Emily M. Bowers, Leila K. Capel, Mercedes G. Woolley, Aubry Barnes, Michael P. Twohig, Michael E. Levin
{"title":"Efficacy and feasibility of web-based ACT-Enhanced behavioral treatment for skin picking in adults: A randomized waitlist-controlled trial","authors":"Emily M. Bowers, Leila K. Capel, Mercedes G. Woolley, Aubry Barnes, Michael P. Twohig, Michael E. Levin","doi":"10.1016/j.jocrd.2024.100909","DOIUrl":"10.1016/j.jocrd.2024.100909","url":null,"abstract":"<div><p>Skin picking disorder is a chronic repetitive condition that impacts daily functioning and causes significant distress. Acceptance and commitment therapy (ACT) enhanced behavioral training (A-EBT) has shown promise in targeting skin picking symptoms but is not widely disseminated among providers. This study examines the efficacy and feasibility of an eight-week fully-automated online A-EBT program for skin picking disorder. Participants with skin picking disorder (<em>N</em> = 84) were randomized into either an online intervention (<em>n</em> = 43) or a waitlist control (<em>n</em> = 41). All participants completed self-report assessments at baseline, mid-, post-intervention, and 1-month follow-up. Analyses used multilevel linear modeling with the full intent-to-treat sample. Results demonstrated statistically stronger improvements from baseline to 1-month follow-up in the intervention condition compared to waitlist for skin picking symptoms (SMD = 0.90), skin picking-related psychological flexibility (SMD = −0.82), and well-being (SMD = −0.31), with no significant effects on distress. Treatment effects were maintained at one-month follow-up, with 29.0% of intervention participants meeting responder status, compared to 0.1% of waitlist participants. High usability and acceptability scores provide preliminary evidence of its feasibility as a fully automated intervention. These findings suggest an automated online A-EBT program may be an effective and scalable treatment for individuals with skin picking disorder.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100909"},"PeriodicalIF":1.9,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caitlin M. Pinciotti , Ace A. Castillo , Brian A. Feinstein , Lauren P. Wadsworth , Jonathan S. Abramowitz , Bradley C. Riemann , Wayne K. Goodman , Eric A. Storch
{"title":"Psychometric properties of common self-report measures for obsessive-compulsive disorder in sexual and gender minorities","authors":"Caitlin M. Pinciotti , Ace A. Castillo , Brian A. Feinstein , Lauren P. Wadsworth , Jonathan S. Abramowitz , Bradley C. Riemann , Wayne K. Goodman , Eric A. Storch","doi":"10.1016/j.jocrd.2024.100907","DOIUrl":"10.1016/j.jocrd.2024.100907","url":null,"abstract":"<div><p>Prevalence of obsessive-compulsive disorder (OCD) appears to be higher in sexual and gender minority (SGM) individuals compared to cisgender, heterosexual individuals. Although existing self-report measures for OCD (i.e., Yale Brown Obsessive Compulsive Scale Self-Report-II-Self Report [Y-BOCS-II-SR], Dimensional Obsessive Compulsive Scale [DOCS], and Obsessive Beliefs Questionnaire-Short Form [OBQ-SF]) have demonstrated strong psychometric properties in prior samples, these studies have not reported the proportion of SGM individuals in their samples. Thus, it remains unclear how these measures perform when used with SGM individuals. Accordingly, the psychometric properties of the Y-BOCS-II-SR, DOCS, and OBQ-SF were examined in a sample of 318 sexual minority (98.4%) and gender minority (33.8%) adults with self-reported OCD (<em>M</em>age = 27.5 years; 87.4% female sex at birth; 93.4% white). Replicating prior research, these measures demonstrated consistent response patterns and strong factor structures and loadings, internal consistency, and convergent validity. Overall, these measures appear to be psychometrically sound when used with SGM individuals, and the few psychometric weaknesses found in the present study parallel those found in other samples, suggesting that they are not specific to use with SGM individuals. Findings support that the Y-BOCS-II- SR, DOCS, and OBQ- SF can be accurately used and interpreted in samples that are comprised of SGM individuals.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100907"},"PeriodicalIF":1.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah C. Broos , Madeline L. Kushner , Caitlin A. Stamatis , Kiara R. Timpano
