Applied Psychophysiology and Biofeedback最新文献

{"title":"Practicing Diaphragmatic Breathing Reduces Menstrual Symptoms Both During In-Person and Synchronous Online Teaching","authors":"Erik Peper,&nbsp;Richard Harvey,&nbsp;Singing Chen,&nbsp;Nicholas Heinz","doi":"10.1007/s10484-025-09745-7","DOIUrl":"10.1007/s10484-025-09745-7","url":null,"abstract":"<div><p>Painful menstrual cramps (dysmenorrhea) affect the physical and mental well-being of millions of women, generally interfering with workplace productivity, educational learning experiences, and overall quality of life. This report describes the relationship between diaphragmatic breathing and the reduction of dysmenorrhea symptoms among students enrolled in a university stress-management program. Forty-nine women participated in an intervention group while 26 women participated in a comparison group. The intervention group spent 30 min practicing daily breathing and relaxation exercises over five weeks. The comparison group had no exposure to specific interventions. Analysis suggests significant improvements in menstrual symptoms in the intervention group compared to the comparison group (<i>p</i> = 0.0008, after age adjustment). There was no difference in outcomes between in-person and online instruction. The observations suggest that practicing 30 min per day of specific breathing and relaxation techniques are scalable for groups beyond students. Despite limitations, such as the lack of direct comparisons with pharmacological interventions (e.g. pain medications), the observations support diaphragmatic breathing as a non-pharmacological self-care method for dysmenorrhea, with recommendations for incorporating self-care practices that foster effective menstrual management and reduce stigma into everyday health education for girls and young women everywhere.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 3","pages":"621 - 625"},"PeriodicalIF":3.0,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastric Biofeedback in Virtual Reality: Feasibility, Efficacy and Self-Reported Experience","authors":"Aline Tiemann,&nbsp;Zoé van Dyck,&nbsp;Claus Vögele,&nbsp;Simone Munsch,&nbsp;Marius Rubo","doi":"10.1007/s10484-025-09741-x","DOIUrl":"10.1007/s10484-025-09741-x","url":null,"abstract":"<div><p>Normal gastric functioning (normogastria) is characterized by rhythmic gastric myoelectric activity, while dysrhythmic gastric activity (bradygastria and tachygastria) is associated with symptoms such as nausea, epigastric discomfort and fullness. Gastric biofeedback using electrogastrography (EGG) has emerged as a promising tool to regulate gastric rhythm, but research remains limited with few experimental studies. The current study (<i>N</i> = 94) tested a novel gastric biofeedback training in virtual reality (VR). We used a randomized controlled study design with three groups: (1) VR gastric biofeedback training, (2) the same training on a 2D screen and (3) a relaxation control group. We examined (1) the trajectory of gastric activity before, during, and after training (2) participants’ ability to increase normogastria and reduce dysrhythmic activity and (3) self-reported experiences (motivation, attention, mood, presence, user acceptance, etc.). Results showed the expected peak in normogastria and a nadir in dysrhythmic activity during training, with a significant reduction in dysrhythmic gastric activity across sessions. Participants reported an improved ability to handle physical discomfort over time. VR and 2D groups reported faster time perception and better concentration than controls. Spatial presence (i.e., the feeling of “being there”) was higher in the VR group than in the 2D group. Enjoyment, concentration, and alertness were initially high but declined over time in all groups. The results demonstrate the general technical feasibility of the paradigm and positive evaluations. Further research is needed to better understand the underlying mechanisms and to determine whether and how training success may relate to beneficial outcomes in clinical populations.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"405 - 421"},"PeriodicalIF":2.4,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09741-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bio-behavioral Interventions for Cardiovascular Diseases Rehabilitation: A Systematic Review on Heart Rate Variability Biofeedback and Nutrition","authors":"Valeria Carola,&nbsp;Valeria Gigli,&nbsp;Filippo Cellucci,&nbsp;Marco Coli,&nbsp;Sofia Nicolais,&nbsp;Caterina Piras,&nbsp;Giovanni Melina,&nbsp;Cristina Ottaviani,&nbsp;Giampaolo Nicolais","doi":"10.1007/s10484-025-09742-w","DOIUrl":"10.1007/s10484-025-09742-w","url":null,"abstract":"<div><p>Cardiovascular diseases (CVD) are leading causes of premature mortality, disability, and reduced quality of life worldwide. While extensive literature has addressed cardiovascular risk and treatment, the role of noninvasive interventions in rehabilitation and secondary prevention remains less well defined. Among these, heart rate variability biofeedback (HRVBF) and cardioprotective dietary approaches have shown preventive benefits, yet their effectiveness in patients with established CVD or those undergoing cardiac rehabilitation is not fully established. This review systematically evaluates the evidence for HRVBF and heart-healthy dietary patterns in relapse prevention