Journal of Dual Diagnosis最新文献

{"title":"Influence of Posttraumatic Stress Disorder on Daily-Level Trajectories of Opioid Use Among Trauma-Exposed Individuals in the Community Who Use Opioids.","authors":"Nicole H Weiss, Noam G Newberger, Alexa M Raudales, Emmanuel D Thomas, Prachi Bhuptani, Colin T Mahoney, Ateka A Contractor","doi":"10.1080/15504263.2025.2559173","DOIUrl":"https://doi.org/10.1080/15504263.2025.2559173","url":null,"abstract":"<p><p><b>Objective:</b> Individuals who use opioids are at elevated risk of posttraumatic stress disorder (PTSD). The objective of this study was to examine the influence of PTSD diagnosis on opioid use outcomes over a 60-day period. <b>Methods:</b> Participants were individuals with a history of trauma and recent opioid use who were recruited from the community (<i>M_age</i> = 43.45 years; 54.8% white). Participants were administered a structured diagnostic assessment for PTSD during a baseline session, and reported 30-day opioid use, opioid treatment engagement, impaired control around using opioids, and opioid overdose using a Timeline Follow-back during baseline (<i>N =</i> 84) and follow-up (<i>N =</i> 56) sessions. Multilevel models were used to examine the influence of PTSD on change in opioid use, treatment, and impaired control over the course of the 60-day observation period among the 56 individuals that completed follow-up interviews. <b>Results:</b> Two-thirds of the sample had a diagnosis of PTSD (66.7%). Compared to those without PTSD, individuals with PTSD were less likely to decrease opioid use (<i>OR</i> = 1.04, 95% CI [1.02, 1.06], <i>p</i> < .001), but were not more likely to report episode of impaired control (<i>OR</i> = 1.02, 95% CI [0.98, 1.06], <i>p</i> = .268), over the 60-day period. Although individuals with PTSD were less likely to increase their engagement with opioid treatment (<i>OR</i> = 0.96, 95% CI [0.95, 0.97], <i>p</i> < .001), these individuals engaged in treatment at much higher levels compared to individuals without PTSD. <b>Conclusions:</b> Findings underscore the high prevalence and impact of PTSD on opioid use outcomes among trauma-exposed community individuals who use opioids.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239876","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}

{"title":"Functional Relationships of Binge Drinking and Alcohol-Related Problems With Posttraumatic Stress Symptoms in a Pilot Sample of Veterans.","authors":"Angela J Zaur, Christopher Latourrette, Lance M Rappaport, Caitlin Fountain, William C Walker, Tara A Austin, Sarah L Martindale, Ananda B Amstadter, Christina M Sheerin","doi":"10.1080/15504263.2025.2559168","DOIUrl":"https://doi.org/10.1080/15504263.2025.2559168","url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic stress (PTS) symptoms and problematic alcohol use (e.g., binge drinking and alcohol-related problems; ARP) commonly co-occur following stressors and traumatic events. Ecological momentary assessment methods can clarify the functional relationships between these conditions.</p><p><strong>Methods: </strong>Twenty-five trauma-exposed combat veterans with pre-pandemic heavy drinking histories completed three daily smartphone surveys for four weeks, assessing binge drinking, ARP, PTS symptoms, and positive and negative affect. Within-person multi-level models assessed PTS and alcohol relationships, covarying for affect and demographics.</p><p><strong>Results: </strong>Within-person variation in PTS was inversely associated with binge drinking but not associated with ARP after adjustment for interindividual heterogeneity. Within-person variation in ARP was not associated with PTS after adjustment for interindividual heterogeneity. The covariate of negative affect was positively associated with ARP and PTS.</p><p><strong>Conclusions: </strong>Findings suggest negative affect, rather than PTS, has the strongest association with variation in ARP symptoms in this at-risk sample. There was also evidence of individual differences in the strength and direction of effects.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239869","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}

