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Journal of Applied Gerontology最新文献

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Life Stressors and Loneliness in Older Adults: The Role of Family Functioning and Self-Perceptions of Aging. 老年人的生活压力与孤独：家庭功能和衰老自我认知的作用。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-04 DOI: 10.1177/07334648261445733
Claudia Benito-Rincón, Luis Manuel Pérez-Cardona, Laura García-García, José Adrián Fernandes-Pires, Lucía Jiménez-Gonzalo, Natalia Martín-María, Andrés Losada-Baltar
{"title":"Life Stressors and Loneliness in Older Adults: The Role of Family Functioning and Self-Perceptions of Aging.","authors":"Claudia Benito-Rincón, Luis Manuel Pérez-Cardona, Laura García-García, José Adrián Fernandes-Pires, Lucía Jiménez-Gonzalo, Natalia Martín-María, Andrés Losada-Baltar","doi":"10.1177/07334648261445733","DOIUrl":"https://doi.org/10.1177/07334648261445733","url":null,"abstract":"<p><p>Loneliness, a subjective feeling experienced by a considerable number of older adults, is often related to life stressors. Family functioning and self-perceptions of aging (SPA) may be associated with loneliness, but no prior research has combined them into a single explanatory model. This study examined the role of family functioning and SPA in associations between life stressors and loneliness in older adults. Participants were 317 individuals aged 65 and older, recruited from urban areas in Spain. A path analysis tested direct and indirect associations among variables. Results indicated life stressors were indirectly associated with loneliness through family functioning and negative SPA. In addition, family functioning was indirectly associated with loneliness through SPA. The model showed excellent fit and explained 48% of the variance in loneliness. Findings provide a theoretical basis for interventions to reduce loneliness by enhancing family support and promoting positive SPA.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261445733"},"PeriodicalIF":2.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822234","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
Shared Experience of Physical Vitality and Social Participation Among Caregiving Dyads: Comparing Dyads With and Without Dementia. 照顾双性恋者身体活力和社会参与的共享经验：比较有和没有痴呆的双性恋者。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-04 DOI: 10.1177/07334648261446693
Hyojin Choi, Maija Reblin, Kristin Litzelman
{"title":"Shared Experience of Physical Vitality and Social Participation Among Caregiving Dyads: Comparing Dyads With and Without Dementia.","authors":"Hyojin Choi, Maija Reblin, Kristin Litzelman","doi":"10.1177/07334648261446693","DOIUrl":"10.1177/07334648261446693","url":null,"abstract":"<p><p>Social connection is a core component of well-being. Older adults with declining physical functioning or serious health conditions are at particular risk for social isolation and loneliness, and often rely on a family caregiver to facilitate their social participation. Using data from the 2015 and 2017 National Health and Aging Trends Study and the National Survey of Caregiving, this study sought to elucidate dyadic interdependence in the relationship between physical vitality and social participation, among care recipient-caregiver dyads (152 dyads with dementia; 475 dyads without dementia). Actor-partner interdependence models reveal that physical vitality was positively associated with social participation in care recipients, regardless of their dementia status. In dyads with dementia, care recipients' physical vitality was also positively associated with caregiver social participation. The findings demonstrate the importance of physical vitality of both older adults and their caregivers in maintaining social participation in the face of health challenges.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261446693"},"PeriodicalIF":2.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844066","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
Evaluation of the Older Person Mental Health First Aid Course: Effects on Knowledge, Stigmatizing Attitudes, and Helping Behaviors. 老年人心理健康急救课程的评估：对知识、污名化态度和帮助行为的影响。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-07-08 DOI: 10.1177/07334648251352309
Julia Lyons, Kathy Bond, Betty Kitchener, Fairlie Cottrill, Anthony Jorm, Alyssia Rossetto, Claire Kelly, Nicola Reavley, Amy Morgan
