Transcultural Psychiatry最新文献

Cultural variations in psychosis: Recent research and clinical implications.

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-03-25 DOI: 10.1177/13634615251324088

G Eric Jarvis

{"title":"Cultural variations in psychosis: Recent research and clinical implications.","authors":"G Eric Jarvis","doi":"10.1177/13634615251324088","DOIUrl":"https://doi.org/10.1177/13634615251324088","url":null,"abstract":"This article introduces a thematic issue of Transcultural Psychiatry dedicated to understanding the role of culture in the expression and treatment of psychotic symptoms. While many clinicians and researchers view psychotic disorders as brain diseases firmly rooted in neurological processes and requiring medical treatments to resolve, the papers in this issue propose something different: that psychotic symptoms are refracted through the lens of culture with the result being socially and culturally constructed disorders that have as much to do with the attitudes and knowledge systems of the observer as the lived experience of patients. Hence, expression of psychotic symptoms and disorders represent the result of a negotiated space between individual distress and the values and norms of the wider society. This thematic issue touches on several important points: critical perspectives of high rates of psychosis in migrants, the lack of culturally adapted research and clinical tools in psychosis work, new methods to engage people with psychosis from diverse backgrounds, and cultural issues related to the etiology of psychosis, interpretation of symptoms, and help-seeking. There remain many important topics at the intersection of culture and psychosis not covered by this thematic issue, including stigma and psychosis, delusion formation in cultural context, the history of psychosis concepts, and insight in psychosis. Yet, despite these omissions, the articles in this issue, as a whole, foster recognition of the limits of standard approaches to psychosis and advocate for culturally adapted assessments and interventions, which if implemented from a position of cultural humility, carry the long-term potential of revolutionizing the field.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251324088"},"PeriodicalIF":2.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701852","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}

引用次数: 0

Cultural interplay shaping the well-being of Ghanaian migrants in Japan during the COVID-19 pandemic.

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-03-24 DOI: 10.1177/13634615251323054

Floret Maame Owusu, Nobutoshi Nawa, Yu Par Khin, Takeo Fujiwara

{"title":"Cultural interplay shaping the well-being of Ghanaian migrants in Japan during the COVID-19 pandemic.","authors":"Floret Maame Owusu, Nobutoshi Nawa, Yu Par Khin, Takeo Fujiwara","doi":"10.1177/13634615251323054","DOIUrl":"https://doi.org/10.1177/13634615251323054","url":null,"abstract":"Ghanaian migrants in Japan, who make up the second-largest population of African migrants in the country, may have faced heightened racial prejudice and challenges during the COVID-19 pandemic, impacting their well-being. This study explored cultural factors shaping the well-being of Ghanaians living in Japan during the COVID-19 pandemic through a qualitative study using the socioecological model. From June 2022 to August 2022, 18 in-depth interviews and 2 focus group discussions were conducted among Ghanaian migrants in Japan. Interviews were audio recorded and transcribed, and an inductive thematic approach was used to analyze the data. At the individual level, the internalized face mask culture, financial constraints, reluctance to access mental healthcare services, and hesitancy toward COVID-19 vaccine played major roles in the well-being of Ghanaian migrants. Adherence to social distancing and coping using religious and social circles influenced their well-being at the interpersonal level. At the community and societal levels, important influences on well-being were language barriers, discrimination and COVID-19-related stigma, and trust in Japan's healthcare system. In conclusion, while Ghanaian migrants in Japan faced challenges during the pandemic, affecting them physically and psychologically, they were able to cope through the religious and social ties from Ghana that they maintained.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251323054"},"PeriodicalIF":2.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701850","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}

引用次数: 0

Training on the Cultural Formulation Interview and self-assessed cultural competence in practitioners working in student counseling services.

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-03-04 DOI: 10.1177/13634615241312768

Ahisha Jones-Lavallée, Yvan Leanza

{"title":"Training on the Cultural Formulation Interview and self-assessed cultural competence in practitioners working in student counseling services.","authors":"Ahisha Jones-Lavallée, Yvan Leanza","doi":"10.1177/13634615241312768","DOIUrl":"https://doi.org/10.1177/13634615241312768","url":null,"abstract":"The use of the Cultural Formulation Interview (CFI), a semi-structured 16-item cultural assessment developed for the DSM-5, has not yet been evaluated in the context of post-secondary education campuses (Cégeps and universities). The aim of this study was to assess whether a 2-h training session on the CFI improved cultural competence in clinicians working in student counseling centers throughout the province of Québec as well as to evaluate the clinicians' attitudes toward the adoption of the CFI and their perceptions of the tool's feasibility, acceptability, and clinical utility. Thirty-nine clinicians from seven Cégeps and universities completed the pre-training questionnaires, participated in the 2-h training session, and then completed the post-training questionnaires. Paired-samples t tests were used to compare change in the scores of self-reported cultural competence pre and post training. Clinicians favorably rated the assessment tool, and most clinicians (89%) reported that they planned to incorporate the CFI into their routine clinical practice. There was an increase in multicultural counseling knowledge post training session, as well as a decrease in the multicultural counseling relationship subscale. Potential barriers to the use of CFI were also identified. More research is needed to explore the use of the CFI in different clinical contexts, as well as to evaluate the impact of cultural competence training on clinical practice.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241312768"},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544140","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}

