Sleep Health最新文献

{"title":"Objective prediction of siesta based on machine learning and association with obesity.","authors":"María Rodríguez Martín, Fernando Moreno Caballero, Hassan S Dashti, Richa Saxena, Frank A J L Scheer, Jesualdo T Fernández Breis, Marta Garaulet","doi":"10.1016/j.sleh.2026.02.007","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.02.007","url":null,"abstract":"<p><strong>Objectives: </strong>To predict siesta behavior using machine learning models trained on self-reported and objective data-temperature (T), activity (A), position (P), and the integrated TAP variable-and to explore its associations with obesity-related traits.</p><p><strong>Methods: </strong>From ONTIME-MT, 889 adults wore wrist sensors for 7 days to continuously record temperature, activity, and position, and self-reported daily siesta. Machine learning models were developed to classify 30-second epoch siesta data, to reconstruct weekly siesta behavior. Anthropometric and metabolic parameters were assessed. Associations were analyzed using linear and logistic regression. Model generalizability was evaluated in an independent Mediterranean cohort (n = 70).</p><p><strong>Results: </strong>The machine learning model allowed to obtain 83% of success in siesta patterns prediction. Among the input variables, activity was the most discriminative by the decision tree (threshold: 27 Δ°/min), followed by TAP (0.51 AU) and position (4.7°). In an independent external validation cohort, success in prediction reached 77%, indicating strong alignment between algorithm-based and self-reported siesta patterns detection. Predicted siesta-but not self-reported alone-was significantly associated with obesity-related traits. Later siesta timing was linked to increased waist circumference in women (β = 0.769 cm per hour; P = 0.026). Longer siesta duration was associated with increased obesity risk (OR=2.081; P=0.002), BMI (β=0.013 kg/m²/h; P = 0.034), and systolic blood pressure (β = 3.540mmHg/h; P = 0.049). Greater siesta frequency was associated with lower corrected insulin response (β = -0.037 AU/day; P = 0.012).</p><p><strong>Conclusion: </strong>Objective data from temperature, activity, position, and TAP, combined with ML models, accurately predict siesta behavior and its metabolic relevance. These findings support the use of machine learning approaches based on temperature, activity, position, and the integrated TAP, to assess siesta under free-living conditions.</p><p><strong>Clinicaltrials: </strong></p><p><strong>Gov identifier: </strong>NCT03036592.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood sexual violence and sleep disturbances in adulthood: Findings from a large French population-based study (CONSTANCES).","authors":"Theresa Al Zayat, Judith Van Der Waerden, Marion Bailhache, Emmanuel Wiernik, Marie Zins, Maria Melchior, Eve Reynaud, Fabienne El-Khoury","doi":"10.1016/j.sleh.2026.03.005","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.03.005","url":null,"abstract":"<p><strong>Objectives: </strong>Although childhood sexual violence has been linked to sleep disturbances, but population-based evidence examining multiple sleep dimensions and differentiating types of sexual violence remains limited. We examined associations between childhood sexual violence and adult sleep outcomes in a large French cohort.</p><p><strong>Methods: </strong>We used data from the 2020 wave of the CONSTANCES cohort, a nationwide population-based study. The analytic sample comprised 114,373 adults (mean age = 52.2) with information on childhood sexual violence, categorized as no exposure, non-penetrative childhood sexual violence, or rape (with or without other forms of sexual violence). Sleep outcomes included frequent nocturnal awakenings (≥3 times/night), sleep duration (short, normal, or long), and chronotype (early, intermediate, or late). Associations were estimated using sex-stratified adjusted logistic and multinomial logistic regression models, and are reported as adjusted odds ratios (ORa) with 95% confidence intervals.</p><p><strong>Results: </strong>Overall, 13% of participants reported experiencing some form of childhood sexual violence. This prevalence was notably higher in women. The prevalence of sleep disturbances was 11.4% for frequent nocturnal awakenings, 10.4% for short sleep duration (<6 hours), and 6.3% for late chronotype (MSFsc >5:00). Childhood sexual violence was significantly associated with all sleep outcomes. In adjusted models, rape was consistently associated with higher odds of sleep disturbances, including frequent nocturnal awakenings (women: ORa = 1.35(1.22-1.50); men: ORa = 1.73(1.37-2.15)), short sleep duration (women: ORa = 1.37(1.23-1.54); men: ORa = 1.61(1.27-2.04)), and late MSFsc (women: ORa = 1.58(1.38-1.82); men: ORa = 2.08(1.62-2.67)). Other sexual violence excluding rape showed more modest associations.</p><p><strong>Conclusions: </strong>Childhood sexual violence is associated with increased odds of various types of sleep disturbances in adulthood, particularly among victims of rape.