{"title":"All I Want for Christmas Is a Loo: Visualizations of Sex and Gender on Toilet Doors.","authors":"Judith Rosmalen, Ilona Plug, Aranka Ballering","doi":"10.32872/cpe.16159","DOIUrl":"10.32872/cpe.16159","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e16159"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773647","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}
Carmen Henning, Caroline Seiferth, Tanja Färber, Magdalena Pape, Stephan Herpertz, Sabine Steins-Loeber, Jörg Wolstein
{"title":"Examination of Gender Differences: Causal Attributions of Treatment-Seeking Individuals With Overweight and Obesity.","authors":"Carmen Henning, Caroline Seiferth, Tanja Färber, Magdalena Pape, Stephan Herpertz, Sabine Steins-Loeber, Jörg Wolstein","doi":"10.32872/cpe.12089","DOIUrl":"10.32872/cpe.12089","url":null,"abstract":"<p><strong>Background: </strong>Addressing patients' perceptions of the causes of their overweight and obesity may be a promising approach to enhance treatment motivation and success. Previous research suggests that there are gender differences in these aspects. The objective of this study was to investigate gender differences in causal attributions among individuals with overweight and obesity who participated in a cognitive-behavioral mobile health (mHealth) intervention.</p><p><strong>Method: </strong>Causal attributions were assessed using the revised Illness Perceptions Questionnaire, which included a rated and open answering section. An ANCOVA was conducted for each causal factor (behavioral, psychological, risk, external) as a dependent variable to determine gender differences, which were analysed with chi-squared tests for open-ended responses.</p><p><strong>Results: </strong>The most frequently mentioned and highly rated cause was behavior for both genders (59.8% of 639 responses). The results indicated that women rated psychological causes, particularly stress-related causes, significantly higher, <i>F</i>(1,211) = 14.88, <i>p</i> < .001, η<sup>2</sup> = .07, and were more likely to cite emotional eating than men, χ<sup>2</sup>(1, <i>N</i> = 639) = 15.06, <i>p</i> < .001. Men rated alcohol stronger as cause than women, <i>t</i>(125.05) = 3.79, <i>p</i> < .001.</p><p><strong>Conclusion: </strong>The findings of this study contribute to the understanding of the gender differences in causal attributions among individuals with overweight or obesity. Implementing stress management interventions with a focus on emotion regulation is pivotal, especially for females. Interventions should focus on sensitizing males to the association between emotions and eating behavior. The causal attributions should be assessed with different survey methods in order to match the patient's view of their condition.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e12089"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773966","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}
Jeanine M D Baartmans, Bonny F J A van Steensel, J Loes Pouwels, Tessa A M Lansu, Reinout W H J Wiers, Susan M Bögels, Anke M Klein
{"title":"The Relation Between Social Anxiety and Perceptions of Likeability and Friendship in Adolescents.","authors":"Jeanine M D Baartmans, Bonny F J A van Steensel, J Loes Pouwels, Tessa A M Lansu, Reinout W H J Wiers, Susan M Bögels, Anke M Klein","doi":"10.32872/cpe.10705","DOIUrl":"10.32872/cpe.10705","url":null,"abstract":"<p><strong>Background: </strong>This study investigated how different social anxiety symptoms (i.e., worrying about negative evaluation versus avoidance tendencies) in adolescents are related to the perception accuracy of likeability by peers and friendships with peers.</p><p><strong>Method: </strong>A community sample of 263 adolescents between 12 and 15 years old reported on their social anxiety symptoms. In addition, they estimated how much their peers liked them, indicated how much they liked their peers, and who their friends were in their classroom.</p><p><strong>Results: </strong>Results showed that socially anxious adolescents who mainly worried about negative evaluations, underestimated their likeability by peers. Adolescents with strong social avoidance tendencies had a more accurate perception of their likeability and friendships; they were less liked by their peers and had fewer friends.</p><p><strong>Conclusion: </strong>The results emphasize the importance of treating avoidance behavior in social anxiety since avoidance tendencies may not only maintain the social anxiety symptoms but are also related to a more negative judgment by others.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e10705"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774207","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}
Poul M Schulte-Frankenfeld, Josefien J F Breedvelt, Marlies E Brouwer, Nadia van der Spek, Guy Bosmans, Claudi L Bockting
