Annals of behavioral medicine : a publication of the Society of Behavioral Medicine最新文献

{"title":"Need Satisfaction Moderates the Association Between Physical Activity and Affective States in Adults Aged 50+: an Activity-Triggered Ambulatory Assessment.","authors":"Martina Kanning,&nbsp;Sylvia Hansen","doi":"10.1007/s12160-016-9824-6","DOIUrl":"https://doi.org/10.1007/s12160-016-9824-6","url":null,"abstract":"<p><strong>Background: </strong>Substantial evidence shows that physical activities of daily living are positively correlated with affective states in middle-aged and older adults. However, people's physical activity decreases when they grow older, and conditions that enhance older individuals' physical activities of daily living are not well understood.</p><p><strong>Purpose: </strong>This study investigated need satisfaction (competence, relatedness, and autonomy) and its moderating effect on the within-subject relation between physical activities of daily living and three dimensions of affective states (valence, energetic arousal, and calmness) based on an ambulatory assessment that used activity-triggered e-diaries.</p><p><strong>Method: </strong>The physical activities of daily living of 68 adults aged 50+ (mean age = 60.1 ± 7.1) were measured objectively for three consecutive days, and need satisfaction and affective states were assessed as a function of the amount of physical activity during the preceding 10 min before the affect measurement (in activity-triggered e-diaries). Hierarchical multilevel analyses were performed.</p><p><strong>Results: </strong>Need satisfaction was significantly and positively correlated with the three dimensions of affective states. Further, physical activities of daily living were significantly associated with energetic arousal and calmness, but not valence. However, when physical activities of daily living were more autonomously regulated, the association of physical activities of daily living and valence became significant and positive.</p><p><strong>Conclusion: </strong>The findings regarding the significant moderating effects of need satisfaction are crucial for interventions aiming to improve the health-enhancing effects of physical activity in adults aged 50+. Positive feelings owing to physical activities in daily living depend on the extent that psychological needs are satisfied.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"18-29"},"PeriodicalIF":3.8,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-016-9824-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34318769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Interventions that Integrate Accelerometers on Physical Activity and Weight Loss: A Systematic Review.","authors":"Adam P Goode, Katherine S Hall, Bryan C Batch, Kim M Huffman, S Nicole Hastings, Kelli D Allen, Ryan J Shaw, Frances A Kanach, Jennifer R McDuffie, Andrzej S Kosinski, John W Williams, Jennifer M Gierisch","doi":"10.1007/s12160-016-9829-1","DOIUrl":"10.1007/s12160-016-9829-1","url":null,"abstract":"<p><strong>Background: </strong>Regular physical activity is important for improving and maintaining health, but sedentary behavior is difficult to change. Providing objective, real-time feedback on physical activity with wearable motion-sensing technologies (activity monitors) may be a promising, scalable strategy to increase physical activity or decrease weight.</p><p><strong>Purpose: </strong>We synthesized the literature on the use of wearable activity monitors for improving physical activity and weight-related outcomes and evaluated moderating factors that may have an impact on effectiveness.</p><p><strong>Methods: </strong>We searched five databases from January 2000 to January 2015 for peer-reviewed, English-language randomized controlled trials among adults. Random-effects models were used to produce standardized mean differences (SMDs) for physical activity outcomes and mean differences (MDs) for weight outcomes. Heterogeneity was measured with I ².</p><p><strong>Results: </strong>Fourteen trials (2972 total participants) met eligibility criteria; accelerometers were used in all trials. Twelve trials examined accelerometer interventions for increasing physical activity. A small significant effect was found for increasing physical activity (SMD 0.26; 95 % CI 0.04 to 0.49; I ² = 64.7 %). Intervention duration was the only moderator found to significantly explain high heterogeneity for physical activity. Eleven trials examined the effects of accelerometer interventions on weight. Pooled estimates showed a small significant effect for weight loss (MD -1.65 kg; 95 % CI -3.03 to -0.28; I ²  = 81 %), and no moderators were significant.</p><p><strong>Conclusions: </strong>Accelerometers demonstrated small positive effects on physical activity and weight loss. The small sample sizes with moderate to high heterogeneity in the current studies limit the conclusions that may be drawn. Future studies should focus on how best to integrate accelerometers with other strategies to increase physical activity and weight loss.