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying major life events associated with insomnia disorder: Stressors that disrupt safety, stability, and identity.","authors":"Matthew B Jennings, David A Kalmbach, Philip Cheng, Anthony N Reffi, Thomas Roth, Christopher L Drake","doi":"10.1016/j.sleh.2026.02.010","DOIUrl":"10.1016/j.sleh.2026.02.010","url":null,"abstract":"<p><strong>Objectives: </strong>Major life stress is a well-established precipitating factor for insomnia disorder. However, not all stressors are equally harmful, and determining which events pose the greatest risk to sleep is not well-understood. Identifying high-impact stressors on insomnia will deepen our understanding of how this disorder develops, particularly among those most vulnerable to insomnia. The present study explored a wide range of major life events to identify which stressors were associated with incident insomnia disorder.</p><p><strong>Methods: </strong>This study assessed a large cohort (N = 2887) of U.S. adults across three timepoints: baseline, 1-year follow-up, and 2-year follow-up. Mixed-effects logistic regression was used to explore the association of major life events (Social Readjustment Rating Scale) with DSM-IV-TR insomnia disorder classification, controlling for sociodemographic factors. Differences by sleep reactivity (Ford Insomnia Response to Stress Test) were examined post hoc.</p><p><strong>Results: </strong>Fifteen major life stressors significantly predicted incident insomnia disorder. Key triggers included interpersonal stressors (e.g., infidelity, exposure to violence), work stressors (e.g., job loss, losing health benefits), home stressors (e.g., financial difficulties), and major injury/illness to oneself or close family member. The highest rates of insomnia onset were reported by highly reactive sleepers faced with major life stress (≥19%), whereas the lowest rates of insomnia were reported by low-reactive sleepers unexposed to major stress (≈5%).</p><p><strong>Conclusions: </strong>Major stressors were most harmful when they threatened an individual's stability, safety, and core identity. Highly reactive sleepers may experience high levels of sustained hyperarousal when exposed to these high-impact stressors, thereby increasing the risk of insomnia disorder.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BMI modifies the association of obstructive sleep apnea with morning blood pressure in East Asian adults.","authors":"Jinzhu Yan, Pei Xue, Meina Wu, Christian Benedict","doi":"10.1016/j.sleh.2026.03.003","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.03.003","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea is strongly linked to hypertension, yet most evidence derives from Western populations in whom obesity is common. Because East Asian adults frequently develop obstructive sleep apnea at lower body mass index, it remains unclear whether body mass index modifies the association between obstructive sleep apnea severity and morning blood pressure in this population.</p><p><strong>Methods: </strong>A total of 1849 adults aged 18-92 years underwent overnight, in-hospital polysomnography. Morning brachial blood pressure was measured twice in the seated position after 5 minutes of rest. Obstructive sleep apnea severity was quantified using the apnea-hypopnea index. Generalized linear models evaluated independent and interactive associations of body mass index and apnea-hypopnea index with systolic and diastolic blood pressure, adjusting for relevant covariates, including antihypertensive medication use.</p><p><strong>Results: </strong>A significant body mass index × apnea-hypopnea index interaction was observed for both systolic and diastolic blood pressure (p < .01), indicating that the association between obstructive sleep apnea severity and morning blood pressure varied across body mass index, for example, a 20-unit increase in apnea-hypopnea index was associated with larger increases in systolic/diastolic blood pressure at lower body mass index (∼3/1.5 mmHg at body mass index 20 kg/m²) than at higher body mass index (∼1.1/0.1 mmHg at body mass index 30 kg/m²). In sensitivity analyses using nocturnal hypoxemia (T <90%), a body mass index-dependent association was observed for systolic but not diastolic blood pressure.</p><p><strong>Conclusion: </strong>These findings suggest that the association between obstructive sleep apnea severity and morning blood pressure differs across the body mass index spectrum, underscoring the importance of considering both obstructive sleep apnea burden and body weight in cardiovascular risk assessment, particularly in East Asian populations.