{"title":"The link between hoarding symptoms and interpersonal difficulties during the COVID-19 pandemic","authors":"Hannah C. Broos , Madeline L. Kushner , Caitlin A. Stamatis , Kiara R. Timpano","doi":"10.1016/j.jocrd.2024.100899","DOIUrl":"10.1016/j.jocrd.2024.100899","url":null,"abstract":"<div><p>Hoarding is characterized by difficulties discarding, clutter, and excessive acquiring. Disruptions in interpersonal attachment and associated interpersonal difficulties have been implicated in the development and maintenance of hoarding; however, limited research has investigated the link between interpersonal functioning and hoarding. The current study examined the association between hoarding symptoms and multiple interpersonal factors in young adults during the COVID-19 pandemic. Participants (<em>N</em> = 137) completed an online survey in Spring 2020 which included measures of perceived social support, thwarted belongingness, depression, and hoarding symptoms, including difficulties discarding and acquiring. Participants also completed an ecological momentary assessment protocol where they provided daily ratings of connectedness. At a basic level, both difficulties discarding and acquiring symptoms were correlated with greater thwarted belongingness and lower social support. These associations remained significant even after controlling for depression, with the exception of the relationship between difficulty discarding and thwarted belongingness. Greater acquiring was also associated with greater variability in daily connectedness. This study is the first to demonstrate a unique relationship between hoarding symptoms and multiple interpersonal factors, controlling for depression. Our findings suggest that interpersonal functioning is a potential mechanism underlying hoarding. Clinically, addressing interpersonal difficulties may improve the efficacy of current treatments for hoarding disorder.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100899"},"PeriodicalIF":1.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Klara Olofsdotter Lauri , Maria Bragesjö , Kristina Aspvall , Nathalie Lybert , Conrad Samuelsson , Eva Serlachius , Christian Rück , David Mataix-Cols , Erik Andersson
{"title":"“I'm not afraid to be alone with the baby now”: Parents' experiences of an online self-guided cognitive intervention for unwanted intrusive thoughts about harming their child","authors":"Klara Olofsdotter Lauri , Maria Bragesjö , Kristina Aspvall , Nathalie Lybert , Conrad Samuelsson , Eva Serlachius , Christian Rück , David Mataix-Cols , Erik Andersson","doi":"10.1016/j.jocrd.2024.100897","DOIUrl":"10.1016/j.jocrd.2024.100897","url":null,"abstract":"<div><p>Half of parents to infants and toddlers experience unwanted intrusive thoughts (UITs) about intentionally harming their child. For some, this can lead to impaired parental self-efficacy, elevated parental stress, and symptoms of depression. Many do not disclose their thoughts due to shame. Our research group has developed a self-guided online cognitive intervention for parents with distressing UITs of intentional child-related harm. A previous randomized pilot trial (<em>N</em> = 43) showed that the intervention was more effective than waitlist in reducing distress related to UITs. It also improved parental self-efficacy. This study is an qualitative investigation of the participants’ experiences with the intervention. We conducted semi-structured interviews with 8 participants. A thematic analysis revealed two overarching themes: (1) Changed perception of the unwanted intrusive thoughts and (2) Different paths to recovery. The parents reported that the intervention taught skills to approach their UITs in a more flexible way, which had positive effects on well-being and parenting. The flexibility and anonymity of the online format was highlighted as positive. Some would have liked additional therapist support and better adaptations to a smartphone format. The findings provide additional qualitative data how an online self-guided intervention can help parents who struggle with UITs.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"43 ","pages":"Article 100897"},"PeriodicalIF":1.9,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211364924000411/pdfft?md5=6c5c108063f2554685f10a5627ae6ca8&pid=1-s2.0-S2211364924000411-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nils Eivind Holth Landrø , Sigurd Holmen Pryser , Kristen Hagen , Bjarne Hansen , Gerd Kvale , Stian Solem
{"title":"Effect of concentrated exposure and response prevention on symptoms of insomnia","authors":"Nils Eivind Holth Landrø , Sigurd Holmen Pryser , Kristen Hagen , Bjarne Hansen , Gerd Kvale , Stian Solem","doi":"10.1016/j.jocrd.2024.100891","DOIUrl":"10.1016/j.jocrd.2024.100891","url":null,"abstract":"<div><h3>Background</h3><p>Insomnia symptoms are prevalent among patients with obsessive-compulsive disorder (OCD). This study involved secondary analyses from a previous randomized controlled trial testing if <span>d</span>-Cycloserine (DCS) augmented the effects of the Bergen 4-day treatment (B4DT) for OCD. In this study, the effects of the B4DT on sleep difficulties in a sample of difficult-to-treat OCD were explored.</p></div><div><h3>Methods</h3><p>The three groups received B4DT with either a placebo, 100 mg, or 250 mg of DCS. Patients (<em>N</em> = 163) had either not responded or relapsed after previous exposure-based treatment for OCD.</p></div><div><h3>Results</h3><p>The results showed a small, but robust treatment effect on insomnia symptoms (<em>d</em> = 0.37), maintained at 3-month follow-up (<em>d</em> = 0.38), and 12-month follow-up (<em>d</em> = 0.23). No significant differences between the groups receiving DCS or placebo were found. Insomnia did not affect OCD-treatment outcome.</p></div><div><h3>Discussion</h3><p>This study showed that OCD treatment is associated with some improvement in insomnia symptoms. Comorbid insomnia and DCS did not moderate treatment outcome. Patients with OCD and comorbid insomnia should be considered for specific insomnia treatment.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"42 ","pages":"Article 100891"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211364924000356/pdfft?md5=2e087f2e4fae937ffe1e9b2ab43cf1f7&pid=1-s2.0-S2211364924000356-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kesley A. Ramsey , Lauren E. Browning , Alexandria H. Chang , Joseph F. McGuire
