The Psychiatric quarterly最新文献

{"title":"Psychometric Evaluation of the Motivators and Resources for Trauma Recovery (I- MOVE) Scale Among Gender-Based Violence Survivors.","authors":"Farida Bibi Mughal, Laura Sinko, Sachiko Kita, Lisa Fedina, Denise Saint Arnault","doi":"10.1007/s11126-026-10313-3","DOIUrl":"https://doi.org/10.1007/s11126-026-10313-3","url":null,"abstract":"<p><p>Gender-based violence (GBV) is a pervasive public health issue with profound psychological, relational, and structural consequences. While survivors draw upon internal resources, external resources, internal motivators, and external motivators throughout the healing process, existing instruments typically assess these constructs independently rather than within a unified, survivor-centered framework. The Motivators and Resources for Trauma Recovery (I-MOVE) Scale was developed to address this gap through a strengths-based assessment of recovery facilitators among women survivors of GBV. The four theory and survivor informed domains guided development of the initial item pool but were not proposed as an empirically established factor structure. This cross-sectional psychometric evaluation included 526 US based women with lived experiences of GBV who completed the I-MOVE Scale and established measures of meaning-making, coping self-efficacy, healing, trauma-related cognitions, normalization of violence, barriers to help-seeking, depressive symptoms, and posttraumatic stress symptoms (PTSS). Participants were stratified by past 12 month GBV exposure and randomly divided into exploratory factor analysis (EFA; n = 263) and confirmatory factor analysis (CFA; n = 263) groups. Exploratory factor analysis identified an emergent five-factor structure comprising Self-Driven Recovery, Access to Supportive Resources, Self-Awareness and Growth, Social Awareness and Empowerment, and Turning Points Toward Healing. Confirmatory factor analysis produced mixed structural validity evidence: RMSEA (0.045) and CMIN/DF (1.53) met the prespecified reference criteria, whereas CFI (0.809) and TLI (0.796) did not. Internal consistency was good for the overall scale (α = 0.89) and ranged from 0.61 to 0.83 across subscales. Modest positive associations with meaning-making, coping self-efficacy, and healing provided preliminary convergent validity evidence. Associations with trauma-related cognitions and normalization of violence were nonsignificant, while barriers to help-seeking were unexpectedly positively associated with I-MOVE scores. Participants with elevated depressive symptoms or elevated PTSS reported significantly lower I-MOVE scores. The findings provide preliminary evidence regarding the internal consistency and construct validity of I-MOVE Scale as a multidimensional, survivor-centered assessment of trauma recovery facilitators. Further independent evaluation of its factor structure, score stability, measurement invariance, and responsiveness to change is needed before broader research and clinical implementation.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122975","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":"A Network Analysis of Cognitive Flexibility, Emotion Regulation, and Symptom Severity in Patients with Major Depression.","authors":"Yağmur Sarı, Derya Tanriverdi̇, Safi̇ye Özgüç","doi":"10.1007/s11126-026-10314-2","DOIUrl":"https://doi.org/10.1007/s11126-026-10314-2","url":null,"abstract":"<p><p>This study aims to investigate the network structure linking cognitive flexibility, cognitive emotion regulation strategies, and depressive symptom severity in patients with major depressive disorder and identify the most central and bridge components of this network. This study was conducted using a descriptive and relational design. 188 patients diagnosed with major depression were included in the study. The BDI, CFI and CERQ were used as data collection tools. Network analysis revealed a structure containing 12 nodes and 33 active edges out of 66 possible edges (EBICglasso, γ = 0.50; resulting sparsity = 0.50). In terms of strength centrality, Positive Reappraisal (z-strength = 1.864), Refocus on Planning (z-strength = 1.176), and Acceptance (z-strength = 1.035) formed a statistically indistinguishable top-strength cluster, indicating that these three adaptive strategies were the most central nodes in the network. In terms of Expected Influence, the CFI Control subdimension (EI = - 1.821) and BDI (EI = - 1.741) showed the strongest negative values. Bootstrap stability analysis indicated modest stability for strength centrality (CS-coefficient ≈ 0.27) and low stability for betweenness and closeness, indicating that centrality findings should be interpreted as exploratory. Bridge centrality analyses revealed that BDI (0.580), CFI Control (0.570), and CFI Alternatives (0.540) were the strongest cross-domain connectors. Refocus on Planning and Alternatives exhibited positive bridge expected influence, indicating facilitative cross-domain effects, while Control, Catastrophizing, and BDI exhibited negative bridge expected influence, indicating a suppressive cross-domain effect. Cognitive restructuring interventions may show limited efficacy unless perceived loss of control and, to a lesser extent, catastrophizing which appear to function as suppressive hubs, are addressed first; however, given the cross-sectional design, this staged-intervention hypothesis remains speculative and requires longitudinal validation. Notably, the Control-BDI edge received weaker Bayesian support (Pr(H1) = 0.213) than the network's core adaptive-strategy connections, warranting caution in interpreting this specific association. These findings tentatively suggest, rather than establish that interventions aimed at restoring perceived control may represent a promising therapeutic target for enhancing adaptive emotion regulation in major depression.