Stress and HealthPub Date : 2024-10-01Epub Date: 2024-08-19DOI: 10.1002/smi.3458
Samantha A Meeker, Alisa K Lincoln, Beth E Molnar
{"title":"Vicarious trauma and the COVID-19 pandemic: The role of organisations.","authors":"Samantha A Meeker, Alisa K Lincoln, Beth E Molnar","doi":"10.1002/smi.3458","DOIUrl":"10.1002/smi.3458","url":null,"abstract":"<p><p>Vicarious trauma (VT) is an occupational challenge incurred through hearing about traumatic experiences of others such as child maltreatment, mass casualties, and others while serving in helping professions. Without sufficient resources and support, long-term exposure can lead to symptoms such as intrusion, avoidance, arousal, emotional numbing, anxiety, and decline in one's ability to work. Organisations can mitigate VT's impact by addressing the needs of staff through 5 evidence-informed areas of occupational health. This project explored the impact of VT-informed practices on organisational responses to the COVID-19 pandemic. We compared responses from 50 organisations on strengths and weaknesses in core areas of being VT-informed to how those organisations responded to the COVID-19 pandemic. Subscales of the VT Organizational Readiness Guide (VT-ORG) were utilized as the exposure variables and 4 new COVID-19 questions served as the outcome. We ran a series of multilevel linear regression models with clustering controlled for at the organisational level. Staff ratings on 4 of the 5 pillars of the VT-ORG were positively associated with the organisation's responsiveness to the pandemic. Various demographic factors of the employees were negatively associated with organisations' responsiveness to the pandemic. While this study contributes to the growing research on VT, it also provides justification for helping organisations to become VT-informed; it provides evidence that being prepared for VT can also be useful to support workers and their communities during emergencies such as the COVID-19 pandemic.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3458"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-08-03DOI: 10.1002/smi.3449
Mengjun Liu, Yicong Sun, Tour Liu, Liya Qi
{"title":"Being a focused employee: Effects of job reattachment on cyberloafing.","authors":"Mengjun Liu, Yicong Sun, Tour Liu, Liya Qi","doi":"10.1002/smi.3449","DOIUrl":"10.1002/smi.3449","url":null,"abstract":"<p><p>Cyberloafing, the use of the Internet for non-work-related activities while at work, has become a growing problem in the workplace. Since cyberloafing is commonly regarded as counterproductive, anticipating and controlling employees' cyberloafing behaviour is becoming increasingly important. Previous research suggests that individuals who engage in cyberloafing may have difficulties regulating their attention to important tasks. Based on self-regulation theory, our study examines the influence of job reattachment on cyberloafing through the mediating role of mindfulness and the moderating role of goal commitment. Data for this study were collected in China through surveys conducted with 275 employees at three different time points. The results showed that: (1) job reattachment was significantly negatively associated with cyberloafing; (2) mindfulness mediated this relationship between job reattachment and cyberloafing; and (3) goal commitment moderated the direct effect of job reattachment on mindfulness as well as the indirect effect of job reattachment on cyberloafing through mindfulness. Overall, our research findings emphasize the importance of the impact of job reattachment on cyberloafing through mindfulness. Theoretical and practical implications of this study are discussed.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3449"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-08-10DOI: 10.1002/smi.3463
Congrong Shi, Xiayu Du, Wenke Chen, Zhihong Ren
{"title":"Predictive roles of cognitive biases in health anxiety: A machine learning approach.","authors":"Congrong Shi, Xiayu Du, Wenke Chen, Zhihong Ren","doi":"10.1002/smi.3463","DOIUrl":"10.1002/smi.3463","url":null,"abstract":"<p><p>Prior work suggests that cognitive biases may contribute to health anxiety. Yet there is little research investigating how biased attention, interpretation, and memory for health threats are collectively associated with health anxiety, as well as the relative importance of these cognitive processes in predicting health anxiety. This study aimed to build a prediction model for health anxiety with multiple cognitive biases as potential predictors and to identify the biased cognitive processes that best predict individual differences in health anxiety. A machine learning algorithm (elastic net) was performed to recognise the predictors of health anxiety, using various tasks of attention, interpretation, and memory measured across behavioural, self-reported, and computational modelling approaches. Participants were 196 university students with a range of health anxiety severity from mild to severe. The results showed that only the interpretation bias for illness and the attention bias towards symptoms significantly contributed to the prediction model of health anxiety, with both biases having positive weights and the former being the most important predictor. These findings underscore the central role of illness-related interpretation bias and suggest that combined cognitive bias modification may be a promising method for alleviating health anxiety.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3463"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-07-18DOI: 10.1002/smi.3444
