Simon Riches, Grace Williams, Hannah Moss, Helen L Fisher, Freya Rumball
{"title":"Psychosis and personality disorders: an online survey of public views and behaviour.","authors":"Simon Riches, Grace Williams, Hannah Moss, Helen L Fisher, Freya Rumball","doi":"10.1080/09638237.2026.2672344","DOIUrl":"https://doi.org/10.1080/09638237.2026.2672344","url":null,"abstract":"<p><strong>Background: </strong>Research indicates public stigma about mental health has reduced. Less is known about severe mental health conditions, such as psychosis and personality disorders.</p><p><strong>Aims: </strong>This study evaluated public perceptions of psychosis and personality disorders.</p><p><strong>Methods: </strong>A survey was shared on social media. Anyone 18-years-old and over was eligible to participate. Knowledge, attitudes, beliefs, and behaviour were evaluated using the Mental Health Knowledge Scale, Attitudes to Mental Illness Scale, Perceived Devaluation and Discrimination Scale, and Reported and Intended Behaviour Scale. Multiple regressions explored their associations with demographic characteristics.</p><p><strong>Results: </strong>Participants (<i>N</i> = 1413; over 50% 18-24-year-olds; 77% female; 80% White ethnicity; 70% university-educated) lacked direct familiarity with these conditions and their knowledge varied. Attitudes and behaviour were generally positive, open-minded, and unprejudiced. A minority reported stigmatising views, which were associated with minoritised ethnicities and lower education and familiarity. Most participants believed the public would find it unacceptable that people with these conditions would work in childcare or certain professional roles.</p><p><strong>Conclusions: </strong>Anti-stigma organisations could tailor campaigns regarding severe mental health conditions to focus on these demographic groups. However, aspects of the demographic characteristics of the sample may bias the findings and limit their generalisability. Larger, more representative surveys will strengthen these findings.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296834","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2026-04-06DOI: 10.1080/09638237.2026.2646319
Jesús Martí Esquitino, Ana Belen Fernandez-Serrano, Alejandro Fernandez Zomeño, Reyes Lopez Lopez, Jose Martinez Serrano
{"title":"The effectiveness of group-based psychological interventions for emotional distress in non-clinical adult populations: a systematic review.","authors":"Jesús Martí Esquitino, Ana Belen Fernandez-Serrano, Alejandro Fernandez Zomeño, Reyes Lopez Lopez, Jose Martinez Serrano","doi":"10.1080/09638237.2026.2646319","DOIUrl":"10.1080/09638237.2026.2646319","url":null,"abstract":"<p><strong>Background: </strong>The demand for healthcare due to emotional distress from daily challenges has grown rapidly. Many individuals do not meet criteria for a mental disorder, yet psychotropic medication is often the first-line response. Group-based psychological interventions have emerged as alternatives for reducing emotional distress, but their effectiveness in non-clinical populations remains unclear.</p><p><strong>Objectives: </strong>This systematic review examines the effectiveness of group-based interventions in reducing emotional distress among non-clinical adults.</p><p><strong>Methods: </strong>A comprehensive search was conducted across major databases from January 2013 to March 2025. Eligible studies included interventions targeting adults with non-clinical distress. Studies were excluded if participants had a diagnosed mental disorder or if the absence of diagnosis was unclear.</p><p><strong>Results: </strong>A total of 4,942 records were identified (3,980 through database searching and 962 through backward citation tracking), including 20 studies. Most interventions produced significant improvements. Mindfulness-based approaches were most frequent, either alone or integrated with cognitive-behavioral therapy (CBT) or acceptance and commitment therapy (ACT). Relaxation techniques also showed independent benefits.</p><p><strong>Discussion: </strong>Most interventions were psychoeducational, with mindfulness most widely applied. No significant differences were observed between intervention types. Findings highlight the potential of diverse psychological strategies to improve well-being in non-clinical adults, while stressing the need for further evaluation.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"375-392"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628617","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2026-02-05DOI: 10.1080/09638237.2026.2622085
Anna Kamardina, Rob Saunders, Emma Broglia
