Journal of Contextual Behavioral Science最新文献

{"title":"Masculinity, social connection, and loneliness: A contextual behavioral science approach to men's social relationships and intimacy","authors":"Elizabeth C. Neilson,&nbsp;Daniel W.M. Maitland","doi":"10.1016/j.jcbs.2025.100892","DOIUrl":"10.1016/j.jcbs.2025.100892","url":null,"abstract":"<div><div>Loneliness—the discrepancy between actual and desired levels of social connection—is a pervasive public health concern. Research suggests that many men report loneliness and desire more intimate relationships. The Interpersonal Process Model of Intimacy posits that intimacy, the meaningful connection between two individuals, is a critical variable in preventing loneliness and develops through a bidirectional process of vulnerable self-disclosure, responsiveness, and perceived partner responsiveness. This manuscript applies the Interpersonal Process Model of Intimacy, as interpreted from a contextual behavior science lens, to contextualize the existing research on masculinity and men's social relationships to inform future research and clinical practice. We review the research on men's engagement in different components of the model (vulnerable self-disclosure, responsiveness, perceived partner responsiveness), emphasizing how masculinity informs men's behavior. Research indicates that men often do not engage in behaviors essential to a contextual behavioral model of intimacy (e.g., vulnerable emotions, distress, or asking for help) because such behaviors are inconsistent with masculinity. Research also indicates men often do not acknowledge others' disclosures or respond with judgment or confusion. Men may also perceive responsiveness as stressful due to social proscriptions regarding receiving help. We discuss implications for research and clinical interventions to ameliorate men's loneliness.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100892"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876729","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":"Adding implementation support to a universal Acceptance and Commitment Therapy-based school well-being intervention: A cluster-randomised controlled trial","authors":"Atiyya Nisar ,&nbsp;Richard C. Watkins ,&nbsp;Duncan Gillard ,&nbsp;Corinna F. Grindle ,&nbsp;Paul A. Thompson ,&nbsp;Jane Pegram ,&nbsp;Richard P. Hastings","doi":"10.1016/j.jcbs.2025.100886","DOIUrl":"10.1016/j.jcbs.2025.100886","url":null,"abstract":"<div><div>Implementation support is a key factor in the success of school-based well-being programmes. To assess the impact on children's well-being of providing additional implementation support for staff delivering a universal Acceptance and Commitment Therapy informed well-being curriculum (‘Connect PSHE’) compared to delivery without support. Twenty schools were recruited and randomised to deliver Connect PSHE with additional support (<em>n</em> = 10; n = 323 children) or Connect PSHE with the standard support (<em>n</em> = 10; n = 422 children). A two-arm, parallel-group cluster-randomised (schools as clusters) controlled trial design was utilised. Additional implementation support had no impact on the primary well-being measure (Me and My Feelings scale) at post-test (<em>β</em> = 0.22, <em>95 % CI</em> [-0.59, 1.03], <em>p</em> = 0.59). Small improvements were observed in the additional support arm for two subscales of the Strengths and Difficulties Questionnaire. Overall, both trial arms were associated with improvements in children's well-being. Connect PSHE is a promising well-being programme suitable for testing in additional research.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100886"},"PeriodicalIF":3.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629110","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":"Persisting with purpose: Using acceptance and commitment therapy to target comorbid opioid use disorder and chronic pain in a racially and economically marginalized population","authors":"Yash Bhambhani ,&nbsp;Laurie Gallo ,&nbsp;Emily O. McNamara ,&nbsp;Angela L Stotts ,&nbsp;Vilma Gabbay","doi":"10.1016/j.jcbs.2025.100888","DOIUrl":"10.1016/j.jcbs.2025.100888","url":null,"abstract":"<div><div>Opioid use disorder (OUD) and chronic pain (CP) are commonly comorbid health conditions that cause significant disability, distress, and mortality. Treatment for these conditions is impacted by drop out and presence of other psychiatric conditions. Acceptance and Commitment Therapy is an effective intervention to treat chronic pain and substance use disorders, however this intervention has not been systematically evaluated for treatment of comorbid OUD and CP, especially in a racially and economically marginalized population. In this paper we describe development of such an ACT manual, using an intervention mapping approach. While the manual pays close attention to opioid use and chronic pain, it includes transdiagnostic principles that target overall psychological well-being including a deep emphasis on expanding valued living. We incorporated trauma informed care, cultural humility, and harm reduction principles in the development of nine ACT skills that are easy to understand and scalable. The treatment manual centers economically and racially marginalized patients who are traditionally underrepresented in psychological research. This manual is currently being evaluated in clinical trial NCT05039554 with funding from the NIH HEAL project #RM1DA055437. The treatment manual and handouts are freely available for use and included.