Psychotherapie Psychosomatik Medizinische Psychologie最新文献

{"title":"Improving quality of life in cancer patients with an app-based intervention (Mika-App): secondary results from a randomized controlled waitlist-trial in Germany.","authors":"Franziska Springer, Hannah Brock, David Kreilinger, Gandolf Finke, Jan Simon Raue, Anja Mehnert-Theuerkauf","doi":"10.1055/a-2826-5988","DOIUrl":"10.1055/a-2826-5988","url":null,"abstract":"<p><strong>Objective: </strong>Psychological distress in cancer patients can be reduced through digital support tools, such as the Mika-App. Yet, the effect on various dimensions of quality of life (QoL) remains unclear. In a secondary analysis of a randomized controlled trial (RCT), we aimed to investigate the effect of the Mika-App on physical and mental QoL, and to explore potential moderators such as age, sex, and digital health literacy (DHL).</p><p><strong>Methods: </strong>Patients diagnosed with cancer within the past five years were recruited for this nationwide RCT in Germany. Participants were randomly assigned to either the intervention group (IG, access to the Mika-App), or the wait-list control group (CG, usual care). Online questionnaires were administered at baseline, 2, 6 and 12 weeks. Physical and mental QoL was assessed with the Short-Form Health Survey (SF-8). Linear mixed-effects models were used to test for changes in QoL over time between groups and to examine moderating effects. Analyses were conducted intention-to-treat (ITT) and per-protocol (PP).</p><p><strong>Results: </strong>A total of 218 patients (IG=99, CG=119) were included, with a mean age of 56 years, 61% being female. Patients in the IG demonstrated significant improvements in mental QoL over time compared to the CG (ITT: F(3, 623.46)=3.58, p=0.014; PP: F(3, 360.38)=5.54, p=0.001), with small-to-medium effect sizes between groups at the 6- and 12-week follow-ups (Cohens' d=0.26-0.69). There was no change in physical QoL in both groups (ITT: p=0.90; PP: p=0.88). Age, sex, and DHL did not moderate the interventions' effect on QoL (all p>0.05).</p><p><strong>Discussion: </strong>While physical QoL remained unchanged, mental QoL significantly improved. This reflects the app's content features, mainly targeting self-management skills and psychological distress. The app appears to be equally beneficial across all age groups, for men and women. Since DHL was particularly high in our sample, possibly due to the predominantly online recruitment strategy, results on DHL need to be interpreted with caution. Further research is needed on the role of DHL in the efficacy of digital support tools in the context of routine clinical care.</p><p><strong>Conclusion: </strong>Digital support tools have the potential to improve QoL in patients with cancer. Integrating these tools into clinical care practice might provide valuable support for patients in need by addressing their specific symptoms.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"429-436"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Digital Fits and When Human Matters: Attachment, Trust, and User Profiles in Communication Formats in Primary Care from Face-to-Face to AI.","authors":"Julia Mahal, Carlotta Julia Mayer, Elias Staatz, Yixuan Wang, Johannes Ehrenthal, Daniela Geisel, Seraina Petra Lerch, Steffen Walter, Beate Ditzen","doi":"10.1055/a-2791-1642","DOIUrl":"10.1055/a-2791-1642","url":null,"abstract":"<p><strong>Objective: </strong>This study examined how preferences for face-to-face, video, written, AI-chatbot, and AI-avatar consultations in the context of primary care vary between routine and emotionally sensitive contexts, how attachment orientations and trust in the diagnosis contribute to these preferences, and whether distinct user preference profiles can be identified.</p><p><strong>Methods: </strong>In an online survey of 934 German adults, participants rated the appropriateness of five formats across routine and emotionally sensitive contexts. Predictors included trust in the diagnosis, attachment anxiety and attachment avoidance, perceived efficiency, gender, and technical resources. Multilevel models and cluster analysis were applied.</p><p><strong>Results: </strong>Face-to-face was preferred for sensitive consultations, while video and written formats were acceptable for routine tasks. AI formats were less accepted overall but judged more appropriate when trust in the diagnosis was high. Trust in the diagnosis strongly supported acceptance of AI formats, while perceived efficiency was positively associated with higher acceptance of video and AI formats . Other predictors had minor effects. Three user preference profiles emerged: face-to-face-oriented, digital without AI-oriented, and broadly digital & AI-oriented.</p><p><strong>Discussion: </strong>Format-dependent trust in the diagnosis outweighed efficiency in predicting acceptance (especially for AI), and attachment orientations offer an interpersonal perspective on these patterns.</p><p><strong>Conclusion: </strong>Digital formats can support routine care, but sensitive consultations require face-to-face contact. Trust in the diagnosis is important for AI acceptance, while attachment orientation helps to interpret interpersonal differences. Patient needs are heterogeneous; services should provide transparent, efficient, and flexible options without replacing face-to-face care.