引用次数: 0

Decolonizing psychiatry: An example from Hinduism and psychoanalysis.

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-02-24 DOI: 10.1177/13634615251314590

Neil Krishan Aggarwal

{"title":"Decolonizing psychiatry: An example from Hinduism and psychoanalysis.","authors":"Neil Krishan Aggarwal","doi":"10.1177/13634615251314590","DOIUrl":"https://doi.org/10.1177/13634615251314590","url":null,"abstract":"In 2021, university scholars hosted a conference titled \"Dismantling Global Hindutva,\" which prompted Hindu activists to criticize psychoanalysts for superimposing colonial frameworks onto Hindus. Indian media organizations have questioned the validity of psychoanalysis as scholars uncover the complicity of psychoanalysts with the British Empire. Drawing upon concepts in cultural psychiatry, this article operationalizes ontological perspectivism as a way to decolonize the application of psychological theories among historically-marginalized communities. It presents three perspectives on psychological phenomena. It begins with analyzing the first psychoanalytic study on Hindu scriptures by the psychoanalyst-British colonial administrator Owen Berkeley-Hill through his autobiography, writings from contemporaries, the study itself, and subsequent citations. This study served as model for future work in psychoanalysis that portrayed Hindus in ways that Hindu activists now criticize. Next, the essay presents translations of Sanskrit commentaries on the same scriptures from Hindu philosophers to see how observant Hindus have received their tradition. Finally, it examines writings from contemporary psychoanalysts and psychiatrists who have tried reconciling mental health theories and Hinduism. Ontological perspectivism offers an approach for intercultural dialogues among scholars in distinct intellectual traditions to develop a postcolonial psychiatry.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251314590"},"PeriodicalIF":2.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484478","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}

引用次数: 0

"Open" reincarnation stories: The dialectic between doubt and certainty.

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-02-03 DOI: 10.1177/13634615241296294

Maha Natoor, Avihu Shoshana

{"title":"\"Open\" reincarnation stories: The dialectic between doubt and certainty.","authors":"Maha Natoor, Avihu Shoshana","doi":"10.1177/13634615241296294","DOIUrl":"https://doi.org/10.1177/13634615241296294","url":null,"abstract":"This phenomenological study concerns the Druze cultural idiom Notq-the remembrance and talking about the previous incarnation. Specifically, it deals with stories that are open or referred to in the literature as unsolved. \"Open\" Notq stories are in contrast to solved ones in which the person's identity in the previous life is known and in many cases the person meets the previous life family. The study's core question is: What is the phenomenological experience of Druze who live with an \"open\" Notq? The study was based on interviews with 11 Israeli Druze women and men who have an open Notq story. The findings illustrate the open Notq scenario, the elements that validate it and the individual and collective implications of these stories. Through the open Notq cases we discuss the intersection between personal and master cultural narratives and the effects of this intersection on psychological well-being. We propose that the open Notq, despite its ambiguity and many unsolved questions, does not essentially harm the individual psychologically and may contain therapeutic value due to being consistent with the Druze reincarnation master narrative.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241296294"},"PeriodicalIF":2.5,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122601","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}

引用次数: 0

Diagnostic changes in a specialized psychiatric outpatient clinic for migrants: An observational study.

