Nasrin Dadashi, Marzieh Pazokian, Nima Yadollahzade, Mahbobeh Taheri, Shaghayegh Kamian
{"title":"Predictors of death anxiety among Iranian cancer patients: Contribution of sense of Coherence.","authors":"Nasrin Dadashi, Marzieh Pazokian, Nima Yadollahzade, Mahbobeh Taheri, Shaghayegh Kamian","doi":"10.1080/07347332.2024.2319292","DOIUrl":"10.1080/07347332.2024.2319292","url":null,"abstract":"<p><strong>Background: </strong>Death anxiety is a negative consequence of cancer that influences the quality of life of many patients. This study determined the predictors of death anxiety and the contribution of the sense of coherence to this disorder among Iranians with cancer.</p><p><strong>Methods: </strong>The present research was a descriptive-analytical study that examined cancer patients referring to one of the educational hospitals in Tehran, Iran. Two hundred eligible patients selected by purposeful sampling filled out a clinical and demographic questionnaire. The data were analyzed by the SPSS 20 software.</p><p><strong>Results: </strong>The correlational results revealed a negative and significant relationship between death anxiety and a sense of coherence (r = -0.610). Likewise, age, gender, marital status, occupational and economic circumstances, and cancer type were among the variables that correlated with death anxiety and predicted 85% of this psychological state.</p><p><strong>Conclusion: </strong>The researchers recommend mental assessment in oncological care to identify psychological challenges to realize the ultimate goal of palliative care, i.e. improving patients' quality of life.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"674-687"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068853","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}
Milena Pertz, Sabine Seidel, Greta Wiemann, Thomas Kowalski, Patrizia Thoma
{"title":"Social cognition and occupational reintegration in primary central nervous system lymphoma long-term survivors: a secondary analysis of a combined data set.","authors":"Milena Pertz, Sabine Seidel, Greta Wiemann, Thomas Kowalski, Patrizia Thoma","doi":"10.1080/07347332.2023.2282030","DOIUrl":"10.1080/07347332.2023.2282030","url":null,"abstract":"<p><strong>Objective: </strong>Although sociocognitive impairment is linked to failure of occupational reintegration in other clinical populations, less is known on the association of sociocognitive functioning and occupational reintegration in brain tumor patients such as primary central nervous system lymphoma (PCNSL).</p><p><strong>Methods: </strong>Twenty PCNSL patients with ongoing complete response to therapy for at least one year were evaluated of whom eight resumed work. The association between occupational status, empathy, alexithymia and social problem solving was analyzed.</p><p><strong>Results: </strong>Employed and non-employed patients were significantly different in their ability to provide appropriate solutions for social situations even when accounting for neurocognition. Decreased quality of life was associated with sociocognitive impairment.</p><p><strong>Conclusions: </strong>Although the results must be replicated in larger, more representative populations, this exploratory analysis tentatively adds facets to the literature on occupational reintegration in brain tumor patients. Forthcoming psychosocial research and clinical practice may target sociocognitive impairment when addressing reintegration after neuro-oncological treatment.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"576-586"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048187","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}
Rachel Montague, Sarah Elise Canning, Paul Thielking, Fares Qeadan
{"title":"Adverse childhood experiences and psychotropic medication prescription among cancer patients.","authors":"Rachel Montague, Sarah Elise Canning, Paul Thielking, Fares Qeadan","doi":"10.1080/07347332.2023.2296040","DOIUrl":"10.1080/07347332.2023.2296040","url":null,"abstract":"<p><strong>Background: </strong>This study aimed at identifying and characterizing adverse childhood experiences (ACEs) in a sample of cancer patients and subsequently evaluating the relationship between ACEs and prescription of psychotropic medication among them. Individuals with ACEs have a higher risk of mental health conditions and are more likely to be prescribed psychotropic medications.</p><p><strong>Methods: </strong>A sample of 178 adult patients receiving Supportive Oncology & Survivorship (SOS) services at Huntsman Cancer Hospital in Utah was obtained. ACEs and Brief Resilient Coping Scale (BRCS) questionnaires were administered confidentially. A multivariable mixed effect model, adjusting for sex, age, and insurance type while controlling for zip-codes clustering were employed.