{"title":"Evaluation of the Older Person Mental Health First Aid Course: Effects on Knowledge, Stigmatizing Attitudes, and Helping Behaviors.","authors":"Julia Lyons, Kathy Bond, Betty Kitchener, Fairlie Cottrill, Anthony Jorm, Alyssia Rossetto, Claire Kelly, Nicola Reavley, Amy Morgan","doi":"10.1177/07334648251352309","DOIUrl":"10.1177/07334648251352309","url":null,"abstract":"<p><p>The Older Person Mental Health First Aid® (MHFA®) course teaches adults practical skills to support older adults (65+ years) who are developing a mental health problem or crisis, including depression, anxiety, psychosis, substance use problems, confusion, and dementia. This study aimed to evaluate its effectiveness in a sample of Australian adults attending the course. Outcomes were assessed before the course, immediately after, and six months later. Measures assessed the participant's knowledge, stigmatizing attitudes, willingness to help, confidence in- and quality of intended, and actual helping behavior toward an older person with depression or dementia. 148 Australian participants completed the pre-course survey, 133 at post-course and 67 at six-month follow-up. Significant improvements were observed at post and six-month follow-up on knowledge, desire for social distance, confidence, and quality of intended help toward dementia. The Older Person MHFA course may be an effective early intervention education course for supporting older people's mental health.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"856-867"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592683","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}
引用次数: 0
Partnership Quality and Mental Health Among Older Adults in England Amid the COVID-19 Pandemic. COVID-19大流行期间英格兰老年人的伙伴关系质量和心理健康
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-06-25 DOI: 10.1177/07334648251355676
Eizaburo Tanaka, Maria Sironi, Giorgio Di Gessa
{"title":"Partnership Quality and Mental Health Among Older Adults in England Amid the COVID-19 Pandemic.","authors":"Eizaburo Tanaka, Maria Sironi, Giorgio Di Gessa","doi":"10.1177/07334648251355676","DOIUrl":"10.1177/07334648251355676","url":null,"abstract":"<p><p>Using longitudinal data from Wave 9 (2018/19) and two COVID-19 sub-studies of the English Longitudinal Study of Ageing (<i>N</i> = 4994), we examined how partnership status and relationship quality in the early months of the pandemic (June/July 2020) related to depression, anxiety, and life satisfaction (November/December 2020) among older people. Associations were analyzed using logistic regression models while controlling for socioeconomic and demographic factors as well as pre-pandemic mental health. We found that respondents in poor-quality partnerships reported higher depression (OR = 2.79, 95% CI = 2.07-3.76), anxiety (OR = 2.62, 95% CI = 1.74-3.94), and low life satisfaction (OR = 2.19, 95% CI = 1.67-2.86) than those in fair partnerships. Results also indicate that better partnership quality was associated with better mental health, while being in a poor partnership was as detrimental to mental health as not having a cohabiting partner. Relationship quality is important for mental health, particularly when policies restricting contact and mobility may exacerbate relational issues.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"963-972"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486584","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}
引用次数: 0
Family Health Stress and Insomnia Symptoms Among Older Adults: The Moderating Role of Activity Engagement. 家庭健康压力与老年人失眠症状：活动参与的调节作用。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-07-07 DOI: 10.1177/07334648251352593
Jeein Law, Jeffrey A Burr, Edward Alan Miller, Jeffrey E Stokes, Sung S Park
{"title":"Family Health Stress and Insomnia Symptoms Among Older Adults: The Moderating Role of Activity Engagement.","authors":"Jeein Law, Jeffrey A Burr, Edward Alan Miller, Jeffrey E Stokes, Sung S Park","doi":"10.1177/07334648251352593","DOIUrl":"10.1177/07334648251352593","url":null,"abstract":"<p><p>Insomnia symptoms arising from stress present significant health risks for older adults, yet few studies have examined (1) the association between family health-related stress and insomnia or (2) the moderating role of activity engagement. This study used data from the 2016 and 2018 <i>Health and Retirement Study</i> (<i>N</i> = 5565) to assess these relationships using linear regression models. The study focused on 4 insomnia symptoms and 15 activity items, adjusting for sociodemographic characteristics and health factors. Higher levels of family health stress were significantly associated with higher numbers of insomnia symptoms. The moderation analysis showed that engagement in social and hobby activities weakened this association, suggesting that certain activities serve a buffering role in reducing family health stress-related insomnia symptoms.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"879-889"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576629","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