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-01-31 DOI: 10.1177/13634615241296318

Maja Bruhn, Signe Skammeritz, Laura Glahder Lindberg, Marie Norredam, Erik Lykke Mortensen, Jessica Carlsson

{"title":"Diagnostic changes in a specialized psychiatric outpatient clinic for migrants: An observational study.","authors":"Maja Bruhn, Signe Skammeritz, Laura Glahder Lindberg, Marie Norredam, Erik Lykke Mortensen, Jessica Carlsson","doi":"10.1177/13634615241296318","DOIUrl":"https://doi.org/10.1177/13634615241296318","url":null,"abstract":"Culture significantly influences the understanding, presentation, diagnosis, and treatment of mental disorders, particularly among migrant patients. This observational study examines the frequency and timing of diagnostic changes among migrant patients in a specialized psychiatric outpatient clinic. Furthermore, the study includes a qualitative sub-study to provide insights into the diagnostic process. Out of the 119 migrant patients included in the study, 27.7% changed referral diagnoses during treatment. Diagnostic changes occurred in 15.7% of cases by the end of treatment, 13.4% at midterm, and 9.1% after the initial assessment. No significant associations were found between diagnostic changes and sociodemographic or treatment-related factors. While the qualitative sub-study primarily offered broader insights into the cultural aspects of treatment and the clinical encounter, rather than establishing causal effects on the diagnostic process, it revealed how acculturative stress and cultural identity influenced the presentation of symptoms. The study is conducted in a real-life clinical setting and, thus, reflects the everyday clinical practice of diagnostic changes at a specialized cultural psychiatric clinic. The findings from this study indicate that in addition to a culturally sensitive assessment, time is an important factor for diagnostic changes, which can be essential knowledge for clinical practice when planning diagnostic assessment and treatment. The findings underscore the need for enhancing clinicians' cultural competencies through targeted training, emphasizing cultural awareness in clinical practice.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241296318"},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068912","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}

引用次数: 0

Lockdown through a Chinese lens: A qualitative study.

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-01-29 DOI: 10.1177/13634615241296310

Doris Zhang, Gary Cheung, Sarah Cullum, Lillian Ng

{"title":"Lockdown through a Chinese lens: A qualitative study.","authors":"Doris Zhang, Gary Cheung, Sarah Cullum, Lillian Ng","doi":"10.1177/13634615241296310","DOIUrl":"https://doi.org/10.1177/13634615241296310","url":null,"abstract":"COVID-19-related lockdowns resulted in strict visiting restrictions in care homes, placing a vulnerable population at further risk of functional and cognitive decline, and psychological difficulties due to isolation. Experiences of vulnerable minority groups of older persons who reside in care homes are not well researched. In New Zealand, the Chinese community is a fast-growing ethnic group that faces challenges such as language barriers, differing cultural beliefs and COVID-19-related discrimination. The aim of this study was to explore the experiences of Chinese care home residents in New Zealand during COVID-19 lockdowns. In this qualitative study, we interviewed residents (n = 6), family members (n = 6) and facility staff (n = 6) across two Chinese-run care homes in Auckland, New Zealand. Resident and family member participants were exclusively Chinese. Interviews were conducted and transcribed in either English or Mandarin Chinese. Transcripts were coded and analysed to synthesise themes. We identified five themes: (a) acceptance and pragmatism; (b) attitudes towards authority; (c) the concept of máfan: (to trouble); (d) challenges to fulfilling filial duties; and (e) responding to pandemic challenges. This research reframes the narrative of older Chinese care home residents during COVID-19-related restrictions. We recommend integrating the findings and philosophical values identified in this study to develop future protocols that consider the cultural and language needs of Chinese care home residents.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241296310"},"PeriodicalIF":2.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061140","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}

引用次数: 0

High-risk pregnant women's perceptions of their condition: A qualitative study with an emphasis on psychosocial need. 高危孕妇对自身状况的认知：一项强调心理社会需要的定性研究。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-01-22 DOI: 10.1177/13634615241296298

Celma A B Dos Santos, Janaína C P de Almeida, Denise Saint Arnault, Morena C Riccio, Jaqueline L de Oliveira, Jacqueline de Souza

{"title":"High-risk pregnant women's perceptions of their condition: A qualitative study with an emphasis on psychosocial need.","authors":"Celma A B Dos Santos, Janaína C P de Almeida, Denise Saint Arnault, Morena C Riccio, Jaqueline L de Oliveira, Jacqueline de Souza","doi":"10.1177/13634615241296298","DOIUrl":"https://doi.org/10.1177/13634615241296298","url":null,"abstract":"This qualitative study was carried out with 30 high-risk pregnant women from a Brazilian referral service in women's health. The objective was to analyze the perception of participants regarding their condition, emphasizing their psychosocial needs, to deepen the understanding of subjective, relational, and sociocultural aspects associated with high-risk pregnancy. Data were collected through interviews and participant observation and then explored by thematic content analysis. The participants described pregnancy as planned or as unexpected and associated with greater social prestige and the need for changes, especially related to work and financial conditions. On the other hand, participants mentioned that the risk aspect of pregnancy condition was seen by their social group as something that could have been avoided. Because a high-risk pregnancy is a threat to the baby's physical integrity and life, it leads to the fear of death, which is reinforced by experiences of previous pregnancies. The psychosocial aspects elucidated in the study deal with emotional and labor factors, consistent with existing literature. Participants mentioned family members and health professionals as important support during their pregnancy, especially with regard to daily activities and health care, aimed at promoting favorable outcomes. Some participants reported a lack of support, relational difficulties, and social stigma due to mental illness or advanced age, which were related to experiences of guilt and accountability.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241296298"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014004","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}