</p><p><strong>Results: </strong>Compared to the prevalence of ACEs in the general population, from the CDC-Kaiser Permanente ACEs Study, we found no significant difference in the prevalence of people who had experienced an adverse childhood event (ACEs score > = 1) between our study of cancer patients and the CDC-Kaiser study (67.4% vs. 63.6%, <i>p</i> = 0.29372), but found a significant difference in the prevalence of people who had experienced severe adverse childhood experiences (ACES score > =4) (25.3% vs. 12.1%, <i>p</i> < 0.00001). Furthermore, this study reveals a significant association between an increase of one unit in the total ACEs score and the odds of psychotropic medication prescription in the past 12 months (OR: 1.233; 95% CI: 1.025, 1.483). Those with a total ACEs score of three or more were found to have 280% higher odds of being prescribed psychotropic medication compared to those with ACEs ≤ 2 (OR: 3.822; 95% CI: 1.404,10.407).</p><p><strong>Conclusion: </strong>A significant proportion of cancer patients have a history of ACEs, and thus trauma-informed care approach is essential during their treatment.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"543-557"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832300","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}
Chiu Yi Tan, Nina Francis-Levin, Daria Stelmak, Nicholas T Iannarino, Anao Zhang, Lindsey Herrel, Erin Ellman, Emily Walling, Molly B Moravek, Rashmi Chugh, Brad Zebrack
{"title":"Differentiating gender-based reproductive concerns among adolescent and young adult cancer patients: A mixed methods study.","authors":"Chiu Yi Tan, Nina Francis-Levin, Daria Stelmak, Nicholas T Iannarino, Anao Zhang, Lindsey Herrel, Erin Ellman, Emily Walling, Molly B Moravek, Rashmi Chugh, Brad Zebrack","doi":"10.1080/07347332.2023.2291798","DOIUrl":"10.1080/07347332.2023.2291798","url":null,"abstract":"<p><strong>Introduction: </strong>Few studies have examined the distinct reproductive concerns (RC) of men and women in the adolescent and young adult (AYA) cancer patient population. The purpose of this mixed-methods study was to explore and differentiate the RC of AYAs.</p><p><strong>Methods: </strong>Participants completed the Reproductive Concerns After Cancer (RCAC) scale and participated in a semistructured interview. Interviews were deductively coded based on an analytic schema derived from the RCAC.</p><p><strong>Results: </strong>After identifying participants through the electronic health record, 27 younger AYAs, ages 12-25, enrolled in the study. Four inductive themes emerged and differed by gender. These include differential temporality, acceptance, and openness to alternatives, partner influence, and parental/guardian influence. AYA men reported fewer RC (<i>M</i> = 49.4, <i>SD</i> = 9.6) compared to AYA women (<i>M</i> = 56.8, <i>SD</i> = 8.4).</p><p><strong>Conclusions: </strong>Oncofertility care providers are advised to account for short- and long-ranging concerns based on AYAs' gender. Future evaluations of patient-reported outcome measures specific to AYA RC are recommended.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"526-542"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075510","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}
Wenjia Liu, Frances Marcus Lewis, Min Li, Ira Kantrowitz-Gordon
{"title":"Development of a common dyadic coping scale in couples facing breast cancer: the importance of open communication.","authors":"Wenjia Liu, Frances Marcus Lewis, Min Li, Ira Kantrowitz-Gordon","doi":"10.1080/07347332.2024.2303523","DOIUrl":"10.1080/07347332.2024.2303523","url":null,"abstract":"<p><strong>Objective: </strong>Couples' joint coping is important in managing the impact of breast cancer. However, measures assessing couples' communication as a way of coping are insufficient. This study aimed to generate a self-report valid and reliable measure of couples' coping with a particular focus on communication.</p><p><strong>Method: </strong>We used baseline data of 343 couple dyads who participated in a randomized clinical trial targeting marital communication. Women were diagnosed with early-stage breast cancer in the past eight months; couples were married or in an intimate relationship for at least six months, could read and write English, and lived within 100 miles of the study center. An expert panel selected items with conceptual fit from the Mutuality and Interpersonal Sensitivity Scale (MIS) that was originally designed to evaluate marital communication about breast cancer.</p><p><strong>Results: </strong>Exploratory and confirmatory factor analyses supported a 12-item measurement model with four factors: <i>Keeping the communication open with each other about breast cancer</i> (4 items), <i>Sharing a positive outlook on breast cancer</i> (2 items), <i>Avoiding discussion of negative thoughts and feelings about breast cancer</i> (3 items), and <i>Spending sufficient time together talking about breast cancer</i> (3 items). Reliability ranged from 0.76 to 0.87 for women and 0.70 to 0.83 for spouses.</p><p><strong>Conclusion: </strong>This new measure has potential application in clinical practice and future research to assess couple's joint coping efforts especially through communication.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"604-621"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492312","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}
Jennifer Ross Majumdar, Melissa Assel, Aimee Dannaoui, Alexandria Fatata-Haim, Jillian Fromkin, Christian Nelson, Vincent Laudone, Sigrid V Carlsson
