Global Mental Health最新文献

{"title":"Integration of mental health and HIV service delivery in low- and middle-income countries: A systematic review of effectiveness.","authors":"Hiroshi Azuma, Ping Teresa Yeh, Caitlin E Kennedy, Virginia A Fonner, Kevin R O'Reilly, Michael D Sweat","doi":"10.1017/gmh.2025.10066","DOIUrl":"https://doi.org/10.1017/gmh.2025.10066","url":null,"abstract":"<p><p>Human immunodeficiency virus (HIV) and mental health have complex, bidirectional impacts. Integrated service delivery, especially in low- and middle-income countries (LMICs) where resources are most limited and the burden of HIV is heaviest, may help to improve both HIV and mental health outcomes. While the integration of mental health and HIV services has been studied in various settings, previous reviews on this topic have primarily focused on the integration processes rather than health outcomes. In this systematic review, we evaluated the effectiveness of interventions in LMICs that integrated mental health and HIV services. We searched PubMed, CINAHL, Sociological Abstracts, PsycINFO and EMBASE and conducted backward and forward citation searches. We included studies conducted in LMICs that evaluated the integration of services for HIV and mental health conditions using pre-post or multi-arm study designs, published in a peer-reviewed journal from January 2000 through January 2024. Studies on substance use services were excluded. Risk of bias for included studies was assessed using the Evidence Project tool. We summarized findings narratively, including both mental health-related and HIV-related outcomes. Eighteen studies with a total of 9,729 participants were included in the analysis, among which 17 studies were conducted in sub-Saharan Africa and 10 were randomized controlled trials. Seventeen studies used a task-sharing approach, where nonspecialists provided mental health interventions. The low follow-up rate and lack of random participant selection suggested the increased risk of bias in most studies. Overall, interventions that integrated mental health and HIV services provided greater improvement in recipients' mental health symptoms (e.g., depression and post-traumatic stress disorder) than HIV services alone, often reducing symptom scores by more than 50%. While the evidence on HIV-related outcomes (e.g., antiretroviral therapy adherence, viral suppression and HIV stigma) was more limited, most studies that reported these outcomes showed positive effects of integrated interventions, especially community-based ones. These findings suggest the benefit of the interventions that integrate mental health and HIV services in LMICs, although further evaluations are warranted.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e112"},"PeriodicalIF":2.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349261","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 added benefit of including cognitive coping in brief psychosocial interventions: A randomized controlled trial among veterans and family members in Ukraine.","authors":"Amanda Nguyen, Tara Russell, Stephanie Van Wyk Skavenski, Sergiy Bogdanov, Alona Pastukhova, Kira Lomakina, Paul Bolton, Laura Murray, Judith Bass","doi":"10.1017/gmh.2025.10065","DOIUrl":"https://doi.org/10.1017/gmh.2025.10065","url":null,"abstract":"<p><p>Psychosocial programs in low- and middle-income countries (LMIC) often omit cognitive strategies due to perceived difficulty for clients and lay providers. We evaluated the benefit of including \"cognitive coping\" in a brief, online intervention for conflict-affected Ukrainian veterans and family members with mild to moderate psychosocial distress. Participants were randomized to two treatment conditions based on the Common Elements Treatment Approach Psychosocial Program (CPSS). CPSS-Basic (CPSS-B) included a self-assessment, safety screening and psychoeducation. CPSS-Enhanced (CPSS-E) included these as well as cognitive coping. Distress, functional impairment, alcohol use, aggression, social disconnectedness and conflict resolution were assessed after one month. Participants also evaluated program accessibility, acceptability, appropriateness, feasibility and adoption. Of 1,177 study participants, 788 (67%) completed follow-up. Both conditions significantly improved distress, functional impairment, aggression and social disconnectedness; CPSS-E producing a greater reduction in distress than CPSS-B (ES: <i>d</i> = .22, <i>p</i> = .002). Implementation outcomes were positive across conditions, favoring CPSS-E for appropriateness (<i>d</i> = .48, 95% CI: .33, .62), feasibility (<i>d</i> = .15, 95% CI: .00, .29), adoption (<i>d</i> = .34, 95% CI: .19, .48) and acceptability (<i>d</i> = .29, 95% CI: .15, .44). Findings support the feasibility and added value of incorporating cognitive techniques into psychosocial programming in LMIC.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e111"},"PeriodicalIF":2.