Psychology Health & Medicine最新文献

{"title":"Developing a predictive model for classifying high-risk groups of post-stroke depressive symptoms based on the health ecology model and Harvard Cancer Index.","authors":"Zeming Zhuang, Longfei Ji, Yuxi Chen, Enlin Chen, Fengling Mo, Jiakun Zhou, Mingzhe Zhang, Lifang Zhang","doi":"10.1080/13548506.2025.2601066","DOIUrl":"10.1080/13548506.2025.2601066","url":null,"abstract":"<p><p>Depressive symptoms affect a significant proportion of stroke survivors, negatively affecting quality of life and functional recovery. This study was guided by the health ecology model (HEM). It aimed to build a predictive model for identifying high-risk individuals with post-stroke depression symptoms (PSDS), providing theoretical support for prevention strategies. Data were extracted from the CHARLS. Depressive symptoms were measured using the CESD-10 scale. Guided by the HEM, influencing factors were identified and stratified. Binary logistic regression was used to analyze determinants of PSDS, while the Harvard Cancer Index was used to assess the risk of depressive symptoms among stroke survivors. A total of 54.13% of participants met CESD-10 criteria for depression. Multivariate analysis identified self-rated health status, activities of daily living, pain, drinking, night sleep time, marital status, life satisfaction, employment, and medical insurance as factors significantly associated with PSDS. Notably, risk stratification via the Harvard Cancer Index revealed a clear ordered trend with PSDS prevalence increasing progressively alongside higher risk categories (χ² = 41.395, <i>p</i> < 0.001). Significant differences existed between each consecutive risk level (χ² = 69.132, <i>p</i> < 0.001). PSDS is determined by multiple factors. The Harvard Cancer Index effectively stratifies PSDS risk in stroke survivors with distinct prevalence differences across ordered risk grades. This index provides a practical tool for identifying high-risk individuals and directly supports the development of targeted and efficient intervention strategies.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1823-1841"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-mastectomy wound care - need for an empathetic approach.","authors":"C Sangavi, Rachel Kollarmalil, Sindhu Abraham","doi":"10.1080/13548506.2025.2490229","DOIUrl":"10.1080/13548506.2025.2490229","url":null,"abstract":"<p><p>Mastectomy, a surgical procedure involving the removal of breast tissue, is a common treatment option for breast cancer. Post treatment, survivors often experience both physical and psychological symptoms, which in turn delay the recovery phase. Post-mastectomy wound complications, such as infection, pain, delayed healing, seroma formation, persistent discomfort and limited mobility often lead to prolonged hospital stays and reduced quality of life. Proper wound care, including dressing changes and wound management, is crucial for optimal healing. However, mastectomy also has a significant emotional and psychological impact on patients, leading to depression, anxiety, and poor body image due to significant changes in the body such as loss of hair, unsightly scars and weight changes. Patients also feel uncomfortable when medical professionals concentrate solely on survival, rather than empathizing with them. While these emotional reactions are often expected and considered normal during breast cancer treatment, what comes as a surprise is the additional harm caused by healthcare providers' communication and behaviour when treating breast cancer patients. Despite advances in medical technology, there remains a significant gap in providing psychosocial support for breast cancer survivors. Undergoing a mastectomy is an emotionally challenging experience, and healthcare providers play a vital role in establishing the groundwork for psychological recuperation. By incorporating empathetic practices into daily patient care, healthcare providers can be trained to create an unbiased, informative, and compassionate environment, to improve patient outcomes and satisfaction. The use of compassionate communication when interacting with the patient and their care givers can foster a more nurturing atmosphere for all parties involved. By prioritizing empathy in post-mastectomy wound care, healthcare providers can enhance the overall well-being of breast cancer survivors. This review explores the physical and emotional impact of mastectomy on patients, the healing process, and the importance of integrating empathy into post-mastectomy wound care.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1858-1900"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of emotion regulation difficulties on anxiety and depressive symptoms among patients with breast cancer.","authors":"Tuğçe Yedigün, Figen Şengün İnan","doi":"10.1080/13548506.2025.2496997","DOIUrl":"10.1080/13548506.2025.2496997","url":null,"abstract":"<p><p>The co-morbid anxiety and depressive symptoms among patients with breast cancer has been linked with adaptation problems and poor quality of life. This study investigated the effect of emotion regulation difficulties on anxiety and depressive symptoms in patients with breast cancer. The study was conducted with a cross-sectional correlational design. The study included 140 patients with breast cancer. Data were collected using the Socio-demographic Characteristics Questionnaire, Difficulties in Emotion Regulation Scale Short Form, and the Hospital Anxiety Depression Scale. Descriptive statistics, and multivariate regression analyses were used. Goals (β = 0. 