{"title":"Effectiveness of Attachment-Based Family Therapy for Suicidal Adolescents and Young Adults: A Systematic Review and Meta-Analysis.","authors":"Poul M Schulte-Frankenfeld, Josefien J F Breedvelt, Marlies E Brouwer, Nadia van der Spek, Guy Bosmans, Claudi L Bockting","doi":"10.32872/cpe.13717","DOIUrl":"10.32872/cpe.13717","url":null,"abstract":"<p><strong>Background: </strong>Suicide is a leading cause of death among adolescents and young adults. While only few evidence-based treatments with limited efficacy are available, family processes have recently been posed as a possible alternative target for intervention. Here, we review the evidence for Attachment-Based Family Therapy (ABFT), a guideline-listed treatment targeting intrafamilial ruptures and building protective caregiver-child relationships.</p><p><strong>Method: </strong>PubMed, PsycINFO, Embase, and Scopus were searched for prospective trials on ABFT in youth published up until November 6<sup>th</sup>, 2023, and including measures of suicidality. Results were independently screened by two researchers following PRISMA guidelines. Risk of bias was assessed using the Cochrane RoB-2 framework. A random effects meta-analysis was conducted on suicidal ideation and depressive symptoms post-intervention scores in randomized-controlled trials (RCTs).</p><p><strong>Results: </strong>Seven articles reporting on four RCTs (<i>n</i> = 287) and three open trials (<i>n</i> = 45) were identified. Mean age of participants was <i>M</i> <sub>pooled</sub> = 15.2 years and the majority identified as female (~80%). Overall, ABFT was not significantly more effective in reducing youth suicidal ideation, <i>g<sub>pooled</sub></i> = 0.40, 95% CI [-0.12, 0.93], nor depressive symptoms, <i>g<sub>pooled</sub></i> = 0.33, 95% CI [-0.18, 0.84], compared to investigated controls (Waitlist, (Enhanced) Treatment as Usual, Family-Enhanced Nondirective Supportive Therapy).</p><p><strong>Conclusion: </strong>Evidence is strongly limited, with few available trials, small sample sizes, high sample heterogeneity, attrition rates, and risk of bias. While not generally superior to other treatments, ABFT might still be a clinically valid option in specific cases and should be further investigated. Clinicians are currently recommended to apply caution when considering ABFT as stand-alone intervention for suicidal youth and to decide on a case-by-case basis.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e13717"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773935","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}
Håkan Lagerberg, James F Boswell, Michael J Constantino, Gerhard Andersson, Per Carlbring
{"title":"Does Practice Make Perfect? The Effects of an Eight-Week Manualized Deliberate Practice Course With Peer Feedback on Patient-Rated Working Alliance in Adults: A Pilot Randomized Controlled Trial.","authors":"Håkan Lagerberg, James F Boswell, Michael J Constantino, Gerhard Andersson, Per Carlbring","doi":"10.32872/cpe.12353","DOIUrl":"10.32872/cpe.12353","url":null,"abstract":"<p><strong>Background: </strong>Deliberate Practice (DP), which underscores the importance of expert mentorship, personalized learning objectives, feedback, and repetition, has been suggested as a method to enhance the effectiveness of therapists.</p><p><strong>Method: </strong>The study tested the efficacy of an eight-week, structured, group-based online course, enriched with peer feedback, for 37 Cognitive Behavioral Therapists. The goal was to assess whether this intervention could boost the quality of therapist-patient alliances, as compared to a control group. To measure this, therapists had their patients anonymously fill out the Session Alliance Inventory both before and after the course. The trial encompassed 120 patient alliance ratings at baseline and 64 at the post-course measurement. The DP course was comprised of a 75-minute remote video workshop each week for eight weeks, supplemented by related study materials. Each workshop focused on a specific skill, such as responding to client resistance, and included 55 minutes of concentrated role-play activities, providing ample opportunities for repetition and feedback.</p><p><strong>Results: </strong>Using a linear mixed model we did not find an effect on patient alliance ratings. However, we observed a trend (<i>p</i> = .054) indicating that the DP group decreased their alliance ratings (Cohen's <i>d</i> = -0.40), while the control group demonstrated an increase in their scores (<i>d</i> = 0.49).</p><p><strong>Conclusion: </strong>This pilot study did not find support for DP leading to better patient-rated alliance compared to a waitlist control. However, the study had several methodological limitations. Further and more rigorous investigation of the effects of DP on patient outcomes is recommended.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e12353"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830101","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}
Sverrir Björn Einarsson, Baldur Heiðar Sigurðsson, Sigurlín Hrund Kjartansdóttir, Páll Magnússon, Jón Friðrik Sigurðsson
