Behavior Therapy最新文献

{"title":"Effects of Parent-Coached Exposure Therapy Versus CBT on Avoidance, Impairment, and Remission in Childhood Anxiety","authors":"Lilianne M. Gloe,&nbsp;Bridget K. Biggs,&nbsp;Jennifer R. Geske,&nbsp;Stephanie T. Reneson-Feeder,&nbsp;Julie E. Dammann,&nbsp;Deanna R. Hofschulte,&nbsp;Stephen P.H. Whiteside","doi":"10.1016/j.beth.2025.07.002","DOIUrl":"10.1016/j.beth.2025.07.002","url":null,"abstract":"<div><div>The most effective therapy for childhood anxiety disorders (CADs), cognitive-behavioral therapy (CBT), leaves more than 50% of youth symptomatic, has yet to demonstrate superiority over treatment as usual, and requires more sessions than is typical in clinical settings. Parent-coached exposure therapy (PCET) is designed to increase the effectiveness and efficiency of treatment by focusing on exposure and including parents in all sessions. This study evaluated whether PCET had a greater effect than CBT on secondary outcomes. Participants were 78 predominantly White patients (78% female) ages 7–17 with CADs in a randomized controlled trial that were assigned to PCET or the gold-standard CBT. Data were collected from youth, parents, and independent evaluators (IEs) at pre-, mid- and posttreatment on avoidance, functioning, and treatment response. Across treatment conditions, youth showed improvement on all measures. Compared to those in CBT, participants in PCET demonstrated greater reductions in avoidance (parent- and IE rated), functional impairment (parent rated), and response/remission (IE rated) at midtreatment. Only differences in avoidance remained significant at posttreatment. There were no differences identified in therapeutic alliance. Approximately two thirds of patients had symptoms in the nonanxious range with PCET at posttreatment. Findings suggest that PCET more quickly addresses avoidance and impairment in CADs than current treatment options. These findings build on the primary outcome results, suggesting PCET may offer a more effective and efficient intervention than traditional CBT, without sacrificing therapeutic alliance.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 103-117"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diversity in Randomized Controlled Trials for Parent Management Training: A Systematic Review","authors":"Alan Garcia,&nbsp;Jorge A. Cao-Noya,&nbsp;Jacky Lopez,&nbsp;Lorraine T. Benuto","doi":"10.1016/j.beth.2025.07.004","DOIUrl":"10.1016/j.beth.2025.07.004","url":null,"abstract":"<div><div>The <em>NIH Revitalization Act</em> was passed by the United States Congress in 1993 and mandated that researchers include women and minorities in clinical research. However, the extent that researchers have adhered to the NIH Revitalization Act in randomized controlled studies of parent training programs for treatment of child disruptive behavior is unknown. This systematic review examined how minority inclusion was addressed in randomized controlled trials (RCTs) of parent management training for child disruptive behavior. This review focused on a variety of parent training programs such as The Incredible Years, Parent-Child Interaction Therapy, and Coping Power. The researchers identified 35 studies that met the inclusion criteria. When ethnic and racial minority data was analyzed, it was found that 44% of participants were White; 13.16% were African American; 18.41% were Latinx; 2.91% were Asian; and 5.85% were reported as “other.” Ethnic and racial data was not reported for 15.96% of participants. Overall, racial and ethnic inclusion in RCTs for parent training programs has improved in recent years and there is proximal concordance between population make-up and representation of African Americans and (to a lesser degree) Latinxs in parenting intervention RCTs. However there remains a need for improved inclusion that more closely represents the racial and ethnic make-up of the general population for other groups (e.g., Asians and Indigenous populations).</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 133-146"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the State of the Science in Global Training: Promoting the World Confederation of Cognitive and Behavioural Therapies’ Training Guidelines","authors":"","doi":"10.1016/j.beth.2025.06.002","DOIUrl":"10.1016/j.beth.2025.06.002","url":null,"abstract":"<div><div>Advanced professional skills and activities such as psychotherapy require training. However, models and methods for training practitioners to effectively deliver cognitive-behavioural therapies (CBTs) have not been clearly articulated and/or consistently applied. To address the need for global guidance in providing training in the CBTs, the World Confederation of Cognitive and Behavioural Therapies (WCCBT) recently put forward training guidelines. This State of the Science article presents the need and rationale for the WCCBT Training Guidelines and describes their assumptions and content. Such guidelines can improve the training of CBT therapists and thus ensure the global community receives the highest level of care and best possible clinical outcomes. The implications of the guidelines for trainers, practitioners, and organizations are discussed, and indications for dissemination and evaluation are articulated.