Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"When Relational Care Becomes Burdensome: Advancing De-Escalation Through Relational Load Management in Mental Health Nursing","authors":"Ade Herdian Putra, Evi Afiati","doi":"10.1111/jpm.70143","DOIUrl":"10.1111/jpm.70143","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"677-678"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943570","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":"Negative Capability and Organisational Support in Long-Term Psychiatric Nursing","authors":"Fadhila Rahman, Sabrina Dachmiati, Rahmadhania Rizanty, Arif Sahin,  Kasmanah,  Miskanik, Rikas Saputra","doi":"10.1111/jpm.70098","DOIUrl":"10.1111/jpm.70098","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"569-570"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004424","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":"Coping, Subjective Burden and Mental Health in Family Carers of Dependent Children and Adolescents: A Systematic Review With Meta-Analysis","authors":"Juan Carlos Muñoz-Cruz,&nbsp;Catalina López-Martínez,&nbsp;Vasiliki Orgeta,&nbsp;Rafael Del-Pino-Casado","doi":"10.1111/jpm.70129","DOIUrl":"10.1111/jpm.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Caring for dependent children and adolescents places a substantial emotional and psychological burden on families. Coping strategies may influence the mental health of family carers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To systematically review how coping strategies relate to subjective burden, anxiety, and depressive symptoms in family carers of dependent children and adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Systematic review and random-effects meta-analysis were performed, searching PubMed, PsycINFO, CINAHL, and LILACS (up to June 2025). Observational studies examining the association between coping strategies and subjective burden, anxiety, or depression in family members caring for dependent children aged under 18 were included. Study quality was assessed via sampling method, instrument reliability, and confounder control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-eight studies (42 samples; 4548 participants) were included. Dysfunctional coping was consistently associated with more depressive symptoms, anxiety, and subjective burden. In contrast, functional coping was related to fewer depressive symptoms and subjective burden. Emotion-focused coping and its individual strategies were generally associated with less psychological distress. Problem-focused coping showed mixed results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Dysfunctional coping appears to represent a risk to carers' mental health, whereas functional coping—particularly emotion-focused strategies—might be protective. However, all studies were cross-sectional.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Assessing and encouraging adaptive strategies, especially those focused on emotion coping, could improve carers' mental health.</p>\u0000 \u0000 <p><b>Trial Registration:</b> International Prospective Register of Systematic Reviews: PROSPERO: CRD42024533044.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"573-598"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Stress Scale: Psychometric Validation in Spanish University Nursing Students and Applications for Mental Health","authors":"Pedro García-Martínez,&nbsp;Néstor Montoro-Pérez,&nbsp;Silvia Trujillo-Barberá,&nbsp;Noelia Lama-Villanueva,&nbsp;Juana María Sánchez Martínez,&nbsp;Esperanza Such-Taboada,&nbsp;Elena Rodríguez Romero,&nbsp;Cristina Romero-Blanco","doi":"10.1111/jpm.70134","DOIUrl":"10.1111/jpm.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nursing students—including those specializing in mental health and psychiatric care—as well as practicing psychiatric nurses frequently experience elevated levels of psychological stress. Such stress can adversely affect their academic performance, overall well-being, and future professional development. Accurate assessment of perceived stress is essential for identifying individuals at risk and for designing targeted support strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to examine the psychometric properties of the 14-, 10-, and 4-item versions of the Perceived Stress Scale, evaluating their validity, reliability, measurement invariance, and diagnostic utility using salivary cortisol as a physiological benchmark.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed the Spanish version of the Perceived Stress Scale, the Sense of Coherence-13 scale, and provided morning salivary cortisol samples. Confirmatory factor analysis, internal consistency assessment, measurement invariance testing across demographic subgroups, hypothesis testing, and Area Under the Curve—Receiver Operating Characteristic analysis using cortisol as a criterion standard were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Perceived Stress Scale (14- and 10-item format) demonstrated a stable two-factor structure, high internal consistency, and measurement invariance across gender, educational level, employment status, and living arrangements. It also showed correlations with Sense of Coherence-13 scale scores. While it demonstrated moderate sensitivity relative to physiological stress (salivary cortisol), its specificity was lower.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Perceived Stress Scale-10 emerged as the most psychometrically robust and practical version for assessing perceived stress. Its use in educational and mental health settings may support early identification of individuals under high stress and facilitate the implementation of targeted interventions to promote well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"626-640"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence and Physical Activity for Mental Health in Cognitively Impaired Older Adults","authors":"Seung-Taek Lim","doi":"10.1111/jpm.70138","DOIUrl":"10.1111/jpm.70138","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"648-649"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845313","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":"Psychological and Cognitive Sequelae of COVID-19: Systematic Review and Meta-Analysis","authors":"Eduarda Boufleuer,&nbsp;Tainara Wink Vieira,&nbsp;Victória Tiyoko Moraes Sakamoto,&nbsp;Fernando Anschau,&nbsp;Juliana Petri Tavares,&nbsp;Fábio Fernandes Dantas Filho,&nbsp;Daiane Dal Pai","doi":"10.1111/jpm.70139","DOIUrl":"10.1111/jpm.70139","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;COVID-19 pandemic has exacerbated global mental health problems with the development of persistent symptoms.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To conduct a prevalence meta-analysis of persistent psychological and cognitive sequelae of COVID-19 based on cohort studies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study followed PRISMA. Cohort studies that followed individuals for at least 12 weeks post-COVID-19 were included and pediatric studies were excluded. The databases Embase, Lilacs/BVS, PubMed, SciELO and Scopus were searched in November 2023. Meta-analyses were performed with subgroup analyses conducted. Results were presented with forest plot graphs and tables. Risk of bias and methodological quality were assessed using Eggers's Test and the Newcastle-Ottawa Scale.