Journal of Trauma & Dissociation最新文献

{"title":"VIOLENCE, TRAUMA, AND COLONIALISM: A STRUCTURAL APPROACH TO UNDERSTANDING THE POLICY LANDSCAPE OF INDIGENOUS REPRODUCTIVE JUSTICE.","authors":"Autumn Asher BlackDeer","doi":"10.1080/15299732.2023.2212402","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212402","url":null,"abstract":"<p><p>Indigenous peoples in the U.S. have the highest rates of violence against women, disproportionate representation in the child welfare system, and exorbitant amounts of traumatic injuries among all ethnic groups within the U.S. yet discussions of trauma and violence against Native communities fail to consider the ongoing influence of settler colonialism. Too often trauma-focused work takes an individualist approach while policy work focuses on the collective, leading to a siloed approach in which micro-trauma work misses policy influences and in which policy work fails to seriously consider the ongoing trauma and violence experienced by Native Nations. Through the application of three Indigenous theoretical models that account for both historic and ongoing colonial influence, this work introduces relevant issues in the policy landscape of reproductive justice for Indigenous communities that are essential for trauma scholars and practitioners to understand.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"453-470"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reproductive Coercion Victimization and Associated Mental Health Outcomes Among Female-Identifying Young Adults.","authors":"Emily A Muñoz, Ryan C Shorey, Jeff R Temple","doi":"10.1080/15299732.2023.2212407","DOIUrl":"10.1080/15299732.2023.2212407","url":null,"abstract":"<p><p>Reproductive coercion is a serious public health problem. Victimization has been associated with poor mental health outcomes, including symptoms of posttraumatic stress disorder (PTSD) and depression in clinical and college samples. We build on these findings by examining the association between reproductive coercion victimization and mental and behavioral health outcomes, including depression, PTSD symptoms, anxiety, and drinking behaviors in a diverse community-derived sample of female-identifying young adults (mean age = 20; SD=.72). Participants (<i>n</i> = 368) were originally recruited as part of a study on dating violence in seven Texas public high schools. Participants completed an online study that included demographic questions and measures that assessed the variables of interest. Results of regression analyses showed that reproductive coercion victimization predicted depression, anxiety, and PTSD symptoms, after controlling for race, sexual orientation, and age. The findings also revealed that victims of reproductive coercion were more likely consume more drinks per drinking occasion compared to their non-victimized counterparts. These results add to the growing literature that experiencing reproductive coercion is a risk marker for poor mental and behavioral health. To develop targeted prevention and intervention programs, future research should examine potential mechanisms underlying this relationship.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"538-554"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9880947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WHEN REPRODUCTION IS NO LONGER AUTONOMOUS: FEELING RESPECTED BY MATERNITY CARE PROVIDERS MODERATES THE ASSOCIATION BETWEEN AUTONOMY IN DECISION MAKING AND BIRTH-RELATED PTSD SYMPTOMS IN A COMMUNITY SAMPLE OF POSTPARTUM BLACK WOMEN.","authors":"Emma C Lathan, Abby Britt, Meghna Ravi, Marcia J Ash, Elizabeth McAfee, Shimarith Wallace, Colin B Johnson, Briana Woods-Jaeger, Abigail Powers, Vasiliki Michopoulos","doi":"10.1080/15299732.2023.2212406","DOIUrl":"10.1080/15299732.2023.2212406","url":null,"abstract":"<p><p>Black individuals are at particularly high risk for birth-related posttraumatic stress disorder (PTSD) symptoms, in part due to a lack of opportunity to lead maternity care decisions. Maternal care providers need evidence-based ways to reduce pregnant persons' risk for birth-related PTSD symptoms despite reduced autonomy in decision making resulting from heightened restrictions on reproductive rights. We investigated whether a potential relation between autonomy in decision making and birth-related PTSD symptoms would be moderated by being mistreated or feeling respected by maternity care providers in a community sample of Black women (N = 52; M_age = 28.2 years, SD_age = 5.7 years) seeking maternity care at a public hospital in the southeastern United States. At six weeks postpartum, participants completed measures assessing autonomy in decision making, current birth-related PTSD symptoms, number of mistreatment events, and feelings of respect from providers during pregnancy, childbirth, and the postpartum period. Autonomy in decision making was negatively correlated with birth-related PTSD symptoms, <i>r</i>=-.43, p < .01. An interaction between autonomy in decision making and mistreatment by providers was trending toward significance, B=-.23, SE=.14, p = .10. Autonomy in decision making and feeling respected by maternity