Clinical Psychological Science最新文献

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The Longitudinal Association Between Posttraumatic Stress Disorder, Emotion Dysregulation, and Postmigration Stressors Among Refugees 难民创伤后应激障碍、情绪失调和移民后应激源的纵向关联
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-04-21 DOI: 10.1177/21677026231164393
Philippa Specker, B. Liddell, M. O'Donnell, R. Bryant, V. Mau, T. McMahon, Y. Byrow, A. Nickerson
{"title":"The Longitudinal Association Between Posttraumatic Stress Disorder, Emotion Dysregulation, and Postmigration Stressors Among Refugees","authors":"Philippa Specker, B. Liddell, M. O'Donnell, R. Bryant, V. Mau, T. McMahon, Y. Byrow, A. Nickerson","doi":"10.1177/21677026231164393","DOIUrl":"https://doi.org/10.1177/21677026231164393","url":null,"abstract":"Although emotion dysregulation has been robustly associated with posttraumatic stress disorder (PTSD), there is relatively little understanding of this process in refugees. Specifically, longitudinal methodology has not been used to examine the relationship between emotion dysregulation and PTSD among refugees. In this study, we investigated the temporal relationship between emotion dysregulation, postmigration stressors, and PTSD clusters (reexperiencing, avoidance, negative alterations in mood and cognition [NAMC], and hyperarousal) from the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders among a community sample of refugees ( N = 1,081) over a 2-year period. Random intercept cross-lagged panel analysis found that emotion dysregulation was antecedent to within-persons increases in reexperiencing and NAMC symptoms over time and bidirectionally associated with hyperarousal and postmigration stressors. In addition, postmigration stressors were antecedent to within-persons increases in reexperiencing, avoidance, and NAMC and bidirectionally associated with hyperarousal symptoms. Findings provide novel evidence in support of postmigration stressors and emotion dysregulation as mechanisms maintaining PTSD and highlight the potential utility of tailoring interventions to address these factors.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"21 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81750490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Do I Like Me Now? An Analysis of Everyday Sudden Gains and Sudden Losses in Self-Esteem and Nervousness 我现在喜欢我吗?自尊和紧张的日常突然得失分析
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-04-20 DOI: 10.1177/21677026231165677
Theresa Eckes, S. Nestler
{"title":"Do I Like Me Now? An Analysis of Everyday Sudden Gains and Sudden Losses in Self-Esteem and Nervousness","authors":"Theresa Eckes, S. Nestler","doi":"10.1177/21677026231165677","DOIUrl":"https://doi.org/10.1177/21677026231165677","url":null,"abstract":"Although rapid changes in symptom severity, or sudden gains and losses, are well known in psychotherapeutic research, much about the underlying processes that lead to them is still unclear. The revised theory of sudden gains and the complexity theory of psychopathology offer explanations of why sudden gains and sudden losses occur and how they can be predicted. To test the implications of these two theories, we investigated sudden gains and losses in a daily diary study focusing on their frequency, stability, and association with certain statistical indicators. To this end, we examined the daily self-esteem and nervousness ratings of 98 young adults over 82 consecutive days. Generally supporting the theoretical frameworks above, our findings suggest that everyday sudden gains and losses seem to be a common but unstable phenomenon associated with increased within-person variance.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"17 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79431482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Meta-Analysis of the Relationship Between Emotion Regulation and Social Affect and Cognition 情绪调节与社会情感、认知关系的元分析
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-27 DOI: 10.1177/21677026221149953
Maike Salazar Kämpf, Luisa Adam, M. Rohr, C. Exner, Cornelia Wieck
{"title":"A Meta-Analysis of the Relationship Between Emotion Regulation and Social Affect and Cognition","authors":"Maike Salazar Kämpf, Luisa Adam, M. Rohr, C. Exner, Cornelia Wieck","doi":"10.1177/21677026221149953","DOIUrl":"https://doi.org/10.1177/21677026221149953","url":null,"abstract":"Researchers have proposed that emotion regulation can enhance or hinder socioaffective and sociocognitive processes. However, an integration of the evidence is still lacking. The present preregistered meta-analysis disentangled the link between adaptive and maladaptive emotion regulation and different aspects of social affect and cognition. Our findings, based on 549 effect sizes from 58 samples, show that adaptive emotion regulation is positively related to cognitive empathy (ρ = .22), affective empathy (ρ = .07), and compassion (ρ = .19) but negatively related to empathic distress (ρ = –.12). Furthermore, maladaptive emotion regulation is negatively related to cognitive empathy (ρ = –.11) and positively related to empathic distress (ρ = .19). Our findings open up new pathways for practitioners, as it might be possible to foster empathy and compassion and alleviate empathic distress through emotion regulation training. Furthermore, the results suggest a potential explanation for the link between mental disorders and interpersonal problems.