{"title":"Clinician-reported challenges associated with delivery of exposure with response prevention for patients with obsessive-compulsive disorder","authors":"Kesley A. Ramsey , Lauren E. Browning , Alexandria H. Chang , Joseph F. McGuire","doi":"10.1016/j.jocrd.2024.100895","DOIUrl":"10.1016/j.jocrd.2024.100895","url":null,"abstract":"<div><p>Exposure with response prevention (E/RP) within cognitive behavior therapy (CBT) is recognized as a critical therapeutic element that drives clinical improvement in the behavioral treatment of obsessive-compulsive disorder (OCD). However, many clinicians encounter a number of barriers when implementing E/RP for patients with OCD, negatively impacting patient outcomes. To understand and better address these challenges, we conducted a survey with 228 clinicians to capture the experiences of mental health providers that use E/RP to treat patients with OCD, and identify challenges they may experience when implementing this form of evidence-based care. We found that the majority of clinicians sampled endorsed facing barriers in implementing E/RP for patients with OCD. Additionally, we found that specific OCD symptom domains were identified by clinicians as difficult to complete exposures for within and between treatment sessions. Ultimately, this investigation identifies some of the challenges faced by clinicians using E/RP to treat patients with OCD, and offers several future research directions to pave the way toward addressing these barriers and improving treatment outcomes.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"42 ","pages":"Article 100895"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Colman , Josie Millar , Bhagyashree Patil , Daniel Finnegan , Ailsa Russell , Nina Higson-Sweeney , Mariana Da Silva Aguiar , Danae Stanton Fraser
{"title":"A systematic review and narrative synthesis of the use and effectiveness of extended reality technology in the assessment, treatment and study of obsessive compulsive disorder","authors":"Michael Colman , Josie Millar , Bhagyashree Patil , Daniel Finnegan , Ailsa Russell , Nina Higson-Sweeney , Mariana Da Silva Aguiar , Danae Stanton Fraser","doi":"10.1016/j.jocrd.2024.100893","DOIUrl":"10.1016/j.jocrd.2024.100893","url":null,"abstract":"<div><p>Extended reality (XR) technologies including virtual and augmented reality are seeing increasing research interest in the field of mental health. Obsessive compulsive disorder (OCD) is a condition that remains difficult to assess and treat despite the availability of effective therapies. This systematic review synthesises the current knowledge regarding the use and effectiveness of XR in the assessment, treatment, and study of OCD. The protocol for this review was registered on PROSPERO (ID: CRD42021248021). Searches of six databases were conducted. The xReality framework was used to define which technologies would be included as XR. Studies that recruited analogue samples as well as clinical OCD populations were included. A narrative synthesis of the findings was planned. There was consistent evidence for the use of virtual reality as a tool for symptom provocation in people with contamination-related OCD, as part of exposure and response prevention. Significant heterogeneity exists between study designs found in both symptom provocation and treatment outcome studies. This review has important implications about the narrow focus of research in this area thus far, highlighting the need for further study of different uses of XR in providing positive treatment outcomes across a broader range of OCD symptoms.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"42 ","pages":"Article 100893"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221136492400037X/pdfft?md5=58c641bbfbe76fe30115b8676c715165&pid=1-s2.0-S221136492400037X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141630348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andreas Bezahler , Martha J. Falkenstein , Jennie M. Kuckertz
