Ana Pardo-Salamanca, Soledad Gómez, Cristina Santamarina, Gemma Pastor, Carmen Berenguer
{"title":"The effectiveness of an online-based psychosocial program for parents of children with neurodevelopmental disorders – a randomized controlled trial","authors":"Ana Pardo-Salamanca, Soledad Gómez, Cristina Santamarina, Gemma Pastor, Carmen Berenguer","doi":"10.1111/camh.70044","DOIUrl":"10.1111/camh.70044","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Neurodevelopmental disorders like autism and ADHD may disrupt family and child functioning. Although well-established psychosocial treatment programs exist, access to these interventions remains limited for many families. This randomized controlled trial (RCT) primarily evaluates the effectiveness of an online psychosocial program (INPSYD) in improving parental domains (stress, coping, and social support). The secondary aim is to assess its effects on children's domains, including behavior, executive functioning, sleep, and family dynamics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a two-arm, mixed-methods RCT design involving families of children diagnosed with autism or ADHD (mean age 9.28 ± 1.6; 81.1% males), (clinicaltrials.gov, NCT06303791). Participants were randomized to either the intervention group or the active control group (a structured, non-therapeutic intervention). Outcomes were collected at baseline (before randomization), at 12 weeks post-randomization, and at 6 months follow-up after randomization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 82 participants were randomized in February 2024 (42 to the intervention group and 40 to the active control group). At post-intervention, participants in the intervention group scored statistically significantly better than those in the control group on measures of parenting stress (<i>p</i> < .01, <span></span><math>\u0000 <mrow>\u0000 <msubsup>\u0000 <mi>η</mi>\u0000 <mi>p</mi>\u0000 <mn>2</mn>\u0000 </msubsup>\u0000 </mrow></math> = .29), coping skills (<i>p</i> < .01, <span></span><math>\u0000 <mrow>\u0000 <msubsup>\u0000 <mi>η</mi>\u0000 <mi>p</mi>\u0000 <mn>2</mn>\u0000 </msubsup>\u0000 </mrow></math> = .24), and perceived social support (<i>p</i> = .025, <span></span><math>\u0000 <mrow>\u0000 <msubsup>\u0000 <mi>η</mi>\u0000 <mi>p</mi>\u0000 <mn>2</mn>\u0000 </msubsup>\u0000 </mrow></math> = .10). Between-group comparisons also revealed statistically significant differences favoring the intervention group in child social functioning, executive functioning, and family dynamics. No statistically significant between-group differences were found for sleep problems or learning behavior. These between-group effects were maintained at the follow","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"96-105"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453871","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":"Debate: Young people are living in unprecedented times – too much chaos or too little resilience? Protecting young people in perilous times calls for bolstering multisystem resilience as well as mitigating risk","authors":"Ann S. Masten","doi":"10.1111/camh.70088","DOIUrl":"10.1111/camh.70088","url":null,"abstract":"<p>Young people around the world are threatened by increasing chaos and danger from armed conflicts, natural disasters, climate change, forced displacement, disease epidemics, and related adversities. This perilous situation raises a critical question: Are we doing enough to protect and prepare young people to adapt and thrive? Developmental research on risk and resilience suggests that the answer to this question is no, but there is considerable evidence to guide practice and policy going forward. Both reducing risk and bolstering resilience are essential strategies for promoting positive outcomes in a generation of young people contending with rising global chaos. Moreover, evidence suggests that the resilience of children depends on the operations and interactions of many systems within and around them that are amenable to change. These include neurobiological and psychological adaptive systems and supportive relationships, as well as safe and effective schools and communities. Building resilience for the younger generation is an investment in the future resilience of societies.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"140-142"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500272","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}
Brian C.F. Ching, Cornelius Ani, Angie Pitt, Sharon Eager, Emily Simonoff, Johnny Downs
