Mehmet Özalp, Waqar Husain, Kamile Gamze Yaman, Achraf Ammar, Khaled Trabelsi, Seithikurippu R Pandi-Perumal, Haitham Jahrami
{"title":"Turkish Adaptation of the Ghosting Questionnaire and Its Impact on Relationship Satisfaction: Serial Mediation Effects of Negative Affect and Loneliness.","authors":"Mehmet Özalp, Waqar Husain, Kamile Gamze Yaman, Achraf Ammar, Khaled Trabelsi, Seithikurippu R Pandi-Perumal, Haitham Jahrami","doi":"10.3390/ejihpe15050071","DOIUrl":"10.3390/ejihpe15050071","url":null,"abstract":"<p><strong>Background: </strong>Ghosting is a prevalent phenomenon in contemporary relationships, impacting all individuals involved. A measurement tool, the Ghosting Questionnaire, has recently been developed to assess experiences of ghosting. The objective of this study was to adapt the Ghosting Questionnaire for use in Turkish.</p><p><strong>Methods: </strong>The adaptation process involved applying confirmatory factor analysis, measurement invariance analysis by gender, and item response theory, as well as reliability, criterion-related validity, and predictive validity analyses.</p><p><strong>Results: </strong>Confirmatory factor analysis affirmed the unidimensional, eight-item structure of the Ghosting Questionnaire. Measurement invariance analysis by gender indicated that the scale assesses the same constructs for both males and females. The results from the item response theory analysis demonstrated that the Ghosting Questionnaire possesses robust discriminatory power. Reliability coefficients indicated a high level of internal consistency for the scale. Additionally, ghosting was found to have significant correlations with various variables, including personality traits, positive affect, negative affect, loneliness, and relationship satisfaction. Notably, our findings revealed that negative affect and loneliness serve as serial mediators in the relationship between ghosting and relationship satisfaction.</p><p><strong>Conclusions: </strong>The analyses confirm that the Ghosting Questionnaire is a measurement tool with strong psychometric properties.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Social Functioning Between Vitality and Mental Distress in Hypertension: A Partial Mediation Model.","authors":"Sara Guidotti, Francesca Giordano, Carlo Pruneti","doi":"10.3390/ejihpe15050072","DOIUrl":"10.3390/ejihpe15050072","url":null,"abstract":"<p><p>(1) Background: Patients with hypertension face a relevant reduction in health-related quality of life. Specifically, the vitality domain is significantly impaired. This research aims to explore the association between quality of life and mental distress in patients with hypertension, explicitly emphasizing the mediating factor of social functioning above vitality. (2) Methods: This observational study consecutively recruited a hundred hypertensive patients (49% were males and 51% were females) aged between 23 and 82 years old (M<sub>age</sub> = 56.04, SD<sub>age</sub> = 12.04). The Symptom Checklist-90-Revised (SCL-90-R) and the 36-Item Short Form Health Survey (SF-36) were administered to assess mental distress and quality of life, respectively. Two biological measures (i.e., cortisol levels and heart rate) were also collected. (3) Results: In total, 50% of participants indicated higher mental distress and reduced quality of life. Correlation analyses demonstrate various negative relationships between clinical features. Moreover, positive associations were found between mental distress and vitality and between vitality and physical and social functioning along with heart rate. Notably, it was determined that vitality negatively predicted mental distress directly and indirectly by mediating social functioning. (4) Conclusions: Despite these promising findings, this study's cross-sectional nature does not allow for the definition of the causal relationship between the investigated variables. These results emphasize the importance of a comprehensive and multidisciplinary evaluation in understanding hypertensive patients' psychophysical well-being and lifestyles, which social support may significantly modulate.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Psychosocial Factors on Mental Health and Turnover Intention Among Health Workers at Different Occupational Statuses: An Exploratory Cross-Sectional Study in China.","authors":"Fuyuan Wang, Min Zhang, Yiming Huang, Yuting Tang, Chuning He, Xinxin Fang, Xuechun Wang, Yiran Zhang","doi":"10.3390/ejihpe15050073","DOIUrl":"10.3390/ejihpe15050073","url":null,"abstract":"<p><p>Workplace psychosocial hazards pose significant risks to the well-being of health workers (HWs). This study aimed to explore the levels of psychosocial factors experienced by Chinese and international workers and examine associations between psychosocial factors, health-related outcomes (mental problems and general health), and turnover intention across various occupational stages. A cross-sectional study was conducted using