Transcultural Psychiatry最新文献

{"title":"Assessing the Needs of Newcomer Afghan Children and Adolescents: A Qualitative Investigation of Culturally Relevant Mental Health and Emotional Distress Problems.","authors":"Mary Bunn, Caroline Dilts, Farhad Sharifi, Euijin Jung, Ramsha Sohail, Theresa S Betancourt","doi":"10.1177/13634615261452806","DOIUrl":"10.1177/13634615261452806","url":null,"abstract":"<p><p>While numerous studies have found that children affected by war and forced displacement are at increased risk for common mental health problems, research also indicates that experiences of emotional distress and the way it is expressed and understood vary by cultural group and context. In this study, we used previously developed rapid qualitative assessment methods to examine local perceptions of mental health and emotional distress among recently arrived children (7-17 years old) from Afghanistan who were living in the Boston area. We conducted 100 free listing interviews and 40 key informant interviews. The rapid assessment approach worked well as a method for understanding the problems of newcomer communities. Our analysis identified four culturally relevant mental health and emotional distress problems in the Dari and Pashto languages: <i>tashwish</i> (Dari and Pashto, worry and stress); <i>jighar khoon</i> (Dari, deep sorrow) / <i>ghamjan</i> (Pashto, deep sorrow); <i>bi adab</i> (Dari, going astray and mannerless) / <i>bi-adabha</i> (Pashto, going astray and mannerless) and <i>dek shodan</i> (Dari, missing) / <i>yaadidal</i> (Pashto, missing). While some of the findings resemble Western constructs of anxiety, depression, and conduct-related problems, they also highlight grief and adjustment experiences that may be specific to uprooting from home and culturally relevant terms and indicators useful for further assessing mental health and emotional distress in Afghan children and adolescents and areas of focus for culturally appropriate care and support.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261452806"},"PeriodicalIF":2.0,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience and Protective Factors for Mental Health among Indigenous Youth in Canada: A Scoping Review.","authors":"Hwayeon Danielle Shin, Jessy Dame, Michelle Padley, Helen Wong, Anika Daclan, Ronessa Dass, Rachel Anne Dorey, Emma Stirling-Cameron, Jodi Langley, Janet A Curran","doi":"10.1177/13634615261471972","DOIUrl":"10.1177/13634615261471972","url":null,"abstract":"<p><p>Indigenous youth's strength and resilience play a vital role in their well-being and mental health. Protective factors, closely linked to resilience, spanning individual, family, and community levels reinforce positive mental health outcomes. The purpose of the current scoping review was to summarize the available literature that describes resilience and/or protective factors promoting mental health and well-being among Indigenous youth in Canada. As a secondary objective, this review investigated community involvement reported in the identified sources. JBI scoping review methodology was followed, and the search of PubMed, EMBASE, CINHAL, PsycINFO, ERIC, and Scopus commenced in August 2021, and was updated in February 2023. A targeted Google search was also conducted to identify eligible gray literature. A total of 61 papers were included in the data extraction. The types of sources identified were observational (<i>n</i> = 22), participatory action research (<i>n</i> = 11), mixed/multi-methods (<i>n</i> = 10), qualitative (<i>n</i> = 9), case study (<i>n</i> = 4), quasi-experimental (<i>n</i> = 1), experimental (<i>n</i> = 1), and other designs such as quality improvement and program evaluation (<i>n</i> = 3). In addition, only a handful of included studies reported use of an Indigenous-specific approach, such as Two-Eyed seeing. Protective and resilience factors were identified across various levels such as individual (<i>n</i> = 52), interpersonal (<i>n</i> = 37), and wider environmental beyond social systems (<i>n</i> = 37) levels. Forty studies described community involvement, which included non-specified community members, like friends or citizens (<i>n</i> = 21), youth (<i>n</i> = 19), Indigenous community members such as leaders and workers (<i>n</i> = 14), and Elders (<i>n</i> = 11). These groups were engaged to varying degrees, functioning either as equal collaborators, consultants, or, in some instances, as decision-makers.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261471972"},"PeriodicalIF":2.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Experiences of People with Co-Morbid Serious Mental Illness and Chronic Physical Illness and their Caregivers with Healthcare Access in Jamaica: A Mixed-Methods Study.","authors":"Patrice Whitehorne-Smith, Kunal Lalwani, Ben Milbourn, Wendel Abel, Robyn Martin, Sharyn Burns","doi":"10.1177/13634615261435852","DOIUrl":"10.1177/13634615261435852","url":null,"abstract":"<p><p>Globally, people with serious mental illnesses (SMIs) experience significant challenges with healthcare access. This increases their risk of developing chronic physical illnesses (CPIs) and results in negative health outcomes and shorter life expectancy. The Jamaican public mental health service has undertaken several transformations to increase the accessibility of mental health services and improve outcomes for people with mental illnesses. Despite this, there is an absence of research exploring the