Journal of Behavioral and Cognitive Therapy最新文献

{"title":"Potential fearful situations in virtual reality – A pilot study assessing the effects of exposure in virtual reality and in vivo on anxious healthy participants in narrow rooms","authors":"Vanessa Renner ,&nbsp;Michael Witthöft ,&nbsp;Jochen Hardt ,&nbsp;Rupert Conrad ,&nbsp;Katja Petrowski","doi":"10.1016/j.jbct.2024.100500","DOIUrl":"10.1016/j.jbct.2024.100500","url":null,"abstract":"<div><p>In vivo exposure is a highly effective but rarely implemented treatment for agoraphobia. Most of the patients receive medication or cognitive therapy without exposure because of a high expenditure of money and time for in vivo exposure. Exposure in virtual reality (VR) is easier to implement but the effectiveness of stimulating fear compared to in vivo exposure is still questionable. Therefore, in this study, the effects of in vivo and VR exposure on subjective symptom burden and heart rate variability (HRV) were assessed. 30 healthy individuals with fears in narrow rooms went through in vivo and VR exposure in a randomized order while HRV parameters (RMSSD, HF) and subjective symptom burden was assessed. Linear mixed models were calculated. The effect of condition (VR vs. in vivo), scenario (varying conditions in narrow rooms) and slot (first 30 s, peak, last 30 s) on RMSSD and HF was assessed. A random effect for participants (random-intercept term) to allow the intercept to vary across participants was included. Regarding RMSSD and HF, participants showed significantly higher levels during in vivo exposure compared to exposure in VR (RMSSD: <em>p</em> = 0.005; HF: <em>p</em> &lt; 0.001), reflecting a stronger activation of the parasympathetic nervous system during in vivo exposure or presumably higher stress levels during VR exposure. This study highlights the necessity of assessing subjective and objective parameters allowing the evaluation of the effectiveness of fear stimulation by exposure approaches.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 3","pages":"Article 100500"},"PeriodicalIF":1.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589979124000180/pdfft?md5=8aa7cd5e5248b3d39eae66f66481ac4e&pid=1-s2.0-S2589979124000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951919","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":"Efficacy of acceptance and commitment therapy as a stand-alone treatment for Insomnia: Protocol of a randomized waitlist controlled trial","authors":"Mathilde I. Looman ,&nbsp;Tim M. Schoenmakers ,&nbsp;Tessa F. Blanken ,&nbsp;Floris E. Linnebank ,&nbsp;Jan H. Kamphuis ,&nbsp;Jaap Lancee","doi":"10.1016/j.jbct.2024.100499","DOIUrl":"10.1016/j.jbct.2024.100499","url":null,"abstract":"<div><div>While Acceptance and Commitment Therapy for Insomnia (ACT-I) has been proposed as a promising alternative to Cognitive Behavioral Therapy for Insomnia, its efficacy as a distinct alternative, without sleep restriction and stimulus control, remains largely unknown. In this protocol paper, we describe a randomized controlled trial that aims to test the efficacy of ACT-I as a stand-alone intervention for insomnia. Adults with insomnia (<em>N</em> = 80) will be randomly allocated to five individual sessions of ACT-I or a waitlist control group. The main objective is to assess whether ACT-I is superior to the control group in improving insomnia severity, alongside secondary outcomes including sleep diary measures, anxiety, depression, general well-being, and sleep-related quality of life. Additionally, we aim to explore potential mechanisms of ACT-I, including psychological (in)flexibility, sleep-related arousal, dysfunctional cognitions, and sleep-related safety behaviors. Both the treatment and waiting period span 7 weeks. Assessments take place at baseline (pre), after 4 weeks (mid), and after 8 weeks (post), followed by a 3- and 6-month follow-up for the ACT-I group. Treatment effects will be analyzed with mixed linear regression based on the intention-to-treat principle, and potential mechanisms will be explored with network intervention analysis. This study contributes to the understanding of ACT-I’s treatment effects and potential working mechanisms, informing clinical practice on whether ACT-I without sleep restriction or stimulus control could provide an adequate alternative treatment for insomnia. Trial registration number: NCT06336551.</div></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 3","pages":"Article 100499"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698402","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":"Playing to cope with ADHD: Improving knowledge and strategies among children and parents","authors":"Stéphanie Vanwalleghem ,&nbsp;Rafika Zebdi","doi":"10.1016/j.jbct.2024.100496","DOIUrl":"https://doi.org/10.1016/j.jbct.2024.100496","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to assess the benefits of a psychoeducational game for the ADHD knowledge and coping strategies of children and parents, and its effects on ADHD symptoms and executive functioning.