Transcultural PsychiatryPub Date : 2026-04-01Epub Date: 2026-03-25DOI: 10.1177/13634615251372854
Maja Västhagen, Clover Jack Giles, Anna-Clara Hollander, Ata Ghaderi, Livia Van Leuven, Anna Edenius, Pia Enebrink
{"title":"The efficacy of parenting interventions for forced migrant families on child internalizing and externalizing symptoms, parental self-efficacy, and parental competence: A systematic review and meta-analysis.","authors":"Maja Västhagen, Clover Jack Giles, Anna-Clara Hollander, Ata Ghaderi, Livia Van Leuven, Anna Edenius, Pia Enebrink","doi":"10.1177/13634615251372854","DOIUrl":"10.1177/13634615251372854","url":null,"abstract":"<p><p>Forced migration has reached unprecedented levels worldwide. Involuntarily migration creates stressors for families that require systematic action at a societal level. Our premise is that parenting programmes have an untapped potential to enhance psychosocial health among parents and children. The aim of this study, therefore, was to review existing studies to evaluate the efficacy of preventive parenting programmes for parents who were refugees, asylum seekers or internally displaced. We included 20 publications from 3 electronic databases (Ovid MEDLINE, Ovid PsycINFO and Web of Science Core Collection): 16 on parenting interventions (13 original trials, <i>N</i> = 1191) and 4 on combined interventions (parents and youth, <i>N</i> = 1284). We compared a range of outcomes including child internalizing and externalizing symptoms, as well as parental competence (positive/negative parenting), self-efficacy, well-being and mental health/psychological distress. Between-group analyses indicated less externalizing behaviour (Hedge's <i>g</i> = 0.43, <i>p</i> < 0.05, k = 2) at post measurement for parents participating in the interventions, compared with those in the control conditions, as well as enhanced positive parenting strategies (<i>g</i> = 0.89, <i>p</i> < .01, k = 2), self-efficacy (<i>g</i> = 1.94, <i>p</i> < .001, k = 2) and parental psychological distress (<i>g</i> = 0.67, <i>p</i> < .05, k = 4). Within-group analyses of pre and post measurements supported that parents participating in the interventions reported improvements over time in all primary outcomes: parent-rated child internalizing and externalizing behaviours, negative and positive parenting, self-efficacy and the secondary outcome psychological distress. Analyses of combined studies suggested a small increase in positive parenting strategies (<i>g</i> = 0.17, <i>p</i> < .05, k = 2). Although our sample of reviewed studies was relatively small, and the study outcomes varied considerably, the results indicate that parenting programmes might be an underutilized resource to promote health among forcibly displaced families.Systematic review registration: PROSPERO (CRD42022330521).</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"143-168"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515904","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}
Transcultural PsychiatryPub Date : 2026-04-01Epub Date: 2026-02-22DOI: 10.1177/13634615261418371
Simthandile L Witbooi, Monique A Os, Siyabulela G Mkabile
{"title":"Intellectual Disability Support: Traditional Healers' Views on Collaboration with Western-Trained Healthcare Practitioners.","authors":"Simthandile L Witbooi, Monique A Os, Siyabulela G Mkabile","doi":"10.1177/13634615261418371","DOIUrl":"10.1177/13634615261418371","url":null,"abstract":"<p><p>Intellectual Disability (ID) is a serious life-long disability and significant public health issue that arises pre-birth or during the developmental stage. It impairs intellectual, social functioning and adaptive abilities, and is one of the most common impairments among children. Under-resourced areas such as Khayelitsha in Western Cape, South Africa, have a high prevalence of ID and face immense structural, practical, and belief-related barriers to accessing ID biopsychosocial support. In collaboration with Western-trained healthcare practitioners, traditional healers within the community can contribute towards alleviating these barriers. This qualitative study utilised a phenomenological methodological approach and Bronfenbrenner's Ecological Systems theory to explore traditional healers' perspectives on collaborating with Western-trained healthcare practitioners to provide synergised ID support. We conducted 25 semi-structured interviews and one focus group discussion with traditional healers. We analysed 11 individual interviews and the focus group using Braun and Clarke's six-step method for thematic analysis. Seven key themes were identified and divided into barriers and facilitators of collaboration. Barriers were divergent healing practices, systemic disparities, and biases against traditional healers. Facilitators were building rapport, establishing systems for collaboration, and increasing access to resources and ID support. Traditional healers viewed collaboration as sensible in supporting children with ID; however, efforts must be made to address the presenting challenges for synergised ID support within communities. Future research should involve conducting community ID collaboration studies, garnering insight into collaboration efforts, documenting traditional healing practices, and conducting advocacy research to rectify systemic disparities.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"115-129"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272535","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}
Transcultural PsychiatryPub Date : 2026-04-01Epub Date: 2026-04-10DOI: 10.1177/13634615261428852