294, <i>p</i> = 0.026) and strategies (β = 0.223, <i>p</i> = 0.038) were associated with anxiety, explaining 12.6% of the variance for anxiety. Regarding depressive symptoms, impulse (β = 0.250, <i>p</i> = 0.003), strategies (β = 0.231, <i>p</i> = 0.035), and goals (β = 0.222, <i>p</i> = 0.022) were associated with depressive symptoms. The model explained 25.2% of the variance for depressive symptoms. Patients with breast cancer who have difficulty in goal-directed behavior and limited access to emotion regulation strategies when emotionally distressed are associated with a risk of anxiety and depressive symptoms. It is recommended that emotion regulation difficulties of patients with breast cancer should be assessed in terms of anxiety and depression risk. Psychosocial interventions focused on adaptive emotion regulation strategies could be implemented in cancer care.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1663-1677"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural similarities and differences in level of personality functioning across eight countries.","authors":"L F Carvalho, C Oliveira, A M P Bento, G H Gonçalves, G M Francisco, T R Sultani, A P Gonçalves, F Valentini, G Pianowski, G M Machado","doi":"10.1080/13548506.2025.2502840","DOIUrl":"10.1080/13548506.2025.2502840","url":null,"abstract":"<p><p>Previous studies have not found cross-cultural full measurement invariance for the Level of Personality Functioning Scale - Brief Form 2.0 (LPFS-BF 2.0). While invariance analysis ensures valid cross-cultural comparisons, it may not capture all possible cultural impacts. One possibility is to employ network analysis to compare countries regarding connections and centrality indicators. This study aimed to validate the cross-cultural applicability of the LPFS-BF 2.0 across eight countries: Australia, Brazil, the United Kingdom, Iran, Italy, Jordan, Saudi Arabia, and the United States. The sample comprised 4,310 adults (aged between 18 to 84); the majority of the total sample reported being women (72.9%), being Caucasian (56.6%) who completed the LPFS-BF 2.0. Measurement invariance was assessed using multi-group confirmatory factor analysis (MGCFA), while network analysis explored the centrality and interrelationships of LPFS-BF 2.0 items within each country. Our findings mark the first time full invariance across different cultures was observed with the LPFS-BF 2.0. Network analysis revealed unique cultural patterns in item centrality, suggesting the need for further refinement of specific items to address cultural differences. The study highlights the LPFS-BF 2.0 as a robust tool for assessing personality functioning globally and underscores the importance of culturally sensitive adaptations in personality assessment. Network analysis offers an innovative method for assessing cultural differences in personality, and identifying stable and variable aspects of pathology to inform clinical interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1901-1919"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between post-traumatic growth and psychosocial adaptation and mental well-being in oncological gastrointestinal surgery patients: a cross-sectional study.","authors":"Mustafa Kavak, Egemen Çiçek, Funda Kavak Budak","doi":"10.1080/13548506.2025.2569103","DOIUrl":"10.1080/13548506.2025.2569103","url":null,"abstract":"<p><p>The aim of this study is to determine the relationship between post-traumatic growth and psychosocial adaptation and mental well-being in oncological gastrointestinal surgery patients. This descriptive and correlational study was conducted between April 2025 and July 2025 at the general surgery department of Turgut Özal Medical Center with 60 oncological gastrointestinal surgery patients determined by power analysis. The data collection tools included the Demographic Characteristics Form, Post-Traumatic Growth Scale, Psychosocial Adjustment Scale, and Mental Well-Being Scale. Data were analyzed using independent samples t-test, analysis of variance, Pearson correlation analysis, and simple linear regression analysis. The mean total score of the Post-Traumatic Growth Scale was low (31.60±9.70), the mean total score of the Psychosocial Adjustment Scale was at a poor level (54.32±18.62), and the mean total score of the Mental Well-Being Scale indicated possible depression (19.11±5.16). A strong positive correlation was found between post-traumatic growth and psychosocial adjustment (r=0.887). A strong positive correlation was also observed between psychosocial adjustment and mental well-being (r=0.889). Furthermore, a strong positive correlation was identified between post-traumatic growth and mental well-being (r=0.986) (p<0.05). The results of the study suggest that post-traumatic growth increases psychosocial adjustment in oncological gastrointestinal surgery patients, which in turn indicates an improvement in spiritual well-being.