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep health and mental health: A position statement from the National Sleep Foundation.","authors":"Joseph M Dzierzewski, Spencer A Nielson, Candice Alfano, M Safwan Badr, Elaine Boland, Jennifer R Goldschmied, John Lopos, Daniel B Kay, Michael R Nadorff, David N Neubauer, Cara A Palmer, Dieter Riemann","doi":"10.1016/j.sleh.2026.03.002","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.03.002","url":null,"abstract":"<p><p>The United States continues to face a mental health crisis. A strong body of evidence supports poor sleep as a significant contributor to the development and exacerbation of mental health conditions. To achieve public health goals, it is critical to understand the associations among sleep health characteristics and mental health in the general population, and how practicing healthy sleep behaviors can promote better mental health across communities. National Sleep Foundation calls for focused actions to promote sleep health and mental health from a wide range of society members. Efforts to incorporate these recommendations in healthcare systems, educational and government organizations, employment settings, public policy, industry, and funding agencies and organizations will help address the mental health crisis and promote the health of the nation.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of self-control in adolescent sleep: Evidence from ecological momentary assessment data.","authors":"Fernanda C Andrade, Rachel S Charoenthammanon, Jinyoung Park, Rick H Hoyle","doi":"10.1016/j.sleh.2026.02.005","DOIUrl":"10.1016/j.sleh.2026.02.005","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescence is characterized by age-related biological and psychological changes that increase preference for later wake times and bedtimes. However, wake times are constrained by early school start times, meaning that adolescents must act against pressures for delayed bedtimes if they are to obtain sufficient sleep. This context presents a significant self-control challenge. Yet, few studies have examined the dynamic, and possibly reciprocal, association between daily levels of self-control and sleep during this period.</p><p><strong>Methods: </strong>Leveraging 2 weeks of intensive longitudinal data from 159 North Carolina public school students (M_age = 12.20, SD = 1.07; 47% female), this study used dynamic structural equation modeling to examine cross-lagged associations between self-reported self-control (perceived capacity, failures) and sleep (bedtime, duration, quality) while accounting for the carryover effect of previous-day's levels and covariates of self-control and adolescent sleep.</p><p><strong>Results: </strong>Perceived capacity for self-control and failures to accomplish necessary activities were fairly stable and impervious to previous day's sleep duration, bedtime, and sleep quality. Self-control (higher capacity, fewer failures) was associated with better sleep quality, and fewer failures, on average, were associated with more stable bedtimes. However, participants slept later on days when they reported higher-than-average capacity and fewer-than-average failures of self-control.</p><p><strong>Conclusion: </strong>Self-control and sleep were generally stable over time, but bedtime and sleep duration were vulnerable to deviations from usual daily capacity and failures of self-control. Findings suggest a broader role of daily levels of self-control in behavior regulation and call for further investigation of the dynamic between self-control and sleep in the context of adolescence.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of recovery from work and work-life spillover in the association between chronotype and mental health problems: A population-based study.","authors":"Ilona Merikanto, Timo Partonen, Päivi Vanttola, Marianna Virtanen","doi":"10.1016/j.sleh.2026.03.001","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.03.001","url":null,"abstract":"<p><strong>Objective: </strong>We examined the moderating and mediating role of work-life balance issues on mental health among circadian types using 2266 working participants of the population-based Healthy Finland Study (mean age = 44 years, 57% women).</p><p><strong>Methods: </strong>Mental health was assessed with validated questionnaires: Mental Health Inventory (MHI-5), General Anxiety Scale (GAD-7), and Patient Health Questionnaire depression module (PHQ-9), a separate item for suicidal thoughts, and as actualized healthcare visits. Circadian type was assessed by the widely used single item from the Morningness/Eveningness Questionnaire (MEQ_i19). Work-life balance was measured by questions on work spillover to personal life and recovery from work. Generalized linear models were controlled for sex, age, sleep insufficiency, insufficient physical activity, and risky alcohol consumption.</p><p><strong>Results: </strong>Evening-types had more work-life balance issues and symptoms of mental disorders. Evening-type was also associated with health behaviors but the associations with work-life balance problems and poor mental health remained even after adjustment for these. Work spillover to personal life and poor recovery from work had moderating roles in mental disorders, especially among moderate circadian types and definite Evening-types. Recovery from work partly mediated the association between Evening-type and anxiety disorders.</p><p><strong>Conclusion: </strong>Work-life balance issues have an important contributing role in poor mental health associated with the Evening chronotype.