Katherine Robinson, Melissa J Atkinson, Kateřina Kylišová, Sarah J Egan, Roz Shafran, Tracey D Wade
{"title":"Pilot implementation of an evidence-based online cognitive behavioural therapy for perfectionism in university students: Lessons learnt.","authors":"Katherine Robinson, Melissa J Atkinson, Kateřina Kylišová, Sarah J Egan, Roz Shafran, Tracey D Wade","doi":"10.1002/smi.3444","DOIUrl":"10.1002/smi.3444","url":null,"abstract":"<p><p>Higher Education Institutes (HEIs) have been met with an unprecedented demand on their student counselling and wellbeing services in recent years with the impacts of COVID-19 and high rates of mental health concerns amongst student populations. Online mental health programs offer one solution by providing students with quick and easy access to effective therapeutic content. The Focused Minds Program is an evidence-based eight-module online self-guided cognitive behavioural intervention that targets the transdiagnostic risk factor of perfectionism and has been shown to decrease depression, anxiety, and disordered eating. The program was implemented at a UK university between 2021 and 2023. Recruitment occurred via departmental emails, academic staff, and the university's counselling staff and website. Participants were provided with access to the intervention for 6-weeks and completed weekly surveys of psychosocial measures. The trial's implementation was assessed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework: reach (uptake via the recruitment channels), effectiveness (outcomes on psychometric measures of mental wellbeing), adoption (staff and organisational support), implementation (intervention engagement and attrition), and maintenance (continued implementation across the trial period). Key barriers to successful implementation, as well as proposed solutions, are discussed to guide future online mental health interventions provided in HEIs.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3444"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prenatal maternal stress, sleep quality, and neonatal birth weight: A prospective cohort study.","authors":"Yuyan Gui, Qian Wei, Yuyang Shi, Yunhui Zhang, Huijing Shi, Xirong Xiao","doi":"10.1002/smi.3419","DOIUrl":"10.1002/smi.3419","url":null,"abstract":"<p><p>To assess if the impacts of prenatal maternal stress (PNMS) on neonatal physical development including birth weight and body length vary by trimesters, and to explore the mediating effect of sleep quality in the relationships. A total of 2778 pregnant women were included from the Shanghai Maternal-Child Pairs Cohort. PNMS and sleep quality were measured in the first trimester (12-16 gestational weeks) and third trimester (32-36 gestational weeks) using the Life Event Scale for Pregnant Women (LESPW) and Pittsburgh Sleep Quality Index, respectively. And total LESPW scores were classified into three groups: high stress (≥75th percentile), medium stress (≥25th and <75th percentile), and low stress (<25th percentile). Multiple linear and logistic regressions were employed to examine the associations between PNMS and birth weight, and bootstrap were utilized to explore the mediating effects of maternal sleep. Higher (adjusted odds ratio, aOR = 1.521; 95% confidence interval (CI), 1.104-2.096) and medium (aOR = 1.421; 95% CI, 1.071-1.885) PNMS and stress from subjective events (aOR = 1.334; 95% CI, 1.076-1.654) in the first trimester were significantly associated with elevated risk for large for gestational age. Maternal severe negative objective events stress (OE3) in the third trimester were negatively associated with birth weight (β = -0.667; 95% CI, -1.047∼-0.287), and maternal sleep latency during this period acted as a mediator in the association (indirect effect: β = -0.0144; 95% CI, -0.0427∼-0.0003). Besides, a significant negative correlation between total LESPW score (β = -0.022; 95% CI, -0.038∼-0.006; per 100 score) and body length in the third trimester was also observed. The impact of PNMS on neonatal birth weight varies by stress types and exposure timing. Prolonged maternal sleep latency in the third trimester correlated with lower birth weight, and mediating the link of OE3 and birth weight, which might indicate a critical period of vulnerability to the effects of PNMS on neonatal physical development.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3419"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-05-21DOI: 10.1002/smi.3423
Patrick Klaiber, Eeske van Roekel, Anita DeLongis, Nancy L Sin
