Trends in Psychiatry and Psychotherapy最新文献

{"title":"Stigmatizing Attitudes towards Mental Illness among University Students: a Comparative Study with the General Population.","authors":"B. Atienza-Carbonell, Vicent Balanzá-Martínez, Alberto Bermejo-Franco, Laura Carrascosa-Iranzo","doi":"10.47626/2237-6089-2023-0708","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0708","url":null,"abstract":"OBJECTIVE\u0000The aim of this study is to compare stigmatizing attitudes, reported and intended behavior, and knowledge of mental illness between university students and the general population.\u0000\u0000\u0000METHODS\u0000An online cross-sectional observational study was conducted. The survey included socio-demographic data and validated stigma questionnaires (AQ-27, RIBS, and MAKS). Descriptive, bivariate analyses and multiple regression modeling were employed to analyze the data.\u0000\u0000\u0000RESULTS\u0000A total of 506 participants completed the survey, including 226 (44.7%) university students (61.1% women) and 280 (55.3%) individuals from the general population (69.3% women). For both groups, women and individuals who had lived with someone with mental health problems exhibited more positive attitudes (p < 0.05). University students reported greater knowledge of mental illness (p < 0.05) than the general population. After controlling for covariates, university students only scored higher than the general population in the blame factor of AQ-27 (p < 0.05). Additionally, older participants from both groups exhibited higher levels of stigmatizing attitudes compared to those of a younger age.\u0000\u0000\u0000CONCLUSION\u0000These findings suggest that university students exhibit similar levels of stigmatizing attitudes to the general population. Among both groups, female sex, older age, previous contact with individuals with mental illness, and greater knowledge of mental health are all associated with less stigma toward people with mental illness. Tailored interventions grounded in contact with mental illness have the potential to help reduce stigmatizing attitudes within both groups.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":"53 10","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139384749","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":"Stigmatizing Attitudes towards Mental Illness among University Students: a Comparative Study with the General Population.","authors":"Beatriz Atienza-Carbonell, Vicent Balanzá-Martínez, Alberto Bermejo-Franco, Laura Carrascosa-Iranzo","doi":"110.47626/2237-6089-2023-0708","DOIUrl":"110.47626/2237-6089-2023-0708","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to compare stigmatizing attitudes, reported and intended behavior, and knowledge of mental illness between university students and the general population.</p><p><strong>Methods: </strong>An online cross-sectional observational study was conducted. The survey included socio-demographic data and validated stigma questionnaires (AQ-27, RIBS, and MAKS). Descriptive, bivariate analyses and multiple regression modeling were employed to analyze the data.</p><p><strong>Results: </strong>A total of 506 participants completed the survey, including 226 (44.7%) university students (61.1% women) and 280 (55.3%) individuals from the general population (69.3% women). For both groups, women and individuals who had lived with someone with mental health problems exhibited more positive attitudes (p < 0.05). University students reported greater knowledge of mental illness (p < 0.05) than the general population. After controlling for covariates, university students only scored higher than the general population in the blame factor of AQ-27 (p < 0.05). Additionally, older participants from both groups exhibited higher levels of stigmatizing attitudes compared to those of a younger age.</p><p><strong>Conclusion: </strong>These findings suggest that university students exhibit similar levels of stigmatizing attitudes to the general population. Among both groups, female sex, older age, previous contact with individuals with mental illness, and greater knowledge of mental health are all associated with less stigma toward people with mental illness. Tailored interventions grounded in contact with mental illness have the potential to help reduce stigmatizing attitudes within both groups.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139098932","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":"Mood or energy/activity symptoms in bipolar mania: which are the most informative?","authors":"Elie Cheniaux, Luis Anunciação, Jesus Landeira-Fernandez, Antonio Egidio Nardi","doi":"10.47626/2237-6089-2022-0551","DOIUrl":"10.47626/2237-6089-2022-0551","url":null,"abstract":"<p><strong>Objective: </strong>In the DSM-III and the DSM-IV, bipolar disorder (BD) is classified as a mood disorder and diagnosis requires presence of a mood change, i.e., euphoria or irritability. In contrast, DSM-5 states that there must be some increase in energy or motor activity in addition to the mood change. Our aim was to identify which types of symptoms (i.e., mood or energy/activity-related symptoms) are the most informative in a manic episode.