Psychiatry-Interpersonal and Biological Processes最新文献

{"title":"Non-Suicidal Self-Injury in Depressed Adolescents: A Social-Cognitive Deficit or an Emotional Response?","authors":"Şafak Eray Çamlı, B Ece Yavuz, Gülseren Aydoğan, Serkan Turan, Caner Mutlu","doi":"10.1080/00332747.2025.2503654","DOIUrl":"https://doi.org/10.1080/00332747.2025.2503654","url":null,"abstract":"<p><strong>Objective: </strong>Non-suicidal self-injury (NSSI) has been identified as a prevalent behavior among adolescents, particularly those with major depressive disorder (MDD). The present study sought to examine differences in neurocognition, social cognition, negative urgency (NU)-the tendency to act impulsively in response to negative emotions-and anxiety among adolescents with MDD and NSSI, MDD without NSSI, and healthy controls.</p><p><strong>Method: </strong>A total of 204 adolescents (aged 11-17 years; 161 girls [78.9%], 43 boys [21.1%]) were divided into three groups: (1) MDD with NSSI, (2) MDD without NSSI, and (3) healthy controls. Participants completed psychiatric assessments, computerized neurocognitive tests, emotion recognition tasks, and self-report measures of NU and anxiety. Data were analyzed using SPSS 22. Descriptive statistics included frequencies for categorical variables and medians for continuous variables. Group comparisons were performed using chi-square-based tests and the Kruskal-Wallis test. Logistic regression identified predictors of NSSI, with significance set at p < .05.</p><p><strong>Results: </strong>Adolescents with MDD exhibited significant deficits in executive function and episodic memory, as well as elevated NU and anxiety, compared to healthy controls. Furthermore, adolescents with MDD and NSSI reported significantly higher levels of anxiety (particularly panic symptoms) and NU compared to those with MDD alone.</p><p><strong>Conclusion: </strong>These findings suggest that emotional difficulties, particularly impulsivity and panic symptoms, play a crucial role in NSSI among adolescents with MDD rather than cognitive disturbance, highlighting potential targets for prevention and intervention efforts.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-15"},"PeriodicalIF":2.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163551","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}

{"title":"Predictive Role of Perceived Stress and Family Climate on Aggression of Individuals During Compulsory Isolation.","authors":"Burak M Gonultas, Meral Ozturk, Mehmet Başcıllar, Ishak Aydemir, Sibel Temiz-Sarikaya, Beyza Erkoc, Cezmi Ervuz, Ahmet Turk","doi":"10.1080/00332747.2025.2503005","DOIUrl":"https://doi.org/10.1080/00332747.2025.2503005","url":null,"abstract":"<p><p><i>Objective:</i> The present study aims to examine the predictive role of perceived stress (PS) and family climate (FC) on individuals' aggression levels during compulsory isolation amid the COVID-19 pandemic.<i>Method:</i> Data were collected from a Turkish sample (N = 1055) using the Buss-Perry Aggression Scale, Family Climate Scale, and Perceived Stress Scale. A structural equation model (SEM) was employed for data analysis.<i>Results:</i> The results showed that the duration of isolation was positively associated with PS and aggression, and negatively associated with FC. Moreover, aggression was positively associated with PS and negatively associated with FC. These findings suggest that individuals experienced elevated stress levels and weakened family climates during compulsory isolation, which in turn significantly increased their aggressive tendencies.<i>Conclusion:</i> The results underscore the importance of targeted psychosocial interventions to reduce stress and aggression and to strengthen family climate during isolation periods.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-13"},"PeriodicalIF":2.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175494","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}

{"title":"Intimate Partner Violence (IPV), Coping and Psychological Distress Among Spouses of Patient with Alcohol Use Disorder (AUD).","authors":"Smriti Prajapati, Sudha Mishra, Amit Singh, Srinivasan G","doi":"10.1080/00332747.2025.2506310","DOIUrl":"https://doi.org/10.1080/00332747.2025.2506310","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-2"},"PeriodicalIF":2.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152520","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}