{"title":"Self-Medicating With Alcohol During the COVID-19 Pandemic: COVID-19 Stresses Classify People Into Nondrinkers, Moderate Drinkers, and Binge Drinkers.","authors":"Andrew Lac","doi":"10.1080/15504263.2025.2558178","DOIUrl":"https://doi.org/10.1080/15504263.2025.2558178","url":null,"abstract":"<p><p><b>Objective:</b> People may consume alcohol as a self-medicating strategy to cope with the stressors of the COVID-19 pandemic. The study evaluated COVID-19 stresses in distinguishing nondrinkers, moderate drinkers, and binge drinkers as guided by the self-medication hypothesis. <b>Methods:</b> Adults (<i>N</i> = 484) answered a question assessing drinker type (nondrinkers vs. moderate drinkers vs. binge drinkers) and completed the COVID-19 Stress Scales embodied by the subscales of danger and contamination stress, socioeconomic stress, xenophobia stress, traumatic stress, and compulsive checking stress. <b>Results:</b> Discriminant function analysis using the set of five COVID-19 stress subscales as predictors statistically classified participants into nondrinkers, moderate drinkers, and binge drinkers for the male and female samples. Afterward, 2 (gender: males vs. females) × 3 (drinker status: nondrinkers vs. moderate drinkers vs. binge drinkers) factorial multivariate analysis of variance (MANOVA) and analyses of variance (ANOVAs) scrutinized mean differences. Specifically, males compared to females experienced significantly higher socioeconomic stress, xenophobia stress, traumatic stress, and compulsive checking stress, but no gender difference was exhibited for danger and contamination stress. Furthermore, binge drinkers compared to nondrinkers reported significantly higher scores on all the COVID-19 stress subscales. Binge drinkers compared to moderate drinkers endorsed significantly higher scores on all the COVID-19 stress subscales. Moderate drinkers compared to nondrinkers exhibited significantly higher scores on all COVID-19 subscales except for danger and contamination stress. <b>Conclusions:</b> The findings are consistent with the self-medication, such that people experiencing more COVID-19 pandemic stresses are more likely to consume alcohol in heavier quantities.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207943","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}

{"title":"Feasibility, Acceptability, and Preliminary Clinical Impact of a Computer-Assisted Transdiagnostic CBT Intervention for Veterans with Co-Occurring Anxiety and Substance Use Disorders.","authors":"Alan Z Sheinfil, Michael A Cucciare, Kate Wolitzky-Taylor, Jeffrey A Cully, Jan A Lindsay, Anthony H Ecker","doi":"10.1080/15504263.2025.2559174","DOIUrl":"https://doi.org/10.1080/15504263.2025.2559174","url":null,"abstract":"<p><strong>Objective: </strong>This study examined feasibility, acceptability, and preliminary clinical impact of Veterans Affairs Coordinated Anxiety Learning and Management- Substance (VA CALM-S), a computer-assisted, transdiagnostic cognitive behavioral intervention for co-occurring anxiety and substance use disorders (SUDs) among veterans.</p><p><strong>Methods: </strong>Veterans with co-occurring anxiety and SUDs were randomized to receive VA CALM-S (n = 14) or usual care (n = 12). Acceptability and feasibility were assessed via treatment completion rates and qualitative feedback. Changes in self-reported anxiety symptoms, substance use, and substance-related consequences were assessed at posttreatment.</p><p><strong>Results: </strong>Eighty-five percent of participants completed all VA CALM-S modules. Qualitative feedback indicated the intervention was well-received and helpful. Moderate-to-large effect sizes were observed for VA CALM-S in reducing anxiety symptoms (<i>d</i> = 0.64), substance use (<i>d</i> = 0.69), and substance-related consequences (<i>d</i> = 0.34). Relatively smaller effect sizes were observed for the usual care condition in anxiety symptoms (<i>d</i> = 0.24), substance use (<i>d</i> = 0.12), and substance-related consequences (<i>d</i> = -0.46).</p><p><strong>Conclusions: </strong>Findings support the feasibility and acceptability of VA CALM-S for veterans with co-occurring anxiety and SUDs.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207978","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}

{"title":"Association of Lifetime Psychiatric Comorbidity and Current Substance Use in Methadone-Treated Individuals with Opioid Use Disorders.","authors":"M Gabriela Barbaglia, Javier Molero-Calafell, Ariadna Angulo-Brunet, Saül Alcaraz, Montse Bartroli, Joan I Mestre-Pintó","doi":"10.1080/15504263.2025.2557191","DOIUrl":"https://doi.org/10.1080/15504263.2025.2557191","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study was to assess the association between psychiatric comorbidity and current substance use in a sample of patients with opioid use disorder (OUD) receiving opioid agonist treatment (OAT) with methadone in outpatient drug treatment centers. Secondary objectives were: (a) to examine the associations between socio-demographic and clinical characteristics and specific substance use (opioids, cocaine, alcohol, cannabis), and (b) to identify the socio-demographic and clinical factors associated with substance use based on lifetime psychiatric comorbidity status.</p><p><strong>Methods: </strong>A convenience sample of 588 patients (20% women; <i>M</i>_age 48.4) was recruited from eight outpatient drug treatment centers in Catalonia (Spain), which offer a comprehensive treatment approach. Dual diagnosis was assessed using the Dual Disorder Screening Interview (DDSI), and self-reported substance use (opioids, cocaine, cannabis, and alcohol) was evaluated through a specific questionnaire. Poisson regression with a log link was used to test five models adjusted for sociodemographic, clinical, and treatment variables.</p><p><strong>Results: </strong>A total of 63.5% of the patients tested positive for a lifetime dual diagnosis, and 83.5% reported substance use in the past month. No increased likelihood of opioid, cocaine, or alcohol use was observed among those with a lifetime dual diagnosis, except for cannabis use (<i>PR</i> = 1.29).</p><p><strong>Conclusions: </strong>Psychiatric comorbidity was not associated with current substance use in methadone-treated patients, except cannabis use. The observed patterns may be influenced by the pharmacological effects of methadone and the comprehensive treatment approach provided to patients.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102848","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}