</p><p><strong>Methods: </strong>Symptoms of manic episodes in 106 outpatients with BD were assessed in a naturalistic study using the Young Mania Rating Scale (YMRS) between November 2002 and November 2015. The scale items were divided into three groups according to clinical criteria: mood, energy/activity, and other. For comparisons between groups, the Samejima graded response model from Item Response Theory (IRT) and the Test Information Function (TIF) were computed. Chi-square tests were used to verify the association between the groups of symptoms by comparing the area under the curve of the TIF results.</p><p><strong>Results: </strong>The information accounted for by energy/activity represents 77% of the proportion of the total TIF; about 23% is related to mood and other groups of symptoms. These proportions are statistically different (χ²[1] = 30.42, p < 0.001).</p><p><strong>Conclusion: </strong>On average, changes in energy/activity tend to be more informative than mood changes during the manic phases of BD.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20220551"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11453170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9205824","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 Homage to Professor Adolpho Hoirisch (1930-2023), a luminary of Brazilian Psychiatry, and his humanitarian and public commitment.","authors":"Antonio E Nardi, Mauro V Mendlowicz","doi":"10.47626/2237-6089-2023-0769","DOIUrl":"10.47626/2237-6089-2023-0769","url":null,"abstract":"","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230769"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11453168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404736","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":"Prosocial behavior in children involved in peer violence.","authors":"Marília M Mendes-Sousa, Anderson Ribeiro da Silva, Marília Mariano, Rosângela Espolaor, Raquel Fernandes Shimizu, Jair J Mari, Zila M Sanchez, Sheila C Caetano","doi":"10.47626/2237-6089-2023-0632","DOIUrl":"10.47626/2237-6089-2023-0632","url":null,"abstract":"<p><strong>Objective: </strong>Peer violence is a serious type of school violence that is associated with emotional and behavioral problems. The objective of this study was to analyze violence between peers and its associations with students' social skills.</p><p><strong>Methods: </strong>We used a cross-sectional survey nested within a cluster-randomized controlled trial (REBEC/Brazil, U1111-1228-2342) to evaluate peer violence among elementary school students and its association with prosocial behaviors and mental problems. Teachers answered an adapted version of the Revised Olweus Bully/Victim Questionnaire (OBVQ) and the Brazilian adaptation of the Teacher Observation of Classroom Adaptation-Checklist (TOCA-C) scale for each student. Children completed a sociodemographic questionnaire. The participants were 1,152 5-to-14-year-old children from Brazilian public schools, 79.70% of whom reported being involved in violent situations.</p><p><strong>Results: </strong>Children who had both committed and suffered violence were less likely to exhibit prosocial behaviors. Children who committed and suffered violence and those who only committed violence were more likely to experience concentration problems and exhibit disruptive behaviors.</p><p><strong>Conclusion: </strong>This study suggests that peer violence is associated with fewer prosocial behaviors and more behavioral problems. Thus, more specialized mental health care is required for children involved in peer violence, in addition to implementation and maintenance of programs to prevent and reduce violence and develop prosocial behaviors in schools.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230632"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713192","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":"Self-reported social media use by adolescents in Brazil: a school-based survey.","authors":"Rivka B Pereira, Thais C Martini, Claudia Buchweitz, Renata R Kieling, Helen L Fisher, Brandon A Kohrt, Valeria Mondelli, Christian Kieling","doi":"10.47626/2237-6089-2022-0545","DOIUrl":"10.47626/2237-6089-2022-0545","url":null,"abstract":"<p><strong>Objective: </strong>Although there is a general perception that adolescent social media use is a global phenomenon, there is a scarcity of data on patterns and preferences of social media use among youth in low- and middle-income countries (LMICs). We here describe self-reported prevalence and perceived effects of social media use in a school-based sample of Brazilian adolescents.</p><p><strong>Methods: </strong>We analyzed cross-sectional data on 7,113 adolescents aged 14 to 16 years enrolled at 101 public state schools between 2018 and 2019 in Porto Alegre, state of Rio Grande do Sul, Brazil.</p><p><strong>Results: </strong>Of the 7,113 adolescents with complete data for analyses, 54.9% were female, and 60.6% reported their skin color as white. At least one social media platform was used by 97.7% of adolescents every day, and 64.7% reported being online \"almost constantly.