care provider interacted to predict birth-related PTSD symptoms, B = .05, SE=.01, p < .01. Feeling respected by providers may buffer against the negative effects of lack of autonomy in decision making on birth-related PTSD symptoms, highlighting the importance of providers' ability to convey respect to pregnant patients when they cannot lead care decisions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"520-537"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TRAUMA, VIOLENCE, & REPRODUCTIVE RIGHTS.","authors":"Heather L McCauley,&nbsp;Maria-Ernestina Christl,&nbsp;Anne P DePrince","doi":"10.1080/15299732.2023.2212401","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212401","url":null,"abstract":"In June 2022, the Supreme Court overturned Roe v. Wade with the Dobbs decision (Davis, 2022). Early media coverage turned attention to whether socalled state “trigger” laws outlawing abortion care made exceptions in cases of rape or incest. The media frame relegated abortion access to an issue after victimization and a matter specific to sexual violence (Cineas, 2022). We assessed things differently as researchers working on intimate violence from disciplinary perspectives that span clinical psychology, social epidemiology, and social work. After all, our fields had a name for forcing people to stay pregnant: reproductive coercion, defined as behavior “that interferes with the autonomous decision-making” about reproductive health (Grace & Anderson, 2018). At the time of the Dobbs decision, research on reproductive coercion had been growing, documenting the prevalence and correlates of this form of intimate violence (Basile et al., 2018; Grace et al., 2022; Miller et al., 2010). A 2018 systematic review by Grace and Anderson outlined three interconnected forms of reproductive coercion: birth control sabotage (interfering with contraceptive and condom use), pregnancy coercion (threatening or pressuring a partner to get pregnant), and abortion coercion (threatening or pressuring a partner to get or not get an abortion). Empirical studies documented that reproductive coercion begins as early as adolescence (Hill et al., 2019; PettyJohn et al., 2021), and disproportionately affects marginalized and minoritized groups (Alexander et al., 2016; Holliday et al., 2017; McCauley et al., 2015). Yet, much remained unknown, particularly in terms of the structural determinants underpinning early patterns as well as the ways that broader family systems, communities, and governments may perpetrate reproductive coercion to maintain inequitable power systems. It was our sense at the time – and remains so today – that research would be critical to revealing the scope of the problem of reproductive coercion at this time of enormous policy change. Furthermore, we believed that trauma science and practice has an especially important role to play because of the field’s approach to understanding that individual, community, and system dynamics work together to shape risk for, response to, and healing from traumatic stress. Thus, this Special Issue of the Journal of Trauma & Dissociation (JTD) explores the intersection of trauma, violence, and reproductive rights. We include six articles that present theory, literature review, and empirical data to advance discourse about trauma and reproductive JOURNAL OF TRAUMA & DISSOCIATION 2023, VOL. 24, NO. 4, 445–452 https://doi.org/10.1080/15299732.2023.2212401","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"445-452"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Exploitation and Associations With Economic Abuse in Adolescent Dating Relationships: Findings From a U.S. Cross-Sectional Survey.","authors":"Sarah Scott,&nbsp;Daniel R Lavage,&nbsp;Geeta Acharya,&nbsp;Lauren Risser,&nbsp;Sarah Gonzalez Bocinski,&nbsp;Elizabeth A Walker,&nbsp;Kimberly A Randell,&nbsp;Maya I Ragavan,&nbsp;Elizabeth Miller","doi":"10.1080/15299732.2023.2212404","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212404","url":null,"abstract":"<p><p>Adolescent relationship abuse (ARA) (i.e. physical, sexual, psychological, or economic abuse in the context of romantic relationships) is associated with adverse health outcomes, including anxiety, depression, suicidality, unintended pregnancy, and substance misuse. A related phenomenon, reproductive coercion involves interference with the reproductive decision making of a partner with the intention of promoting pregnancy or controlling outcomes of a pregnancy. Reproductive coercion is associated with unintended pregnancy, partner violence, and sexually transmitted infections. Little is known about the intersection between economic ARA, sexual exploitation, and reproductive coercion. This paper explores the intersections between reproductive coercion, transactional sex, and economic abuse victimization in adolescent dating relationships. In an online survey, 1,752 adolescents (ages 13-17) were asked about economic adolescent relationship abuse (educational, employment and financial interference), transactional sex, reproductive coercion, and contraceptive access within their relationships. We assessed associations with chi-square tests