and rehabilitation, with particular attention to hospital-based contexts. Following PRISMA guidelines, systematic searches were conducted in Scopus and PubMed. Results suggest that HRVBF may enhance autonomic regulation, alleviate psychological distress, and shorten hospital stays. Dietary interventions, particularly those emphasizing omega-3 polyunsaturated fatty acids and Mediterranean-style patterns, demonstrate potential to reduce inflammation and modulate cardiovascular risk markers. Nevertheless, evidence supporting their integration into postoperative rehabilitation or treatment of established CVD remains limited. Heterogeneity in study designs and lack of standardization further constrain generalizability. Overall, the findings underscore the promise of early, noninvasive, and integrative rehabilitation strategies, highlighting the need for structured protocols in clinical settings, particularly during the immediate postoperative phase or after acute cardiac events.</p><h3>Graphical Abstract</h3><div><figure><div><div><picture><source><img></source></picture><span>The alternative text for this image may have been generated using AI.</span></div></div></figure></div></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"201 - 217"},"PeriodicalIF":2.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09742-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alpha and Beta Powers in EEG: How Audio-Visual Stimulation Influences Anxiety","authors":"İnan Özdemir,&nbsp;Emine Elif Tülay,&nbsp;Serkan Aksu,&nbsp;Fulden Cantaş Türkiş,&nbsp;Çağla Abalı Çelebi,&nbsp;Semai Bek,&nbsp;Gülnihal Kutlu","doi":"10.1007/s10484-025-09739-5","DOIUrl":"10.1007/s10484-025-09739-5","url":null,"abstract":"<div><p>This study aimed to reduce alpha and beta brainwave power through external audio-visual stimulation (AVS) and to evaluate its clinical effect on anxiety levels, as measured by the State-Trait Anxiety Inventory (STAI), alongside electroencephalography (EEG) data. Thirty participants received AVS, while 12 received audio-visual white noise as a control. EEG recordings were obtained before, during, and after the stimulation. A digital FFT-based power spectrum analysis was performed, and raw sum values (sum of spectral line values) within defined frequency ranges were extracted. The STAI was administered to assess both trait and state anxiety. Statistical analysis was conducted using SPSS. In the AVS group, significant reductions in alpha and beta power were observed between the pre-, during-, and post-stimulation phases (p &lt; 0.05). Comparison of pre- and post-STAI scores revealed a statistically significant decrease in anxiety levels within the AVS group (p &lt; 0.001), with no similar effect observed in the control group. Audio-visual stimulation significantly reduced alpha and beta EEG power during exposure and led to a marked decrease in self-reported anxiety. These findings provide both neurophysiological and clinical support for the use of AVS as a nonpharmacological method to alleviate anxiety symptoms.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"385 - 397"},"PeriodicalIF":2.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating a Group-Based Temperature Biofeedback and Pain Education Intervention: Preliminary Report on Effects on Peripheral Temperature and Pain Outcomes","authors":"Jill C. Penman,&nbsp;Lindsay G. Flegge,&nbsp;Kristina M. Bogdan,&nbsp;Michael A. Bushey","doi":"10.1007/s10484-025-09740-y","DOIUrl":"10.1007/s10484-025-09740-y","url":null,"abstract":"<div><p>This retrospective study analyzes the effects of Mind Meter—a session of group-delivered pain neuroscience education (PNE) paired with temperature biofeedback—on peripheral temperature and pain outcomes in chronic pain participants. A retrospective review assessed physiological and subjective responses to this novel group intervention. Before and immediately after the intervention, peripheral skin temperature and pain related symptom scores were collected using an adapted Edmonton Symptom Assessment Scale (ESAS). Participants (n = 35) with chronic pain participated in a single 2-h Mind Meter group. Significant pre-post changes were seen in both physiological and subjective symptom severity. Peripheral temperature increased 2.30°F (95% CI 1.05, 3.54; p &lt; 0.001) on average. Participants reported a mean reduction in pain intensity of -1.14 points (95% CI -1.61, -0.068; p &lt; 0.001). Sadness, anxiety, and well-being on the ESAS also improved significantly (highest p = 0.001). In this study we observed that after a single group-session of Mind Meter, participants generated immediate, measurable physiological changes attributable to alterations in the autonomic nervous system, modest pain relief, and overall symptom improvement. This brief, group format provides a novel option that makes PNE and biofeedback a potentially accessible complementary modality.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"399 - 404"},"PeriodicalIF":2.