Journal of Psychosocial Oncology最新文献

{"title":"The relationship between psychosocial support service utilization, coping and post-traumatic growth among breast cancer survivors.","authors":"Teletia R Taylor, Lucile L Adams-Campbell, Jennifer Hicks, Judith Barrow, Kepher H Makambi, Jenna Warren, Naomi Vinod, Chiranjeev Dash","doi":"10.1080/07347332.2025.2486229","DOIUrl":"10.1080/07347332.2025.2486229","url":null,"abstract":"<p><strong>Background: </strong>While data demonstrate psychosocial support services as effective mechanisms for improving the psychological well-being of breast cancer survivors (BCS), reviews indicate more research is needed to confirm this finding. The current study examined the relationship between psychosocial support service utilization (PSSU) on adaptive coping (AC) and post-traumatic growth (PTG) among BCS.</p><p><strong>Methods: </strong>Seventy-two Non-Hispanic Black and Non-Hispanic White BCS completed a survey assessing socio-demographic/clinical characteristics, PSSU (none, one type, multiple types), AC, and PTG. Analysis of covariance was used to examine the relationship between PSSU and AC/PTG indices.</p><p><strong>Results: </strong>Seventy-two percent of all respondents indicated utilizing one or more psychosocial support services. Among all respondents, as PSSU increased, all measures of AC and PTG significantly increased (<i>p</i> < 0.05). Analyses within race/ethnic groups showed similar patterns.</p><p><strong>Conclusions: </strong>This study provides evidence of the positive relationship between PSSU and psychological well-being among a diverse group of BCS.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021913","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":"Socioeconomic inequalities in social support: Examining differences in social support network satisfaction and composition among pediatric cancer caregivers.","authors":"Elizabeth G Bouchard, Mark A Prince, Christopher McCarty, R Lorraine Collins, Olle Jane Z Sahler, Paula C Vincent, Hital Patel, Susan A LaValley, Till Krenz, Julia A Devonish, Kara M Kelly","doi":"10.1080/07347332.2025.2483397","DOIUrl":"https://doi.org/10.1080/07347332.2025.2483397","url":null,"abstract":"<p><strong>Purpose: </strong>Social support is an important factor in shaping healthcare navigation, coping, and psychological outcomes among pediatric cancer caregivers. Socioeconomic status is positively associated with satisfaction with social support, however, less is understood about network features that contribute to these differences. Social networks are the context in which resources and support are exchanged. Networks can exacerbate inequalities by amplifying differences in access to resources. We examined satisfaction with types of social support and composition of support networks among pediatric cancer caregivers to understand how social network dynamics differ by caregiver income and educational attainment.</p><p><strong>Design: </strong>Participants were caregivers of children who received cancer treatment at multiple hospital systems in New York State. All families who met eligibility requirements during the recruitment period were invited to participate in the study, and 59% of caregivers contacted enrolled in the study. We used a self-report survey to collect egocentric social network data from 107 caregivers of pediatric cancer patients. We used bivariate logistic regression to examine differences in network support by income and education. We used Bayesian Zero and One Inflated Beta (ZOIB) regression models to examine differences in network composition by income and education.</p><p><strong>Results: </strong>Income was significantly associated with satisfaction with informational, emotional, and logistical support; and for each additional income category the odds of reporting being satisfied with each type of support increased by nearly 1.5 times. There were also differences in satisfaction with informational support by education, and each additional education category was associated with a nearly 2-fold increased likelihood of satisfaction. Caregivers with higher education reported a relatively lower proportion of family/kin in their network and a relatively greater proportion of health care providers, compared to those with less education.</p><p><strong>Conclusions: </strong>Our results show differences in social support satisfaction and social network composition by income and education among pediatric cancer caregivers. These results have implications for improving intervention. Creating interventions to foster social network ties and activate social support may be a promising direction for promoting health equity.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721809","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":"Existing evidence for the use of psychedelics in patients with cancer and other serious illness: A narrative review.","authors":"Jennifer Bires","doi":"10.1080/07347332.2025.2482917","DOIUrl":"https://doi.org/10.1080/07347332.2025.2482917","url":null,"abstract":"<p><strong>Objectives: </strong>Mood disorders and existential distress impact those with cancer or a serious illness at higher rates than the general population. There have been limited pharmacological advances in recent years, and available psychological interventions vary in degree of impact and durability as a treatment modality in this population. A recent renaissance in psychedelic research has suggested that this class of medications might offer an alternative treatment model for anxiety, depression, and existential and psychological distress that often accompanies the diagnosis of a serious illness.