and logistic regression analysis. Youth who experienced economic ARA (70%, 1,232) reported financial dependence on their partner, contraceptive access, and reproductive coercion (74-83%; p-values<0.001) more often than their counterparts without economic ARA. Adolescents experiencing economic abuse were more likely to report transactional sex (aOR = 2.76, CI [2.12, 3.60], <i>p</i> < .001), depending on a partner to pay for contraception or birth control (aOR = 2.20, CI [1.71, 2.84], <i>p</i> < .001), and reproductive coercion (aOR = 3.20, CI [2.37, 4.32], <i>p</i> < .001). Youth-serving providers and agencies should be aware of intersections between economic ARA, transactional sex, financial dependence, and reproductive coercion, particularly for adolescents with health-related social needs.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"489-505"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9961896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BARRIERS TO REPORTING AND LACK OF EQUITABLE SUPPORT: ABORTION ACCESS FOR ADULTS WITH AUTISM EXPERIENCING RAPE-RELATED PREGNANCY POST-ROE.","authors":"Kirsten M Greer,&nbsp;Ivanka Simić Stanojević,&nbsp;Kyla M Cary,&nbsp;Morgan E PettyJohn,&nbsp;Jennifer J Piatt,&nbsp;William L Yarber","doi":"10.1080/15299732.2023.2212405","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212405","url":null,"abstract":"<p><p>Following the overturning of Roe v. Wade, individuals with autism experience unique barriers to accessing abortion for rape-related pregnancies in states restricting reproductive health care. Barriers to reporting rape include inadequate sex education which contributes to a lack of information about sexual violence (SV), difficulties labeling and recognizing SV, and potential difficulties navigating the role of a caregiver or conservator when reporting SV. Individuals with autism often experience a lack of equitable support from formal SV support services. Both barriers to reporting and lack of equitable support from formal SV support services reflect that individuals with autism are marginalized and often overlooked when receiving sexual and reproductive health care. Suggestions are provided for sexuality educators, SV support services, police, healthcare providers and policymakers, for better supporting individuals with autism experiencing rape-related pregnancy in states with abortion restrictions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"506-519"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Situating reproductive coercion in the sociocultural context: An ecological model to inform research, practice, and policy in the United States.","authors":"Jessica N Coleman,&nbsp;Samantha N Hellberg,&nbsp;Tiffany A Hopkins,&nbsp;Katherine A Thompson,&nbsp;Amanda B Bruening,&nbsp;Amanda C Jones","doi":"10.1080/15299732.2023.2212403","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212403","url":null,"abstract":"<p><p>Reproductive coercion (RC) can be conceptualized as any behavior that limits one's ability to make decisions about their reproductive health. Here, we broaden this definition to consider the impact of systemic and sociocultural factors on RC using an ecological model. Specifically, we use Bronfenbrenner's model as a framework for organizing the multilevel factors that influence reproductive coercion (RC) and its impacts on individual health. This paper is intended to offer a primer to historical, sociocultural, community, interpersonal, and individual processes that may interact to shape reproductive decision-making and its effect on individual health outcomes. We emphasize the importance of conceptualizing RC within the broader sociocultural and community context, and the potential implications for reproductive and sexual health research, clinical care, and policy in the United States.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"471-488"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9588384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics, Methods, And Functions Of Non-Suicidal Self-Injury Among Highly Dissociative Individuals.","authors":"M Shae Nester,&nbsp;Nicholas A Pierorazio,&nbsp;Gavi Shandler,&nbsp;Bethany L Brand","doi":"10.1080/15299732.2023.2181475","DOIUrl":"https://doi.org/10.1080/15299732.2023.2181475","url":null,"abstract":"<p><p>Upto 86% of dissociative individuals engage in non-suicidal self-injury (NSSI). Research suggests that people who dissociate utilize NSSI to regulate posttraumatic and dissociative experiences, as well asrelated emotions. Despite high rates of NSSI, no quantitative study has examined the characteristics, methods, and functions of NSSIwithin a dissociative population. The present study examined thesedimensions of NSSI among dissociative individuals, as well aspotential predictors of intrapersonal functions of NSSI. The sample included 295 participants who indicated experiencing one or more dissociative symptoms and/or having been diagnosed with a trauma- or dissociation-related disorder. Participants were recruited through online trauma- and dissociation- related forums. Approximately 92% of participants endorsed a history of NSSI. The