Journal of Health Psychology最新文献

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Mothers discourses on baby monitors: A discursive analysis of mumsnet posts on surveillance and risk management. 母亲对婴儿监视器的话语:对母亲网关于监测和风险管理帖子的话语分析。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-20 DOI: 10.1177/13591053251353198
Chloé Michoud, Abigail Locke, María Del Río Carral
{"title":"Mothers discourses on baby monitors: A discursive analysis of mumsnet posts on surveillance and risk management.","authors":"Chloé Michoud, Abigail Locke, María Del Río Carral","doi":"10.1177/13591053251353198","DOIUrl":"https://doi.org/10.1177/13591053251353198","url":null,"abstract":"<p><p>Despite recommendations against using commercial sleep monitoring devices to prevent sudden infant death syndrome (SIDS), their use is increasing among parents. This study explores mothers' discursive constructions about the usage of baby monitors during their infants' sleep. By analysing 43 online posts from the website Mumsnet through Critical Discursive Psychology, two key discourses were identified: 'surveillance as a good mothering practice' and 'risk management via technology'. The first repertoire illustrated how mothers incorporate digital surveillance into their daily routines, using baby monitors as essential tools to enact 'good mothering'. The second repertoire shows how technology is portrayed as a beneficial tool for mothers and parents, helping in childcare and enhancing safety. In conclusion, baby monitors are seen as essential for managing mothering risks, but their pervasive use can create challenges, raising concerns about whether mothers should adapt to these tools or if the tools should better serve parents' needs.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251353198"},"PeriodicalIF":2.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emotion regulation strategies to improve outcomes in family caregivers of people with Alzheimer's disease and related dementias: A systematic review. 情绪调节策略改善阿尔茨海默病及相关痴呆患者家庭照护者的预后:一项系统综述
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-17 DOI: 10.1177/13591053251354882
Eva E Dicker, Jenna S Jones, Mark E Kunik, Bryan T Denny
{"title":"Emotion regulation strategies to improve outcomes in family caregivers of people with Alzheimer's disease and related dementias: A systematic review.","authors":"Eva E Dicker, Jenna S Jones, Mark E Kunik, Bryan T Denny","doi":"10.1177/13591053251354882","DOIUrl":"https://doi.org/10.1177/13591053251354882","url":null,"abstract":"<p><p>Interventions for family caregivers of individuals with Alzheimer's disease and related dementias (ADRD) incorporate diverse elements, but drivers of success are unclear. Emotion regulation is vital for adaptive functioning. This systematic review explores how training in emotion regulation strategies affects intervention effectiveness. We hypothesized that the inclusion of adaptive strategies like cognitive reappraisal would be associated with significant outcomes, rather than the number of trained strategies. A systematic review of 31 articles categorized interventions by strategy type utilized and number of intervention strategies included. While most interventions included multiple strategies, cognitive reappraisal was linked to intervention success, with 75% of studies that trained it showing significant results. These findings underscore the importance of integrating contextually flexible emotion regulation strategies, particularly cognitive reappraisal, into interventions targeting ADRD caregivers. By doing so, interventions may better alleviate the psychological impacts of caregiving, enhancing their overall effectiveness in mitigating caregiver burden.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251354882"},"PeriodicalIF":2.2,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A mixed-methods evaluation of a culturally tailored maternal and child mHealth programme: txtpēpi. 针对不同文化定制的妇幼移动保健方案的混合方法评估:txtpēpi。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-17 DOI: 10.1177/13591053251357389
Rosie Dobson, Melanie Stowell, Amanda Uri, Hayden McRobbie, Katie Garner, Elaine Umali, Karen Evison, Robyn Whittaker
