Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Unveiling the neglected role of the intensity of acute stress disorder in the prediction of full- and sub-threshold posttraumatic stress disorder: looking beyond the diagnosis.","authors":"Elie G Karam, Josleen Al Barathie, Hani Dimassi, Franco Mascayano, Andre Slim, Aimee Karam, George Karam, Katherine M Keyes, Ezra Susser, Richard Bryant","doi":"10.1007/s00127-024-02805-z","DOIUrl":"https://doi.org/10.1007/s00127-024-02805-z","url":null,"abstract":"<p><strong>Purpose: </strong>Exposure to traumatic events may lead to the development of Acute Stress Disorder (ASD) within the first month post-trauma in some individuals, while others may not exhibit ASD symptoms. ASD was introduced as a potential early indicator to identify those at higher risk of developing Posttraumatic Stress Disorder (PTSD), however, PTSD can occur in some individuals even without prior ASD. Assessing ASD post-trauma can assist in identifying those who would most benefit from intervention to prevent later PTSD, yet the predictive power of ASD varies across studies, with intensity of ASD symptoms and subthreshold PTSD often less considered.</p><p><strong>Methods: </strong>A prospective cohort study on 426 health workers exposed to the Beirut Port Blast assessed DSM-5 ASD and symptom intensity using self-report questionnaire at two distinct time points: 9-15 and 21-27 days post blast. DSM-5 PTSD was assessed afterwards at 6-7 months via self-report questionnaire post-exposure. Probit models predicted full and subthreshold PTSD.</p><p><strong>Results: </strong>Using ASD diagnosis alone, the sensitivity 9-15 days after trauma was better than 21-27 days after trauma (75.68% vs. 58.06%); when stratified by intensity, however, sensitivity increased from 41.66% among those with low intensity to 92% among those with high intensity. Specificity, however, was better 21-27 days after trauma (77.82%) compared with 9-15 days (60.98%). Positive Predictive Value of ASD increased, and Negative Predictive Value decreased, with time since exposure and when adding intensity with diagnosis. ASD diagnosis plus intensity achieved better prediction of PTSD and subthreshold PTSD.</p><p><strong>Conclusion: </strong>Screening for PTSD should include ASD and its intensity, improving predictive ability for later PTSD, incorporatingfull threshold and subthreshold PTSD. Specificity increases with time since exposure, suggesting a high rate of false positives when assessing ASD soon after trauma. This highlights the need to prioritize individuals for early preventive measures after trauma.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex differences in the association between family violence involvement and emergency mental health presentations: a longitudinal analysis.","authors":"Benjamin Spivak, Michael Trood, Melanie Simmons, Troy McEwan, Nina Papalia","doi":"10.1007/s00127-024-02802-2","DOIUrl":"https://doi.org/10.1007/s00127-024-02802-2","url":null,"abstract":"<p><strong>Purpose: </strong>Females experiencing family violence as victims are at increased risk of emergency department mental health presentations. However, few studies have examined this association for males and perpetrators. We examined whether family violence reports to police were associated with contemporaneous mental health presentations and whether this differed for males and females and those that the police identified as perpetrators and victims.</p><p><strong>Method: </strong>Victoria Police provided lifetime data on family violence reports for 2,990 individuals who were the subject of family violence reports as either perpetrators or victims in 2016/17. This sample was linked to emergency mental health presentations from the Victorian Emergency Minimum Dataset. The association between monthly number of family violence reports and same-month emergency mental health presentations was examined over a one year period using multilevel logistic regression.</p><p><strong>Results: </strong>The number of family violence reports as either victim or perpetrator in any month was associated with significantly increased odds of an emergency department mental health presentation in the same month. An interaction effect was found between the sex of the individual and the number of family violence reports as a perpetrator, such that female perpetrators were at higher risk of emergency department mental health presentations compared to male perpetrators.</p><p><strong>Conclusion: </strong>Police-reported family violence is associated with increased mental health emergency department presentations in the same month. The association is particularly strong for females who are identified as perpetrators. Strengthened collaboration between those responding to family violence and those responding to mental health crises is needed to help identify and address overlapping needs.