Scandinavian Journal of Child and Adolescent Psychiatry and Psychology最新文献

{"title":"Erratum: Moderation of treatment effects by parent-adolescent conflict in a randomised controlled trial of Attachment Based Family Therapy for adolescent Depression.","authors":"E W Rognli,&nbsp;L Waraan,&nbsp;N O Czajkowski,&nbsp;A Aalberg","doi":"10.21307/sjcapp-2021-004","DOIUrl":"https://doi.org/10.21307/sjcapp-2021-004","url":null,"abstract":"<p><p>[This corrects the article on p. 110 in vol. 8, PMID: 33564627.].</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"9 ","pages":"27-29"},"PeriodicalIF":1.9,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6c/6c/sjcapp-09-004.PMC8077421.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933492","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":"Exploring mentalizing in adolescents with anorexia nervosa and borderline personality disorder: A comparative study of psychiatric inpatients and healthy controls.","authors":"Laura Cortés-García,&nbsp;Ömer Faruk Akça,&nbsp;Kiana Wall,&nbsp;Carla Sharp","doi":"10.21307/sjcapp-2021-003","DOIUrl":"https://doi.org/10.21307/sjcapp-2021-003","url":null,"abstract":"<p><strong>Background: </strong>Impaired mentalizing, i.e., difficulties in understanding oneself and others in terms of mental states, has been associated with the development of Anorexia Nervosa (AN), mainly among adults. However, few studies have addressed this question in clinical samples of adolescents with AN. Moreover, no study has explored mentalizing abilities among inpatient adolescents presenting with AN and Borderline Personality Disorder (BPD), despite their high comorbidity in a highly relevant age group.</p><p><strong>Objective: </strong>This study attempted, for the first time, to further examine differences in mentalizing abilities and to identify specific mentalizing impairments in different psychiatric inpatient groups and healthy adolescents.</p><p><strong>Methods: </strong>Using samples of female adolescents aged 12-17, comparison analyses were performed between psychiatric inpatient adolescents with AN (<i>n</i> = 44), BPD (<i>n</i> = 101), AN+BPD (<i>n</i> = 48), other psychopathology (<i>n</i> = 163) and healthy adolescents (<i>n</i> = 129). Structured and semi-structured clinical interviews, and two experimental tasks were administered to assess AN, BPD and mentalizing, respectively.</p><p><strong>Results: </strong>Comparison analyses showed that patients with BPD and other psychiatric disorders evidenced higher levels of hypermentalizing compared to healthy adolescents. Hypermentalizing was also reported among inpatients with AN+BPD, although to a lesser extent. BPD and AN scores were positively correlated with hypermentalizing responses.</p><p><strong>Conclusions: </strong>Our results suggest that hypermentalizing is a specific mentalization impairment in inpatient adolescents, particularly with BPD and both AN+BPD. Further investigation into the efficacy of mentalization based treatments for adolescents with BPD and AN+BPD is recommended. Prospective studies are needed to assess mentalizing using experimental tasks among adolescents with AN, taking into account the potential influence of temporality and severity of the disorders' symptoms.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"9 ","pages":"16-26"},"PeriodicalIF":1.9,"publicationDate":"2021-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/72/eb/sjcapp-09-003.PMC8077418.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933491","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":"Inclusive practice for students with neurodevelopmental disorders in Sweden.","authors":"Sven Bölte,&nbsp;Emma Leifler,&nbsp;Steve Berggren,&nbsp;Anna Borg","doi":"10.21307/sjcapp-2021-002","DOIUrl":"https://doi.org/10.21307/sjcapp-2021-002","url":null,"abstract":"<p><p>'Inclusion' aims to achieve adaptation of the environment to the diverse prerequisites and needs of individuals, instead of demanding of individuals to cope with the challenges of a given context themselves exclusively. All Scandinavian countries have made formal decisions to enhance inclusive practice for children and adolescents with disabilities in educational settings, seeking to implement international conventions. We investigated current inclusive practice for students with neurodevelopmental disorders (NDDs) in Swedish primary, secondary and high-schools using the 61-item INCLUSIO scale among N=4778 school staff with educational responsibilities in 68 public and private schools across 11 municipalities. Overall, school staff reported not to be well prepared to teach students with NDDs and that their school's implementation of concrete inclusive practice was limited. Findings indicate a gap between inclusive educational ambitions and current practice for students with NDDs. Enriched teacher education and supervision for NDDs, a shift in pedagogical views of NDDs and better collaboration between community services, as well as systematic evidence-based implementation plans driven by policy makers and educational authorities may help improve inclusive practice.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"9 ","pages":"9-15"},"PeriodicalIF":1.9,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/10/sjcapp-09-002.PMC8077409.