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1936-1948"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between preoperative sleep disturbance and postoperative delirium in older adults: a systematic review and meta-analysis.","authors":"Bo Zhao, Jinying Li, Minghong Wang, Zhaoyang Xiao","doi":"10.1080/13548506.2026.2710347","DOIUrl":"https://doi.org/10.1080/13548506.2026.2710347","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to investigate the association between preoperative sleep disturbance and postoperative delirium (POD) in older surgical patients. A comprehensive search encompassing PubMed, Embase, Cochrane Library, and Web of Science was conducted from inception to December 30, 2024. Subgroup and sensitivity analyses were performed to explore heterogeneity. Seventeen studies involving 49 758 patients were included. The findings indicated a significant association between preoperative sleep disturbance, variously defined across studies, and POD (OR: 2.84; 95% CI: 1.63-4.93; p = 0.002). Subgroup analyses revealed a higher incidence of POD in patients undergoing cardiac (OR: 3.03; 95% CI: 1.78 - 5.15, p < 0.0001), orthopedic (OR: 4.48; 95% CI: 2.83-7.10, p < 0.00001), or other non-cardiac surgeries (OR: 2.36; 95% CI: 1.55-3.60, p < 0.0001). Additionally, an association was found in moderate to-high complexity surgery (OR: 0.79; 95% CI: 0.71-0.88, p < 0.0001). Obstructive sleep apnea (OSA) (OR: 2.18; 95% CI: 1.10-4.29, p = 0.02) and unspecified sleep disturbance (OR: 3.92; 95% CI: 2.66-5.79, p < 0.00001) were also significantly associated with POD. This systematic review and meta-analysis identifies a significant association between preoperative sleep disturbance and a higher incidence of postoperative delirium in older surgical patients. These findings underscore the importance of sleep quality assessment in preoperative care. Further research is warranted to elucidate the underlying mechanisms and enhance interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family resilience and its determinants in postoperative colorectal cancer patients: a single-centre cross-sectional study at a tertiary colorectal cancer centre.","authors":"Xiufang Zhang, Mei Xue, Jingjing Liu, Xiaoli Xing, Chengwen Hu","doi":"10.1080/13548506.2026.2710903","DOIUrl":"https://doi.org/10.1080/13548506.2026.2710903","url":null,"abstract":"<p><p>This cross-sectional observational study investigated family resilience among postoperative colorectal cancer (CRC) patients and explored associated factors. A total of 200 patients who underwent curative-intent surgery at a tertiary cancer hospital in China between January 2021 and June 2024 were recruited via convenience sampling. Family resilience, the primary outcome, was measured using the shortened Chinese version of the Family Resilience Assessment Scale (FRAS-C). Sociodemographic, clinical, and psychosocial variables - including coping style, symptom-management self-efficacy, family function, and social support - were assessed as explanatory factors. Univariate analysis identified variables significantly associated with family resilience, which were then entered into multiple linear regression to determine independent predictors. The mean FRAS-C score was 86.81 ± 16.25, indicating a moderate level of family resilience. Higher household income, greater use of confronting coping strategies, stronger symptom-management self-efficacy, and better family function were independently associated with higher resilience, explaining 42.6% of the variance. These findings highlight that both economic resources and adaptive psychosocial capacities contribute to family resilience. Interventions targeting financially vulnerable patients, promoting adaptive coping, and enhancing family support may improve resilience and facilitate postoperative recovery. Given the cross-sectional design, results indicate associations rather than causality.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental phubbing, loneliness, and sleep quality among adolescents: a structural equation modeling analysis.","authors":"Yao Wu, Xiaobing Xian, Shiwei Cao, Le Jiang, Xiyu Chen, Xinyan Ji, Juan Xu, Qian Ran, Xiaoxia Zhang, Tengfei Niu","doi":"10.1080/13548506.2026.2711447","DOIUrl":"https://doi.org/10.1080/13548506.2026.2711447","url":null,"abstract":"<p><p>Sleep disturbances are prevalent among adolescents. This study aims to examine the associations between parental phubbing (PP), loneliness, and sleep quality (SQ), with a specific focus on investigating the mediating role of loneliness in these relationships. A cross-sectional survey was conducted among 1,079 students from two medical colleges in Chongqing, China. Data were collected on demographic characteristics, the Parental Phubbing Scale, the Simplified Loneliness Scale, and the Pittsburgh Sleep Quality Index (PSQI). Pearson correlation analysis was performed to assess the linear relationships between