Journal of Pediatric Psychology最新文献

{"title":"Siblings of young children with congenital heart disease: parent perspectives from a crowdsourcing study.","authors":"Christina M Amaro, Melissa A Alderfer, Sarah E Wawrzynski, Jennifer Christofferson, Linda G McWhorter, Abigail C Demianczyk, Anne E Kazak, Erica Sood","doi":"10.1093/jpepsy/jsaf089","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf089","url":null,"abstract":"<p><strong>Objective: </strong>To gather parents' perspectives on the experiences of siblings of young children with congenital heart disease (CHD), the impact of CHD on siblings, and the types of resources and supports they need to adjust to CHD within their family.</p><p><strong>Methods: </strong>A community advisory council guided the study. Parents of children with CHD, currently 1-7 years old, who had surgery in their first year of life, were eligible for participation if they were fluent in written English and had internet access. Recruitment through several CHD-specific nonprofit organizations produced a national sample of parents (N = 108). Of the 73 who had non-bereaved heart-healthy children, 59 (81%) provided sibling-relevant data for this study. Most parents were non-Hispanic White (n = 54; 91.5%) mothers (n = 41; 69.5%; Mage = 36.10; SDage = 5.0) reporting on siblings older than the child with CHD (n = 44; 74.6%). Data were qualitative, collected through crowdsourcing, and coded to distill themes.</p><p><strong>Results: </strong>Three themes emerged: (1) CHD directly affects siblings' psychosocial functioning and daily activities, (2) CHD alters roles and relationships within the family, with impacts to siblings, and (3) families seek and appreciate support for heart-healthy siblings from extended family and friends, the healthcare team, and the community, but resources are variable.</p><p><strong>Conclusion: </strong>Parents described specific ways that CHD impacts their heart-healthy children, including their psychosocial functioning, role in the family, and support from the community. Findings highlight the need for family-centered care in CHD, including screening to identify siblings at risk for psychosocial difficulties and provision of appropriate supports to meet sibling and family needs.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early childhood sleep patterns and association with caregiver-child relationships in rural China: caregiver depression as a mediator.","authors":"Yuyin Xiao, Boya Wang, Shanshan Li, Qi Jiang, Hanwen Zhang, Scott Rozelle","doi":"10.1093/jpepsy/jsaf090","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf090","url":null,"abstract":"<p><strong>Background: </strong>Caregiver-child relationships are closely related to early childhood development outcomes. This study explores the association between child sleep patterns and the caregiver-child relationship in rural China and the mediating role of caregiver depression.</p><p><strong>Method: </strong>Drawing on a survey of 776 children aged 5-25 months and their primary caregivers, we used ordinary least squares regression to analyze whether children's sleep patterns are associated with the caregiver-child relationship. We conducted mediation analyses to explore how caregiver depression mediated the association between children's sleep patterns and the caregiver-child relationship, and whether the association differed between mother- and grandmother-caregiving households. In analyzing the caregiver-child relationship, we used two of the most widely examined descriptive axes: care and control, where care is measured by the degree of warmth between the caregiver and the child, and control is measured by invasiveness (as opposed to autonomy), which reflects the degree to which the caregiver perceives the child as intrusive or overly demanding.</p><p><strong>Results: </strong>Results show that caregivers of children with more sleep difficulties perceived less warmth and more invasion in their relationship with the child. Maternal depressive symptoms mediated the relationship between children's sleep and caregiver-child interactions by predicting caregivers' perceived invasion.</p><p><strong>Conclusion: </strong>The findings provide new evidence on the relationship between children's sleep patterns and caregiver-child relationships in rural areas. Efforts to improve child development in low-resource settings should attend to both caregiver depression and child sleep quality.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents with diet-dependent chronic illness: motivation for healthy eating and well-being.","authors":"Lika Hatzir, Rivka Tuval-Mashiach, Orit Pinhas-Hamiel, Mona Kidon, Tamar Silberg","doi":"10.1093/jpepsy/jsaf080","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf080","url":null,"abstract":"<p><strong>Objective: </strong>Type 1 diabetes (T1D) and life-threatening food allergies (FAs) are two diet-dependent chronic illnesses (DDCIs) that require rigorous self-management centered on strict dietary monitoring. Grounded in self-determination theory, this study aimed to investigate differences in motivation for healthy eating and well-being among adolescents coping with DDCI, compared to individuals without DDCI. Additionally, it explored the mediating role of general health practices in the relationship between motivation for healthy eating and well-being.