Clinical Psychology Review最新文献

{"title":"Beyond the office: The role of clinical outreach services in counselling with Indigenous youth and families","authors":"Heba Elgharbawy ,&nbsp;Carrie Bove","doi":"10.1016/j.cpr.2025.102615","DOIUrl":"10.1016/j.cpr.2025.102615","url":null,"abstract":"<div><div>Stepping into a counselling office can be rife with barriers and inherent challenges, particularly for Indigenous communities who experience structural forms of marginalization or colonial violence or oppression. Outreach counselling, which is an alternative to traditional, often Eurocentric, office-based counselling services, can serve as a flexible, personal, cultural, and community-centered support. There is currently a scarcity of research that explores outreach counselling and its impacts on client engagement and wellness, specifically from Indigenous youth voices. This project involved a literature review of the available information on outreach counselling use with Indigenous communities across the globe. Through thematic analysis, four main themes were identified including 1) a lack of evidence on outreach service models and research evaluating its use with Indigenous communities and particularly with Indigenous youth, 2) evidence that suggests a strong call for more outreach counselling as it increases accessibility, 3) improved wellness through outreach models, and 4) considerations for practitioners when implementing outreach models in counselling. Actionable recommendations to enhance the accessibility and sustainability of outreach counselling services with Indigenous youth and families and ethical considerations are discussed. These findings offer communities and mental health professionals an overview of an alternative counselling model that can provide a more tailored approach to clinical care for Indigenous youth.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102615"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The clinical inadequacy of the concept of treatment-resistant depression: Innovative strategies in assessment and psychotherapeutic management","authors":"Jenny Guidi ,&nbsp;Giovanni A. Fava","doi":"10.1016/j.cpr.2025.102616","DOIUrl":"10.1016/j.cpr.2025.102616","url":null,"abstract":"<div><div>Pharmacological strategies have been developed for patients with major depressive disorder who fail to respond to standard drug treatment. The current clinical approach primarily relies on counting episodes that fulfill specific criteria and regards non-pharmacological strategies as of marginal value, despite their recognized importance in treating depression. Most attention is devoted to treatment-resistant patients' characteristics rather than to the process related to therapeutic management. However, how the patient experiences the treatment process, his/her interaction with the physician/therapist and significant others, and the patient's role in treatment plan (self-management) are all essential therapeutic components. A broader evaluation of factors related to the patient (e.g., illness denial, psychological reactance, demoralization), the therapy (e.g., clinician's attitude, behavioral toxicity of antidepressants), the environment (e.g., allostatic load/overload and health-damaging behaviors), and morbidity (e.g., medical and psychiatric comorbidity) is warranted. Assessment based on clinimetric methods (i.e., staging, macro-analysis) and clinical judgment allow a differential diagnosis of phenomena such as non-response, pseudo-resistance, treatment resistance, loss of clinical effect during maintenance antidepressant treatment, failure to achieve remission after a psychotherapy trial, partially remitted depression (i.e., presence of residual symptoms). Choice of the psychotherapeutic approach for treatment-resistant depression (TRD), particularly cognitive-behavioral therapy, mindfulness-based cognitive therapy and interpersonal psychotherapy, should follow the indications derived from clinical assessment. Treatment of TRD can thus be conceptualized as an integrated therapeutic approach to different components encompassing symptoms, psychosocial factors, lifestyle and psychological well-being.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102616"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global PTSD prevalence among active first responders and trends over recent years: A systematic review and meta-analysis","authors":"Andrew F. Arena ,&nbsp;Mikayla Gregory ,&nbsp;Daniel A.J. Collins ,&nbsp;Bojana Vilus ,&nbsp;Richard Bryant ,&nbsp;Samuel B. Harvey ,&nbsp;Mark Deady","doi":"10.1016/j.cpr.2025.102622","DOIUrl":"10.1016/j.cpr.2025.102622","url":null,"abstract":"<div><div>First responders in emergency services are inherently exposed to potentially psychologically traumatic events, increasing their risk for PTSD, burnout, and work incapacity. The current meta-analysis aimed to comprehensively compare PTSD prevalence within varied first responders in the context of both routine exposures and large-scale disasters, assess trends over recent years and differences between economic contexts. In January 2025, five databases were searched for peer-reviewed observational studies on employed or volunteering