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"399-410"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Fit rather than feasibility: digital applications in psychosocial medicine].","authors":"Anja Mehnert-Theuerkauf, Ulrike Dinger","doi":"10.1055/a-2906-0590","DOIUrl":"https://doi.org/10.1055/a-2906-0590","url":null,"abstract":"","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":"76 9-10","pages":"385-387"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Young People in Psychological Crises - Current Research Findings on the 24/7 Chat Counseling Service 'krisenchat'].","authors":"Elisabeth Kohls, Juliane Hug, Richard Wundrack, Melanie Eckert, Christine Rummel-Kluge","doi":"10.1055/a-2763-8145","DOIUrl":"10.1055/a-2763-8145","url":null,"abstract":"<p><strong>Abstract: </strong>'krisenchat' (crisis chat) is a free, 24/7 psychosocial counseling service for children, adolescents, and young adults up to the age of 25 who are experiencing acute psychosocial crises. Support is provided anonymously and accessibly via chat by trained volunteer professionals. Counseling is delivered through widely used messaging platforms (e.g., WhatsApp, SMS, and since August 2025 web-based chat) and addresses a range of issues, including psychological distress, suicidal ideation, bullying, experiences of violence, and familial conflicts. This review article synthesizes and contextualizes current empirical findings on the use and impact of krisenchat. The available data indicate high feasibility and broad acceptance of the service among the target population. There is substantial evidence for a pronounced demand for low-threshold, 24/7 messenger-based counseling options for young people in crisis situations within the German-speaking context. The service appears to be effective across diverse age groups, topics, and presenting concerns. User feedback is very positive, with over 85% of users indicating they would recommend the service to others in need. In addition, krisenchat appears to fulfill a crucial gatekeeping function by providing psychoeducational information and facilitating referrals to formal health and support systems. Notably, a significant proportion of users-many of whom report severe psychological symptoms-had not previously accessed professional mental health services. At present, krisenchat represents the only digital counseling service in the German-speaking region that is accessible to young people outside of regular service hours, including evenings and weekends. These findings underscore its essential role in bridging existing gaps in the mental health care system for youth.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"421-428"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Extended Reality in Psychosomatic Medicine: A Versatile Tool with Broad Applications in Research and Clinical Practice].","authors":"Steffen Holsteg, Tatjana Anne Korbanka, André Karger, Katrin Giel, Ulrike Dinger, Simone Behrens","doi":"10.1055/a-2862-9035","DOIUrl":"10.1055/a-2862-9035","url":null,"abstract":"<p><strong>Objective: </strong>Extended reality (XR; virtual, augmented, and mixed reality) opens up new opportunities for psychotherapy and psychosomatic care. The aim of this review is to summarize current applications and the state of evidence regarding XR in psychotherapy and psychosomatic medicine.</p><p><strong>Methods: </strong>A narrative review of conceptual papers as well as clinical and feasibility studies on the use of XR was conducted, focusing on psychosomatically relevant fields of application. These include evidence-based psychotherapy approaches, the development of innovative disorder-specific interventions, and complementary approaches such as mindfulness, relaxation, or arts-based therapies.</p><p><strong>Results: </strong>Conceptually, the highly controlled nature of XR, its immersive presentation, and the possibility of perspective-taking (including embodiment of other persons or self-representations) support its potential use. XR variants already exist for many established therapeutic techniques, with virtual exposure therapy being the most extensively studied. Recent innovations emphasize perspective-taking and embodiment, while additional applications are found in relaxation, mindfulness, attention training, and arts-based therapies. While therapists generally express openness toward XR, several practical barriers to broad implementation have been identified.</p><p><strong>Discussion: </strong>XR constitutes a complementary medium that enables novel experiential dimensions. It holds significant potential for psychosomatic care but requires careful integration into therapeutic frameworks. Key challenges include technical and personnel demands, data protection, and the current lack of reimbursement structures.</p><p><strong>Conclusion: </strong>XR offers broad potential for psychosomatic medicine. To translate this promise into routine practice, further clinical studies, standardized implementation concepts, and sustainable service structures are needed.