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100888"},"PeriodicalIF":3.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629109","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":"Investigating the delivery of an acceptance and commitment therapy (ACT) smartphone app intervention on symptomology in adult IBS patients: A feasibility study","authors":"Anna Ryan ,&nbsp;Nuno Ferreira ,&nbsp;Helen Moffat ,&nbsp;Maria Eugenicos ,&nbsp;William Howson ,&nbsp;Anna Casburn-Jones ,&nbsp;Francesca Moroni ,&nbsp;Perdita Stevens ,&nbsp;Maria Wolters ,&nbsp;David Gillanders","doi":"10.1016/j.jcbs.2025.100887","DOIUrl":"10.1016/j.jcbs.2025.100887","url":null,"abstract":"<div><h3>Background</h3><div>Irritable Bowel Syndrome (IBS) significantly impacts patients and healthcare systems. While digital therapeutics show promise for IBS self-management, the feasibility of an Acceptance and Commitment Therapy (ACT) smartphone app remains unexplored.</div></div><div><h3>Methods</h3><div>This feasibility study recruited 53 participants across three UK Health Services to use an ACT app over 8 weeks. Pre- and post-treatment outcomes were assessed using standardized self-report questionnaires and analyzed with repeated-measures t-tests.</div></div><div><h3>Results</h3><div>Of 53 participants, 44 downloaded the app, and 29 completed follow-ups. Participants were predominantly female, with an average IBS duration of 14.6 years, and 90.9% had moderate-to-severe symptoms. Feasibility was demonstrated through successful recruitment (64% of identified eligible participants) and retention (66% of those who accessed the app). Acceptability showed variability, in terms of user engagement and attrition rates. Significant improvements were observed in IBS acceptance, quality of life, and gastrointestinal-related anxiety, though changes in IBS-related behaviours were not significant. Improvements in physical symptoms were noted but did not reach statistical significance.</div></div><div><h3>Discussion</h3><div>ACT-based self-help apps may benefit individuals with mild-to-moderate IBS symptoms. Recommendations include enhancing intervention acceptability through gamification, improved content delivery, and tailoring to symptom severity. Baseline screening of gastrointestinal symptoms could inform a stepped-care approach, optimizing intervention intensity. Despite limitations such as a small sample size and attrition, this study supports the feasibility of ACT apps for IBS and highlights their potential to improve access to psychological therapies while reducing healthcare burdens.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100887"},"PeriodicalIF":3.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682213","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":"Perspectives on an integrated acceptance and commitment therapy and mindfulness meditation program: A qualitative study of veterans with chronic pain","authors":"Matthew S. Herbert ,&nbsp;Mara Tynan ,&nbsp;Alexandra Higdon ,&nbsp;Autumn Backhaus ,&nbsp;Gage M. Chu ,&nbsp;Niloofar Afari","doi":"10.1016/j.jcbs.2025.100885","DOIUrl":"10.1016/j.jcbs.2025.100885","url":null,"abstract":"<div><div>To maximize the delivery and efficacy of acceptance and commitment therapy (ACT), there is a need to better understand the lived experiences of individuals undergoing ACT-based interventions. This can be helpful to determine what was perceived as effective and examine shifts in perspectives that influence daily functioning. The current study examined qualitative feedback among 21 U.S. Veterans (M_age = 57.43, SD = 12.94) with chronic pain one month after completing the Acting with Mindfulness for Pain (AMP) protocol, an 8-week, group-delivered ACT intervention that integrates formal mindfulness meditation practice as a principal treatment component. We analyzed responses to semi-structured interviews performed at 1-month post-treatment using an inductive thematic approach and found four overarching themes: Shift in Internal State, Engaging in Life, Symptom Relief, and Group Dynamics. The Shift in Internal State and Engaging in Life themes and sub-themes reflected important elements of psychological flexibility as defined within ACT, including pain acceptance, change in the experience of thoughts and emotions, improvement in daily functioning and movement towards personal values. The Symptom Relief theme was primarily supported by descriptions of the utility of mindfulness meditation for pain and stress relief. The Group Dynamics theme highlighted the importance of member-member and member-facilitator relationships. These data provide insights into the lived experiences of Veterans undergoing the AMP protocol and provide support for future research examining the efficacy of AMP. While theoretically consistent themes were identified, the Symptom Relief theme provides important considerations on the inclusion of mindfulness meditation within ACT-based approaches.