Psychiatric Rehabilitation Journal最新文献

{"title":"Heterogeneity in factors associated with personal recovery: A finite mixture regression analysis in individuals diagnosed with schizophrenia.","authors":"Hiroki Okada, Kazuki Yoshida, Ryota Hayashi, Seiichi Watanabe","doi":"10.1037/prj0000701","DOIUrl":"10.1037/prj0000701","url":null,"abstract":"<p><strong>Objective: </strong>Previous studies have identified multiple factors associated with personal recovery in schizophrenia, including clinical symptoms, functioning, cognitive abilities, and psychosocial resources. However, findings regarding the strength and direction of these associations have been inconsistent, suggesting that different association structures may exist within the population. This study examined whether such inconsistencies reflect latent classes with different association structures underlying personal recovery.</p><p><strong>Methods: </strong>Participants were 101 individuals with schizophrenia or schizoaffective disorder. Personal recovery was treated as the dependent variable. Psychiatric symptoms, depressive symptoms, cognitive functioning, social functioning, and metacognition were explanatory variables. Finite mixture regression identified latent classes with different association patterns. Interaction and simple slope analyses examined class-specific associations.</p><p><strong>Results: </strong>A three-class solution was identified. Because one class was small, interpretation focused on the two larger classes. In one class, personal recovery was associated with social functioning, depressive symptoms, positive symptoms, and metacognition, reflecting a multidimensional association pattern consistent with previous findings. In contrast, the other class showed a different association pattern despite similar levels of symptoms and functioning. In this class, no single dominant predictor emerged, and recovery appeared to involve a distributed association pattern. Negative symptoms were associated with personal recovery in both larger classes.</p><p><strong>Conclusions and implications for practice: </strong>These findings suggest that personal recovery in schizophrenia cannot be adequately explained by a single average-based model. Instead, different association structures may exist within the population. Psychiatric rehabilitation may benefit from approaches that consider heterogeneity in recovery processes and tailor support to factors associated with each individual's recovery. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971648","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":"Evaluating explicit and implicit stigma among mental health professionals: The role of person-first language.","authors":"Ilanit Hasson-Ohayon, Sarah Buchinger, Ofir Negri-Schwartz, David Roe","doi":"10.1037/prj0000698","DOIUrl":"10.1037/prj0000698","url":null,"abstract":"<p><strong>Objective: </strong>This preliminary study explores how person-first language versus generic-noun language is related to both explicit and implicit stigma among mental health professionals.</p><p><strong>Methods: </strong>Sixty-five clinical psychology trainees and practicing clinicians were randomly assigned to read vignettes describing a person with schizophrenia using either person-first language or generic-noun language. Stigma was assessed via explicit and implicit measures.</p><p><strong>Results: </strong>Multivariate analysis of variance showed a statistically significant multivariate effect of label type on the combined dependent variables composed of implicit and explicit measures. Analyses of variance showed significant differences between the person-first language and generic-noun language groups on two explicit stigma subscales-inclusions and prospects.</p><p><strong>Conclusions and implications for practice: </strong>These preliminary findings underscore the possible effects of language-based interventions and the need for more comprehensive, sustained strategies targeting both conscious and unconscious bias among mental health professionals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931347","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":"Quality of life in schizophrenia: Symptomatic markers of improvement over time.","authors":"Samuel M Murphy, Ana T Flores, Deepak K Sarpal, Matcheri S Keshavan, Shaun M Eack","doi":"10.1037/prj0000690","DOIUrl":"10.1037/prj0000690","url":null,"abstract":"<p><strong>Objective: </strong>Throughout the course of schizophrenia spectrum disorders, individuals experience significant fluctuations in a variety of clinical and functional dimensions, often negatively impacting their quality of life (QoL). To better understand clinical correlates of QoL change and investigate treatment targets for future intervention development, this study sought to longitudinally examine the impact of symptom severity on QoL.</p><p><strong>Method: </strong>Individuals with schizophrenia spectrum disorders (<i>N</i> = 102) participated in an 18-month randomized trial of cognitive enhancement therapy. Measures of symptom severity and QoL were administered prior to treatment, and at 9- and 18-month timepoints. Symptom composite scores were generated and fitted using mixed-effects regression models to investigate the impact of changes in severity on QoL longitudinally.</p><p><strong>Results: </strong>Unconditional growth models detected improvements in total and psychological QoL over time across treatment groups. Incorporation of covariates detected an interaction between social relationships, QoL change, and age at entry (18-49 range), indicating smaller QoL improvement over time for older individuals. Increased affective symptomatology was predictive of diminished total, physical, psychological, and social relationships QoL, while increased positive symptomatology was predictive of diminished social relationships and environmental QoL.