{"title":"Daily Impact of Medical Cannabis on Anxiety and Sleep Quality in Older Adults.","authors":"Madison Maynard, Robert D Dvorak, Daniel Paulson, Emily K Burr, Quinn Allen, Nichole R Lighthall, Apollonia E Lysandrou","doi":"10.1080/00332747.2025.2484827","DOIUrl":"https://doi.org/10.1080/00332747.2025.2484827","url":null,"abstract":"<p><strong>Objective: </strong>Older adults represent the fastest growing demographic of cannabis users, and they endorse cannabis use for a variety of reasons including modulation of chronic pain, mental health symptoms, and sleep concerns. However, current evidence leaves questions of efficacy unanswered among these groups. Goals of the present study were to examine the hypothesis that medical cannabis (MC) use will, at the daily level, predict lower pain, depression, anxiety, and improved sleep.</p><p><strong>Method: </strong>A final sample of 106 MC users were recruited nationwide (ages 55-74, 66.67% female, 82.86% white). A fully within-subject multilevel structural equation model was conducted with use patterns and symptomology broken into four temporal epochs. MC use, operationalized as subjective intoxication (Epoch 1), averaged across the day was used to predict subsequent pain, anxiety, and depression levels (Epoch 2), which were then used to predict sleep that night (Epoch 3), then subsequent pain, anxiety, and depression the following day (Epoch 4) prior to initiation of MC use.<i>Results</i>: Subjective intoxication predicted lower post-use pain, anxiety, and depression. Subjective intoxication is related to lower anxiety and better sleep the following night.</p><p><strong>Conclusions: </strong>These findings provide evidence of momentary improvements in pain, anxiety, depression, and indirect benefits for sleep quality. In combination with other findings, the results advance our understanding of the efficacy and limitations of MC among older adults. Findings are limited by MC measurement and sample homogeneity (primarily White, non-Hispanic female). Future research should seek to further measurement of use and corresponding effects and examine expectancy effects in aging clinical populations.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-15"},"PeriodicalIF":2.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081617","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}

{"title":"The Effect of Bullying Victimization on Social Appearance Anxiety, Sleep Disorders and Psychological Symptoms Among Adolescents with Idiopathic Short Stature.","authors":"Masum Öztürk, Cansu Mercan Işık, Aslı Beştaş","doi":"10.1080/00332747.2025.2484146","DOIUrl":"https://doi.org/10.1080/00332747.2025.2484146","url":null,"abstract":"<p><p><i>Background:</i> Children with short stature are more likely to have negative social experiences, such as being teased more, being less accepted by peers, and having fewer friends. We aimed to investigate psychosocial problems in adolescents with Idiopathic short stature (ISS) and the relationship between these problems and peer victimization. <i>Methods:</i> The study included 88 participants with newly diagnosed ISS, aged 11-18 years, and 88 age- and sex-matched controls. Participants were assessed with Peer Victimization Scale (PVS), Sleep disturbance scale for children (SDSC), Rosenberg self-esteem scale (RSES), Social Appearance Anxiety Scale (SAAS), DSM-5 Level-2 Depression Scale-Self-Report Scale (DDS-2) and DSM-5 Level-2 Anxiety Scale (DAS-2). <i>Results:</i> PVS, SDSC, SAAS, DDS-2 and DAS-2 scores were significantly higher and RSES scores were significantly lower in patients with ISS (<i>p</i> < .05). Regression analysis revealed that low self-esteem and exposure to high levels of teasing and more sleep initiation and maintenance disturbances were associated with social appearance anxiety in patients with ISS (<i>p</i> < .001, Adjusted R² = 22.0%, F = 5.086). Sleep initiation and maintenance problems (<i>p</i> < .001) and sleep-wake transition disorders (<i>p</i> = .002) were found to be higher in patients with ISS. In addition, threatening was found to predict more sleep disturbances in the ISS group (<i>p</i> < .001, F = 6,738). <i>Conclusion:</i> Routine examination of children with ISS in terms of psychosocial problems and intervention methods can contribute positively to the treatment process of children. Intervention methods should focus on preventing peer victimisation and developing coping skills in adolescents with ISS.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-20"},"PeriodicalIF":2.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796906","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}

{"title":"The Relationship Between Bullying Victimization and Adolescent Sleep Quality: The Mediating Role of Anxiety and the Moderating Role of Difficulty Identifying Feelings.","authors":"Jiale Wang, Yang Liu, Ting Xiao, Mengting Pan","doi":"10.1080/00332747.2025.2484147","DOIUrl":"https://doi.org/10.1080/00332747.2025.2484147","url":null,"abstract":"<p><strong>Background and objectives: </strong>Bullying victimization is strongly associated with adolescent sleep quality; however, the underlying mechanisms between these variables require further exploration. This study aims to elucidate the psychological mechanisms linking bullying victimization and sleep quality by investigating anxiety as a mediating factor and difficulty identifying feelings as a moderating factor.</p><p><strong>Methods: </strong>A self-reported survey was conducted among 1,407 adolescents in China. The survey assessed bullying victimization, sleep quality, anxiety, and difficulty identifying feelings. Descriptive and correlational analyses were performed on these variables, followed by the construction of a moderated mediation model.</p><p><strong>Results: </strong>The results showed significant positive correlations between bullying victimization and adolescent sleep quality, anxiety, and difficulty identifying feelings. Additionally, difficulty identifying feelings was significantly positively correlated with sleep quality. Anxiety partially mediated the relationship between bullying victimization and adolescent sleep quality, while difficulty identifying feelings strengthened the relationship between bullying victimization and sleep quality.</p><p><strong>Conclusion: </strong>This study clarifies the psychological mechanisms linking bullying victimization and adolescent sleep quality, identifying anxiety as a mediator and difficulty identifying feelings as a moderator. The findings highlight the role of emotional factors in this relationship, emphasizing the need for targeted interventions. This study underscores the broader significance of emotional regulation in reducing the negative impact of bullying, supporting school-based mental health programs and early interventions. By identifying key psychological factors, it provides valuable insights for educators, parents, and mental health professionals to promote adolescent well-being and healthier sleep patterns.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-22"},"PeriodicalIF":2.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796908","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}