Bas T H de Veen, Pierre C M Herpers, Martine van Dongen-Boomsma, Volker Reissner, Martin Knollmann, Ingo Spitczok von Brisinski, Johannes Hebebrand, Wouter G Staal, Ron H J Scholte
{"title":"Exploring Diagnostic Classification Prevalence in German and Dutch Child and Adolescent Psychiatry: An International Cross-Sectional Comparative Study.","authors":"Bas T H de Veen, Pierre C M Herpers, Martine van Dongen-Boomsma, Volker Reissner, Martin Knollmann, Ingo Spitczok von Brisinski, Johannes Hebebrand, Wouter G Staal, Ron H J Scholte","doi":"10.1177/13634615261428852","DOIUrl":"10.1177/13634615261428852","url":null,"abstract":"<p><p>Classification systems like the DSM-5 and ICD-10 facilitate international comparative research on mental disorders. However, few studies have compared classification distributions in child and adolescent psychiatric settings across countries. This study explored similarities and differences in classification prevalence between German and Dutch children and adolescents referred to psychiatric facilities. Data were retrospectively collected from clinical samples of inpatients and outpatients who underwent diagnostic assessments in Germany (<i>n</i> = 7,089) and the Netherlands (<i>n</i> = 2,574), aged 0-18 years (<i>M</i> = 12.70; <i>SD</i> = 3.82). A multivariate analysis compared primary classifications between the two samples, which were further stratified into three age groups: early childhood (0-5 years), middle childhood (6-12 years), adolescence (13-18 years). The main factor influencing classification was the country. Age and sex showed moderate to low effect sizes, respectively. The impact varied across different age groups and sexes. Patients in the German sample were generally older and had a higher proportion of girls than those in the Dutch sample. Mood, anxiety, disruptive/impulsive-control and conduct, and trauma and stressor-related disorders were more prevalent in the German sample, while autism spectrum disorder and attention-deficit/hyperactivity disorder were more common in the Dutch sample. Our findings suggest that the primary classifications of mental disorders in Dutch and German children and adolescents largely depend on the country. This may have implications for cross-country comparisons and highlights the potential influence of national mental healthcare systems and cultural contexts on classification practices, which could impact policy decisions.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"169-178"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655181","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}
Jeffrey G Snodgrass, Seth I Sagstetter, Choeeta Chakrabarti, Julia R Branstrator, Katya Xinyi Zhao, Michael G Lacy, H J François Dengah, Aimee Wagner, Alessandro Giardina, Joël Billieux
{"title":"Tabletop Role-Playing Games as Drama Therapy in the Wild: Developing Personal Bonds with Characters Improves Players' Self-Concepts.","authors":"Jeffrey G Snodgrass, Seth I Sagstetter, Choeeta Chakrabarti, Julia R Branstrator, Katya Xinyi Zhao, Michael G Lacy, H J François Dengah, Aimee Wagner, Alessandro Giardina, Joël Billieux","doi":"10.1177/13634615261418363","DOIUrl":"https://doi.org/10.1177/13634615261418363","url":null,"abstract":"<p><p>Clinicians have started to experiment with using tabletop role-playing games like <i>Dungeons & Dragons</i> (D&D) as complementary to more traditional psychological treatments or as a standalone form of therapy in a group setting. However, researchers still do not understand well the therapeutic processes and mechanisms through which such forms of play might be helpful to patients. Following insights developed by drama therapists, we anticipated that the bonds players formed with imaginary <i>persona</i>-in this context, gaming <i>characters</i>-might importantly contribute to the positive experiences of role-players. To test this idea, we collected ethnographically informed interview (N = 54) and survey (N = 149) responses from North American gamers, to clarify relationships between players' reported bonds with their characters and those players' broader concepts of self. We found that players relating to their characters in more <i>personal</i> ways-for example, as symbolic secondary selves, as is characteristic of role-playing games like D&D-also showed improvements in their sense of identity. Further, our analysis pointed to the importance of cultural and personal factors to these processes, including players' felt sense of social support and \"safety\" in their gaming groups and their facility for imaginatively absorbing into fantasy worlds. Overall, our study suggests that using tabletop role-playing games in clinical settings might profitably focus on fostering strong player-character bonds, while being aware that such interventions might work best in certain cultural settings and for specific patients.