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78902493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Risk Ahead: Actigraphy-Based Early-Warning Signals of Increases in Depressive Symptoms During Antidepressant Discontinuation 风险提前:在抗抑郁药停药期间抑郁症状增加的基于活动图的早期预警信号
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-25 DOI: 10.1177/21677026221148101
Y. Kunkels, A. Smit, O. Minaeva, E. Snippe, S. George, A. V. van Roon, M. Wichers, H. Riese
{"title":"Risk Ahead: Actigraphy-Based Early-Warning Signals of Increases in Depressive Symptoms During Antidepressant Discontinuation","authors":"Y. Kunkels, A. Smit, O. Minaeva, E. Snippe, S. George, A. V. van Roon, M. Wichers, H. Riese","doi":"10.1177/21677026221148101","DOIUrl":"https://doi.org/10.1177/21677026221148101","url":null,"abstract":"Antidepressant discontinuation increases the risk of experiencing depressive symptoms. In a repeated single-subject design, we tested whether transitions in depression were preceded by increases in actigraphy-based critical-slowing-down-based early-warning signals (EWSs; variance, kurtosis, autocorrelation), circadian-rhythm-based indicators, and decreases in mean activity levels. Four months of data from 16 individuals with a transition in depression and nine without a transition in depression were analyzed using a moving-window method. As expected, more participants with a transition showed at least one EWS (50% true positives; 22.2% false positives). Increases in circadian rhythm variables (25.0% true positives vs. 44.4% false positives) and decreases in activity levels (37.5% true positives vs. 44.4% false positives) were more common in participants without a transition. None of the tested risk indicators could confidently predict upcoming transitions in depression, but some evidence was found that critical-slowing-down-based EWSs were more common in participants with a transition.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"20 1","pages":"942 - 953"},"PeriodicalIF":4.8,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87352473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Hypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults 高警觉性:在性少数青年中耻辱感与内化精神病理的纵向关系中,一个尚未充分研究的中介
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-25 DOI: 10.1177/21677026231159050
Nathan L. Hollinsaid, J. Pachankis, R. Bränström, M. Hatzenbuehler
{"title":"Hypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults","authors":"Nathan L. Hollinsaid, J. Pachankis, R. Bränström, M. Hatzenbuehler","doi":"10.1177/21677026231159050","DOIUrl":"https://doi.org/10.1177/21677026231159050","url":null,"abstract":"Hypervigilance is often theoretically invoked as a psychological mechanism linking stigma to internalizing psychopathology among sexual minorities. Empirically, however, hypervigilance is rarely explicitly assessed but is instead commonly conflated with putatively related constructs, including sexual-orientation-related rejection sensitivity and rumination, hindering conceptual and mechanistic understandings of this process. We therefore embedded a hypervigilance measure in a longitudinal, population-based study of 811 Swedish sexual-minority young adults (ages 17–34). Hypervigilance—but neither sexual-orientation-related rejection sensitivity nor rumination, with which it was only weakly correlated (rs = .23–.24)—uniquely mediated prospective associations between perceived discrimination and internalizing symptoms 2 years later, explaining up to 40% of these effects. Sexual-orientation-related rejection sensitivity and rumination prospectively predicted hypervigilance on these paths. Findings suggest that hypervigilance represents a distinct construct and transdiagnostic mechanism through which stigma-related experiences and processes undermine sexual-minority mental health. We discuss implications for enhancing psychological interventions for sexual minorities by addressing hypervigilance.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"39 1","pages":"954 - 973"},"PeriodicalIF":4.8,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80973404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Race-Based Rejection Sensitivity and the Integrated Motivational Volitional Model of Suicide in a Sample of Black Women 基于种族的拒绝敏感性与黑人女性自杀的综合动机意志模型
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-20 DOI: 10.1177/21677026221147265
Déjà N. Clement, Shadin A. Awad, V. N. Oliphant, LaRicka R Wingate