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"36 ","pages":"Article 100885"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511174","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":"Confucian-informed ACT for psychological flexibility, mental health, and sleep in college students: A randomized controlled trial","authors":"Yaping Zhou ,&nbsp;Xiaochen Wen ,&nbsp;Yinan Li ,&nbsp;Lu Liu ,&nbsp;Qiushan Li","doi":"10.1016/j.jcbs.2024.100868","DOIUrl":"10.1016/j.jcbs.2024.100868","url":null,"abstract":"<div><div>College students are susceptible to psychological and sleep problems in the face of interpersonal, academic, financial, and uncertain pressures, which are exacerbated by the limited resources available at universities for psychological or sleep interventions and the negative help-seeking attitudes of college students. Therefore, there is a need to design and apply university-based interventions that are easily accessible to college students. Transdiagnostic Internet-based Acceptance and Commitment Therapy (TACT) has been widely utilized due to its low cost and scalability; however, to date, its effectiveness and cross-cultural adaptation in mainland China remain to be studied. University students were recruited and randomly assigned to either a) the intervention group (n = 48, Student COMPASS Enhanced Course), which received the I-ACT intervention course with cross-cultural adaptation modifications, or b) the control group (n = 48, Student COMPASS Course), which received the Student COMPASS Course, in a randomized controlled trial design. The Student COMPASS Enhanced Course is a program that has undergone cultural adaptation improvements. The course utilizes the Theoretical Model of Confucian Self-Development as the ethical guideline, while mapping Zeng Guofan's (1811–1872) experience of self-cultivating to the six sub-processes of psychological flexibility and become the essential part of the course. Participants all received a post-intervention assessment after 7 weeks and a follow-up assessment after 15 weeks. The results indicated time effects across all symptom measures (ISI, GHQ-12, PPFI, ESS, DASS-21, and AAQ-II), suggesting significant improvements in mental health, sleep health, and psychological flexibility over time in both the intervention and control groups. Additionally, between-group main effects were observed for PPFI, ESS, DASS-21, and AAQ-II scores. However, the Generalized Estimating Equations (GEE) analysis revealed no group by time interaction effects for scores on any of the measures. Therefore, the Student COMPASS Enhanced Course is an effective Transdiagnostic Internet-based Acceptance and Commitment Therapy for college students in mainland China, with cross-cultural adaptation modifications to the I-ACT and incorporation of the Social workers and counselors are important for the design of psychological intervention programs and subsequent research on I-ACT in mainland Chinese universities.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100868"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174509","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 effect and mechanism of acceptance and commitment therapy for young adults’ appearance-based rejection sensitivity and social comparison based on appearances: A randomized controlled trial","authors":"Wen Zhao ,&nbsp;Xiangping Liu ,&nbsp;Yanhe Deng ,&nbsp;Anise M.S. Wu","doi":"10.1016/j.jcbs.2024.100848","DOIUrl":"10.1016/j.jcbs.2024.100848","url":null,"abstract":"<div><div>This study tested the effect and mechanism of acceptance and commitment therapy (ACT) on young adults’ appearance-based rejection sensitivity (ARS) and social comparison based on appearance (SCBA). A sample of 190 university students (Mage = 18.35, SD = 0.78; 56.62% female) was randomly assigned to either the ACT group (n = 94) or an active control group (n = 96), which focused on interpersonal discussions about experiences of appearance-based rejection. Participants completed six weekly group interventions, as well as three surveys: a baseline assessment before the intervention (T1), a post-test immediately after the intervention (T2), and a 3-month follow-up (T3). Clinically significant decreases in ARS and SCBA were observed in the ACT group from baseline to both the post-test and follow-up. Comparisons at each phase indicated that the ACT group outperformed the control group in reducing ARS and SCBA, as well as in improving psychological inflexibility and cognitive fusion. Furthermore, the parallel mediation models supported the mediating roles of psychological inflexibility and cognitive fusion between the ACTintervention and ARS /SCBA. These findings suggest that ACT is effective in reducing ARS and SCBA by improving psychological inflexibility and cognitive fusion. Future research should further explore the effects and mechanisms of ACT on ARS and its related constructs using diversified samples and multiple long-term follow-ups.