{"title":"A mixed-methods evaluation of a culturally tailored maternal and child mHealth programme: txtpēpi.","authors":"Rosie Dobson, Melanie Stowell, Amanda Uri, Hayden McRobbie, Katie Garner, Elaine Umali, Karen Evison, Robyn Whittaker","doi":"10.1177/13591053251357389","DOIUrl":"https://doi.org/10.1177/13591053251357389","url":null,"abstract":"<p><p>Pregnancy and the postnatal period are opportune times to support parental health and encourage future child health and wellbeing. txtpēpi is an individually tailored text message programme for parents and families providing information and support during pregnancy and the postnatal period. txtpēpi was developed for a region of Aotearoa New Zealand, with a high proportion of Māori (the Indigenous population) and people living rurally or in areas of high deprivation. The paper presents a mixed-methods evaluation of txtpēpi using the RE-AIM Framework, involving interviews with 40 end-users and nine stakeholders, and analysis of system-recorded end-user data. The results suggest that txtpēpi achieved a high degree of reach, impact, implementation and adoption. Ongoing maintenance of txtpēpi was endorsed with suggested areas of improvement. Programme uptake and engagement from Māori suggest that this type of intervention provides a promising and acceptable tool to support improvement in equity of child health outcomes.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251357389"},"PeriodicalIF":2.2,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nature deficit and abnormal eating behavior of adolescents: The role of anxiety and intervention based on the three good things in nature (3GTiN) paradigm. 青少年先天缺陷与异常饮食行为:焦虑的作用及干预——基于先天三善范式的研究。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-12 DOI: 10.1177/13591053251357773
Yang Jiayi, Chen Hui, Yang Zhihui
{"title":"Nature deficit and abnormal eating behavior of adolescents: The role of anxiety and intervention based on the three good things in nature (3GTiN) paradigm.","authors":"Yang Jiayi, Chen Hui, Yang Zhihui","doi":"10.1177/13591053251357773","DOIUrl":"https://doi.org/10.1177/13591053251357773","url":null,"abstract":"<p><p>This study explored the relationship between nature deficit and abnormal eating behaviors among adolescents, with a focus on the role of anxiety, and utilized the three good things in nature (3GTiN) paradigm as an intervention strategy. Study 1 surveyed 608 adolescents (346 boys; <i>M</i><sub>age</sub> = 13.55, from 12 to 18 years old) to examine the relationships among nature deficit, anxiety, and abnormal eating behaviors. Study 2 employed a 2 × 3 mixed experimental design with 79 10th-grade students (54 boys; <i>M</i><sub>age</sub> = 15.35) participating to assess the effectiveness of the 3GTiN paradigm. Results indicated that nature deficit is positively associated with abnormal eating behaviors, mediated by anxiety. Moreover, the 3GTiN paradigm effectively reduces anxiety and abnormal eating behavior and mitigates the further deterioration of nature deficit. These findings provide evidence that nature deficit contributes to anxiety and abnormal eating behaviors in adolescents and suggest that nature-based interventions like 3GTiN can improve adolescent mental health and behavior.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251357773"},"PeriodicalIF":2.2,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the relationship of spiritual well-being with life satisfaction and medication adherence of individuals with non-communicable diseases. 了解非传染性疾病患者的精神健康与生活满意度和药物依从性的关系。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-12 DOI: 10.1177/13591053251356880
Ezgi Yıldız, Feride Taskin Yilmaz, Betul Esra Cevik, Burcu Kübra Süha
{"title":"Understanding the relationship of spiritual well-being with life satisfaction and medication adherence of individuals with non-communicable diseases.","authors":"Ezgi Yıldız, Feride Taskin Yilmaz, Betul Esra Cevik, Burcu Kübra Süha","doi":"10.1177/13591053251356880","DOIUrl":"https://doi.org/10.1177/13591053251356880","url":null,"abstract":"<p><p>This study aimed to reveal the relationship between spiritual well-being of individuals with non-communicable physical diseases and their life satisfaction and medication adherence. 821 individuals with at least one non-communicable disease were included in this descriptive and correlational study. Study confirmed that the patients' satisfaction with life improves in parallel with the increase in their spiritual well-being, and spiritual well-being explains 12% of the total variance in the satisfaction with life (<i>p</i> < 0.01). It was further observed that participants with high motivation and knowledge levels in terms of medication adherence had higher spiritual well-being levels, and spiritual well-being explained 2% of the motivation sub-dimension and 3% of the knowledge sub-dimension of medication adherence (<i>p</i> < 0.05). It is therefore recommended for health care professionals to take into account the spiritual well-being levels of individuals and to take supportive initiatives in order to support their satisfaction with life and the management of non-communicable diseases.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251356880"},"PeriodicalIF":2.2,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When helping hurts: Distinct pathways of positive and negative weight-related social control to behavioral and psychological outcomes. 当帮助伤害:与体重相关的积极和消极的社会控制对行为和心理结果的不同途径。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-11 DOI: 10.1177/13591053251358462