{"title":"Race-Based Rejection Sensitivity and the Integrated Motivational Volitional Model of Suicide in a Sample of Black Women","authors":"Déjà N. Clement, Shadin A. Awad, V. N. Oliphant, LaRicka R Wingate","doi":"10.1177/21677026221147265","DOIUrl":"https://doi.org/10.1177/21677026221147265","url":null,"abstract":"Black women’s rates of suicide ideation have risen steadily, and this increase may be due to socioecological factors such as race-related stress. Experiences of race-related stress may be associated with feelings of defeat and entrapment, significant predictors of suicide ideation, as studies have identified that race-based rejection may be humiliating and cause feelings of defeat. Black women may experience race-based rejection sensitivity (RRS) because of historical inequities and discrimination. The current study examined relationships among defeat, entrapment, RRS, and suicide ideation in Black women. Mediation analysis indicated direct associations between defeat and suicide ideation and indirect associations by way of entrapment in Black women. Results indicated that RRS did not significantly moderate the relationship between defeat and entrapment, defeat and suicide ideation, or entrapment and suicide ideation. The current study advances research on mental health equity and suicide by adding to the scant work conducted on risk factors for suicide in Black women.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"44 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74144052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Culturally Anchored Mental-Health Attitudes: The Impact of Language 文化锚定的心理健康态度:语言的影响
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-04 DOI: 10.1177/21677026221148110
Uriel C. Heller, L. H. Grant, Miwa Yasui, B. Keysar
{"title":"Culturally Anchored Mental-Health Attitudes: The Impact of Language","authors":"Uriel C. Heller, L. H. Grant, Miwa Yasui, B. Keysar","doi":"10.1177/21677026221148110","DOIUrl":"https://doi.org/10.1177/21677026221148110","url":null,"abstract":"Culture plays a key role in the long-standing underutilization of professional mental-health services among immigrants and ethnic minorities, especially among Asian communities. Furthermore, language nativeness can modulate the salience of cultural norms. Through a series of four experimental studies ( N = 1,120), we evaluated whether bilingual speakers’ attitudes toward mental-health treatment are affected by whether they are using their native Chinese or foreign English. Overall, participants more strongly endorsed mental-health treatment when information was presented in English. The same outcome was found for participants residing in the United States and mainland China. Consistent with a language-priming-culture hypothesis, participants using Chinese endorsed mental-health treatment less when their affiliation with traditional Asian values was higher, whereas in English their recommendations remained independent of affiliation with traditional Asian values. In sum, these studies reveal the significance of language in culturally anchored mental-health attitudes.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"31 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75775725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elevated Anxious and Depressed Mood Relates to Future Executive Dysfunction in Older Adults: A Longitudinal Network Analysis of Psychopathology and Cognitive Functioning. 焦虑和抑郁情绪升高与老年人未来的执行功能障碍有关:精神病理和认知功能的纵向网络分析。
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-01 DOI: 10.1177/21677026221114076
Nur Hani Zainal, Michelle G Newman
{"title":"Elevated Anxious and Depressed Mood Relates to Future Executive Dysfunction in Older Adults: A Longitudinal Network Analysis of Psychopathology and Cognitive Functioning.","authors":"Nur Hani Zainal,&nbsp;Michelle G Newman","doi":"10.1177/21677026221114076","DOIUrl":"https://doi.org/10.1177/21677026221114076","url":null,"abstract":"<p><p>Vulnerability models posit that executive functioning (EF) problems centrally impact future common (vs. rare) psychopathology symptoms. Conversely, scar theory postulates that depression/anxiety (vs. other psychopathology) symptoms centrally influence reduced EF. However, most studies so far have been cross-sectional. We used cross-lagged panel network analysis to determine temporal and <i>component-to-component</i> relations on this topic. Community older adults participated across four time-points. Cognitive tests and the caregiver-rated Neuropsychiatric Inventory assessed nine psychopathology and eight cognitive functioning nodes. Nodes with the highest bridge expected influence cross-sectionally were agitation and episodic memory. Episodic memory had the strongest inverse relation with age. Agitation had the strongest negative association with global cognition. EF nodes tended to be centrally impacted by prior depressed and anxious moods rather than influential on any future nodes. Heightened anxious and depressed mood (vs. other nodes) centrally predicted future decreased EF-related (vs. non-EF-related) nodes in older adults, supporting scar (vs. vulnerability) theory.</p>","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 2","pages":"218-238"},"PeriodicalIF":4.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10046395/pdf/nihms-1820584.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9287736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Mood Symptom Dimensions and Developmental Differences in Neurocognition in Adolescence. 青少年情绪症状维度与神经认知发育差异。