stratified cluster sampling methods at four hospitals in southern China. Psychosocial factors, mental health, general health, and turnover intention were assessed using the Chinese version of the Copenhagen Psychosocial Questionnaire III. Multivariate linear and logistic regression analyses were conducted. A total of 1054 HWs participated in this study (response rate: 80.21%). Compared to international samples, Chinese HWs showed significant differences in nine psychosocial dimensions, particularly interpersonal relations, leadership, and the work-individual interface. Senior hospital managers reported significantly higher stress (51.09 ± 23.88, <i>p</i> < 0.001), sleep troubles (53.26 ± 24.92, <i>p</i> = 0.003), and poorer general health (57.61 ± 37.26, <i>p</i> = 0.035) than other occupational stages. Work-life conflict (<i>β</i> = 0.172), emotional demands (<i>β</i> = 0.132), and role clarity (<i>β</i> = -0.132) were the strongest predictors of mental health issues. Hiding emotions demands (<i>β</i> = -0.141) and leadership quality (<i>β</i> = 0.130) most strongly predicted general health. The turnover intention rate was 11.01%, with job satisfaction (<i>OR</i> = 0.964) being the strongest negative predictor. Reducing psychosocial stressors, particularly in work-life balance, role clarity, emotional demand, and leadership quality, could improve HWs' well-being and reduce turnover intention.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of Loneliness, Social Support and Income on Mental Well-Being.","authors":"Eider Egaña-Marcos, Ezequiel Collantes, Alina Diez-Solinska, Garikoiz Azkona","doi":"10.3390/ejihpe15050070","DOIUrl":"10.3390/ejihpe15050070","url":null,"abstract":"<p><p>Mental well-being is a multifaceted concept that reflects emotional stability, psychological resilience and social connectedness. This study examines how demographic factors, perceived loneliness, and social support influence mental well-being in Spain. Participants were surveyed online and provided personal information along with responses to the University of California, Los Angeles (UCLA) Loneliness Scale, the Medical Outcomes Study Social Support Survey (MOS-SSS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS). Our findings support previous research on mental well-being in Spain and again show significant associations between income, loneliness, social support and overall mental health. In particular, perceived loneliness was found to be a strong predictor of mental well-being. Furthermore, income and social support were found to partially mediate the relationship between loneliness and mental well-being. These findings highlight the critical role of social connections and financial stability in promoting mental health. Overall, this research contributes to the growing understanding of the factors influencing mental well-being and provides valuable insights for improving mental health outcomes.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of an Educational Intervention on Pupil's Knowledge, Attitudes, Perceptions, and Behavior on Air Pollution in Public Schools in Pristina.","authors":"Zana Shabani Isenaj, Hanns Moshammer, Merita Berisha, Lisbeth Weitensfelder","doi":"10.3390/ejihpe15050069","DOIUrl":"10.3390/ejihpe15050069","url":null,"abstract":"<p><p>This interventional study aimed to assess the effectiveness of a school-based environmental education program on improving knowledge, attitudes, perceptions, and behavior related to air pollution among pupils in low-middle schools in Pristina, Kosovo. Air pollution is a pressing issue in Kosovo, particularly in urban areas, making it essential to raise awareness from an early age. As one of the first initiatives of its kind in the country, this study offers valuable insights into the impact of educational interventions on students' understanding of environmental issues. The study involved an intervention group of fifth to ninth grade students who participated in a structured environmental education program, with data collected through pre-test, post-test, and follow-up assessment. We used a quantitative questionnaire with four sections-demographics, knowledge, perceptions, attitudes, and behavior. The findings revealed a significant improvement in knowledge and perceptions about air pollution among students in the intervention group, highlighting the crucial role of education in raising environmental awareness. However, the intervention had limited impact on changing attitudes and no significant effect on pro-environmental behavior, echoing challenges found in previous studies. Parental education, particularly maternal education, was found to play a substantial role in shaping attitudes, while gender and parental education positively influenced perceptions. The study also identified a negative association between higher grade levels and both knowledge and perception scores. Despite its success in enhancing knowledge, the short intervention period and challenges in participant engagement limited the program's ability to drive long-term behavioral change. These findings emphasize the need for more sustained and comprehensive interventions to address the complex relationship between knowledge, attitudes, and environmental behaviors.