Health Psychology Report最新文献

{"title":"Grit: a psychological predictive factor among NEET youth.","authors":"Riccardo Romano, Dina Di Giacomo","doi":"10.5114/hpr/190463","DOIUrl":"10.5114/hpr/190463","url":null,"abstract":"<p><strong>Background: </strong>Grit is essential to favour perseverance and passion to achieve long-term goals. Our study aimed to explore the features of individual aspects of young people not in education, employment or training (NEET) as personal attributes.</p><p><strong>Participants and procedure: </strong>Participants numbered 159, were in the age range 18-35, and 54.1% were female. A structured web-based interview was conducted using a dedicated online form.</p><p><strong>Results: </strong>We investigated the self-perception of NEET regarding the learning and practical abilities. NEET were found to be confident in practical activities. The working interest of NEET seemed to be very high for public employment, but not smart working.</p><p><strong>Conclusions: </strong>NEET youth needs to be more involved in a developmental perspective to discover their own cognitive and behavioural abilities in order to be confident and focused on achieving personal growth in social engagement and the labour market.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 1","pages":"94-99"},"PeriodicalIF":2.2,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558264","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":"Personal resources as predictors of health-related behaviors in nurses.","authors":"Maria Merklinger-Soma, Ewa Wilczek-Rużyczka","doi":"10.5114/hpr/191415","DOIUrl":"10.5114/hpr/191415","url":null,"abstract":"<p><strong>Background: </strong>The work environment negatively affects the health-related behaviors of nurses due to working in a two-shift system, exposure to professional stress, excessive psycho-physical burden, and limited time for relaxation. Personal resources constitute a significant factor influencing nurses' health-related behaviors supporting their effective professional functioning. The aim of the research was to investigate the relationship between health-related behaviors and personal resources and socio-demographic variables in a group of nurses.</p><p><strong>Participants and procedure: </strong>The sample consisted of 1420 nurses working in hospitals. A cross-sectional research model with questionnaire methods was employed. The Health Behavior Inventory, the Resilience Measurement Scale, the Generalized Self-Efficacy Scale, the Life Orientation Test, and a survey questionnaire to collect socio-demographic data were used. The described tools exhibited satisfactory statistical parameters.</p><p><strong>Results: </strong>Nurses were characterized by an average or slightly increased level of health behaviors and personal resources. Resilience, self-efficacy, optimism, and socio-demographic factors (age, place of residence, relationship status, financial situation, work system, length of service, type of department, BMI) were significant predictors determining the health-related behaviors in nurses.</p><p><strong>Conclusions: </strong>Personal resources (resilience, self-efficacy, optimism) and selected socio-demographic variables, as significant predictors of health-related behaviors, were found to be diverse in terms of strength and direction of impact. The obtained results highlight the justification for continuing research, which could serve as a foundation for developing educational programs. It is recommended, therefore, that nurses participate in various forms of support related to the development of their personal resources and shaping of their health-related behaviors in the workplace.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 4","pages":"383-394"},"PeriodicalIF":1.2,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12642461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606615","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":"Childhood illnesses as risk indicators of adult mental health symptomatology.","authors":"Olivia Revels-Strother, Michaela Quaschnick, Tristan Miller, Alan King","doi":"10.5114/hpr/192409","DOIUrl":"10.5114/hpr/192409","url":null,"abstract":"<p><strong>Background: </strong>Links between childhood illnesses such as acne and migraines and co-occurring or subsequent mental health symptomatology are not well understood. Early medical histories have seldom been examined as adversity risk indicators.</p><p><strong>Participants and procedure: </strong>This survey analysis of college students (<i>N</i> = 2,636) examined links between four forms of childhood illness (migraine headaches, acne, asthma, and enuresis) and adult mental health symptomatology.</p><p><strong>Results: </strong>Four medical conditions often diagnosed in childhood or adolescence were prevalent enough in the college sample to test as risk indicators for lifetime mental health concerns. All four medical illnesses significantly raised the odds (ORM = 2.04) of lifetime depressive and anxiety disorder diagnoses. Current symptomatology was also raised for all but one (enuresis) medical condition. These effects were found after controlling for respondent age and various forms of childhood maltreatment (sexual, physical, and/or emotional abuse).</p><p><strong>Conclusions: </strong>Heightened awareness of medical histories during clinical intake assessments seems warranted. Adversity researchers might also consider the inclusion of childhood medical conditions as future maladjustment risk indicators. Study limitations included the cross-sectional design and unclearly specified timing of the self-reported psychological and health recollections. The role of modulating variables such as gender, ethnicity, socioeconomic status, and family climate in physical-mental health relationships warrants continued focus.