{"title":"If Only I Could Drink Like Everyone Else: Effects of Counterfactual Thinking and Personalized Normative Feedback on Perceived Behavioral Control Over Drinking.","authors":"Kianna M Arthur, Ardhys N De Leon, Robert D Dvorak, Sherecce A Fields, Percy Gresham, Rachel Smallman","doi":"10.1080/00332747.2025.2472428","DOIUrl":"https://doi.org/10.1080/00332747.2025.2472428","url":null,"abstract":"<p><strong>Objective: </strong>Perceived behavioral control over drinking (PBCD) is an important factor in alcohol use, with lower scores linked to higher consumption. Counterfactual thinking (i.e. \"If only … then …\"), a cognitive strategy that strengthens causal links between antecedents and consequents, may increase PBCD by increasing engagement in Protective Behavioral Strategies (e.g. alternating water and alcohol to minimize negative drinking outcomes). This study examined a brief counterfactual-based intervention and a personalized normative feedback for protective behavioral strategies intervention (PBS-PNF) to increase PBCD among college students, relative to control, across five follow-up weeks.</p><p><strong>Method: </strong>Undergraduate students (<i>n</i> = 239; 76.6% female) were randomly assigned to one of four conditions: control (recall negative drinking event), sham (recall and elaborate on negative drinking event), counterfactual (recall negative drinking event and generate counterfactual strategies), or PBS-PNF (estimate peers' use of protective behavioral strategies). PBCD was measured at baseline and at five follow-up sessions.</p><p><strong>Results: </strong>A Bayesian-approach multi-level model was used to estimate PBCD across follow-up weeks. Those in the counterfactual and PBS-PNF conditions reported greater increases in PBCD across follow-ups compared to those in the sham condition who saw no change. Participants in the control condition saw decreases in PBCD over time. The counterfactual and PBS-PNF conditions did not differ on PBCD across time.</p><p><strong>Conclusion: </strong>This study highlights the effectiveness of a brief counterfactual-based intervention to increase PBCD among early drinking college students. Specifically, personalized interventions that increase use of protective behavioral strategies may be particularly effective for individuals who have not yet solidified their drinking habits.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-15"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711972","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}

{"title":"Perceived Stress and Depressive Symptoms Among Mothers of Children with ASD After the Recent Earthquakes in Türkiye: The Mediating Role of Perceived Social Support.","authors":"Fethiye Kılıçaslan, Mehmet Emin Düken, Fatma Kızıldağ, Şevval Ocak","doi":"10.1080/00332747.2025.2475550","DOIUrl":"https://doi.org/10.1080/00332747.2025.2475550","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate perceived stress, depressive symptoms, and social support among mothers of children with Autism Spectrum Disorder (ASD) compared to mothers of typically developing (TD) children following major earthquakes in Türkiye. Additionally, to examine whether perceived social support mediates the relationship between stress and depressive symptoms in mothers of children with ASD.</p><p><strong>Methods: </strong>This cross-sectional descriptive study was conducted between April 2023 and September 2023. The participants consist of mothers of children with ASD (<i>n</i> = 77) and mothers of TD children (<i>n</i> = 122). The data were collected using the Personal Information Form, Multidimensional Scale of Perceived Social Support (MSPSS), Perceived Stress Scale (PSS-14), and Beck Depression Inventory (BDI). The data were analyzed using the IBM SPSS program and Process Macro v3.5 package.</p><p><strong>Results: </strong>The results of the study showed that mothers of children with ASD had higher stress and depressive symptoms and lower social support than mothers of TD children. It was revealed that the perceived stress predicted 29.0% of the perceived social support (R²). The perceived stress, along with the perceived social support, explained 56.6% of the variation in depressive symptoms in mothers of children with ASD.</p><p><strong>Conclusion: </strong>Increasing perceived social support for mothers of children with ASD could be an effective way to reduce psychological distress following a disaster.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-8"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658831","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}