most common methods of NSSI were interfering with wound healing (67%), hitting oneself (66%), and cutting (63%). After controlling for age and gender, dissociation was uniquely associated with cutting, burning, carving, interfering with wound healing, rubbing skin against rough surfaces, swallowing dangerous substances, and other forms of NSSI. Dissociation was correlated with affect regulation, self-punishment,anti-dissociation, anti-suicide, and self-care functions of NSSI;however, after controlling for age, gender, depressive symptoms, emotion dysregulation, and PTSD symptoms, dissociation was no longer associated with any function of NSSI. Instead, only emotion dysregulation was associated with the self-punishment function ofNSSI and only PTSD symptoms were associated with the anti-dissociation function of NSSI. Understanding the unique properties of NSSI among dissociative individuals may improve the treatment of people who dissociate and engage in NSSI.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 3","pages":"333-347"},"PeriodicalIF":3.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heterogeneity In Women's Trauma Histories: Impact On Substance Use Disorder Severity.","authors":"C Gallagher,&nbsp;C Brunelle","doi":"10.1080/15299732.2023.2181476","DOIUrl":"https://doi.org/10.1080/15299732.2023.2181476","url":null,"abstract":"<p><p>Trauma and substance use disorders (SUDs) frequently co-occur, especially in women. Previous studies have attempted to determine if individual differences in trauma histories could be meaningfully categorized but few studies have focused solely on women, especially those reporting substance use problems. A total of 130 women (<i>M</i> age = 30.7, <i>SD</i> = 7.9) self reporting past-year substance use problems completed comprehensive measures assessing lifetime exposure to a variety of traumatic events as well as substance use patterns and severity. Using latent class analysis, three classes emerged, a <i>Low Lifetime Interpersonal Trauma</i> class (40%, <i>n</i> = 52), a <i>Moderate Lifetime Interpersonal Trauma</i> class (23.8%, <i>n</i> = 31) and a <i>High Lifetime Interpersonal Trauma</i> class (36.2%, <i>n</i> = 47). Groups did not vary on daily/almost daily use of different types of substances and polysubstance use frequency but were significantly different on SUD severity, with the <i>Moderate</i> and the <i>High Lifetime Interpersonal Trauma</i> classes reporting severe SUD severity in comparison to moderate severity for the <i>Low Interpersonal Trauma</i> class. The findings of the current study indicate that women experiencing substance use problems should receive SUD treatment in a trauma-informed manner but that not all may require integrated trauma and substance use interventions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 3","pages":"395-409"},"PeriodicalIF":3.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Obsessive-Compulsive Symptoms and Dissociation: A Systematic Review and Meta-Analysis.","authors":"Lucia Sideli,&nbsp;Gianluca Santoro,&nbsp;Andrea Fontana,&nbsp;Fanny Guglielmucci,&nbsp;Vincenzo Caretti,&nbsp;Adriano Schimmenti","doi":"10.1080/15299732.2023.2181477","DOIUrl":"https://doi.org/10.1080/15299732.2023.2181477","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to investigate the relationship between dissociation and obsessive-compulsive symptoms (OCS) and disorder (OCD). Specifically, the study aimed to (a) estimate the pooled prevalence of dissociative disorders among individuals with OCD; (b) systematically review the prevalence of OCD among individuals with dissociative disorders; (c) compare the severity of dissociative symptoms between individuals with OCD and non-clinical controls; (d) estimate the association between OCS and dissociative symptoms in the clinical and non-clinical populations. A systematic search was carried out in biomedical databases from inception to January 2022 according to PRISMA guidelines. A total of 41 studies met inclusion criteria (<i>n</i> = 9,438, 34.3% males). The pooled prevalence of dissociative disorders in adult samples with OCD was 8% (95% CI [3, 15], <i>k</i> = 5). Studies on adolescent and adult patients with dissociative disorders found that 17-32% reported comorbid OCD, while a prospective study of patients with early-onset dissociative disorders found no evidence of association with OCD. Individuals affected by OCD reported more dissociative symptoms than non-clinical controls (<i>g</i> = .67, 95% CI [.18, 1.16], <i>k</i> = 9). A moderate correlation between dissociative symptoms and OCS was detected (<i>r</i> = .43, 95% CI [.36, .51], <i>k</i> = 18). Sensitivity analyses showed small/moderate correlations between dissociative experiences and specific types of obsessions and compulsions. Findings suggest that dissociative symptoms are moderately related to OCS in both clinical and non-clinical populations. Interventions aimed to reduce dissociation might improve treatment response of patients suffering from OCD.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 3","pages":"362-379"},"PeriodicalIF":3.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}