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological symptoms and loneliness in unemployed people diagnosed with mental illnesses.","authors":"Felix S Hussenoeder, Maria Koschig, Ines Conrad, Alexander Pabst, Katharina Gatzsche, Luise Bieler, Mathias Alberti, Katarina Stengler, Steffi G Riedel-Heller","doi":"10.1007/s00127-024-02806-y","DOIUrl":"https://doi.org/10.1007/s00127-024-02806-y","url":null,"abstract":"<p><strong>Purpose: </strong>Loneliness is a pervasive phenomenon that is linked to adverse health outcomes. Unemployed individuals with mental illnesses (UMIs) constitute a high-risk group, with substantial implications for both health and vocational (re)integration. This study aims to gain deeper insights into the relationships between psychological problems and symptoms of psychopathology and loneliness in UMIs.</p><p><strong>Methods: </strong>Our research is based on a sample from LIPSY, a project that aims to maintain or restore employability. Two regression analyses were conducted on a sample of unemployed participants diagnosed with a mental illness (ICD-10: F-code) with the outcome variable loneliness (UCLA). In the first analysis, age, gender, education, cohabitation status, and social network size (LSNS-6) were used as predictors; in the second one, the nine symptom dimensions (SCL-90) - (1) Somatization, (2) Obsessive-Compulsive, (3) Interpersonal Sensitivity, (4) Depression, (5) Anxiety, (6) Anger-Hostility, (7) Phobic Anxiety, (8) Paranoid Ideation, (9) Psychoticism -were added.</p><p><strong>Results: </strong>Our sample included 397 participants with an average age of 35.8 years, 53.1% were female. The final regression showed significant positive associations between higher levels of education, Interpersonal Sensitivity, Depression, and the outcome loneliness, and a significant negative relationship between Somatization and loneliness.</p><p><strong>Conclusion: </strong>The high scores on all SCL-90 dimensions, and the links identified between Somatization, Interpersonal Sensitivity, Depression, and loneliness highlight the importance of psychological screening and/or diagnostics in this high-risk group and offer several starting points for prevention measures as well as interventions.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Measuring depressive symptoms among latinos in the US: a psychometric evaluation of the CES-D Boston form.","authors":"Sumeyra Sahbaz, Pablo Montero-Zamora, Aigerim Alpysbekova, Christopher P Salas-Wright, Augusto Pérez-Gómez, Juliana Mejía-Trujillo, Saskia R Vos, Carolina Scaramutti, Eric C Brown, Mildred M Maldonado-Molina, Melissa M Bates, Maria Fernanda Garcia, Maria Duque, María Piñeros-Leaño, Seth J Schwartz","doi":"10.1007/s00127-024-02810-2","DOIUrl":"https://doi.org/10.1007/s00127-024-02810-2","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Loneliness is killing me?!\": the subjective emotional experience of loneliness during the COVID-19 pandemic: results of a cross-sectional study in patients with a psychiatric disorder.","authors":"Mona Schenk, Sabrina Baldofski, Fabian Hall, Tony Urbansky, Maria Strauß, Elisabeth Kohls, Christine Rummel-Kluge","doi":"10.1007/s00127-024-02808-w","DOIUrl":"https://doi.org/10.1007/s00127-024-02808-w","url":null,"abstract":"<p><strong>Purpose: </strong>During the COVID-19 pandemic, an increase in loneliness as well as mental health issues was detected. However, research on the association between loneliness and mental disorders is sparse. The aim of this study was to examine loneliness and associated social and emotional factors in patients with a psychiatric disorder and to investigate potential predictors of loneliness.</p><p><strong>Methods: </strong>Participants were N = 230 patients currently receiving psychiatric treatment at the Department of Psychiatry and Psychotherapy, University Hospital Leipzig, Germany. A cross-sectional survey included questionnaires on loneliness, life satisfaction, need to belong, interpersonal trust, stress, and resilience.</p><p><strong>Results: </strong>Most participants (n = 91, 39.6%) suffered from depression, followed by anxiety disorder (n = 43, 18.7%). Significantly higher loneliness levels compared to norm samples were detected in all three loneliness questionnaires (all p <.05), and overall n = 128 (57.7%) reported to feel lonely. In addition, participants reported lower life satisfaction, lower interpersonal trust, and lower resilience than the general population (all p <.05). No significant differences in loneliness levels between different psychiatric diagnoses were revealed. It was found that lower satisfaction with life, lower interpersonal trust and lower resilience were significantly associated with higher loneliness (all p <.05).</p><p><strong>Conclusion: </strong>This study underlines the importance to continue research on loneliness in people with mental disorders after the COVID-19 pandemic since the majority of patients reported to feel lonely. Further, tailored therapy-accompanying interventions to prevent loneliness in patients with a psychiatric disorder should be designed and evaluated to meet patients' diverse needs e.g., through online programs.</p><p><strong>Trial registration: </strong>German Clinical Trial Registration: DRKS00023741 (registered on April 6, 2021).