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"79-93"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253097/pdf/nihms813395.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34339649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Expansion is Associated with Better Adherence and Obesity Treatment Outcomes in Adults.","authors":"Xiaomeng Xu,&nbsp;Tricia M Leahey,&nbsp;Katherine Boguszewski,&nbsp;Katie Krupel,&nbsp;Kimberly A Mailloux,&nbsp;Rena R Wing","doi":"10.1007/s12160-016-9823-7","DOIUrl":"https://doi.org/10.1007/s12160-016-9823-7","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown that self-expansion (e.g., increasing positive self-content via engaging in novel, rewarding activities) is associated with smoking cessation and attenuated cigarette-cue reactivity.</p><p><strong>Purpose: </strong>This study examined whether self-expansion is associated with better adherence, weight loss, and physical activity (PA) outcomes within a weight loss intervention.</p><p><strong>Methods: </strong>Participants from Shape Up Rhode Island 2012, a Web-based community wellness initiative, took part in a randomized controlled trial that involved a 12-week behavioral weight loss intervention [1]. At baseline and post-intervention, objective weights and self-reported self-expansion and PA were obtained from 239 participants. Treatment adherence was assessed objectively.</p><p><strong>Results: </strong>Self-expansion during treatment was significantly associated with percent weight loss including clinically significant weight loss (i.e., 5 %), minutes of PA, and treatment adherence. These results held after controlling for relevant covariates.</p><p><strong>Conclusions: </strong>This is the first study to show that self-expansion is associated with better behavioral weight loss outcomes including weight loss, adherence, and PA. These results suggest that self-expansion is a promising novel target for future research which could inform health interventions.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"13-17"},"PeriodicalIF":3.8,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-016-9823-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34685358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to HIV Medication Adherence as a Function of Regimen Simplification.","authors":"Yiyun Chen,&nbsp;Kun Chen,&nbsp;Seth C Kalichman","doi":"10.1007/s12160-016-9827-3","DOIUrl":"https://doi.org/10.1007/s12160-016-9827-3","url":null,"abstract":"<p><strong>Background: </strong>Barriers to HIV medication adherence may differ by levels of dosing schedules.</p><p><strong>Purpose: </strong>The current study examined adherence barriers associated with medication regimen complexity and simplification.</p><p><strong>Methods: </strong>A total of 755 people living with HIV currently taking anti-retroviral therapy were recruited from community services in Atlanta, Georgia. Participants completed audio-computer-assisted self-interviews that assessed demographic and behavioral characteristics, provided their HIV viral load obtained from their health care provider, and completed unannounced phone-based pill counts to monitor medication adherence over 1 month.</p><p><strong>Results: </strong>Participants taking a single-tablet regimen (STR) were more likely to be adherent than those taking multi-tablets in a single-dose regimen (single-dose MTR) and those taking multi-tablets in a multi-dose regimen (multi-dose MTR), with no difference between the latter two. Regarding barriers to adherence, individuals taking STR were least likely to report scheduling issues and confusion as reasons for missing doses, but they were equally likely to report multiple lifestyle and logistical barriers to adherence.</p><p><strong>Conclusions: </strong>Adherence interventions may need tailoring to address barriers that are specific to dosing regimens.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"67-78"},"PeriodicalIF":3.8,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-016-9827-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34745489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enabling, Not Cultivating: Received Social Support and Self-Efficacy Explain Quality of Life After Lung Cancer Surgery.","authors":"Anna Banik,&nbsp;Aleksandra Luszczynska,&nbsp;Izabela Pawlowska,&nbsp;Roman Cieslak,&nbsp;Nina Knoll,&nbsp;Urte Scholz","doi":"10.1007/s12160-016-9821-9","DOIUrl":"https://doi.org/10.1007/s12160-016-9821-9","url":null,"abstract":"<p><strong>Background: </strong>Although the effects of self-efficacy and social support on health outcomes are well established, it is crucial to find out if these predictors are chained in a specific way, with either self-efficacy prompting support receipt or with support receipt prompting self-efficacy.</p><p><strong>Purpose: </strong>In the context of adaptation after lung cancer surgery, this study investigated (1) the cultivation hypothesis, assuming that the relationship between self-efficacy and quality-of-life indices would be mediated by social support received from medical personnel, family, and friends, and (2) the enabling hypothesis, assuming that the association between received social support and quality-of-life indices would be mediated by self-efficacy.