\" YouTube and WhatsApp were the most popular platforms. Most participants perceived the effect on their lives of social media use as neutral.</p><p><strong>Conclusion: </strong>The pattern of social media use by adolescents in Porto Alegre, Brazil, is similar to that reported for samples from high income countries. Also, we found that those who reported being constantly online were also more likely to report socializing with their friends offline.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20220545"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10540830","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":"Correlations between childhood maltreatment, anxiety and depressive symptoms, and risk behaviors in adolescent schoolchildren.","authors":"Daniela Ladeira Reis, Mônica Gonçalves Ribeiro, Isabela Couto, Nina Maia, Dagoberto Bonavides, Ana Cristina Botelho, Claudia Luisa Sena, Curt Hemanny, Irismar Reis de Oliveira","doi":"10.47626/2237-6089-2021-0456","DOIUrl":"10.47626/2237-6089-2021-0456","url":null,"abstract":"<p><strong>Objective: </strong>Childhood maltreatment is extremely harmful to health, especially in relation to development of the psychiatric disorders throughout life. The objective of this study was to describe the prevalence and types of maltreatment in a sample of adolescent schoolchildren and to investigate associations between maltreatment types and anxiety and depressive symptoms, sociodemographic variables, and risk behaviors. The study also identified which variables were the greatest predictors of anxiety and depressive symptoms.</p><p><strong>Methods: </strong>We conducted a cross-sectional study with a sample of 654 school students aged 11 to 17 years. We collected sociodemographic data and administered the Revised Child Anxiety and Depression Scale (RCADS-47) to measure anxiety and depressive symptoms as well as the Childhood Trauma Questionnaire (CTQ) to evaluate maltreatment and adverse experiences such as abuse and negligence during childhood and adolescence. Statistical analyses were conducted to estimate correlations between sociodemographic data, anxiety, depression, and types of maltreatment. A regression analysis was also conducted to identify maltreatment types that predict psychological symptoms.</p><p><strong>Results: </strong>Emotional abuse and emotional neglect were the most prevalent types of maltreatment. Statistically, emotional abuse was the maltreatment type most strongly correlated with depression and anxiety and tended to co-occur with other types of maltreatment. Additionally, emotional and sexual abuse were the greatest predictors of anxiety and depression in adolescents.</p><p><strong>Conclusion: </strong>The above results reinforce the findings of previous studies in terms of understanding the effects of maltreatment. They identify emotional abuse as the main predictor of depressive and anxiety symptoms.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20210456"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11140768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9080200","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":"Incidence of suicidal ideation in a cohort of civil servants during the COVID-19 pandemic in Brazil: insights from the ELSA-Brasil Study.","authors":"Pedro Bacchi, Paulo Suen, Daniel Fatori, Lais B Razza, Leonardo Afonso, Izio Klein, Beatriz Cavendish, Marina L Moreno, Itamar S Santos, Isabela Benseñor, Paulo Lotufo, André R Brunoni","doi":"10.47626/2237-6089-2023-0701","DOIUrl":"10.47626/2237-6089-2023-0701","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the incidence of suicidal ideation and its associated risk factors in the state of São Paulo in the Brazilian Longitudinal Study of Adult Health (Estudo Longitudinal de Saúde do Adulto [ELSA-Brasil]) cohort during the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Methods: </strong>In a pre-pandemic ELSA-Brasil onsite assessment in 2016-2018 (wave 3) and a pandemic online assessment in May-July 2020 (wave COVID), we assessed suicidal ideation using the Clinical Interview Schedule-Revised (CIS-R). Single and multi predictor logistic regressions were performed using sociodemographic characteristics, household financial impact during the pandemic, presence of previous chronic diseases, alcohol abuse, adverse childhood experiences (ACE), living alone, and previous common mental disorders (CMD) as predictors. Incidence of suicidal ideation was used as outcome.</p><p><strong>Results: </strong>Out of 4,191 participants in wave 3, 2,117 (50.5%) also answered the COVID wave. There was a threefold increase in suicide ideation, from 34 (1.8%) to 104 (5.6%) participants. In multiple predictor models, we found that previous CMD (odds ratio [OR] 7.17; 95% confidence interval [95%CI] 4.43 - 11.58) and ACE (OR 1.72; 95%CI 1.09 - 2.72) increased the odds of incident suicidal ideation. The sociodemographic predictors female sex, younger age, and low income were significant risk factors in the single predictor models only.