Journal of Psychosocial Oncology最新文献

{"title":"Psychosocial distress and psychosocial resources in couples facing non-melanoma skin cancers and malignant melanoma.","authors":"Christina Sauer, Cathrin Ullerich, Elisabeth Livingstone, Sefik Tagay, Till J Bugaj, Eva-Maria Skoda, Martin Teufel, Dirk Schadendorf, Hans-Christoph Friederich","doi":"10.1080/07347332.2024.2371344","DOIUrl":"10.1080/07347332.2024.2371344","url":null,"abstract":"<p><strong>Background: </strong>Skin cancer is the most common cancer worldwide and comprises various non-melanoma skin cancer (NMCS) diagnoses and malignant melanoma (MM). It places a psychological burden on patients and their spouses. The present study aims to investigate psychological distress, temporal changes of psychosocial resources (PR), as well as dyadic dynamics of psychological distress and PR in patients with NMSC or MM and their spouses.</p><p><strong>Methods: </strong>Fifty-four heterosexual couples with different skin cancers, diagnosed within the previous 12 months, participated in this quantitative cross-sectional study. Patients and spouses provided information about depression and anxiety (<i>Hospital Anxiety and Depression Scale</i>), PR within the last four weeks and last three years (<i>Essen Resource Inventory</i>), and partnership quality (<i>Partnership Questionnaire, short version)</i>. Dyadic dynamics were analyzed with multiple regression analyses.</p><p><strong>Results: </strong>We found similar distress levels in patients and spouses, as well as in patients with different skin cancers. Spouses from patients with MM reported significant higher distress levels than spouses from patient with NMSC. Patients' depression predicted spouses' depression, and spouses' anxiety predicted patients' anxiety. In patients, we found associations between personal resources (within the last four weeks and three years) and depression, and an association between patients' social resources (within the last three years) and spouses' depression.</p><p><strong>Conclusions: </strong>The psychological interdependencies between patients' and spouses' depression and anxiety highlight the importance of considering psychological distress in patients with different skin cancers from a dyadic perspective in clinical contexts. Further, personal resources were indicated as a \"distress buffer\" for patients' mental health. Our results underline the importance of couple interventions that activate PR in patients with cancer and their spouses.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"173-188"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499283","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":"Using a community-engaged research process to plan, implement, and evaluate a cancer education program to improve knowledge and screening intentions among African American men.","authors":"Whitney George, Malakai Miller, Elizabeth C Stewart, Derek Wilus, LaNese Campbell, Bishop Calvin Barlow, Tilicia L Mayo-Gamble, Claudia Barajas, Cornelius Hill, Vincent Johnson, Lawrence Reed, John Williams, Jennifer Cunningham-Erves","doi":"10.1080/07347332.2024.2379822","DOIUrl":"10.1080/07347332.2024.2379822","url":null,"abstract":"<p><strong>Objective: </strong>We assessed acceptability, feasibility, and preliminary efficacy of a culturally appropriate, cancer education program to improve cancer knowledge, attitudes, subjective norms, and screening intentions for oropharynx, colon, and prostate cancers among African American men. We detailed the community-engaged research process used for African American men to design, implement, and evaluate the program.</p><p><strong>Materials and methods: </strong>We recruited 84 (61 in-person, 23 online) African American men over 2-months across 4 churches in Middle Tennessee in 2021. A single group, pre-post-test design was used to evaluate the 2.5-h hybrid program. Scales used were: <i>General self-efficacy for cancer screening</i>; <i>attitudes toward cancer</i>; <i>general cancer knowledge</i>; and <i>subjective norms related to cancer</i>. One-item measured <i>cancer screening intention</i>. Taba robust partial correlation measured the degree of association between changes in means of each explanatory variable with changes in means of each outcome variable. IBM SPSS version 28 and R/RStudio version 3.6.0 was used for data analysis. We conducted three focus groups (<i>n</i> = 17) to assess program acceptability. Microsoft Excel version 26 was used to conduct thematic analysis for this data.</p><p><strong>Findings: </strong>Quantitative Significant differences were found in the pre/post comparisons of knowledge (mean difference: 0.22; <i>p</i>-value = 0.015), self-efficacy (mean difference: 0.23; <i>p</i>-value < 0.001), and prostate cancer screening intention (mean difference: 0.19; <i>p</i>-value = 0.049) scores. This indicates the mean score for knowledge, self-efficacy, and prostate cancer screening intention was significantly higher post-intervention. <b>Qualitative</b> Focus group themes were: (1) Impact of Program on Participants Psychosocial Health (2) Perspectives on Life after the program. (3) Views on Programmatic Components; (4) Recommendations for Program Improvement.