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 1-16"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying the Principles of Direct-to-Consumer Marketing to Recruit Mothers and Fathers to Parenting Programs: A Randomized Controlled Trial","authors":"Raziye Salari,&nbsp;Anna Sarkadi,&nbsp;Helena Fabian,&nbsp;Shirin Malek,&nbsp;Anton Dahlberg","doi":"10.1016/j.beth.2025.07.001","DOIUrl":"10.1016/j.beth.2025.07.001","url":null,"abstract":"<div><div>Parenting programs are effective in promoting positive changes and improving the mental health of children and parents. However, low program uptake undermines the incorporation of these programs into routine community settings. Therefore, we examined whether redesigning the program flyer using insight from consumer science could increase parental participation. In this randomized controlled trial, 164 preschools were randomly assigned to a control condition or one of four experimental conditions. Parents of children in each condition were invited to participate in a universal parenting program using either the usual flyer used by local practitioners (control flyer) or one of four new flyers. The new flyers were designed based on prior research findings on why parents participate in universal parenting programs. Because fathers and mothers have been shown to have different reasons for attending parenting programs, we tailored the flyers separately for mothers and fathers. The four flyers were one mother-specific flyer, one father-specific flyer and two mixed-content flyers. The number of participants recruited varied significantly across the flyers. Overall, the redesigned mother-specific and father-specific flyers, but not the mixed-content flyers, outperformed the control flyer in recruiting parents. In addition, compared with the two mixed-content flyers, the mother-specific flyer attracted significantly more mothers and the father-specific flyer attracted more fathers. However, we found no difference between the two specific flyers themselves. Simple direct-to-consumer (DTC) marketing strategies tailored specifically to mothers or fathers can potentially increase program uptake. Future studies should further examine the importance of the visual and content of DTC messages.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 90-102"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of Youth Misophonia: A Randomized Controlled Trial Comparing Transdiagnostic Cognitive-Behavioral Therapy to Psychoeducation and Relaxation Training","authors":"Adam B. Lewin,&nbsp;Lauren Milgram,&nbsp;Sandra L. Cepeda,&nbsp;Ashley Karlovich,&nbsp;Sarah Dickinson,&nbsp;Morgan Bolen,&nbsp;Sherelle L. Harmon,&nbsp;Brent J. Small,&nbsp;Jill Ehrenreich-May","doi":"10.1016/j.beth.2025.04.006","DOIUrl":"10.1016/j.beth.2025.04.006","url":null,"abstract":"<div><div>Misophonia is a distinct clinical disorder that lacks official diagnostic classification. Despite growing evidence of the prevalence and impairment associated with this condition, little research has tested possible evidence-based interventions. The current study presents outcomes from a two-site randomized controlled trial (<em>N</em> = 43) comparing the efficacy of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A; <em>n</em> = 29) to a psychoeducation and relaxation training (PRT; <em>n</em> = 14) intervention for youth with misophonia. Participants in each condition received 10 telehealth treatment sessions and completed symptom assessments at 5- and 10-weeks postenrollment. Across both conditions, 47% of youth were treatment responders. Approximately half (54%) of youth receiving UP-C/A were treatment responders, and approximately one quarter (25%) of youth receiving PRT were treatment responders. Compared to those receiving PRT, participants receiving UP-C/A treatment exhibited greater improvement in misophonia symptoms and global functioning on some but not all outcome measures. Participants in each condition reported comparable treatment satisfaction. Results suggest that existing evidence-based interventions may be effectively applied, in a brief format, to treat youth misophonia. Moreover, findings highlight the high acceptability of cognitive-behavioral intervention (i.e., UP-C/A) for this youth sample. Future large-scale trials with a longer treatment duration and a follow-up period are needed to inform the development of evidence-based interventions for youth misophonia.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"57 1","pages":"Pages 63-78"},"PeriodicalIF":3.