</p><p><strong>Conclusions and implications for practice: </strong>Affective symptomatology has been shown as a critical component of lasting QoL improvement. Implementing interventions that target affective symptoms in schizophrenia could prove effective in mitigating poor QoL, particularly in the early course of illness. Associations between positive symptomatology and environmental and social domains indicate that community-based services which integrate resource coordination and social support could prove efficacious in QoL improvement. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"247-252"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13186109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965127","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":"Relationships between internalized stigma, stigma coping strategies, and functioning in remitted individuals with bipolar disorder: Are there mediators to be considered?","authors":"Bochra Nourhène Saguem, Cyrine Bey, Sami Ouanes, Jaâfar Nakhli","doi":"10.1037/prj0000688","DOIUrl":"10.1037/prj0000688","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess internalized stigma and stigma coping strategies in Tunisian remitted individuals with bipolar disorder and to examine the role of potential mediators in the relationships between internalized stigma, stigma coping, and functioning.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on Tunisian individuals with bipolar disorder in remission. Internalized stigma and stigma coping strategies were assessed through the Internalized Stigma of Mental Illness Scale, Perceived Discrimination and Devaluation Scale, and Stigma Coping Orientation Scale. Participants' functioning, cognitive insight, self-esteem, and perceived social support were also evaluated. Multiple mediation analyses were performed.</p><p><strong>Results: </strong>The study sample comprised 110 participants among whom 25.5% were experiencing internalized stigma. Alienation, social withdrawal, and reporting experiences of discrimination were the most elevated domains measured by the Internalized Stigma of Mental Illness Scale. Participants experiencing clinically significant internalized stigma were more likely to rely on avoidant coping strategies and less likely to engage in more active coping strategies. Perceived devaluation and discrimination significantly mediated the relationship between internalized stigma and functioning. Stigma coping strategies and cognitive insight did not significantly mediate this relationship. Cognitive insight, self-esteem, or perceived social support did not exhibit a significant effect on the relationship between internalized stigma and coping strategies.</p><p><strong>Conclusions and implications for practice: </strong>Internalized stigma experienced by individuals with bipolar disorder negatively impacts functioning through a heightened perception of discrimination and devaluation. Internalized stigma also exerts a direct and potent effect in shaping the stigma coping strategies that will be adopted by remitted individuals with bipolar disorder. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"235-246"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869522","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":"Fostering insight among individuals with psychosis through dialogic reading.","authors":"Aitana Fernández-Villardón, Rocío García-Carrión, Sandra Racionero-Plaza","doi":"10.1037/prj0000691","DOIUrl":"10.1037/prj0000691","url":null,"abstract":"<p><strong>Objective: </strong>This study explores participants' insight and understanding of mental illness and related issues through their participation in a reading intervention that is framed by a dialogic approach to mental health.</p><p><strong>Method: </strong>A qualitative case study was conducted with 23 participants diagnosed with psychosis (six women and 17 men), divided into three groups. Each group participated in 18 sessions of dialogic reading over a period of 5 months, totaling 54 sessions. Data from session transcripts, in-depth group interviews, and focus groups were analyzed using thematic analysis to examine the emerging dialogue content and participants' perceptions of their experience.</p><p><strong>Results: </strong>Findings indicate that participants engaged in deep reflection on past experiences related to their illness, substance use, and gambling. Through their engagement in the intervention, individuals were able to identify early signs of illness and reconsider potential contributing factors.</p><p><strong>Conclusions and implication for practice: </strong>Overall, the findings highlight the potential of dialogic spaces to foster insight and a more integrated self-concept, offering a valuable, participant-led tool for the narrative recovery of individuals with severe mental disorders. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"253-264"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965125","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":"Behavioral health provider training to enhance family partnerships.","authors":"Marianne Farkas, Lynda Gargan, Dana LaBranche, Jane K Burke-Miller, Gail Cormier, Sarah Burton, Courtney Joly Lowdermilk, Natalie Brelsford","doi":"10.1037/prj0000692","DOIUrl":"10.1037/prj0000692","url":null,"abstract":"<p><strong>Objective: </strong>Providers' partnership with families of adults with serious mental health and other behavioral health conditions can be a powerful recovery tool. Multiple barriers complicate family partnerships, and providers require training to overcome these obstacles. This article describes barriers to family partnerships, the state of available training in empirically based strategies, provider interest, and an accessible training initiative that can lay a foundation for bridging this gap.