prevalence of CPIs among people with SMIs and their experiences accessing healthcare in Jamaica. This study seeks to address the dearth of research by exploring the prevalence of CPIs among people with SMIs, as well as their experiences and their caregivers' experiences of healthcare access. The study utilised a convergent mixed-methods design with a dominant qualitative strand. Surveys were conducted with 306 people with SMIs attending mental health clinics across Jamaica. In-depth interviews were also conducted with 23 people with SMIs and with five of their caregivers. The findings of the study revealed that approximately 29% of people with SMIs also had one or more CPI. Three themes outlined key influences of healthcare access for this patient population: 1) money, family, and social support, 2) emphasis on the medical model, and 3) healthcare culture and expectations. The findings of the study indicate that social and cultural factors underpin the healthcare access experienced by this population and call for multi-sectoral and inter-disciplinary strategies to address the healthcare access needs of people with comorbid SMIs and CPIs.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"306-324"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Schizophrenia Literacy among Former Soviet Union Immigrants: A Cross-Generational Perspective on Knowledge, Trust, and Stigma.","authors":"Evgeny Knaifel, Rafael Youngmann, David Piterman, Efrat Neter","doi":"10.1177/13634615251409636","DOIUrl":"10.1177/13634615251409636","url":null,"abstract":"<p><p>Several studies in Western countries have found that first- and second-generation immigrants have an increased risk of developing schizophrenia. Mental health literacy can facilitate help-seeking and prevent chronic mental conditions. This study explores cross-generational differences in schizophrenia literacy among immigrants from the former Soviet Union (FSU) in Israel. Data were collected using a cross-sectional online survey of 405 respondents who self-identified as first-generation, 1.5-generation, or second-generation FSU immigrants. Questions about schizophrenia literacy were adapted from the Australian National Survey of Mental Health Literacy and Stigma, tapping into the recognition of schizophrenia, knowledge of potential helpers, first-aid support, and effective interventions for persons with schizophrenia (PwS) as well as attitudes, measured by personal stigma and trust in the healthcare system. The findings revealed that knowledge was associated with trust in the healthcare system across generations. First-generation immigrants were less likely to correctly identify a distress situation as involving schizophrenia and held more stigmatic attitudes toward PwS. Their utilization of mental healthcare services was lower, compared to the younger generations, which they compensated for by turning to traditional treatment and hypnosis. Lower trust in the mental healthcare system was also found among the first-generation immigrants, as compared to the 1.5- and second-generation groups. In conclusion, lower levels of knowledge and more stigmatizing attitudes toward schizophrenia reflect the lingering effects of living in the Soviet Union, placing first-generation immigrants in a vulnerable position. Implications for culturally adapted interventions aimed at increasing schizophrenia literacy and mental health trust among FSU immigrants are proposed.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"382-396"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Bicultural Mental Health Clinicians Working Within Australian Mental Health Settings.","authors":"Erin Joyce, Komal Khan, Dominic Hwang, Anna Browne, Taff Ruvaro, Bindu Joseph, Michael Olasoji","doi":"10.1177/13634615261452813","DOIUrl":"10.1177/13634615261452813","url":null,"abstract":"<p><p>Access to mental health services for people from culturally and linguistically diverse (CALD) backgrounds remains problematic owing to a variety of factors that contribute to low engagement with mental health services. There is also a need for our mental health systems to be more culturally safe to effectively and equitably support their diverse consumer population. Several initiatives have been explored to increase access to mental health services and improve help-seeking behaviours among CALD populations. One of these measures is the use of bicultural workers (BCWs). This study aims to explore the experiences of bicultural mental health clinicians working in tertiary and community-based mental health services. An exploratory, descriptive qualitative study was undertaken. Data were collected through semi-structured interviews involving <i>n</i> = 18 mental health clinicians in area and community mental health services. Participants were recruited using purposive convenience sampling. Data were analysed using thematic analysis. The findings of this study highlighted three key themes: (a) A shared understanding of the world (subthemes: 'The lived experience of biculturalism', 'Having a different perspective' and 'Building rapport and managing boundaries'); (b) Working with other colleagues; and (c) Establishing a BCW model. Participants discussed their ability to use their biculturalism to understand consumers' perspectives from CALD backgrounds. A shared understanding of the world was also seen as valuable. They reported varied experiences regarding whether their biculturalism was valued within their teams. Many participants felt that establishing a dedicated BCW role model within mental health settings could benefit consumers.