{"title":"Impulsive Buying and Deferment of Gratification Among Adults With ADHD.","authors":"Sverrir Björn Einarsson, Baldur Heiðar Sigurðsson, Sigurlín Hrund Kjartansdóttir, Páll Magnússon, Jón Friðrik Sigurðsson","doi":"10.32872/cpe.9339","DOIUrl":"10.32872/cpe.9339","url":null,"abstract":"<p><strong>Background: </strong>Impulsivity symptoms have been studied thoroughly in adults with ADHD, including hasty actions and decisions without considering possible consequences. The objective of our study was to investigate impulsive buying and deferment of gratification among adults with ADHD and a comparison group.</p><p><strong>Method: </strong>The participants were 225 adults with ADHD and 121 university students who completed the Buying Impulsiveness Scale (BIS), the Deferment of Gratification Questionnaire (DOGQ), the Adult ADHD Rating Scale-IV (ADHD-RS), as well as background questions.</p><p><strong>Results: </strong>Significant differences were found between the two groups on the three scales, the ADHD group showing more ADHD symptoms, more frequent impulsive buying behaviour and less ability to defer gratification. Mediation analyses yielded significant indirect effects in both samples, which suggests that the relationship between ADHD symptoms and impulsive buying is mediated by the ability to defer gratification.</p><p><strong>Conclusion: </strong>The results suggest that placing emphasis on improving the capacity of adults with ADHD to defer gratification might be beneficial in treatment.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e9339"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830102","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}
Kristofer Vernmark, Timo Hursti, Victoria Blom, Robert Persson Asplund, Elise Nathanson, Linda Engelro, Ella Radvogin, Gerhard Andersson
{"title":"The Effects of Mindfulness-Focused Internet-Based Cognitive Behavioral Therapy on Elevated Levels of Stress and Symptoms of Exhaustion Disorder: A Randomized Controlled Trial.","authors":"Kristofer Vernmark, Timo Hursti, Victoria Blom, Robert Persson Asplund, Elise Nathanson, Linda Engelro, Ella Radvogin, Gerhard Andersson","doi":"10.32872/cpe.12899","DOIUrl":"10.32872/cpe.12899","url":null,"abstract":"<p><strong>Background: </strong>Internet-based Cognitive Behavior Therapy (ICBT) and mindfulness interventions are commonly used to treat elevated levels of stress. There are however few high-quality studies that examine ICBT with integrated mindfulness components for symptoms of stress and exhaustion, and the role of mindfulness exercises in digital treatment.</p><p><strong>Method: </strong>The aim of the present study was to evaluate if a mindfulness-focused ICBT-program could reduce symptoms of stress and exhaustion, and increase quality of life, in a randomized controlled trial including 97 self-referred participants between 18 and 65 years who experienced elevated levels of stress.</p><p><strong>Results: </strong>The intervention group had significantly reduced symptoms of stress and exhaustion, and increased quality of life, compared to the control group. Compared with the controls, participants in the intervention group showed a significant improvement with moderate to large effects on the primary outcome measure perceived stress (<i>d</i> = 0.79), and the secondary outcomes, exhaustion (<i>d</i> = 0.65), and quality of life (<i>d</i> = 0.40). Participants in the ICBT group also increased their level of mindfulness (<i>d</i> = 0.66) during the program. The amount of mindfulness training was significantly associated with an increased level of mindfulness, which in turn was significantly associated with reduced stress symptoms.</p><p><strong>Conclusions: </strong>Mindfulness-focused ICBT can be an effective method to reduce stress-related mental health problems and the amount of mindfulness training seems to be of importance to increase the level of experienced mindfulness after treatment.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e12899"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830110","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":"A Systematic Review of Evidence-Based Cognitive and/or Behavioural Interventions Targeting Mental Health in LGBTQ+ Populations.","authors":"Carina Tudor-Sfetea, Raluca Topciu","doi":"10.32872/cpe.11323","DOIUrl":"10.32872/cpe.11323","url":null,"abstract":"<p><strong>Background: </strong>Despite a minority stress-related higher risk to develop mental health difficulties, and problematic access to and treatment from healthcare providers, research into LGBTQ+ mental health support is limited. The aims of this systematic review were to explore evidence-based cognitive and/or behavioural interventions and adaptations targeting mental health in LGBTQ+ populations, before providing recommendations for future clinical and research directions.