{"title":"Men, mindsets and birth: results of a prospective longitudinal study.","authors":"Lisa Hoffmann, Norbert Hilger, Rainer Banse","doi":"10.1080/02646838.2024.2309374","DOIUrl":"10.1080/02646838.2024.2309374","url":null,"abstract":"<p><strong>Aims/background: </strong>In recent years, there has been an increased interested in the contribution of fathers to childbirth. In the present paper we explore whether the father's birth-related mindset (being either more natural or more medical) can predict the mother's labour and birth outcomes and whether the father's experience and evaluation of the birth can predict his psychological well-being after the birth.</p><p><strong>Design/methods: </strong>We conducted a longitudinal study (<i>N</i> = 304 expecting fathers) spanning the first trimester of pregnancy up to six months after birth.</p><p><strong>Results: </strong>The study results could be integrated into a Single Indicator Model. They indicated that a father's more natural birth-related mindset predicted low-intervention birth for the mother. A low-intervention birth led to a more positive birth experience for the father, and in turn to better postpartum adjustment, fewer symptoms of postpartum paternal depression eight weeks after birth, and more secure bonding to the infant six months after birth.</p><p><strong>Conclusion: </strong>The study results indicate that fathers do not take a merely passive role in childbirth. On the contrary, analogous to pregnant mothers, fathers' views about childbirth might contribute to the course of birth, and their own postpartum psychological well-being. The results of the present study, thus, highlight the importance of fathers for childbirth and in a broader sense, the results also contribute to a better understanding of the psychological framework of birth and represents a valuable starting point for further research.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1024-1035"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa VanWiel, Mackenzie Unke, Riley J Samuelson, Kara M Whitaker
{"title":"Associations of pelvic floor dysfunction and postnatal mental health: a systematic review.","authors":"Lisa VanWiel, Mackenzie Unke, Riley J Samuelson, Kara M Whitaker","doi":"10.1080/02646838.2024.2314720","DOIUrl":"10.1080/02646838.2024.2314720","url":null,"abstract":"<p><strong>Background: </strong>Postpartum mental health conditions are common and can have devastating effects for both mother and infant. Adverse birth outcomes increase the risk of postnatal mental health conditions. Pelvic floor dysfunction (PFD) is a common adverse pregnancy outcome that may be a risk factor for postnatal mental health conditions. There are many studies reporting associations between PFD and postnatal mental health conditions, but no reports have synthesised the current literature as it relates to pregnancy and the postpartum period.</p><p><strong>Methods: </strong>A research librarian conducted systematic literature searches using terms concerning PFD, postnatal mental health conditions, and pregnancy. Searches were conducted within PubMed, Embase, CINAHL, Cochrane, and Scopus. Two reviewers independently rated each study for inclusion and study quality. No studies were excluded based on quality.</p><p><strong>Results: </strong>A total of 47 studies were included for review. Articles addressed sexual dysfunction (<i>n</i> = 11), incontinence (<i>n</i> = 21), perineal laceration (<i>n</i> = 13), pelvic organ prolapse (<i>n</i> = 2), and general pelvic floor symptoms (<i>n</i> = 2) and associations with postnatal mental health conditions. Two articles addressed more than one type of PFD. The majority (44 studies) reported associations between PFD and adverse postnatal mental health conditions.</p><p><strong>Discussion: </strong>Most studies included for review found consistent associations between PFD and adverse mental health conditions. Healthcare providers should screen for PFD and postnatal mental health conditions early in the postpartum period. Future research should investigate whether the treatment of PFD can modify the associations between PFD and postnatal mental health conditions.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"958-979"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of foot-massage in pregnant women with hyperemesis gravidarum on severity of nausea-vomiting and anxiety.","authors":"Nilay Gökbulut, Yeşim Aksoy Derya","doi":"10.1080/02646838.2023.2291412","DOIUrl":"10.1080/02646838.2023.2291412","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to determine the effects of foot massage performed on pregnant women with hyperemesis gravidarum on the severity of nausea and vomiting and pregnancy-related anxiety.</p><p><strong>Material and method: </strong>This randomised controlled study was conducted between February and November 2020 with 104 pregnant women hospitalised in the pregnant women follow-up service ward of a public hospital in eastern Turkey with the diagnosis of hyperemesis gravidarum. Data were obtained from the pregnant women who were given a 'Personal Information Form' and before and after each application by using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) Test and the Pregnancy-Related Anxiety Scale-Revision 2 (PRAQ-R2).