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"279-292"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depressive Symptoms and Utilization of Mental Health Services among Older Israelis Across Population Groups.","authors":"Hadas Elbaz, Yuval Saphier, Pnina Dolberg, Matěj Kučera, Pavla Brennan Kearns","doi":"10.1177/13634615251409701","DOIUrl":"10.1177/13634615251409701","url":null,"abstract":"<p><p>This study aimed to assess the prevalence of clinically significant depressive symptoms; utilization of mental health services and associated socioeconomic and clinical factors in three main population groups of older adults in Israel. We used data collected by the Survey on Health, Ageing and Retirement in Europe (SHARE). Our study included data from 3,517 participants (54% female, mean age 64 years), identified as belonging to three population groups living in Israel: Israeli-born and early-immigrant Jews (those born in Israel or immigrated before 1989), Israeli Arabs, and more recent immigrants from the Former Soviet Union (FSU). We applied logistic regression to estimate the association of socioeconomic and clinical characteristics with clinically significant depressive symptoms (4 and more points on the EURO-D scale) and the utilization of mental health services in each population group. The prevalence of clinically significant depressive symptoms was highest amongst FSU immigrants (44%), followed by Israeli Arabs (32%), and the lowest amongst Israeli-born and early-immigrant Jews (30%). Greater levels of self-reported disability and a higher number of chronic diseases were associated with clinically significant depressive symptoms in all three population groups. Utilization of mental health services was the least common in Israeli Arabs (17%) and was related only to physical inactivity, followed by FSU immigrants (36%), where it was associated with female sex, disability, and chronic diseases. Mental health services were utilized the most by Israeli-born and early-immigrant Jews (41%), and was associated with disability, chronic diseases, and working status. Based on these findings, we conclude that taking into account ethnic disparities in the burden of depressive symptoms and the rate of mental health services utilization among older Israelis is essential to tailor better prevention and treatment strategies.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"325-336"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vicarious Posttraumatic Growth among Refugee Service Providers in Istanbul, Turkey.","authors":"Mohamad Adam Brooks, Anindita Dasgupta, Neşe Şahin Taşğın, Deniz Yükseker, Uğur Tekin, Melissa Meinhart, Neeraj Kaushal, Nabila El-Bassel","doi":"10.1177/13634615261459410","DOIUrl":"10.1177/13634615261459410","url":null,"abstract":"<p><p>This article examines the scope and prevalence of vicarious posttraumatic growth (VPTG) among service providers working with Syrian refugees in Istanbul, Turkey. VPTG is the phenomenon that, under certain conditions, exposure to traumatic material because of work with traumatized individuals can result in positive psychological growth. This growth can include greater appreciation for life, changed priorities, and an enriched spiritual life, among others. We surveyed 104 service providers throughout Istanbul in 2018. A multivariable logistic regression was used to examine how professional trauma exposure (proportion of clients who disclose trauma, secondary traumatic stress [STS]), support systems (perceived social support, perceived organizational support), and professional experience are associated with VPTG. We hypothesized that greater exposure to traumatic material, stronger support systems, and greater professional experience were associated with higher levels of VPTG. We found nearly half (44.66%) of service providers surveyed had moderate-to-high levels of VPTG. Our hypothesis was partially supported. Moderate/high/severe STS [aOR:3.98, (95% CI:1.26, 12.59)], higher social support [aOR:1.05, (95% CI:1.00, 1.10)], and higher organizational support [OR:1.11, (95% CI:1.02, 1.20)] were associated with moderate-to-high VPTG. However, the proportion of clients who disclose trauma and years in profession did not show significant associations. While secondary stress may be a natural biproduct of work with traumatized individuals, providers may also experience growth from those same experiences. Findings from this analysis elucidate pathways whereby organizations may foster VPTG, such as providing a peer support program to facilitate social support and establishing a feedback loop to enhance organizational support.