</p><p><strong>Conclusions: </strong>Results demonstrate our program is feasible, acceptable, and could increase cancer screening intentions and behavior. Psychosocial providers should demonstrate cultural awareness and humility when providing services to address the psychological and social needs for cancer screening among African American men.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"206-229"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989132","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 voices of breast cancer survivors with chronic pain: A qualitative thematic analysis of patients' challenges to pain management.","authors":"Chiara Filipponi, Marianna Masiero, Davide Mazzoni, Mariam Chichua, Sara Marceglia, Roberta Ferrucci, Elisa Fragale, Florence Didier, Gabriella Pravettoni","doi":"10.1080/07347332.2024.2348595","DOIUrl":"10.1080/07347332.2024.2348595","url":null,"abstract":"<p><strong>Objectives: </strong>Recognizing the limitations of the current pain therapies, the study aimed to explore the unique needs and obstacles related to pain management in Breast Cancer Survivors (BCs) with Chronic Pain (CP).</p><p><strong>Methods: </strong>4 focus groups were conducted involving 17 BCs with CP (Mage = 51, SD = 7.99) with varying pain intensities. Thematic analysis was applied to transcribed discussions.</p><p><strong>Findings: </strong>Three key themes emerged: (1) Challenges to pain management, including \"Doctor-patients communications barriers\" and \"Contextual and societal barriers\"; (2) Self-management needs, encompassing \"Psycho-social support,\" \"Care-related needs,\" and \"Shared decision-making\"; (3) Treatment preferences and perceptions of pain management, with subthemes like \"Treatment preferences,\" \"Institution preference,\" and \"Decision role perception.\"</p><p><strong>Conclusions: </strong>This study emphasizes tailored support systems targeting patient hesitancy, countering pain normalization, and addressing healthcare providers' attitudes. It underscores the importance of integrating caregiver and peer support. Findings advocate refining healthcare provider education, adopting a comprehensive multidisciplinary approach, and strategically incorporating eHealth tools into such care.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"34-58"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946179","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":"Trauma Informed Care and early distress identification in oncology settings.","authors":"Angelika Simkhaev","doi":"10.1080/07347332.2024.2433976","DOIUrl":"10.1080/07347332.2024.2433976","url":null,"abstract":"<p><p>Cancer is not only a physical illness but also a source of substantial emotional and psychological trauma and distress for patients. Oncology-related trauma stems from the uncertainty of diagnosis, invasive treatments, and the potential threat to life, leading to emotional distress, anxiety, and in some cases, Post-Traumatic Stress Disorder (PTSD). Addressing this trauma early is essential for patient well-being, as unresolved distress and trauma can exacerbate mental health challenges and hinder treatment adherence. Trauma-Informed Care (TIC) offers a framework to mitigate these issues by focusing on safety, trustworthiness, choice, collaboration, and empowerment in care settings. Organizational attention to trauma is critical, as healthcare environments that fail to address emotional distress can contribute to patient dissatisfaction, higher healthcare costs, and poorer outcomes. Oncology Social Workers (OSW) are professional that are positioned to lead the implementation of TIC due to their training in psychosocial care and trauma identification. OSWs role in healthcare encompasses not just individual patient support, but also educating healthcare teams, advocating for system-wide changes, and creating trauma-informed practices that benefit both patients, staff, and organizations. This manuscript discusses the implementation of TIC in oncology settings, recommending the use of a Trauma-Informed Assessment Protocol, such as the Distress Thermometer (DT), to facilitate early identification and intervention of distress, ultimately improving patient outcomes and organizational effectiveness.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"294-317"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787362","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":"Subjective well-being among Iranian breast cancer patients: Exploring the influential role of psychological capital.","authors":"Hossein Mohsenipouya, Zohreh Motallebi, Nouraddin Mousavinasab, Alireza Sangani, Nitai Roy, Mohammed A Mamun","doi":"10.1080/07347332.2024.2381546","DOIUrl":"10.1080/07347332.2024.2381546","url":null,"abstract":"<p><strong>Purpose: </strong>Breast cancer is a prevalent and emotionally challenging condition that profoundly affects women worldwide. Effectively managing the mental and emotional dimensions of this disease is crucial for the holistic well-being of patients. Psychological capital (PsyCap) has emerged as a pivotal psychological construct with the potential to effectively address these challenges. This study aims to explore the influential role of PsyCap and its constructs on the subjective well-being (SWB) of Iranian breast cancer patients.