Conclusion: </strong>Although ATPDs fared better over the short-term than other acute psychoses, their diagnostic stability is relatively low.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"51-6"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015590493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33400809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of attitudes towards professional mental health care, informal help and self-reliance in people with subclinical depression.","authors":"Kim van Zoonen,&nbsp;Annet Kleiboer,&nbsp;Pim Cuijpers,&nbsp;Jan Smit,&nbsp;Brenda Penninx,&nbsp;Peter Verhaak,&nbsp;Aartjan Beekman","doi":"10.1177/0020764015597014","DOIUrl":"https://doi.org/10.1177/0020764015597014","url":null,"abstract":"<p><strong>Background: </strong>Although little is known about which people with subclinical depression should receive care to prevent the onset of depression, it is clear that remediating symptoms of depression is important. However, depending on the beliefs people hold about help, some people will seek professional help, while others seek informal help or solve problems on their own.</p><p><strong>Aims: </strong>This study examined associations between attitudes about help and socio-demographic variables, mastery, severity of depressive symptoms, accessibility to care, and health care utilization at baseline and 4-year follow-up.</p><p><strong>Methods: </strong>Data were derived from a large cohort study, the Netherlands Study of Depression and Anxiety (NESDA). A total of 235 respondents with subclinical depression completed questionnaires at baseline and follow-up. Attitude was assessed using a short version of the 'Trust in mental health care' questionnaire.</p><p><strong>Results: </strong>Positive attitude towards professional care was associated with being male, younger age, higher mastery and easy accessibility to care. Positive attitude towards informal help was associated with higher mastery and unemployment. Older age, less accessibility to care and lower mastery were associated with positive attitude towards self-reliance. A change in care utilization was associated with positive attitudes towards professional care at follow-up.</p><p><strong>Conclusions: </strong>People differ in the way they cope with symptoms which may influence their preferred care. Higher levels of mastery were positively associated with professional and informal care, but negatively associated with self-reliance. Both age and mastery showed relatively large effect sizes.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"84-93"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015597014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33963121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family functioning, social support, and quality of life for patients with anxiety disorder.","authors":"Jikun Wang,&nbsp;Yuhao Chen,&nbsp;Cuicui Tan,&nbsp;Xudong Zhao","doi":"10.1177/0020764015584649","DOIUrl":"https://doi.org/10.1177/0020764015584649","url":null,"abstract":"<p><strong>Background: </strong>Few studies have examined the relationship between family functioning, social support and quality of life in patients with anxiety disorder. There is a paucity of research on anxiety disorders and their predictors in China.</p><p><strong>Aims: </strong>This study aimed to explore family functioning, social support and quality of life for patients with anxiety disorder and examine the relationship between these elements.</p><p><strong>Methods: </strong>A total of 107 patients who met Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) criteria for anxiety disorder and 80 healthy controls completed the McMaster Family Assessment Device, the Perceived Social Support Scale and the short form of the Quality of Life Enjoyment and Satisfaction Questionnaire.</p><p><strong>Results: </strong>The findings indicate that patients with anxiety disorder in China tend to have poor family functioning and quality of life, as well as a higher subjective perception of social support. There were strong correlations between family functioning, social support and quality of life. Affective involvement and not living with parents were identified as risk factors for anxiety disorders, while a high family income was a protective factor.</p><p><strong>Conclusion: </strong>Anxiety disorder is associated with reduced family functioning and poorer quality of life for Chinese patients. In addition, the Family Assessment Device is a suitable instrument for evaluating family functioning in Chinese patients with anxiety disorder.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"5-11"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015584649","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33174789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An ecological analysis of secondary school students' drug use in Hong Kong: A case-control study.","authors":"Samson Tse,&nbsp;Shimin Zhu,&nbsp;Chong Ho Yu,&nbsp;Paul Wong,&nbsp;Sandra Tsang","doi":"10.1177/0020764015589132","DOIUrl":"https://doi.org/10.1177/0020764015589132","url":null,"abstract":"<p><strong>Background: </strong>Youth drug use is a significant at-risk youth behaviour and remains as one of the top priorities for mental health services, researchers and policy planners. The ecological characteristics of secondary school students' behaviour in Hong Kong are understudied.</p><p><strong>Aim: </strong>To examine individual, familial, social and environmental correlates of drug use among secondary students in Hong Kong.</p><p><strong>Method: </strong>Data were extracted from a school survey with 3078 students. Among the 3078 students, 86 students reported to have used drugs in the past 6 months. A total of 86 age- and gender-matched controls with no drug-use behaviour in the past 6 months were randomly selected from the remaining students. Multiple logistic analysis was used to examine differential correlates between those who used and did not use substance in the past 6 months.</p><p><strong>Result: </strong>Positive school experience and perspective to school and parental support are protective factors of drug use. Lower self-esteem, lower self-efficacy against using drugs and higher level of permissive attitude towards drugs were associated with drug use. Students who were low in self-esteem and rather impulsive tend to use drugs.</p><p><strong>Conclusion: </strong>To prevent students from drug use, efforts in individual, family, school and community-levels should be addressed.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"31-40"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015589132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33376510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phenomenology and beliefs of patients with Dhat syndrome: A nationwide multicentric study.","authors":"Sandeep Grover,&nbsp;Ajit Avasthi,&nbsp;Sunil Gupta,&nbsp;Amitava Dan,&nbsp;Rajarshi Neogi,&nbsp;Prakash B Behere,&nbsp;Bhavesh Lakdawala,&nbsp;Adarsh Tripathi,&nbsp;Kaustav Chakraborty,&nbsp;Vishal Sinha,&nbsp;Manjeet Singh Bhatia,&nbsp;Amrit Patjoshi,&nbsp;T S S Rao,&nbsp;Abhijit Rozatkar","doi":"10.1177/0020764015591857","DOIUrl":"https://doi.org/10.1177/0020764015591857","url":null,"abstract":"<p><strong>Aim: </strong>To assess the phenomenology and associated beliefs in patients with Dhat syndrome.