{"title":"Editorial Perspective: A call for action on imposter participants in child and adolescent mental health research","authors":"Brian C.F. Ching, Cornelius Ani, Angie Pitt, Sharon Eager, Emily Simonoff, Johnny Downs","doi":"10.1111/camh.70041","DOIUrl":"10.1111/camh.70041","url":null,"abstract":"<p>Imposter participants are dishonest participants who fake their identities or exaggerate their experiences to participate in research. This appears to be a rising problem in quantitative and qualitative research as well as lived experience groups for child and adolescent mental health research. Imposters in research present great challenges for young people's safety, privacy, and well-being, and the data integrity of affected research studies. Although strategies have been suggested to identify and address this challenge, they come with limitations. Also, there are no evidence-based guidelines or frameworks about imposter data. We discuss key issues and considerations and propose actionable steps for researchers and practitioners working with young people. We also make a call for action for robust research to improve how we prevent, identify, and address imposters in child and adolescent mental health research.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"149-152"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276425","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}
Sam Amar, Gabriel Côté-Corriveau, Mimi Israël, Howard Steiger, Nancy Low, Nicholas Chadi, Émilie Brousseau, Nahantara Lafleur, Nathalie Auger
{"title":"Maternal anorexia nervosa and risk of mental and neurodevelopmental morbidity in offspring","authors":"Sam Amar, Gabriel Côté-Corriveau, Mimi Israël, Howard Steiger, Nancy Low, Nicholas Chadi, Émilie Brousseau, Nahantara Lafleur, Nathalie Auger","doi":"10.1111/camh.70051","DOIUrl":"10.1111/camh.70051","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Anorexia nervosa has the potential to affect fetal neurodevelopment. We examined the association between maternal anorexia nervosa and mental, substance-related, and neurodevelopmental morbidity in offspring.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective cohort study of 1,269,370 children in Quebec, Canada, between 2006 and 2022. The main exposure was maternal anorexia nervosa requiring admission. The outcome was childhood hospitalization for mental, substance-related, or neurodevelopmental disorders between birth and age 17 years, with follow-up ending in 2023. We estimated hazard ratios (HR) and 95% confidence intervals (CI) for the association between maternal anorexia nervosa and child outcomes using Cox regression models adjusted for patient characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 2,447 (0.2%) children had a mother admitted for anorexia nervosa. Children of mothers with anorexia nervosa had higher hospitalization rates for mental, substance-related, and neurodevelopmental morbidity than other children (104.7 vs. 51.4 per 1,000 by age 17 years). Children whose mothers had anorexia nervosa were particularly at risk of mental health hospitalization (HR 2.30, 95% CI 1.52–3.49), especially for anorexia nervosa (HR 10.62, 95% CI 5.06–22.29) and anxiety and stress disorders (HR 1.84, 95% CI 1.09–3.08), compared with unexposed children. Maternal anorexia nervosa was associated with substance-related (HR 2.01, 95% CI 1.26–3.21) and neurodevelopmental morbidity in children (HR 1.55, 95% CI 1.19–2.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Maternal anorexia nervosa is associated with childhood hospitalization for mental health, substance-related, and neurodevelopmental morbidity, although results should be interpreted with caution owing to potential confounders. Mothers with anorexia nervosa may benefit from psychosocial support to prevent mental and neurodevelopmental morbidity in offspring.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"125-133"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656254","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":"Debate: Young people are living in unprecedented times – too much chaos or too little resilience?: an argument to talk less about resilience","authors":"Michael Ungar","doi":"10.1111/camh.70085","DOIUrl":"10.1111/camh.70085","url":null,"abstract":"<p>Has the concept of childhood resilience become too common, its meaning obscured by its overuse? This paper provides an argument for more constrained use of the term resilience, identifying the resulting problem of young people pathologizing normative risk exposure (a concept referred to as disorderism). Instead, resilience science emphasizes the need for exposure to manageable amounts of risk for optimal development. Indeed, studies of resilience have shown that most children demonstrate resilience because of the large networks of supports they are able to access when stressed.