Salud MentalPub Date : 2023-01-27DOI: 10.17711/sm.0185-3325.2023.003
Dafne E. Durón-Reyes, A. Mimenza-Alvarado, Lidia A. Gutiérrez-Gutiérrez, M. J. Suing-Ortega, Y. Quiroz, S. Aguilar-Navarro
{"title":"Association of loneliness, social isolation, and daily cognitive function in Mexican older adults living in community during the first wave of COVID-19 pandemic","authors":"Dafne E. Durón-Reyes, A. Mimenza-Alvarado, Lidia A. Gutiérrez-Gutiérrez, M. J. Suing-Ortega, Y. Quiroz, S. Aguilar-Navarro","doi":"10.17711/sm.0185-3325.2023.003","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.003","url":null,"abstract":"Introduction. Loneliness and social isolation are known risk factors for cognitive decline; their effect in older adults (OA) after COVID-19 lockdown is emerging. Objective. To establish an association between loneliness and social isolation, with daily cognitive function in Mexican OA during the first wave of the COVID-19 pandemic. Method. Cross-sectional study, derived from the cohort “The impact of COVID 19 on well-being, cognition, and discrimination among older adults in the United States and Latin America”, which included 308 OA recruited between March-August 2020 whose daily cognitive function were determined with the Everyday Cognition Scale (E-Cog) as dichotomized score (cut point: 1.31 for normal cognition). Loneliness and social isolation were binomial variables. Results. The mean age was 65.4 ± 7.9 years, 75.7% were women. The mean continuous E-Cog score was 57.4 (SD = ± 19.1), 49.1% had a score () 1.31 (normal cognition), while 50.9% had a higher score (cognitive impairment). Eighty four percent of participants reported loneliness, 79.9% reported social isolation. Multivariate regression model showed a negative and statistically significant association between social isolation and loneliness and E-Cog, adjusted by age, sex and education level (β = -.046, 95% CI = [-.8, -.013], p = .007; β = -.16, 95% CI = [-.08, -.018], p = .003), and a positive association with subjective memory complaint (β = .81, 95% CI = [-.16, -.11], p = () .001). Discussion and conclusion. These data suggest the need for increased vigilance of those who have loneliness and social isolation due to its potential deleterious effect on cognitive function.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"309 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79586463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-11-29DOI: 10.17711/sm.0185-3325.2022.036
Ângela Luiza Cunha Legey, D. A. Höfelmann
{"title":"Quality of life in pregnant women: Association with demographic, socioeconomic, obstetric, and health conditions factors","authors":"Ângela Luiza Cunha Legey, D. A. Höfelmann","doi":"10.17711/sm.0185-3325.2022.036","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.036","url":null,"abstract":"Introduction. During pregnancy, there are changes that influence a woman’s quality of life. Objective. To analyze the quality of life and its association with demographic, socioeconomic, obstetric, and health conditions in pregnant women. Method. Quality of life was measured using the WHOQOL-BREF, and to evaluate the association between quality of life domains and exposure variables (demographics, socioeconomic, obstetrics, and health conditions) the inflated beta regression was used. Results. In the physical domain, pregnant women had lower scores: with higher parity (OR = .71; 95% CI = [.59, .84]), third pregnancy trimester (OR = .74; 95% CI [.61, .89]), reported common symptom (OR = .80; 95% CI = [.67, .95]), or morbidity (OR = .67; 95% CI [.57, .79]). In the psychological domain, women with planned pregnancy had higher scores (OR = 1.20; 95% CI= [1.04, 1.37]), while those who reported common symptoms (OR = .75; 95% CI = [.63, .89]), or morbidity (OR = .82; 95% CI = [.70, .95]) had the worst scores. Higher income was associated with higher scores in the social relationships domain (OR = 1.22; 95% CI = [1.03, 1.45]). Women in their second pregnancy had lower scores in the environment domain (OR = .84; 95% CI = [.72, .98]), while those with intermediate income had higher scores (OR = 1.23; 95% CI = [1.05, 1.43]). Discussion and conclusion. Lower quality of life scores were associated with obstetrics and health conditions variables, while higher scores were related with demographics and socioeconomics variables. The multidimensionality of factors associated with the domains of quality of life during pregnancy is also highlighted, which stresses the importance of intersectoral actions for women in social vulnerability.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"38 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87973657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-11-29DOI: 10.17711/sm.0185-3325.2022.040
Fátima Sagrario Espinoza-Salgado, Edgar Landa-Ramírez, Rebeca Robles