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261418363"},"PeriodicalIF":2.7,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345446","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 Promise of Peace of Mind and \"<i>Convivencia Social\"</i>: Psycho-Politics in Times of COVID-19 in Colombia.","authors":"Felipe Szabzon","doi":"10.1177/13634615261418372","DOIUrl":"https://doi.org/10.1177/13634615261418372","url":null,"abstract":"<p><p>COVID-19 highlighted the significance of mental health worldwide, with warnings of a \"tsunami\" of psychological issues across virtually all parts of the globe. This situation intensified longstanding debates in transcultural psychiatry regarding the sociocultural dimensions of mental health. This article examines narratives of social anxiety and psychological distress that emerged during the pandemic in Colombia and explores how they interacted with local mental health discourses and political processes. The analysis draws on ethnographic fieldwork conducted between October 2022 and March 2023, including semi-structured interviews with public health managers in four municipalities and representatives of the Ministry of Health. A qualitative data analysis framework for applied policy research and a retrospective document analysis was used to contextualize local mental health policies and their conceptual foundations. The findings trace the development of local mental health policies and situate them within the peace-building context. Public responses to COVID-19 in the four municipalities revealed a marked increase in mental health initiatives and the prominence of mental health discourses on political agendas at both local and national levels. While narratives of isolation, fear, and bereavement echoed global concerns, their framing within Colombia's peace-building project gave them distinctive meanings and trajectories. The recalibration of existing infrastructures-such as helplines and community-based programmes-illustrates how global crises intersect with long-standing national agendas, underscoring that mental health policies are embedded in cultural and political projects.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261418372"},"PeriodicalIF":2.7,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214630","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}
Transcultural PsychiatryPub Date : 2026-02-01Epub Date: 2025-12-16DOI: 10.1177/13634615251379451
Julie A Gameon, Monica C Skewes, Cory J Counts, Neha A John-Henderson
{"title":"Grief and Historical Trauma Among American Indian and Alaska Native Populations: A Cluster Analysis.","authors":"Julie A Gameon, Monica C Skewes, Cory J Counts, Neha A John-Henderson","doi":"10.1177/13634615251379451","DOIUrl":"10.1177/13634615251379451","url":null,"abstract":"<p><p>American Indian and Alaska Native (AI/AN) communities face significant social, economic, and health disparities rooted in historical traumas stemming from colonization. These disparities manifest in disproportionate rates of poverty, unemployment, and early mortality among AI/AN populations. High rates of premature deaths contribute to a persistent cycle of grief and loss, perpetuating mental and physical health problems. The current study explores the relationships between grief, historical trauma, and psychological and physical health outcomes among AI/AN individuals who have experienced the loss of a loved one. A cross-sectional survey was conducted with 576 AI adults, measuring complicated grief, adaptive grief, historical trauma, anxiety, depression, alcohol use problems, sleep health, and physical health. Cluster analysis revealed four distinct groups based on levels of complicated grief and historical trauma. Results indicated that higher levels of complicated grief and historical trauma were associated with worse mental and physical health outcomes. Moreover, individuals living on reservations reported higher levels of loss and historical trauma. Adaptive grief remained consistent across groups, suggesting a stable coping mechanism irrespective of grief severity. Findings underscore the need for interventions addressing grief and historical trauma to improve overall health outcomes in AI/AN communities.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"56-69"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764258","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}
Transcultural PsychiatryPub Date : 2026-02-01Epub Date: 2026-01-09DOI: 10.1177/13634615251409677
Petter Viksveen, Lobna Doudouh, Murad Mustafa Jafaer, Anita Salamonsen
{"title":"Mental Health Services for Adolescents With Status as Asylum Seekers or Refugees: A Qualitative Study of Healthcare Professionals' Perspectives.","authors":"Petter Viksveen, Lobna Doudouh, Murad Mustafa Jafaer, Anita Salamonsen","doi":"10.1177/13634615251409677","DOIUrl":"10.1177/13634615251409677","url":null,"abstract":"<p><p>Clear recommendations for how to best adapt mental health services for adolescents with a background as asylum seekers and refugees are lacking. This study therefore explored healthcare professionals' experiences and perspectives on mental health needs of these groups of youth in Norway. The objectives were to explore healthcare professionals' perspectives on what is needed for adolescents with status as asylum seekers or refugees to seek professional help for mental health problems and what is important for them to experience the offered help as beneficial. A qualitative interview study was carried out to explore the perspectives of healthcare professionals (<i>n</i> = 11) in primary and secondary healthcare settings. Systematic text condensation was used for data analysis. Four themes were developed through the study: (a) culturally sensitive and adapted services; (b) low threshold and outreach services; (c) building a trusting relationship; and (d) user involvement. The study provides a constructivist understanding of cultural competence including several suggestions for how to overcome barriers to service use among adolescents who have a background as asylum seekers or refugees. Some of the recommendations include an ongoing collaboration with youth and their families to better understand their culture; healthcare professionals who acquire cultural competence, practice cultural humility and are mindful of their own cultural backgrounds. There should be comprehensive education and training programmes for healthcare professionals. Services should be easily accessible with simplified referral procedures and arena flexibility. Skilled interpreters should be used, including cultural interpreters. Shared decision-making should be used to actively engage youth in their treatment.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"70-83"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946354","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}