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077470","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":"Functional Posttraumatic Cognitions Questionnaire (FPTCQ): Turkish Adaptation and Validation.","authors":"Zahide Gül Aktepe, M Engin Deniz","doi":"10.1007/s11126-026-10312-4","DOIUrl":"https://doi.org/10.1007/s11126-026-10312-4","url":null,"abstract":"<p><p>While dysfunctional posttraumatic cognitions are well-studied, functional posttraumatic cognitions remain largely unexplored. Advancing research on functional cognitions following trauma requires reliable and valid instruments that can accurately assess them. This study aimed to adapt the Functional Posttraumatic Cognitions Questionnaire (FPTCQ) into Turkish and evaluate its psychometric properties. The Study I sample consisted of 460 adults (385 women, 83.7%; 75 men, 16.3%) aged 18-51 years (M = 23.69, SD = 5.64). The Study II sample consisted of 494 adults (79.4% women and 20.6% men) aged 18-51 years (M = 22.99, SD = 5.38). In Study I, confirmatory factor analysis (CFA) supported the 11-item factor structure of the FPTCQ-Turkish Form with good fit indices: χ2/df = 4.57, RMSEA = 0.08, SRMR = 0.047, and CFI = 0.926. Reliability coefficients indicated high internal consistency in Study I (α = 0.88, ω = 0.88, λ = 0.89) and Study II (α = 0.87, ω = 0.87, λ = 0.88). Convergent validity was supported, with FPTCs showing significant correlations with perceived stress (r = - .431), cognitive attribution (r = - .489), and subjective happiness (r = .444). Measurement invariance was established at configural, metric, and scalar levels. Item Response Theory (IRT) analyses demonstrated acceptable to very high item discrimination (0.75-3.17). In Study II, predictive validity was assessed via structural equation modeling (SEM). The model indicated good fit indices: χ2/df = 2.75, RMSEA = 0.06, SRMR = 0.056, and CFI = 0.958. FPTCs made a significant unique contribution to life satisfaction, explaining an additional 3% of its variance beyond resilience and posttraumatic growth. The findings suggest that the FPTCQ-Turkish Form can be utilized to assess functional posttraumatic cognitions. Furthermore, FPTCs have the potential to represent a posttraumatic cognitions framework in adults.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149067144","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":"Repeated Arrests and Associated Mental Health Characteristics in U.S. Veterans: Results from a Nationally Representative Study.","authors":"Anastasia Jankovsky, Avalon Moore, Elina Stefanovics, Jack Tsai, Marc Potenza, Robert Pietrzak","doi":"10.1007/s11126-026-10311-5","DOIUrl":"https://doi.org/10.1007/s11126-026-10311-5","url":null,"abstract":"<p><p>Military veterans experience a substantial burden of mental health and substance use disorders, and criminal justice involvement (CJI) may compound this burden. However, few population-based studies have characterized the prevalence, correlates, and mental health burden of CJI among U.S. veterans. This study examined sociodemographic, trauma-related, and psychiatric correlates of arrest history in a nationally representative sample of U.S. veterans, with particular attention to differences between veterans with single and repeated arrests. Data were analyzed from 4,069 U.S. veterans who participated in the 2019-2020 National Health and Resilience in Veterans Study, a nationally representative survey. The prevalence and sociodemographic, trauma-related, and psychiatric correlates of CJI were examined by comparing veterans with no arrest history, one arrest, and two or more arrests. Overall, 30.1% of veterans reported a history of arrest, including 16.7% with one arrest and 13.4% with two or more arrests. Compared with veterans with no arrest history, those with two or more arrests were more likely to be male, identify as members of racial or ethnic minority groups, be unmarried or unpartnered, have lower educational attainment and household income, and use the VA as their primary source of health care. Veterans with two or more arrests also had significantly higher rates of current drug use disorder, suicidal ideation, and suicide attempts than veterans with one or no arrests. CJI is common among U.S. veterans and is associated with substantial sociodemographic disadvantage and psychiatric burden, particularly among veterans with repeated arrests. These findings underscore the importance of targeted prevention and intervention efforts for justice-involved veterans, particularly those with recurrent CJI, to address substance use, suicidality, and related psychosocial risk factors.