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"293-305"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Mediumship/Possession-Relevant Experiences: Contributions from a Feature-Based, Subject-Dependent Approach to Definition and Measurement.","authors":"Everton De Oliveira Maraldi, Ronald Fischer, Maria Vitoria De Lima Varejão, Giovanna Novaes Bortolini, Maria Clara Laport Bêta, Larissa Hartle, Tiago Bortolini, Jorge Moll","doi":"10.1177/13634615261459751","DOIUrl":"10.1177/13634615261459751","url":null,"abstract":"<p><p>Non-ordinary experiences such as hearing voices, losing control over one's body or mediumship/possession, are observed across cultures. However, there is a notable lack of instruments specifically designed to measure these experiences from a subject-centered, culturally sensitive perspective, with existing measures offering limited coverage ofexperiences that may be particularly salient for religious groups cultivating mediumship/possession practices. This study proposes a novel, feature-based, subject-dependent approach to defining and measuring relevant mediumship/possession-like experiences, grounded in cross-culturally recognizable phenomenological features while respecting participants' culturally specific interpretations. Using Brazil as a case study, given its rich mediumship traditions, we developed and validated a new set of items that capture relevant experiences within mediumship/possession through a multi-step process informed by the Inventory of Non-Ordinary Experiences. Study 1 involved a systematic review of dissociation and mediumship research in Brazil to create an item pool. Study 2 refined these items with input from mediumship practitioners and religious leaders. Study 3 validated the items in a Brazilian population sample, and Study 4 estimated the prevalence of these experiences in a representative sample. The study validated 10 key features of mediumship/possession-relevant experiences and found high prevalence rates in Brazil, with some experiences reported by more than 60% of participants. Our findings highlight the importance of feature-based, culturally informed approaches to studying mediumship/possession and offer recommendations for future research into their phenomenology, prevalence, and cultural appraisals.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"347-366"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"U.S. Clinicians' Recognition and Diagnosis of Cultural Concepts of Distress.","authors":"Yunjung Lisa Chung, Shea Wenzler, Emma Headley, Gabriella Scalzo, Waverley Vesely, Jared W Keeley","doi":"10.1177/13634615261446922","DOIUrl":"10.1177/13634615261446922","url":null,"abstract":"<p><p>In an increasingly diverse world, it is important for mental health professionals to be familiar with symptom presentations from a variety of cultures, including cultural concepts of distress. This study aimed to evaluate how U.S. clinicians diagnosed two cultural concepts of distress-<i>hwa-byung</i> and <i>ataque de nervios</i>-and whether the clinicians' cultural values or competence influenced their diagnosis. A sample of 84 mental health professionals viewed three case vignettes in random order depicting hwa-byung, ataque de nervios, and Generalized Anxiety Disorder. The clinicians provided an unprompted free-response diagnosis and a forced-choice diagnosis from a predetermined list for each vignette. Clinicians provided a wide range of diagnoses for the hwa-byung and ataque de nervios vignettes, with only a minority of participants correctly labeling the cultural concepts of distress. Prompting diagnoses by providing a list of options improved the likelihood of selecting a cultural syndrome. The most common mental health diagnoses selected did not adequately capture the symptom profiles of the cultural concepts of distress. Clinicians appeared to be more familiar with Latinx cultural presentations than East Asian. U.S. clinicians could likely benefit from additional training and exposure to varying cultural presentations of psychopathology. Labeling a cultural syndrome with a psychiatric diagnosis may lead to decreased rapport and insufficient or ineffective treatment options.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"337-346"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personal Recovery of People with Schizophrenia in Martinique: A Qualitative Study.","authors":"Coralie Bourzeix, Manon Salvetax, Christelle Samot, Julie Gilles De La Londe, Jean-Sébastien Cadwallader, Marie Koenig, Marie-Aude Piot","doi":"10.1177/13634615261446908","DOIUrl":"10.1177/13634615261446908","url":null,"abstract":"<p><p>The personal recovery approach in mental health draws on people's own experiences to build care policies. Models of personal recovery constructed in recent decades have been based on studies in Anglo-European cultural settings. No study has been conducted in Martinique, where Creole culture is prevalent. Our work aimed to explore the recovery experiences of people with schizophrenia in Martinique. We carried out a qualitative study. Fifteen people participated in a face-to-face interview, with collection of sociodemographic data. Three themes emerged from the analysis: self-work; evolving illness role; and rebuilding identity. Our results described a recovery process in which strong importance is given to social norms, involving difficult adjustments among multiple therapeutic approaches and overcoming psychological trauma. Access to employment, housing, and financial autonomy was related to social recognition. These results suggested the value of different approaches to aid recovery, including: support from relatives, peers, and caregivers; valuing their experiential knowledge; support for psychological trauma; fighting against the stigmatization of schizophrenia in Martinique; social support for work and housing empowerment; and recognition of the complementarity of the biomedical, religious, and traditional health care sectors.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"367-381"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309836","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}