Journal of Eating Disorders最新文献

{"title":"Prevalence and associated factors of eating disorders among metabolic bariatric surgery patients in Egypt.","authors":"Mohamed Hany, Hagar Ahmad Aly Yassin, Asmaa Hamdy, Ehab Elmongui, Anwar Ashraf Abouelnasr, Bart Torensma","doi":"10.1186/s40337-025-01373-0","DOIUrl":"10.1186/s40337-025-01373-0","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a growing global epidemic associated with significant morbidity and mortality. Metabolic bariatric surgery (MBS) is an effective intervention for obesity and its associated medical problems. However, eating disorders (EDs) are prevalent among MBS patients and may influence postoperative weight loss outcomes. Despite the well-documented impact of EDs in Western populations, data on their prevalence and associated factors among MBS patients in the Middle East and North Africa (MENA) region remain scarce. This study aims to determine the prevalence of EDs and identify their associated factors in a large cohort of Egyptian MBS patients.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at the Bariatric Surgery Center of Madina Women's Hospital in Alexandria, Egypt, including all adult patients for MBS from August 2022 to November 2024 (N = 3,240). A psychiatrist conducted structured clinical interviews based on the DSM-5 criteria using the Structured Clinical Interview for DSM-5 (SCID-5-RV) to diagnose EDs, including binge eating disorder (BED), bulimia nervosa (BN), and night eating syndrome (NES). Logistic regression analyses were performed to assess factors associated with E.Ds.</p><p><strong>Results: </strong>The overall prevalence of EDs in the study cohort was 47.8%, with BED being the most common disorder (36.1%), followed by NES (22.8%) and BN (2.1%). Female gender was significantly associated with a higher risk of BED OR 1.68, 95% CI: 1.38-2.04, p < 0.001). Heavy smoking was associated with significantly lower odds of BED compared to non-smoking (OR = 0.44, 95% CI: 0.30-0.63, p < 0.001), suggesting a potential protective association, but increased associated with NES (OR = 2.04, 95% CI: 1.42-2.90, p < 0.001). Psychiatric in associated medical problems, particularly depressive disorders (OR = 1.74 for BED, OR = 1.35 for NES, p < 0.05) and borderline personality disorder (OR = 1.56 for BED, OR = 1.91 for NES, p < 0.05), were significantly associated with increased ED risk.</p><p><strong>Conclusions: </strong>EDs are highly prevalent among MBS patients in Egypt, with BED being the most common. Female gender, younger age, psychiatric disorders, and smoking habits are key predictors of E.Ds. Given the potential impact of EDs on postoperative outcomes, routine psychiatric screening is essential for preoperative assessment. Future research should explore the long-term effects of EDs on weight loss and surgical outcomes.</p><p><strong>Trial registration: </strong>Not applicable (observational study).</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"182"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eating disorders and eco-anxiety: exploring mental health challenges in university students.","authors":"Marie-Pierre Tavolacci, Joël Ladner","doi":"10.1186/s40337-025-01382-z","DOIUrl":"10.1186/s40337-025-01382-z","url":null,"abstract":"<p><strong>Background: </strong>Climate change is a major global challenge with profound psychological impacts, including eco-anxiety, defined as a chronic fear of environmental catastrophe. Despite its potential role of exacerbating vulnerabilities to maladaptive coping mechanisms such as eating disorders (EDs), the relationship between eco-anxiety and eating disorders EDs remains underexplored, particularly in student populations. This study aimed to investigate the associations between eco-anxiety, EDs, and psychological variables among university students.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among students, using an anonymous online questionnaire. Eco-anxiety was measured with the Hogg Eco-Anxiety Scale (HEAS-13), EDs were screened using the SCOFF questionnaire combined with body mass index to classify EDs into four categories: restrictive, hyperphagic, bulimic, and others. Additional measures included depression (CESD-8), insomnia severity (ISI), burnout (MBI-SS), and pro-environmental behaviors (PEBs). Multivariate analyses were used to identify determinants of EDs, and Multiple Correspondence Analysis (MCA) was conducted to explore relationships between categorical variables.</p><p><strong>Results: </strong>A total of 1826 university students were included. Overall, 47.3% of the sample screened positive for a probable ED, with a higher prevalence among women (53.6%) compared to men (29.2%).; (p < 0.0001). Higher eco-anxiety quartile was associated with restrictive, hyperphagic, and bulimic EDs in multivariate model. By adding depression in the multivariate model, associations with restrictive and hyperphagic EDs diminished, suggesting a mediating role for depression. In contrast, eco-anxiety maintained a direct effect on bulimic EDs. The MCA revealed distinct clusters, with high eco-anxiety, insomnia, and depression closely linked to restrictive and hyperphagic EDs. Bulimic EDs were associated with intermediate levels of eco-anxiety and emotional exhaustion.