</p><p><strong>Methods: </strong>A total of 780 male patients aged more than 16 years were recruited from 15 centers spread across the country and were assessed on Dhat Syndrome Questionnaire.</p><p><strong>Results: </strong>The most commonly reported reasons for passage of Dhat were excessive masturbation (55.1%), sexual dreams (47.3%), excessive sexual desire (42.8%) and consumption of high energy foods (36.7%). The most common situation in which participants experienced passage of Dhat were as 'night falls' (60.1%) and 'while passing stools' (59.5%). The most common consequence due to passage of Dhat was weakness in sexual ability (75.6%). In terms of psychological and somatic symptoms, the common symptoms included bodily weakness (78.2%); feeling tired or having low energy (75.9%); feeling down, depressed, or hopeless (67.9%); and little interest or pleasure in doing things (63.7%). In terms of treatment expectations, about half of the patients (49.1%) expected that energizing medications like vitamins/tonics/tablets were required and more than one-third (38.2%) expected that there was a need for taking energizing injections.</p><p><strong>Conclusion: </strong>Present study shows that Dhat syndrome is a distinct clinical entity seen all over India, with its characteristic features.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"57-66"},"PeriodicalIF":7.5,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015591857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34261378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicine's social contract across borders.","authors":"Dinesh Bhugra,&nbsp;Antonio Ventriglio,&nbsp;V Vahia","doi":"10.1177/0020764015581957","DOIUrl":"https://doi.org/10.1177/0020764015581957","url":null,"abstract":"Medicine is described as the second oldest profession, and for millennia, doctors and physicians have been told to do no harm to their patients. It is fairly obvious that the practice of medicine occurs in the context of society’s needs and demands. It is the society which determines what is seen as abnormal (and therefore sick or ill) and society that agrees to pay for the healthcare systems and also mould these according to explanatory models of healthcare. The acceptance of alternative or complementary systems in addition to or in preference to allopathic systems will allow certain funding and resources made available for all the systems which are required and preferred by the population. Depending upon the explanatory models and understanding of illness behaviours locally, societies will determine what models of care are acceptable. Resource allocation accordingly within which medicine is to be practised is a matter of social choice and should be seen as related to a number of social and epidemiological factors as well as to the implicit social contract between medicine and society represented by stakeholders such as politicians. Healthcare policies influence financial allocation, which in turn will influence the structures within which healthcare services are planned, developed and delivered. The concept of a social contract dates from several centuries (Gough, 1936). In an erudite volume, Gough (1936) outlines that the origins of the social contract were between kings and their subjects. Such a contract was implicit. Subjects would give up some of their rights to the king and, in turn, he would protect them and look after them in a benevolent governance. This implicit contract also determined how subjects not only related to their rulers but also towards each other. Even within largely democratic structures, such a contract or compact remains in place between the rulers and the governed. Through elections and voting, the population chooses one ruler or their party over another and thus gives them the mandate to provide good governance and basic amenities, including education and healthcare facilities. Irrespective of the resources and style of government, certain basic needs are asked for by the ruled and the rulers are expected to deliver these. Medicine as a profession has also had an implicit social contract with society (Cruess, 2006), regardless of the healthcare systems in place. However, often this compact or contract gets forgotten. Society expects from the medical practitioner services of a competent physician, certain moral values, including transparency and probity, but also someone who is a healer (Cruess, 2006). Doctors are also seen as key and important providers of objective advice to the society as a whole. One of the key characteristics of the professional is to be altruistic. However, this value of altruism will vary according to the healthcare system. If the system is entirely private, then altruism may mean giving up som","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"527-9"},"PeriodicalIF":7.5,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764015581957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34277891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-esteem and fear of negative evaluation as mediators between family socioeconomic status and social anxiety in Chinese emerging adults.","authors":"Gang Cheng,&nbsp;Dajun Zhang,&nbsp;Fangyuan Ding","doi":"10.1177/0020764014565405","DOIUrl":"https://doi.org/10.1177/0020764014565405","url":null,"abstract":"<p><strong>Aims: </strong>The social causation hypothesis suggests that the stress in connection with a depressing social position results in the development of mental disorders. This study examines the psychological mechanisms underlying the link between family socioeconomic status (SES) and social anxiety in Chinese emerging adults.</p><p><strong>Methods: </strong>A self-administered questionnaire was given to a representative sample (N = 717) of undergraduate students (17-23 years old) at three universities in China. Correlational and structural equation modeling analyses were employed to test the hypothesized three-path effect of self-esteem and fear of negative evaluation (FNE) as mediators between family SES and social anxiety.</p><p><strong>Results: </strong>Findings suggest the following: (1) the emerging adults belonging to families with low SES are at an increased risk of social anxiety, and (2) lower family SES caused lower self-esteem, which, in turn, serves to enhance the levels of FNE, thereby increasing social anxiety.</p><p><strong>Conclusion: </strong>In addressing the prevention and treatment of social anxiety, we conclude that preventive efforts toward improving self-esteem may help reduce social anxiety in individuals with low family SES.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"569-76"},"PeriodicalIF":7.5,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0020764014565405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32943100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}