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 2","pages":"133-144"},"PeriodicalIF":2.2,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250172","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":"Perceived stress and pandemic-associated risk factors in high-risk alcohol consumers during the third wave of the COVID-19 pandemic.","authors":"Jakub Grabowski, Tomasz Michalski, Maciej Brosz, Aleksandra Brzozowska, Gursimran Gaba","doi":"10.5114/hpr/191490","DOIUrl":"10.5114/hpr/191490","url":null,"abstract":"<p><strong>Background: </strong>As a severe and prolonged stressor, the COVID-19 pandemic has contributed to development or exacerbation of mental disorders. For substance use disorder, the link between stress and alcohol consumption is well established. However, there have been conflicting findings in the context of the pandemic. The aim of this study was to characterize the group of high-risk alcohol consumers in terms of perceived stress and potential stressors during the third wave of the pandemic.</p><p><strong>Participants and procedure: </strong>Adult Polish men (<i>N</i> = 295) from the Tricity metropolitan area participated in the study. They were subdivided into high-risk (<i>n</i> = 104) and low-risk (<i>n</i> = 191) alcohol consumers based on their self-reported weekly alcohol consumption. A demographic survey (including COVID-19 vaccination status), the Perceived Stress Scale (PSS-10) and an original questionnaire measuring causes of concern were used.</p><p><strong>Results: </strong>Overall PSS-10 results did not differ significantly between high-risk and low-risk alcohol consumers (18.40, 17.50, respectively, <i>p</i> = .185). However, the percentage distribution of perceived stress showed lower incidence of low and high levels of stress in high-risk than in low-risk alcohol consumers (9.6%, 2.9% vs. 25.7%, 6.8%, <i>p</i> = .001). High-risk alcohol consumers reported no pandemic-related worries more often than low-risk consumers (46.2% vs. 5.2%, <i>p</i> < .001), but at the same time 67.3% of them named at least one pandemic-related stressor. High-risk alcohol consumers also showed less concern about the situation on the labor market (19.2% vs. 29.3%, <i>p</i> < .001). Limited access to medical services and other people's attitudes to the pandemic were common stressors in both groups, with high-risk alcohol consumers showing more indifference to the latter.</p><p><strong>Conclusions: </strong>High-risk and low-risk alcohol consumers have been clearly impacted by pandemic-related factors. The protective effect of alcohol is debatable, given the high prevalence of medium and high stress levels among high-risk alcohol consumers. It appears that the pandemic and associated restrictions posed such a significant risk for distress escalation that they remained unrelated to the pattern of alcohol consumption or its alteration.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 4","pages":"395-405"},"PeriodicalIF":1.2,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12642459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606632","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":"Persons in helping professions in social assistance facilities and their fears related to COVID-19 using the example of Poland and Spain.","authors":"Edyta Janus, Raquel Cantero Téllez, Katarzyna Filar-Mierzwa, Paulina Aleksander-Szymanowicz, Aneta Bac","doi":"10.5114/hpr/191478","DOIUrl":"10.5114/hpr/191478","url":null,"abstract":"<p><strong>Background: </strong>The aim of the research was to collect opinions on concerns related to COVID-19 among persons in helping professions in social assistance facilities.</p><p><strong>Participants and procedure: </strong>The study involved 407 people, including 207 from Poland and 200 from Spain (346 women and 61 men). The research tool was the authors' questionnaire. Employees of social welfare institutions located in Poland and Spain were selected using purposive sampling. Respondents completed paper and electronic versions of the survey questionnaire.</p><p><strong>Results: </strong>The relationship between each helping profession and concerns about the threat to one's own life and that of loved ones in connection with COVID-19, as well as the relationship between each profession and the fear that the financial situation would deteriorate due to COVID-19, showed a statistically significant relationship only in the study of employees from Poland. The relationship between each profession and the fear of losing one's job due to COVID-19 showed a statistically significant result only in the study of employees from Spain.</p><p><strong>Conclusions: </strong>Our study showed that the COVID-19 pandemic affected employees in helping professions in social assistance institutions. Employees from Poland feared more that their financial situation would deteriorate, and felt a threat to their health and the health of their relatives and charges. On the other hand, many more workers from Spain expressed a fear of losing their jobs. Occupational therapists most often indicated fears related to the COVID-19 pandemic except for concerns about charges, which were expressed most often by psychologists.