</p><p><strong>Conclusions: </strong>The study underscores eco-anxiety as an emerging risk factor for EDs, mediated in part by depression and other psychological factors. Differences in mechanisms across ED subtypes suggest that eco-anxiety contributes both directly and indirectly. This study enriches the knowledge by demonstrating how environmental stressors intersect with mental health and eating behaviors in vulnerable populations like university students. Public health initiatives should address eco-anxiety and its psychological sequelae to mitigate the risk of EDs, emphasizing tailored interventions based on ED subtype.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"185"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: \"Prevalence of disordered eating and eating disorders among Norwegian university students before and after the COVID-19 pandemic, 2018 and 2022: the SHoT study.\"","authors":"Lisa Marie Jacobsen, Gørill Haugan, Gina Dimitropoulos, Amelia Austin, Børge Sivertsen, Tonje Braaten, Ottar Bjerkeset","doi":"10.1186/s40337-025-01389-6","DOIUrl":"10.1186/s40337-025-01389-6","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"189"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment outcome in a specialized unit for adults with severe and extreme anorexia nervosa at one-year follow up.","authors":"Adrian Meule, Eva P Wuttke, Thorsten Koerner, Ulrich Cuntz, Ulrich Voderholzer","doi":"10.1186/s40337-025-01374-z","DOIUrl":"10.1186/s40337-025-01374-z","url":null,"abstract":"<p><strong>Background: </strong>Inpatient treatment successfully increases body weight and decreases eating disorder and associated symptoms in patients with anorexia nervosa (AN). However, relapse rates are high, particularly within the first year after discharge.</p><p><strong>Methods: </strong>We examined treatment outcome one year after discharge in adults with AN (N = 80, 2 males; BMI at admission: M = 13.2 kg/m², SD = 1.79) who received treatment in a specialized inpatient unit for AN patients with severe underweight (body mass index < 15 kg/m²) and/or excessive purging or exercising.</p><p><strong>Results: </strong>From admission to discharge, body weight and self-reported life satisfaction significantly increased and self-reported eating disorder symptoms, depressive symptoms, and compulsive exercise significantly decreased. From discharge to follow up, life satisfaction and body weight decreased, and eating disorder symptoms, depressive symptoms, and compulsive exercise increased, although 87% of patients indicated to have received some kind of eating disorder treatment in the past six months. At follow up, the majority of patients indicated that they regularly ate three meals per day in the past week, including consumption of high-calorie, formerly forbidden foods. However, only a minority of patients indicated that they adhered to the hospital's guidelines on portion sizes. Patients' self-reported desired body weight at follow up was significantly higher than their current body weight.</p><p><strong>Conclusions: </strong>While inpatient treatment results in substantial improvements that are partially maintained after discharge, severe and extreme cases of AN require more long-lasting, alternating treatment approaches (e.g., interval treatment) to ensure long-term recovery.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"187"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the structure of insight in eating disorders: validation of the SAI-ED in a Spanish clinical sample.","authors":"Leonor P Gawron, Ignasi Garrido-Ribas, Cristina Carmona-Farrés, Soraya Carril-Batuecas, Mar Carceller-Sindreu, Aina Avila-Parcet, Maria Antonia Amaro-Carriba, Mónica Hernández-Molina, Maria J Portella, Esther Pousa","doi":"10.1186/s40337-025-01360-5","DOIUrl":"10.1186/s40337-025-01360-5","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"184"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting the eating disorder examination questionnaire (EDE-Q) and the clinical impairment assessment (CIA) for an adult inpatient eating disorder service.","authors":"Sean Hill, Rohan Borschmann, Alex Lau-Zhu, Layla Hamadi","doi":"10.1186/s40337-025-01364-1","DOIUrl":"10.1186/s40337-025-01364-1","url":null,"abstract":"<p><strong>Background: </strong>The 28-item Eating Disorder Examination Questionnaire (EDE-Q) and the 16-item Clinical Impairment Assessment (CIA) are widely used for measuring eating disorder psychopathology, but they were both designed for outpatient populations. This two-stage project aimed to adapt the EDE-Q and the CIA to be applicable to an adult inpatient eating disorder service.