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100848"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174507","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 Turkish validation of the short form of the Avoidance and Fusion Questionnaire (AFQ-Y8): Factor structure, measurement invariance, and incremental validity","authors":"Engin Büyüköksüz","doi":"10.1016/j.jcbs.2024.100864","DOIUrl":"10.1016/j.jcbs.2024.100864","url":null,"abstract":"<div><div>The Avoidance and Fusion Questionnaire for Youth (AFQ-Y8) was adapted to gauge psychological inflexibility among young people in a Turkish sample. The current study investigated the factorial structure, incremental validity, measurement invariance across age and gender, and test-retest reliability of the AFQ-Y8 with a sample of 968 high school students (boys = 437, girls = 531). The results confirm the factorial structure associated with psychological inflexibility. Furthermore, the AFQ-Y8 demonstrated a positive correlation with adverse psychological health outcomes. The analysis also supported measurement invariance across different age and gender groups. Additionally, psychological inflexibility exhibited incremental validity in relation to anxiety and depression. In summary, the results indicate that the Turkish AFQ-Y8 is a reliable and valid instrument for measuring psychological inflexibility in adolescents. The Turkish AFQ-Y8 may prove useful in cross-cultural research on psychological inflexibility.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100864"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174504","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":"Acceptance and commitment therapy (ACT) for pediatric chronic non-cancer pain: A systematic review","authors":"Elena Rocío Serrano Ibáñez ,&nbsp;Jade Louise Houghton ,&nbsp;Gema T. Ruiz-Párraga ,&nbsp;Rosa Esteve ,&nbsp;Carmen Ramírez-Maestre ,&nbsp;Alicia E. López-Martínez","doi":"10.1016/j.jcbs.2025.100873","DOIUrl":"10.1016/j.jcbs.2025.100873","url":null,"abstract":"<div><h3>Objective</h3><div>Acceptance and Commitment Therapy (ACT) is an emerging intervention in the paediatric population but is also increasingly being applied across a range of conditions, including chronic noncancer pain (CNCP). The aim of this study was to evaluate the efficacy of ACT in paediatric CNCP.</div></div><div><h3>Methods</h3><div>A systematic review of English and Spanish articles was conducted. The search was performed in July 2023 and updated in September 2024, using Medline, APA PsycInfo, Psychology Database, APA PsycArticles, PubMed, and Web of Science. We included quasi-experimental pre-post studies and randomized controlled trials (RCT) based on ACT treatment for the paediatric population with a diagnosis of CNCP. Data were extracted by two of the authors using predefined data fields. The risk of bias was evaluated using the Study Quality Assessment Tools of the National Heart Lung and Blood Institute.</div></div><div><h3>Results</h3><div>Nine articles met the inclusion criteria (8 pre-post studies and one RCT), involving a total of 423 children and adolescents and 380 parents. The studies assessed variables related to the following areas: physical, psychological, and social/academic. The inclusion of parents in the intervention was taken into account. At a moderate level of evidence, the following variables generally showed a significant change after the intervention: pain interference, anxiety, depression, pain catastrophizing, pain reactivity, and psychological flexibility in the children, adolescents, and their parents. However, overall, the studies had a moderate risk of bias.</div></div><div><h3>Conclusions</h3><div>ACT could be efficacious in the treatment of paediatric CNCP; furthermore, the inclusion of parents could lead to improved outcomes. While these findings are promising, further research is needed.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100873"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173510","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":"Advancing the assessment of psychological flexibility: Development and validation of a novel context-sensitive measure in people with chronic physical illness","authors":"Inês Matos-Pina ,&nbsp;Jéssica Ferreira ,&nbsp;Joana Marta-Simões ,&nbsp;Mariana Moura-Ramos ,&nbsp;Cláudia Ferreira","doi":"10.1016/j.jcbs.2025.100876","DOIUrl":"10.1016/j.jcbs.2025.100876","url":null,"abstract":"<div><div>The current study aimed to develop and validate a novel context-sensitive measure of chronic illness-related psychological flexibility: the Psy-Flex-CI. Its factor structure and psychometric properties were explored in a sample of 286 Portuguese adults who received at least one diagnosis of chronic physical illness. Results confirmed the plausibility of the single-factor structure of the Psy-Flex-CI, with very good fit indices. Also, findings supported the Psy-Flex-CI's reliability. Support for convergent validity was also found with significant correlations between the Psy-Flex- CI and other measures of interest (psychological flexibility and inflexibility, body functionality appreciation, psychopathological symptoms) in the expected directions. Additionally, the Psy-Flex-CI showed incremental validity over a multidimensional measure of psychological flexibility (MPFI-24). Overall, our findings suggest that the Psy-Flex-CI is a reliable and valid measure to assess chronic illness-related psychological flexibility in individuals diagnosed with chronic physical illness. The development of the Psy-Flex-CI may thus be a useful contribution for the chronic illness field, in both clinical and research contexts.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"35 ","pages":"Article 100876"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174503","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}