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Neurofeedback and Mindfulness-Based Cognitive Therapy on Chinese Students’ Social, Emotional, and Academic Adjustment","authors":"Meng Liu","doi":"10.1007/s10484-025-09738-6","DOIUrl":"10.1007/s10484-025-09738-6","url":null,"abstract":"<div><p>Social, emotional, and academic adjustments are critical for students' personal and academic success. Difficulties in these domains can impede overall development, necessitating effective interventions to promote psychological well-being and adaptability. Neurofeedback and mindfulness-based cognitive therapy (MBCT) have shown promise in addressing these challenges. Neurofeedback facilitates self-regulation of brain activity to improve attention and emotional control, while MBCT integrates mindfulness practices with cognitive-behavioral strategies to alleviate anxiety and depression. This study aimed to compare the effectiveness of neurofeedback and MBCT in enhancing social, emotional, and academic adjustment among students. The statistical population comprised 910 pre-university students from Zhengzhou during the 2022–2023 academic year. Based on inclusion and exclusion criteria, 90 students were selected through convenience sampling and randomly assigned to three groups: 30 in the control group, 30 in the neurofeedback group (experimental group 1), and 30 in the MBCT group (experimental group 2). Data were collected using the Adjustment Inventory for School Students (AISS) and a standardized Mindfulness Protocol. Statistical analyses revealed that neurofeedback and MBCT significantly improved students’ emotional, social, and academic adjustments compared to the control group. However, no significant difference in effectiveness was observed between the two interventions. These findings suggest that neurofeedback and MBCT are equally effective in fostering students’ psychological resilience and adaptability, highlighting their potential as valuable tools for promoting well-being and academic success in educational contexts.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"50 on","pages":"697 - 707"},"PeriodicalIF":2.4,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Synchronization of Cardiac and Musical Signals Improves Interoceptive, Cardiac, and Emotional Functioning","authors":"Ricardo Silva,&nbsp;Nélson Costa,&nbsp;Adriana Sampaio,&nbsp;Joana Coutinho","doi":"10.1007/s10484-025-09737-7","DOIUrl":"10.1007/s10484-025-09737-7","url":null,"abstract":"<div><p>The ability to seamlessly integrate sensory information from the environment (exteroception) and physiological states (interoception) is a key aspect of our awareness and well-being. Alterations in these processes often result in uncertainty about bodily states and dysregulation of physiological and emotional processes, as observed in clinical conditions. In this study, we employed an interactive music system as a novel method to improve interoceptive, cardiac, and emotional functioning, combining cardiac biofeedback, mindfulness, and music listening approaches. A sample of 24 healthy participants was divided into three groups, each performing a single-session attention task: heartbeat mindful attention (interoceptive), non-interactive music listening (exteroceptive), and interactive music listening (intero-exteroceptive). Significant differences in interoceptive accuracy after the session were found only in the interactive music listening task. Additionally, all groups exhibited decreased heart rate (HR), enhanced heart rate variability (HRV), and reduced negative affect after the session. Moderation analysis also revealed the role of self-reported interoception, cardiac dynamics, and anxiety and depression symptomatology on the observed effects. Together, our results demonstrated the effectiveness of interactive music systems, suggesting that this approach may facilitate intero-exteroceptive synchronization and one’s certainty about bodily states, while also promoting mindful attention and calm emotional and physiological states.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"367 - 383"},"PeriodicalIF":2.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Worry and Affectivity on Physiological Responses To an Acute Stressor","authors":"James A. Meurs,&nbsp;Christopher Stride,&nbsp;Ana Maria Rossi,&nbsp;Pamela L. Perrewé","doi":"10.1007/s10484-025-09733-x","DOIUrl":"10.1007/s10484-025-09733-x","url":null,"abstract":"<div><p>The explanation for how acutely stressful experiences could result in proximal health outcomes has been lacking in occupational health research. Although scholars have argued that individual personality and affect could worsen health behaviors, we believe that these qualities also could intensify the experience of acute stressors, potentially explaining why acutely stress encounters result in poor health outcomes for some people, but not others. Our study examines three individual differences - worry, negative affect, and positive affect - that are relevant to differential stress anticipation, reactivity, and recovery. Study participants, who were full-time professional or managerial employees, attended a clinic where we gathered data on their trait worry, and state negative and positive affect. Then, they took part in an experimental exercise that should reflect stressful experiences at work (i.e., cognitive stressor with social pressure). The clinician collected measures of participant facial muscle tension, skin temperature, blood pressure, respiratory breathing, and heart rate, before, during, and after the stressful exercise. Results suggest that only positive affect magnified stress during the anticipation of the experiment, both worry and negative affect intensified the negative physiological effects of the stressor in two of the three experimental stages, and only negative affect delayed physiological recovery and relaxation. Our findings augment our understanding of how individual differences affect physiological responses to acute stress.