Child and Adolescent Mental Health最新文献

{"title":"Clinical research updates","authors":"Marinos Kyriakopoulos, Eleni Vrigkou, Markos Kallinikos, Zinovia Maridaki","doi":"10.1111/camh.12769","DOIUrl":"https://doi.org/10.1111/camh.12769","url":null,"abstract":"<p>Eleni Vrigkou</p><p>One of the key developmental tasks in early childhood is to adapt to the social environment of preschool. The social and communication challenges of autistic children can make this process more demanding compared to typically developing (TD) children. Empirical data, mainly from TD children, suggest that the social skills they acquire through parent–child interactions can be associated with their ability to form adequate social abilities in preschool, but a question remains of whether the same could apply to autistic children as well.</p><p>Oppenheim et al. (2025) conducted a study in autistic preschooler boys to assess the boy's engagement in dyadic (mother–child and father-child) and triadic (mother–father-child) interactions and its association with their social skills in preschool, while controlling for the severity of their autism symptomatology and their IQ. A particular focus was added on the importance of triadic interactions over and above their dyadic ones. The study was conducted in 2 time-points (T1 and T2), 12 months apart. Seventy-five boys, 29–68 months old, and their parents participated in T1 time-point and 68 in T2. T1 included 4 laboratory and preschool visits, where dyadic and triadic interactions observations, autism and cognitive functioning assessments, and social skills assessments were conducted. T2 included only one preschool observation visit for social skills evaluations. The boys' behavior in the dyadic interactions was assessed using the Child Responsiveness to Child Involvement with Parent scales in free and social play. Triadic interactions were observed in the Lausanne Triadic Play procedure. Their social skills were assessed using the Social Skills Q-sort (SSQ) completed by teachers and observers and the Social Responsiveness Scale (SRS) completed by teachers.</p><p>The authors found that the boys' dyadic engagement predicted the observers' SSQ in T1 and T2, and the teachers SRS in T1. Their triadic engagement did not explain additional variance in any social skill measure in T1 but accounted for additional variance in all social skills measures in T2. Their findings suggest that dyadic engagements are important for the boys' social skills in preschool, and that triadic engagements seem to be particularly significant, above and beyond dyadic contexts, especially over time. The contributions of the dyadic and triadic engagements were not different for children with different levels of social abilities at T1.</p><p>The authors identified two strengths of the study: the longitudinal design that allowed the assessment of the boys' social abilities over time and the fact that all children were in the autism group. Study limitations were also identified, including the small added variance of the triadic engagements over the dyadic ones in some cases, the fact that possible mechanisms that connect children's family interactions with their interactions in social environments beyond the family were ","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 2","pages":"202-204"},"PeriodicalIF":6.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950063","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":"Personality functioning in adolescents: exploring the links with childhood maltreatment types and internalizing and externalizing difficulties.","authors":"Elena Gaudiešiūtė, Gabrielė Skabeikytė-Norkienė, Rasa Barkauskienė","doi":"10.1111/camh.12781","DOIUrl":"https://doi.org/10.1111/camh.12781","url":null,"abstract":"<p><strong>Background: </strong>The reconceptualization of the personality disorder model brought by the DSM-5 and ICD-11 introduced the level of personality functioning as the main criterion of PD, which encompasses a set of intrapsychic functions necessary for self-other understanding in interpersonal contexts. Research interest has been growing in examining the relationship between childhood traumatic experiences and personality functioning, predominantly with adult populations; however, there is a notable scarcity of studies exploring these associations in adolescents.</p><p><strong>Aims: </strong>The aim of the present study was to analyze the association between different types of childhood maltreatment and personality functioning and to test internalizing and externalizing difficulties as potential mediators in this link.</p><p><strong>Methods: </strong>A total of 1048 adolescents, aged 11-17, 65.7% of whom were females (855 from public schools, 193 clinically referred), completed a set of questionnaires measuring childhood maltreatment, level of personality functioning, and internalizing and externalizing difficulties. Mediation analysis was used to explore the potential mediating effects.</p><p><strong>Results: </strong>Significant mediating effects of internalizing and externalizing problems were found in the relationship between different types of childhood maltreatment and personality functioning: emotional abuse (β₁ = .269, CI₁ 0.226-0.312; β₂ = .033, CI₂ 0.011-0.055), physical abuse (β₁ = .165, CI₁ 0.123-0.206; β₂ = .031, CI₂ 0.010-0.052), sexual abuse (β₁ = .100, CI₁ 0.060-0.140; β₂ = .018, CI₂ 0.006-0.030); emotional neglect (β₁ = .324, CI₁ 0.280-0.368; β₂ = .028, CI₂ 0.007-0.049), and physical neglect (β₁ = .119, CI₁ 0.079-0.159; β₂ = .020, CI₂ 0.007-0.032).