</p><p><strong>Methods: </strong>A total of N = 116 adolescents, aged 10-18 years (T1D: N = 36, M±SD age = 15.28 ± 1.85; FA: N = 39, M±SD age = 13.31 ± 2.40; no-DDCI: N = 41, M±SD = 14.71 ± 1.76), completed questionnaires assessing motivation for healthy eating, general health practices, and well-being.</p><p><strong>Results: </strong>Internal motivation for healthy eating was positively associated with general health practices in all 3 groups. A moderated-mediation model revealed that among adolescents with DDCI, internal motivation for healthy eating was positively associated with psychological well-being. Internal motivation was also positively associated with physical well-being, but only among adolescents with FA. Conversely, only among adolescents with T1D, external motivation for healthy eating was negatively associated with psychological and physical well-being. Lack of motivation for healthy eating was negatively associated with general health practices among adolescents with T1D and individuals without DDCI.</p><p><strong>Conclusions: </strong>Adolescents with DDCI face challenges in adhering to healthy eating recommendations and translating knowledge into action. Targeted interventions are necessary to enhance internal and autonomously driven motivation for dietary changes. Personalized nutrition programs for adolescents living with DDCI may effectively promote self-management and overall well-being in this population.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective associations between coping, benefit-finding and growth, and subjective well-being in youths with chronic health conditions: a two-wave cross-lagged analysis.","authors":"Roman E von Rezori, Harald Baumeister, Reinhard W Holl, Thomas Meissner, Kirsten Minden, Annabel S Mueller-Stierlin, Svenja Temming, Petra Warschburger","doi":"10.1093/jpepsy/jsaf087","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf087","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents with chronic health conditions (CCs) face unique developmental challenges that affect their psychological well-being. Benefit-finding and growth (BFG) may serve as a psychological resource for this population. However, longitudinal evidence on the hypothesized predictors of BFG and its impact on subjective well-being (SWB) remains scarce. This study explores the reciprocal associations between emotion-focused coping, BFG, and SWB in adolescents with CCs.</p><p><strong>Methods: </strong>The sample included 498 adolescents (aged 12-21 years) with type 1 diabetes, juvenile idiopathic arthritis, or cystic fibrosis receiving care in Germany. Using latent cross-lagged panel models, we analyzed the directionality of the relationships between coping strategies (acceptance, cognitive reappraisal, seeking social support), BFG, and SWB (satisfaction with life, positive well-being) over 1 year. Sociodemographic and disease-related variables were controlled.</p><p><strong>Results: </strong>Seeking social support at T1 was significantly associated with higher levels of BFG at T2, whereas no significant prospective associations were observed for T1 acceptance and reappraisal. An inverse cross-lagged association was found between BFG at T1 and reappraisal at T2. Furthermore, BFG at T1 was significantly associated with higher satisfaction with life at T2.</p><p><strong>Conclusions: </strong>This study provides the first longitudinal evidence of bidirectional relationships between emotion-focused coping and BFG, as well as BFG and SWB in adolescents with CCs. The findings highlight the crucial role of seeking social support in promoting BFG, which enhances adaptive emotion regulation and satisfaction with life. Future interventions should target social resources and cognitive coping strategies to improve psychological well-being in this population.</p><p><strong>Clinical trial registration: </strong>German Clinical Trials Register (DRKS), no. DRKS00025125. Registered on May 17, 2021.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-image among adolescent and young adult cancer survivors: a qualitative study.","authors":"McCall A Schruff, Katianne M Howard Sharp, R Elyse Heidelberg, Sarah Daniels","doi":"10.1093/jpepsy/jsaf085","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf085","url":null,"abstract":"<p><strong>Objective: </strong>This study describes adolescent and young adult (AYA) cancer survivors' self-image, including the role of social media, in the context of social interaction. More specifically, this study describes how survivors view their physical appearance, personality, and capabilities throughout their cancer experience.</p><p><strong>Methods: </strong>Data were derived from semi-structured interviews of 21 AYA oncology survivors, ages 16-22 years, who were treated for cancer 1-4 years prior to participation. A five-phase approach for data analysis that incorporated both deductive and inductive qualitative strategies was used to identify themes of self-image.</p><p><strong>Results: </strong>The analysis revealed two themes for each of the self-image components (personality, appearance, and capabilities). Specifically, AYA reflect on how a cancer diagnosis affects their identity, self-esteem, physical features, and social normalcy. In terms of the role of social media, AYA cancer survivors identified that social media promotes an unrealistic expectation and is used for external validation.