Journal of Psychosocial Oncology最新文献

{"title":"Beyond outcomes: Assessing awareness of processes change in women with breast cancer enrolled in a contextual-behavioral RCT.","authors":"Sérgio A Carvalho, Bruna Veloso, Ana Soares Pereira, Andreia Soares, Diogo Carreiras, Joana Marta-Simões, Helena Moreira, Inês A Trindade","doi":"10.1080/07347332.2026.2729877","DOIUrl":"https://doi.org/10.1080/07347332.2026.2729877","url":null,"abstract":"<p><strong>Background: </strong>The efficacy of Acceptance and Commitment Therapy (ACT) in improving distress and quality of life among cancer patients has been empirically shown. However, inconsistencies persist regarding measurable changes in its core processes. This study introduces and psychometrically examines a new instrument designed to address these limitations: the Awareness of Processes Post-Intervention (APPI).</p><p><strong>Method: </strong>The APPI was developed to assess perceived changes in awareness of contextual-behavioral processes. Data were collected from 76 women with breast cancer participating in two RCTs comprising two interventions - an 8-session group contextual-behavioral program that integrates ACT and compassion-focused practice (Mind) and a support group.</p><p><strong>Results: </strong>Exploratory factor analyses supported a one-factor solution, demonstrating excellent internal consistency (α = 0.95). Participants in the Mind condition reported significantly higher APPI scores than those in the support group, particularly regarding awareness of the present moment and of (un)compassionate self-responding. Correlational analyses showed that higher APPI scores were associated with greater compassionate self-responding, valued action, lower psychopathology, and better quality of life at post-intervention, especially within the Mind condition.</p><p><strong>Conclusions: </strong>These findings support the psychometric soundness and theoretical relevance of the APPI for capturing awareness of targeted processes in contextual-behavioral interventions. The APPI may enhance research on process assessment and the implementation of contextual-behavioral approaches, particularly in psycho-oncology settings.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945887","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":"The experiences and satisfaction of patients in outpatient cancer clinics: A scoping review.","authors":"Juliana Vienne, Florian Guisier, Alain Vaguet, Jean-Michel Coq","doi":"10.1080/07347332.2026.2727519","DOIUrl":"https://doi.org/10.1080/07347332.2026.2727519","url":null,"abstract":"<p><strong>Purpose: </strong>The development of outpatient cancer care raises questions regarding the conditions under which such care is delivered. The objective of this study was to conduct an exploratory analysis of the existing literature to better understand the factors contributing to patient satisfaction among adults receiving cancer treatment, with the aim of improving the overall quality of care.</p><p><strong>Method: </strong>The scoping review was carried out according to the Joanna Briggs Institute's methodology. The literature was searched from online databases PubMed, Cairn, PsychArticles, EbscoHost, Taylor and ScienceDirect up to October 2023 using the PRISMA-ScR guidelines. Studies on the experiences and satisfaction of adult patients receiving cancer treatment in outpatient clinics were included in the scoping review. No restrictions were applied regarding the publications country and all study designs were included. The Braun and Clarke (2006) method was used to identify and analyze the various themes addressed in the selected articles.</p><p><strong>Results: </strong>From 11531 references identified, finally 22 articles were included in the study. Most of the articles were published after 2012. The results showed that patients talk about their experience of care, addressing the relationship with other patients and professionals, the quality of care and the care environment. Furthermore, predictive factors of patient satisfaction with cancer care were highlighted.</p><p><strong>Conclusion: </strong>To our knowledge, this review is one of the first to review the literature on the experiences of adult patients receiving cancer treatment in outpatient clinics. These results demonstrate the importance of providing treatment information and involving families in outpatient cancer care. This scoping review paves the way for future research on patient experience in outpatient cancer clinics.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-21"},"PeriodicalIF":1.9,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921372","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":"Desktop review of LGBTIQA+ visibility and inclusion in South Australian cancer-treatment and service organization websites.","authors":"Celia Ellks, Sara Zangari, Daniel G Coro","doi":"10.1080/07347332.2026.2725960","DOIUrl":"https://doi.org/10.1080/07347332.2026.2725960","url":null,"abstract":"<p><strong>Background: </strong>LGBTIQA+ people may experience poorer cancer-related outcomes than the general population, partly due to gaps in culturally safe care. Organizational websites can influence perceptions of safety and confidence. This study examined LGBTIQA+ inclusivity across South Australian cancer treatment and support service organization websites.