</p><p><strong>Methods: </strong>Utilizing a narrative review approach, EMBASE and PubMed databases were searched with no beginning date range through April 2024 to identify randomized controlled clinical trials (RCTs) on LSD, psilocybin and MDMA in palliative care or oncology and other life limiting illnesses.</p><p><strong>Results: </strong>Five articles published between 2011 and 2020 met the inclusion criteria. Three studies utilized psilocybin and one study evaluated MDMA and LSD. The number of participants ranged from 12 to 56 with four studies that utilized a crossover design. Four of the five studies showed a significant decrease in anxiety during at least one time point in their study and three studies indicated a significant decrease in depression. None of the studies reported serious adverse events related to the experimental drug sessions.</p><p><strong>Conclusions: </strong>Psychedelic assisted therapy for the treatment of depression, anxiety and existential distress is a promising treatment modality as an addition or compliment to other available pharmacological and psychotherapeutic treatment modalities.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732420","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":"Relationship between problem solving dimensions and psychological distress among cancer caregivers.","authors":"Sarah Stolker, Kyle A Pitzer, Cathryn Koplitz, George Demiris, Shannon M Canfield, Debra Parker Oliver, Karla T Washington","doi":"10.1080/07347332.2025.2476142","DOIUrl":"10.1080/07347332.2025.2476142","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers of patients with cancer face numerous challenges, leading to a heightened risk of psychological distress. Problem-solving abilities of cancer caregivers may influence coping and be relevant in anticipating the level of support needed from palliative care.</p><p><strong>Objective: </strong>Researchers sought to evaluate the relationship between problem-solving dimensions and psychological distress, specifically symptoms of anxiety and depression, among family caregivers of cancer patients receiving outpatient palliative care.</p><p><strong>Methods: </strong>Researchers conducted a cross-sectional exploratory study using data from an ongoing multisite clinical trial. Using block-wise linear regression models, they examined the relationship between psychological distress and problem-solving dimensions.</p><p><strong>Results: </strong>Results identified positive significant associations between negative problem orientation and symptoms of anxiety and depression, and between avoidance problem-solving style and symptoms of depression.</p><p><strong>Conclusion: </strong>Study results shed light on maladaptive problem-solving as influential in cancer caregiver coping, especially as it relates to risk of psychological distress.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626390","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":"The patient and caregiver experience of CAR T-cell therapy: A qualitative analysis.","authors":"Maija Reblin, Irene Liang, Djin L Tay, Kedar Kirtane, Dana Ketcher","doi":"10.1080/07347332.2025.2460060","DOIUrl":"10.1080/07347332.2025.2460060","url":null,"abstract":"<p><strong>Background/purpose: </strong>Immunotherapies, such as CAR-T, have revolutionized cancer treatment for some cancers. However, these treatments often require active participation of a family member or friend to act as a caregiver at home for several weeks after infusion. Given the novelty of CAR-T, there is a need to better understand the experience of patients receiving these treatments and their caregivers.</p><p><strong>Methods: </strong>As part of a larger study, patients receiving CAR-T and their caregivers were recruited to participate in semi-structured interviews about their experiences in treatment within a week of hospital discharge. Guided by the Dyadic Cancer Outcomes framework and using an inductive approach, trained coders qualitatively analyzed interview transcripts to identify key themes.</p><p><strong>Results: </strong>Ten patients and nine of their caregivers participated in interviews in 2021. Three key themes surrounding CAR-T experiences were identified: individual, relational, and contextual. Firstly, the CAR-T experience impacted physical and psychosocial aspects of life for patients and caregivers. Secondly, the isolating and intensive nature of caregiving after discharge affected relationships between patients and caregivers. Thirdly, social contexts such as food, housing, and travel costs complicated the treatment experience.</p><p><strong>Conclusions: </strong>Although CAR-T is a novel treatment, the experiences of patients and especially caregivers are often similar to those receiving other forms of cancer treatment. However, due to the requirement of a constantly-present caregiver in the weeks after therapy, these experiences may have been intensified. Future work is needed to develop inclusive, family-centered programs to help support patients and their caregivers through cancer treatments.