{"title":"Incorporating the Distress Thermometer into preoperative vital signs in patients undergoing ambulatory oncology surgery: a pilot feasibility study.","authors":"Jennifer Ross Majumdar, Melissa Assel, Aimee Dannaoui, Alexandria Fatata-Haim, Jillian Fromkin, Christian Nelson, Vincent Laudone, Sigrid V Carlsson","doi":"10.1080/07347332.2024.2351038","DOIUrl":"10.1080/07347332.2024.2351038","url":null,"abstract":"<p><strong>Background: </strong>Despite the extensive literature supporting distress screening at relevant transitions of care, the implementation of distress screening remains limited in ambulatory surgery settings. Our multidisciplinary team completed a pilot study to assess the feasibility and acceptability of including a standardized psychosocial assessment, the Distress Thermometer (DT), with the collection of admission vital signs by Patient Care Technicians (PCTs) in patients undergoing oncology surgery.</p><p><strong>Methods: </strong>We assessed feasibility by the response rate and acceptability through discussions with the PCTs.</p><p><strong>Results: </strong>Of the 189 men who underwent radical prostatectomy at our center, 71 were approached with the DT scale, and all patients who were approached completed the DT with no missing data. The staff reported no issues with data collection. A total of 21/71 (30%; 95% CI 19%, 42%) reported a clinically relevant distress DT ≥ 4.</p><p><strong>Conclusion: </strong>Our results demonstrated that incorporating the DT into vital sign collection was feasible, acceptable, and provided a valuable assessment.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"733-738"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11344673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960248","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}
Victoria Wytiaz, Nina Jackson Levin, Chiu Yi Tan, Daria Stelmak, Nick Iannarino, Anao Zhang, Erin Ellman, Lindsey Herrel, Molly Moravek, Emily Walling, Rashmi Chugh, Brad Zebrack
{"title":"Body image disturbances in adolescent and young adult cancer patients confronting infertility risk and fertility preservation decisions.","authors":"Victoria Wytiaz, Nina Jackson Levin, Chiu Yi Tan, Daria Stelmak, Nick Iannarino, Anao Zhang, Erin Ellman, Lindsey Herrel, Molly Moravek, Emily Walling, Rashmi Chugh, Brad Zebrack","doi":"10.1080/07347332.2023.2235607","DOIUrl":"10.1080/07347332.2023.2235607","url":null,"abstract":"<p><strong>Purpose: </strong>Body image is a major psychosocial concern for all cancer patients but can affect the adolescent and young adult (AYA) population in distinct ways. Similarly, the prospect of infertility and the fertility preservation process can create additional stress during cancer treatment. Discussions regarding infertility inherently implicate the body and its reproductive function, but downstream effects on self-perception have not been previously described. The aim of this study was to explore the experiences of AYAs as they considered their risk of infertility and options for fertility preservation (FP), specifically the ways in which this impacted body image and FP decision-making.</p><p><strong>Methods: </strong>AYA cancer patients (<i>n</i> = 27) aged 12-25 years whose cancer and treatment conferred risk of infertility were recruited through electronic health record query at an NCI-Designated Comprehensive Cancer Center. Participants completed semi-structured interviews, which were recorded, transcribed, and deductively coded for themes related to information needs, knowledge of treatment effects on fertility, and reproductive concerns after cancer. Emergent, inductive themes related to body image were identified.</p><p><strong>Results: </strong>Body image concerns, related to both physical appearance and body functioning emerged. Common concerns included anticipating change as it pertains to the body and its functions, physical discomfort, fear of judgment, and meeting expectations of the body. While these themes are broad in nature, they have been previously explored in relation to body image in general and their emergence in the oncofertility space provides guidance for further optimization of infertility and fertility preservation discussions.</p><p><strong>Conclusions: </strong>AYA cancer patients experience a multitude of body image related disturbances when faced with the possibility of infertility and fertility preservation. In identifying and exploring these themes, future opportunities for improving oncofertility practice and discussions among AYAs with a focus on body image positivity are called upon.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"208-222"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9781664","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":"Body image interventions within breast cancer care: A systematic review and concept analysis.","authors":"Lunie Anne Thamar Louis, Justine Fortin, Carol-Anne Roy, Alain Brunet, Annie Aimé","doi":"10.1080/07347332.2023.2249879","DOIUrl":"10.1080/07347332.2023.2249879","url":null,"abstract":"<p><p>There needs to be a consensus regarding the definition of body image in oncology the literature. This lack of agreement leads to conflicting results in psychosocial interventions aimed to improve body image among breast cancer patients. Through an instrumentalist approach, this systematic review aims to analyze how body image as a concept is described and operationalized in breast cancer studies with the focus to enhance body image through psychosocial interventions. Databases were searched in October 2022 and updated in February 2023 to find empirical studies reporting psychosocial intervention targeting body image efficacy. The results from 24 studies show many similarities and differences between the definitions (e.g. characteristics) and questionnaires (e.g. Cronbach's alpha coefficient) used to evaluate this concept. Most definitions include thoughts, feelings, and behaviors related to body image. Finally, the psychosocial implications are discussed. This systematic review is registered on the International Prospective Register of Systematic Reviews (PROSPERO; CRD42022326393).