</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Putting yourself in the shoes of others\" - Relatability as a novel measure to explain the difference in stigma toward depression and schizophrenia.","authors":"Georg Schomerus, Johanna Kummetat, M C Angermeyer, Bruce G Link","doi":"10.1007/s00127-024-02807-x","DOIUrl":"https://doi.org/10.1007/s00127-024-02807-x","url":null,"abstract":"<p><strong>Purpose: </strong>Attitudes toward schizophrenia and depression have evolved differently over the last decades, exposing people with schizophrenia to growing stigma. Classic descriptions of schizophrenia symptoms as being particularly unrelatable might offer an explanation for this gap in attitudes that has not yet been tested. We examine to what extent relatability explains the difference in social distance toward people with depression or schizophrenia.</p><p><strong>Methods: </strong>We developed the 8-item \"Relatability Scale\", measuring to what extent people can relate to someone described as having either depression or schizophrenia, and used it in an online quota sample of 550 respondents in Germany. Beyond, we elicited the desire for social distance, continuum beliefs, emotional reactions, perceived dangerousness, general empathy, and previous contact.</p><p><strong>Results: </strong>The Relatability Scale showed good psychometric properties and construct validity. Differences in relatability alone explained 63.6% of this difference in social distance between depression and schizophrenia. Adding continuum beliefs increased this amount to 83.0%. All other variables combined explained 53.2% of the difference in social distance between disorders.</p><p><strong>Conclusion: </strong>Differences in both relatability and continuum beliefs seem key to understanding different reactions to someone with depression or schizophrenia. Anti-stigma interventions could be optimized in order to increase relatability and continuum beliefs particularly regarding people with severe, psychotic mental disorders.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potentially traumatic events and the association with hazardous alcohol use in 19,128 middle aged and elderly adults: the Tromsø Study 2015-2016.","authors":"Vendela Husberg-Bru, Laila A Hopstock, Jens C Thimm, Torgeir Gilje Lid, Kamilla Rognmo, Catharina Elisabeth Arfwedson Wang, Kristin Gustavson","doi":"10.1007/s00127-024-02801-3","DOIUrl":"https://doi.org/10.1007/s00127-024-02801-3","url":null,"abstract":"<p><strong>Purpose: </strong>The aim was to examine the association between a wide range of potentially traumatic events (PTEs) experienced in childhood, adulthood or both, and hazardous alcohol use, including the relationship between the total sum of PTEs and hazardous alcohol use in middle aged and elderly adults. Previous studies have predominantly focused on childhood PTEs or isolated PTEs and more severe alcohol problems, little focus has been given to middle aged and elderly adults with hazardous alcohol use and PTE experiences.</p><p><strong>Methods: </strong>We used logistic regression analysis to study the relation between a broad range of PTEs and hazardous alcohol defined by the alcohol use disorder identification test (AUDIT) in 19,128 women and men aged 40 years and above participating in the seventh survey of the Norwegian population-based Tromsø Study in 2015-2016. Alcohol abstainers were excluded from the analyses.</p><p><strong>Results: </strong>Experience of violence, sexual abuse, bullying, painful or frightening medical and dental treatments, and serious illness or accident by a loved one were associated with higher odds for hazardous alcohol use. Further, there were higher odds of hazardous alcohol use per additional experienced PTE (OR = 1.22, 95% CI 1.20-1.25, p ≤ 0.001).</p><p><strong>Conclusion: </strong>PTEs were prevalent among participants who had a hazardous alcohol use. Also, most of the PTEs occurring in childhood, adulthood or both were independently related to hazardous alcohol use. Moreover, the findings indicate an association in the relationship between the number of PTEs and hazardous alcohol use.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The temporal alignment of mental health consultations across family members: a study of Norwegian adolescents, their parents, and siblings.","authors":"Jonathan Wörn, Nicoletta Balbo, Karsten Hank, Øystein Kravdal","doi":"10.1007/s00127-024-02803-1","DOIUrl":"https://doi.org/10.1007/s00127-024-02803-1","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health problems among adolescents have become more prevalent in recent years. Parents' and siblings' mental health might be affected by living with a depressed adolescent. This study examines how the mental health of family members develops in the years before and after an adolescent seeks help for depression.</p><p><strong>Methods: </strong>Unique Norwegian register data that cover the full population are used to estimate models with individual fixed effects. The development in the probability of mental health consultations for parents and older siblings in families with a second-born adolescent seeking help for depression from a GP for the first time is compared to the respective development in families where the second-born adolescent has not had such health care consultation.