</p><p><strong>Method: </strong>Websites of cancer treatment (<i>n =</i> 46) and support services (<i>n =</i> 19) were audited for LGBTIQA+ inclusivity, assessed in terms of visibility and scope.</p><p><strong>Results: </strong>LGBTIQA+ content was identified on 11 of 65 (17%) websites through natural browsing. Three additional websites were identified <i>via</i> confirmatory searching. Where present, visibility was generally high. Inclusion within diversity or anti-discrimination statements was most common (100%); internally developed resources were least common (27%).</p><p><strong>Conclusions: </strong>LGBTIQA+ inclusivity was inconsistently represented across cancer service websites: most lacked visible indicators, particularly in public and regional services. Strengthening clear, visible, substantively supported inclusivity may be one avenue to signal safety to LGBTIQA+ people seeking cancer care.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921450","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":"\"Validation and reliability of the iranian Cancer Stigma Scale among a non-patient population\".","authors":"Mitra Jaras, Azam Moslemi, Hadi Jafarimanesh, Nazi Nejat","doi":"10.1080/07347332.2026.2707226","DOIUrl":"https://doi.org/10.1080/07347332.2026.2707226","url":null,"abstract":"<p><strong>Objective and background: </strong>Cancer-related stigma adversely affects both cancer patients and the general population, who are at potential risk of cancer. Although cancer stigma has been studied in various settings, few studies have specifically focused on non-patient populations. In Iran, no reliable tool currently exists to assess cancer stigma, and research examining this issue among the Iranian population remains limited. This study aims to validate the Persian version of the Cancer Stigma Scale (CASS) for use among individuals in Iran with no history of cancer.</p><p><strong>Method: </strong>This research employed a methodological approach. Sampling was purposeful and field-based, with 250 individuals aged 15-70, without a history of cancer, attending comprehensive health centers in Arak, Iran, participating in the study. Validity assessments included face validity, content validity, and construct validity, while reliability was evaluated using Cronbach's alpha and confirmatory factor analysis.</p><p><strong>Results: </strong>The CASS questionnaire comprised six factors: Severity, Personal Responsibility, Awkwardness, Avoidance, Financial Discrimination, and Policy Opposition. Through confirmatory factor analysis, a final model of six factors and 20 questions emerged, demonstrating a good fit. The tool achieved a content validity index (CVI) of 0.975 and a content validity ratio (CVR) exceeding 0.70. Reliability was confirmed with a Cronbach's alpha of 0.89.</p><p><strong>Conclusion: </strong>The Persian version of the CASS exhibits robust validity and reliability, making it accessible, affordable, and user-friendly. To date, ICASS is the only validated tool that assesses cancer stigma among the general population in Iran.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799603","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":"Financial toxicity in reproductive system cancers: A systematic review and meta-analysis.","authors":"Duygu Ürek, Birol Yetim, Özgür Uğurluoğlu","doi":"10.1080/07347332.2026.2716331","DOIUrl":"https://doi.org/10.1080/07347332.2026.2716331","url":null,"abstract":"<p><strong>Objective: </strong>Financial toxicity is a significant concern for reproductive system cancers. This study aimed to evaluate the level of financial toxicity among patients and survivors facing reproductive system cancers.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were carried out following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A comprehensive search of four electronic databases was conducted.</p><p><strong>Results: </strong>A total of 67 studies were reviewed in the systematic review, and 9 were included in the meta-analysis. Meta-analysis revealed that the overall level of financial toxicity in reproductive system cancers was mild. Subgroup analyses showed that males and patients from the USA tended to experience higher financial toxicity.</p><p><strong>Conclusion: </strong>Awareness of financial toxicity is crucial to supporting the health of cancer patients and survivors. By effective policies and interventions financial toxicity can be reduced, access to care can be improved, and health outcomes can be enhanced.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799617","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":"Insights from a single-site study on female adolescent and young adult oncofertility documentation.","authors":"Sarita Pathak Desai, Whitney S Rice, Paige Lake, Elizabeth Reisinger Walker, Dana Rollison, Gwendolyn P Quinn, Susan T Vadaparampil","doi":"10.1080/07347332.2026.2715530","DOIUrl":"https://doi.org/10.1080/07347332.2026.2715530","url":null,"abstract":"<p><strong>Purpose: </strong>Cancer rates among adolescents and young adults (AYAs) have steadily increased. As survival improves, infertility risk from cancer treatment is a survivorship concern. Guidelines emphasize timely oncofertility counseling. However, clinical documentation remains inconsistent, limiting appropriate care coordination. This single-site study explored oncofertility documentation in the electronic medical record (EMR) for female AYAs at a single center in the United States.