</p><p><strong>Method: </strong>In the first stage, feedback was sought from staff and patients at a specialist adult inpatient eating disorder service in the south of England, verbally, in writing, and during focus groups. This feedback was used to adapt the questionnaires. In the second stage, the adapted questionnaires were trialled by current patients. Qualitative data were collected via semi-structured interviews from patients who trialled the adapted questionnaires, from which themes were analysed using the Framework Method.</p><p><strong>Results: </strong>Quantitative and qualitative feedback was provided by 11 staff members and 13 patients. This was used to develop adapted, inpatient versions of the EDE-Q (the 18-item EDE-I) and CIA (the 10-item CIA-I). During subsequent interviews (N = 9) patients were positive about the adapted measures, especially the shorter time frame and the removal and rephrasing of specific questions, to better reflect their experiences as inpatients.</p><p><strong>Conclusion: </strong>This project offers a promising adaptation to established psychometric measures for inpatients being treated for an eating disorder. Future research may wish to establish psychometric validation of the EDE-I and CIA-I to support a more appropriate way of measuring psychopathology and progress for people receiving treatment in hospital.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"186"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The journey to recovery: unmet dental care needs in individuals with eating disorders.","authors":"Ulrica Gidlund, Tove Hasselblad, Pernilla Larsson-Gran, Yvonne von Hausswolff-Juhlin, Nikolaos Christidis, Göran Dahllöf","doi":"10.1186/s40337-025-01376-x","DOIUrl":"10.1186/s40337-025-01376-x","url":null,"abstract":"<p><strong>Background: </strong>A well-established link exists between eating disorders and oral health issues such as dental erosion, caries, and tooth loss. However, little is known about how to best provide dental care for individuals with eating disorders. Therefore, current guidelines often suggest delaying dental treatment until after medical rehabilitation. This study aimed to explore the dental care experiences of patients with eating disorders, with the objective of finding ways to improve dental care and support for this patient group throughout the disease.</p><p><strong>Methods: </strong>Ten women (average age 36.7 years; SD ± 12.7; range 21-51), all recovered from an eating disorder (median duration of illness 12.5 years, range 4-25), participated in semi-structured interviews about their dental care experiences during and after their illness. Participants were purposefully sampled from a Swedish specialist dental clinic. Using inductive reflexive thematic analysis, the research team developed key themes to highlight important aspects of their narratives.</p><p><strong>Results: </strong>An overarching theme of unmet dental care needs marked the journey to recovery for the participants. Three major themes were constructed: (1) navigating uncharted territory, participants often felt isolated and lacked guidance from dental professionals on managing oral health during illness and recovery; (2) missed opportunities to build confidence and capability, dental care encounters frequently failed to address individual needs, with shame, cost, and limited support undermining confidence and self-efficacy; and (3) the importance of oral health in rebuilding hope and identity, restoring oral health was seen as vital to recovery, supporting self-esteem and a renewed sense of self.</p><p><strong>Conclusion: </strong>The study revealed ongoing unmet needs in dental care for the individuals examined. Participants' experiences revealed uncertainty, missed opportunities for empowerment, and the vital role of oral health in restoring hope and identity. Oral health professionals should offer compassionate, precise, and personalized support, integrating oral health into the broader recovery process to enhance confidence and overall well-being for patients with eating disorders.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"188"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When inequity impacts clinical care: an analysis of length of stay and reimbursement rates for medical stabilization for anorexia nervosa based on insurance coverage.","authors":"Lance R Nelson, Kelly N Horn, Amanda N Burnside, Katrina T Obleada, Ariela J E Kaiser, Lauren E Swift, Rebecca Arteaga, Courtney L Franceschi, Sarah Cohen, Francesca Y Montalto, Gregg J Montalto","doi":"10.1186/s40337-025-01366-z","DOIUrl":"10.1186/s40337-025-01366-z","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"181"},"PeriodicalIF":4.