Rehabilitation Psychology最新文献

{"title":"Family risk factors are related to warfighter brain health: A dyad study.","authors":"Tracey A Brickell, Megan M Wright, Sara M Lippa, Samantha M Baschenis, Jamie K Sullivan, Lars D Hungerford, Jason M Bailie, Brian J Ivins, Louis M French, Rael T Lange","doi":"10.1037/rep0000608","DOIUrl":"10.1037/rep0000608","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study aimed to explore family risk factors for chronic neurobehavioral symptoms in service members and veterans (SMVs) with traumatic brain injury (TBI).</p><p><strong>Research method/design: </strong>SMVs (<i>n</i> = 72) completed eight neurobehavioral outcome measures. Their family members (<i>n</i> = 72) completed 13 family risk factor measures assessing physical, psychological, and social health, and family functioning. The number of neurobehavioral measures that were clinically elevated (≥ 60T) were summed and used to classify SMVs into three outcome groups: (a) none/few symptoms (0-1 elevated scores), (b) several symptoms (2-3 elevated scores), and (c) many symptoms (4-8 elevated scores).</p><p><strong>Results: </strong>SMVs in the many symptoms group had family members with significantly higher scores on nine family risk factor measures compared to family members of SMVs in the none/few symptoms group and two family risk factors compared to family members of SMVs in the several symptoms group. SMVs in the several symptoms group had family members with higher scores on three risk factor measures compared to family members of SMVs in the none/few symptoms group. Family member Anger was the most significant predictor of the total number of SMV elevated scores followed by family functioning, together accounting for 26.9% of the variance.</p><p><strong>Conclusions/implications: </strong>An important and unique addition to the literature was the finding that a range of risk factors in the warfighter's family environment were strongly associated with clinically elevated chronic neurobehavioral symptoms following a TBI of any severity. More attention to the well-being of family members and their role in warfighter recovery and return to duty following a TBI are required. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"101-110"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision-making capacity in rehabilitation psychology practice: Historical, contemporary, and future perspectives.","authors":"Kathleen T Bechtold, James W Mikesell","doi":"10.1037/rep0000604","DOIUrl":"10.1037/rep0000604","url":null,"abstract":"<p><strong>Purpose: </strong>This article will review the historical underpinnings of informed consent and decisional capacity, current practices, and potential evolving future modifications or elaborations of decision-making practices in clinical settings.</p><p><strong>Method: </strong>Ethical and legal foundations for informed consent for health care are reviewed. Contemporary issues with decision making, clinical capacity, and proxy decision making in rehabilitation psychology practice are discussed with a specific focus on health care decision making.</p><p><strong>Conclusions: </strong>As a subspecialist in psychology, a rehabilitation psychologist necessarily seeks to incorporate a working knowledge of its historical anchors while simultaneously seeking changes sensitive to honoring and advocating for the rights of the individuals whom they serve. The contributions of the disability rights movement have been immeasurable in ensuring that those most impacted with potential challenges to their right to self-determine their choices across a wide range of psycholegal issues are safeguarded. As rehabilitation psychologists, we must remain steadfast stewards and constructive supporters of those under our care through protecting and advocating for their rights. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"90-100"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking randomized controlled trials: Using the multiphase optimization strategy framework to optimize multicomponent interventions in rehabilitation psychology.","authors":"Kimberley R Monden","doi":"10.1037/rep0000614","DOIUrl":"10.1037/rep0000614","url":null,"abstract":"<p><p>Multicomponent biobehavioral and psychosocial interventions in rehabilitation psychology have traditionally employed a \"treatment package\" approach, which bundles multiple components into a single intervention. While this method can be practical, it often fails to provide detailed insights into the effectiveness of each component within the package. This lack of granularity can obscure which elements are most beneficial and which may be superfluous or even detrimental. In contrast, the multiphase optimization strategy (MOST) presents a novel framework inspired by engineering principles. MOST is designed to optimize and refine multicomponent interventions by systematically evaluating each component's contribution to the overall intervention while simultaneously considering real-world constraints. This method allows a more precise understanding of how each component impacts the intervention's efficacy, efficiency, and scalability. Using MOST, researchers can iteratively test, refine, and optimize intervention components before conducting comprehensive randomized controlled trials. This commentary highlights the limitations inherent in traditional randomized controlled trial approaches, which may overlook the nuances of individual intervention components. It advocates for using the MOST framework for developing and testing multicomponent interventions in rehabilitation psychology. By adopting MOST, researchers can enhance the precision and impact of their interventions, leading to more efficient research and increased translation to clinical practice. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":"71 1","pages":"121-129"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The moderating role of critical consciousness among racial and ethnic minorities with chronic pain.","authors":"Nguyen P Nguyen, Shin Ye Kim","doi":"10.1037/rep0000613","DOIUrl":"10.1037/rep0000613","url":null,"abstract":"<p><strong>Objective: </strong>Psychosocial interventions for racial and ethnic minority (REM) individuals with chronic pain have largely focused on adjusting to and coping with discrimination rather than empowerment and advocacy to contest discrimination and injustice. Scholars have called for the empirical shift from harm reduction to a strength-based and empowerment approach to help REM individuals not only survive but also thrive in an oppressive society. This study examines the moderating role of critical consciousness (CC), a theoretical construct that promotes individuals' awareness of injustice (i.e., critical reflection) and motivates them (i.e., critical motivation) to take action and advocate for themselves and their communities (i.e., critical action). CC has been found to potentially moderate the adverse effects of ethnic discrimination on REM individuals' psychological and health-related outcomes.</p><p><strong>Research method: </strong>Grounded in empirical and theoretical evidence, this study tested three moderated meditation models to examine if three components of CC would moderate the adverse associations between perceived ethnic discrimination and pain severity via perceived pain injustice.</p><p><strong>Results: </strong>The results indicated that critical reflection and action significantly moderated the association between perceived ethnic discrimination and perceived pain injustice. However, perceived pain injustice was not significantly associated with pain severity. Participants with higher levels of critical reflection and action reported higher perceived pain injustice at all levels of perceived ethnic discrimination.</p><p><strong>Conclusions: </strong>The findings suggest that critical reflection and action could exacerbate the association between ethnic discrimination and perceived pain injustice. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"35-45"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-regulation resource model of body compassion in multiple sclerosis.","authors":"Erin G Mistretta, Lindsey M Knowles, Jennifer K Altman, Aaron P Turner, Dawn M Ehde","doi":"10.1037/rep0000612","DOIUrl":"10.1037/rep0000612","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This cross-sectional study applied the self-regulation resource model of self-compassion to people with multiple sclerosis (PwMS). We examined the role of body compassion as a resilience resource and its associations with self-regulation resources (affect and self-efficacy) and health behaviors (substance use, exercise, and social engagement).</p><p><strong>Research method/design: </strong>Participants were <i>N</i> = 799 adults with a self-reported multiple sclerosis (MS) diagnosis who completed an online survey sent out to a regional and national MS listserv (August 2023-February 2024). The survey assessed stress, coping, resilience, mental health, and common MS symptoms. We employed three structural equation mediation models to examine hypotheses.</p><p><strong>Results: </strong>Body compassion was associated with all self-regulation resources. However, not all self-regulation resources mediate the relationship between body compassion and health behaviors. Health self-efficacy partially mediated the relationship between body compassion, social relations, and drug use, while negative affect partially mediated the body compassion-drug use relation. Model fit was generally good across analyses.</p><p><strong>Conclusions/implications: </strong>The study expands the theory of body compassion to a clinical sample of PwMS, suggesting that body compassion may be an important factor in various health behaviors relevant to MS. The findings highlight the potential of self-efficacy and negative affect as self-regulation resources in the relationship between body compassion and health behaviors. These insights could help rehabilitation psychologists and multidisciplinary care teams in developing interventions to enhance resilience and maintain adaptive health behaviors in PwMS. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"72-82"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness buffers the association of pain with depression and anxiety among people with spinal cord injury: A cross-sectional study.","authors":"Chelsea G Ratcliff, Shrasti Lohiya, Susan Robinson-Whelen, Heather Taylor, Alice Ahn, Radha Korupolu","doi":"10.1037/rep0000593","DOIUrl":"10.1037/rep0000593","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic pain is common among people with spinal cord injury (PwSCI) and impacts mental health (MH). Mindfulness may buffer the association of pain with MH, but few studies have examined this among PwSCI. This study examines the extent to which mindfulness moderates the association of pain intensity with MH among PwSCI.