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Family Environment in Rural China on Loneliness, Depression, and Internet Addiction Among Children and Adolescents.","authors":"Yixiang Zhou, Meng Zheng, Yujie He, Jianghui Zhang, Tingting Guo, Qing Wang, Wen Chen","doi":"10.3390/ejihpe15050068","DOIUrl":"10.3390/ejihpe15050068","url":null,"abstract":"<p><p>This study investigates the impact of family environments on the psychological well-being of children and adolescents in rural China, focusing on loneliness, depression, and internet addiction. Using a cross-sectional design, data were collected from 652 families in rural Hunan province to examine the role of family communication, caregiver psychological states, and parenting styles. Structural equation modeling revealed that family economic conditions influenced children's mental health through primary caregivers' emotional well-being, hostile parenting styles, and family communication. Notably, hostile parenting and poor family communication were the strongest mediators across all three psychological outcomes, consistently exhibiting significant associations with loneliness, depression, and internet addiction. The findings highlight the crucial role of parenting styles and poor family communication in shaping children's psychological health, emphasizing the need for interventions that enhance family communication and promote supportive parenting. Addressing caregiver emotional well-being and adjusting parental expectations may serve as effective strategies for improving mental health outcomes among rural youth.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12110286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evgeniy B Bashkin, Galina N Kameneva, Vsevolod Konstantinov, Irina A Novikova, Tatiana S Pilishvili, Marina A Rushina, Dmitriy A Shlyakhta
{"title":"Time Perspective, Psychological Well-Being and Attitudes to Seeking Mental Health Services in Russian Y and Z Generations.","authors":"Evgeniy B Bashkin, Galina N Kameneva, Vsevolod Konstantinov, Irina A Novikova, Tatiana S Pilishvili, Marina A Rushina, Dmitriy A Shlyakhta","doi":"10.3390/ejihpe15050067","DOIUrl":"10.3390/ejihpe15050067","url":null,"abstract":"<p><p>Help-seeking of mental health professionals remains low, even in countries where mental health care is highly accessible. Therefore, it is necessary to continue research on the sociodemographic and psychological factors of attitudes toward seeking mental health services (ATSMHS) in different countries. The purpose of the present study was to identify the associations of the ATSMHS with psychological well-being and time perspective in the Russian Y and Z generations. The Y-Generation sample included 217 (69.9% female) respondents aged 22 to 39 years, and the Z-Generation sample included 256 (82.8% female) respondents aged 17 to 21 years. Russian versions of the Psychological Well-Being Scale (PWBS) by Ryff, Zimbardo Time Perspective Inventory (ZTPI), and Inventory of Attitudes toward Seeking Mental Health Services (IASMHS) by Mackenzie and colleagues were used for diagnostics. The main research findings show that (1) Personal growth is a positive predictor and the Fatalistic present is a negative predictor of ATSMHS in both generations, and (2) additional positive predictors of ATSMHS in the Y-Generation are Positive relations and Hedonistic present, and in the Z-Generation it is Future. These findings are important for developing programs to maintain, preserve, and prevent mental health across generations.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health and Psychological Predictors of Antibiotic Use in Infancy and Fathers' Role.","authors":"Marina Fuertes, Rita Almeida, Francisco Dionisio","doi":"10.3390/ejihpe15050066","DOIUrl":"10.3390/ejihpe15050066","url":null,"abstract":"<p><p>Previous research has shown that antibiotic use during the first year is associated with infants' difficult behavior, maternal low sensitivity, and infant insecure-ambivalent attachment. However, these results may depend on the extent and type of parental involvement, paternal stress related to infant care, or the infant's exposure to infections. To explore this question, we analyzed the relationship between these factors and examined potential predictors of antibiotic use among demographic, health, and psychological variables. This study included 62 Portuguese infants and their fathers as participants. Demographic and health information was collected at birth, 3, 9, and 12 months. Father-infant interactive behavior was observed in free play at 3 months and infant attachment in Strange Situation at 12 months. Parental Stress and Parents' Responsibility Scales were used at 9 and 12 months, respectively. Infants who received antibiotics in the first year were less cooperative, more difficult, and less passive in free-play interactions and were more likely to attend a center-based daycare than others. In this study, the predictors of antibiotic use are infant difficultness and daycare type.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12111352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ioannis Adamopoulos, Antonios Valamontes, Panagiotis Tsirkas, George Dounias