samples. Publication date was limited to post-2008, given meta-analyses addressing similar questions captured literature until this point. Random effects meta-analyses and meta-regressions explored trends over time and the impacts of exposure category, occupation, economic context, volunteer status, sex, and PTSD measurement. Analyses included 138 studies (173 independent samples). General samples with routine exposures possessed greater prevalence (14.3 %) than samples exposed to large-scale disasters (8.3 %). For the first time, there was some evidence of increasing prevalence over time within routine exposure samples. Low/middle-income countries and non-volunteers exhibited greater PTSD prevalence than high-income countries and volunteers. Prevalence varied based on PTSD outcome measurement, although no differences emerged between occupational and sex subgroups. Increasing PTSD prevalence over time appears to have been largely driven by increases observed since the COVID-19 pandemic, yet important questions remain regarding why prevalence has not decreased in relation to increasing efforts to support this population's mental health. All first responder occupations appear equally prone to PTSD, and thus equally in need of intervention. Workers in low/middle-income countries are particularly vulnerable to PTSD, potentially due to more limited resourcing.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102622"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating measures of LGBTQ+ intimate partner violence using consensus-based standards of validity","authors":"Sinéad Kelleher,&nbsp;Cal De Nicolas Audoin,&nbsp;Lisa Callaghan,&nbsp;Áine Travers","doi":"10.1016/j.cpr.2025.102620","DOIUrl":"10.1016/j.cpr.2025.102620","url":null,"abstract":"<div><h3>Background</h3><div>Evidence suggests that lesbian, gay, bisexual, transgender, queer, plus (LGBTQ+) people experience intimate partner violence (IPV) at similar or higher rates to their heterosexual and cisgender counterparts. However, there are also indications that LGBTQ+ people may experience IPV in particular ways, which are not usually included in existing standardised measures of IPV.</div></div><div><h3>Methods</h3><div>A review of existing measures for capturing IPV in LGBTQ+ samples was conducted using the COnsensus-based Standards for selecting health Measurement INstruments (COSMIN). Four databases (PubMed, PsychINFO via Ebsco, Cinahl Complete via Ebsco and Web of Science) were systematically searched, to identify all articles that used psychometric measures to capture IPV in the LGBTQ+ community.</div></div><div><h3>Results</h3><div>Forty-two articles describing twenty-two self-report measures were included. Few articles described a measure development process or assessed content validity. Although a significant proportion of measures were rated ‘very good’ for internal consistency, several received an ‘inadequate’ or ‘doubtful’ rating. All measures that had assessments of structural validity and measurement invariance were rated as ‘very good’. However, invariance testing was absent from most studies. The quality of hypothesis testing varied across studies and all but one carried out reliability analyses.</div></div><div><h3>Conclusions</h3><div>Due to a lack of high-quality psychometric assessment, more evidence for the validity, reliability, or responsiveness of IPV measures for LGBTQ+ samples is needed. Further psychometric testing is needed to improve the assessment of IPV across contexts and to strengthen the robustness of findings in this field of research.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102620"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the experience sampling methodology to measure anhedonia and its correlates in mental health research: A systematic review","authors":"Joanne R. Beames ,&nbsp;Lotte Uyttebroek ,&nbsp;Clementine J. Edwards ,&nbsp;Gudrun V. Eisele ,&nbsp;Nian D.F. Kemme ,&nbsp;Olivia Collier ,&nbsp;Eeske van Roekel ,&nbsp;Thomas R. Kwapil ,&nbsp;Olivia J. Kirtley ,&nbsp;Inez Myin-Germeys","doi":"10.1016/j.cpr.2025.102590","DOIUrl":"10.1016/j.cpr.2025.102590","url":null,"abstract":"<div><div>Anhedonia is a lack or loss of pleasure in daily life. This is the first systematic review to investigate anhedonia in mental health research with a focus on experience sampling methodology (ESM). The review aimed to identify how anhedonia is conceptualized and measured in ESM research, how it is experienced during daily life, and the quality of reporting in the published literature. To generate a comprehensive picture of anhedonia, we also examined associations between time-invariant measures of anhedonia and other affective, cognitive, and behavioral processes assessed via ESM. We searched PsychARTICLES, MEDLINE, Psychology Databases, EMBASE, Web of Science Core Collection, and Europe PMC (last search 6th January 2025). We identified 113 relevant articles. Anhedonia was typically conceptualized as diminished pleasure, enjoyment, or liking, with emphasis on consummatory rather than anticipatory experiences. Anticipatory and consummatory anhedonia were present in samples that experienced different mental health conditions or symptoms (between-person) and varied across daily contexts and time (within-person). Daily life correlates of anhedonia included increased negative affect, decreased positive affect, affect prediction biases, and social processes. Most studies explored anhedonia in depression or psychotic disorders, although measurement was heterogeneous, and compliance with a reporting quality assessment tool for ESM studies was generally low. This review demonstrates that using ESM to measure anhedonia in mental health research is critical to identify how and when it is experienced in daily life. Future anhedonia research would benefit from using a transdiagnostic perspective, standardized and validated ESM items, exploration of moment-to-moment changes over shorter time-scales, and increased transparency in methodological reporting.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102590"},"PeriodicalIF":13.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic coping and relationship satisfaction among couples with a chronic illness: A meta-analytical actor–partner interdependence model","authors":"Jianhua Hou ,&nbsp;Mariana Karin Falconier ,&nbsp;Wilson Tam ,&nbsp;Mike W.-L. Cheung ,&nbsp;Rong Fu ,&nbsp;He Bu ,&nbsp;Nancy Xiaonan Yu","doi":"10.1016/j.cpr.2025.102587","DOIUrl":"10.1016/j.cpr.2025.102587","url":null,"abstract":"<div><div>Chronic illness (CI) burdens both the patient and their romantic partner. CI management has been viewed as a dyadic process by theorists and clinical practitioners. Dyadic coping (DC) refers to the processes where one partner aids the other or both partners work together to cope with stress. We used the meta-analytical actor–partner interdependence model and its extension of actor–partner interdependence moderation model to evaluate the aggregated actor and partner effects of DC on relationship satisfaction (RS) in CI partners (CIP) and healthy partners (HP). This meta-analysis included 61 samples from 57 reports. The combined zero-order correlation (<em>r</em>) between total DC and RS was 0.37 (95 % <em>CI</em>: 0.33–0.40, <em>p</em> &lt; .001). The total DC for both partners with and without CI showed significant actor effects on their own RS (CIP → CIP: <em>b</em> = 0.33, <em>SE</em> = 0.03, <em>p</em> &lt; .001; HP → HP: <em>b</em> = 0.32, <em>SE</em> = 0.03, <em>p</em> &lt; .001) and significant partner effects on the other's RS (HP → CIP: <em>b</em> = 0.18, <em>SE</em> = 0.03, <em>p</em> &lt; .001; CIP → HP: <em>b</em> = 0.20, <em>SE</em> = 0.03, <em>p</em> &lt; .001). Similar patterns were observed for positive DC and negative DC. These effects were observed regardless of study quality, years since diagnosis, age, sex, and relationship length. Moreover, type of publication, publication year, country, DC measures, CI types, and both partners' education attainment moderated observed associations. Couple-based interventions for CI should incorporate psychoeducation on the importance of DC (e.g., viewing illness as a “we-disease,” communicating about stress, and providing mutual support) and skill-building components to enhance RS, recognizing the interdependent nature of both partners' coping processes.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102587"},"PeriodicalIF":13.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing predictors of response to behavioral interventions for children with autism spectrum disorder: A meta-analytic approach","authors":"Lacey Chetcuti ,&nbsp;Mirko Uljarević ,&nbsp;Rachel K. Schuck ,&nbsp;Antonio Y. Hardan ,&nbsp;Grace W. Gengoux ,&nbsp;David Trembath ,&nbsp;Yagnesh Vadgama ,&nbsp;Kandice J. Varcin ,&nbsp;Giacomo Vivanti ,&nbsp;Andrew J.O. Whitehouse ,&nbsp;Maria Helton ,&nbsp;Thomas W. Frazier","doi":"10.1016/j.cpr.2025.102588","DOIUrl":"10.1016/j.cpr.2025.102588","url":null,"abstract":"<div><div>A comprehensive understanding of specific factors contributing to variability in responsiveness of children with autism to interventions is paramount for making evidence-based clinical and policy decisions. This meta-analysis examined child and family characteristics, as well as intervention design factors, associated with outcomes of behavioral interventions for children with autism. A systematic review identified 95 studies published between 1987 and 2024, encompassing 6780 children on the autism spectrum and 2150 independent effect sizes. Results indicated that stronger post-intervention effects were observed across intervention approaches for children with higher cognitive, language, and other developmental abilities, greater adaptive functioning, and fewer autism-related features. Additionally, interventions of longer duration and greater total hours were associated with stronger post-intervention outcomes. In contrast, intervention approach (Early Intensive Behavioral Intervention, Naturalistic Developmental Behavioral Interventions, or Developmental Interventions), delivery agent, and child age at intervention onset did not significantly predict the strength of post-intervention outcomes. While study methodology and reporting quality were marginally associated with predictive strength, adjusting for these factors had minimal impact on the reported findings. The insights from this meta-analysis have significant implications for the development of personalized intervention models for children with autism. These models have the potential to optimize outcomes and offer critical guidance for decision-making in both the service and policy levels, ensuring efficient and equitable allocation of resources.