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-time text message intervention to mitigate workplace fatigue in emergency medical services: A cluster-randomized trial.","authors":"Paul Daniel Patterson, Sarah E Martin, Matthew D Weaver, Charity G Patterson, Clair N Smith, Bambang Parmanto, I Wayan Pulantara, Leonard S Weiss, Rickquel P Tripp, Francis X Guyette, Daniel J Buysse","doi":"10.1016/j.sleh.2026.02.011","DOIUrl":"10.1016/j.sleh.2026.02.011","url":null,"abstract":"<p><strong>Objectives: </strong>To test the effectiveness of a mobile phone text message-based intervention to mitigate fatigue and improve indicators of sleep health in a nationally representative sample of emergency medical services clinician shift workers.</p><p><strong>Methods: </strong>We conducted a cluster-randomized trial of emergency medical services agencies in the United States. Agencies (clusters) were randomized to intervention or the attention control group. Individual emergency medical services clinician shift workers used a mobile app to complete monthly surveys for 6 months and answered text message queries 1 out of every 4 weeks. Intervention text messages promoted adoption of fatigue mitigation behaviors. All attention control group text messages focused on teamwork improvement.</p><p><strong>Results: </strong>In total, 108 emergency medical services agencies and 708 emergency medical services shift workers were enrolled. Participants responded to >77% of monthly surveys and text message queries. The proportion of emergency medical services shift workers reporting severe fatigue declined over the study period; however, differences by intervention and attention control group status were not statistically significant. The proportion of participants with a clinically meaningful reduction in daytime sleepiness at 6 months was greater in the intervention group vs. the attention control group (p = .04).</p><p><strong>Conclusions: </strong>Mobile phone text message-based assessments followed by immediate intervention are engaging, scalable on a nationwide level, and effective for addressing some indicators of sleep health like daytime sleepiness. Interventions combining behavioral sleep recommendations with fatigue mitigation strategies could result in larger effects on sleep health and fatigue.</p><p><strong>Trial registration number: </strong>ClinicalTrials.gov ID# NCT04456764 registered on June 29, 2020. First enrollment/consent on December 8, 2020.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of an experimental sleep extension manipulation on timing and duration of sedentary behavior and physical activity in habitually short-sleeping and inactive adolescents: Results from a randomized crossover trial.","authors":"Jordan A Davidson, Seth A Creasy, Emily Meneses, John T Brinton, Angel Bernard, Anne E Bowen, Stephen M M Hawkins, Melanie G Cree, Kristen J Nadeau, Edward L Melanson, Kenneth P Wright, Stacey L Simon","doi":"10.1016/j.sleh.2026.02.006","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.02.006","url":null,"abstract":"<p><strong>Background: </strong>Short sleep duration, low physical activity (PA), and sedentary behavior (SB) are associated with negative health outcomes and highly prevalent in adolescents. This study examined changes in the amount and timing of PA and SB following a 1-week sleep extension manipulation in adolescents.</p><p><strong>Methods: </strong>Forty-three habitually short-sleeping (≤7 h/night on school days), habitually inactive (<3 hours of regular physical activity per week), and healthy-weight adolescents (16.0 ± 1.24 years, 69.8% female; 86% White) completed a randomized crossover procedure during the school year. Participants slept for 1 week on their typical school schedule (Typical Sleep, TS), and 1 week during which time in bed was extended by ≥1 hour each school night (Sleep Extension, EXT). Home-monitoring of sleep with wrist-worn actigraphy and activity with thigh-worn accelerometer was completed during both conditions. Relationships between sleep, SB, PA, and experimental manipulation were assessed with linear mixed models.</p><p><strong>Results: </strong>SB and light PA (LPA) across the 24 days decreased significantly during EXT compared to TS by 72 minutes and 13.2 minutes, respectively (95% CI: -102, -42, p < .001; 95% CI: -26.4, 0.00, p = .048). SB decreased predominantly between the hours of 18:00-00:00 (-39 minute 95% CI: -54.6, -24, p < .001). There was no significant change in moderate-to-vigorous PA (MVPA) between conditions (p > .05).</p><p><strong>Conclusion: </strong>Increased sleep duration replaced time spent in SB primarily in the evening hours. While LPA decreased primarily in the morning hours, the amount of change was small and likely not clinically significant. Sleep extension did not impact MVPA.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological considerations and research contributions: A response to commentary on exercise and sleep in sedentary young women.","authors":"Borui Zhang, Chen Zheng, Fenghua Sun","doi":"10.1016/j.sleh.2026.02.009","DOIUrl":"https://doi.org/10.1016/j.sleh.2026.02.009","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}