{"title":"Adapting to the Fentanyl Epidemic: Rapid Qualitative Observations and Derived Clinical and Research Implications from the Emergency Department Longitudinal Integrated Care (ED-LINC) Randomized Clinical Trial.","authors":"Kayla Lovett, Douglas Zatzick, Lawrence A Palinkas, Allison Engstrom, Emily Nye, Craig Field, Mark McGovern, Canada Parrish, Caleb J Banta-Green, Lauren K Whiteside","doi":"10.1080/00332747.2025.2472429","DOIUrl":"https://doi.org/10.1080/00332747.2025.2472429","url":null,"abstract":"<p><strong>Objective: </strong>The Emergency Department Longitudinal Integrated Care (ED-LINC) randomized clinical trial (NCT05327166) tests a Collaborative Care-informed intervention for emergency department (ED) patients with opioid use disorder. The ED-LINC intervention was developed before the current fentanyl epidemic; less than 10% of ED-LINC pilot intervention patients reported fentanyl use. To understand fentanyl's impact on the ED-LINC protocol, we utilized a systematic rapid qualitative approach to document clinical observations related to ED-LINC patients' fentanyl use and subsequent protocol modifications.</p><p><strong>Method: </strong>This study utilized Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) methods to document fentanyl-related clinical observations. As participant observers, the team worked with a mixed methods consultant to analyze observations, informing adaptation to study protocol and intervention.</p><p><strong>Results: </strong>From 4/12/2022 to 2/10/2023, 86 patients enrolled in the ED-LINC trial. Forty received the ED-LINC intervention and are included in this study. Investigators identified the following themes informing adaptation to the ED-LINC intervention: 1) fentanyl-related suicide risk, 2) fentanyl-catalyzed approach to Medications for Opioid Use Disorder (MOUD), 3) fentanyl-related adaptations to measurement-based care embedded in the Collaborative Care approach, 4) fentanyl-associated survival needs, and 5) engagement challenges with fentanyl. Adaptations included incorporating overdose prevention into suicide risk assessment, nontraditional MOUD induction, and shifting to a component-driven model.</p><p><strong>Conclusions: </strong>The landscape of clinical practice can change quickly and may require both researchers and healthcare providers to quickly pivot. Rapid assessment procedures integrated into clinical trial investigation allow for modifications and adaptations to study protocols to ensure salient and generalizable results given the rapidly evolving opioid epidemic.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-18"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658168","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}

{"title":"Assessment of Children and Adolescents' Admissions to Pediatric Psychiatric Emergency Department.","authors":"Binay Kayan Ocakoğlu, Gökçe Elif Alkaş Karaca, Mehmet Can Erata, Fevzi Tuna Ocakoğlu, Elif Yerlikaya Oral, Gül Karaçetin","doi":"10.1080/00332747.2024.2405955","DOIUrl":"10.1080/00332747.2024.2405955","url":null,"abstract":"<p><strong>Objective: </strong>Emergencies in child and adolescent psychiatry are prevalent, and pediatric psychiatric emergency departments play a crucial role in acute intervention during mental health-related crises. This retrospective cross-sectional study aimed to analyze the characteristics of children and adolescents who were admitted to a pediatric psychiatric emergency department.</p><p><strong>Method: </strong>The data were collected from the records of 8803 patients (females 56.6%, Mage = 15.07 ± 2.6) admitted to our pediatric psychiatry emergency department between 2014 and 2021. Diagnoses were made using the International Statistical Classification of Diseases, 10th Revision. We used descriptive statistics to determine patient characteristics and conducted a regression analysis to compare the changes in the admissions numbers by the year.</p><p><strong>Results: </strong>It was found that depressive disorder was the highest psychiatric diagnosis, with a percentage of 21.4%. Depressive disorder, autism spectrum disorder, and obsessive-compulsive disorder have shown an increase over the years. In 2020, with the onset of the COVID-19 pandemic, psychiatric admissions reached their lowest level. The percentage of hospitalizations was 21.1% for the total of all years. No significant change was found in the total number of admissions, sex, and age.</p><p><strong>Conclusions: </strong>The number of admissions for female adolescents who were diagnosed with depressive disorder to our pediatric psychiatry emergency department is shown to be high. The fact that these patients seek help more frequently should be taken into consideration during the planning of mental health services for outpatient and inpatient clinics as well as pediatric psychiatry emergency services.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"41-54"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330973","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}