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"134-136"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444688","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":"Debate: Young people are living in unprecedented times—too much chaos or too little resilience? Beyond the ‘chaos’ storyline—Modernising resilience frameworks and mental health care for children and young people in a neurodiversity inclusive digital world","authors":"Julia Dray","doi":"10.1111/camh.70090","DOIUrl":"10.1111/camh.70090","url":null,"abstract":"<p>Children today, in 2026, are growing up in a world that feels busy, fast and sometimes overwhelming. This raises questions: is the world too chaotic, are children and young people not resilient enough or could it be that our support systems have not kept up with the ‘chaos’? Our current world is characterised by rapid technological change, algorithmically amplified social pressures, evolving global uncertainties translating into new reasons for worry and anxiety, and increased prevalence of mental health problems in children and young people globally. They are online at school, at home and all but constantly in the world around them. A modern resilience agenda must therefore prioritise safety-by-design online, neurodiversity-affirming educational and digital environments and expanded care capacity, supported by learning health systems that iterate quickly as conditions change. Our big picture systems and infrastructures have not kept pace and evolved at speed alongside digital advances and AI-driven environments. Consideration must be given to how digital and AI-enabled mental health tools can mitigate service gaps when demand exceeds workforce capacity, while emphasising and ensuring ethical, inclusive, accessible and developmentally attuned design. Modernising systemic supports is essential for cultivating youth resilience and mental health in an increasingly complex digital world.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"143-145"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482319","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}
André O. Werneck, Chih-Sung Liang, Lee Smith, Dara Aldisi, Nasser Al-Daghri, Arnold Baca, Liye Zou, Qian Yu, Jin Kuang, Zhihao Zhang, Marco Solmi, Brendon Stubbs
{"title":"Prospective association of device-based physical activity and sedentary time during childhood with mental health outcomes during adolescence","authors":"André O. Werneck, Chih-Sung Liang, Lee Smith, Dara Aldisi, Nasser Al-Daghri, Arnold Baca, Liye Zou, Qian Yu, Jin Kuang, Zhihao Zhang, Marco Solmi, Brendon Stubbs","doi":"10.1111/camh.70048","DOIUrl":"10.1111/camh.70048","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The present study aimed to analyze associations between device-measured physical activity and sedentary time during childhood with mental health-related outcomes throughout adolescence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from the Millennium Cohort Study were used. Device-measured physical activity (i.e., light and moderate-to-vigorous physical activity) and sedentary time were assessed at 7 years. Internalizing and externalizing symptoms were assessed at three time points (11 years, 14 years, and 17 years) via the Strengths and Difficulties Questionnaire. Depressive symptoms were estimated using the Mood and Feelings Questionnaire at 14 years. Psychological distress was assessed using the six-item Kessler psychological distress scale at 17 years. Negative binomial regression models, adjusting for potential confounders were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among boys, greater time spent in moderate-to-vigorous physical activity at 7 years was associated with higher hyperactivity and lower peer problems throughout adolescence. Higher moderate-to-vigorous (incidence rate ratio [IRR]: 0.95; 95% confidence interval [CI]: 0.93–0.98), light (0.90; 0.85–0.95), and total activity time (0.95; 0.93–0.98) at 7 years were associated with lower, while sedentary time was associated with higher (1.11; 1.07–1.16) psychological distress at 17 years in the adjusted models. Girls who spent more time in light physical activity at 7 years were more likely to have lower hyperactivity levels over adolescence, while higher sedentary time at the same age was associated with higher hyperactivity levels. Higher sedentary time at 7 years was associated with higher depressive symptoms at 14 years (1.06; 1.01–1.10), whereas light physical activity at 7 years (0.91; 0.85–0.97) was associated with lower depressive symptoms at 14 years in the adjusted models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Higher moderate-to-vigorous, light physical activity, and lower sedentary time were associated with lower peer problems, depressive symptoms, and psychological distress throughout adolescence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"116-124"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656229","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}
Marinos Kyriakopoulos, Dimitrios Apostolou, Sofia Kourtidou, Alexandra Karakotia