</p><p><strong>Methods: </strong>A total of 173 breast cancer patients participated in this study, selected through a random sampling approach. Face-to-face interview data on socio-demographics, PsyCap, and SWB were collected using a structured questionnaire. The analytical procedures encompassed independent sample <i>t</i>-tests, ANOVA tests, Pearson correlation tests, and stepwise multiple regression.</p><p><strong>Results: </strong>The findings revealed that the majority of participants fell within the 41-50 age group (38.7%), with an average age of 46.50 ± 11.76 years, and 35.8% had tumor growth in the upper left lobe. The average PsyCap score was 107.93 ± 1.52 (out of a possible score of 144), whereas SWB scored 196.51 ± 1.90 (out of 291). Notably, PsyCap showed a positive correlation with SWB (<i>r</i> = 0.119), accounting for approximately 8% of the variance in SWB. The final regression model showed the substantial predictive roles of PsyCap (1.667), self-efficacy (-3.692), age (-2.977), and education (-3.939) in shaping SWB.</p><p><strong>Conclusions: </strong>Focusing on understanding and addressing factors like PsyCap, self-efficacy, and educational support could improve SWB, offering a potential avenue for comprehensive and individualized psychosocial care for women with breast cancer.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"248-264"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761640","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 Body Appreciation Scale-2: Psychometric evaluation of the Puerto Rican Spanish version among women aged ≥ 50 years who are breast cancer survivors.","authors":"Marytere Meléndez, Paulo G Lanausse, Adriel E Miranda, Graciela Vega, Ana L Mulero Portela","doi":"10.1080/07347332.2024.2367696","DOIUrl":"10.1080/07347332.2024.2367696","url":null,"abstract":"<p><strong>Purspose: </strong>Self-perceived body image may impact women's well-being and levels of depressive symptomatology after cancer-related treatment. The Body Appreciation Scale-2 (BAS-2) is a 10-item, unidimensional tool used to assess body appreciation, a facet of body image. A culturally relevant version of the BAS-2 was needed for the Spanish spoken in Puerto Rico. A cross-cultural adaptation of the BAS-2 for Spanish spoken in Puerto Rico was conducted and tested its psychometric properties, using a methodological design. It was hypothesized that the BAS-2 adapted for Puerto Rican Spanish would have an internal consistency with a Cronbach α value greater than 0.70 and a unidimensional structure; and that body appreciation would be positively and significantly correlated to mental health and would be negatively and significantly correlated to depression and body mass index.</p><p><strong>Methods: </strong>One hundred-nine participants were recruited with a diagnosis of breast cancer (stages 0 to III) who completed adjuvant curative therapy at least two months to five years prior to recruitment.</p><p><strong>Results: </strong>Participants had an average age of 61.5 years (SD = 7.1), and 64.2% had a bachelor's degree or higher educational level. The internal consistency of the BAS-2 adapted for the Puerto Rican Spanish was Cronbach α = 0.92. Exploratory factor analysis indicated one-dimensionality of the test. Body appreciation was negatively correlated with higher levels of depressive symptomatology and with a higher body mass index, and positively correlated with higher levels of mental health.</p><p><strong>Conclusion: </strong>The BAS-2 adapted for the Spanish of Puerto Rico is a psychometrically sound instrument to assess body image.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"157-172"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencing the COVID-19 health crisis: Quality of life of young to mid-life hematology patients.","authors":"Antoine Belnez, Charlotte Bauquier, Maëva Piton, Ombeline Fayard, Camille Golfier, Caroline Besson, Hervé Ghesquières, Marie Préau","doi":"10.1080/07347332.2024.2384441","DOIUrl":"10.1080/07347332.2024.2384441","url":null,"abstract":"<p><strong>Purpose: </strong>This study questions the quality of life of young to mid-life hematology patients during lockdowns in France.</p><p><strong>Method: </strong>Fifteen semi-structured interviews were conducted in 2022.</p><p><strong>Findings: </strong>Thematic content analysis identified three main themes: (1) regulating fear of COVID-19 during the health crisis, (2) maintaining relationships and fostering social support during the pandemic, and (3) removing the stigma of cancer with COVID-19: a positive factor for patients' quality of life.</p><p><strong>Interpretation: </strong>Study participants experienced the restrictions imposed on the entire population in the face of COVID-19 in various ways, including positive events. In fact, for some, the lockdown situation allowed them to better \"fit in\" and feel less stigmatized because of their patient status. Indeed, lifestyles specific to them became common barrier gestures to the whole population.</p><p><strong>Implications for psychosocial providers or policy: </strong>The results underline the importance of broadening the communication fields and fostering psychosocial skills in these patients.