</p><p><strong>Conclusions: </strong>These findings underscore the importance of monitoring and supporting individuals who suffered ACE and have a history of mental health disorders. This is especially critical in times of heightened societal stress, such as the COVID-19 pandemic.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230701"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139111278","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":"Decrease in alcohol use disorder hospitalizations in Brazil: what does it mean?","authors":"Renato Luís Pessôa, Alexandre Kieslich da Silva, Luiza Silveira Lucas","doi":"10.47626/2237-6089-2022-0588","DOIUrl":"10.47626/2237-6089-2022-0588","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the trend of hospitalizations for alcohol use disorder (AUD) in Brazil, by region, and establish its relationship with mental health care facilities.</p><p><strong>Methods: </strong>Data were collected through the Brazilian Unified Health System's (SIH/SUS) Hospital Information System (Sistema de Informação Hospitalar) and the National Register of Health Establishments of Brazil (Cadastro Nacional de Estabelecimentos de Saúde [CNES]). We used linear regression models to estimate the effect of SUS psychiatric beds and Center for Psychosocial Care (Centro de Atenção Psicossocial [CAPS]) numbers on AUD hospitalizations.</p><p><strong>Results: </strong>From 2015 to 2020, 298,735 hospitalizations for AUD were recorded. Most of the patients admitted for AUD were male (88.8%). Individuals aged 60 years and older accounted for 11.7% of our cohort. The highest concentration of hospitalizations occurred in the South region (40.1%). The rate of hospitalizations per hospital bed remained relatively constant. The number of CAPS has a negative effect on SUS psychiatric beds in Brazil (average effect -22.31 [95% confidence interval {95%CI} -26.92, -17.70]). Psychiatric beds have a positive effect on AUD hospitalizations in the country (average effect 1.82 [95%CI 0.91, 2.74]).</p><p><strong>Conclusions: </strong>Prioritization guidelines for other forms of care are associated with a decrease in hospitalizations for AUD, so we highlight the importance of adequate training of health care professionals for proper referral of these patients to hospital admission when necessary.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20220588"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11453169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10556215","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":"Brazilian Psychiatric Association Consensus for the Management of Acute Intoxication: general management and specific interventions for drugs of abuse.","authors":"Leonardo Baldaçara, Amanda de Gouvêa Pettersen, Verônica da Silveira Leite, Flávia Ismael, Carolina Pereira Motta, Railson Alves Freitas, Nicoli Abrão Fasanella, Lucas Alves Pereira, Maria Elisa Lima Barros, Leonardo Barbosa, Ana Luiza Silva Teles, Ruy Palhano, Helio Penna Guimaraes, Maria Aparecida Braga, João Mauricio Castaldelli-Maia, Carla Bicca, Analice Gligliotti, Ana Cecilia Petta Roseli Marques, Antônio Geraldo da Silva","doi":"10.47626/2237-6089-2022-0571","DOIUrl":"10.47626/2237-6089-2022-0571","url":null,"abstract":"<p><strong>Objectives: </strong>To present the Brazilian Psychiatric Association's Consensus on the Management of Acute Intoxication.</p><p><strong>Methods: </strong>A group of experts selected by the Brazilian Psychiatric Association searched for articles on the MEDLINE (by PubMed) and Cochrane databases, limited to human studies and acute intoxication. Working groups reviewed these materials for appropriateness to the topic and the quality of the work. A survey was conducted using the Delphi method to produce a table of agreed recommendations presented at the end of the systematic review. Three survey rounds were held to reach consensus.</p><p><strong>Results: </strong>Support for intoxication should start with Initial Management: Resuscitation/Life Support/Differential Diagnosis. For this, the group proposed the following sequence of assessments: A (airway), B (breathing), C (circulation), D.1 (disability), D.2 (differential diagnosis), D.3 (decontamination), D.4 (drug antidotes), E (enhanced elimination). The group of experts then presented specific interventions for the main drugs of abuse.</p><p><strong>Conclusions: </strong>Management of intoxication with drugs of abuse is complex and requires systematic protocols. The group suggests adoption of the A-B-C-D-E technique first, with constant investigation. Then, specific conduct and support until remission of intoxication. The literature is still scarce in evidence on the subject. Therefore, this consensus was necessary. We believe that at present this document can help psychiatric, general, and emergency physicians deal with emergency psychiatric episodes due to acute intoxication. This work could stimulate future studies on the topic.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20220571"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10466414","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}