</p><p><strong>Conclusions: </strong>Survivors report ways in which their cancer experience and social perceptions contribute to their sense of self. The multifaceted aspects of self-image described are key concepts that psychosocial providers should assess throughout the AYA cancer trajectory. From AYAs' perspective, social media contributes to their self-image by creating a pressure to conform to societal expectations on appearance; additional research and support to mitigate this impact are warranted. Increasing AYAs' media literacy and enhancing psychosocial assessments and support to navigate online and offline social worlds may help shape AYA's self-image.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting interventions for parents of children with type 1 diabetes-a systematic review.","authors":"Mandy Jansen, Paul G Voorhoeve, Lianne Wiltink, Judith B Prins, Giesje Nefs","doi":"10.1093/jpepsy/jsaf078","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf078","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review (PROSPERO ID: CRD42022356654, AMNR junior research grant) evaluated the effectiveness of parenting interventions in pediatric type 1 diabetes, designed to enhance supportive parenting behaviors, in improving family dynamics, parent-, child-, and diabetes-related outcomes.</p><p><strong>Methods: </strong>We systematically searched PubMed, EMBASE, Cochrane, CINAHL, and PsycINFO for studies from 1980 to February 25, 2025. We included reports of controlled and uncontrolled studies describing quantitative change. Data were synthesized narratively, and intervention content was coded according to a behavioral taxonomy. Risk of bias was assessed using Cochrane's Risk of Bias (2.0) tool and the ROBINS-I tool for controlled and uncontrolled studies, respectively.</p><p><strong>Results: </strong>After screening 12,654 reports, we included 51 studies (across 72 reports) describing findings of 37 unique interventions. Most studies and outcomes had an increased risk of bias. Whereas overall effects were mixed, intensive, targeted interventions had the most impact on psychosocial and diabetes outcomes. Some preventive interventions and, notably, control groups also showed effects, with most promising effects in subgroups. Many preventive intervention studies were underpowered. A diabetes-specific focus seemed necessary, although not sufficient, to affect diabetes outcomes. Several strategies were used to stimulate parents toward changing their own and-ultimately-their children's behavior, although individual components could not be uniquely related to intervention effectiveness.</p><p><strong>Conclusions: </strong>Targeted and preventive parenting interventions serve as a potential, although not exclusive, approach to improve psychosocial and diabetes outcomes. Future research should elucidate which families benefit from parenting interventions compared to other educational or supporting interventions, thereby delineating their essential intervention components.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family factors as moderators of the association between specific cognitive domains and psychosocial, academic, and adaptive functioning outcomes in youth with spina bifida.","authors":"Adrien M Winning, Allison D Payne, Diana Ohanian, Alexa Fagan, Caitlin Murray, Jaclyn L Papadakis, Robin M Bowman, Grayson N Holmbeck","doi":"10.1093/jpepsy/jsaf061","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf061","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine the direct and interactive effects of cognitive and family factors on psychosocial, academic, and adaptive functioning outcomes in youth with spina bifida (SB).</p><p><strong>Methods: </strong>Participants included 41 families of youth with SB (ages 3-16 years old). Caregivers reported on child functioning (i.e., executive, psychosocial, and adaptive functioning), as well as family factors, such as family environment, marital adjustment, caregiver distress, and parenting stress. Youth completed performance-based assessments of vocabulary and academic functioning. Direct effects of cognitive and family factors on youth psychosocial, academic, and adaptive outcomes were examined using hierarchical multiple regression analyses, whereas interactive effects were examined using moderation models in PROCESS.</p><p><strong>Results: </strong>Regression analyses revealed that both cognitive (i.e., executive dysfunction, vocabulary) and family (i.e., parenting stress) factors accounted for variability in youth outcomes. Interactive effects between cognitive and family factors were also revealed when predicting youth emotional and behavioral problems, as well as adaptive skills. Specifically, greater executive dysfunction was associated with greater emotional and behavioral problems in low and moderate, but not high, quality family environments. Additionally, analyses revealed that youth with higher levels of executive dysfunction generally demonstrated poorer adaptive skills, regardless of caregiver distress. However, those with low levels of executive dysfunction demonstrated poorer adaptive skills only in the presence of more caregiver distress.