Educational Attainment and Alzheimer's Disease and Related Dementias (ADRD) Risk Among Black Adults: A Comparative Analysis of U.S.-Born and Non-U.S.-born Populations in the All of Us Research Program. 黑人成人的受教育程度与阿尔茨海默病和相关痴呆（ADRD）风险：美国和非美国出生的比较分析我们所有人研究项目中的美国出生人口。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-07-08 DOI: 10.1177/07334648251359005
Yijiong Yang, Brittany Lane, Darcy Ravndal, Setor Kofi Sorkpor
{"title":"Educational Attainment and Alzheimer's Disease and Related Dementias (ADRD) Risk Among Black Adults: A Comparative Analysis of U.S.-Born and Non-U.S.-born Populations in the <i>All of Us</i> Research Program.","authors":"Yijiong Yang, Brittany Lane, Darcy Ravndal, Setor Kofi Sorkpor","doi":"10.1177/07334648251359005","DOIUrl":"10.1177/07334648251359005","url":null,"abstract":"<p><p><b>Objective:</b> To examine the association between educational attainment and Alzheimer's disease and related dementias (ADRD) risk among U.S.-born and non-U.S.-born Black adults. <b>Methods:</b> We conducted a retrospective cohort study using survey and electronic health record data from the All of Us Research Program. ADRD cases were identified using ICD-9/10 codes. Propensity score matching was applied to balance demographic and socioeconomic factors between U.S.-born and non-U.S.-born Black adults aged 65 and older (<i>n</i> = 1412 per group). <b>Results:</b> After matching, ADRD prevalence was higher among non-U.S.-born Black adults (8.1%) than U.S.-born Black adults (7.2%). Among non-U.S.-born Black individuals, higher education was associated with lower ADRD prevalence (7.4% with college + vs. 10.7% with high school or less). <b>Conclusion:</b> Educational attainment may confer differential protective effects against ADRD by nativity. Findings highlight the need to consider nativity, educational context, and early-life structural factors to reduce disparities in cognitive aging and guide targeted ADRD prevention.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"985-995"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585303","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
Anomaly Detection Technologies for Dementia Care: Monitoring Goals, Sensor Applications, and Trade-offs in Home-Based Solutions-A Narrative Review. 失智症照护的异常侦测技术：监测目标、感测器应用，以及家庭解决方案的权衡。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-07-08 DOI: 10.1177/07334648251357031
Joy Lai, Bing Ye, Alex Mihailidis
{"title":"Anomaly Detection Technologies for Dementia Care: Monitoring Goals, Sensor Applications, and Trade-offs in Home-Based Solutions-A Narrative Review.","authors":"Joy Lai, Bing Ye, Alex Mihailidis","doi":"10.1177/07334648251357031","DOIUrl":"10.1177/07334648251357031","url":null,"abstract":"<p><p>Anomaly detection technologies are increasingly used to monitor people living with dementia (PLwD) in home settings, addressing critical behaviors such as wandering, sleep disturbances, and agitation. This narrative review examines technologies used for detecting behavioral anomalies, the activities they monitor, and the trade-offs between their benefits and limitations. A systematic search across MEDLINE, IEEE Xplore, ACM Digital Library, and Web of Science identified 78 studies, categorized through thematic analysis. Three primary motivations emerged: early diagnosis, safety monitoring, and reducing caregiver stress while promoting autonomy. Technologies include GPS tracking, wearables, environmental sensors, and smart home systems, each with benefits like real-time alerts and non-intrusive monitoring but also challenges such as user compliance, false positives, and privacy concerns. While these systems enhance safety and autonomy, improving sensor accuracy, integrating AI for personalized interventions, and addressing ethical concerns are essential for long-term effectiveness and supporting the well-being of both PLwD and caregivers.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1008-1023"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592680","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}
引用次数: 0
The Experience of Deciding to Move to a Retirement Community: A UK Study. 决定搬到退休社区的经验：一项英国研究。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-06-24 DOI: 10.1177/07334648251352591
Kimberley J Smith, Rachel Lawrence, Julie Round, Alison Benzimra, Andrew King