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349249","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":"Peer support groups through an experiential lens.","authors":"Sneha Agarwal, Udisha Maurya, Himanshu Kulkarni","doi":"10.1017/gmh.2025.10061","DOIUrl":"10.1017/gmh.2025.10061","url":null,"abstract":"<p><p>Peer support groups are safe spaces that provide an emotionally and socially supportive environment to individuals, along with practical assistance. The three authors run a peer support group in New Delhi, India, for young adults who face mental health challenges. This study explores the processes of group formation, the nature of participant engagement and the evolving dynamics within the group setting. Drawing on firsthand reflections, the article highlights how peer support groups foster emotional safety, narrative autonomy and identity reconstruction through shared lived experiences. It also outlines the practical challenges of facilitation, including managing boundaries, maintaining group cohesion and adapting to diverse participant needs. The article concludes with mentioning arenas of further growth.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e109"},"PeriodicalIF":2.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281494","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":"Perceptions of electronic health records by ethnically diverse groups in mental health: A systematic literature review.","authors":"Ammarah Ikram, Sahdia Parveen, Eleftheria Vaportzis","doi":"10.1017/gmh.2025.10063","DOIUrl":"10.1017/gmh.2025.10063","url":null,"abstract":"<p><p>The implementation of electronic health records (EHRs) in mental health contexts has been slow. Reasons for this include concerns from healthcare professionals regarding the collection of sensitive information and the stigma associated with mental health services. Despite the low uptake of EHRs, the benefits include patients feeling empowered and in control of their own treatment. However, ethnically diverse groups often access mental health services through crisis pathways and have been found to disengage with EHRs. The aim of this review was to explore ethnically diverse groups' perceptions of the utility of mental health EHRs and establish perceived barriers and facilitators to access. MEDLINE, CINAHL, EMBASE, Scopus, PsycINFO, PubMed and Web of Science were searched. Included papers mentioned ethnically diverse groups from the 37 listed countries in the Organisation for Economic Co-operation and Development, and included service users, clients or patients accessing EHRs in mental healthcare settings. Papers were required to be published between 2009 and 2025. Eight papers met all criteria for inclusion, and three themes emerged: language barriers to EHR access, lack of access to technology and perceived impact of EHRs on access to care. Language barriers to EHR access, no access to technology and stigma were significant issues for ethnically diverse groups due to concerns about who has access to the electronic health data. Benefits of accessing EHRs included easier and efficient access to records. EHRs are critical for modern health systems and further work is required to improve EHRs usage in mental health systems for ethnically diverse groups.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e110"},"PeriodicalIF":2.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281492","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":"<i>\"How I would like to forget\"</i>: Lived experiences of traumatic and stressful life events among older adults in Peru.","authors":"Alejandro Zevallos-Morales, Gabriela Ramos-Bonilla, Lorena Rey, Ivonne Carrión, Diego Otero-Oyague, Trishul Siddharthan, John R Hurst, José F Parodi, Joseph J Gallo, Suzanne L Pollard, Oscar Flores-Flores","doi":"10.1017/gmh.2025.10060","DOIUrl":"10.1017/gmh.2025.10060","url":null,"abstract":"<p><p>Traumatic and stressful life events can have lasting effects on mental health, particularly among older adults in low-resource settings. In Latin America, there is limited qualitative evidence capturing the lived experiences of these events. This study explores how older adults in Peru reflect on traumatic and stressful events throughout their lives, and how these experiences continue to shape their mental health in later life. This qualitative study was nested within the Global Excellence in COPD Outcomes (GECo) study in Lima, Peru. We conducted semi-structured, narrative-based interviews with 38 older adults (≥60 years) with moderate to severe symptoms of depression (Patient Health Questionnaire-9 ≥ 10), anxiety (Beck Anxiety Inventory ≥ 16) or a history of mental health treatment. Four main categories emerged: (1) violence (emotional, physical or sexual), (2) abandonment or loss of close relatives, (3) onset of severe illness or disability and (4) other miscellaneous life disruptions. Participants described their memories of past stressful events as deeply embedded in current thoughts and, in some cases, as shaping how they experience certain emotions in the present. Addressing trauma in older adults may improve well-being in low-resource settings. Recognizing the enduring impact of life-course stressors is crucial for culturally sensitive mental health interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e108"},"PeriodicalIF":2.