{"title":"The impact of initial depression and anxiety levels on symptom severity change during psychological treatment for common mental disorders: a systematic review.","authors":"Anna Kamardina, Rob Saunders, Emma Broglia","doi":"10.1080/09638237.2026.2622085","DOIUrl":"10.1080/09638237.2026.2622085","url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety are highly comorbid conditions, which may impact treatment response.</p><p><strong>Aims: </strong>We intended to examine how depression and anxiety symptoms change during psychological interventions for adults and how the initial severity is associated with distinct trajectory classes.</p><p><strong>Methods: </strong>We identified papers examining longitudinal changes in depression and anxiety. Trajectory classes were grouped into responders, improvers and non-improvers. Narrative synthesis, alongside meta-analysis, was applied to explore the number and nature of classes, their associations with study characteristics and predictors of trajectory class membership. This study was pre-registered on International Prospective Register of Systematic Reviews (PROSPERO) (CRD42023393155), and the authors followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance.</p><p><strong>Results: </strong>We identified 18 papers, including 22 models with two to six classes. Responding and non-improving classes prevailed. Meta-regression revealed no characteristics associated with the proportion of these classes. Initial depression and anxiety levels predicted trajectory class membership for each other, but not always non-response. Unemployment, suicidality, social functioning impairment, treatment type and medication use predicted following non-responding trajectory.</p><p><strong>Conclusion: </strong>Our findings highlight the complex relationship between initial anxiety and depression severity and their changes during psychological interventions. They provide practitioners with insights into factors associated with non-response patterns of symptom change.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"354-374"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126590","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":"Cognitive-behavioral therapy for post-traumatic growth (PTG) in people with post-traumatic stress disorder (PTSD): a systematic review and meta-analysis.","authors":"Akram Ahmadzadeh, Mohammad Saeed Khanjani, Manoochehr Azkhosh, Seyyed Jalal Younesi, Gholamreza Ghaedamini Harouni, Masoudeh Babakhanian","doi":"10.1080/09638237.2025.2585199","DOIUrl":"10.1080/09638237.2025.2585199","url":null,"abstract":"<p><strong>Objectives: </strong>In evaluating the effectiveness of different therapeutic methods aimed at fostering post-traumatic growth (PTG) in individuals who have experienced trauma, a key inquiry arises: Can cognitive-behavioral therapies enhance PTG in those suffering from post-traumatic stress disorder?</p><p><strong>Methods: </strong>To address this question, comprehensive searches were conducted across the PubMed, Web of Science, and Scopus databases from the inception of these databases through 1 January, 2025. To be included, studies had to consist of clinical trials, randomized controlled trials, quasi-experimental, or experimental methodologies that applied cognitive-behavioral therapy to enhance post-traumatic growth among individuals suffering from PTSD. Each study was qualitatively assessed using the Verhegen quality assessment checklist.</p><p><strong>Results: </strong>The results showed that seven articles fulfilled the inclusion criteria, representing a total of 249 individuals and 46 couples, with a gender distribution of 47 males and 164 females. The findings of the study indicated that cognitive behavioral therapies lead to a notable enhancement in post-traumatic growth signs within the intervention group (SMD=-0.81, 95% CI=-1.19, -0.43, p=0.027). Furthermore, as the sample size in the studies increased, the impact of CBT on PTG improvement also grew (P=0.056).</p><p><strong>Conclusions: </strong>It can be concluded that CBT-related interventions can assist individuals in achieving growth by engaging with and addressing crises.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"344-353"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565966","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2026-04-13DOI: 10.1080/09638237.2026.2645539
Eunji Jeong, Chanhui Lee, Hyejin Kim, Hyeona Yu, Jakyung Lee, Tae Hyon Ha, Hong-Hee Won, Woojae Myung, Hyo Shin Kang, Jungkyu Park
{"title":"Evaluating the heterogeneous treatment effects of major depression polygenic risk scores on self-harm using causal forest.","authors":"Eunji Jeong, Chanhui Lee, Hyejin Kim, Hyeona Yu, Jakyung Lee, Tae Hyon Ha, Hong-Hee Won, Woojae Myung, Hyo Shin Kang, Jungkyu Park","doi":"10.1080/09638237.2026.2645539","DOIUrl":"10.1080/09638237.2026.2645539","url":null,"abstract":"<p><strong>Background: </strong>Self-harm, defined as non-fatal self-inflicted harm regardless of suicidal intent, is a critical global health issue influenced by the interaction between genetic and environmental factors.</p><p><strong>Aims: </strong>This study investigates the causal effect of major depression polygenic risk scores (MD PRS) on self-harm in individuals of European ancestry and explores how environmental and personal factors moderate this effect.</p><p><strong>Methods: </strong>Using data from 91,778 UK Biobank participants, we compared the top 10% with the highest MD PRS (the genetically vulnerable group) against the remainder. The causal relationship was examined using a causal forest approach to estimate average and heterogeneous treatment effects across non-genetic contributors.</p><p><strong>Results: </strong>Higher MD PRS was associated with an increased risk of self-harm. Significant heterogeneity was observed: the association was stronger among individuals exposed to physical violence or partner belittlement, but weaker among older adults and those with higher income.</p><p><strong>Conclusions: </strong>These findings highlight the importance of personalized prevention. Genetic vulnerability to depression reflects a heightened sensitivity to adverse environments, suggesting that genetic risk should be considered alongside trauma and socioeconomic contexts.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"330-343"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677781","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2025-12-15DOI: 10.1080/09638237.2025.2595600