</p><p><strong>Conclusions: </strong>These findings have the potential to enrich the understanding of personality functioning impairments in adolescents in the context of childhood maltreatment and highlight the importance of focusing attention on the impact of emotional maltreatment.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Debate: What guidance is needed by academics who collaborate with digital companies to improve youth mental health?","authors":"Jake Bourgaize, Jacob Andrews, Camilla Babbage, Marianne E Etherson, Joanne Gregory, Chris Hollis, Kareem Khan, Sieun Lee, Joanna Lockwood, Josimar Mendes, Jen Martin, Emma Nielsen, Adam Parker, Ellen Townsend, A Jess Williams, Rebecca Woodcock, Sonia Livingstone","doi":"10.1111/camh.12779","DOIUrl":"https://doi.org/10.1111/camh.12779","url":null,"abstract":"<p><p>In a recent debate piece, Livingstone, Orben and Odgers (Child and Adolescent Mental Health, 2023, 28, 150) asked whether and when it is advisable for academics researching youth mental health to collaborate with digital companies. Such collaborations arise when researchers seek to identify risks and opportunities associated with youth digital engagement or to develop research-based interventions that leverage digital technologies to improve young people's mental health. However, young people's digital experiences, the associated data records and the prospects of testing interventions in situ are often under the control of digital providers and inaccessible to researchers. There is growing optimism that collaboration with companies may allow independent researchers access to proprietary resources along with opportunities to test and scale up beneficial digital interventions. Understandably, such optimism is tempered by scepticism about the processes, trust, and interests at stake during collaboration between researchers and companies. Given these often opposed positions, it is clear that professional guidance is required for academics so they understand the potential costs and benefits of choosing to enter into such collaborations and the terms on which this is advisable. This article highlights what information already exists for researchers and what guidance is needed to ensure that youth mental health researchers can successfully collaborate with digital companies.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home Fae Home: A case study in co-designing trauma-informed community spaces with young people in Dundee, Scotland","authors":"Charis Robertson,&nbsp;Gary Kennedy,&nbsp;Linsey McIntosh,&nbsp;Anne McKechnie","doi":"10.1111/camh.12765","DOIUrl":"https://doi.org/10.1111/camh.12765","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p><i>Home Fae Home</i> was an action research project, working with young people in Dundee, Scotland, to redesign the interior environment of a community-based youth work facility, through the lens of trauma-informed practice. Multi-disciplinary in nature, the project integrated the fields of psychology, architecture and spatial design with youth and community work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Over 150 young people were engaged over 4 years in the co-design process through a range of creative workshops. As part of these workshops, a multi-methods approach to data collection was used, with semi-structured interviews and focus groups, as well as more creative and informal engagements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Spatially, the project has provided six new/additional diverse and adaptable youth work spaces, each thoughtfully designed by young people, to help them feel safe, process complex emotions, support recovery, avoid re-traumatization and reduce stress levels. Through the process, important new knowledge was also generated by the young people, highlighting the importance of expression and culture for adolescents and their need to have choice and ownership of their space.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The project clearly demonstrated that young people should be trusted as experts of their own experience of trauma and recovery and evidenced the crucial need for professionals who work with young people to deliberately redress power imbalances in order to facilitate this.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 2","pages":"131-139"},"PeriodicalIF":6.