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933490","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":"Psychiatric morbidity in children and adolescents with dermatological disorders.","authors":"Dilşad Yıldız Miniksar,&nbsp;Özlem Özel Özcan,&nbsp;Hülya Cenk,&nbsp;Yelda Kapıcıoğlu,&nbsp;Ayşegül Polat","doi":"10.21307/sjcapp-2021-001","DOIUrl":"https://doi.org/10.21307/sjcapp-2021-001","url":null,"abstract":"<p><strong>Background: </strong>Understanding the existence of a cycle, where psychological disturbances cause skin diseases and in turn, skin diseases cause psychological disorders, provides the basis for good dermatological practice.</p><p><strong>Objective: </strong>The aim of this case-control study is to examine the psychiatric morbidity of dermatological disorders in children and adolescents with no history of psychiatric disorders.</p><p><strong>Method: </strong>In this study, 502 participants (251 patients and 251 healthy individuals) were evaluated according to DSM-IV criteria. All participants were interviewed and evaluated using the Turkish version of the Kiddie Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (K-SADS-PL) and the State-Trait Anxiety Inventory for Children (STAI-1 and STAI-2), the Childhood Depression Inventory (CDI), adolescent and parent forms of the Strengths and Difficulties Questionnaire (SDQ-A and SDQ-P) and a questionnaire evaluating child's level of school success.</p><p><strong>Results: </strong>Our results indicated that the rates of general psychiatric comorbidity, mood disorders, anxiety disorders, and adjustment disorders were significantly higher in the study group compared to the control group. The CDI, STAI-1, STAI-2, and SDQ (and subscales) scores were significantly higher in the study group. Moreover, psychiatric comorbidity was higher in inflammatory and allergic dermatoses compared to other dermatological subgroups. Having a dermatological disease restricts physical activity thus increasing the risk of psychiatric comorbidity.</p><p><strong>Conclusions: </strong>Investigating the education, attitudes, and awareness of dermatologists about psychocutaneous disorders might contribute to the development of new educational strategies and elicit appropriate biopsychosocial approaches.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"9 ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/14/sjcapp-09-001.PMC8077433.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38933489","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":"Before the damage is done: Early childhood hyperactivity difficulties in adolescents with deliberate self-harm - findings from the DALSC cohort.","authors":"Therese A Evald, Bo Møhl","doi":"10.21307/sjcapp-2020-018","DOIUrl":"10.21307/sjcapp-2020-018","url":null,"abstract":"<p><strong>Background: </strong>Deliberate self-harm (DSH) is a growing issue among Danish adolescents, and a dramatic increase in the incidence of DSH has been observed since the turn of the millennium. The importance of early childhood factors on later development has been established, but research on the trajectories of DSH is still scarce, and longitudinal studies are much needed.</p><p><strong>Method: </strong>Participants were 3,291 children and their mothers from The Danish Longitudinal Survey of Children (DALSC), a Danish population-based birth cohort from 1995. Logistic regression and mediation analyses were used to examine significant early childhood determinants of self-harming behavior in adolescence.</p><p><strong>Results: </strong>The study found that 17.9% of the children had a history with DSH at the age of 18 years. A significant relationship was found between the likelihood of DSH at the age of 18 years and hyperactivity difficulties assessed through the Strengths and Difficulties Questionnaire (SDQ) at 3 and 7 years of age. Using a mediation model, it is documented that difficulties in peer relationships at the age of 11 years is a partial mediator explaining 19% of the variation.</p><p><strong>Limitations: </strong>i) a vague definition of self-harm in the questionnaires; ii) lack of sample representation as children of lower socio-economic groups have lower participation rates, and only Danish-ethnicity children have been sampled; iii) possibility of omitted variable bias.</p><p><strong>Conclusion: </strong>The adolescents engaging in DSH are experiencing a more complex range of psychosocial problems than those who do not have experience with DSH. The main finding of the study is that hyperactivity as a risk factor for the development of DSH in adolescence can be identified as early as 3-7 years of age. This relationship between the very early occurring hyperactivity and later DSH, to the best of our knowledge, has not previously been described.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"8 ","pages":"176-188"},"PeriodicalIF":1.9,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2e/48/sjcapp-08-018.PMC7879016.