</p><p><strong>Methods: </strong>A national online survey of 357 behavioral health professionals investigated their past training in working with families, perceived training needs, and preferred training methods. An online training module was developed to enhance provider exposure and experience, aimed at increasing knowledge, positive attitudes, and understanding of the skills required for family partnership.</p><p><strong>Results: </strong>The survey found that regardless of clinical background, most providers reported interest in receiving training specifically related to working with families of adults with behavioral health conditions. Few reported having ever received any continuing education in this area. An online review confirmed that little such training is readily available. A pilot version of this training was conducted, with positive participant satisfaction evaluations and a significant number of providers participating in the course.</p><p><strong>Conclusions and implications for practice: </strong>Increasing the availability of free, research-informed training offers opportunities for providers to begin enhancing the strategies necessary to partner with families successfully. Further development of training is needed to enhance the capacity of the workforce providing services to adults with behavioral health conditions to effectively include families, regardless of the specific intervention used. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"265-275"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139345","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":"Individual and organizational factors influencing recovery-promoting competency among mental health practitioners.","authors":"Subin Na, Phyllis Solomon","doi":"10.1037/prj0000683","DOIUrl":"10.1037/prj0000683","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates individual and organizational factors influencing recovery-promoting competencies among mental health practitioners working with adults with serious mental illness, focusing on recovery knowledge, attitudes, organizational culture, and structure.</p><p><strong>Methods: </strong>Using a cross-sectional design, an anonymous online survey was administered to 198 mental health practitioners across diverse U.S.</p><p><strong>Settings: </strong>The survey measured practitioners' recovery-promoting competency, demographic characteristics, organizational culture, recovery-oriented structure, recovery knowledge, and recovery attitudes. Data were analyzed using hierarchical multiple regression guided by social ecological model.</p><p><strong>Results: </strong>Recovery knowledge (β = 0.304, <i>p</i> < .001), recovery attitudes (β = 0.379, <i>p</i> < .001), supportive organizational culture (β = 0.123, <i>p</i> = .042), and recovery-oriented administrative structure (β = 0.200, <i>p</i> = .002) significantly predicted recovery-promoting competency. Male practitioners reported lower competencies than female (β = -0.131, <i>p</i> = .019), while those with doctoral degrees reported higher competencies than those with bachelor's degrees (β = 0.146, <i>p</i> = .034). The final model explained 69.9% of variance.</p><p><strong>Conclusions and implications for practice: </strong>Study shows fostering recovery-promoting competency requires both individual development and organizational support. Enhancing recovery knowledge and attitudes through targeted education may be particularly effective. However, training must be supported by recovery-oriented organizational context that reinforces these values through culture, structures, and operations. A supportive environment can empower practitioners to implement recovery principles. Findings highlight the need for coordinated multilevel strategies to strengthen recovery-oriented practice across diverse service settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"276-288"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107947","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":"Self-stigma in emerging adults with serious mental illness: Financial independence, self-esteem, and the \"why try\" effect.","authors":"Limor Luss Smith","doi":"10.1037/prj0000687","DOIUrl":"10.1037/prj0000687","url":null,"abstract":"<p><strong>Objective: </strong>Financial independence, an important developmental milestone of emerging adulthood (ages 18-29), is critical to independent functioning in life. Examining whether financial independence in emerging adults with serious mental illness (SMI) is associated with self-stigma may inform ways to support achieving this milestone. Financial independence was investigated as a mediator between self-stigma and two of its harmful outcomes, lower self-esteem, and an increased \"why try\" effect. The \"why try\" effect was defined as a sense of futility about achieving life goals due to self-stigma. Self-stigma was expected to be associated with less financial independence, and less financial independence was expected to be related to reduced self-esteem and an increased \"why try\" effect.</p><p><strong>Method: </strong>Emerging adult community mental health center clients who had an SMI (<i>n</i> = 239) were recruited to complete an electronic survey. Path analysis was used to analyze data.