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12765","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950311","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":"How can nature connectedness and behaviours for learning be deliberately developed in children, adolescents and young adults? A systematic literature review","authors":"Nicole M. Harris,&nbsp;Brettany Hartwell,&nbsp;Louisa Thomas,&nbsp;Marcus Grace","doi":"10.1111/camh.12774","DOIUrl":"10.1111/camh.12774","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nature sustains lives, enhances well-being and benefits human populations in many ways. In a world dominated by human technology, the task of effectively reconnecting to and caring for nature is both urgent and vital. Evidence shows that many children and young people (CYP) feel increasingly disconnected from nature Schools and other settings could play a crucial role in promoting time spent in nature, potentially fostering nature connectedness (NC) and improving behaviours for learning (BFL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic literature review was conducted to explore how NC can be developed in CYP through nature-based interventions and investigate their impact on BFL. Studies from settings working with CYP aged 0 to 29 were included, utilising quantitative, qualitative, and mixed-methods approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 22 studies from 2009–2023 were identified from ERIC, PsycINFO, and Web of Science. Most were quantitative studies (<i>n</i> = 13) from the global north (<i>n</i> = 19), involving primary or secondary school-aged CYP. A variety of nature-based interventions were assessed, including hiking, surfing, gardening, and art-in-nature activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The review highlights numerous ways to develop NC in CYP, with many associated benefits for BFL. Areas of impact include social skills, self-regulation, attention, motivation, independence, and problem-solving. Effective activities included walking and reflecting in nature, sensory connections, and creative activities. Many of the interventions reviewed were not carried out by schools, nor did they take place on their grounds, perhaps due to limited access to green space and nature on their school site. This highlights a significant gap in the literature. Given the large range of interventions, ages of participants, and quality of the included studies, it is not possible to draw specific conclusions about the type of activities that may work best for specific age groups or types of setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 2","pages":"168-185"},"PeriodicalIF":6.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12774","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804518","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":"Technology Matters: Online Support and Intervention (OSI) for child anxiety problems - an example of the journey from research to practice.","authors":"Chloe Chessell, Rachel Evans, Cathy Creswell","doi":"10.1111/camh.12775","DOIUrl":"https://doi.org/10.1111/camh.12775","url":null,"abstract":"<p><p>Childhood anxiety problems are prevalent and impairing, yet many children are unable to access evidence-based treatment (i.e. cognitive behavioural therapy, CBT). Digitally augmented psychological interventions represent one way to help increase access to CBT for children with mental health problems, as these interventions can substantially reduce the amount of therapist time required to deliver the intervention, as well as bringing a range of other potential advantages for therapists and families. Online Support and Intervention (OSI) is an example of a brief digitally augmented, therapist-supported, parent-led CBT intervention for child anxiety problems that is now being commissioned and delivered in child mental health services. This article outlines the journey of OSI from research to implementation into routine clinical practice and highlights key considerations for translating digitally augmented mental health interventions into routine care in child mental health services.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The protective role of community cohesion across rural and urban contexts: implications for youth mental health","authors":"Alexis Brieant,&nbsp;Keith B. Burt","doi":"10.1111/camh.12764","DOIUrl":"10.1111/camh.12764","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Exposure to adversity (e.g., negative life events) and socioeconomic disadvantage can increase the risk for internalizing and externalizing symptoms, but many youth demonstrate resilience. Risk and protective factors may vary depending on geographic contexts (i.e., urban vs. rural areas). We hypothesized that community cohesion would mitigate the effects of adversity and disadvantage on youth mental health symptoms, especially among rural communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data were drawn from the Adolescent Brain Cognitive Development (ABCD) Study (<i>n</i> = 10,812), a longitudinal study in the United States. At baseline (9–10 years old), neighborhood socioeconomic disadvantage was measured with the Area Deprivation Index, and youth reported on the total number of negative life events they had experienced. At the 2-year follow-up, caregivers reported on cohesion within their community, and at the 3-year follow-up, they reported on their child's internalizing and externalizing symptomatology. A multiple-group path model was used to compare effects for youth living in urban versus rural areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the urban subsample, results indicated a significant interaction between neighborhood disadvantage and community cohesion (<i>β</i> = −.03, <i>p</i> = .004), such that higher disadvantage was associated with higher externalizing (but not internalizing) symptomatology at low and medium, but