</p><p><strong>Method: </strong>PwSCI (<i>N</i> = 64) and chronic pain provided demographic and disability information, ratings of pain intensity (0-10 Numeric Rating Scale), pain interference, depression (eight-item Patient Health Questionnaire [PHQ-8]), anxiety (Generalized Anxiety Disorder-7 [GAD-7]), positive affect/wellbeing (SCI-QOL Positive Affect and Well-Being Short Form [PAWB-SF]), stress (Perceived Stress Scale-4 [PSS-4]), and mindfulness (15-item Five Facet Mindfulness Questionnaire [FFMQ-15]) at the time of their enrollment in a randomized controlled trial of a mindfulness intervention. The present, cross-sectional study used baseline data. Pain intensity, pain interference, mindfulness (FFMQ-15), the Pain Intensity × FFMQ-15 interaction, and relevant covariates were regressed on the four outcome measures (PHQ-8, GAD-7, PAWB-SF, and PSS-4).</p><p><strong>Results: </strong>There was a significant Pain Intensity × FFMQ-15 interaction effect on PHQ-8 (<i>p</i> = .008) and GAD-7 (<i>p</i> = .021), such that mindfulness buffered the positive relation of pain intensity with depression and anxiety. Additionally, there was a significant Pain Intensity × FFMQ-15 interaction effect on PAWB-SF (<i>p</i> = .032), but contrary to the hypothesis, mindfulness intensified a positive relation between pain intensity and positive affect/well-being.</p><p><strong>Conclusion: </strong>Dispositional mindfulness may buffer the association of pain intensity with depression and anxiety. Examining interventions to enhance mindfulness among PwSCI is warranted. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"62-71"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The intersecting disability and race attitudes implicit association test.","authors":"Carli Friedman","doi":"10.1037/rep0000623","DOIUrl":"10.1037/rep0000623","url":null,"abstract":"<p><strong>Purpose: </strong>Due to the ways disability and race overlap, intersect, and inform each other, to dismantle ableism, we must first understand how these processes operate in an intersectional manner, including when it comes to implicit bias. Yet, social psychology, and its prominent measures, including the implicit association test (IAT), have often taken a single-axis approach rather than attending to intersectionality. This study's aim was to develop and establish the intersecting disability and race attitudes implicit association test (IDRA-IAT).</p><p><strong>Research method: </strong>We piloted the IDRA-IAT (July-October 2024) with 536 people (27.7% nondisabled White people, 32.3% disabled White people, 12.7% nondisabled people of color, and 27.3% disabled people of color). We analyzed the data using descriptive statistics, t tests, split-half reliability (internal consistency), and correlation analyses (test-retest reliability, and construct validity).</p><p><strong>Results: </strong>People preferred nondisabled White people the most (<i>M</i> = 0.19), then disabled White people (<i>M</i> = 0.04), then nondisabled people of color (<i>M</i> = -0.09), and then disabled people of color (<i>M</i> = -0.13). However, the findings differed significantly based on the participants' identities. Our findings also indicated the IDRA-IAT has similar psychometrics to other IATs.</p><p><strong>Conclusion: </strong>To advance disability justice, much more research about intersectionality and quantitative methodologies that promote intersectionality are necessary. We recognize that there is a lot more that comprises oppression and discrimination than attitudes alone. However, our hope is that the IDRA-IAT can be one valuable tool in the arsenal of many in the work to dismantle the oppression disabled people face. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial adaptation following spinal cord injury: Perspectives of people with lived experience.","authors":"Linda Ehrlich-Jones, Jennifer Burns, Katherine Kaufman, Angelika Kudla, Allen Heinemann","doi":"10.1037/rep0000616","DOIUrl":"10.1037/rep0000616","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study sought to identify common mental health-related concerns of people living with spinal cord injury (SCI) and define strategies that can mitigate adverse circumstances.</p><p><strong>Research method/design: </strong>We organized three focus groups of persons living with SCI (N = 5, 6, and 5, respectively) and recruited participants using a research registry and social media. We conducted focus groups via Webex, which lasted 60-90 min. We used discussion guides that an advisory committee, composed of persons with SCI and health care providers, reviewed and revised. A professional service transcribed Webex audio recordings. We used NVivo Pro 12 to code the transcripts for thematic analysis.</p><p><strong>Results: </strong>Sixteen persons with SCI (six men, 10 women; <i>M</i> = 48 years) residing in Midwestern and Atlantic coast states participated. Eighty-one percent sustained SCI 2 or more years earlier, 69% sustained paraplegia, and 69% had incomplete injuries. Participants described feelings of anger/frustration, social isolation/loneliness, and depression as mental health challenges, in addition to developing identity as a person with a disability and timing of supportive mental health services such as SCI peer mentors.