Psychology Health & Medicine最新文献

{"title":"The effect of psychoeducation on hope, loneliness and depression of nursing students who experienced 6 February 2023 Turkey earthquake.","authors":"Seher Çakmak, Sevda Uzun, Cansu Dere, Rabia Rümeysa Akdemir, Şevval Baygin, İclal Gül Çoban","doi":"10.1080/13548506.2025.2486503","DOIUrl":"https://doi.org/10.1080/13548506.2025.2486503","url":null,"abstract":"<p><p>Psychoeducation after a traumatic event can help reduce negative effects by providing a cognitive framework for one's experience. It can also enable trauma survivors to increase their ability to help coping. The aim of this study was to examine the effect of psychoeducation on hope, loneliness and depression in nursing students who experienced 6 February 2023 Turkey earthquake. The study, which was conducted in experimental design, included 40 students who experienced the February 6 earthquake. 20 students were assigned to the psychoeducation group and 20 students to the control group. Students in the psychoeducation group received six sessions of psychoeducation, while students in the control group were not intervened. 'Personal Information Form', 'Beck Hopelessness Scale', 'UCLA Loneliness Scale' and 'Beck Depression Scale' were used to collect the data. Mean, standard deviation and percentage calculations, chi-square test and t test were used to analyze the data. Sociodemographic characteristics of the students in the psychoeducation and control groups were similar except for the place of residence (<i>p</i> > 0.05). It was determined that the mean score of the hope sub-dimension of the 'Beck Hopelessness Scale' was statistically significantly higher in the control group (<i>p</i> < 0.05). It was determined that there was no statistically significant difference between the students in the psychoeducation and control groups in terms of hopelessness levels and mean scores of 'UCLA Loneliness Scale' and 'Beck Depression Scale' (<i>p</i> > 0.05). There was a statistically significant difference between the students in the psychoeducation and control groups in terms of depression levels (<i>p</i> < 0.05). In conclusion, psychoeducation was partially effective on hope and depression and not on loneliness in students who experienced the earthquake. Students in the psychoeducation group had lower levels of depression. It is recommended that students experiencing natural disasters such as earthquakes should be monitored by a specialized psychologist and the duration of psychoeducation should be regulated.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765721","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":"Enhancing smart healthcare with female students' stress and anxiety detection using machine learning.","authors":"Farhad Lotfi, Amin Lotfi, Matin Lotfi, Artur Bjelica, Zorica Bogdanović","doi":"10.1080/13548506.2025.2484698","DOIUrl":"https://doi.org/10.1080/13548506.2025.2484698","url":null,"abstract":"<p><p>Machine learning (ML) is widely used to predict and detect stress and anxiety. Early detection of stress or anxiety is crucial for clinical pathways to enhance the supportive environment in society, particularly among female students. This study aims to assess and improve the accuracy of detecting stress and anxiety among female students using machine learning algorithms and functions. Three primary features are cigarette smoking, physical activity and grade point average (GPA). The multiple linear regression analysis conducted on 160 datasets obtained from the State-Trait Anxiety Inventory (STAI) at the University of Belgrade was selected. A heat map was utilised to identify the least engaging areas of the model along with most state anxiety factors. Additionally, R-squared (R²), mean absolute error (MAE), mean squared error (MSE) and root mean squared error (RMSE) were employed to assess the errors of the linear regression model for both pre-intervention and post-intervention, focusing on key features related to female students' anxiety. Using the K-Means algorithm, cluster analysis was executed on samples (<i>N</i> = 160) with three key features. The total average anxiety score was 44.39% (out of 80%) and is considered moderate. The heat map indicated a strong relationship between the variables. Overall, the post-intervention stage yielded acceptable results compared to the pre-intervention stage. Two clusters of anxiety among female students were identified, demonstrating that these features can accurately detect anxiety in female students. This research aims to analyse female students' stress and anxiety better using the linear regression algorithm. Additionally, ML functions demonstrated that smoking cigarettes, physical activity and GPA related to the stress and anxiety of female students have reduced errors during anxiety detection.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":2.3,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756003","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":"Psychological interventions for reducing depressive symptoms in rheumatoid arthritis patients: a systematic review and network meta-analysis.","authors":"Lijuan Zhang, Weiyi Zhu, Shiguang Liu","doi":"10.1080/13548506.2025.2482949","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482949","url":null,"abstract":"<p><p>Depression has long been recognized as the most common mental disorders of rheumatoid arthritis (RA) patients. This study aimed to compare and rank the efficacy of different psychological interventions for reducing depressive symptoms among RA patients. The PubMed, Embase, PsycINFO, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang databases, and grey literature were searched between inception and 1 June 2023. Pairs of reviewers screened studies, abstracted aggregate-level data, and appraised risk of bias with the Cochrane risk of bias tool. The study was conducted using the STATA software version 14.0. A total of 23 randomized controlled trials, involving 1885 participants and 16 interventions were included in our analyses. In this network meta-analysis, two interventions were associated with a greater reduction in symptoms of depression compared with treatment as usual care group: mindfulness-based cognitive therapy (MBCT) and combined psychological interventions (CP). Although most psychological interventions showed non-significant effects, the surface under the cumulative ranking curve (SUCRA) values revealed that the best psychological intervention for depression was MBCT (99.9%), followed by CP (85.6%). MBCT may be the most recommended intervention against the depression among RA patients according to our network meta-analysis results. Considering the methodological limitations of the included studies, more high-quality and large-sample RCTs are needed to confirm this result in the future.