{"title":"Predicting Workplace Hazard, Stress and Burnout Among Public Health Inspectors: An AI-Driven Analysis in the Context of Climate Change.","authors":"Ioannis Adamopoulos, Antonios Valamontes, Panagiotis Tsirkas, George Dounias","doi":"10.3390/ejihpe15050065","DOIUrl":"10.3390/ejihpe15050065","url":null,"abstract":"<p><p>The increasing severity of climate-related workplace hazards challenges occupational health and safety, particularly for Public Health and Safety Inspectors. Exposure to extreme temperatures, air pollution, and high-risk environments heightens immediate physical threats and long-term burnout. This study employs Artificial Intelligence (AI)-driven predictive analytics and secondary data analysis to assess hazards and forecast burnout risks. Machine learning models, including eXtreme Gradient Boosting (XGBoost 3.0), Random Forest, Autoencoders, and Long Short-Term Memory (LSTMs), achieved 85-90% accuracy in hazard prediction, reducing workplace incidents by 35% over six months. Burnout risk analysis identified key predictors: physical hazard exposure (β = 0.76, <i>p</i> < 0.01), extended work hours (>10 h/day, +40% risk), and inadequate training (β = 0.68, <i>p</i> < 0.05). Adaptive workload scheduling and fatigue monitoring reduced burnout prevalence by 28%. Real-time environmental data improved hazard detection, while Natural Language Processing (NLP)-based text mining identified stress-related indicators in worker reports. The results demonstrate AI's effectiveness in workplace safety, predicting, classifying, and mitigating risks. Reinforcement learning-based adaptive monitoring optimizes workforce well-being. Expanding predictive-driven occupational health frameworks to broader industries could enhance safety protocols, ensuring proactive risk mitigation. Future applications include integrating biometric wearables and real-time physiological monitoring to improve predictive accuracy and strengthen occupational resilience.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 5","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrés Ramírez, Luis Burgos-Benavides, Jessica Vanessa Quito-Calle, Hugo Sinchi-Sinchi, Javier Herrero Díez, Francisco Javier Rodríguez-Díaz
{"title":"Psychometric Properties of the Adverse Childhood Experiences Abuse Short Form (ACE-ASF) for Ecuadorian Youth.","authors":"Andrés Ramírez, Luis Burgos-Benavides, Jessica Vanessa Quito-Calle, Hugo Sinchi-Sinchi, Javier Herrero Díez, Francisco Javier Rodríguez-Díaz","doi":"10.3390/ejihpe15040063","DOIUrl":"https://doi.org/10.3390/ejihpe15040063","url":null,"abstract":"<p><p>Adverse childhood experiences, such as abuse, are a risk factor for mental health and poor socio-emotional development in adulthood. Assessing these experiences in specific populations allows for the identification of patterns and the implementation of preventive interventions.</p><p><strong>Objective: </strong>To evaluate the psychometric properties of the abbreviated version of the Adverse Childhood Experiences Abuse Form (ACE-ASF) in Ecuadorian youth, aiming to ensure the validity, reliability, and consistency of the instrument in accurately measuring abuse dimensions in this Ecuadorian population.</p><p><strong>Methodology: </strong>An instrumental study was conducted on the psychometric properties of the eight-item ACE-ASF, applying it to a sample of 840 university students (52.1% females and 47.9% males). The evaluation focused on analyzing the factorial structure and internal consistency of the instrument in this sample.</p><p><strong>Results: </strong>The two-factor model showed a satisfactory fit across all levels of invariance (configural, metric, scalar, and strict), with acceptable fit indices (CFI, TLI, GFI, RMSEA, and SRMR). The internal consistency was adequate, as assessed using the McDonald's omega and Cronbach's alpha coefficients. Convergent and discriminant validity were confirmed using the AVE and HTMT indices, ensuring proper differentiation between the dimensions assessed.</p><p><strong>Conclusion: </strong>The ACE-ASF proved to be a valid and reliable instrument for assessing abuse experiences in Ecuadorian youth. Its two-factor structure reflects distinct yet related dimensions, providing a useful tool for identifying adverse childhood experiences in this population.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 4","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12025786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}