</p><p><strong>Method: </strong>Six databases were searched in February-March 2022 and risk of bias evaluated using the Cochrane RoB 2/ROBINS-I tools. A narrative synthesis following the PICOS framework and the review questions was used to examine the results.</p><p><strong>Results: </strong>Sixteen studies met inclusion criteria, including various interventions and adaptations, mental health difficulties, and other emotion- and minority stress-related processes/constructs. Risk of bias was judged as high, and critical/serious, respectively, in all studies. Outcomes included improvements in symptoms of depression (most statistically/clinically significant effects/large effect sizes), and anxiety, emotion regulation, and internalised homophobia in the pre-post studies.</p><p><strong>Conclusion: </strong>Cognitive/behavioural interventions and adaptations for LGBTQ+ populations feature a range of therapeutic modalities and levels of adaptation, with largely positive effects, in the context of limited and heterogenous literature and risk of bias concerns, as well as limitations related to publication bias and inclusion criteria of the current work. Suggestions for future clinical and research directions include a focus on generic therapeutic competencies and metacompetencies, and affirmative, potentially more holistic approaches, as well as more consistency in methodology, more focus on underserved LGBTQ+ populations and intersectionality, and more detailed investigations into mechanisms of change.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e11323"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830172","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":"Why We Need a Stronger Focus on Women's Health in Clinical Psychology and Psychological Treatment.","authors":"Cornelia Weise, Carola Hajek Gross","doi":"10.32872/cpe.15683","DOIUrl":"10.32872/cpe.15683","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e15683"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830114","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}
Miguel M Gonçalves, Wolfgang Lutz, Brian Schwartz, João Tiago Oliveira, Suoma E Saarni, Orya Tishby, Julian A Rubel, Jan R Boehnke, Adrian Montesano, Dario Paiva, Davide Ceridono, Emmanuelle Zech, Jochem Willemsen, Samuli I Saarni, Katarina Kompan Erzar, Luís Janeiro, Omar C G Gelo, Paula Errázuriz, Pawel Holas, Rafał Styła, Tatjana Rožič, Tom Rosenström, Vera Békés, Zsolt Unoka, Michael Barkham
{"title":"Developing a European Psychotherapy Consortium (EPoC): Towards Adopting a Single-Item Self-Report Outcome Measure Across European Countries.","authors":"Miguel M Gonçalves, Wolfgang Lutz, Brian Schwartz, João Tiago Oliveira, Suoma E Saarni, Orya Tishby, Julian A Rubel, Jan R Boehnke, Adrian Montesano, Dario Paiva, Davide Ceridono, Emmanuelle Zech, Jochem Willemsen, Samuli I Saarni, Katarina Kompan Erzar, Luís Janeiro, Omar C G Gelo, Paula Errázuriz, Pawel Holas, Rafał Styła, Tatjana Rožič, Tom Rosenström, Vera Békés, Zsolt Unoka, Michael Barkham","doi":"10.32872/cpe.13827","DOIUrl":"10.32872/cpe.13827","url":null,"abstract":"<p><strong>Background: </strong>Complementing the development of evidence-based psychological therapies, practice-based evidence has developed from patient samples collected in routine care, addressing questions relevant to patients and practitioners, and thereby expanding our knowledge of psychological therapies and their impact. Implementation of assessments in routine care allows for timely clinical decision support and the collection of multiple practice-based data sets by addressing the needs of patients and clinicians (e.g., routine outcome monitoring) and the needs of researchers (e.g., identifying the impact of therapist variables on outcomes).</p><p><strong>Method: </strong>In this article we describe an initiative developed in Europe, through the European Chapter of the Society for Psychotherapy Research, aimed at creating a consortium that has the potential for collecting data on tens of thousands of patients per year.</p><p><strong>Results: </strong>A survey identified one of the main problems in the development of a common data set to be the heterogeneity of measures used by members (e.g., 87 different pre-post outcomes). We report on the results of the survey and the initial stage of identifying a single-item - the Emotional and Psychological Outcome (EPO-1) - measure and the process of its translation into multiple European languages.</p><p><strong>Conclusions: </strong>We conclude this first stage of the overall project by discussing the future potential of the Consortium in relation to the development of procedures that allow crosswalks of outcome measures and the creation of a task force that may be consulted when new data sets are collected, aiming for new common measures to be implemented and shared.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e13827"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830176","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}