variables, while a structural equation model (SEM) was constructed. The bootstrap method was applied to evaluate the mediating effect of loneliness. The findings revealed that 80.72% of participants were classified as having poor SQ. PP showed a significant positive correlation with loneliness (r = 0.221, p < 0.001) and with the PSQI score (r = 0.199, p < 0.001). Loneliness also demonstrated a positive association with the PSQI score (r = 0.368, p < 0.001). Furthermore, loneliness was found to significantly mediate the relationship between PP and SQ (indirect effect: β = 0.131, 95% CI: 0.093-0.171, p < 0.001). PP was associated with poorer SQ directly and indirectly through heightened loneliness. These findings underscore the critical role of family behaviors in shaping adolescents' mental health and SQ, highlighting the importance of reducing PP and fostering healthier parent-child interactions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating role of psychological flexibility in the relationship between mental alertness and mental health among patients with irritable bowel syndrome.","authors":"Naeima Alshaab Omran Alsadae","doi":"10.1080/13548506.2026.2710904","DOIUrl":"https://doi.org/10.1080/13548506.2026.2710904","url":null,"abstract":"<p><p>Mental health issues are prevalent among individuals with Irritable Bowel Syndrome (IBS), yet the cognitive and psychological mechanisms underlying these challenges remain underexplored. This study examined the relationships among mental alertness, psychological flexibility, and mental health, focusing on the mediating role of psychological flexibility. A sample of 300 Libyan IBS patients completed the Cognitive Failures Questionnaire (CFQ), Acceptance and Action Questionnaire II (AAQ-II), and Depression, Anxiety, and Stress Scale-21 (DASS-21). Correlational and mediation analyses were conducted to assess direct and indirect associations. Mental alertness was negatively correlated with psychological distress (<i>r</i> = -0.48, <i>p</i> < .001), indicating that higher alertness was linked to better mental health. Psychological flexibility showed a positive correlation with mental health (<i>r</i> = 0.52, <i>p</i> < .001), suggesting that greater flexibility was associated with improved outcomes. Mediation analysis revealed that psychological flexibility significantly mediated the relationship between mental alertness and mental health (β = 0.36, SE = 0.05, <i>p</i> < .001, 95% CI [0.25, 0.47]). Psychological flexibility plays a crucial mediating role between cognitive functioning and mental health in IBS patients. Enhancing flexibility may improve psychological outcomes, with interventions like Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Cognitive Therapy (MBCT) offering promising strategies. Future research should employ longitudinal and intervention-based designs to further explore these mechanisms.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcutaneous auricular vagus nerve stimulation for sleep disorders: a systematic review and meta-analysis of sleep, anxiety, depression, and safety outcomes.","authors":"Zhanxiang Lin, Dachun Wang, Yingying Nie, Cheng Tan, Zicai Liu","doi":"10.1080/13548506.2026.2708207","DOIUrl":"https://doi.org/10.1080/13548506.2026.2708207","url":null,"abstract":"<p><p>Transcutaneous auricular vagus nerve stimulation (taVNS) is a promising non-invasive neuromodulation technique for treating sleep disorders (SD); however, its efficacy and safety have not been thoroughly evaluated. This study aims to provide more comprehensive and reliable evidence regarding the clinical application of taVNS for SD. 7 databases (PubMed, Embase, Cochrane Library, Web of Science, Scopus, CNKI, Wanfang) were systematically searched for randomized controlled trials (RCTs) investigating taVNS in the treatment of patients with SD. The search time range was from the establishment of the database to 10 January 2025. Effect measures were standardized mean differences, and effect sizes were expressed with 95% confidence intervals. A total of 14 RCTs were included, 11 of which were meta-analyzed. The meta-analysis showed that taVNS improved sleep quality (SMD =  -0.57, 95% CI = [-0.86, -0.28], <i>p</i> < 0.0001) , reduced fall asleep time (SMD =  -0.44, 95% CI = [-0.64, -0.23], <i>p</i> < 0.0001) and lowered depression- and anxiety-related scale scores (SMD =  -0.67, 95% CI = [-1.09, -0.25], <i>p</i> = 0.002; SMD =  -0.53, 95% CI = [-0.74, -0.32], <i>p</i> < 0.00001). Additionally, taVNS demonstrated a favorable safety profile, with only mild side effects. Most adverse events either resolved spontaneously or were effectively managed following treatment. Current evidence suggests that taVNS may improve sleep-related outcomes and appears to be generally well tolerated in patients with SD. However, given the heterogeneity across studies and the limited clinical interpretability of standardized effect sizes, these findings should be considered preliminary and require confirmation in larger, well-designed RCTs.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-26"},"PeriodicalIF":2.2,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}