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of addiction-like eating with personal relative deprivation, compensatory health beliefs, and body mass index from the life history perspective.","authors":"Haofeng Ling, Bin-Bin Chen, Hengyue Zhang, Hong Mian Yang, Anise M S Wu","doi":"10.1186/s40337-025-01356-1","DOIUrl":"10.1186/s40337-025-01356-1","url":null,"abstract":"<p><strong>Background: </strong>The rising global overweight/obesity rate has led to an increase of research attention in one of its antecedents: addiction-like eating (AE). Under the framework of life history (LH) theory, the present study aimed at examining not only the association between AE and body mass index (BMI) but also the effects of LH strategy on AE, via two cognitive mediators (i.e., compensatory health beliefs [CHB] and personal relative deprivation [PRD]).</p><p><strong>Method: </strong>A convenience sample of 660 Chinese adults (45.9% males, M_age=33.33, SD = 7.62, Range = 19-69 years) was recruited to participate in an anonymous online survey.</p><p><strong>Results: </strong>Bivariate correlations revealed significant positive association between AE and BMI (r = 0.12, p < 0.001) and negative association between slow LH strategy and AE (r = - 0.38, p < 0.001). Path analyses revealed both significant direct (β=-0.15, 95%CI [- 0.23, - 0.06]) and indirect effects (via CHB and PRD) of LH strategy on AE (β=-0.06, 95%CI [- 0.10, - 0.03] and β=-0.16, 95%CI [- 0.20, - 0.11]). Additional model testing provided preliminary evidence that AE fully mediated the association between LH strategy and BMI (β=-0.03, 95%CI [- 0.06, - 0.01]). The indirect effect of LH strategy on BMI, via CHB/PRD and AE, serially, was also significant (β=-0.02, 95%CI [- 0.03, - 0.01] and β=-0.04, 95%CI [- 0.06, - 0.02]).</p><p><strong>Discussion: </strong>Our study provided additional empirical support regarding the capacity of LH theory to shed light on the mechanisms underlying behavioral addiction. This study was the first of its kind to examine how LH strategy may stimulate resource-related cognitive beliefs, which contribute to addictive behaviors and associated outcomes. Findings have useful implications regarding future research directions and interventions targeting AE and weight control.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"180"},"PeriodicalIF":4.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"We went fishing in the dark\": a case report highlighting one therapeutic process in an out-patient comorbid anorexia nervosa (AN) and complex post-traumatic stress disorder (C-PTSD) treatment.","authors":"Kathrine Rasch Moyo, Barbara Juliana Stenvall, Berit Støre Brinchmann","doi":"10.1186/s40337-025-01352-5","DOIUrl":"10.1186/s40337-025-01352-5","url":null,"abstract":"<p><strong>Background: </strong>There has been little research into effective treatment of comorbid AN and C-PTSD. This group of patients may show severe and enduring illness histories, often needing repeated hospitalisation and periods of outpatient treatment, adversely affecting their lives. Presently, there is no single recommended treatment for patients with comorbid AN and C-PTSD.</p><p><strong>Case presentation: </strong>This article presents a case report of one therapeutic process through two stories; the patient's and the therapist's. The therapeutic approach in this case of comorbid AN and C-PTSD was symptomatic-, person- and process-oriented, with an eclectic choice of therapeutic methods including enhanced cognitive behavioural therapy for eating disorders (EDs) (CBT-E), mentalisation based therapy for EDs (MBT-ED), compassion focused therapy for EDs (CFT-E), emotionally focused therapy (EFT), and narrative exposure therapy (NET), aiming to provide personalised care; tailoring the interventions to the patient. The therapeutic relationship and treatment are analysed, with the aim of highlighting what influenced the therapeutic process.</p><p><strong>Conclusion: </strong>The authors are not aware of other studies addressing the stories of patient and therapist in a therapeutic relationship, used to better understand factors relevant to the therapeutic process, in treating comorbid AN and C-PTSD. This case report provides insight into one therapeutic process treating these psychiatric illnesses in combination. The overall goal in therapy proved to be minimising the distances within the patient, between patient and therapist, between patient and society, and between the patient's past and present, through a personalised approach. Further research should elaborate on the dyadic perspective unfolding from these two stories; addressing specifically the emotional-relational processes within the therapeutic relationship, to help broaden the understanding of treatment for comorbid AN and C-PTSD. We call for further research into personalised therapeutic interventions for these patients, suggesting a 'toolkit' of interventions, tailored to the patient. It should not be the patient's job to fit the method, but our job to make sure the method fits the patient.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"178"},"PeriodicalIF":4.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12359908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}