</p><p><strong>Results: </strong>Before foot massage, the pre-test mean PUQE total, PRAQR-2 total, and PRAQR2 fear of childbirth and concerns about physical appearance dimension scores of the participants in the experimental and control groups were similar (<i>p</i> > 0.05), It was determined that the PRAQR2 fear of having a disabled child control group had significantly higher pre-test scores compared to the massage group (<i>p</i> < 0.05). After foot massage, the severity of nausea and vomiting was significantly lower in the participants in the experimental group compared to those in the control group (<i>p</i> < 0.001). Additionally, the mean PRAQR2 total and dimension scores of the participants in the experimental group were significantly lower than those in the control group (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>These findings support the use of the foot massage is an effective intervention in reducing the severity of nausea and vomiting and pregnancy-related anxiety.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"859-878"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Martini, Ariane Göbel, Susan Garthus-Niegel, Eva Asselmann
{"title":"Future perspectives for research on perinatal anxiety and depressive disorders and their transgenerational transmission.","authors":"Julia Martini, Ariane Göbel, Susan Garthus-Niegel, Eva Asselmann","doi":"10.1080/02646838.2025.2509380","DOIUrl":"https://doi.org/10.1080/02646838.2025.2509380","url":null,"abstract":"","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":"43 4","pages":"827-830"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interparental conflict in the perinatal period: exploring clinical and community populations.","authors":"Hannah Hopson, Peter Fonagy, Camilla Rosan","doi":"10.1080/02646838.2025.2523351","DOIUrl":"https://doi.org/10.1080/02646838.2025.2523351","url":null,"abstract":"<p><strong>Aims/background: </strong>Interparental conflict is a normal part of the parenting relationship, however, when it occurs frequently with animosity or acrimony, it can increase the risk of negative outcomes for both children and the parenting couple. Research has identified numerous risk factors for elevated interparental conflict, including the transition to parenthood and mental health difficulties. Despite this, the experiences of interparental conflict in families diagnosed with clinical mental health difficulties during the perinatal period remain unclear. This study aims to address this gap by investigating whether experiences of interparental conflict differ between families who are, and are not, experiencing complex or severe mental health difficulties during this period.</p><p><strong>Design/methods: </strong>This study compares reports of perinatal interparental conflict from COSI trial participants (ISRCTN18308962) accessing NHS Perinatal Mental Health Services in England with families without a diagnosis of mental health difficulties.</p><p><strong>Results: </strong>The findings indicate that overall experiences of interparental conflict differ significantly between the two populations. Additionally, differences are observed in specific dimensions of conflict behaviour.</p><p><strong>Conclusion: </strong>This research provides new insight into interparental conflict during the perinatal period. It suggests that parents diagnosed with clinical mental health symptoms during this time may face a heightened risk of increased conflict, and its associated outcomes. Such findings are vital for early healthcare services, which could screen for these behaviours and implement preventative interventions to support families.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-19"},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jan Grashoff, Katharina Kersken, Stefanie Hahner, Thaísa Barros-Santos, Max Kurlbaum, Petra Davidova, Patricia Trautmann-Villalba, Miriam Kalok, Corina Essel, Fadia Ben Ahmed, Maria Matentzoglu, Anna Linda Leutritz, Andreas Reif, Franz Bahlmann, Sarah Kittel-Schneider
{"title":"A pilot prospective cohort investigating paternal hormonal changes during peripartum, depressive symptoms and father-infant-bonding.","authors":"Jan Grashoff, Katharina Kersken, Stefanie Hahner, Thaísa Barros-Santos, Max Kurlbaum, Petra Davidova, Patricia Trautmann-Villalba, Miriam Kalok, Corina Essel, Fadia Ben Ahmed, Maria Matentzoglu, Anna Linda Leutritz, Andreas Reif, Franz Bahlmann, Sarah Kittel-Schneider","doi":"10.1080/02646838.2025.2523340","DOIUrl":"https://doi.org/10.1080/02646838.2025.2523340","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this pilot study was to investigate hormonal changes (including testosterone, cortisol, and precursors or other hormones with similar biosynthesis pathways) among expectant fathers from their partners' pregnancy through 3 and 6 months postpartum, and to explore the correlation of hormonal changes with father-infant-bonding and depressive symptoms.