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068819","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":"Correlates of multicaregiving and singular caregiving among cancer caregivers and associations with caregiver well-being.","authors":"Katrina R Ellis, Youngmee Kim, Kelli Peterman, Hillary Hecht, Rachel Cannady, Kassandra Alcaraz","doi":"10.1080/07347332.2025.2450253","DOIUrl":"https://doi.org/10.1080/07347332.2025.2450253","url":null,"abstract":"<p><strong>Purpose: </strong>Compare demographic, care provision, and health-related characteristics of individuals fulfilling multiple illness-related caregiving roles (i.e. multicaregiving) versus singular (cancer only) caregiving and investigate factors associated with caregivers' mental and physical functioning.</p><p><strong>Design: </strong>Cross-sectional national survey.</p><p><strong>Participants: </strong>Family caregivers who self-reported illness-related caregiving for cancer survivors only (singular caregivers: <i>n</i> = 465) or for one or more family members with illnesses in addition to the cancer survivors (multicaregivers: n = 109).</p><p><strong>Methods: </strong>Descriptive, logistic, and linear regression analysis.</p><p><strong>Findings: </strong>Singular caregivers and multicaregivers were similar on demographic, care provision, and health characteristics. Caregiving group was not associated with caregivers' mental or physical functioning. Several caregiver and care recipient characteristics were associated with mental and physical functioning for singular caregivers; however, only age was associated with multicaregivers' mental functioning.</p><p><strong>Conclusions: </strong>Uncovering correlates of multicaregiving can help describe who may serve in these roles and how concurrent care responsibilities may influence caregivers' well-being.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014000","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 role of emotion regulation through mindfulness in oncological patients: A pilot study.","authors":"Carmen Yélamos Agua, Sofía Luque Suárez, María Ruesga García, Rosario Sepulcre Canto, Renmaly Angulo Belisario, Tamara Hernandez Baute, Carlos Hortelano Luna, Sira Izárbez Loriente, Mercedes Márquez Fernández, Montserrat Parejo Espinar, María Isabel Sánchez Jiménez, Ruth San José García, Elísabeth Berzal Pérez","doi":"10.1080/07347332.2024.2389094","DOIUrl":"10.1080/07347332.2024.2389094","url":null,"abstract":"<p><strong>Background: </strong>Traditional MBSR or MBTC programs do not delve deeply enough into emotional regulation, which is especially relevant in oncological patients. The aim of this study was to analyze the benefits of a mindfulness-based emotion regulation program in adult oncological patients.</p><p><strong>Method: </strong>Psycho-oncologists from the AECC developed a mindfulness-based emotion regulation program. The Five Facet Mindfulness Questionnaire (FFMQ), Trait Meta-Mood Scale (TMMS), and Hospital Anxiety and Depression Scale (HADS) were administered before and after the program. A single-group pre-post test design with repeated measures was employed, utilizing the General Linear Model.</p><p><strong>Results: </strong>Ninety-seven adult cancer patients completed the pre- and post-program assessments. Statistically significant improvements were observed in all FFMQ subscales, increased clarity of emotional discrimination, mood repair, and statistically significant reductions in anxiety and depressive symptoms.</p><p><strong>Conclusions: </strong>Regardless of the phase of the disease, the results of this study suggest that emotional regulation may improve and anxiety and depressive symptomatology decrease after a mindfulness-based emotion regulation program in oncological patients.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"278-293"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914195","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":"Social risk factors screening preferences among breast and prostate cancer survivors: A qualitative study.","authors":"Laura C Schubel, Jessica Rivera Rivera, Mandi L Pratt-Chapman, Joseph Astorino, Teletia Taylor, Robin Littlejohn, Judith Lee Smith, Susan A Sabatino, Arica White, Bryan O Buckley, Christopher King, Jeanne Mandelblatt, Christopher Gallagher, Hannah Arem","doi":"10.1080/07347332.2025.2463389","DOIUrl":"10.1080/07347332.2025.2463389","url":null,"abstract":"<p><strong>Objectives: </strong>This project aimed to understand the experiences and preferences for social risk factor screening among racially, ethnically, and linguistically diverse cancer survivors in the Washington, DC, region.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with English, Spanish, and Amharic-speaking breast and prostate cancer survivors. Data were inductively coded to identify themes, and differences by race and preferred language were evaluated.</p><p><strong>Findings: </strong>Twenty-two interviews in English (<i>n</i> = 14), Spanish (<i>n</i> = 7), and Amharic (<i>n</i> = 1) among participants who identified as Black (<i>n</i> = 8), White (<i>n</i> = 5), Asian (<i>n</i> = 1), Other (<i>n</i> = 6), and multiracial (<i>n</i> = 2) were completed. Participants reported unresolved needs during treatment including transportation, healthful food, mental health care, financial help, and employment assistance. COVID-19 exacerbated many needs. Most participants did not recall discussing needs with oncology teams, but all participants were open to having these conversations.