Journal of Pediatric Psychology最新文献

{"title":"Cluster analysis of caregiver and adolescent emotion regulation and its relation to sexual health and dating communication.","authors":"Caroline Cummings, Katherine Shircliff, Alyssa J Gatto, Christie J Rizzo, Christopher D Houck","doi":"10.1093/jpepsy/jsaf012","DOIUrl":"10.1093/jpepsy/jsaf012","url":null,"abstract":"<p><strong>Objective: </strong>Adolescent emotion regulation (ER) has been positively linked to caregiver-adolescent sexual communication. With ER becoming increasingly conceptualized as an interpersonal process, it is likely that both adolescent and caregiver ER impact communication patterns to some extent; thus, each must be accounted for in scientific inquiry and intervention approaches. We aimed to identify distinct profiles of caregiver and adolescent ER and examine how each profile is differentially related to caregiver-adolescent communication about sexual health and relationships.</p><p><strong>Methods: </strong>Participants included adolescent males (n = 117; Mage = 13.06; SD = 0.72) and their caregivers (Mage = 42.33; SD = 0.72) who were recruited as part of a dyadic, web-based dating violence prevention intervention trial for middle school boys.</p><p><strong>Results: </strong>Using a self-report measure, three clusters were identified: families with Moderate ER strategy use (by both parents and adolescents), families with Low ER strategy use (by both parents and adolescents), and families with Mixed ER strategy use (moderate adolescent but low caregiver ER strategy use). Caregivers in the Moderate ER strategy use cluster reported discussing the greatest total number of sexual health and relationship topics. Adolescents in the Mixed ER strategy use cluster indicated the greatest perceived caregiver openness during discussions.</p><p><strong>Conclusions: </strong>Findings suggest that adolescent ER may more strongly influence positive patterns of communication regarding sexual health and relationships than parent ER. Future research should compare the efficacy of adolescent sexual health and dating interventions with adolescents alone versus dyadic interventions to determine whether there is a clinically significant additive effect of including caregivers or if adolescent engagement alone may suffice.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"346-353"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Caring about caregivers and the importance of refining methodology in caregiver-focused studies.","authors":"Johanna Michlig, Astrīda S Kaugars","doi":"10.1093/jpepsy/jsaf019","DOIUrl":"10.1093/jpepsy/jsaf019","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"317-319"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711643","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":"A systematic review of social functioning and peer relationships in adolescents with chronic pain.","authors":"Elizabeth R Wolock, Manuela Sinisterra, David A Fedele, Mark D Bishop, Jeff Boissoneault, David M Janicke","doi":"10.1093/jpepsy/jsaf014","DOIUrl":"10.1093/jpepsy/jsaf014","url":null,"abstract":"<p><strong>Objective: </strong>There is a need for a systematic review on social functioning and peer relationships among adolescents with chronic pain (ACP) given the high prevalence of chronic pain in adolescence and integral role of peer relationships in adolescent development. This review aims to examine the methods used to evaluate social functioning, the types and extent of peer relationship difficulties, and pain characteristics and sociodemographic factors related to social functioning in ACP.</p><p><strong>Methods: </strong>A systematic literature search of PubMed, PsycINFO, CINAHL, Web of Science, and Cochrane databases was performed. Included studies were written in English, presented original, quantitative, peer-reviewed research, had a primary focus on social functioning or peer relationships in ACP, and included study participants between the ages of 10 and 18 years. The review was registered in PROSPERO (No. CRD42022364870).</p><p><strong>Results: </strong>Twenty-eight articles were included in the review. All studies used self-, parent-, or peer-report questionnaires to evaluate social functioning. Most (89%) of the studies were cross-sectional. Findings suggest that ACP experience social difficulties frequently characterized by loneliness, social anxiety, withdrawal, and peer victimization. Studies examining the associations between social functioning and sociodemographic variables, pain location, and pain-related characteristics yielded mixed findings. Study quality was mixed, with 57.14% rated as \"good.\"</p><p><strong>Conclusions: </strong>Findings from this review emphasize the increased risk of reduced social connectedness and the complexity of underlying mechanisms associated with poorer social functioning among ACP. Additional research utilizing longitudinal methodologies is needed to understand potential moderators and directionality of associations between chronic pain and social functioning.