</p><p><strong>Methods: </strong>Fathers were recruited during their partner's pregnancy. Questionnaires were administered, and blood samples for hormone analysis were collected during pregnancy (<i>n</i> = 71) and at 3 (<i>n</i> = 52) and 6 months postpartum (<i>n</i> = 50). Hormones were measured using mass spectrometry. Depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) and Montgomery-Åsberg Depression Rating Scale (MADRS). Father-infant-bonding was evaluated using the Postpartum Bonding Questionnaire (PBQ).</p><p><strong>Results: </strong>We found significant hormonal changes in expectant fathers from pregnancy to 6 months postpartum, with notable decreases in dehydroepiandrosteronesulfate (DHEA-S), dehydroepiandrosterone (DHEA), and 11α-deoxycortisol levels. Higher depressive symptoms, measured by MADRS and EPDS, correlated with lower testosterone levels at 3 and 6 months postpartum. Poorer father-infant bonding, assessed by PBQ, showed significant correlations with lower testosterone at 6 months postpartum, and lower DHEA and progesterone at 3 months, particularly in aspects related to infant-focused anxiety.</p><p><strong>Conclusions: </strong>This exploratory study identified hormonal changes in men associated with their partner's pregnancy and the postpartum period, which correlate with depressive symptoms and father-infant bonding. Further research is necessary to clarify the direction of these findings and to develop a comprehensive risk profile for vulnerable fathers.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Inês Nepomuceno, Mariana Branquinho, Maria Cristina Canavarro, Ana Fonseca
{"title":"Maternal depressive symptomatology and mother-infant bonding difficulties: the mediating role of brooding rumination.","authors":"Maria Inês Nepomuceno, Mariana Branquinho, Maria Cristina Canavarro, Ana Fonseca","doi":"10.1080/02646838.2025.2520514","DOIUrl":"https://doi.org/10.1080/02646838.2025.2520514","url":null,"abstract":"<p><strong>Background: </strong>While the association between maternal depressive symptomatology and mother-infant bonding (MIB) difficulties is well established, the mechanisms underlying this relationship remain unclear. This study innovatively investigates the mediating role of rumination (considering its two dimensions - brooding and reflection), a key cognitive process in depression that has been rarely explored in the postpartum period.</p><p><strong>Aims: </strong>To compare rumination and MIB levels between mothers with and without depressive symptoms and assess whether maternal depressive symptomatology is associated with MIB difficulties, with rumination acting as a mediating factor.</p><p><strong>Methods: </strong>A cross-sectional design was employed with a sample of 521 Portuguese mothers who had given birth within the previous 12 months. Participants completed an online questionnaire including the Edinburgh Postnatal Depression Scale, the Ruminative Response Scale, and the Postpartum Bonding Questionnaire.</p><p><strong>Results: </strong>Mothers with clinically relevant depressive symptomatology (EPDS ≥13) reported greater MIB difficulties and higher levels of rumination. Mediation analysis revealed that depressive symptomatology was directly associated with MIB difficulties, but also indirectly through brooding rumination. In contrast, the reflection dimension showed no significant mediating effect.</p><p><strong>Conclusion: </strong>By identifying brooding rumination as a key process in MIB difficulties, this study has the potential to inform the development of interventions for postpartum depression that go beyond the relief of maternal symptoms to promote additional positive family outcomes and prevent adverse child outcomes.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah J Cantrell, Rebecca M Pearson, Alessandra Prioreschi
{"title":"Maternal perspectives on poor mental health and the impact on mother-infant relationships.","authors":"Sarah J Cantrell, Rebecca M Pearson, Alessandra Prioreschi","doi":"10.1080/02646838.2025.2511797","DOIUrl":"https://doi.org/10.1080/02646838.2025.2511797","url":null,"abstract":"<p><strong>Aim: </strong>The high prevalence of trauma, anxiety, and depression among postpartum women, particularly in low-income groups, poses a global health challenge. These mental health issues can strain the mother-infant relationship and negatively affect the infant's socio-emotional and cognitive development, with broader societal implications. This study aims to explore South African postpartum mothers' perceptions of mental health and their influence on mother-infant bonding to inform targeted support strategies.</p><p><strong>Methods: </strong>Fifteen participants with infants under 4 months old were recruited from Soweto, South Africa. The mothers were divided into two focus groups (<i>n</i> = 7 and <i>n</i> = 8). In-depth discussions were conducted to explore mothers' views on the causes of postpartum mental health issues and their perceived effects on bonding. Following transcription, a thematic analysis was performed, whereby each script line was coded and categorised. The process included independent verification by a second researcher, resulting in the identification of key themes from the data.