</p><p><strong>Results: </strong>Consistent with previous research, self-stigma was associated with decreased self-esteem and an increased \"why try\" effect. Financial independence was associated with higher self-esteem and, unexpectedly, with an increased \"why try\" effect. Contrary to past findings among adults, self-stigma was associated with increased financial independence. Two indirect associations through financial independence were observed between (a) self-stigma and self-esteem and (b) self-stigma and the \"why try\" effect.</p><p><strong>Conclusions and implications for practice: </strong>Findings indicate that emerging adults with SMI may simultaneously experience self-stigma, financial independence, and the \"why try\" effect. Implications for psychiatric rehabilitation include increasing assistance with managing self-stigma among emerging adults with SMI pursuing financial independence. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"225-234"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943435","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":"Implementing individual placement and support for young people at clinical high risk for psychosis: A qualitative study on clients and clinicians perspectives.","authors":"Aoife Maguire, Sara Edwards, Maria Chiara Del Piccolo, Carys Evans, David Lewis, Lucia Valmaggia, Claire Henderson, Thomas J Spencer, Stefania Tognin","doi":"10.1037/prj0000699","DOIUrl":"10.1037/prj0000699","url":null,"abstract":"<p><strong>Objective: </strong>Education and employment play a crucial role in recovery from mental illness, offering purpose, structure, social connection, and financial independence. Nevertheless, many young people at clinical high risk for psychosis leave education early, underachieve academically, and face difficulties gaining employment. Evidence is limited on which interventions early detection services should implement to address these challenges. This qualitative study examined the acceptability of implementing individual placement and support (IPS), an approach that supports individuals with mental illness to pursue vocational goals, within Outreach and Support in South London, a well-established early detection service.</p><p><strong>Methods: </strong>Semistructured interviews were conducted with 25 clients and 13 clinicians following the intervention. Data were analyzed using framework analysis guided by the Theoretical Framework of Acceptability.</p><p><strong>Results: </strong>The data mapped to five of the seven Theoretical Framework of Acceptability constructs (affective attitude, burden, ethicality, perceived effectiveness, and self-efficacy). The construct \"opportunity costs\" was not represented, while \"intervention coherence\" was relabeled as \"integration of IPS within OASIS.\" An additional construct, \"therapeutic relationship with IPS specialist\" was also identified.</p><p><strong>Conclusions and implications for practice: </strong>Findings indicated that IPS was highly acceptable to clients and clinicians, with both groups expressing a desire for it to be extended and established as a permanent part of Outreach and Support in South London. IPS may therefore offer a promising approach for addressing unmet vocational needs in early detection services. However, large-scale controlled trials are needed to establish its effectiveness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867300","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":"Adapted Individual Placement and Support (IPS) supported employment outcomes among high school students with serious mental health conditions.","authors":"Vanessa V Klodnick, Marsha Langer Ellison, Anju Kotwani, Deborah A Cohen, Gary R Bond","doi":"10.1037/prj0000700","DOIUrl":"10.1037/prj0000700","url":null,"abstract":"<p><strong>Objective: </strong>Transition-age youth (TAY; ages 16-25 years) with serious mental health diagnoses have low rates of employment and postsecondary education participation. Individual Placement and Support (IPS) is an evidence-based practice designed for adults with mental health conditions to gain employment. IPS has been adapted for TAY by adding supported education, but research is limited with high school students.</p><p><strong>Methods: </strong>IPS adapted for TAY with supported education services (IPS-SEd) was piloted at a mid-Atlantic Community Mental Health provider. TAY were recruited for an 18-month study (interviews every 6 months) where they shared their education and employment engagement and completed measures of academic self-efficacy and optimism toward future employment and education completion.</p><p><strong>Results: </strong>All participants (<i>n</i> = 21) made vocational progress while in IPS-SEd services. Fourteen of 21 (67%) secured competitive employment, and seven were vocationally engaged in either high school or postsecondary coursework, gig work, and/or volunteer or set-aside positions. Twelve (of 18 eligible; 67%) enrolled in postsecondary education programs after high school. Participants were highly satisfied with IPS-SEd services. Most rated having a good job/career, earning a good living and completing college as important across timepoints; however perceived chances of achieving these increased from baseline to 6 months and then decreased at later timepoints.</p><p><strong>Conclusions and implications for practice: </strong>TAY with serious mental health conditions value and benefit from IPS-SEd during the transition out of high school. More rigorous research of IPS-SEd is needed, including further investigation of academic self-efficacy among TAY navigating postsecondary education with IPS-SEd services. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841682","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}