{"title":"Substance Use in Early Psychosis: Mixed Methods Impact on Family.","authors":"Julie M McCarthy, Cheryl Y S Foo, Megan Liew, Edoardo N Bianchi, Eleanor Sultana, Roger D Weiss, Kim T Mueser","doi":"10.1080/15504263.2025.2557193","DOIUrl":"https://doi.org/10.1080/15504263.2025.2557193","url":null,"abstract":"<p><p><b>Objective:</b> Nearly half of people with early psychosis report lifetime problematic substance use. Current treatments have limited impact on substance use and supporting the client's family could improve recovery. The current study explored: (1) the impact of substance use and early psychosis on the family, and (2) experiences with their client relative's treatment. <b>Methods:</b> Participants were family members (<i>n</i> = 19) of clients with early psychosis and substance use. We used quantitative and qualitative data from the Community Reinforcement and Family Training for Early Psychosis and substance use (CRAFT-EP) pilot study to assess family members' views. <b>Results:</b> Many participants reported concern about the client's cannabis use and its negative impact on family wellbeing and communication, with most participants wanting more guidance on how to support the client's treatment. <b>Conclusions:</b> Implementing family interventions are needed to improve family relationship quality and communication to promote recovery among people with early psychosis who use substances.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056045","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}

{"title":"Suicide Behaviors among Patients with Substance-Induced Psychosis: A Scoping Review.","authors":"Raúl Felipe Palma-Álvarez, Julio Torales, Iván Barrios, David Gurrea Salas","doi":"10.1080/15504263.2025.2559171","DOIUrl":"https://doi.org/10.1080/15504263.2025.2559171","url":null,"abstract":"<p><strong>Objective: </strong>Substance-induced psychosis (SIP) is a prevalent psychotic disorder among patients with substance use disorders. SIP implies clinical severity, including suicidal behaviors. To date, few studies have focused on suicidal behaviors among patients with SIP. This study aimed to perform a scoping review to summarize the current findings on suicidal behaviors in patients with SIP and outline the implications for clinical practice.</p><p><strong>Methods: </strong>A scoping review was conducted using the most relevant published information on suicidal behaviors among SIP, sourced from two databases.</p><p><strong>Results: </strong>The 19 reviewed articles reported a high prevalence of suicidal behaviors among SIP. Specifically, the prevalence of suicidal ideation ranges from 14.5% to 68%, while suicide attempts vary between 10.5% and 48% depending on the timeframe, setting, and assessment methods used. Several clinical factors such as levels of depression, lifetime trauma, comorbidities, and the substance responsible for inducing psychosis are associated with suicidal behaviors in this population. However, significant knowledge gaps persist, warranting further investigation.</p><p><strong>Conclusions: </strong>Suicidal behaviors are common among patients with SIP and are associated with several clinical factors. However, further investigation is needed to better understand and address suicidal behaviors in patients with SIP.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058763","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}

{"title":"Diagnostic Performances of a Rapid Screening Tool for Detection of Psychiatric Symptomatology in an Urban Community Setting of People Who Use Drugs in France.","authors":"Lionel Moulis, Laurent Michel, Philippe Trouiller, Tiffany Charmet, Flore Gruyelle, Julien Joly, Catherine Quillet, Nicolas Nagot, Hélène Donnadieu","doi":"10.1080/15504263.2025.2557194","DOIUrl":"https://doi.org/10.1080/15504263.2025.2557194","url":null,"abstract":"<p><p><b>Objective:</b> We aimed to evaluate the diagnostic accuracy a rapid 9-item peer-administered questionnaire, the Quick Screening Tool (QST), to detect urgent mental health symptoms in an urban community setting in France of People who use drugs (PWUD). <b>Methods:</b> Participants were recruited through Respondant-Driven Sampling. We used modules from the Mini International Neuropsychiatric Interview as the reference standard (current major depressive episode, suicidal risk, or current psychotic disorder). We calculated the area under the curve as well as sensitivity and specificity. <b>Results:</b> Thirty-four percent of the 175 participants were assessed as in need of urgent mental care. The prevalence for depressive episode, suicidal risk and current psychotic syndrome was 11%, 19%, and 8%, respectively. The QST had an area under the curve for the detection of urgent psychiatric symptoms of 0.82. With a cutoff of 3, it had a sensitivity of 83.3% and a specificity of 64.4%. <b>Conclusions:</b> The performance of the QST in screening for urgent mental health symptoms was satisfactory. This questionnaire could be more broadly used in hard-to-reach PWUD populations in community-based interventions.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055967","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}