{"title":"From the COVID-19 lockdown to the new normal: Two-year changes in daily stress and positive event processes.","authors":"Patrick Klaiber, Eeske van Roekel, Anita DeLongis, Nancy L Sin","doi":"10.1002/smi.3423","DOIUrl":"10.1002/smi.3423","url":null,"abstract":"<p><p>The emergence of the novel COVID-19 disease and the social distancing measures implemented to curb its spread affected most aspects of daily life. Past work suggests that during times of more severe stress, people respond to daily stressors with relatively higher negative affect. However, little is known about how people responded to daily stressors and positive events at different moments in time during the COVID-19 pandemic. Thus, we examined longitudinal changes in daily event-related affect (covariation of daily stressors or positive events with same-day affect) from Spring 2020 (wave 1) to 2022 (wave 2). The sample consisted of 324 adults aged 18-80 (mean = 52 years; 89% women) from the US and Canada who completed weeklong daily diaries at both waves. The results revealed improvements in affective well-being, stressor-related affect (i.e., smaller fluctuations in affect on stressor days vs. nonstressor days), and positive event-related affect (i.e., lower negative affect on days with vs. without positive events). Furthermore, as people gradually resumed their social activities from 2020 to 2022, people reported being exposed to an increased frequency of both stressors and positive events. This study highlights the potential influence of socio-historical phenomena, such as an ongoing pandemic, on the events that people encounter and how they emotionally respond to them.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3423"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-07-24DOI: 10.1002/smi.3451
Mengyuan Dong, Xuan Zhang, Fenglin Cao
{"title":"Psychopathology symptoms of frontline nurses under sudden public health crisis: A network analysis.","authors":"Mengyuan Dong, Xuan Zhang, Fenglin Cao","doi":"10.1002/smi.3451","DOIUrl":"10.1002/smi.3451","url":null,"abstract":"<p><p>Public health crises can significantly impact the emotional well-being of healthcare workers. Network analysis is a novel approach to exploring interactions between mental disorders at the symptom level. This study aimed to elucidate the characteristics of post-traumatic stress disorder (PTSD), anxiety, depression, and insomnia symptoms network among frontline nurses under sudden public health crisis. A cross-sectional survey was conducted online among 556 frontline nurses through convenience sampling in Hubei Province, China, from 21 February 2020, to 10 March 2020. Symptoms of PTSD, anxiety, depression, and insomnia were assessed by the Post-Traumatic Stress Disorder Checklist (PCL-5), Generalized Anxiety Disorder scale (GAD-7), Patient Health Questionnaire (PHQ-9) and Insomnia Severity Index, respectively. Central symptoms (the most important symptoms, activation has the strongest influence the other nodes) and bridge symptoms (nodes where deactivation can prevent activation from spreading from one disorder to another) were identified via centrality and bridge centrality indices, respectively. Network stability was examined using the case-dropping procedure. We found that the correlation between PHQ-9 item 9 'suicidal thoughts' and PCL-5 item 16 'reckless or self-destructive behaviour' was the strongest. Moreover, 'reckless or self-destructive behaviour' was the strongest central symptom, and PHQ-9 item 3 'sleep problems' was the most important bridge symptom. Other major symptoms included GAD-7 item 6 'uncontrollable anxiety' and PHQ-9 item 2 'depressed or sad mood'. Timely, systemic targeting interventions on central symptoms and bridge symptoms may effectively alleviate co-occurring experiences of psychopathological symptoms among frontline nurses.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3451"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-07-30DOI: 10.1002/smi.3453
Sinead M Sinnott, Crystal L Park, Linda S Pescatello, Kriti Sharda
{"title":"Self-blame, posttraumatic stress, and cardiovascular reactivity among sexual trauma survivors.","authors":"Sinead M Sinnott, Crystal L Park, Linda S Pescatello, Kriti Sharda","doi":"10.1002/smi.3453","DOIUrl":"10.1002/smi.3453","url":null,"abstract":"<p><p>Although trauma is closely linked with hyperarousal and cardiovascular health, little research has examined the effects of posttraumatic stress symptoms (PTSS) on cardiovascular reactivity to trauma reminders among sexual trauma survivors. One type of negative appraisal after trauma, self-blame, is common after sexual trauma, but its relation to cardiovascular reactivity is unknown. The present study aimed to examine the influence of both PTSS and self-blame on blood pressure and heart rate (HR) reactivity to a trauma reminder. Cardiovascular reactivity was measured before, during, and after a laboratory-based sexual trauma reminder among 72 young adult women who have experienced sexual trauma. Higher PTSS predicted lower diastolic blood pressure (DBP) reactivity during the trauma reminder. Higher levels of self-blame predicted higher HR and systolic blood pressure (SBP) reactivity during and after the trauma reminder. Overall, these findings suggest that survivors of sexual trauma with higher levels of PTSS experience a blunting reaction of DBP when exposed to trauma reminders, as opposed to a more typical cardiovascular stress reaction that may elevate and then extinguish to baseline levels. Meanwhile, individuals with higher levels of self-blame have heightened cardiovascular SBP and HR responses during trauma reminders that do not return to baseline levels, perhaps due to self-blame leading individuals to be more 'on guard' to prevent future threats. Longitudinal studies are needed to explore the potential long-term cardiovascular impacts of heightened self-blame and PTSS and their associated cardiovascular reactivity patterns.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3453"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-08-01DOI: 10.1002/smi.3455