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Perfectionism Paradox: The Role of Perfectionism on Depression and Suicidal Ideation Symptom Severity During Partial Hospitalization","authors":"Juliet L. Bockhorst,&nbsp;Martin Schevik Lindberg,&nbsp;Emma H. Moscardini,&nbsp;Courtney Beard","doi":"10.1016/j.beth.2025.05.006","DOIUrl":"10.1016/j.beth.2025.05.006","url":null,"abstract":"<div><div>Perfectionism has a well-established relation with mental health concerns, notably depression and suicidal ideation (SI) severity. Previous research has also shown perfectionism is associated with diminished treatment gains; however, nearly all analyses on this topic are derived from a single dataset at the outpatient level. Our aim was to examine whether perfectionism and its dimensions, as assessed by the Big Three Perfectionism Scale–Short Form (BTPS-SF), are associated with improvements in depression and SI symptom severity during a transdiagnostic partial hospital program (PHP). We analyzed perfectionism scores at baseline and depression and SI scores at baseline and discharge from <em>N</em> = 738 adult patients attending a PHP. The total perfectionism score, and the self-critical and rigid perfectionism dimensions, were significantly associated with baseline depression and SI scores. The total perfectionism score, and the self-critical perfectionism dimension, were significantly associated with diminished treatment gains in depression and SI symptom severity from baseline to discharge. Our results suggest that perfectionism is associated with the baseline severity of psychopathology, specifically depression and SI severity, and may inhibit therapeutic gains. This study expands the existing literature on perfectionism’s deleterious relation with psychopathology and treatment effectiveness to more acute levels of care. Clinicians may wish to consider screening for perfectionism and potentially addressing it as a target of treatment.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 6","pages":"Pages 1133-1142"},"PeriodicalIF":3.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145341018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibromyalgia and Depression: A Network Analysis Approach","authors":"Tal Malka,&nbsp;Hadar Marom-Harel,&nbsp;Lee Frumer,&nbsp;Nancy Agmon-Levin,&nbsp;Renen Taub,&nbsp;Ittai Glick,&nbsp;Roee Admon,&nbsp;Shir Hanuka,&nbsp;Naama Peretz-Tamari,&nbsp;Adam Brown,&nbsp;Danny Horesh","doi":"10.1016/j.beth.2025.06.003","DOIUrl":"10.1016/j.beth.2025.06.003","url":null,"abstract":"<div><div>Fibromyalgia (FM) is a complex disorder characterized by chronic and widespread musculoskeletal pain. FM and depression are highly comorbid; however, their relationship remains unclear. In line with the hypothesis that there are bidirectional relationships between symptoms of both disorders, a network analysis was conducted. This method is a graphical representation of a partial correlation matrix between individual symptoms, which enables an understanding of how these symptoms relate to one another.</div><div>Data were pooled from three studies conducted on patients with FM (n = 219). Well-established network analyses methods were used to illustrate the network of FM and depressive symptoms, determine the centrality and bridge strength of each symptom, and identify clusters from within the data.</div><div>Most clusters detected included both FM and depression symptoms. The most central symptoms that also exhibited high bridge strength were cognitive and psychological: (1) negative affect, and (2) memory problems. Surprisingly, pain did not emerge as central to this network.</div><div>Utilizing a network analysis approach to examine symptom-to-symptom relationships yielded novel insight into the maintenance of this comorbidity. The research and clinical implications of the findings, such as developing treatments targeting the most central symptoms and avenues for further research, are discussed.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 6","pages":"Pages 1156-1169"},"PeriodicalIF":3.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of In-Person and Digital Suicide Safety Planning Quality: A Randomized Controlled Trial of Three Safety Planning Administration Methods","authors":"Tyler Hendley,&nbsp;Austin Starkey,&nbsp;Caleb Yaccarino,&nbsp;Jackson Bolner,&nbsp;Ryan M. Hill","doi":"10.1016/j.beth.2025.03.006","DOIUrl":"10.1016/j.beth.2025.03.006","url":null,"abstract":"<div><div>Suicide safety planning–type interventions encompass a family of brief interventions that assist in maintaining one’s safety during crises (e.g., experiencing suicidal thoughts and behavior) and can be administered in various administration methods, both in-person and digitally. Given that research suggests the importance of safety planning quality for promoting positive clinical outcomes, it is important to evaluate the quality of safety plans created using various administration methods. The present study sought to compare digital and in-person administration methods of suicide safety planning with respect to the quality of safety plans produced using each administration method. Conducted in a university lab space, participants (college students, 18 years or older, with past-year suicidal ideation; <em>n</em> = 135) were randomly assigned to one of three safety planning administration methods: traditional, in-person (<em>n</em> = 43), the Safety Planning Assistant (<em>n</em> = 44), and <span><span><em>mysafetyplan.org</em></span><svg><path></path></svg></span> (<em>n</em> = 48). Participants also completed a 2-week follow-up. Results indicate that traditional in-person safety planning and the Safety Planning Assistant produce significantly greater quality safety plans than <span><span><em>mysafetyplan.org</em></span><svg><path></path></svg></span>, <em>F</em>(2, 130) = 30.960, <em>p</em> &lt; .001, η_p² = .349. Additionally, those with higher quality plans reported higher satisfaction and spent a significantly longer amount of time developing their plans, <em>F</em>(2, 130) = 23.874, <em>p</em> &lt; .001, η_p² = .269. The Safety Planning Assistant produced comparable quality to that of traditional in-person safety planning, indicating that this self-administered safety planning tool may be a viable option in fast-paced settings where resources may be limited.