{"title":"Morbidity and Mortality Patterns Among Marginalized Individuals: Insights from a Copenhagen Shelter Health Clinic Cohort.","authors":"Mette Bendtz Lindstroem, Natasja Koitzsch Jensen, Thomas Kallemose, Majken Fuglsang, Ivan Christensen, Juliette Tavenier, Katrine Schepelern Johansen, Nina Brünes, Ove Andersen","doi":"10.1080/15504263.2025.2557197","DOIUrl":"https://doi.org/10.1080/15504263.2025.2557197","url":null,"abstract":"<p><p><b>Objective:</b> Homelessness is a significant social issue in developed countries, linked to high rates of substance use, psychiatric disorders, and chronic somatic health conditions, which contribute to premature mortality. Despite Denmark's comprehensive welfare system, marginalized groups, including people in homelessness, face barriers to accessing healthcare, resulting in increased use of acute care services and poorer health outcomes compared to the general population. This study examines the health burden and mortality of some of Denmark's most marginalized individuals by analyzing registry data from users of a low-threshold healthcare service placed at the open drug scene in Copenhagen, Denmark. <b>Methods:</b> This retrospective cohort study spans seven years (2009-2015). The study includes 1,242 individual health service users identified through patient records from the low threshold service linked with demographic, educational, and healthcare utilization data from Danish registries. No approval from the Danish Research Ethics Committees for the Capital Region was needed since only national registers were used. <b>Results:</b> The population was predominantly male with a median age of 42 years. Most participants were of ethnic Danish origin and had low educational attainment. This study revealed high morbidity, with significant proportions of the population affected by somatic diseases, psychiatric disorders, and substance use disorders, including 56% with Dual Diagnosis and 53% with Dual Diagnosis and somatic disease (Triple Diagnosis). Analysis of mortality showed 158 deaths, predominantly among males, with substance use-related causes and cardiovascular diseases being the leading causes of death. The mean age at death was 47.3 years, with a notable proportion occurring at a relatively young age. <b>Conclusion:</b> Our study reveals a high prevalence of both somatic and psychiatric disorders among the shelter health clinic users. Findings indicate that they are in a similar or often poorer health state than Danish shelter users overall, with a high prevalence of dual diagnoses alongside chronic somatic diseases (Triple Diagnosis) and early disease onset. This highlights the need for targeted support and the implementation of primary prevention measures to slow disease progression and improve healthcare access.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056019","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}

{"title":"Meaningful Employment Among Veterans with Co-Occurring Substance Use and Mental Health Disorders.","authors":"Brian J Stevenson, Amanda Falcón, Erin Reilly, Steven D Shirk, Taylor Hunt, Lisa Mueller","doi":"10.1080/15504263.2025.2517179","DOIUrl":"10.1080/15504263.2025.2517179","url":null,"abstract":"<p><p><b>Objective</b>: To examine associations between employment-based self-regulatory processes and meaningful employment attainment among veterans with co-occurring conditions. <b>Methods</b>: A survey was administered to a national Qualtrics panel of 534 employed veterans self-reporting mental health and substance use conditions. We tested whether career exploration, goal clarity, job-searching skills, and self-regulation skills explained unique variance in meaningful employment beyond other relevant predictors: mental health symptoms, alcohol and drug use severity, economic constraints, marginalization, job prestige, and employment status. <b>Results</b>: Hierarchical regression analysis revealed career exploration, goal clarity, job-searching skills, and self-regulation skills were significantly associated with meaningful employment beyond other predictors. Job prestige, employment status, and mental health symptoms also had significant associations with meaningful employment, while economic constraints and alcohol use lost significance in the final model. <b>Conclusions</b>: Interventions promoting exploration, goal clarity, job-searching, and self-regulation may improve meaningful employment attainment while buffering the effects of alcohol use and economic constraints.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"212-223"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303272","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}