</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"427-447"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052738","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":"Does the mode of care delivery affect therapeutic alliance, patient care satisfaction or patient reported outcomes? Psycho-oncological care evaluation data collected during the COVID-19 pandemic.","authors":"Natalia Cecon-Stabel, Meriam Omairat, Sandra Salm, Anna Hagemeier, Antje Dresen, Theresia Krieger","doi":"10.1080/07347332.2024.2318224","DOIUrl":"10.1080/07347332.2024.2318224","url":null,"abstract":"<p><strong>Purpose: </strong>Since the COVID-19 pandemic, psycho-oncological care has increasingly been provided virtually and/or telephonically. We examined whether patients' therapeutic alliance (TA) - an essential processual outcome - differs due to altered modes of care delivery (MOCD) and assessed, if MOCD impacts patients' care satisfaction and patient reported outcomes.</p><p><strong>Methods: </strong>Survey and documentation data from newly diagnosed cancer patients that were cared for in the new form of care 'isPO' in Germany, were analyzed. Patients were surveyed after completing the one-year psycho-oncological care program. MOCD was operationalized by the ratio of patients' face-to-face, telephonic or video-based consultations to all their consultations. Regression analyzes were conducted to determine a possible relationship between MOCD and TA, between MOCD and patients' care satisfaction ('subjective effectiveness' and 'satisfaction and needs-orientation') and patient reported outcomes (anxiety and depression, sense of coherence, global health status).</p><p><strong>Findings: </strong>MOCD does not significantly influence TA. Regression models on the possible effect on subjective effectiveness and satisfaction and needs-orientation do not show statistical significance with only MOCD as the predictor. MOCD does not predict any of the patient reported outcomes.</p><p><strong>Conclusions: </strong>During the pandemic, neither TA, care satisfaction nor patient reported outcomes were affected by the MOCD in the new form of care 'isPO'. Therefore, the MOCD didn't negatively affect quality of care, which indicates that telephone or video consultations seem to be useful alternatives for psycho-oncological care in Germany.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"653-673"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132853","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":"Mediating role of resilience between family functioning and quality of life in patients with advanced colorectal cancer.","authors":"Liqing Jiang, Meng Wang, Ying Chen, Quan Liu","doi":"10.1080/07347332.2023.2231431","DOIUrl":"10.1080/07347332.2023.2231431","url":null,"abstract":"<p><p>To better understand the relationship between family functioning, resilience, and quality of life (including physical and mental component score, PCS and MCS) in patients with advanced colorectal cancer (CRC) to predict and improve their quality of life.</p><p><p>A cross-sectional study was conducted in which a total of 165 patients with advanced colorectal cancer participated in a one-time survey. Measures included the Family Functioning Assessment Device, the 10-item Connor-Davidson Resilience Scale, and the SF-12 Health Survey Assessment Scale. The data analysis methods included descriptive analysis, pearson's correlation analysis, <i>t</i>-tests, and nonparametric tests.</p><p><p>Of the patients with advanced CRC, 47.27% and 72.73% had moderate or low mental and physical health components, respectively. The results indicated that in patients with advanced CRC, family function was negatively correlated with resilience (<i>p</i> < 0.01), family functioning was negatively correlated with MCS (<i>p</i> < 0.01), and resilience was positively correlated with PCS (<i>p</i> < 0.05) and MCS (<i>p</i> < 0.01). The mediating analysis revealed that family functioning regulated MCS through resilience (effect value = 13.17%).</p><p><p>Our findings suggest that the MCS of patients with advanced CRC is influenced by both family functioning and resilience. PCS in patients with advanced CRC appears to be influenced by resilience but not by family functioning.</p>","PeriodicalId":47451,"journal":{"name":"Journal of Psychosocial Oncology","volume":" ","pages":"175-189"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9770134","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}