</p></div><div><h3>Method</h3><p>34 parents’ and 34 children’s knowledge of ADHD and coping strategies (7–13 years old, 26 boys), and children’s ADHD symptoms and executive functioning were measured before and after a four-week control phase and after a four-week test phase during which the families played with the game.</p></div><div><h3>Results</h3><p>(1) An improvement of children’s knowledge about ADHD was found; (2) both parents and children showed an increase in their reported number of coping strategies; (3) small improvements in ADHD symptoms and executive functioning were reported by the parents.</p></div><div><h3>Conclusions</h3><p>Playing was beneficial for both the children and their parents. However, the results underline the children’s difficulty in describing their ADHD and in perceiving the help provided by their parents.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 2","pages":"Article 100496"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294701","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":"Using biogenetic beliefs as an emotion regulation strategy","authors":"Hans S. Schroder ,&nbsp;Annalise Perricone ,&nbsp;Stefanie R. Russman Block ,&nbsp;Elizabeth T. Kneeland ,&nbsp;Jason S. Moser","doi":"10.1016/j.jbct.2024.100497","DOIUrl":"https://doi.org/10.1016/j.jbct.2024.100497","url":null,"abstract":"<div><p>Patients in psychotherapy occasionally invoke biogenetic explanations for their mental health problems. For example, they may propose that they are feeling depressed because of a “chemical imbalance” in their brain. Here we suggest while there are undoubtably genetic and neurobiological factors that play a role in depression, there may be circumstances in which invoking such explanations serves as an emotion regulation strategy that decreases self-blame and redirects attention away from more intense emotional experiences. First, we review the blame-reducing effect of biogenetic narratives from empirical data and clinical case studies. Second, we introduce a new scale – The Biogenetic Emotion Regulation Scale (BERS) – that attempts to capture this regulatory function. In two samples of college students (total <em>N</em> = 1,403), strategies to reduce personal blame for anxiety and depression by attributing these experiences to biochemical factors were endorsed by a minority of students. These strategies were correlated with avoidance-based emotion regulation strategies including expressive suppression and externalizing blame and were also correlated with symptoms. We provide clinical recommendations to prompt introspection and discussion when biogenetic narratives come up in practice.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 2","pages":"Article 100497"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294562","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":"Effectiveness of cognitive-behavioral therapy on resilience of adults: A systematic review and meta-analysis","authors":"Tatiana Matheus Pinto,&nbsp;Vinicius Marangoni Noro Veiga,&nbsp;Elizeu Coutinho Macedo","doi":"10.1016/j.jbct.2024.100495","DOIUrl":"10.1016/j.jbct.2024.100495","url":null,"abstract":"<div><p>Resilience is the ability to adapt and thrive to adversities, traumas, threats, or significant sources of stress. Given that resilience is associated with internal and environmental factors, it could be enhanced through interventions that promote such factors. Psychotherapy may work as an intervention that favors resilience. There is evidence that cognitive-behavioral therapy (CBT) is effective for treating several problems in diverse populations. Therefore, CBT could be the most indicated therapeutic approach to enhance resilience among individuals. This systematic review aimed to investigate the effectiveness of CBT interventions on adults’ resilience. The study was registered at PROSPERO (CRD42022353059) and followed the PRISMA guidelines. Searches were carried out in PsycNet, PubMed, Scopus, and Embase databases. Forty-three studies were included. Most studies carried out exclusively CBT-based and its procedures mainly involved cognitive restructuring. Interventions ranged from 3 to 48 sessions lasting 45 to 150 min. The <em>meta</em>-analyses indicated evidence of CBT effectiveness in promoting resilience in post-intervention (SMD = 0.73 [95% CI: 0.2–1.25], p = 0.007) and evidence that CBT sustains enhanced resilience in follow-up (SMD = 1.17 [95% CI: 0.01–2.34], p = 0.05). Our findings support the statement that CBT may lead to several beneficial outcomes, including resilience.