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"354-376"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558449","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, self-regulation, and sleep in young children at-risk for attention-deficit/hyperactivity disorder.","authors":"Joey Tsz Ying Lam, George J DuPaul, Lee Kern, Bridget V Dever","doi":"10.1093/jpepsy/jsaf011","DOIUrl":"10.1093/jpepsy/jsaf011","url":null,"abstract":"<p><strong>Objective: </strong>Young children at-risk for attention-deficit/hyperactivity disorder (ADHD) often experience sleep problems, which may exacerbate ADHD symptoms and related impairment. Yet, little is known about modifiable factors associated with the maintenance of sleep problems. This study examined the relationships among parenting practices, behavioral self-regulation skills, and sleep functioning in young children at-risk for ADHD.</p><p><strong>Methods: </strong>Caregivers (94.2% female; 82.6% White) of 121 young children at-risk for ADHD (Mage = 4.04 years; 70.2% male; 71.9% White; 20.3% Hispanic) completed measures of parenting practices and child sleep. Children completed a lab-based task that measured behavioral self-regulation skills. Only pre-treatment data (before the delivery of behavioral parent education) were used for the study.</p><p><strong>Results: </strong>Greater use of adaptive parenting strategies, but not child behavioral self-regulation, was associated with decreased bedtime resistance after controlling for caregivers' marital status and education level. Additionally, adaptive parenting strategies moderated the relationship between child behavioral self-regulation and sleep distress, such that children with low behavioral self-regulation experienced less sleep distress when caregivers utilized more adaptive parenting strategies compared to caregivers who utilized less adaptive parenting strategies.</p><p><strong>Conclusions: </strong>For pediatric health providers working with families with young children at-risk for ADHD presenting with sleep problems, psychoeducation on adaptive parenting practices as well as encouraging parents to utilize these strategies may potentially improve child sleep functioning.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"335-345"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617654","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":"Glycemic variability and weight-focused eating behaviors among adolescents and young adults with type 1 diabetes†.","authors":"Laura B Smith, Erica Ahlich, Brittany Lang, Sureka Bollepalli, Temiloluwa Prioleau, Abigail Bartolome, Amy Hughes Lansing, Diana Rancourt","doi":"10.1093/jpepsy/jsaf009","DOIUrl":"10.1093/jpepsy/jsaf009","url":null,"abstract":"<p><strong>Objective: </strong>Type 1 diabetes (T1D) disease management and associated glycemic fluctuations can disrupt experiences of hunger and satiety, which may increase risk for disordered eating behaviors. Glycemic variability may be a useful trigger for just-in-time interventions for disordered eating behaviors. In this exploratory study, we hypothesized that two metrics of glycemic variability would be associated with greater hunger and predict eating behaviors for weight loss or maintenance in adolescents and young adults with T1D.</p><p><strong>Methods: </strong>Individuals with T1D were recruited from a university diabetes clinic (N = 34; 50% female, Mage = 19.53 years, MHbA1c = 7.98%; 29% Hispanic/Latinx; 79% White). Participants wore a blinded continuous glucose monitor for 5 days, and completed ecological momentary assessments (four prompts per day) that included measures of hunger and eating behaviors for weight loss or maintenance purposes. Generalized and linear mixed models were used to test hypotheses.</p><p><strong>Results: </strong>Approximately 30% of participants were at risk for an eating disorder based on Diabetes Eating Problem Survey-Revised scores. Greater glycemic variability did not predict hunger, but was associated with increased odds of endorsing any eating behavior for weight loss or maintenance purposes within-person (ps<.05). Greater hunger was associated with increased odds of endorsing disordered eating behavior within-person (p<.05).</p><p><strong>Conclusions: </strong>This exploratory study provides some preliminary evidence that times of greater hunger and glycemic variability may be when individuals with T1D may be at higher risk of engaging in behaviors to lose or maintain weight.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"326-334"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597860","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":"Co-Sleeping with a pet: exploring the impact on youth sleep.","authors":"Brittany D Lancaster, Tristen Hefner, Jason Van Allen","doi":"10.1093/jpepsy/jsaf016","DOIUrl":"10.1093/jpepsy/jsaf016","url":null,"abstract":"<p><strong>Objective: </strong>Despite a rise in pet ownership and adult literature indicating pet co-sleeping may lead to disrupted sleep, limited research has evaluated the impact of youth co-sleeping with an animal. This study evaluated whether a pet in the bedroom affects youth sleep.