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281523","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 management of psychiatric emergencies in Africa: A scoping review of restraint and seclusion practices in clinical settings and their impacts.","authors":"Shankar Chakkera, Julia Sieg, Theodora Khofi, Rosemina Ayieko, Brandon A Knettel","doi":"10.1017/gmh.2025.10052","DOIUrl":"10.1017/gmh.2025.10052","url":null,"abstract":"<p><p>More than 116 million people in Africa live with mental health conditions. However, many African countries lack the infrastructure, training and workforce to effectively manage psychiatric emergencies. This has led to overuse of controversial practices such as physical and chemical restraint and involuntary seclusion, often violating patient rights. We conducted a scoping review of restraint and seclusion practices and their impacts in African clinical settings using the PubMed, Embase, CINAHL, PsycInfo and ProQuest databases. Titles/abstracts and full texts were reviewed for inclusion using the Covidence platform, and 29 studies were included in the final extraction. Restraint and/or seclusion were employed to manage aggression, enable involuntary treatment or prevent self-harm. Patients found restraint and seclusion to be dehumanizing, a cause of posttraumatic stress and a barrier to future help-seeking. Healthcare workers described inadequate training, overuse of restraint and seclusion, injuries and emotional distress after employing these treatments. Further research, intervention development and policy reform are urgently needed to promote humane and patient-centered psychiatric care, including verbal de-escalation training, in underresourced healthcare systems.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e99"},"PeriodicalIF":2.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041881","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":"Optimising knowledge mobilisation for mental health research in low- and middle-income countries: A systematic review of the state of knowledge and directions for future research.","authors":"Cintia Faija, Penny Bee, Rebecca Pedley, Mia Bennion, Herni Susanti, Fitri Fausiah, Sri Idaiani, Dwie Susilo, Mohammad Hussen, Helen Brooks","doi":"10.1017/gmh.2025.10059","DOIUrl":"10.1017/gmh.2025.10059","url":null,"abstract":"<p><p>Optimising knowledge mobilisation in low- and middle-income countries (LMICs) could prove beneficial for improving mental health care, alleviating the global burden of high prevalence mental health problems and reducing inequalities. This review aimed to systematically review and synthesise the evidence on knowledge mobilisation for mental health improvement in LMICs, identifying barriers and facilitators and recommendations to guide progress. Four electronic databases were searched from inception to March 2024 using free text syntax combining synonyms of knowledge mobilisation, mental health and LMICs. Articles were eligible for inclusion if they were peer reviewed, on the topic of mental health and included evaluation data on knowledge mobilisation undertaken in LMICs. Included studies were quality assessed using the mixed-methods appraisal tool, and data extracted and synthesised narratively, complemented with the use of the framework for knowledge mobilisers and thematic analysis. Seventy-eight studies met the inclusion criteria. Successful knowledge mobilisation within resource-constrained settings was supported by several key facilitators. These include promoting community participation, engaging local stakeholders from the start and maintaining that engagement and building trust through equitable, long-term partnerships. Using structured frameworks helps guide systematic involvement, while fostering local ownership and leadership ensures sustainability and relevance. Knowledge mobilisation in low-resource settings faced several barriers, including limited logistical and financial resources, low literacy levels and a general lack of awareness about psychological interventions. A lack of mental health-specific training and language or translation difficulties further hindered efforts to effectively mobilise and implement mental health knowledge. Future knowledge mobilisation efforts could be strengthened by fostering sustained, trust-based collaborations among stakeholders and engaging policymakers early to ensure optimal alignment and buy-in. Emphasising local beliefs and attitudes is crucial, as is creating inclusive, participatory environments that encourage broad community involvement. Employing culturally responsive, community-driven frameworks can enhance relevance and impact, while rigorous evaluation of mobilisation strategies is critical to guide future research investment and resource allocation. Mobilising mental health knowledge in LMIC shares principles with mobilising other types of knowledge but differs in focus, stakeholders and challenges due to the stigma of mental health problems, its complexity, cultural sensitivity, misconceptions and resistance.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e106"},"PeriodicalIF":2.8,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281556","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":"Prevalence and determinants of mental health problems experienced by school-going adolescents in Sri Lanka.","authors":"Chethana Mudunna, Miyuru Chandradasa, Thach Duc Tran, Josefine Antoniades, Sivunadipathige Sumanasiri, Jane Fisher","doi":"10.1017/gmh.2025.10055","DOIUrl":"10.1017/gmh.2025.10055","url":null,"abstract":"<p><p>The mental health of Sri Lankan adolescents is of growing concern, given the decades of internal conflict and socio-political instability in Sri Lanka. This aims were to examine the prevalence and determinants of symptoms of common mental health problems (MHP) experienced by school-going adolescents in Sri Lanka. A cross-sectional survey was conducted among school-going adolescents in grades 10-12/13 from seven schools in Gampaha District, Sri Lanka. Depressive/psychological distress symptoms measured using the PHQ-9 /K10, were analysed using mean scale scoring. Psychosocial determinants were measured using JVQ/PBI/AESI/study-specific questions. Associations between MHPs and psychosocial determinants were examined using multiple linear regression models. 