{"title":"Fear of cancer recurrence in informal caregivers of childhood cancer survivors","authors":"Fátima Sagrario Espinoza-Salgado, Edgar Landa-Ramírez, Rebeca Robles","doi":"10.17711/sm.0185-3325.2022.040","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.040","url":null,"abstract":"Background. Fear of cancer recurrence is one of the most distressing psychological consequences in cancer survivors and their informal primary caregivers (IPC). IPC of childhood cancer survivors (CCS) are often their mothers, which could intensify fear of cancer recurrence (FCR) and its impact on both IPC and CCS. However, the phenomenon has not been widely described in this specific population. Objective. To summarize and analyze current evidence on the evaluation and management of FCR among IPC of CCS. Method. A narrative review of studies included in four databases (PsycInfo, Medline, CINALH, and Web of Science) with no language or year of publication restrictions. Results. Measures specifically developed to assess FCR among IPC of CCS comprising an interview and a questionnaire with initial psychometric evaluations and two short, online intervention programs based on cognitive-behavioral-contextual therapy were identified (ENGAGE and CASCAdE). Both have demonstrated acceptability in parents of CCS in high-income countries; preliminary evidence also exists of the effectivity of CASCAdE in reducing FCR. Discussion and conclusion. Given the limitations of this area of psychological evaluation, the Fear of Cancer Recurrence Inventory, originally developed for adult cancer survivors, constitutes the most suitable tool for evaluating FCR among IPC of CCS. The CASCAdE program seems a promising intervention for IPC of CSS, although cultural adaptations, evaluations of its acceptability in low- and middle-income countries, and controlled studies in large samples are still required.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"265 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76273975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-11-29DOI: 10.17711/sm.0185-3325.2022.035
Vania Barrientos Casarrubias, Angélica Riveros Rosas, C. González-Forteza, Rebeca Robles García
{"title":"Psychometric properties of the Cognitive Appraisal Inventory for Patients with Chronic Pain in Mexican population","authors":"Vania Barrientos Casarrubias, Angélica Riveros Rosas, C. González-Forteza, Rebeca Robles García","doi":"10.17711/sm.0185-3325.2022.035","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.035","url":null,"abstract":"Introduction. Cognitive assessment is the process whereby individuals assess the effect an adverse circumstance has on their well-being (primary assessment) and their ability to cope with it (secondary assessment), which is closely related to the emotional and behavioral response they show as a result. Objective. To determine the validity and internal consistency of the Spanish version of the Cognitive Assessment Inventory (CAI) for patients with chronic pain for Mexican population. Method. A total of 191 adults with chronic pain completed the Spanish version of the CAI, as well as self-report measures of disability, daily activities, anxiety, and depression. Results. The confirmatory factor analysis for each type of primary cognitive assessment included in the CAI yielded models with satisfactory goodness of fit and Cronbach’s α indices (loss/damage: CMIN/DF = 1.132, NFI = .935, CFI = .992, AGFI = .939, SRMR = .046, RMSEA = .026, α = .73; threat: CMIN/DF = 1.132, NFI = .935, CFI = .992, AGFI = .939, SRMR = .046, RMSEA = .026, α = .81; and challenge: CMIN/DF = 1.567, NFI = .939, CFI = .977, AGFI = .926, SRMR = .044, RMSEA = .055, α = .86). Cognitive assessments of loss/harm and threat were positively associated with the degree of disability, depression, and anxiety, and negatively associated with the performance of daily activities. The opposite occurred with the cognitive assessment of challenge. Discussion and conclusion. The Spanish version of the CAI is a valid, quick, easy, and reliable tool for evaluating the primary cognitive assessment of pain, a construct closely related to physical disability and emotional suffering in response to this experience, which may be modified through brief cognitive interventions.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"23 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87428567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-11-29DOI: 10.17711/sm.0185-3325.2022.034
F. D. L. Peña, José Carlos Medina, Assad Daniel Saad Manzanera
{"title":"General Transdiagnostic Specifier: The case of limited prosocial emotions","authors":"F. D. L. Peña, José Carlos Medina, Assad Daniel Saad Manzanera","doi":"10.17711/sm.0185-3325.2022.034","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.034","url":null,"abstract":"","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"31 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88376794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-11-29DOI: 10.17711/sm.0185-3325.2022.039
T. J. Saucedo-Molina, Frida Josselyn Canales Ramírez, Orquidea Galdina Arellano-Pérez