Leticia Tornyevah, Samuel Bosomprah, Anjali Sharma, Ank de Jonge, Jens Henrichs
{"title":"Mode of birth and risk of postpartum depression among mothers who gave birth within the last 12 months in Ghana: A mixed-method, cross-sectional study.","authors":"Leticia Tornyevah, Samuel Bosomprah, Anjali Sharma, Ank de Jonge, Jens Henrichs","doi":"10.1080/09638237.2025.2595600","DOIUrl":"10.1080/09638237.2025.2595600","url":null,"abstract":"<p><strong>Background: </strong>We examined the association between mode of birth (caesarean section (CS) vs spontaneous vaginal birth (SVB)) and the risk of postpartum depression (PPD) and explored mechanisms of this relationship.</p><p><strong>Methods: </strong>We carried out a mixed-method, cross-sectional study in Ho, Ghana, among postpartum women. We used a binomial log-link generalised linear model to examine the association between birth mode and PPD risk. We applied a potential-outcome framework to test if negative childbirth experience or low self-esteem mediated this association. Additionally, we conducted in-depth interviews (IDIs) with mothers at risk of PPD.</p><p><strong>Results: </strong>Among 399 mothers, CS was associated with a 68% higher prevalence of screen-positive PPD compared with SVB [adjusted prevalence ratio = 1.68 (95% CI; 1.22, 2.32); <i>p</i> = 0.002]. Neither childbirth experience nor self-esteem mediated this association. In the qualitative analysis of 19 IDIs, we identified three themes increasing PPD risk: delayed physical recovery from post-surgical challenges; emotional trauma, unmet expectations, and anxiety about future pregnancies; and experiences of social isolation coupled with financial strain.</p><p><strong>Conclusion: </strong>Screen-positive PPD was common after both SVD and CS, and the association with CS persisted after adjustment for measured confounders. Universal postpartum screening and stepped psychosocial support, with enhanced recovery care for CS, may reduce burden.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"306-318"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758040","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2025-11-19DOI: 10.1080/09638237.2025.2585195
Sofia Orlando, Maria Long, Johura Akther-Robertson, Jacki Stansfeld, Zoë Haime, Ruth Smith, Joanna Moncrieff, Nicola Morant
{"title":"Family and informal carers' views and experiences of antipsychotic reduction and discontinuation within a medication reduction research trial.","authors":"Sofia Orlando, Maria Long, Johura Akther-Robertson, Jacki Stansfeld, Zoë Haime, Ruth Smith, Joanna Moncrieff, Nicola Morant","doi":"10.1080/09638237.2025.2585195","DOIUrl":"10.1080/09638237.2025.2585195","url":null,"abstract":"<p><strong>Background: </strong>Family/informal carers play important roles in supporting or monitoring medicine-taking for people with recurrent psychosis, but their views on antipsychotic medication are under-researched.</p><p><strong>Aim: </strong>To explore family/informal carers' views and experiences of antipsychotic reduction and discontinuation within a medication reduction research trial (Research into Antipsychotic Discontinuation And Reduction [RADAR]).</p><p><strong>Method: </strong>Semi-structured interviews with 15 family/informal carers of participants in the antipsychotic reduction/discontinuation arm of RADAR who had completed the trial up to one year previously. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>Most carers observed improvements in social engagement, daily functioning or identity, and challenges related to mental health over the 24-month reduction period. Carers described a general state of vigilance that was heightened during the trial, and often felt they were better at detecting warning signs of deterioration than clinicians. Carers' views did not necessarily reflect their loved ones' relapse status. Many wished they had been more involved in the trial. Some expressed cautious optimism for future reductions, although complete discontinuation was generally deemed less viable.</p><p><strong>Conclusions: </strong>Carers' perspectives on antipsychotic reductions within the RADAR trial complement main trial findings and explorations of service users' experiences. Clinicians should endeavour to include carers in decisions about, monitoring and support of changes or reductions to antipsychotics.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"295-305"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551609","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2026-01-01DOI: 10.1080/09638237.2025.2607986