引用次数: 0

Is personhood lost after mental illness? Exploring the dynamic interface between personhood and mental illness in Ghana. 精神疾病后人格丧失了吗？探索加纳人格与精神疾病之间的动态界面。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-01-21 DOI: 10.1177/13634615241306227

Seth Mawusi Asafo, Joseph Osafo, Charity S Akotia, Angela A Gyasi-Gyamerah, Johnny Andoh-Arthur, Jonathan K Gavi

{"title":"Is personhood lost after mental illness? Exploring the dynamic interface between personhood and mental illness in Ghana.","authors":"Seth Mawusi Asafo, Joseph Osafo, Charity S Akotia, Angela A Gyasi-Gyamerah, Johnny Andoh-Arthur, Jonathan K Gavi","doi":"10.1177/13634615241306227","DOIUrl":"https://doi.org/10.1177/13634615241306227","url":null,"abstract":"Understanding of local conceptions of personhood and mental illness is central for developing therapeutic alliance and treatment regimens for persons living with mental illness. Such persons are exposed to several discriminatory behaviours yet factors that seem to encourage these behaviours are still not entirely understood. Personhood as construed from an emic perspective could potentially guide an understanding of societal attitudes toward individuals suffering from mental illness. This study explored Akan and Ewe conceptions of personhood in relation to mental illness. Using a semi-structured interview guide, seven Focused Group Discussions (FGDs) were conducted in the Tutu and Taviefe communities of the Eastern and Volta Regions of Ghana. A thematic analysis of interviews brought out three main themes: loss of sense of personhood during mental illness; liminality of personhood status after mental illness; and restoration of personhood status. Within these conceptions, activities such as restoring routines and occupational therapy could be utilized to \"restore personhood\" at least at the performative level. This demonstrates the dynamic interface between notions of personhood and mental illness with implications for stigma reduction.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241306227"},"PeriodicalIF":2.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014074","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}

引用次数: 0

Explanatory models of common mental disorders among South Asians in high-income countries: A systematic review. 高收入国家南亚人常见精神障碍的解释模型：系统回顾。

IF 2.5 3区医学

Transcultural Psychiatry Pub Date : 2025-01-09 DOI: 10.1177/13634615241296302

Ruchika Jain, Ritsuko Kakuma, Daisy R Singla, Kirsty Andresen, Khawater Bahkali, Abhijit Nadkarni

{"title":"Explanatory models of common mental disorders among South Asians in high-income countries: A systematic review.","authors":"Ruchika Jain, Ritsuko Kakuma, Daisy R Singla, Kirsty Andresen, Khawater Bahkali, Abhijit Nadkarni","doi":"10.1177/13634615241296302","DOIUrl":"https://doi.org/10.1177/13634615241296302","url":null,"abstract":"Mental health service use by individuals of South Asian origin living outside of South Asia is influenced by cultural factors such as endorsing psycho-social-spiritual over biological explanations, somatisation, and stigma. The aim of this review is to synthesise the evidence about (a) explanatory models of common mental disorders (CMDs) among people of South Asian origin residing in high-income countries, and (b) their help-seeking for CMDs, including formal and informal care. The systematic review protocol was registered a priori on Prospero (registration number CRD42021287583). We ran extensive searches on explanatory models and help-seeking of people of South Asian origin across five databases (MEDLINE, Embase, Cumulated Index to Nursing and Allied Health (CINAHL), PsycINFO, and Global Health). We extracted the data and conducted a narrative synthesis. We included 33 reports and 29 studies (9,030 participants). The participants in the included studies viewed CMDs through a psychosocial rather than a biological lens (e.g., resulting from family issues vs. neurotransmitters). Causal attributions included life stressors and attitudinal and religious/spiritual factors. Commonly used help-seeking strategies included private coping (i.e., crying or praying), speaking to friends and family, and visiting their General Practitioner. We can conclude that cultural factors play an important role in how South Asian individuals experience and understand CMDs. To cope, they use pluralistic help-seeking strategies. Implications for clinical practice and policy include increasing research on the explanatory models of CMDs, involving family in services, and developing community-based interventions for individuals who do not engage with formal care.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615241296302"},"PeriodicalIF":2.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956874","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}

引用次数: 0