Transcultural PsychiatryPub Date : 2026-02-01Epub Date: 2025-12-08DOI: 10.1177/13634615251379438
Jingxi Sheng, Maichou Lor, Roger L Brown
{"title":"Psychometric testing of the Multidimensional Acculturative Stress Inventory among Asian Americans.","authors":"Jingxi Sheng, Maichou Lor, Roger L Brown","doi":"10.1177/13634615251379438","DOIUrl":"10.1177/13634615251379438","url":null,"abstract":"<p><p>This is a report of psychometric testing of the modified Multidimensional Acculturative Stress inventory (MASI) on Asian Americans. The MASI, initially developed as a 36-item measure to assess acculturative stress within individuals of Mexican origin and other Latinos in the United States, was modified for use with Asian Americans. Acculturative stress is defined for this measure as a multifaceted construct comprising four factors: English competency pressure, Asian language competency pressure, pressure to acculturate, and pressure against acculturation. Participants were recruited through social media using a purposive non-random sampling technique. We employed an instrument validation design, conducting a cross-sectional Qualtrics survey, including demographic characteristics and the modified MASI. The psychometric analysis used the model congeneric structure with confirmatory factor analysis and internal consistency reliability assessment. A total of 337 participants took part in the study (7% Asian Indian, 27% Chinese, 13% Vietnamese, 13% Korean, 7% Filipino, 18% Japanese, and 16% other ethnicities [Hmong, Thai, Lao, Cambodian]). After the elimination of one item (i.e., I have a hard time understanding others when they speak English) because of its non-significant contribution, the congeneric model (35-item) demonstrated a good fit to the data. Item loadings for the remaining items ranged from .29 to .80 and were statistically significant (<i>p</i> < .05). All subdomains exhibited acceptable internal consistency, with Cronbach's alpha ranging from .74 to .79 and omega coefficients ranging from .80 to .84. Our study findings affirm the suitability of the modified 35-item MASI as a valid and reliable instrument for measuring acculturative stress within the Asian American population.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"18-29"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709649","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}
Transcultural PsychiatryPub Date : 2026-02-01Epub Date: 2025-11-24DOI: 10.1177/13634615251379440
Jude Mary Cénat, Seyed Mohammad Mahdi Moshirian Farahi, Rose Darly Dalexis, Cary Kogan, Pari-Gole Noorishad, Monnica Williams
{"title":"Antiracist mental healthcare training and development of multicultural awareness, knowledge and skills among school mental health providers in Canada.","authors":"Jude Mary Cénat, Seyed Mohammad Mahdi Moshirian Farahi, Rose Darly Dalexis, Cary Kogan, Pari-Gole Noorishad, Monnica Williams","doi":"10.1177/13634615251379440","DOIUrl":"10.1177/13634615251379440","url":null,"abstract":"<p><p>In Canada, mental health disparities persist among racialized populations, including Black, Indigenous and other people of color. A major barrier to equitable care is the lack of adequate training of mental health professionals on racial issues. To address this unmet need, Cénat and colleagues introduced the Providing Antiracist Mental Health Care online training course. This contains five modules addressing: (a) awareness of racial issues, (b) assessment adapted to the needs of racialized individuals, (c) a humanistic approach to medication management, (d) treatment approaches for issues related to racism, and (e) providing tailored antiracist mental healthcare to children, adolescents, and families from racialized communities. This article discusses the implementation of this training among mental health providers in a school board in Ontario, Canada (<i>n</i> = 27), assessing changes in participants' multicultural awareness, knowledge, and skills at pre-, post-, and follow-up timepoints. The results show the ability of the Providing Antiracist Mental Health Care training course to effectively enhance multicultural awareness (<i>F</i>(2, 21) = 10.52, <i>p</i> < .001), knowledge (<i>F</i>(2, 21) = 11.88, <i>p</i> < .001) and skills (<i>F</i>(2, 21) = 5.21, <i>p</i> = .014) among mental health providers in ethnically diverse schools. The total score improved significantly (<i>F</i>(2, 20) = 12.17, <i>p</i> < .001) from pre-test to post-test, and follow-up, and no significant decrement from the post-test to follow-up was observed (<i>M</i> = 2.81, <i>SD</i> = 0.16; <i>p</i> = .861). This study brings evidence supporting the need for sustained and comprehensive antiracist training initiatives to foster racial equity in mental health and improve outcomes in care for racialized individuals.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"3-17"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597722","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}