</p><p><strong>Methods: </strong>We conducted a retrospective chart review of 30 females aged 18-39 (2018-2020) who desired or were unsure about fertility consultation. Data abstraction captured documentation of fertility preservation (FP) discussions, referrals, timing, provider type, and psychosocial care. Descriptive statistics summarized trends.</p><p><strong>Results: </strong>Participants averaged 29.7 years (range 20-39). Most were White (80%), 66.7% had no children at diagnosis, and 73.3% desired future children. Breast cancer was the most common diagnosis (20%). Treatments included surgery (53.3%), hormone therapy (30%), radiation (23.3%), and chemotherapy (20%). Over half (56.7%) had no documentation of an FP discussion. When present, oncologists documented 46.2% of discussions. Referrals to reproductive specialists appeared in 40% of charts, and psychosocial support in 46.7%. Documentation varied by provider and EMR location.</p><p><strong>Conclusion: </strong>This single-site retrospective chart review identified variability in documentation of oncofertility discussions, referrals, and psychosocial care across providers and EMR locations. Larger, multi-site studies are needed to validate these findings and inform equitable documentation strategies.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799551","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":"Integrative psychosocial and nutritional intervention improves psychological recovery, sleep, and disease-free survival after abdominoperineal resection for rectal cancer: a prospective controlled study.","authors":"Shengjie Pan, Gang Wang","doi":"10.1080/07347332.2026.2713067","DOIUrl":"https://doi.org/10.1080/07347332.2026.2713067","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing abdominoperineal resection (APR) for low rectal cancer often experience colostomy, sexual dysfunction, sleep disturbance, and psychological distress. Evidence for integrative supportive strategies is scarce. This study aimed to evaluate whether a structured integrative psychosocial and nutritional intervention could improve psychological recovery, sleep quality, sexual function, quality of life, and survival outcomes in patients undergoing APR for rectal cancer.</p><p><strong>Methods: </strong>In this prospective controlled study, 190 patients scheduled for APR (January 2021-2023) were assigned to an integrative intervention (<i>n</i> = 96) or control group (<i>n</i> = 94). The intervention combined six psychosocial sessions-cognitive behavioral therapy for insomnia, resilience training, and narrative therapy-with individualized ESPEN-guided nutrition including early enteral feeding, protein-energy supplementation, and ω-3 fatty acids. The psychosocial program was delivered in a structured format over a 2-3 month perioperative period, while nutritional support was continuously implemented from the preoperative week to 6 months postoperatively. Primary outcomes were depressive symptoms (BDI-II), sleep quality (PSQI), and sexual function (IIEF-5/FSFI). Secondary outcomes included quality of life (EORTC QLQ-C30), disease-free survival (DFS), and inflammatory markers (CRP, IL-6, TNF-α). Overall survival (OS) was assessed as a prespecified secondary survival endpoint with 24-month follow-up.</p><p><strong>Results: </strong>At 3 months, the intervention improved BDI-II (adjusted mean difference -6.8, <i>p</i> < 0.001) and PSQI (-3.4, <i>p</i> < 0.001), exceeding minimal clinically important differences. Sexual function and quality of life improved significantly, with benefits in sexual function emerging from 3 months and sustained up to 12 months, while QoL improvements were most pronounced at 3-6 months. At 24 months, DFS was significantly improved in the intervention group (HR 0.62, 95% CI 0.45-0.85, <i>p</i> = 0.003), whereas OS showed a favorable but non-significant trend.</p><p><strong>Conclusions: </strong>An integrative psychosocial and nutritional program significantly enhanced psychological well-being, sleep, and sexual function, while improving quality of life and DFS after APR. These findings suggest that structured multimodal supportive care may provide clinically meaningful benefits beyond standard perioperative management and may represent a feasible adjunct strategy within rectal cancer survivorship care pathways.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707985","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":"Enhancing school- and work-related supportive care in adolescent and young adult (AYA) oncology: A qualitative study merging AYA, parent, and clinician perspectives.","authors":"Emma Bryan, Kelsey Lunsford, Diliara Bagautdinova, Samantha Reese, Raymond B Mailhot Vega, Carma L Bylund, Maria Sae-Hau, Elisa S Weiss, Joanne P Lagmay, Carla L Fisher","doi":"10.1080/07347332.2026.2708225","DOIUrl":"https://doi.org/10.1080/07347332.2026.2708225","url":null,"abstract":"<p><strong>Background: </strong>Cancer disrupts AYAs' school/work-related opportunities during a developmental phase when learning-related experiences are central to AYAs' growth and future outcomes. The National Comprehensive Cancer Network (NCCN) recommends clinics implement school/work support, but guidance is needed on what types of support to implement feasibly.