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 2","pages":"Article 100495"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141234536","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":"Comparison of cognitive-behavioral treatments for tics and Tourette syndrome in youth and adults: A randomized controlled trial","authors":"Julie B. Leclerc ,&nbsp;Kieron P. O'Connor ,&nbsp;Bruno Gauthier ,&nbsp;Ilana Singer ,&nbsp;Douglas W. Woods ,&nbsp;Pierre Blanchet ,&nbsp;Marc E. Lavoie","doi":"10.1016/j.jbct.2024.100491","DOIUrl":"10.1016/j.jbct.2024.100491","url":null,"abstract":"<div><h3>Background</h3><p>Current guidelines recommend the Comprehensive Behavioral Intervention for Tics (CBIT) to manage tics, which aims to reverse tic habits. Though CBIT has shown significant tic reduction in many, some patients remain non-responders. The Cognitive Psychophysiological treatment (CoPs) offers an alternative approach, focusing on modifying cognitive, behavioral, and physiological processes. Previous studies highlighted CoPs' effectiveness in reducing tics and improving neurocognitive performance. This paper presents the first direct trial comparing CoPs and CBIT.</p></div><div><h3>Aims and hypotheses</h3><p>Our goal was to compare CBIT and CoPs in children and adults. We hypothesized that the CoPs group would show superior clinical improvement than the CBIT group.</p></div><div><h3>Method</h3><p>Ninety-eight participants were randomized into each of the two modalities, including 61 children and 37 adults</p></div><div><h3>Procedure</h3><p>Participants were evaluated pre-post, and at one- and six-months post-treatment using standardized scales. The manualized treatments included 12 to 14 sessions for an average duration (from randomization to follow-up) of 41 weeks.</p></div><div><h3>Analyses</h3><p>A linear mixed model was used to test treatment effects on outcome measures.</p></div><div><h3>Results</h3><p>Of 120 initial participants, 98 were randomized to CBIT or CoPs. About 23% shifted to teletherapy due to COVID-19. Both treatments lowered YGTSS scores, with no modality differences. The CoPs group showed significant GAF score increases, and teletherapy participants had higher scores than in-person. Clinical change between CBIT and CoPs was similar.</p></div><div><h3>Conclusion</h3><p>Both CoPs and CBIT effectively address tic severity. While CoPs offer a holistic restructuring approach, it was not found superior to CBIT, underscoring the need for continued research for tic treatment.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 2","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763529","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":"A pilot evaluation of a cognitive therapy micro-intervention to reduce the negative impact of online social networking site use on well-being","authors":"Zoe Herriman ,&nbsp;Rachel M. Roberts ,&nbsp;Amanda M. Taylor ,&nbsp;Amy Slater","doi":"10.1016/j.jbct.2024.100494","DOIUrl":"https://doi.org/10.1016/j.jbct.2024.100494","url":null,"abstract":"<div><p>Online highly visual social networking site (HVSNS) use has been associated with a range of negative emotional outcomes. The current pilot study examined the acceptability and feasibility of a 13-minute Social Media Aware (SMA) video intervention based on cognitive restructuring strategies that was designed to improve well-being and body image following HVSNS use. A single-arm within-subjects design was used. Fifty-nine participants between the ages of 16 and 79 (<em>M</em>age = 28.97, <em>SD</em> = 16.04) were recruited to undertake the intervention followed by 10 min of passive HVSNS use. Self-report measures of well-being and body image outcomes were completed prior to intervention, immediately post-intervention and one week following. Data was gathered regarding acceptability of the program and social comparison experiences when using HVSNSs. The SMA program was highly acceptable to participants. Participants reported experiencing a range of negative social comparisons when using HVSNSs across many areas of life and self, including perceived happiness, excitement in life, success, relationships, and attractiveness. The program also led to an immediate reduction in negative affect (<em>p</em> = &lt;0.001, Hedges <em>g</em> = 0.47), but this was no longer significant after one week. Feasibility benchmarks were not met, with 57.6% participant retention (34 participants) at 1-week follow-up, 30 complete cases available for analysis (50.9%), and initial difficulties recruiting within the university setting. The SMA program demonstrated high acceptability to users and promise in reducing negative affect following passive HVSNS use. Progress to a larger randomised controlled trial with follow-up is justified; however, participant retention issues should be addressed.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 2","pages":"Article 100494"},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083688","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":"Corrigendum to “Implementation of cognitive reappraisal in subthreshold psychosis” [J. Behav. Cognit. Therapy 33(4) (2023) 207–215]","authors":"Jill R. Laquidara,&nbsp;Taylor Johnson,&nbsp;Elyssa M. Barrick,&nbsp;Madeline Ward,&nbsp;Sophia Saavedra,&nbsp;Sarah Hope Lincoln","doi":"10.1016/j.jbct.2024.100490","DOIUrl":"https://doi.org/10.1016/j.jbct.2024.100490","url":null,"abstract":"","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 2","pages":"Article 