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 2","pages":"170-177"},"PeriodicalIF":2.2,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250173","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":"Short-term effectiveness of music therapy songwriting for mental health outcomes of at-risk parents in the NICU: a study protocol of an international multicenter mixed-methods trial.","authors":"Ilona Poćwierz-Marciniak, Łucja Bieleninik, Johana Benavidez Cruz, Yenny M Beltrán Ardila, Joanna Jassem-Bobowicz, Sonia A Henádez Malaver, Ana M Díaz, Nestor N Muñetones Reina, Leslie I Martínez De la Barrera, Alba J Castro Gaona, Mark Ettenberger","doi":"10.5114/hpr/190886","DOIUrl":"10.5114/hpr/190886","url":null,"abstract":"<p><strong>Background: </strong>Preterm birth contributes to adverse mental health outcomes of parents dealing with a premature neonate. The main objective of this study is to determine whether music therapy (MT) songwriting during the infants' stay in the neonatal intensive care unit (NICU) is superior to standard care in reducing the risk of postpartum depression in high-risk parents of preterm children throughout the hospital treatment. The secondary objectives include assessment of effectiveness of MT in other aspects of mental health (anxiety level, perceived stress, mental wellbeing, coping, resilience). Furthermore, this trial will evaluate the medical and social factors that may be associated with the effects of MT songwriting.</p><p><strong>Participants and procedure: </strong>The study design is a sequential mixed method study with a dominant status QUAN to qual. The quantitative trial was designed as a parallel, multicenter, pragmatic, randomized controlled trial. The qualitative study is a descriptive phenomenological study that seeks to understand the lived experiences of participants exposed to songwriting. Participants are parents of premature infants hospitalized in NICU (106 families) in 5 hospitals, in Colombia and Poland. Intervention: 3 MT songwriting sessions per week across 3 weeks. Primary outcome: the risk of postnatal depression; secondary outcomes: anxiety level, mental wellbeing, resilience, stress, coping.</p><p><strong>Results: </strong>The results will be analyzed quantitatively and qualitatively.</p><p><strong>Conclusions: </strong>This study will provide a report on the effectiveness of MT songwriting on mental health in at-risk parents of preterm infants.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"12 3","pages":"260-274"},"PeriodicalIF":2.2,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11370736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134134","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 contribution of socio-demographic, health-related and psychological factors to the perception of changes in life following a few waves of the COVID-19 pandemic.","authors":"Ewa M Szepietowska, Sara Filipiak, Ewa Zawadzka","doi":"10.5114/hpr/189699","DOIUrl":"10.5114/hpr/189699","url":null,"abstract":"<p><strong>Background: </strong>As a result of the long-lasting COVID-19 pandemic, we have experienced numerous losses in psychological and economic domains. Research covering two years (2020-2021) of the pandemic suggests that at present, the period is also perceived in terms of gains. The factors affecting opinions about the losses and gains include personality traits, intensity of COVID-19 PTSD, age, and others. The study aimed to determine which aspects changed in life after two years of the pandemic, which were assessed as negative or positive, and which factors contributed to these opinions.</p><p><strong>Participants and procedure: </strong>An online survey was carried out and responses were received from an international sample of 418 adults. The following tools were used: the Ten Item Personality Inventory, Impact of Event Scale-Revised, and COVID-19 Sense of Life Changes Questionnaire.</p><p><strong>Results: </strong>Conscientiousness and emotional stability were those personality traits which increased positive perceptions of the past years of the pandemic. The older age of respondents contributed to a more negative opinion about the changes in life caused by the pandemic.</p><p><strong>Conclusions: </strong>The personality traits of conscientiousness and emotional stability and younger age may protect against negative perceptions of the two-year period of the pandemic.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 2","pages":"178-190"},"PeriodicalIF":2.2,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250174","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":"Psychological factors and health-related quality of life in fibromyalgia patients.","authors":"Ricardo P Campos, Isabel Vázquez, Estela Vilhena","doi":"10.5114/hpr/187335","DOIUrl":"https://doi.org/10.5114/hpr/187335","url":null,"abstract":"<p><strong>Background: </strong>Fibromyalgia (FM) has been associated with decreased health-related quality of life (HRQoL), which has been linked to psychological variables such as anxiety, depression, coping, and social support. This study aimed to simultaneously analyse the association of these variables with HRQoL in FM patients and explore their mediating role in the relationship between somatic symptoms and HRQoL.</p><p><strong>Participants and procedure: </strong>A cross-sectional sample of 134 FM patients (97% women) with no other rheumatologic diseases followed in specialized healthcare services completed self-report questionnaires to evaluate pain, fatigue, sleep, anxiety, depression, coping, social support, and HRQoL.