{"title":"What do you believe? Differentiating obsessive beliefs between bi+, gay/lesbian and heterosexual adults with OCD","authors":"Andreas Bezahler , Martha J. Falkenstein , Jennie M. Kuckertz","doi":"10.1016/j.jocrd.2024.100898","DOIUrl":"10.1016/j.jocrd.2024.100898","url":null,"abstract":"<div><p>Sexual minority (e.g., gay, lesbian, bisexual) people are 9 times more likely than heterosexual people to be diagnosed with OCD. Cognitive models of OCD posit that obsessive beliefs drive clinical OCD symptoms, however, obsessive beliefs have yet to be examined based on sexual orientation. Due to prior research identifying that sexual minority people are more likely to be diagnosed or treated for OCD and present with unique symptom profiles, elucidating underlying beliefs may partially explain why these disparities persist. Participants (<em>N</em> = 505) completed the Obsessive Beliefs Questionnaire-44 (OBQ-44) upon admission to a partial hospital/residential treatment program for OCD. The three largest sexual orientation groups were bisexual/pansexual (<em>n</em> = 46), gay/lesbian (<em>n</em> = 34), and heterosexual (<em>n</em> = 425). To examine differences, the OBQ-44's subdomains (perfectionism/certainty, responsibility for harm/threat, and importance/control of thoughts) were compared by sexual orientation. Results highlighted that perfectionism/certainty and harm/threat were significantly higher for bi+ compared to heterosexual participants, but not compared to gay/lesbian people, or between heterosexual and gay/lesbian people. This paper adds to a growing body of literature suggesting that the experience of bi+ individuals is different, and future research should identify the role of bi+ discrimination in the development of these core beliefs.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"42 ","pages":"Article 100898"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142088645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Johanna A.M. du Mortier , Erik J. Giltay , Almar A.L. Kok , Patricia van Oppen , Merijn Eikelenboom , Didi Rhebergen , Richard C. Oude Voshaar , Anton J.L.M. van Balkom , Henny A.D. Visser
{"title":"Contamination fear during the COVID-19 pandemic in patients with lifetime obsessive compulsive disorder and healthy controls: A longitudinal cohort study","authors":"Johanna A.M. du Mortier , Erik J. Giltay , Almar A.L. Kok , Patricia van Oppen , Merijn Eikelenboom , Didi Rhebergen , Richard C. Oude Voshaar , Anton J.L.M. van Balkom , Henny A.D. Visser","doi":"10.1016/j.jocrd.2024.100889","DOIUrl":"10.1016/j.jocrd.2024.100889","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic could be considered a 'symptom provocation test,' which may trigger specific OCD and other psychiatric symptoms. Therefore, we aimed to compare the long-term impact of the pandemic on fear of COVID-19, and contamination, depressive and anxiety symptoms in three groups: individuals with OCD with and without pre-pandemic contamination symptoms and healthy controls.</p></div><div><h3>Methods</h3><p>From April 2020 to February 2022, we administered 16 online questionnaires on 138 persons with a lifetime diagnosis of OCD and 373 healthy controls. We evaluated outcomes related to fear of COVID-19, cleaning obsessions and compulsions, anxiety, and depressive symptoms. Using mixed models, we compared the trajectories among persons with OCD who had pre-pandemic contamination symptoms, those without such symptoms, and healthy controls.</p></div><div><h3>Results</h3><p>Pre-pandemic contamination symptoms were significantly associated with higher fear of COVID-19, contamination symptoms, anxiety, and depressive symptoms. Persons with OCD without pre-pandemic contamination symptoms scored, on average, quite similarly to healthy controls.</p></div><div><h3>Conclusions</h3><p>Only in persons with pre-pandemic contamination symptoms did the pandemic provoke more fear of COVID-19 and contamination symptoms than in controls. It seems that stress caused by external factors, does not tri trigger OCD symptoms unless there is a connection to the subtype of OCD.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"42 ","pages":"Article 100889"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211364924000332/pdfft?md5=376c25f2dc243a91a0e3f3207f52ba8d&pid=1-s2.0-S2211364924000332-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reconciling attentional bias in obsessive-compulsive disorder","authors":"Alexandra M. Adamis, Bunmi O. Olatunji","doi":"10.1016/j.jocrd.2024.100896","DOIUrl":"10.1016/j.jocrd.2024.100896","url":null,"abstract":"<div><p>Findings on attentional bias (AB) in obsessive-compulsive disorder (OCD) are highly mixed. Although some studies provide evidence for a threat-related AB in OCD, many others yield null effects. The present review considers three potential factors that may help reconcile this inconsistency: disorder heterogeneity, methodological approaches, and individual differences in attentional control. Reconciling this inconsistency in future research may yield findings that can more directly inform the development of more effective treatment strategies.</p></div>","PeriodicalId":48902,"journal":{"name":"Journal of Obsessive-Compulsive and Related Disorders","volume":"42 ","pages":"Article 100896"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141941959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}