</p><p><strong>Results: </strong>Results indicate that adolescents' depression consultations are associated with a simultaneous increase in mental health consultations in parents and siblings. Mothers and fathers are affected similarly, although the effect seems to be short-lived. Siblings experience a short-term increase in mental health consultations, in addition to a steeper long-term increase across the observation period, compared to peers in families where the second-born adolescent does not seek help for depression. Events that might affect the mental health of multiple family members simultaneously, specifically parental breakup and unemployment, did not explain the observed patterns.</p><p><strong>Conclusion: </strong>Help-seeking for mental health problems is temporally aligned across family members. Intra- and intergenerational spillovers might contribute to this.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social network reductions are associated with negative symptoms in schizophrenia.","authors":"Luyu Zhang, Sydney H James, Jennifer Standridge, Ruth Condray, Daniel N Allen, Gregory P Strauss","doi":"10.1007/s00127-024-02804-0","DOIUrl":"https://doi.org/10.1007/s00127-024-02804-0","url":null,"abstract":"<p><strong>Background: </strong>A recent environmental systems theory of negative symptoms in schizophrenia (SZ) proposes a role for reductions in social networks that exist within microsystems (i.e., the contexts in which social interactions occur). However, it is unclear which aspects of social networks are most impacted in SZ and whether these are differentially associated with specific domains of negative symptoms. The current study aimed to address these gaps in the literature using a novel social network tool in combination with Ecological Momentary Assessment (EMA) and clinical ratings of negative symptoms.</p><p><strong>Methods: </strong>Participants included 40 outpatients diagnosed with SZ and 35 demographically matched healthy controls (CN) who completed the sociogram, Brief Negative Symptom Scale (BNSS), and 7 days of EMA surveys assessing anhedonia, avolition, and asociality. ANOVAs examined group differences in social network characteristics. Correlations examined associations between social network characteristics and negative symptoms measured via the BNSS and EMA.</p><p><strong>Results: </strong>Results indicated that: (1) SZ had greater social network reductions than CN, including lower: network density, number of microsystems, people in microsystems, connections across and within microsystems (p's < 0.05, d-value range 0.58 to 0.74); (2) these social network reductions were associated with greater severity of negative symptoms on the BNSS (r range - 0.28-0.34, p < .05) and asociality measured via EMA surveys (r's = - 0.24 to - 0.26, p's < 0.05).</p><p><strong>Conclusions: </strong>Findings clarified the nature of social network dysfunction in SZ and identify novel targets for psychosocial interventions focused on modifying the number of social microsystems and the connections within/across these microsystems.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a supported housing programme for homeless women with severe mental illness.","authors":"Lydia R Conger, Aarti Jagannathan, Erica Breuer, Senthil Amudhan, Jagadisha Thirthalli, L Ponnuchamy","doi":"10.1007/s00127-024-02797-w","DOIUrl":"https://doi.org/10.1007/s00127-024-02797-w","url":null,"abstract":"<p><strong>Background: </strong>The bidirectional phenomenon of homelessness and Mental Illness (MI) creates a vicious circle that is hard to escape. In India, Homeless Women with Severe Mental Illness (HWSMI) often rely on institutional care due to the absence of family or community alternatives, which distances them from socio-economic, cultural, political resources and the right to live with dignity. Hence, there is a need to develop a model that will help reintegrate HWSMI into the community.</p><p><strong>Aim: </strong>We aimed to develop and validate (content and face validity) a supported housing programme (SHP) for HWSMI in Bengaluru, India.</p><p><strong>Method: </strong>We developed the SHP using 1) a needs assessment from HWSMI (n = 14), 2) qualitative interviews with Mental Health Professionals (MHPs) (n = 18), and 3) visits to organizations (n = 3) involved in reintegration and supported housing for HWSMI. We articulated a Theory of Change (ToC) for the program. Three international experts and seven Indian experts reviewed the same.</p><p><strong>Results: </strong>Five themes- Causes of homelessness/barriers to reintegration, consequences of homelessness, models/processes, facilitators, and needs of HWSMI and eighty sub-themes emerged from the qualitative thematic analysis of the interviews and observational visits. The themes and subthemes were organized as interventions in each phase of the SHP: Interventions in the tertiary care setting, transit home, and community.</p><p><strong>Conclusion: </strong>We describe the development and validation of a comprehensive need-based SHP. We will implement and test the feasibility of the SHP for HWSMI.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}