</p><p><strong>Results: </strong>Mothers described mental health issues as experiences of 'stress' and 'worry'. Five key contributors included partner and family conflict (particularly paternity denial), lack of community and healthcare support, and insufficient resources. Mothers reported that these stressors hindered mothers' abilities to bond with their infants, with maternal persecution emerging as a prominent theme.</p><p><strong>Conclusion: </strong>Interpersonal and financial stressors play a significant role in shaping postpartum mothers' mental health and influencing their relationships with their infants. Findings highlight culturally and contextually appropriate interventions to support mothers and to foster positive mother-infant relationships in resource-limited settings.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karolina Lutkiewicz, Łucja Bieleninik, Paweł Jurek, Mariola Bidzan
{"title":"Attitudes towards surrogacy in the context of socio-demographic determinants: a cross-sectional study.","authors":"Karolina Lutkiewicz, Łucja Bieleninik, Paweł Jurek, Mariola Bidzan","doi":"10.1080/02646838.2025.2513662","DOIUrl":"https://doi.org/10.1080/02646838.2025.2513662","url":null,"abstract":"<p><strong>Aims/background: </strong>This study aims to explore socio-demographic factors and surrogacy attitudes. Surrogacy, an assisted reproductive technology, enables parenthood for individuals unable to conceive or carry a child. It intersects with societal norms, ethical considerations, personal beliefs, and professional contexts, shaping varied attitudes towards it.</p><p><strong>Design/methods: </strong>In this cross-sectional study, data was collected using a community sampling through virtual surveys: Attitudes Towards Surrogacy Scale (ATSS) and Attitudes to Surrogate Parenthood Questionnaire (ASPQ). Participants consisted of 569 individuals, with the majority being women (<i>n</i> = 470, 82%). Correlations and predictors of attitudes towards surrogacy were investigated using statistical methods. Analysis of variance (ANOVA) was used to analyse place of residence, parenthood and relationship status and multiple regression models were used to explain attitudes towards surrogacy (ClinicalTrials.gov ID NCT04732559).</p><p><strong>Results: </strong>The Surrogacy Ethical Context strongly correlates with both Acceptance of Surrogacy and Financing and Legalizing Surrogacy. Socio-demographic factors collectively explain between 6% and 18% of the variance in attitudes towards different aspects of surrogacy. Sexual orientation and religion were the strongest predictors of the attitudes towards surrogacy. Individuals who view surrogacy more positively in terms of ethics and legal considerations reflected fewer cognitive concerns regarding both types of surrogacy.</p><p><strong>Conclusions: </strong>Findings show societal trends in acceptance and apprehension towards surrogacy, offering insights relevant for policymakers, healthcare providers, and advocacy groups involved in reproductive rights and technologies. These findings highlight the importance of considering socio-demographic diversity when analysing attitudes towards surrogacy, highlighting distinct patterns of acceptance and concern across different demographic groups.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annaleena Holopainen, Marije L Verhage, Carlo Schuengel, Anne Tharner, Mirjam Oosterman
{"title":"The role of fear of childbirth and birth experiences in observed maternal parenting behaviour.","authors":"Annaleena Holopainen, Marije L Verhage, Carlo Schuengel, Anne Tharner, Mirjam Oosterman","doi":"10.1080/02646838.2025.2512930","DOIUrl":"https://doi.org/10.1080/02646838.2025.2512930","url":null,"abstract":"<p><strong>Background: </strong>Fear of childbirth and negative birth experiences have suggested to been associated with parenting behaviour and thereby indirectly with child outcomes. The current study contributes to this knowledge by investigating fear of childbirth and birth experience as predictors of observed parenting behaviour.</p><p><strong>Methods: </strong>We longitudinally tested the role of fear of childbirth and birth experiences in two dimensions of observed parenting behaviour: maternal sensitivity and disruptive maternal behaviour. We built two hierarchical regression models: maternal sensitivity as the dependent variable in the first model and disruptive maternal behaviour in the second model. In both models, fear of childbirth was added as an independent variable in the first step and birth experience in the second step.</p><p><strong>Results: </strong>Results of the hierarchical regressions and post-hoc equivalence testing suggested that fear of childbirth may not predict mothers' postnatal parenting behaviour. Yet, the role of birth experience in maternal parenting behaviour remained unclear, as the results of hierarchical regression were non-significant, but equivalence testing resulted in inconclusive results.</p><p><strong>Conclusion: </strong>Fear of childbirth and negative birth experience may not necessarily stand in the way of sensitive parenting.</p>","PeriodicalId":47721,"journal":{"name":"Journal of Reproductive and Infant Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}