{"title":"Effects of disordered eating behaviors and sedentary lifestyle prevention program in male and female Mexican adolescents","authors":"T. J. Saucedo-Molina, Frida Josselyn Canales Ramírez, Orquidea Galdina Arellano-Pérez","doi":"10.17711/sm.0185-3325.2022.039","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.039","url":null,"abstract":"Introduction. Adolescents are the group with the highest risk of developing disordered eating behaviors (DEB). Preventing this problem is of the utmost importance due to the physical and psychological consequences. Objective. To evaluate the effects of a universal prevention program for disordered eating behaviors (DEB), thin ideal internalization (TII), drive for muscularity (DM), and sedentary lifestyle among Mexican adolescents. Method. A quasi-experimental study with repeated measures (pre-test, post-test, six-month, and one-year follow-up) was carried out in a non-probabilistic sample of 523 adolescents (46.7% of females) aged 15-19 years (Mage = 16.07). We worked in two private high schools, one of them was designed as control group (CG), and the other as intervention group (IG). For both, female and male adolescents’, data were collected using the Brief Questionnaire for Disordered Eating Behaviors (BQDEB) and the short form of the International Physical Activity Questionnaire (IPAQ). To evaluate TII the Attitudes toward Body Figure Questionnaire was applied in females, while in males Drive for Muscularity Scale (DMS) was used. Results. After one-year, repeated measures analyses of variance (ANOVAs) revealed a significant reduction of the mean DEBs scores both in female (p = .01) and male (p = .03) adolescents of the IG with respect to CG. In IG, females decreased significantly the mean TII score as well as the mean DM score in males. Physical Activity increased in IG females from pre-test to posttest; however, the effect was not maintained over time. Discussion and conclusion. These findings have important implications for future interventions with Mexican adolescents. We must take sex differences into account to choose activities and strategies that will enhance the effects of the program.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"9 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72930302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-11-29DOI: 10.17711/sm.0185-3325.2022.038
Jasmin U. Camacho-Martínez, K. López-García, Daniel Herrera-Medina, F. Guzmán-Facundo, Pedro González Angulo
{"title":"Perceived discrimination and alcohol consumption in an indigenous population","authors":"Jasmin U. Camacho-Martínez, K. López-García, Daniel Herrera-Medina, F. Guzmán-Facundo, Pedro González Angulo","doi":"10.17711/sm.0185-3325.2022.038","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.038","url":null,"abstract":"Introduction. Indigenous populations are considered a vulnerable minority and have characteristics such as poverty, difficulties to access food, housing, and educational backwardness; these conditions make them prone to alcohol consumption problems. Dependence on alcohol consumption probably arises as a symbol of protest, challenge, and response to social anguish, which has in turn repercussions in marginal population sectors that have conditions of fragility due to exploitation and discrimination, such as indigenous people. Objective. To know the effect of perceived discrimination on alcohol consumption in Mexican indigenous population. Method. Research design was descriptive, correlational check-model, with a sample of 362 adults from two indigenous communities. Results. A simple linear regression model was performed, which shows a significant effect in the entire model (F[248] = 78.312, p = .001), which explains 49% of the variance of alcohol consumption. A significant positive influence was also found from the perceived discrimination variable (β = .626, p #abr# .001) on alcohol consumption. Discussion and conclusion. The studied indigenous communities had characteristics that the literature highlights as risk factors for developing addictive behaviors of alcohol consumption. These results coincide with those of the National Commission for the Development of Indigenous Peoples. Indigenous population present discrimination problems that are associated with alcohol consumption problems.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"3 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84274418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-11-29DOI: 10.17711/sm.0185-3325.2022.037
Daniel Escalante-Ramírez, Karen Bonilla, J. L. Maguiña
{"title":"Asociation between nutritional status and depressive symptoms in a Peruvian adult population: A population-based study in Peru","authors":"Daniel Escalante-Ramírez, Karen Bonilla, J. L. Maguiña","doi":"10.17711/sm.0185-3325.2022.037","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.037","url":null,"abstract":"Introduction. Among the Peruvian population, the prevalence of overweight and obesity has increased, making it one of the main public health problems. There is also conflicting evidence on the association between increased BMI and depressive symptoms in the adult population. Objective. To determine the association between nutritional status (NS) and depressive symptoms (DS) in the Peruvian population. Method. We conducted a secondary data analysis of the Peruvian Demographic and Family Health Survey (ENDES). We assessed the NS according to body mass index (BMI), grouped into normal weight (BMI = 18.50 - 24.99), overweight (BMI = 25.00 - 29.99), 1A obesity (BMI = 30.00 - 32.49), and 1B obesity (BMI ≥ 32.50). DS were assessed using the Patient Health Questionnaire (PHQ-9) instrument. A generalized linear model stratified by sex was constructed to calculate crude (cPRc) and adjusted (aPR) prevalence ratios. Results. A total of 26,463 records of people aged 18-60 years were assessed, yielding a 6.3% prevalence of DS (≥ 10 points). Females had a higher frequency of DS than males, which increased depending on their NS: normal weight 7.8%, overweight 8.2%, 1A obesity 9.0%, and 1B obesity 12.0%. Likewise, in the multivariate analysis, women with 1B obesity reported a higher frequency of DS (aPR = 1.30; 95% CI = [1.03, 1.63]). Discussion and conclusion. There is a strong association between nutritional status and depressive symptoms in Peruvian women, with obese women being more likely to have depressive symptoms.