Zahide Tepeli Temiz, F Isil Bilican
{"title":"Daily external stress, internal stress, dyadic coping, and relationship functioning of Turkish couples during the COVID-19: A daily diary study.","authors":"Zahide Tepeli Temiz, F Isil Bilican","doi":"10.1002/smi.3455","DOIUrl":"10.1002/smi.3455","url":null,"abstract":"<p><p>Stressors arising from the current COVID-19 pandemic have pernicious effects on relational functioning. However, the systemic transactional model (STM) addresses the buffering role of dyadic coping in couples' relationships. Therefore, the current study aimed to examine the possible buffering role of dyadic coping and investigate the negative consequences of external stressors related to the COVID-19 pandemic and internal stressors on relationship satisfaction and intimacy on within- and between-person levels. Data were collected from 100 couples through daily diary questions over 14 consecutive days. The mean age for females was 32.45 years (SD = 8.11), and for males, it was 34.79 years (SD = 8.79). The findings showed several significant within-person moderation effects. Specifically, simple slope analysis revealed that the associations between internal stress and relationship satisfaction, and intimacy were positive for both partners who reported particularly more dyadic coping on a given day. Conversely, interaction effect of dyadic coping with external stress has not been found significant on within-person level. Between-person effects revealed that dyadic coping buffers the negative association between external stress and relational outcomes and the negative effect of internal stress. The current study expanded the literature of the STM of dyadic coping within the context of an acute external crisis. In line with STM predictions, couples may benefit from interventions focused on enhancing coping strategies to navigate major and minor stressors, especially during significant life challenges, thereby maintaining high relationship quality.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3455"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stress and HealthPub Date : 2024-10-01Epub Date: 2024-08-08DOI: 10.1002/smi.3456
Michal Levy, Tal Yatziv, Kinneret Levavi, Porat Yakov, Alison Pike, Kirby Deater-Deckard, Amnon Hadar, Guy Bar, Miron Froimovici, Naama Atzaba-Poria
{"title":"The association between maternal and child posttraumatic stress symptoms among families living in southern Israel: The buffering role of maternal executive functions.","authors":"Michal Levy, Tal Yatziv, Kinneret Levavi, Porat Yakov, Alison Pike, Kirby Deater-Deckard, Amnon Hadar, Guy Bar, Miron Froimovici, Naama Atzaba-Poria","doi":"10.1002/smi.3456","DOIUrl":"10.1002/smi.3456","url":null,"abstract":"<p><p>Posttraumatic stress disorder is a prolonged stress and anxiety response that occurs after exposure to a traumatic event. Research shows that both parental and child posttraumatic stress symptoms (PTSS) are correlated but parental executive functions (EFs) could buffer this link. EFs refers to a group of high-level cognitive processes that enable self-regulation of thoughts and actions to achieve goal-directed behaviours and can be of importance for both positive parenting interactions and effective coping skills for PTSS. Our study aimed to (1) examine the link between maternal and child PTSS and the moderating role of varying degrees of exposure to severe security threats context, and (2) to identify the moderating role of maternal EFs in this interaction, among families living in southern Israel. Our sample included 131 mothers in their second pregnancy and their firstborn children. Mothers performed computerised tasks to assess their EFs and they reported on their own and their child's PTSS. Results revealed a positive correlation between maternal PTSS and child PTSS. However, the link between maternal and child PTSS was moderated by maternal working memory updating abilities and threat context severity. Among mothers with lower updating capacities, the association between maternal and child symptoms was stronger under higher threat contexts; conversely, among mothers with higher maternal updating abilities, threat context did not modulate the link between maternal and child PTSS, suggesting a stress-buffering effect. Our study contributes to the growing literature on the significant role of parental EFs in the context of parent-child interactions.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":" ","pages":"e3456"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}