100490"},"PeriodicalIF":0.0,"publicationDate":"2024-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589979124000088/pdfft?md5=9f4d1eceb1cb49366aa3e862cdcd8ef9&pid=1-s2.0-S2589979124000088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195504","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":"Effectiveness and acceptability of Internet-based Cognitive Behavioral Therapy for individuals with Obsessive Compulsive Disorder in Singapore","authors":"Tammie Rong Rong Kwek ,&nbsp;Jackki Hoon Eng Yim ,&nbsp;Erik Andersson ,&nbsp;Oliver Suendermann ,&nbsp;Mythily Subramaniam ,&nbsp;Elna Yadin ,&nbsp;Janhavi Vaingankar ,&nbsp;Bhanu Gupta","doi":"10.1016/j.jbct.2024.100487","DOIUrl":"https://doi.org/10.1016/j.jbct.2024.100487","url":null,"abstract":"<div><h3>Background</h3><p>Obsessive Compulsive Disorder (OCD) is the third-most prevalent mental health disorder in Singapore, with an increasing treatment delay and a high level of burden.</p></div><div><h3>Objective</h3><p>Given the potential for therapist-guided Internet-based Cognitive Behavioral Therapy (I-CBT) to provide accessible, time- and cost-effective treatment, this study aims to evaluate the efficacy and acceptability of I-CBT among Singaporeans with OCD.</p></div><div><h3>Methods</h3><p>Twenty-five participants underwent a 10-week therapist-guided I-CBT program that was adapted to suit the Singaporean context. It consists of psychoeducation, cognitive restructuring, exposure and response prevention as well as relapse prevention. Participants’ OCD, depressive and anxiety symptoms as well as level of functioning and quality of life (QoL) were assessed at three time points: pre-treatment, post-treatment and one-month follow-up. Therapist time and participants’ satisfaction with the program were measured.</p></div><div><h3>Results</h3><p>All participants completed the I-CBT program. Significant reductions were found in OCD symptoms, with large within-group effect sizes at post-treatment (<em>p</em> &lt;.001, Cohen’s <em>d</em> = 2.64) and at one-month follow-up (<em>p</em> &lt;.001, Cohen’s <em>d</em> = 2.23). A total of 40 % had their OCD symptoms in remission. I-CBT also resulted in clinically significant improvements in depressive (<em>p</em> &lt;.001) and anxiety symptoms (<em>p</em> &lt;.001) as well as improvements in functioning (<em>p</em> &lt;.001) and QoL (<em>p</em> &lt;.001). The program required a mean of 129 (<em>SD</em> = 89.8) minutes of therapist time and was regarded as acceptable by OCD sufferers in Singapore.</p></div><div><h3>Conclusions</h3><p>This study demonstrated that therapist-guided I-CBT is promising in reducing OCD symptoms. However, randomized control trials are needed to confirm the effectiveness of this innovative treatment delivery method.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 2","pages":"Article 100487"},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589979124000039/pdfft?md5=d35f51c25093c88cf72b551c43937293&pid=1-s2.0-S2589979124000039-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139733128","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":"Maladaptive emotion regulation strategies mediate the relationship between biased cognitions and depression","authors":"Artur Brzozowski ,&nbsp;Benjamin Philip Crossey","doi":"10.1016/j.jbct.2024.100485","DOIUrl":"https://doi.org/10.1016/j.jbct.2024.100485","url":null,"abstract":"<div><h3>Introduction</h3><p>Depression has previously been found to emerge from and be perpetuated by negative cognitive biases. However, a plethora of underlying psychological mechanisms are likely to be involved in the relationship. The current study investigated whether maladaptive cognitive emotion regulation strategies such as self-blame, rumination, and catastrophising may mediate the link between negative cognitive biases and depression.</p></div><div><h3>Methods</h3><p>Participants (<em>n</em> = 251) completed the study via the internet data collection software, Pavlovia. The Self-Referent Encoding Task was used to measure self-referential and memory biases while maladaptive emotion regulation strategies and depression were assessed using the Cognitive Emotion Regulation Questionnaire and the Depression Anxiety Scales, respectively.</p></div><div><h3>Results</h3><p>Results showed that maladaptive strategies mediate the relationship between cognitive biases and depression. The tendency to blame oneself for playing an influential role in a negatively perceived life event seems to play a key role in the negative cognitive bias-depression relationship.</p></div><div><h3>Conclusion</h3><p>Therapists should consider focusing their efforts on reducing self-blame when clients demonstrate evidence of self-referential and memory bias. Interventions may include refocusing blame on others, rather than the self.</p></div>","PeriodicalId":36022,"journal":{"name":"Journal of Behavioral and Cognitive Therapy","volume":"34 1","pages":"Article 100485"},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589979124000015/pdfft?md5=7ddf232525c8edc7299115f9f4075bda&pid=1-s2.0-S2589979124000015-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652817","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}