</p><p><strong>Objective: </strong>We aimed to understand AYAs' needs by comparing narrative accounts from AYAs, parents, and clinicians.</p><p><strong>Methods: </strong>A secondary thematic analysis was conducted on two interview study datasets combined to compare three stakeholder groups' experiences: Parents of diagnosed AYAs (age 15-29), AYAs, and clinicians. Data from each group were inductively analyzed and triangulated to capture similarities/differences.</p><p><strong>Results: </strong>32 interviews represented three stakeholder groups: 10 AYAs, 15 parents, 7 clinicians. All groups described school/work-related challenges in four areas: <i>advocating for accommodations, losing extracurricular activities, navigating disrupted expected trajectories,</i> and <i>losing peer social connection</i>. Parents and AYAs stressed a positive impact (school/work <i>promoting empowerment</i>) heightening the importance of protecting school/work experiences. Findings highlighted specific supports to implement in each area, with distinct insights made by each stakeholder group.</p><p><strong>Conclusions: </strong>Findings offer a roadmap to implementing the NCCN's \"educational and career services\" directive by identifying the types of supports to implement and how. AYAs and families would benefit from oncology teams providing accommodation guidance with integrated clinical advocacy tools, flexible practices that prioritize AYAs' socialization, and psychosocial support for grief coping, social skill development, and career decision making. Prioritizing school/work-related supportive care can be a feasible, patient-centered way to improve quality of life across the AYA cancer trajectory.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686405","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":"The impact of financial toxicity levels on shared decision-making among cancer patients in Türkiye.","authors":"Hilal Altun, Fedayi Yağar","doi":"10.1080/07347332.2026.2711299","DOIUrl":"https://doi.org/10.1080/07347332.2026.2711299","url":null,"abstract":"<p><strong>Background: </strong>This study examines the impact of financial toxicity levels on shared decision-making in cancer patients. While the impact of financial toxicity on clinical outcomes has been elucidated by numerous studies, its effect on shared decision-making is quite limited.</p><p><strong>Methods: </strong>A quantitative research design was used. The study included 216 cancer patients.</p><p><strong>Results: </strong>Patients with high levels of financial toxicity reported lower levels of shared decision-making. Financial toxicity was found to have a critical effect on the level of shared decision-making. Furthermore, some socio-demographic and economic characteristics of the participants were found to be associated with financial toxicity and shared decision-making.</p><p><strong>Conclusions: </strong>Financial toxicity has been shown to be not only an economic burden but also a psychosocial determinant affecting patients' autonomy and active participation in decision-making processes. It is recommended that support mechanisms be established to raise patients' awareness of financial considerations.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664608","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":"The Financial Treatment Program: Reducing financial toxicity with financial navigation and direct cash assistance.","authors":"Meredith Doherty, Joey Tan, Jessica Jacoby, Jonathan Heintz, Andrea Incudine, Rosie Cunningham","doi":"10.1080/07347332.2026.2698647","DOIUrl":"https://doi.org/10.1080/07347332.2026.2698647","url":null,"abstract":"<p><strong>Background: </strong>Financial toxicity (FT) is linked to adverse health outcomes and increased mortality. Financial navigation with direct financial relief is a promising clinical intervention.</p><p><strong>Methods: </strong>This sequential explanatory study evaluated Financial Treatment Program (FTP) in patients with incomes ≤400% of federal poverty line. We assessed pre- to post-intervention change in FT, health-related quality of life (HRQOL), anxiety and depression, and interviewed an intensity sample of participants to understand factors influencing FTP success.</p><p><strong>Results: </strong>152 patients enrolled, 109 completed baseline and follow-up with significant improvements in FT, physical functioning HRQOL, and anxiety. 21 interviews yielded three themes: (1) cumulative stressors and disadvantage; (2) social support and asking for and receiving help; (3) disappointment in and difficulty accessing assistance and public benefits.</p><p><strong>Conclusions: </strong>FTP was associated with significant improvements in FT and anxiety. Participants with greatest benefit had more practical support from friends, family, and employers. Participants valued FTP's personalized care and found it easier to engage with than other financial assistance and government benefit programs.</p><p><strong>Implications for psychosocial providers and policy: </strong>Clinical FT interventions are necessary but may be limited in severe FT, which is driven by structural inequities in employment and income protections. Policy efforts are also needed.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-21"},"PeriodicalIF":1.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608576","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}