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"287 - 325"},"PeriodicalIF":2.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking Psychophysiological Markers To Situational Performance: An EEG Study of Police Cadets during Critical Incident Simulations","authors":"Nasser AlSabah,&nbsp;Abdulwahab AlAsfour,&nbsp;Carey Marr,&nbsp;Paula Di Nota","doi":"10.1007/s10484-025-09736-8","DOIUrl":"10.1007/s10484-025-09736-8","url":null,"abstract":"<div><p>Physiological measures, most commonly heart rate, are widely used in applied police research to assess the relationships between situational stress and officer performance under pressure. However, measurements of the neurocognitive mechanisms underlying these critical skills remain limited, especially throughout police academy training. This study investigates the potential of electroencephalography (EEG) and its relationship to situational performance outcomes in police cadets (<i>n</i> = 58) at Kuwait’s National Police Academy. EEG and electrocardiogram (ECG) activity were recorded as cadets from three different cohorts participated in a video simulation of a stressful critical incident, featuring seven decision prompts that called for procedural action. Cadets’ decision-making, reasoning, and memory recall were rated during a post-task debriefing interview. Preliminary pairwise analyses identified significant correlations between performance metrics and neural activation in both beta and theta bands, particularly in the frontal cortex. Comprehensive multivariate analysis revealed frontal cortex beta-band activity to be a significant correlate of performance, particularly during decision-making and memory recall, underscoring its role in executive functions crucial to situational performance in policing. Contrary to studies that find higher activation leads to better outcomes, lower beta-band activation correlated to better performance. Additionally, ECG showed minimal predictive value during multivariate testing. This marks the first time EEG and ECG measures have been integrated into a single model predicting performance in policing. These findings contribute novel insights into the psychophysiological study of police performance, highlighting important implications for enhancing training, evaluation, and research methodologies in applied law enforcement settings.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"349 - 365"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09736-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidimensional Fatigue Assessment of High-Altitude Electrical Workers: A Comprehensive Analysis Based on Physiological and Psychological Indicators","authors":"Linhui Sun,&nbsp;Yuhao An,&nbsp;Xiaofang Yuan,&nbsp;Huilin Zhang,&nbsp;Fangming Cheng","doi":"10.1007/s10484-025-09732-y","DOIUrl":"10.1007/s10484-025-09732-y","url":null,"abstract":"<div><p>High-altitude electrical work is a high-risk and physically demanding occupation that has received limited empirical investigation, particularly regarding the physiological and psychological fatigue experienced during operations. This study provides an initial empirical exploration into fatigue among high-altitude electrical workers by examining the relationship between subjective fatigue perception and multiple physiological indicators in realistic working environments. Thirty professional high-altitude electrical workers participated in field-based measurements conducted during routine summer operations. A combination of subjective (Fatigue Severity Scale) and objective indicators—such as LF/HF, grip strength, reaction time, and critical flicker frequency—was used to assess fatigue. The experimental protocol was designed to closely mirror actual work conditions, and over 1,200 valid data points were collected across repeated measures. Spearman correlation and multiple regression analyses were employed to evaluate the association between physiological indicators and subjective fatigue ratings. Significant correlations were observed between subjective fatigue levels and several physiological indicators, particularly LF/HF (β = –0.523, <i>p</i> &lt; 0.001), grip strength (β = –1.076, <i>p</i> &lt; 0.001), CFF (β = –4.138, <i>p</i> &lt; 0.001), and RT (β = 2.984, <i>p</i> &lt; 0.001). These findings suggest these indicators may be sensitive to short-term fatigue fluctuations under operational stress. In contrast, ETCO₂ did not show a significant relationship with subjective fatigue, likely due to its physiological stability and limited responsiveness in non-clinical field conditions. This study offers preliminary evidence supporting the feasibility of combining multiple physiological and psychological indicators for fatigue monitoring in high-altitude electrical work. The results underscore the multifaceted nature of fatigue and highlight the importance of context-specific evaluation frameworks. Future studies should further refine these indicators and expand the sample scope to enhance generalizability and practical applicability in occupational health management.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"259 - 285"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}