24.11% of 1,045 adolescents who completed the surveys reported clinically significant symptoms of depression, and 60.10% reported psychological distress. Higher age, being female, lesser physical activity, smoking, daily social media use, violent victimisation, not living with both birth parents, having ≥2 siblings, low maternal/paternal education, having an overprotective paternal figure, increased academic stress and rural living were associated with higher MHPs. We identified a high prevalence of MHPs among Sri Lankan adolescents, which was multifactorially determined. Modifiable risk factors addressed through public health policies, research and programmes, as well as less-modifiable risk factors addressed through national-level policy changes, are all essential to addressing mental health burdens in this population.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e104"},"PeriodicalIF":2.8,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281421","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":"Climate change and resource insecurity-related mental health stressors among young adolescents in Kenya: Qualitative multi-method insights.","authors":"Julia Kagunda, Aryssa Hasham, Carmen Helen Logie, Humphres Evelia, Clara Gachoki, Beldine Omondi, Mercy Chege, Maryline Okuto, Sarah Van Borek, Irene Wu, Lesley Gittings","doi":"10.1017/gmh.2025.10057","DOIUrl":"10.1017/gmh.2025.10057","url":null,"abstract":"<p><p>While the links between extreme weather events and mental health have received growing attention, little is known about how climate change impacts adolescent mental health in low- and middle-income climate-affected settings. To address this gap, we conducted a multi-method qualitative study exploring how young adolescents (YAs) aged 10-14 years experience climate-related stressors across six regions in Kenya. Guided by the resource insecurity framework, we thematically analyzed Elder focus groups, YA walk-along interviews and YA participatory mapping workshops. Our findings revealed that food, water and sanitation insecurity contribute to psychological distress, including symptoms of depression and suicidality, and heighten concerns of community violence (e.g., assault, fighting). Water insecurity, particularly the time and distance required for collection, disrupted school attendance, while resource borrowing generated feelings of shame. Food insecurity and larger contexts of poverty were associated with substance use as a coping mechanism, which in turn contributed to school dropout, crime and gang involvement. Poverty also led some youth to run away from home. These findings highlight the urgent need for climate-informed mental health interventions that address co-occurring resource insecurities. To advance adolescent mental health and well-being in climate-affected settings, policy responses must be targeted and multilevel, engaging families, communities and institutions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e105"},"PeriodicalIF":2.8,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281616","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":"Community-based adaptation of early adolescent skills for emotions for urban adolescents and caregivers in New York City.","authors":"Janus Wong, Tina Xu, Cheenar Shah, Liam Miccoli, Josheka Chauhan, Nora Garbuno Inigo, Kendall Pfeffer, Dana Ergas Slachevsky, Arian Holman, Eva Wong, Heather Day, Kala Ganesh, Eliot Assoudeh, Brandon A Kohrt, Adam D Brown","doi":"10.1017/gmh.2025.10045","DOIUrl":"10.1017/gmh.2025.10045","url":null,"abstract":"<p><p>An increasing number of studies have sought to explore the applicability of scalable mental health interventions to bridge the adolescent mental health treatment gap. This study aimed to adapt the World Health Organization's mental health intervention Early Adolescent Skills for Emotion (EASE) for urban communities in New York City (NYC). Following the mental health Cultural Adaptation and Contextualization for Implementation framework and in collaboration with three Brooklyn community-based organizations and the NYC Mayor's Office of Community Mental Health, the intervention was intensively workshopped through eight weekly sessions with adolescents (<i>n</i> = 18) and caregivers (<i>n</i> = 12). Documentation of the process followed the Reporting Cultural Adaptation in Psychological Trials criteria. Surface adaptations involved revising the storybook to reflect key challenges faced by adolescents and caregivers of these communities, such as social media usage, economic stressors, and racial diversity. Deep adaptations addressed cultural concepts of distress by incorporating topics such as identity exploration, socioemotional learning, and the mind-body connection. Feedback from stakeholders indicated that the basic components of EASE are relevant for members in their communities, but additional changes would foster greater engagement and community building. These findings will inform upcoming program implementation across NYC and may guide adaptation work in other contexts.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e107"},"PeriodicalIF":2.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281526","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}