Julie A Tobin, Carly M Bliss
{"title":"When helping hurts: Distinct pathways of positive and negative weight-related social control to behavioral and psychological outcomes.","authors":"Julie A Tobin, Carly M Bliss","doi":"10.1177/13591053251358462","DOIUrl":"https://doi.org/10.1177/13591053251358462","url":null,"abstract":"<p><p>Existing models of social control explaining how interpersonal influence is associated with behavioral and psychological outcomes show mixed empirical support. This research investigated psychological mechanisms linking weight-related social control (WRSC) to behavioral and psychological outcomes through two cross-sectional preregistered studies with U.S. adults recruited via CloudResearch Connect (combined <i>N</i> = 965). We used path analysis to develop and test a model examining how positive and negative WRSC relate to validated measures of exercise, dietary quality, drive for thinness, and bulimic tendencies, with psychological distress and body dissatisfaction as mediators. Negative WRSC consistently predicted outcomes through psychological distress, while its relationship with body dissatisfaction showed some sensitivity to outliers. Positive WRSC predicted both increased exercise and drive for thinness through direct pathways. These findings extend existing social control models by demonstrating distinct mechanisms linking positive and negative WRSC to behavioral and psychological outcomes.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251358462"},"PeriodicalIF":2.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of a cognitive-behavioral digital therapeutic on psychosocial outcomes in cancer patients: A randomized controlled trial. 认知行为数字治疗对癌症患者心理社会结局的疗效:一项随机对照试验。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-10 DOI: 10.1177/13591053251356885
Linda T Betz, Katharina M Rischer, Gitta A Jacob, Astrid Faßbinder, Anja Specht, Joachim Weis, Pia von Blanckenburg, Kamila Jauch-Chara
{"title":"Efficacy of a cognitive-behavioral digital therapeutic on psychosocial outcomes in cancer patients: A randomized controlled trial.","authors":"Linda T Betz, Katharina M Rischer, Gitta A Jacob, Astrid Faßbinder, Anja Specht, Joachim Weis, Pia von Blanckenburg, Kamila Jauch-Chara","doi":"10.1177/13591053251356885","DOIUrl":"https://doi.org/10.1177/13591053251356885","url":null,"abstract":"<p><p>In this randomized controlled trial, we investigated the efficacy of the digital cognitive behavioral therapy-based program <i>lancivis</i> in improving quality of life (QoL), cancer-related fatigue, distress symptoms and fear of cancer progression in <i>N</i> = 604 cancer patients and survivors in Germany. Participants in the intervention group (IG; <i>n</i> = 304) used <i>lancivis</i> alongside treatment as usual (TAU) while participants in the control group (CG; <i>n</i> = 300) received TAU only. Intent-to-treat (ITT) analyses revealed significant improvements in fatigue in the IG compared to the CG after 3 months (T1; Cohen's <i>d</i>: 0.29) and 6 months (T2; Cohen's <i>d</i>: 0.31). Participants in the IG reported also significantly lower fear of cancer progression than the CG at T1 and T2 and lower levels of distress symptoms at T2. No between group differences were found for health-related QoL. Results suggest that <i>lancivis</i> may present a beneficial addition to psycho-oncological care services.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251356885"},"PeriodicalIF":2.2,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-traumatic stress disorder, depression, and anxiety symptoms 19 years after the 1998 Dongting lake flood: A cross-sectional study. 洞庭湖洪水后19年创伤后应激障碍、抑郁和焦虑症状:一项横断面研究
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-10 DOI: 10.1177/13591053251357081
Ziling Feng, Wenduo Yu, Wenyan Zhang, Ni Xiong, Leyao Tang, Xin Yin Wu, Wenjie Dai