John Goodwin, Michael Dowling, Kristy Hayes, Caroline Kilty, Maria O'Malley, Sinead Pierce, Laura Behan
{"title":"\"I don't think people realise how important they are\": a mixed methods evaluation of Samaritans' services.","authors":"John Goodwin, Michael Dowling, Kristy Hayes, Caroline Kilty, Maria O'Malley, Sinead Pierce, Laura Behan","doi":"10.1080/09638237.2025.2607986","DOIUrl":"10.1080/09638237.2025.2607986","url":null,"abstract":"<p><strong>Background: </strong>Since the first suicide helpline was established in 1953, telephone support helplines have expanded globally. One such helpline is Samaritans. Previous studies on Samaritans have explored volunteers' perspectives and examined the number of calls users make.</p><p><strong>Aims: </strong>The aim of this study was to capture the users' experiences of Samaritans' helpline in Ireland.</p><p><strong>Methods: </strong>A mixed methods methodology, incorporating quantitative (cross-sectional) and qualitative (qualitative descriptive) elements was adopted. Participants accessed surveys via Samaritans' website. At the end of the survey, participants could self-select to partake in 1:1 online interviews. Quantitative data were analysed using descriptive statistics; qualitative data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>A total of 395 respondents completed the survey. Telephone was the most prominent format of contact with Samaritans, at 88.6% (<i>n</i> = 350). Mental health was cited as the main reason callers connected with Samaritans. Almost half of respondents felt supported a lot (47.3%, <i>n</i> = 187). Qualitative analysis identified three themes: Availability, Accessibility, Anonymity; Connecting with Volunteers; and Expectations of Samaritans' Services.</p><p><strong>Conclusions: </strong>Samaritans' services are highly valued by those who engage with them. However, there is a need to enhance public awareness about the specific supports Samaritans provide, and the formats of contact that are available.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"319-329"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890256","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2026-02-04DOI: 10.1080/09638237.2026.2622086
Kia-Chong Chua
{"title":"Reducing incidents of self-harm in mental health wards: a tale of two rates.","authors":"Kia-Chong Chua","doi":"10.1080/09638237.2026.2622086","DOIUrl":"10.1080/09638237.2026.2622086","url":null,"abstract":"","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"293-294"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120473","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}
Journal of Mental HealthPub Date : 2026-06-01Epub Date: 2026-04-07DOI: 10.1080/09638237.2026.2646295
Oladapo Akinlotan, Dinithi Vidanage, Benjamin Ajibade, Ebenezer Asamoah, Daniel Faleti, Christopher Udushirinwa
{"title":"Factors that influence suicide behaviours and tendencies amongst university undergraduates in Nigeria: a systematic review and meta-analysis.","authors":"Oladapo Akinlotan, Dinithi Vidanage, Benjamin Ajibade, Ebenezer Asamoah, Daniel Faleti, Christopher Udushirinwa","doi":"10.1080/09638237.2026.2646295","DOIUrl":"10.1080/09638237.2026.2646295","url":null,"abstract":"<p><strong>Background: </strong>Suicide is a major pressing public health concern, especially among young people in low-medium income countries like Nigeria and a major common cause of deaths among people aged 15-29 across the world.</p><p><strong>Aim: </strong>This study aims to identify the factors that influence suicide behaviours and tendencies amongst university undergraduates in Nigeria.</p><p><strong>Method: </strong>A systematic review of peer-reviewed primary studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and was registered with PROSPERO. Eight databases (African Journal Online, African Index Medicus, CINAHL Complete, MEDLINE Complete, PsycINFO, APA PsycArticles and Psychology, Embase and Google Scholar) were searched for studies published between 2019 and 2025. A total of 31 studies were included after rigorous screening.</p><p><strong>Results: </strong>Thematic analysis identified three major themes and eleven sub-themes. These are academic factors (academic demands, academic stress, academic performance and academic environments), socioeconomic factors (family issues, parental problems, financial problems, media and internet) and psychological factors (mental illness, emotional intelligence, helplessness and hopelessness).</p><p><strong>Conclusion: </strong>Suicidal behaviours among Nigerian undergraduates arise from the combined effects of academic, socioeconomic and psychological stressors and vulnerabilities.</p><p><strong>Recommendations: </strong>A coordinated response, including university counselling and stress-management programmes, financial aid, family/community support, are needed to reduce student suicidality.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"393-414"},"PeriodicalIF":3.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634796","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}