not high, levels of cohesion. We identified similar patterns of results in the rural subsample, and the interaction neared conventional significance thresholds (<i>β</i> = −.09, <i>p</i> = .052). There was no significant interaction with adversity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Community cohesion may serve as a protective factor for youth experiencing neighborhood disadvantage by mitigating effects on externalizing symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 2","pages":"140-148"},"PeriodicalIF":6.8,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12764","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732747","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":"Editorial: ‘Like a bee and a flower’ – the symbiotic relationship between physical environment and children and young people's psychosocial outcomes","authors":"Keri Ka-Yee Wong,&nbsp;Efstathios Papachristou,&nbsp;Marta Francesconi,&nbsp;Tycho J. Dekkers","doi":"10.1111/camh.12773","DOIUrl":"10.1111/camh.12773","url":null,"abstract":"<p>This special issue captures the multifaceted and dynamic human–environment relationship across a critical stage of development and illustrates the importance of the physical environment in understanding child and adolescent mental health. Illustrated through original articles, action research, systematic reviews, debates, editorial perspectives and commentaries, our authors showcase the nuances of this relationship through diverse methodologies, data sources, interdisciplinary teams and international perspectives. Authors evidence the impact of physical environmental characteristics on psychosocial outcomes early in life, for both community and clinical populations. Exposure to adversities early in life or during critical developmental periods, such as early childhood and adolescence, has the potential to shape later life outcomes. We hope this special issue provides helpful examples of good practice and the ways of working together needed to inspire future youth-led context-specific health research. We also hope that this special issue can encourage us to rethink public health and education policies, urban planning and design priorities, and clinical research and practice to have young people in the centre of this work.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 2","pages":"115-118"},"PeriodicalIF":6.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12773","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711886","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":"Letter to the Editor: Integrating context-specific and universal strategies: reflections on Birrell et al.'s universal school-based mental health interventions.","authors":"Yi-Chia Hung, Lien-Chung Wei","doi":"10.1111/camh.12778","DOIUrl":"https://doi.org/10.1111/camh.12778","url":null,"abstract":"<p><p>This letter responds to Birrell et al.'s (Child and Adolescent Mental Health, 30, 92) article on universal school-based mental health interventions, emphasizing the importance of refining universal approaches rather than discarding them. The letter discusses critical aspects of program adaptation to cultural contexts, the role of meaningful co-design with students and staff, and the integration of targeted strategies in concert with universal approaches. It also highlights the potential of digital health technologies, emphasizing equitable access and personalization to diverse populations. Additionally, the letter calls for a broader evaluation of intervention impacts beyond symptom reduction, including stigma reduction, school climate, and help-seeking behaviors. Drawing from recent evidence, the letter advocates for integrated models that combine universal and targeted strategies, offering practical recommendations for future research and policy.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narrative Matters: Improving young people's mental health through neighbourhood initiatives – the role of ‘collective local intelligence’ in Manchester","authors":"Joe Ravetz","doi":"10.1111/camh.12766","DOIUrl":"10.1111/camh.12766","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Young persons’ well-being is the key priority for this case study on the inner-city neighbourhoods of Manchester, and the challenges of coordination and synergy between the many organizations involved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The ‘Local-wise’ project draws from insights on ‘collective local intelligence’, and the methods of the ‘Pathways toolkit’ which can explore and work with stakeholders on ways forward.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings point towards positive linkages between pro-active neighbourhood initiatives, and the young person's mental health/well being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is huge potential for upstream preventive work, where ideally the local neighbourhood is a place of belonging, identity and livelihood, as a counter to the pressures of globalization, precarity and social media.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 2","pages":"198-201"},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12766","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694211","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}