{"title":"Post-traumatic stress disorder, depression, and anxiety symptoms 19 years after the 1998 Dongting lake flood: A cross-sectional study.","authors":"Ziling Feng, Wenduo Yu, Wenyan Zhang, Ni Xiong, Leyao Tang, Xin Yin Wu, Wenjie Dai","doi":"10.1177/13591053251357081","DOIUrl":"https://doi.org/10.1177/13591053251357081","url":null,"abstract":"<p><p>This study aimed to examine the prevalence of post-traumatic stress disorder (PTSD), depression, and anxiety symptoms 19 years after the 1998 Dongting Lake flood and explore associated factors. A multistage cluster sampling method was used to select participants. A total of 932 individuals were included, of which 379 (40.7%) were male, 622 (66.7%) were aged ≥60 years, and 693 (74.4%) experienced ≥3 flood-related stressors. Multivariable logistic regression analyses indicated that flood-related stressors, positive coping, and negative coping were independently associated with PTSD, depression, and anxiety symptoms; social support was independently associated with PTSD symptoms; emotional abuse and neuroticism were independently associated with depression symptoms; and per capita annual household income, stressful life events, physical abuse, and neuroticism were independently associated with anxiety symptoms. Therefore, the long-lasting psychological effects of floods should be considered by decision-makers, and those at high risk should be given special attention.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251357081"},"PeriodicalIF":2.2,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interactions between co-sleeping, sleep quality, and relationship health: The benefits and challenges of shared sleep environments. 共同睡眠、睡眠质量和关系健康之间的相互作用:共享睡眠环境的好处和挑战。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-07 DOI: 10.1177/13591053251356355
Monica Levy Andersen, Tathiana A Alvarenga, Larissa Helena Fonseca, Sergio Tufik
{"title":"Interactions between co-sleeping, sleep quality, and relationship health: The benefits and challenges of shared sleep environments.","authors":"Monica Levy Andersen, Tathiana A Alvarenga, Larissa Helena Fonseca, Sergio Tufik","doi":"10.1177/13591053251356355","DOIUrl":"https://doi.org/10.1177/13591053251356355","url":null,"abstract":"<p><p>Sleep quality and marital satisfaction are closely linked, with co-sleeping dynamics playing a significant role in this relationship. This narrative review explores the complex interactions between co-sleeping, sleep disorders, and relationship health, highlighting both the benefits and challenges of shared sleep environments. While co-sleeping can enhance emotional intimacy and improve sleep synchronization, it can also exacerbate sleep disturbances, particularly in the presence of sleep disorders, such as insomnia or obstructive sleep apnea. The concept of \"sleep divorce,\" in which partners sleep separately to optimize sleep quality, is discussed as a potential strategy to balance these challenges. Future research should focus on personalized interventions that consider the unique needs of couples, the impact of sleep disorders on co-sleeping, and the long-term effects of different sleeping arrangements on relationship satisfaction and overall well-being.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251356355"},"PeriodicalIF":2.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food access relates to loss of control eating in adolescents with cardiometabolic conditions: Exploration of week-to-week variation. 食物获取与患有心脏代谢疾病的青少年饮食失控有关:每周变化的探索。
IF 2.2 3区 心理学
Journal of Health Psychology Pub Date : 2025-08-07 DOI: 10.1177/13591053251354859
Carolina M Bejarano, Lauren Shomaker, Amy S Shah, Stavra Xanthakos, Sanita Ley, James Peugh, Rachel C Gonzalez-Louis, Meg H Zeller
{"title":"Food access relates to loss of control eating in adolescents with cardiometabolic conditions: Exploration of week-to-week variation.","authors":"Carolina M Bejarano, Lauren Shomaker, Amy S Shah, Stavra Xanthakos, Sanita Ley, James Peugh, Rachel C Gonzalez-Louis, Meg H Zeller","doi":"10.1177/13591053251354859","DOIUrl":"10.1177/13591053251354859","url":null,"abstract":"<p><p>The present study examined the relationship between food insecurity (FI) and loss of control eating (LOC) in adolescents treated for cardiometabolic conditions, and inter-connections among week-to-week variations in receipt of SNAP benefits, FI, and LOC. Forty-one adolescents presenting to cardiometabolic clinics completed validated surveys of FI and LOC. A subset of 20 adolescents experiencing FI completed 4 weekly e-surveys, over 1 month. Overall, 56% reported public assistance, 39% reported FI, and 37% reported LOC. FI related to greater LOC (β = 0.17, <i>p</i> < 0.01). Among those with FI, receipt of SNAP related to greater within-person FI within the same week (β = 0.60, <i>p</i> <i><</i> 0.05) but not the following week (β = -0.48, <i>p</i> = 0.20). FI related to greater LOC in the same week (β = 0.17, <i>p</i> <i><</i> 0.001) and in the following week (β = 0.20, <i>p</i> <i><</i> 0.001). In adolescents treated for cardiometabolic conditions, FI is prevalent and related to greater LOC. SNAP benefits might dampen FI week-to-week, but the effect of FI on LOC and cardiometabolic health should be explored causally.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251354859"},"PeriodicalIF":2.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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