</p><p><strong>Methods: </strong>175 families completed measures of screen time, sleep problems, and parental sleep knowledge. Youth (M age = 9.51; 53.1% male) wore an ActiGraph and completed a sleep diary for 2 consecutive weeks. For youth who owned a pet dog, the dog wore an ActiGraph for the same 2 weeks. Youth were separated into 3 groups: those who slept with a pet on the bed, those with a pet in the room but not on the bed, and those with no pet in the bedroom.</p><p><strong>Results: </strong>Results suggest that youth with a pet on the bed have a shorter sleep duration, lower efficiency, and longer sleep onset latency than youth without a pet in the bedroom. A pet on the bed explained unique variance in sleep efficiency, duration, and latency when accounting for factors previously shown to impact youth sleep. Awakenings and self-reported sleep problems did not differ between groups. In dyadic analyses (n = 43), dog movement 1 min prior predicted child movement at night.</p><p><strong>Conclusions: </strong>Results suggest that having a pet on the bed is associated with more restless and shorter sleep. Though results should be replicated, clinicians should begin assessing pet sleeping location when addressing sleep concerns and provide families with information about the potential impact of pets on sleep.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"377-386"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregivers' physiological responses during toddler vaccinations: associations with psychological and behavioral responses.","authors":"Shaylea D Badovinac, David B Flora, Heather Edgell, Dan Flanders, Hartley Garfield, Eitan Weinberg, Deena Savlov, Rebecca R Pillai Riddell","doi":"10.1093/jpepsy/jsae095","DOIUrl":"10.1093/jpepsy/jsae095","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated biological, psychological, and behavioral aspects of caregivers' responses to toddlers' pain-related distress by measuring caregivers' high-frequency heart rate variability (HRV) responses during toddler vaccination pain and examining associations with caregivers' behavioral responses and psychological stress.</p><p><strong>Methods: </strong>Participants included caregiver-toddler dyads (N = 194) from a longitudinal cohort-sequential study who were observed during toddlers' 12-, 18-, or 24-month routine vaccinations. Changes in caregiver HRV were analyzed using growth curve modeling. Conditional growth curve models examined associations between caregiver HRV and caregivers' concurrent behavior and psychological stress.</p><p><strong>Results: </strong>The unconditional growth curve model indicated a slight linear decrease in caregiver HRV (i.e., vagal withdrawal) across the 3 min post-needle (unstandardized B = -0.06, p = .049). In conditional growth curve models, higher levels of parenting stress were associated with less vagal withdrawal during the post-needle period (standardized B = 0.47, unstandardized B = 0.02, p = .003). Caregivers' behavioral responses (i.e., use of soothing and distress-promoting behaviors), state anxiety, and general anxiety symptomology were not significantly associated with HRV responses.</p><p><strong>Conclusions: </strong>Caregiver parasympathetic nervous system activity levels changed minimally from baseline to post-needle and decreased slightly across the post-needle period. Caregivers' self-reported parenting stress was associated with their parasympathetic responses to the procedure. Findings support an improved understanding of the mechanisms underlying caregivers' responses to children's pain-related distress in a naturalistic setting.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"307-316"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial.","authors":"Solveig M Kirchhofer, Trude Fredriksen, Stian Orm, Matteo Botta, Erica Zahl, Hugo Cogo-Moreira, Caitlin M Prentice, Torun M Vatne, Yngvild B Haukeland, Wendy K Silverman, Krister W Fjermestad","doi":"10.1093/jpepsy/jsaf021","DOIUrl":"10.1093/jpepsy/jsaf021","url":null,"abstract":"<p><strong>Objective: </strong>We evaluated the effectiveness of SIBS, a preventive intervention for siblings and parents of children with chronic disorders (CDs).</p><p><strong>Methods: </strong>This two-arm, unmasked cluster randomized controlled trial registered on ClinicalTrials.gov (NCT04056884), included 288 siblings (M age = 10.4 years, SD = 1.9) and parents of children with CDs (mainly neurodevelopmental disorders) randomly assigned to intervention (k = 34, n = 137) or waitlist control (k = 35, n = 151) groups. Eligible siblings were aged 8-16 years and had a sibling diagnosed with a CD. SIBS is manual-based and was delivered as five sessions over 2 weeks in primary care and hospital settings across Norway. Three sessions are separate for siblings and parents, and two are integrated sibling-parent dialogues. The primary outcome was sibling mental health, rated by siblings, parents, and teachers. The secondary outcome was parent-child communication, rated by siblings and parents. Analyses included intention-to-treat (ITT) and complier average causal effects (CACE).</p><p><strong>Results: </strong>Although not statistically significant, at 3-month follow-up, the intervention group showed fewer mental health problems (ITT: sibling-rated d = -0.16, 95% CI [-0.49, 0.17]; parent-rated d = -0.10, 95% CI [-0.48, 0.12]; teacher-rated d = -0.18, 95% CI [-0.50, 0.29]) and higher-quality parent-child communication (ITT: sibling-rated d = 0.21, 95% CI [-0.10, 0.52]; parent-rated d = 0.24, 95% CI [-0.07, 0.55]) compared to waitlist.