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"265-277"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005535","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 interaction of family functioning and disease- and treatment-related factors on quality of life for children after cancer.","authors":"Emily L Moscato, May V Albee, Ashley Anil, Matthew C Hocking","doi":"10.1080/07347332.2024.2354298","DOIUrl":"10.1080/07347332.2024.2354298","url":null,"abstract":"<p><strong>Purpose: </strong>Children with cancer experience low quality of life (QOL), yet heterogeneity underscores a need to understand how risk and resilience factors interact. This study evaluated if family functioning relates to QOL differentially depending on diagnosis and treatment intensity.</p><p><strong>Methods: </strong>Participants included children (ages 8-14) who completed treatment within six months for either brain tumor (BT; <i>n</i> = 42) or non-central nervous system solid tumor (ST; <i>n</i> = 29). Caregivers and children rated QOL and family functioning. Treatment intensity was categorized as low, moderate, or high. Cross-informant moderation models tested hypothesized interactions.</p><p><strong>Results: </strong>Child-reported family functioning significantly interacted with diagnosis and treatment intensity in models of caregiver-reported QOL. More maladaptive family functioning was associated with reduced QOL for children with BT and moderately-intense treatments.</p><p><strong>Conclusions: </strong>Children with BT and moderate treatment intensities are sensitive to family functioning, highlighting an at-risk group to target for family-level intervention. Future work should evaluate these associations longitudinally.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"143-155"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An intervention module for caregivers of children with acute lymphoblastic leukemia (ALL).","authors":"Agnes Shu Sze Chong, Mahadir Ahmad, Hamidah Alias, Rizuana Iqbal Hussain, Afifi Lateh, Caryn Mei Hsien Chan","doi":"10.1080/07347332.2024.2364670","DOIUrl":"10.1080/07347332.2024.2364670","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood cancer caregivers report psychological distress and unmet psychosocial needs, affecting outcomes for their children. An experimental study was carried out to measure the effectiveness of an intervention in addressing traumatic stress, depression and anxiety.</p><p><strong>Methods: </strong>Caregivers (<i>n</i> = 59) of children with ALL were allocated to both groups (intervention, <i>n</i> = 29; TAU control, <i>n</i> = 30) via the SNOSE method. The intervention is a physical copy of a 2-week psychosocial self-help guidebook. Scores on the PCL-5, BDI and BAI were recorded at baseline, post-intervention and 1-month follow-up.</p><p><strong>Results: </strong>There was a statistically significant difference in traumatic stress symptoms post intervention (<i>F</i>(1, 57) = 5.760, <i>p</i> = .020, <i>n_p</i>² = 0.093) in favor of the intervention group. No statistical significance was found for its effect at one-month follow-up, overall depression and anxiety.</p><p><strong>Conclusion: </strong>A psychosocial module developed for caregivers of children with ALL was found to be effective in reducing symptoms of traumatic stress and potentially depression. However, the maintenance of its effectiveness and the effectiveness on anxiety requires further study.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"73-87"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318604","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":"Understanding and tackling cancer inequities: What opportunities does intersectionality offer researchers, policymakers, and providers? A scoping review.","authors":"Mar Estupiñán Fdez de Mesa, Afrodita Marcu, Emma Ream, Katriina L Whitaker","doi":"10.1080/07347332.2024.2361642","DOIUrl":"10.1080/07347332.2024.2361642","url":null,"abstract":"<p><strong>Problem identification: </strong>We summarised the international evidence relating to the role of intersectionality in patients' lived experience of inequities along the cancer care pathway. We produced guidance to use intersectionality in future research.</p><p><strong>Literature search: </strong>We included 42 articles published between 1989 to 2023 that used intersectionality to guide the study and interpretation of inequities in cancer care.</p><p><strong>Data evaluation/synthesis: </strong>Articles predominantly comprised North American (<i>n</i> = 37), followed by European (<i>n</i> = 4) and Asian (<i>n</i> = 1) studies. Similar compounding effects of racism, homophobia, and discrimination across countries exacerbated inequities in cancer care experience and cancer outcomes particularly for women of color and sexual/gender minority groups. Professionals' knowledge, attitudes, and behaviors toward minoritised groups affected patient-provider relationships and influenced cancer patients' psychosocial responses.</p><p><strong>Conclusion: </strong>Intersectionality provides a framework to assess the personal, interpersonal, and structural processes through which cancer inequities manifest within and across countries.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"105-132"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908011","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}