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"437-445"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[AI Technologies for Diagnostics and Conversation Analysis in Psychotherapy: Opportunities and Challenges].","authors":"Elisabeth André, Steffen Eberhardt, Tobias Hallmen, Alexander Heimerl, Silvan Mertes, Gerhard Prinz, Jana Schaffrath, Dominik Schiller, Brian Schwartz, Antonia Vehlen, Wolfgang Lutz","doi":"10.1055/a-2784-7779","DOIUrl":"10.1055/a-2784-7779","url":null,"abstract":"<p><strong>Abstract: </strong>In recent years, artificial intelligence (AI) has made great progress in medicine, particularly in the analysis of medical imaging data. Its potential as an analytical tool for psychology and psychotherapy, however, has received comparatively little attention, even though current developments increasingly demonstrate that AI-based methods can offer valuable contributions to the diagnosis of mental disorders and the analysis of psychotherapeutic conversations. The aim of this article is to present the international state of research on AI-based tools and techniques for diagnostics and conversation analysis, to discuss their potential and limitations critically, and to outline future requirements for their responsible clinical use.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"411-420"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Feasibility of a virtual reality (VR)-supported mindfulness intervention for patients with cancer during chemotherapy].","authors":"André Karger, Steffen Holsteg, Tanja N Fehm, Norbert Gattermann, Sebastian Sage, Ulrike Dinger, Nora K Schaal, Luisa Ernsten","doi":"10.1055/a-2748-3269","DOIUrl":"10.1055/a-2748-3269","url":null,"abstract":"<p><strong>Objective: </strong>Psychological interventions delivered during chemotherapy can help cancer patients reduce their subjective distress. The use of virtual reality (VR) may enhance their effectiveness. This study aimed to evaluate the feasibility and acceptability of a VR-based mindfulness intervention during outpatient chemotherapy.</p><p><strong>Methods: </strong>In a monocentric, three-arm randomized controlled trial, patients with cancer undergoing treatment in the outpatient chemotherapy unit of an oncology center were randomized to one of three groups: (a) VR-based mindfulness intervention, (b) receptive music intervention, or (c) control group. Interventions were delivered during two consecutive chemotherapy sessions. Feasibility was assessed through standardized screening information collected prior to recruitment and structured participant observation during the interventions; acceptability was measured using a post-intervention questionnaire.</p><p><strong>Results: </strong>Of 3,072 patients approached, 1,590 formally met the inclusion criteria, and <i>N</i>=85 were enrolled (participation rate: 5.4%). Common reasons for non-participation included wearing a cooling cap, language barriers, lack of interest, and reliance on personal coping strategies. Both interventions were feasible; disruptions during sessions were common. The VR-based mindfulness intervention required substantial personnel support. Despite overall positive ratings from participants, VR mindfulness did not show higher acceptability than music.</p><p><strong>Discussion: </strong>The high proportion of non-participating patients may indicate that an active VR-based mindfulness intervention during chemotherapy infusion is not well aligned with patient needs and may be experienced as potentially overwhelming. Its benefits might be better realized at a different point in the care trajectory (e. g., at home, between sessions) or later after treatment completion (survivorship phase). For immediate relief during chemotherapy, music interventions appear to be a simpler, more easily implemented alternative.</p><p><strong>Conclusion: </strong>Integrating digital psychological interventions into routine oncology care requires stronger consideration of patients' specific needs and the situational and organizational contexts in which these interventions are delivered.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":"388-398"},"PeriodicalIF":0.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Triggers of ICD-11 adjustment disorder: differences in symptom progression and socio-medical prognosis].","authors":"Alexa Kupferschmitt, Volker Köllner, Rahel Bachem","doi":"10.1055/a-2916-8193","DOIUrl":"https://doi.org/10.1055/a-2916-8193","url":null,"abstract":"<p><strong>Abstract: </strong>Background. In ICD-11, adjustment disorder (AjD) is defined as a psychological response to identifiable stressors following stressful life events, characterized by preoccupation and failure to adapt. The aim of this study was to examine whether different trigger domains of AjD (occupational, familial, or somatic) differ with regard to symptom severity, changes in psychopathology during rehabilitation, and socio-medical outcomes. It was hypothesized that work-related AjD would be associated with a less favorable socio-medical course. Methods. A clinical sample of inpatients undergoing psychosomatic rehabilitation (N=1028) completed self-report questionnaires at the beginning and end of rehabilitation (ADNM-20, BDI-II, HEALTH-49). Socio-medical parameters were additionally assessed. Participants were grouped according to the primary trigger domain (work, family, own severe illness). Group comparisons were conducted for symptom severity, symptom change over the course of rehabilitation, and socio-medical evaluations. Results. Occupational stressors were the most frequent triggers of AjD (32.8%), followed by one's own severe illness (22.7%) and family conflicts (14.5%). Overall symptom burden differed only marginally between groups. Family-related AjD was associated with particularly low perceived social support, whereas AjD triggered by severe somatic illness was characterized by more pronounced anxiety symptoms. Patients with somatically triggered AjD showed a slightly less favorable socio-medical prognosis. Conclusions. The type of trigger appears to affect specific psychosocial domains but does not systematically influence rehabilitation outcomes. For somatically triggered AjD, a differentiated assessment of illness processing seems particularly relevant for socio-medical evaluation.