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"17 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88201849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-10-04DOI: 10.17711/sm.0185-3325.2022.029
José Luis Benítez-Villa, A. Fresán, C. Becerra‐Palars, N. Ramos-Ibáñez
{"title":"Chronotype in bipolar disorder: Differences in sleep quality, social jet lag, physical activity, and diet","authors":"José Luis Benítez-Villa, A. Fresán, C. Becerra‐Palars, N. Ramos-Ibáñez","doi":"10.17711/sm.0185-3325.2022.029","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.029","url":null,"abstract":"Introduction. People with bipolar disorder are at a higher risk of metabolic morbidity and mortality. Chronotype may play a significant role due to its effect on sleep quality, eating patterns, and physical activity. Objective. To compare sleep quality, social jetlag, physical activity, and diet, depending on the chronotype of people with bipolar disorder, and to determine the association between these variables. Method. Cross-sectional, comparative, correlational study. The sociodemographic and clinical characteristics of subjects were assessed. Chronotype was determined using the Composite Scale of Morningness while sleep quality was evaluated through the Pittsburg Sleep Quality Index. Social jet lag was calculated through the absolute difference between the midpoint of sleep on weekends and workdays. Physical activity was measured through the Bouchard Activity Record and diet was evaluated through a food frequency questionnaire. Comparative analyses were performed between chronotype categories and the association between variables was measured. Results. 116 subjects were included. Subjects with evening chronotype reported poorer sleep quality than those with morning chronotype. Eveningness was associated with lower sleep quality scores and more hours of sleep on workdays, as well as with higher consumption of cold meats, calories, and sodium. Trends indicate greater social jet lag and low physical activity levels among evening chronotypes. Discussion and conclusion. The effects of chronotype on study variables require further research to clarify this complex relationship and develop educational strategies to promote sleep hygiene, physical activity, and a healthy diet.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"96 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77216913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2022-10-04DOI: 10.17711/sm.0185-3325.2022.030
L. D. S. Silva Neto, Luiz José Frota Solon Júnior, Francialda Marques Mota Vieira, Leonardo de Sousa Fortes
{"title":"Prevalence of eating disorders indicators and their relationship with sleep quality in women who practice Brazilian jiu-jitsu: A pilot study","authors":"L. D. S. Silva Neto, Luiz José Frota Solon Júnior, Francialda Marques Mota Vieira, Leonardo de Sousa Fortes","doi":"10.17711/sm.0185-3325.2022.030","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.030","url":null,"abstract":"Introduction. The literature presents few findings on the relationship between sleep quality and eating disorders indicators, especially in women fighters. Objective. To compare the sleep quality among women who practice BJJ due to risk behaviors in eating disorders. Method. Twenty-six women who practice Brazilian Jiu-Jitsu (BJJ) participated in this study. After completing the Free and Informed Consent Form, the participants answered the instruments separately (Eating Attitudes Test and Pittsburgh Sleep Quality Index). Data were analysed using the unpaired T-test and Pearson’s linear correlation. Results. Twenty-six women who practice BJJ participated in the study. The first group had non-prevalence of eating disorders indicators (n = 14) while the second group had prevalence (n = 12). There was no correlation between sleep quality and eating disorders indicators in none of the groups. Similary, there was no statistical difference between the sleep quality of the two groups; however, both groups were poor sleepers. Discussion and conclusion. Findings suggest that the prevalence of eating disorders indicators is high in women who practice BJJ, however, we did find a significant correlation between eating disorder indicators and sleep quality. Thus, as this is a nascent topic, further research is needed to better clarify this phenomenon.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"16 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84963504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}