</p><p><strong>Results: </strong>The results indicated that FM patients experienced a negative impact on all dimensions of HRQoL, with anxiety primarily affecting the mental dimensions, and depression and social support affecting both physical and mental dimensions. Anxiety, depression, dysfunctional coping, and low social support were independent predictors of HRQoL and mediated the effect of somatic symptoms in the mental component of HRQoL.</p><p><strong>Conclusions: </strong>FM patients experience a negative impact on HRQoL, and anxiety, depression, coping and social support play an important role as independent predictors of this decrease, and as mediators of the effect of somatic symptoms in the mental dimensions of HRQoL. This underscores the importance of considering these psychological variables in the therapeutic approach to FM and suggests the need for interventions targeting anxiety, depression, dysfunctional coping, and low social support to improve HRQoL in FM patients.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"12 4","pages":"352-367"},"PeriodicalIF":2.2,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773326","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":"Mental health of intellectually gifted individuals: investigating the nonlinearity of the relationship between intelligence and general mental health.","authors":"Stanisław K Czerwiński, Paweł A Atroszko, Roman Konarski","doi":"10.5114/hpr/187337","DOIUrl":"10.5114/hpr/187337","url":null,"abstract":"<p><strong>Background: </strong>Despite intelligence being generally related to better mental health, individuals with extremely high levels of intelligence (also often referred to as gifted) are frequently viewed to be socially maladjusted, emotionally unstable, and eccentric. Although this view has existed for decades, the scientific data on this subject are highly inconsistent and suffer from several methodological limitations.</p><p><strong>Participants and procedure: </strong>In this study, to test whether the relationship between general intelligence and general mental health is nonlinear in such a way that at extreme values of intelligence the relationship turns from positive to negative the data from eight waves of the 1970 British Cohort Study (BCS70) were used (<i>N</i> range from 2,870 to 7,984), with intelligence being assessed at age 10, and mental health being assessed with several different measures at ages 16, 26, 30, 34, 42, 46 and 50. Quadratic regression, as well as spline regression, which divides the dataset into intervals, creates a separate regression for each interval and then smooths out the breakpoints, was used for analyses.</p><p><strong>Results: </strong>The results showed that the nonlinear models generally fit the data better than the corresponding linear models.</p><p><strong>Conclusions: </strong>At high values of intelligence, individuals might begin to experience unique issues affecting their mental health, despite their mental health being at potentially the same or higher level than those with average intelligence. Intellectually gifted individuals have a large potential to have a positive impact on the functioning of the whole society. Recognizing and understanding their problems may prove to be of great importance.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"13 1","pages":"39-54"},"PeriodicalIF":2.2,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558267","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 use of multidimensional assessment in developmental age: How evaluation of the emotional-autonomic state can facilitate the differential diagnosis in psychopathology. Description of two case studies.","authors":"Sara Guidotti, Alice Fiduccia, Carlo Pruneti","doi":"10.5114/hpr/189753","DOIUrl":"10.5114/hpr/189753","url":null,"abstract":"<p><strong>Background: </strong>Mental suffering involves cognitive, behavioral, and emotional aspects, which can manifest explicitly or remain implicit. The use of different clinical tools may allow the collection of information deriving from different channels. In the field of clinical psychopathology, there is scientific evidence regarding the use of psychophysiological parameters to identify emotional conditions characterized by hyperarousal or hypoarousal and thus favor the differential diagnosis.</p><p><strong>Participants and procedure: </strong>Our work describes two case studies demonstrating that a multidimensional assessment can comprehensively help the differential diagnosis.</p><p><strong>Results: </strong>The first case concerns a child (9 years old) brought to an assessment for behavioral disorders. The psychological tests highlighted irritability and mood alteration as prevalent concerning the behavioral manifestations (outbursts of anger, etc.). Additionally, a psychophysiological evaluation confirmed the depressive state characterized by a condition of psychophysical exhaustion. The second case concerns a girl (14 years old) diagnosed with major depressive disorder by a psychiatrist who treated her with psychotropic drugs. The antidepressants worsened her symptoms to the point of being the cause of suicidal attempts. The multidimensional evaluation documented the presence of hyperarousal at an emotional and autonomic level, a characteristic known in the literature to be a precursor of suicidal ideation.</p><p><strong>Conclusions: </strong>These case studies represent clear examples of how only a multidimensional assessment can describe the entire suffering of the person and support their health through a personalized intervention.</p>","PeriodicalId":44293,"journal":{"name":"Health Psychology Report","volume":"14 2","pages":"154-164"},"PeriodicalIF":1.6,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036250","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}