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946508","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":"Systematic Review of rTMS and dTMS in Treatment-Resistant Obsessive-Compulsive Disorder: Target- and Phenotype-Specific Outcomes.","authors":"Minerva Martínez-Montero, Pablo González-Domenech, Inmaculada Romera-Gutiérrez, Álvaro Moleón-Ruiz, Manuela Martín-Bejarano, Luis Gutiérrez-Rojas, Sara Jiménez-Fernández","doi":"10.1007/s11126-026-10309-z","DOIUrl":"https://doi.org/10.1007/s11126-026-10309-z","url":null,"abstract":"<p><p>To evaluate the efficacy of transcranial magnetic stimulation (TMS), including repetitive TMS (rTMS) and deep TMS (dTMS), in patients with severe, treatment-resistant obsessive-compulsive disorder (OCD), specifically examining target- and phenotype-specific outcomes as well as predictors of treatment response. A systematic review was conducted in accordance with PRISMA guidelines (PROSPERO: CRD420251003027) searching PubMed and ProQuest (January 2017-April 2024). Methodological quality was appraised using design-specific tools, and certainty of evidence was evaluated using the GRADE framework. Twenty-seven articles representing 23 distinct clinical studies were included (14 high, 12 moderate, and 1 low quality). Active TMS significantly reduced OCD severity on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), with secondary gains in depressive and anxiety symptoms assessed by Hamilton Depression Rating Scale (HAM-D) and Hamilton Anxiety Scale (HAM-A). Evidence certainty varied substantially by anatomical target: Deep TMS (mPFC/ACC) and prefrontal targets (OFC/DLPFC) demonstrated moderate certainty, supported by multiple randomized controlled trials (RCTs). Pre-supplementary motor area (pre-SMA) showed low-to-moderate certainty due to RCT outcome heterogeneity and genetic moderation (SLC6A4 genotype). Supplementary motor area (SMA) evidence was limited to uncontrolled open-label, while VMPFC and PPC targets exhibited very low certainty. Key predictors of enhanced therapeutic response included higher baseline OCD severity (Y-BOCS[Formula: see text]28), older age, lower functional disability, and baseline amygdala hyper-activation during symptom provocation. TMS represents a promising neuromodulation approach for treatment-resistant OCD, with the most robust evidence supporting dTMS and prefrontal targets. Tailoring protocol parameters and stratifying patients based on clinical, genetic, and neurophysiological predictors are critical to optimizing individualized outcomes.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883356","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":"Rest Intolerance, Emotional Distress, Insomnia, and Adaptive Coping Strategies: A Validation and Serial Mediation Analysis Study.","authors":"Mehmet Avcı","doi":"10.1007/s11126-025-10176-0","DOIUrl":"10.1007/s11126-025-10176-0","url":null,"abstract":"","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"745-761"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478586","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":"From Parents to Teens: Unpacking the Anxiety Transmission Pathway in Parent-Adolescent Dyads through Parent-Adolescent Relationships and Academic Stress.","authors":"Genglin Tan, Genglin Guo, Yihao Ouyang, Xinlu Li, Yilin Lan, Chaohui Dong, Qilin Zhang, Zhaoyang Xie","doi":"10.1007/s11126-025-10166-2","DOIUrl":"10.1007/s11126-025-10166-2","url":null,"abstract":"<p><p>ObjectiveWhile previous studies have established the transmission of anxiety between parents and children, few have examined this process in adolescents. This study addresses this gap using a large cross-sectional dyadic dataset of Chinese adolescents and their parents. MethodA total of 2308 Chinese adolescents (M_age = 15.36 ± 0.52, 51.87% male) and their parents participated. Structural equation modeling was used to explore the association between parental anxiety (parent-reported) and adolescent anxiety (self-reported), with parent-adolescent relationships and academic stress as mediators and self-affirmation as a moderator. Gender differences in the model were also examined. ResultsParental anxiety indirectly contributed to adolescent anxiety through weakened parent-adolescent relationships and increased academic stress. However, a strong self-affirmation buffered the negative impact of academic stress on adolescent anxiety. Additionally, girls were more susceptible to parental anxiety than boys. ConclusionParental anxiety poses a significant risk to adolescent mental health, with girls being particularly vulnerable.