</p><p><strong>Conclusions: </strong>The SIBS intervention demonstrated small, consistent positive effects on sibling mental health and parent-child communication. This suggests SIBS is a promising preventive program for siblings of children with CDs.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721984","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":"Community-engaged research in psychological interventions for pediatric sickle cell disease: a scoping review.","authors":"Bridget N Murphy, Kristine Durkin, Desireé N Williford, Ariel O Blakey, Chloe Musa, Anna M Hood, Elizabeth L McQuaid, Idia Thurston, Malika Muhammad, Lori E Crosby","doi":"10.1093/jpepsy/jsaf008","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf008","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this scoping review was to identify and describe the community-engaged research (CEnR) methods used in the development and evaluation of psychological interventions for pediatric sickle cell disease (SCD).</p><p><strong>Methods: </strong>We conducted a systematic search of three databases in April 2024 (PubMed, Scopus, and PsycINFO). The review was registered with Open Science Framework (DOI: 10.17605/OSF.IO/956AV). All titles, abstracts, and full texts for papers that appeared to meet criteria were independently reviewed by two members of the research team. Inclusion criteria were pediatric or young adult age and use of CEnR for a psychological SCD intervention. Data were extracted from articles meeting these criteria.</p><p><strong>Results: </strong>The search yielded 235 original articles, of which eight met the inclusion criteria. These articles showed that the involvement levels of community collaborators (patients, families, and community-based organizations) varied across research phases. Notable gaps in the literature were: (1) few studies reported utilizing CEnR methods, (2) variability in language/terms used to describe CEnR methods, (3) limited demographic data about community collaborators, and (4) a lack of description of CEnR frameworks guiding intervention development and evaluation.</p><p><strong>Conclusions: </strong>This scoping review found few studies describing the use of CEnR methods in a way that would facilitate reproducibility. Recommendations include using MeSH CEnR keywords, identifying CEnR methods and frameworks, and including specific information about community when possible (e.g., demographic information, meeting frequency, etc.).</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659141","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":"A scoping review of Spanish language pediatric digital health interventions.","authors":"Alejandra Perez Ramirez, Angel Muñoz Osorio, Samuel Lai, Richard James, Adrian Ortega, Kimberly S Canter","doi":"10.1093/jpepsy/jsaf013","DOIUrl":"https://doi.org/10.1093/jpepsy/jsaf013","url":null,"abstract":"<p><strong>Objective: </strong>Despite the growing number of Hispanic/Latino families in the United States, major concerns are reported when navigating the healthcare system. Monolingual Spanish-speaking families may experience compounded barriers given the inconsistent availability of Spanish resources and services in traditional healthcare settings. Digital health interventions have the potential to alleviate some barriers in healthcare for these individuals. This scoping review summarizes the state of the literature on the development, adaptation, and implementation of pediatric Spanish-language digital health interventions offered to Spanish-speaking families in the United States to better understand current cultural-sensitivity practices and strategies implemented by researchers.</p><p><strong>Methods: </strong>A search in major databases was completed in May 2024. Articles that discussed the development, implementation, or outcome of any digital health intervention primarily oriented to a Spanish-speaking pediatric population in the United States were included. Telephone- and telehealth-only interventions were excluded.</p><p><strong>Results: </strong>A total of 44 articles were reviewed, representing 30 unique digital health interventions. Most covered preventive health topics, utilized SMS texting, and were intended primarily for parents/caregivers. Only 22 articles discussed specific methods to culturally tailor the intervention. The most common methods implemented were advisory boards and collecting qualitative data from parents/caregivers and youth. About 50% of articles reported results related to efficacy, acceptability, and feasibility.</p><p><strong>Conclusion: </strong>While similar methods are implemented to develop and adapt these interventions, there is ample variation throughout the process. Including and learning directly from intended users in the adaptation and development phases of digital health interventions can help create quality and culturally appropriate digital health programs for families.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651398","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}