{"title":"Clinical research updates","authors":"Marinos Kyriakopoulos, Dimitrios Apostolou, Sofia Kourtidou, Alexandra Karakotia","doi":"10.1111/camh.70084","DOIUrl":"10.1111/camh.70084","url":null,"abstract":"<p>Dimitrios Apostolou</p><p>National and Kapodistrian University of Athens</p><p>Depression during pregnancy is a highly prevalent condition, affecting approximately one in five pregnant women, and has been consistently linked to adverse cognitive, emotional, and behavioural outcomes in offspring. Previous meta-analyses have demonstrated associations with increased internalising and externalising problems, as well as elevated risk for attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) symptoms. However, prior syntheses relied primarily on aggregated published estimates rather than harmonised individual-level data, limiting the ability to uniformly control for confounders, examine timing of exposure (prepregnancy, prenatal, postnatal), assess cumulative effects, or clarify inconsistent findings regarding sex differences.</p><p>Hermans et al. (2026) conducted the largest individual participant data (IPD) meta-analysis to date, harmonising data from seven major European birth cohorts: Amsterdam Born Children and their Development (ABCD), Avon Longitudinal Study of Parents and Children (ALSPAC), Danish National Birth Cohort (DNBC), Étude des Déterminants pré et postnatals du développement et de la santé de l'Enfant (EDEN), Generation R Study, Nascita e INFanzia: gli Effetti dell'Ambiente (NINFEA), and Prediction and prevention of preeclampsia and intrauterine growth restriction study (PREDO). The total sample comprised 76,514 children with complete exposure, covariate, and at least one outcome measure. Eight developmental outcomes were examined across multiple domains, including internalising, externalising, ADHD, ASD, language, motor skills, and verbal intelligence. The analyses further investigated the role of prepregnancy and postnatal maternal depression, cumulative exposure, and sex differences.</p><p>Results showed that children exposed to prenatal maternal depression scored on average 6–10 percentile points higher in internalising, externalising, ADHD, and ASD symptoms compared to unexposed children. These associations remained after adjusting for prepregnancy depression, underscoring the prenatal period as a critical window of vulnerability, potentially reflecting intrauterine mechanisms. Postnatal depression partially mediated these associations, and cumulative exposure across time points was associated with greater risk. No consistent associations were observed with motor skills, language, or verbal intelligence in the primary analyses, although continuous measures of depressive symptoms showed broader associations. Importantly, associations were comparable for male and female offspring.</p><p>Limitations of the study include potential shared-rater bias, inability to fully address selection bias due to multicohort harmonisation constraints, partial overlap between ADHD and externalising measures in some cohorts, limited ASD data availability, and restriction to European populations.</p><p>In conclusion, this","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"162-164"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444665","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: Nuanced considerations on the association between childhood movement behaviors and adolescent mental health","authors":"Zhijun Jiang, Zhiwei Hu, Yuchang Fei","doi":"10.1111/camh.70077","DOIUrl":"10.1111/camh.70077","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <p>The longitudinal study by Werneck et al. (2025) prospectively examined the associations between device-measured physical activity and sedentary time in childhood and mental health outcomes in adolescence, providing valuable evidence to the field. This letter offers a critical appraisal of the aforementioned study, discussing potential limitations and alternative interpretations of its findings within the context of the existing literature. Future research should integrate contextual data, differentiate across behavioral domains, and employ study designs more suited for causal inference to inform targeted interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"169-170"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285622","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}
André O. Werneck, Chih-Sung Liang, Lee Smith, Dara Aldisi, Nasser Al-Daghri, Arnold Baca, Liye Zou, Qian Yu, Jin Kuang, Zhihao Zhang, Marco Solmi, Brendon Stubbs
{"title":"Response: Nuanced considerations on the association between childhood movement behaviors and adolescent mental health, a response to Jiang et al.","authors":"André O. Werneck, Chih-Sung Liang, Lee Smith, Dara Aldisi, Nasser Al-Daghri, Arnold Baca, Liye Zou, Qian Yu, Jin Kuang, Zhihao Zhang, Marco Solmi, Brendon Stubbs","doi":"10.1111/camh.70083","DOIUrl":"10.1111/camh.70083","url":null,"abstract":"","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"171-172"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437129","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}