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;2,456 studies were identified and screened. Forty-seven articles were included in the systematic review, and 46 in the meta-analysis (192,158 participants). The most prevalent psychological outcome was anxiety (0.17; 95% CI 0.11–0.27, 19 studies), followed by cognitive impairments (0.15; 95% CI 0.11–0.20, 35 studies), sleep disturbances (0.14; 95% CI 0.09–0.19, 33 studies) and depression (0.11; 95% CI 0.06–0.19, 16 studies).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The mental health consequences of COVID-19 highlight the need for long-term monitoring and represent a significant public health challenge. The limitation is the heterogeneity among the studies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Practice/Recommendations&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;These findings represent a public health issue emphasizing the need for public policies and support strategies to mitigate consequences.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Although high prevalence rates were identified, the prediction intervals were wide and heterogeneity remained high–common characteristics of studies conducted during the pandemic.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Registration&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Registered in the international Prospective Register of Ongoing Systematic Reviews (PROSPERO) under number CRD42023460632, on Sept","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"653-666"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘I Hate Myself and I Want to Die’: Untreated Psychosis, Self-Stigma, and the Ethical Imperative for Early Therapeutic Engagement in Schizophrenia","authors":"Dominikus David Biondi Situmorang,&nbsp;Clara Ika Sari Budhayanti,&nbsp;Ivan Stevanus,&nbsp;Yohanna Claudia Dhian Ariani Harbelubun","doi":"10.1111/jpm.70058","DOIUrl":"10.1111/jpm.70058","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"565-566"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543442","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":"Effects of Online Acceptance and Commitment Therapy for Family Members of Individuals With Early Psychosis on Self-Stigma, Coping Strategies and Resilience: A Randomized Controlled Trial","authors":"Duygu Özer","doi":"10.1111/jpm.70130","DOIUrl":"10.1111/jpm.70130","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Early psychosis represents a critical period that may profoundly affect not only individuals but also their family members, often leading to increased psychological distress, stigma and caregiving burden.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to evaluate the effects of online Acceptance and Commitment Therapy (ACT) on self-stigma, stress coping strategies and resilience levels among family members of individuals with early psychosis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study was designed as an exploratory randomized controlled trial. The study population consisted of 41 caregivers of individuals diagnosed with schizophrenia and other psychotic disorders according to DSM-5 criteria, who had received their diagnosis within the past three years and applied to a psychiatry outpatient clinic at a training and research hospital between August and October 2024. Eligible participants were randomly allocated to the intervention group (&lt;i&gt;n&lt;/i&gt; = 20) or the control group (&lt;i&gt;n&lt;/i&gt; = 21). The intervention group participated in an eight-session online group-based Acceptance and Commitment Therapy program, while the control group did not receive any structured intervention. Data were collected using the Self-Stigma Inventory for Family Members, the Stress Coping Strategies Inventory and the Brief Resilience Scale. Evaluations were conducted at pre-test, post-test and three-month follow-up.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;No significant differences were observed between groups at baseline (&lt;i&gt;p&lt;/i&gt; &gt; 0.05). Post-intervention and follow-up assessments showed significantly lower self-stigma scores in the intervention group compared to controls (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). Additionally, coping strategies and resilience scores were significantly higher in the intervention group at post-test and follow-up (&lt;i&gt;p&lt;/i&gt; &lt; 0.05).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The findings suggest that online ACT may be effective in reducing self-stigma and improving coping strategies and resilience among family members of individuals with early psychosis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Practice&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;ACT-based interventions may represent a promising approach to supporting family members during early psychosis. Psychiatric nurses may play a central role in integrat","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"599-613"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Psychiatric Mental Health Nurses Regarding the Needs of Family Members Caring for People Living With Mental Illness: A Qualitative Study in Lobatse, Botswana","authors":"Keletwaetse Sakwape,&nbsp;Gaotswake Patience Kovane,&nbsp;Precious Chibuike Chukwuere,&nbsp;Miriam Mmamphamo Moagi,&nbsp;Rorisang Machailo","doi":"10.1111/jpm.70145","DOIUrl":"10.1111/jpm.70145","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Family caregivers play a critical role in the rehabilitation and ongoing care of relatives diagnosed with mental illness. This involvement of families in the care of their relatives with mental illness not only improves patient outcomes but also encompasses the stress and burden experienced by family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore and describe the perceptions of psychiatric mental health nurses regarding the needs of family members caring for people diagnosed with mental illness in Lobatse, Botswana.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative explorative, descriptive, and contextual research design was used. Data were collected from 15 psychiatric mental health nurses using semi-structured in-depth interviews. The psychiatric mental health nurses were purposively sampled. The data were analysed using content data analysis. Comprehensive Criteria for Reporting Qualitative Research guidelines were followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results yielded three themes: healthcare interventions, informational support, and tangible support needed by family caregivers of people living with mental illness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Family members caring for individuals diagnosed with mental illness need various support interventions to help them cope with the strain of caregiving and alleviate the impact of caregiver role strain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Practice</h3>\u0000 \u0000 <p>Mental health nursing care that recognizes the need for caregiver-oriented care practice is needed to promote a better quality of life and enhance caregivers' coping with caregiver role strain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"687-697"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When One Dose Changed Everything: A Patient's Perspective on Persistent SSRI Adverse Effects","authors":"Scott McLean","doi":"10.1111/jpm.70122","DOIUrl":"10.1111/jpm.70122","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"571-572"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635072","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}