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25378445","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":"Psychometric properties of the Inventory of Interpersonal Problems (IIP-C) used with a clinical sample of adolescents: a preliminary study.","authors":"Pravin Israel,&nbsp;Johannes Hendrik Langeveld","doi":"10.21307/sjcapp-2021-010","DOIUrl":"https://doi.org/10.21307/sjcapp-2021-010","url":null,"abstract":"<p><strong>Background: </strong>Interpersonal problems are consistently identified with psychopathology that often has its onset in adolescence. Most of the commonly used instruments in child and adolescent psychiatry target non-interpersonal problems. The Inventory of Interpersonal Problems (IIP) is a widely studied and utilized instrument in the adult mental health field.</p><p><strong>Aims: </strong>This study aimed to examine the psychometric properties of the IIP (circumplex version) used with a clinical adolescent population. Method: Sixty-two adolescents (13-17 years) who received treatment in a child and adolescent mental health clinic (CAMHS) were included in the study. To establish reliability and validity, we conducted confirmatory factor analyses, internal consistency, and validity analyses.</p><p><strong>Results: </strong>Confirmatory analyses did not show optimal model fit. However, other indices like CFI and TLI were promising. The reliability of the eight scales was in the same range as previous studies and acceptable. There were expected significant correlations between IIP-C scales and the broadband scales of Youth Self-report (YSR).</p><p><strong>Conclusion: </strong>The pioneer nature and its clinical focus are strengths however, there is a need for more research. The promising results are encouraging, and future research could also explore how best to bring the instrument into the digital age.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"9 1","pages":"87-95"},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10405663","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 effects of perceived discrimination, social support and ethnic identity on mental health of immigrant adolescents.","authors":"Derya Atalan Ergin","doi":"10.21307/sjcapp-2021-014","DOIUrl":"https://doi.org/10.21307/sjcapp-2021-014","url":null,"abstract":"<p><p><b>Background</b>: The number of immigrants has been increasing. Immigrant adolescents experience an acculturation process that affects particularly their ethnic identity, perceived discrimination, and relationships with their peers, which would have significant impact on their mental health. The ethnic composition of social environments might affect this relationship. <b>Objective:</b> The main purpose of the current research is to examine the effect of peer attachment, social support, ethnic identity, and perceived discrimination on immigrant adolescents' mental health. <b>Method:</b> The sample included 226 Syrian immigrants (X^¯ _age = 13.31, SD=1.67, 70.8 % girls). Adolescents live in a homogenous social environment where proportion of Syrian is higher. Two hierarchical regression models were used to predict depression and emotional problems. In both models, the predictive roles of social and psychological factors were examined in separate steps. <b>Results:</b> The regression analysis results for depression emphasized peer attachment, social support, and ethnic identity did not affect the depression after controlling the effect of emotional problems. Similarly, regression analysis results for emotional problems showed that peer attachment, social support, and ethnic identity did not affect depression after controlling the effect of emotional problems. The results also revealed that perceived discrimination was a risk factor for both depression and emotional problems. <b>Conclusions:</b> The results underlined the importance of psychological variables on immigrant adolescents' depression. Past research emphasized that ethnic identity and peer support had a buffering effect on mental health. The current study participants were living in a different area where they attended schools for only immigrants. The social environment was totally different from the host culture. These reasons may account for why social support from ethnic peers and ethnic identity development did not emerge as a protective factor in the present study. The results will further be discussed in terms of the importance of interaction between ethnic and host culture.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"9 1","pages":"127-136"},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10405664","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 Book Review on Handbook of Positive Youth Development: Advancing Research, Policy, and Practice in Global Contexts Radosveta Dimitrova and Nora Wiium (Eds.) (Cham, Switzerland: Springer), 2021, 754 pages, ISBN 978-3-030-70261-8","authors":"R. Khanna","doi":"10.21307/sjcapp-2021-019","DOIUrl":"https://doi.org/10.21307/sjcapp-2021-019","url":null,"abstract":"","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"9 1","pages":"174 - 175"},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45495187","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":"Normative and negative sexual experiences of transgender identifying adolescents in the community.","authors":"Elias Heino, Sari Fröjd, Mauri Marttunen, Riittakerttu Kaltiala","doi":"10.21307/sjcapp-2020-017","DOIUrl":"10.21307/sjcapp-2020-017","url":null,"abstract":"<p><strong>Background: </strong>Sexuality is a major facet of development during adolescence. Apace with normal sexual development, sexual experiences become more common and intimate. Recent research reports mixed results as to whether this is the case among transgender identifying adolescents. Recent research also suggests that trans youth experience negative sexual experiences (such as dating violence and sexual harassment) more often than their cisgender identifying peers. However, most studies have had clinical or selected samples.