{"title":"The Experience of Deciding to Move to a Retirement Community: A UK Study.","authors":"Kimberley J Smith, Rachel Lawrence, Julie Round, Alison Benzimra, Andrew King","doi":"10.1177/07334648251352591","DOIUrl":"10.1177/07334648251352591","url":null,"abstract":"<p><p>Twenty-five older adults living in three retirement communities that catered to people from different sociodemographic backgrounds completed a semi-structured interview to share their experiences of making the decision to move to a retirement community in the UK. Data were analyzed with framework analysis, and three themes were generated. The overarching theme of maintaining independence and autonomy captured the importance that independence had in decision making. Theme 1 described the contextual factors that influenced older people when making their decision to move to a retirement community. Theme 2 encapsulated the importance of first impressions with a subtheme of existential and identity challenges capturing the tension that some people felt between wanting to move to a retirement community with the reality that this was a space for older people. The findings from this study are useful in highlighting the challenging circumstances that can influence the decision to move to a retirement community.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"868-878"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477283","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}
引用次数: 0
The Association Between Adverse Childhood Experiences and Patterns of Cognitive Decline: The Mediating Role of Allostatic Load. 不良童年经历与认知衰退模式的关系：适应负荷的中介作用。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-07-04 DOI: 10.1177/07334648251357451
Xueying Zhu, Yanqin Wang, Tingting Yang, Yu Tang, Yongqi Wang, Lei Yang, Yaoyue Hu
{"title":"The Association Between Adverse Childhood Experiences and Patterns of Cognitive Decline: The Mediating Role of Allostatic Load.","authors":"Xueying Zhu, Yanqin Wang, Tingting Yang, Yu Tang, Yongqi Wang, Lei Yang, Yaoyue Hu","doi":"10.1177/07334648251357451","DOIUrl":"10.1177/07334648251357451","url":null,"abstract":"<p><p>This study aimed to examine how adverse childhood experiences (ACEs) and allostatic load (AL) are associated with patterns of cognitive decline in older Chinese adults, and whether AL mediates the association between ACEs and cognitive decline. Using data from the China Health and Retirement Longitudinal Study (CHARLS, Waves 1-4), we applied latent class growth analysis to identify four distinct classes of cognitive decline trajectories and examined the mediating role of AL using the Karlson-Holm-Breen method. Results showed that increased ACEs were associated with a higher likelihood of membership in less favorable classes of cognitive decline, particularly among those with ≥2 deprivation-related ACEs. However, AL was not associated with the patterns of cognitive decline trajectories and did not mediate the relationship between ACEs and cognitive decline trajectories. These findings underscore the importance of providing children with available resources and support to mitigate ACEs and prevent adverse cognitive decline in later life.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"996-1007"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561540","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
Post-Pandemic COVID-19 Vaccination Intention Among Unvaccinated Older Adults. 未接种疫苗的老年人的COVID-19大流行后疫苗接种意愿
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-01 Epub Date: 2025-06-28 DOI: 10.1177/07334648251357029
Phanida Juntasopeepun, Donna Z Bliss, Rojanee Chintanawat, Sukanya Tullapong, Sirinan Jongariyakul, Sirima Panadorn
{"title":"Post-Pandemic COVID-19 Vaccination Intention Among Unvaccinated Older Adults.","authors":"Phanida Juntasopeepun, Donna Z Bliss, Rojanee Chintanawat, Sukanya Tullapong, Sirinan Jongariyakul, Sirima Panadorn","doi":"10.1177/07334648251357029","DOIUrl":"10.1177/07334648251357029","url":null,"abstract":"<p><p>Vaccination remains a key strategy in combating COVID-19, especially among vulnerable populations such as older adults and those with underlying health conditions. Despite the WHO's goal of achieving 100% vaccination coverage in older adults, a substantial proportion remains unvaccinated, even after the WHO declared the end of the COVID-19 public health emergency on May 5, 2023. This cross-sectional study addresses a gap in the literature by focusing on vaccination intentions among unvaccinated older adults in the post-pandemic phase. A convenience sample of 360 Thai older adults who had not received any COVID-19 vaccines as of that date was recruited. Factors associated with greater vaccination intention included higher perceived susceptibility to COVID-19, greater perceived benefits of vaccination, and not having a family history of COVID-19. These findings highlight the need for targeted communication strategies that address specific perceptions and experiences to improve vaccine uptake among older adults in the post-pandemic context.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"973-984"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530433","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
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