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102588"},"PeriodicalIF":13.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma and eating disorders: an integrated umbrella and scoping review","authors":"Irina Moroshko Master of Clinical Psychology, PhD candidate ,&nbsp;Anita Raspovic PhD ,&nbsp;Jintana Liu Master of Professional Psychology ,&nbsp;Leah Brennan PhD","doi":"10.1016/j.cpr.2025.102592","DOIUrl":"10.1016/j.cpr.2025.102592","url":null,"abstract":"<div><h3>Objective</h3><div>This comprehensive mixed-method review synthesised the trauma-eating disorder (trauma-ED) research across six objectives addressing; prevalence and risk, covariates, clinical characteristics, theories, lived experience, and intervention.</div></div><div><h3>Methods</h3><div>An umbrella review of systematic reviews, a scoping review of narrative summaries, and quality assessments were conducted.</div></div><div><h3>Results</h3><div>One hundred and ninety-nine publications were identified. Higher prevalence rates of childhood, later life, and marginalisation traumas were evident in ED samples compared to healthy controls. Dependant on trauma type, trauma rates in those with ED were higher or comparable to psychiatric controls. More consistent findings, larger effect sizes, and higher prevalence rates of trauma were evident in binge-purge, rather than restrictive, ED presentations. Overall, individuals experiencing trauma-ED present with greater emotional and behavioural dysregulation and more complex illness and treatment course. Several theories explaining the trauma-ED intersection received some empirical support. Few investigations examined mechanisms and treatment; no evidence on lived experience perspectives on treatment and no trauma-ED clinical practice guidelines were identified.</div></div><div><h3>Discussion</h3><div>The positive association between trauma and ED and the negative impact of co-existing trauma on ED illness and treatment, have been established. The clinical relevance, need, and urgency of addressing co-existing trauma in ED treatment are evident. Qualitative and intervention research is urgently needed to understand trauma-ED, elucidate lived experience perspectives on treatment, test novel treatments, and provide clinical guidance.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102592"},"PeriodicalIF":13.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for depression, anxiety, and PTSS after loss: A systematic review and meta-analysis","authors":"C. Buur ,&nbsp;R. Zachariae ,&nbsp;M.M. Marello ,&nbsp;M. O'Connor","doi":"10.1016/j.cpr.2025.102589","DOIUrl":"10.1016/j.cpr.2025.102589","url":null,"abstract":"<div><h3>Background</h3><div>Bereavement can lead to complicated grief reactions including clinically significant symptoms of depression, anxiety, and post-traumatic stress (PTSS) post-loss. Gaining insight into specific and shared risk factors for these complicated grief reactions can help identify individuals needing support.</div></div><div><h3>Methods</h3><div>A comprehensive systematic review and meta-analysis of risk factors for post-loss depression, anxiety, and PTSS. PsycInfo, PubMed, Web of Science, and CINAHL were searched to identify risk factors for inclusion in the meta-analysis.</div></div><div><h3>Results</h3><div>The systematic review included 144 studies. Most risk factors were of small magnitude. For depression, 21 risk factors were analyzed, with six analyses of adjusted risk factors reaching statistical significance. Pre-loss depression was the strongest risk factor (ESr = 0.25, 95 %CI [0.03,0.45]). Of nine analyzed risk factors for PTSS, four reached statistical significance, with the death of a close relative yielding the largest effect (ESr = 0.24, 95 %CI [0.01,0.44]). Only female gender significantly predicted anxiety (ESr = 0.21, 95 %CI [0.09,0.32]). Female gender, the death of a partner, and violent/unnatural losses were transdiagnostic risk factors.</div></div><div><h3>Conclusions</h3><div>An overview of risk factors for three complicated grief reactions, including their predictive strength, is presented. The results provide insights into transdiagnostic risk factors and can aid early identification of people at risk of complicated grief reactions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102589"},"PeriodicalIF":13.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Inter-identity amnesia and memory transfer in dissociative identity disorder: A systematic review with a meta-analysis” [Clinical Psychology Review 114 (2024) 102514]","authors":"Julia C. Beker ,&nbsp;Martin J. Dorahy ,&nbsp;Jaimee Moir ,&nbsp;Jacinta Cording","doi":"10.1016/j.cpr.2025.102594","DOIUrl":"10.1016/j.cpr.2025.102594","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"119 ","pages":"Article 102594"},"PeriodicalIF":13.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}