</p><p><strong>Conclusions: </strong>Both cognitive and family factors may contribute to adjustment outcomes in children with SB. Findings highlight the importance of developing comprehensive family-based interventions in the context of SB.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuropsychological predictors of growth in condition-related self-management skill mastery in youth with spina bifida.","authors":"Allison D Payne, Madeleine C Suhs, Adrien M Winning, Alexa Stern Fagan, Grayson N Holmbeck","doi":"10.1093/jpepsy/jsaf084","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf084","url":null,"abstract":"<p><strong>Objective: </strong>To determine growth in condition-related self-management skill mastery in youth with spina bifida (SB) over time and examine neuropsychological functioning, specifically attention and executive functioning, as a predictor of growth in skill mastery.</p><p><strong>Methods: </strong>Youth with SB (N = 140; Mage=11.43) completed a neuropsychological assessment, and parents and teachers completed informant-based measures of attention and executive functioning at Time 1 (T1). Parents reported condition-related skill mastery at T1, Time 2 (T2), and Time (T3), with timepoints occurring at 2-year intervals. Linear mixed effects growth curves were utilized to determine change in skill mastery over time with and without neuropsychological functioning predictors.</p><p><strong>Results: </strong>Condition-related self-management skill mastery significantly increased over time across subscales. Attention, working memory, and shifting abilities were significantly associated with self-management skill mastery across subscales at 11.5 years, with better neuropsychological functioning being associated with better skill mastery. Better working memory and shifting abilities at baseline predicted increases in medication skill mastery over time. Contrary to expectations, better attention and planning/organizing abilities at baseline predicted decreases in diet/exercise and catheterization skill mastery over time, respectively.</p><p><strong>Conclusions: </strong>Youth with SB exhibited gains in condition-related self-management skill mastery over time. Neuropsychological functioning was found to be a stronger predictor of skill mastery at 11.5 years than growth over time, suggesting that youth with better neuropsychological functioning master self-management skills earlier in development. Findings have important implications for clinical monitoring and interventions to support the transfer of medical responsibility and reduce medical nonadherence and secondary health complications.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Beyond the burn: addressing structural roots of trauma and healing in pediatric injury.","authors":"Zena Ebrahim, Colette Gramszlo","doi":"10.1093/jpepsy/jsaf076","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf076","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining prospective memory and well-being among parents of children with chronic conditions.","authors":"Erin E Harrington, Christina M Sharkey, Frances P Cooke, Mary Rose Yockel","doi":"10.1093/jpepsy/jsaf077","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf077","url":null,"abstract":"<p><strong>Objective: </strong>Much of the literature that examines well-being in parent caregivers of children with chronic conditions addresses psychosocial correlates. Yet, few studies address an integral cognitive aspect of daily life, prospective memory (PM), in association with parent well-being. The present work addressed this gap and examined parents' self-reported PM demands related to managing their child's chronic conditions and frequency of PM forgetting to well-being.</p><p><strong>Methods: </strong>A sample of 149 parents of children with chronic conditions completed an online survey including measures of parent and family demographics, PM demands, PM forgetting, perceptions of parenting self-efficacy, and well-being: depressive symptoms, anxious symptoms, general stress, and parenting-related stress. Hierarchical regression analyses evaluated the unique contributions of PM demands and forgetting to each well-being outcome over-and-above other known demographic correlates and perceptions of parenting self-efficacy.</p><p><strong>Results: </strong>Analyses suggested that PM experiences, particularly forgetting, explained a significantly greater proportion of variance in each well-being outcome beyond the demographic factors and perceptions of parenting self-efficacy. Additionally, exploratory analyses revealed that there was an indirect effect of PM forgetting on each wellbeing outcome via self-efficacy, suggesting that greater confidence in one's parenting may explain the link between perceived forgetfulness and detriments to well-being.</p><p><strong>Conclusion: </strong>The present work adds to the literature by documenting the unique effects of everyday cognitive experiences (PM demands and forgetting) in relation to parent caregiver well-being. These findings have important implications for possible interventions to improve caregivers' everyday remembering and well-being.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}