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"679-699"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210763","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":"Bereavement and Resilience in Earthquake Affected Individuals: Serial Mediation through Psychological Distress and Hope.","authors":"Begum Satici, Seher Merve Erus, Fatma Miray Benzer, M Engin Deniz, Neslihan Tekgül, Seydi Ahmet Satici","doi":"10.1007/s11126-025-10165-3","DOIUrl":"10.1007/s11126-025-10165-3","url":null,"abstract":"<p><p>Natural disasters have existed as long as the world itself. Earthquakes are among the most common and destructive natural disasters. In earthquake-prone countries like Türkiye, which experienced the February 6 earthquake centered in Kahramanmaraş, conducting studies to mitigate the negative psychosocial effects following such disasters is of great social importance. This study investigated the effect of bereavement on psychological resilience, as well as the mediating roles of psychological distress and hope in earthquake-affected individuals. A total of 387 participants (318 females, 82.2%; 69 males, 17.8%) with an average age of 25.6 years completed scales assessing bereavement, psychological distress, hope and resilience. Structural equation modeling revealed that psychological distress and hope fully mediated the relationship between bereavement and resilience. Specifically, bereavement increased psychological distress and reduced hope, which in turn negatively affected resilience. These findings highlight the critical role of addressing distress and fostering hope to support resilience in earthquake-affected individuals.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"701-714"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251931","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":"The Relationship Between Problematic Smartphone Use and Time Distortion: The Serial Mediating Effects of Loneliness and Fear of Missing Out.","authors":"Ying Zhu, Zihao Wang, Luguang Gao, Ning Su","doi":"10.1007/s11126-025-10174-2","DOIUrl":"10.1007/s11126-025-10174-2","url":null,"abstract":"<p><p>Problematic smartphone use (PSU) leads individuals to spend excessive amounts of time on their smartphones, indicating a distortion in their perception of time. The current cross-sectional study aimed to analyze loneliness and the fear of missing out as potential mediators between PSU and time distortion. We recruited 893 Chinese undergraduate students (586 females) through cluster sampling via a web-based survey that assessed loneliness, fear of missing out, anxiety and depression, PSU, impulsivity, craving for addictive stimuli, and time distortion. Cravings triggered by addictive stimuli are not significantly associated with time distortion in PSU. A significant negative association was found between the severity of PSU and time distortion (r = -0.075, p < 0.05) after controlling for participants' levels of impulsivity. In the final model, PSU was negatively related to time distortion indirectly through the mediating effects of loneliness and fear of missing out. After accounting for an individual's level of impulsivity, PSU, fear of missing out, and loneliness were found to be closely related. This indicates the significant impact of PSU on individual time distortion. Reducing the level of loneliness and fear of missing out among PSU has a certain effect on improving their time distortion.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"763-775"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487705","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":"Effects of continuous theta burst stimulation on patients with obsessive‒compulsive disorder (OCD): A systematic review and meta-analysis of randomized sham controlled trials.","authors":"Moiz Ul Haq Hashmi, Mahadev Khurana, Syeda Fizza Qadri, Fatima Kaleem Ahmed, Faiqa Iqbal, Talat Mehmood, Wafa Farhan, Sahil Kumar, Aneesha Kumari","doi":"10.1007/s11126-025-10152-8","DOIUrl":"10.1007/s11126-025-10152-8","url":null,"abstract":"<p><p>Despite standard pharmacological and behavioral therapies, a significant proportion of patients with obsessive‒compulsive disorder (OCD) have a suboptimal or no response. Continuous theta burst stimulation (cTBS) is a novel variant of traditional transcranial magnetic stimulation (TMS) that has shown promising results in a wide array of behavioral disorders. To integrate the evidence of its role in OCD, we conducted a systematic review and meta-analysis of pertinent randomized controlled trials (RCTs). We conducted a comprehensive literature search from inception until June 2024 on PubMed, Google Scholar, PsycINFO, Embase, and clinical trial registries. Six RCTs were identified and included in our study. Data regarding obsessive‒compulsive symptoms, depression, and anxiety were extracted and analyzed via a random effects model. We found no significant differences between the active and sham groups regarding the change in obsessive‒compulsive symptoms, neither immediately posttreatment (p = 0.98) nor at follow-up (p = 0.83). Similarly, neither group was superior in alleviating concomitant anxiety and depression. Owing to the limited number of studies and their variability in terms of brain targets and the total number of pulses administered, we cannot definitively conclude the effectiveness of cTBS in patients with OCD. However, our research highlights it as a potentially safe treatment option with no serious side effects. Future investigators should aim to optimize intervention protocols and utilize neuronavigation techniques for accurate delivery of pulses to targeted brain loci. High-powered trials with sufficient sample sizes are needed to gain deeper insight into the effects of cTBS on primary and secondary clinical manifestations of OCD.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"639-661"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113319","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}