</p><p><strong>Method: </strong>Patients with the first onset of non-small-cell lung cancer (N = 102) filled in questionnaires at 3-4 days after segmentectomy or lobectomy (time 1), at 1-month follow-up (time 2), and at 4-month follow-up (time 3).</p><p><strong>Results: </strong>Mediation analyses accounting for the effects of age, gender, marital status (all measured at time 1), and the mediator (measured at time 1 and time 2) yielded no support for the cultivation hypothesis. Indirect effects were observed for 0 out of 14 quality-of-life indices, measured at time 3. In contrast, the enabling hypothesis was confirmed for 11 out of 14 quality-of-life indices (physical, functional, cognitive, social, and emotional aspects; measured at time 3).</p><p><strong>Conclusions: </strong>Interventions for patients with lung cancer may focus on enhancing social support receipt within the first week after surgery, followed by a self-efficacy prompt 3 weeks later.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":3.8,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-016-9821-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34670493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stress and Coping Predicts Adjustment and Glycemic Control in Adolescents with Type 1 Diabetes.","authors":"Sarah S Jaser,&nbsp;Niral Patel,&nbsp;Meng Xu,&nbsp;William V Tamborlane,&nbsp;Margaret Grey","doi":"10.1007/s12160-016-9825-5","DOIUrl":"https://doi.org/10.1007/s12160-016-9825-5","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with type 1 diabetes are at increased risk for deteriorating glycemic control, poor quality of life, and depressive symptoms. Stress and coping are related to these outcomes in adolescents with diabetes, yet few studies have examined these constructs longitudinally.</p><p><strong>Purpose: </strong>This study aimed to describe stress and coping in adolescents with type 1 diabetes and to examine coping strategies as predictors of adolescent adjustment (i.e., depressive symptoms, quality of life) and glycemic control.</p><p><strong>Methods: </strong>Adolescents with type 1 diabetes completed measures of diabetes-related stress, coping, symptoms of depression, and quality of life at baseline, 6 months, and 12 months. Data on glycemic control were collected from the adolescents' medical charts.</p><p><strong>Results: </strong>The adolescents' use of primary control coping (e.g., problem solving) and secondary control engagement coping (e.g., positive thinking) strategies predicted significantly fewer problems with quality of life and fewer depressive symptoms over time. In contrast, the use of disengagement coping strategies (e.g., avoidance) predicted more problems with quality of life and depressive symptoms. Coping was not a significant predictor of glycemic control. Coping mediated the effects of diabetes-related stress on depressive symptoms and quality of life.</p><p><strong>Conclusions: </strong>The ways in which adolescents with type 1 diabetes cope with diabetes-related stress predict quality of life and symptoms of depression but not glycemic control. Through the use of screening to identify adolescent's diabetes-related stress and targeted interventions to improve coping strategies, there is potential to improve outcomes.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"30-38"},"PeriodicalIF":3.8,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-016-9825-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34735482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Stress and Atrial Fibrillation: The REasons for Geographic and Racial Differences in Stroke Study.","authors":"Wesley T O'Neal,&nbsp;Waqas Qureshi,&nbsp;Suzanne E Judd,&nbsp;Stephen P Glasser,&nbsp;Lama Ghazi,&nbsp;LeaVonne Pulley,&nbsp;Virginia J Howard,&nbsp;George Howard,&nbsp;Elsayed Z Soliman","doi":"10.1007/s12160-015-9715-2","DOIUrl":"https://doi.org/10.1007/s12160-015-9715-2","url":null,"abstract":"<p><strong>Background: </strong>The association between perceived stress and atrial fibrillation (AF) remains unclear.</p><p><strong>Purpose: </strong>The aim of this study was to examine the association between perceived stress and AF.</p><p><strong>Methods: </strong>A total of 25,530 participants (mean age 65 ± 9.4 years; 54 % women; 41 % blacks) from the REasons for Geographic And Racial Differences in Stroke (REGARDS) study were included in this analysis. Logistic regression was used to compute odds ratios (OR) and 95 % confidence intervals (CI) for the association between the short version of the Cohen Perceived Stress Scale and AF.</p><p><strong>Results: </strong>In a multivariable analysis adjusted for demographics, cardiovascular risk factors, and potential confounders, the prevalence of AF was found to increase with higher levels of stress (none: OR = 1.0, referent; low stress: OR = 1.12, 95 % CI = 0.98, 1.27; moderate stress OR = 1.27, 95 % CI = 1.11, 1.47; high stress: OR = 1.60, 95 % CI = 1.39, 1.84).