</p><p><strong>Conclusion(s): </strong>This research reveals that cancer survivors might benefit from culturally appropriate strategies that address social needs.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"717-735"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415830","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":"Understanding the patient-spouse communication experience during chemotherapy for gastric cancer: A qualitative study.","authors":"Ye Zhou, Chong Chin Che, Mei Chan Chong, Yuzhu Hou, Xiangqun Xiao, Yun Liu, Haiyan Zhao","doi":"10.1080/07347332.2024.2423350","DOIUrl":"10.1080/07347332.2024.2423350","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines how patients with gastric cancer and their spouses communicate about the illness, assessing the impact of positive or negative communication on their psychological adaptation and the intimacy of their relationship as a couple.</p><p><strong>Method: </strong>Employing The Relationship Intimacy Model of Couple Adaptation to Cancer, this study used purposive sampling with the principle of maximum variation to select participants. Sixteen pairs of patients with gastric cancer and their spouse caregivers, hospitalized in the oncology department of a tertiary hospital in Jingjiang City, Jiangsu Province, from March to July 2023, were chosen for semi-structured face-to-face interviews. The recorded data were transcribed within 24 h following each interview and supplemented with field notes. Directed content analysis was employed for the qualitative content analysis.</p><p><strong>Results: </strong>The interview data revealed three themes and six subthemes. Theme 1: The impact of negative patient-spouse communication, with the subthemes being (i) a decline in couples' relationship intimacy and (ii) reduced psychological adaptation. Theme 2: The impact of positive patient-spouse communication, with the subthemes being (i) enhanced couples' relationship intimacy and (ii) increased psychological adaptation. Theme 3: The impact of protective concealment, with the subthemes being (i) declined couples' relationship intimacy and psychological adaptation, and (ii) increased couples' relationship intimacy and psychological adaptation. Throughout the chemotherapy period, patients with gastric cancer and their spouses experienced both positive and negative forms of patient-spouse communication. This underscores the significance of acknowledging protective concealment within couples. Moreover, the study highlights how the dynamics of couples' relationship intimacy and psychological adaptation are influenced by both positive and negative communication patterns surrounding the illness.</p><p><strong>Conclusions: </strong>For patients with gastric cancer and their spouses, it is crucial for nurses to emphasize the importance of spousal disease communication during chemotherapy. Efforts should be made to mitigate one-sided, conflictual communication and avoidance behaviors, and to adopt appropriate communication strategies in terms of content and timing to deeply promote couple communication. Additionally, there is a need to focus on the physical and psychological stress of protective concealment in couples.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"530-551"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630414","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":"An exploration into the relationship between insomnia and repetitive negative thinking among cancer survivors.","authors":"Kimberly A Arditte Hall, Sarah N Price, Alexander R Lucas, Elyse R Park, Lynne I Wagner, Helen R Mizrach, Michael H Werner, Brooke C Juhel, Michael R Goldstein, Mark J Gorman, Daniel L Hall","doi":"10.1080/07347332.2024.2356193","DOIUrl":"10.1080/07347332.2024.2356193","url":null,"abstract":"<p><strong>Objective: </strong>Insomnia and repetitive negative thinking (RNT) are both prevalent among cancer survivors, yet little work has investigated their interrelationship. To explore the hypothesis that RNT and insomnia are related, we conducted secondary analyses on data from a pilot clinical trial of cognitive behavioral therapy for insomnia (CBT-I) for cancer survivors.</p><p><strong>Methods: </strong>This study analyzed survey data from 40 cancer survivors with insomnia who participated in a pilot randomized trial of CBT-I. Correlations and linear regression models were used to determine associations between aspects of RNT and related constructs (fear of cancer recurrence [FCR], cancer-specific rumination, worry, and intolerance of uncertainty) and sleep (insomnia and sleep quality), while accounting for psychiatric symptoms such as anxiety and depression. Treatment-related change in RNT was examined using a series of linear mixed models.</p><p><strong>Results: </strong>Evidence for an association between RNT and insomnia among cancer survivors emerged. Higher levels of FCR and cancer-related rumination were correlated with more severe insomnia symptoms and worse sleep quality. Notably, FCR levels predicted insomnia, even after controlling for anxiety and depression. Results identified potential benefits and limitations of CBT-I in addressing RNT that should be examined more thoroughly in future research.</p><p><strong>Conclusions: </strong>RNT is a potential target to consider in insomnia treatment for cancer survivors.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"59-72"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238676","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}