</p><p><strong>Conclusions/implications: </strong>Persons with SCI identified the need for improved access to community resources as well as mental health services. The findings can guide the development of practice recommendations and resources for rehabilitation professionals and mental health providers. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"130-137"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microaggressions, internalized oppression, mental health, and suicidality in disabled transgender and gender nonbinary individuals.","authors":"Stephanie L Cull, Paul B Perrin, Eric G Benotsch, B Ethan Coston, Mia E Dini, Kevin W Allison","doi":"10.1037/rep0000607","DOIUrl":"10.1037/rep0000607","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Transgender/gender nonbinary (TGNB) and disabled individuals commonly experience microaggressions that can lead to depression, anxiety, and suicidality; yet, limited research has explored the intersections of disabled and TGNB identities. This study explored hypothesized pathways leading from microaggressions through internalized oppression and mental health to suicidal ideation in a sample of disabled TGNB individuals.</p><p><strong>Research method/design: </strong>Disabled TGNB individuals (<i>n</i> = 289) completed an online survey assessing the constructs under scrutiny. The study performed multiple mediation path analyses to identify direct and indirect effects of each aspect of the hypothesized model.</p><p><strong>Results: </strong>Fifty-seven percent of the sample had clinically significant anxiety symptoms and 71% depression symptoms; 47% experienced suicidal ideation in the past month and 93% during their lifetime. Suicide attempt rates were 3% for the past 3 months and 52% lifetime. Within the good-fitting path model, cisgenderist microaggressions had a direct effect on internalized cisgenderism. Disability microaggressions had direct effects on internalized ableism and mental health symptoms. Internalized ableism had direct effects on mental health symptoms and suicidal ideation. Internalized ableism mediated the relationship between disability microaggressions and mental health symptoms, mental health symptoms mediated the relationship between internalized ableism and suicidal ideation, and both internalized ableism and mental health symptoms mediated the relationship between disability microaggressions and suicidal ideation.</p><p><strong>Conclusions/implications: </strong>Rehabilitation clinicians working with disabled TGNB individuals should consider the intersections of both systems of oppression (ableism and cisgenderism) and how microaggressions impact internalized oppression, mental health, and suicide. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"11-21"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recovery profiles and disability acceptance among individuals with serious mental illness: A latent profile analysis.","authors":"Yongsu Song, Sang Qin, EunJeong Ko, Deyu Pan, Kaiqi Zhou","doi":"10.1037/rep0000621","DOIUrl":"10.1037/rep0000621","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The recovery experiences of individuals with serious mental illness (SMI) involve a complex interaction between intrapersonal and interpersonal factors through which they continue to pursue life goals and enhance their psychosocial adaptation. Among these outcomes, disability acceptance is an important aspect but remains underexplored in this context. This study aimed to identify recovery patterns among individuals with SMI using a latent profile approach and explore how these patterns relate to disability acceptance.</p><p><strong>Research method/design: </strong>We analyzed responses from participants with SMI (<i>N</i> = 268) and employed latent profile analysis to uncover distinct recovery profiles based on key indicators: resilience, self-efficacy, coping, social support, and perceived social stigma. Each profile was then examined in relation to levels of disability acceptance. The participant sample had a relatively higher employment rate and was more educated compared to \"typical\" populations with SMI.</p><p><strong>Results: </strong>Latent profile analysis revealed three subgroups: recovery-initiating, recovery-developing, and recovery-sustained. Over half of the participants were classified in the recovery-developing group, while approximately one-third were included in the recovery-sustained group. High levels of resilience, self-efficacy, coping, and social support-along with low levels of perceived social stigma-increased the likelihood of being classified in the recovery-sustained group. This group also demonstrated the highest levels of disability acceptance.</p><p><strong>Conclusions/implications: </strong>The identification of distinct recovery patterns suggests the importance of enhancing resilience, self-efficacy, coping strategies, and social support, as well as managing perceived social stigma when working with individuals with SMI. Considerations for tailored interventions to promote recovery and disability acceptance among individuals with SMI are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"138-147"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}