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-01 DOI: 10.1177/21677026221111389
Roselinde H Kaiser, Amelia D Moser, Chiara Neilson, Elena C Peterson, Jenna Jones, Christina M Hough, Benjamin M Rosenberg, Christina F Sandman, Christopher D Schneck, David J Miklowitz, Naomi P Friedman
{"title":"Mood Symptom Dimensions and Developmental Differences in Neurocognition in Adolescence.","authors":"Roselinde H Kaiser,&nbsp;Amelia D Moser,&nbsp;Chiara Neilson,&nbsp;Elena C Peterson,&nbsp;Jenna Jones,&nbsp;Christina M Hough,&nbsp;Benjamin M Rosenberg,&nbsp;Christina F Sandman,&nbsp;Christopher D Schneck,&nbsp;David J Miklowitz,&nbsp;Naomi P Friedman","doi":"10.1177/21677026221111389","DOIUrl":"https://doi.org/10.1177/21677026221111389","url":null,"abstract":"<p><p>Adolescence is critical period of neurocognitive development as well as increased prevalence of mood pathology. This cross-sectional study replicated developmental patterns of neurocognition and tested whether mood symptoms moderated developmental effects. Participants were 419 adolescents (<i>n</i>=246 with current mood disorders) who completed reward learning and executive functioning tasks, and reported on age, puberty, and mood symptoms. Structural equation modeling revealed a quadratic relationship between puberty and reward learning performance that was moderated by symptom severity: in early puberty, adolescents reporting higher manic symptoms exhibited heightened reward learning performance (better maximizing of rewards on learning tasks), whereas adolescents reporting elevated anhedonia showed blunted reward learning performance. Models also showed a linear relationship between age and executive functioning that was moderated by manic symptoms: adolescents reporting higher mania showed poorer executive functioning at older ages. Findings suggest neurocognitive development is altered in adolescents with mood pathology and suggest directions for longitudinal studies.</p>","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 2","pages":"308-325"},"PeriodicalIF":4.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10259862/pdf/nihms-1817477.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9631257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Where to Look? Alcohol, Affect, and Gaze Behavior During a Virtual Social Interaction. 看哪里?虚拟社交互动中的酒精、情感和注视行为。
IF 4.8 2区 医学
Clinical Psychological Science Pub Date : 2023-03-01 Epub Date: 2022-11-14 DOI: 10.1177/21677026221096449
Talia Ariss, Catharine E Fairbairn, Michael A Sayette, Brynne A Velia, Howard Berenbaum, Sarah Brown-Schmidt
{"title":"Where to Look? Alcohol, Affect, and Gaze Behavior During a Virtual Social Interaction.","authors":"Talia Ariss, Catharine E Fairbairn, Michael A Sayette, Brynne A Velia, Howard Berenbaum, Sarah Brown-Schmidt","doi":"10.1177/21677026221096449","DOIUrl":"10.1177/21677026221096449","url":null,"abstract":"<p><p>COVID-19 forced social interactions to move online. Yet researchers have little understanding of the mental health consequences of this shift. Given pandemic-related surges in emotional disorders and problematic drinking, it becomes imperative to understand the cognitive and affective processes involved in virtual interactions and the impact of alcohol in virtual social spaces. Participants (<i>N</i>=246) engaged in an online video call while their gaze behavior was tracked. Prior to the interaction, participants were randomly assigned to receive an alcoholic or control beverage. Participants' affect was repeatedly assessed. Results indicated that a proportionally larger amount of time spent gazing at oneself (vs. one's interaction partner) predicted significantly higher negative affect after the exchange. Further, alcohol independently increased self-directed attention, failing to demonstrate its typically potent social-affective enhancement in this virtual context. Results carry potential implications for understanding factors that increase risk for hazardous drinking and negative affect in our increasingly virtual world.</p>","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 2","pages":"239-252"},"PeriodicalIF":4.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208234/pdf/nihms-1796771.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9907586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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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