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 6","pages":"Pages 1025-1040"},"PeriodicalIF":3.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement in Ecological Momentary Assessment of Suicidal Thoughts and Behaviors: A Mixed Methods Study","authors":"Molly I. Ball,&nbsp;Nathan S. Fishbein,&nbsp;Narise Ramlal,&nbsp;Nancy Hu,&nbsp;Joseph S. Maimone,&nbsp;Adam Bear,&nbsp;Evan M. Kleiman,&nbsp;Michelle B. Stein,&nbsp;Matthew K. Nock,&nbsp;Kate H. Bentley","doi":"10.1016/j.beth.2025.05.007","DOIUrl":"10.1016/j.beth.2025.05.007","url":null,"abstract":"<div><div>Ecological momentary assessment (EMA) holds great potential for understanding suicidal thoughts and behaviors (STBs) in real time. However, since the burden of EMA can lower participant engagement, more research is needed to understand how individuals engage with it, particularly during high suicide risk periods. This study aims to better understand participant engagement with EMA using both qualitative and quantitative indices. One hundred adults were enrolled in an EMA study during psychiatric inpatient hospitalization for STBs and completed six brief EMA surveys per day assessing STBs and related factors during hospitalization and for four weeks after. At the end of the study, participants completed a qualitative interview assessing motivations to participate, study perceptions, perspectives on EMA, engagement barriers, and recommendations. Participants completed 14,464 EMA surveys in total, with an average completion rate of 58%. Engagement was higher during hospitalization (66%) than after (54%). In interviews, most found EMA acceptable (59% enjoyed participation), noting that surveys often increased emotional awareness (51%). Some found EMA repetitive or tedious, and only a small minority found it distressing. Primary motivations were financial compensation (73%) and contributing to research (69%). Main barriers were schedules (92%) and momentary distress (60%). Recommendations largely focused on improving EMA administration, such as survey frequency. Most qualitative themes did not significantly differ by EMA engagement, although lower engagers gave more recommendations and had more unique barriers than high engagers. Quantitative and qualitative findings indicate EMA of STBs is generally acceptable during and after psychiatric hospitalization, with important recommendations for improvement. Integrating participant experiences is critical as researchers and clinicians work to optimize EMA with individuals at risk for suicide.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 6","pages":"Pages 1143-1155"},"PeriodicalIF":3.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a Cognitive Behavioral Therapy-Based Workshop Intervention on Social Anxiety Among Secondary Vocational Students: A Randomized Controlled Trial","authors":"Huiyan Li,&nbsp;Xinfeng Tang","doi":"10.1016/j.beth.2025.05.005","DOIUrl":"10.1016/j.beth.2025.05.005","url":null,"abstract":"<div><div>Social anxiety and related mental health problems in secondary school students require urgent attention. Workshop interventions are particularly suited for school settings, as they can be delivered in a single day and accommodate large groups of participants. This study examined the effects of a 1-day workshop, grounded in cognitive behavioral therapy (CBT), on outcomes such as social anxiety among secondary school students.</div><div>A total of 89 secondary school students participated in the study, with 44 assigned to the intervention group and 45 to a wait-list control group. The effects of group (intervention vs. wait-list control) and time (pre-intervention T1, post-intervention T2, and 1-month follow-up T3) on social anxiety symptoms, negative emotional symptoms, social anxiety knowledge, attitudes toward professional help-seeking, social anxiety stigma, and fear of negative evaluation were analyzed using linear mixed models.</div><div>Compared to the control group, the intervention group demonstrated significant improvements in social anxiety symptoms, negative emotional symptoms, social anxiety knowledge, and professional help-seeking attitudes. At the 1-month follow-up, social anxiety knowledge had the largest effect size (<em>d</em> = 1.00), and social anxiety symptoms, negative emotional symptoms, and professional help-seeking attitudes had medium effect sizes (<em>d</em> = 0.45–0.64).</div><div>The CBT-based workshop enhanced social anxiety knowledge and attitudes toward seeking professional help among secondary students, and these effects persisted at the 1-month follow-up. Furthermore, the workshop reduced secondary students’ social anxiety and negative emotions—a change that, although not as rapid as immediately after the intervention, was significant at the 1-month mark.</div></div>","PeriodicalId":48359,"journal":{"name":"Behavior Therapy","volume":"56 6","pages":"Pages 1118-1132"},"PeriodicalIF":3.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145341021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}