</p><p><strong>Objective: </strong>The aim of this study is to compare the normative as well as negative sexual experiences of trans youth with their cisgender peers in the general population.</p><p><strong>Method: </strong>Our study included 1386 pupils of the ninth year of comprehensive school in Finland, mean age (SD) 15.59 (0.41) years. We compared sexual experiences, sexual harassment and dating violence among trans youth and their cisgender identifying peers. Distributions of the outcome variables were calculated among the whole sample and by sex. Next, multivariate associations were studied using logistic regression adjusting for age, sex, honesty of responding and depression. Odds Ratios (OR) with 95% confidence intervals (CI) are given.</p><p><strong>Results: </strong>After adjusting for age, sex, honesty of responding and ultimately for depression, normative sexual experiences of trans youth did not differ systematically from those of the mainstream, cisgender identifying youth. After adjusting for sex, age and honesty, transgender youth had increased Odds Ratios for experiences of sexual coercion and dating violence perpetration. In the final models however, no statistically significant differences were detected in the negative sexual experiences between transgender and cisgender youth.</p><p><strong>Conclusions: </strong>Transgender identifying adolescents presented neither with delayed nor with excessively advanced sexual experiences. However, transgender youth seem to be more susceptible to subjection to sexual coercion and, unexpectedly, dating violence perpetration than their cisgender peers. However, these associations may in fact relate more closely to depression, a prevalent phenomenon among trans youth, than transgender identity itself.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"8 ","pages":"166-175"},"PeriodicalIF":1.9,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/20/sjcapp-08-017.PMC7866780.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25351449","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":"Can the Child Behavior Checklist (CBCL) help characterize the types of psychopathologic conditions driving child psychiatry referrals?","authors":"Joseph Biederman,&nbsp;Maura DiSalvo,&nbsp;Carrie Vaudreuil,&nbsp;Janet Wozniak,&nbsp;Mai Uchida,&nbsp;K Yvonne Woodworth,&nbsp;Allison Green,&nbsp;Stephen V Faraone","doi":"10.21307/sjcapp-2020-016","DOIUrl":"https://doi.org/10.21307/sjcapp-2020-016","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the scope of problems driving referrals to child and adolescent psychiatry services. Identifying the full range of mental disorders affecting a particular child can help triage the child to a clinician with the appropriate level of expertise. The Child Behavior Checklist (CBCL) is an easy-to-use assessment tool that may provide invaluable information regarding the severity of the presenting complaints and also aid in the referral process.</p><p><strong>Objective: </strong>To assess the utility of the CBCL to gain insights into the type of clinical problems driving referrals of youth to an outpatient pediatric psychiatry clinic.</p><p><strong>Method: </strong>The sample consisted of 418 newly referred youth 4-18 years of age of both sexes. Parents completed the CBCL assessing psychopathology and competence. Rates of patients with elevated T-scores on each scale were calculated for the whole group and stratified by sex and age (≤12 versus >12).</p><p><strong>Results: </strong>The CBCL identified high rates of psychopathology affecting referred youth. It also provided information on the type of suspected disorders affecting a particular child as well as their severity, critical information to guide likely differing clinical needs and therapeutic approaches. It also helped identify a high number of youth affected with multiple psychopathological conditions, likely to require a high level of clinical attention. Overall, males were significantly more impaired than females but there were no major differences between children and adolescents.</p><p><strong>Conclusions: </strong>The CBCL can aid in the identification of individual and comorbid mental disorders affecting youth seeking mental health services by providing specific information about the presence and the severity of specific suspected disorder. These findings have implications for prioritizing scarce resources in child mental health and for improved consideration of the complexity of clinical presentations to pediatric psychiatry programs of any type.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"8 ","pages":"157-165"},"PeriodicalIF":1.9,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d8/5c/sjcapp-08-016.PMC7866779.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25351448","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}