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[AI-Supported Systems in Mental Health Care: Digital Innovation or Loss of Human Care?]","authors":"Andreas Posa","doi":"10.1055/a-2928-0255","DOIUrl":"https://doi.org/10.1055/a-2928-0255","url":null,"abstract":"<p><strong>Abstract: </strong>The increasing implementation of AI-supported systems in mental healthcare raises complex ethical, clinical, and societal questions. This manuscript examines the opportunities, risks, and limitations of such technologies, taking into account relational process factors as well as clinical outcomes and real-world conditions of care delivery. AI-supported systems can help bridge waiting times, provide low-threshold psychoeducational interventions, promote motivation, symptom stabilization, and treatment engagement, and facilitate access for underserved or difficult-to-reach patient populations. They offer flexible, location- and time-independent support, strengthen self-efficacy, and may help reduce stigma-related barriers. At the same time, several risks must be considered: potential limitations in the therapeutic alliance between patients and therapists, parasocial substitution, increased social isolation, the emergence of a potential two-tier healthcare system, and ethical challenges associated with unforeseen deteriorations in patients' conditions. Evidence-based studies, including randomized controlled trials and meta-analyses, demonstrate moderate but consistent improvements in symptoms of depression, anxiety, and loneliness, as well as positive effects in resource-limited settings and waiting-list contexts. The manuscript emphasizes that the effectiveness of AI systems can only be fully realized through their integration with human therapeutic support, ethical reflection, and appropriate structural implementation conditions. The aim is a differentiated, evidence-based, and ethically informed integration in which AI systems complement rather than replace the therapeutic relationship, thereby ensuring equitable access to care, quality of therapeutic relationships, and sustainable health outcomes alike.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sense of coherence - revised as a metacognitive ability: Evidence from a Swiss study of older trauma survivors].","authors":"Nathanael Adank, Andreas Maercker, Myriam V Thoma, Shauna L Rohner","doi":"10.1055/a-2896-4298","DOIUrl":"https://doi.org/10.1055/a-2896-4298","url":null,"abstract":"<p><strong>Background: </strong>Theoretical developments have introduced the revised Sense of Coherence (SOC-R) as a resilience factor, which encompasses the dimensions of coping ability, balance, and reflection. It is tentatively hypothesized that these dimensions are aligned with metacognitive processes relevant to adaptation to adversity. Despite growing interest in SOC-R as a resilience factor, its potential conceptualization as a metacognitive ability remains under-researched. This study addresses this gap by examining the structural stability of SOC-R and evaluating both distal and proximal predictors.</p><p><strong>Method: </strong>The data come from a longitudinal study examining the associations between childhood trauma and coercive measures with the mental health of older survivors and age-matched controls, with achievement motivation included as a predictor. This study examined the structural stability of the SOC-R and psychological precursors in a trauma-exposed sample using structural equation modeling (SEM).</p><p><strong>Results: </strong>The total SOC-R score showed moderate stability over a 21-month period, with coping and reflection exhibiting good stability and balance showing borderline stability. The SEM results showed that achievement motivation significantly predicted coping ability (β=.35) and reflection (β=.29) beyond the severity of trauma-related PTSD (β=-.29). Coping ability was positively predicted by meaning in life (β=0.26) and posttraumatic growth (β=0.23) and negatively predicted by perceived stress (β=-0.11). Equanimity was predicted by posttraumatic growth (β=0.31) and positive reappraisal (β=0.36). Reflection was predicted by active coping (β=0.32), positive reappraisal (β=0.29), and meaning in life (β=.20).</p><p><strong>Conclusion: </strong>The SOC-R dimensions are sufficiently stable. The study showed that, in addition to known determinants of the sense of coherence, performance motivation also plays an important role. This points to the relevance of SOC-R as a potential metacognitive trait and metacognitive therapeutic approaches in trauma treatment. Keywords: Revised Sense of Coherence; SOC-R; metacognition, resilience, childhood trauma.</p>","PeriodicalId":47315,"journal":{"name":"Psychotherapie Psychosomatik Medizinische Psychologie","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}