</p><p><strong>Conclusion: </strong>Increasing levels of perceived stress are associated with prevalent AF in REGARDS.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"802-8"},"PeriodicalIF":3.8,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-015-9715-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33361958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Baseline Depressive Symptoms, Completion of Study Assessments, and Behavior Change in a Long-Term Dietary Intervention Among Breast Cancer Survivors.","authors":"Julie B Wang,&nbsp;John P Pierce,&nbsp;Guadalupe X Ayala,&nbsp;Lisa A Cadmus-Bertram,&nbsp;Shirley W Flatt,&nbsp;Hala Madanat,&nbsp;Vicky A Newman,&nbsp;Jeanne F Nichols,&nbsp;Loki Natarajan","doi":"10.1007/s12160-015-9716-1","DOIUrl":"https://doi.org/10.1007/s12160-015-9716-1","url":null,"abstract":"<p><strong>Background: </strong>Depressive symptoms can lower adherence and change in dietary studies. Behavioral activation may reduce these effects.</p><p><strong>Purpose: </strong>This study aims to assess relationships among depressive symptoms on adherence and dietary change in the Women's Healthy Eating and Living (WHEL) Study</p><p><strong>Methods: </strong>Secondary analyses from the WHEL Study, which achieved major dietary change in breast cancer survivors (N = 2817), were conducted. Logistic regressions were undertaken of baseline depressive symptoms (six-item Center for Epidemiologic Studies Depression Scale (CES-D)) with (1) completion of 1- and 4-year study assessments and (2) validated change in dietary behavior in the intervention group.</p><p><strong>Results: </strong>In the comparison group (vs. intervention), depressive symptoms lowered completion of dietary recalls and clinic visits [4 years: odds ratio (OR) = 2.0; 95 % confidence interval (CI) = 1.4-3.0]. The behaviorally oriented intervention achieved major change in those furthest from study targets, although changes were lower in those with depressive symptoms: fruit/vegetable (+37.2 %), fiber (+49.0 %), and fat (-22.4 %).</p><p><strong>Conclusions: </strong>Behavioral activation in dietary change interventions can overcome the impact of depressive symptoms.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"819-27"},"PeriodicalIF":3.8,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-015-9716-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33403600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Minority Stressors, Internalizing Symptoms, and Unhealthy Eating Behaviors in Sexual Minority Youth.","authors":"Sabra L Katz-Wise,&nbsp;Emily A Scherer,&nbsp;Jerel P Calzo,&nbsp;Vishnudas Sarda,&nbsp;Benita Jackson,&nbsp;Jess Haines,&nbsp;S Bryn Austin","doi":"10.1007/s12160-015-9718-z","DOIUrl":"https://doi.org/10.1007/s12160-015-9718-z","url":null,"abstract":"<p><strong>Background: </strong>Sexual minorities are more likely than heterosexuals to engage in unhealthy eating behaviors.</p><p><strong>Purpose: </strong>The purpose of this study is to examine sexual minority stressors and internalizing symptoms as predictors of unhealthy eating behaviors among sexual minority youths.</p><p><strong>Methods: </strong>We used longitudinal data from 1461 sexual minority youths in the Growing Up Today Study, across ages 14-28 years. We hypothesized that sexual minority stressors would predict unhealthy eating behaviors, in part due to internalizing symptoms. Linear regression models fit via generalized estimating equations were stratified by gender and sexual orientation.</p><p><strong>Results: </strong>Significant positive and inverse associations between stressors and eating behaviors were detected among females and males, with more significant associations among females. Associations were attenuated by up to 71 % for females and 12 % for males when internalizing symptoms were added to the models.</p><p><strong>Conclusions: </strong>Sexual minority stressors predicted unhealthy eating behaviors overall and more so for some sexual orientation and gender groups; associations were partially explained by internalizing symptoms. The conceptual model appears to best describe the experiences of bisexual females. Findings have clinical implications for adolescent health.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"839-52"},"PeriodicalIF":3.8,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-015-9718-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33889017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Illness Schema Activation and the Effects of Illness Seasonality on Accessibility of Implicit Illness-Related Information.","authors":"Sheina Orbell,&nbsp;Caroline J Henderson,&nbsp;Martin S Hagger","doi":"10.1007/s12160-015-9719-y","DOIUrl":"https://doi.org/10.1007/s12160-015-9719-y","url":null,"abstract":"","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":" ","pages":"918-23"},"PeriodicalIF":3.8,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12160-015-9719-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33429863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}