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744561","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 movement behaviors and depression among vocational school students with different sleep duration - a study based on the isotemporal substitution model.","authors":"Biaoqian Tang, Bohao Chen, Shuxian Yao, Yiyang Li, Hanqing Liu, Qianhong Chen, Jing Zhao, Shuqing Xu, Shumei Wang","doi":"10.1080/13548506.2025.2482942","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482942","url":null,"abstract":"<p><p>The isotemporal substitution model can be used to explore the impact of the isotemporal substitution of different behaviors on human health. The association between sleep duration and mental health may be non-linear, but the relationship between the isotemporal substitution of movement behaviors and mental health in different sleep duration groups has not been explored. A questionnaire survey was conducted among Grade 1-3 students in 14 vocational schools in China, and 8149 valid questionnaires were obtained, of which 58.80% were in sleep-insufficient group, and 32.56% were detected with depression symptoms. The isotemporal substitution model was used for analysis. In the sleep-insufficient group, substituting 10 minutes/day of vigorous physical activity (β=-0.318, 95%I = -0.498~-0.138), walking (β=-0.254, 95%I = -0.381~-0.126) and sedentary behavior (β=-0.234, 95%I = -0.337~-0.130) with isotemporal moderate physical activity, or substituting vigorous physical activity (β=-0.465, 95%I = -0.577~-0.353), moderate physical activity (β=-0.147, 95%I = -0.263~-0.031), walking (β=-0.400,95%I = -0.476~-0.324) and sedentary behavior (β=-0.380,95%I = -0.434~-0.327) with isotemporal sleep, were negatively associated with depression; and substituting moderate physical activity (β = 0.318, 95%CI = 0.138 ~ 0.498) and sleep (β = 0.465, 95%CI = 0.353 ~ 0.577) with isotemporal vigorous physical activity was positively associated with depression. In the sleep-sufficient group, replacing sedentary behavior (β=-0.129, 95%I = -0.244~-0.013) with equivalent moderate physical activity was negatively associated with depression; replacing moderate physical activity (β = 0.219, 95%CI = 0.101 ~ 0.338), walking (β = 0.112, 95%CI = 0.040 ~ 0.185) and sedentary behavior (β = 0.091, 95%CI = 0.058 ~ 0.124) with equivalent sleep was positively associated with depression. For the sleep-insufficient group, substituting vigorous physical activity, walking, and sedentary behavior with isotemporal moderate physical activity and sleep had greater negative association with depression than the sleep-sufficient group. In conclusion, for the sleep-insufficient group, the substitution that was largest negatively associated with depression was sleep for other behaviors, and for sleep-sufficient group it was moderate physical activity for other behaviors. In future interventions, the sleep-insufficient group may achieve greater effects than the sleep-sufficient group if they use moderate physical activity and sleep instead of other behaviors.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744501","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":"From acute to chronic low back pain: the role of negative emotions.","authors":"Juan José Montaño, Elena Gervilla, Rafael Jiménez, Albert Sesé","doi":"10.1080/13548506.2025.2478657","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478657","url":null,"abstract":"<p><p>Low back pain (LBP) constitutes a persistent and burdensome condition, frequently intricately intertwined with negative emotional states. The focus of this study is to discern distinct patterns of negative emotions among individuals experiencing Acute Low Back Pain (ALBP) and Chronic Low Back Pain (CLBP), in comparison to a pain-free control group. The study endeavors to harness the potential of artificial intelligence (AI) models in evaluating the discriminatory capacity of these emotions within the groups, thus addressing the issue of pain chronicity. The participant cohort consisted of 54 chronic patients, 44 acute, and 51 pain-free individuals for comparison purposes. Using Artificial Neural Networks (ANN), the study unveiled discernible patterns of emotional association. Significant disparities in emotional experiences emerged between acute and chronic patients. Anxiety assumed an essential role following the onset of LBP, whereas in the chronic group, depression took precedence, accompanied by an escalation in both anger and anxiety-related comorbidity. It's crucial to emphasize the absence of discernible variations in pain intensity between chronic and acute patients. These findings hold considerable implications, as they contribute to the refinement of LBP diagnosis and proactively hinder its progression. By unraveling the intricate interplay between negative emotions and the temporal course of LBP, this study deepens our comprehension and lays the groundwork for interventions addressing both the physical and emotional dimensions. These insights provide valuable input for effective diagnostic and therapeutic strategies, thereby alleviating the burden of chronic LBP on individuals and healthcare systems.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733204","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":"Pain interference and distress in chronic migraine: observing the influence of traumatic experiences through the lenses of the theory of mentalizing.","authors":"Marco Cannavò, Janine Gullo, Giorgio Falgares, Dorian A Lamis, Nadia Barberis","doi":"10.1080/13548506.2025.2482952","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482952","url":null,"abstract":"<p><p>Chronic migraine is a highly burdening neurological condition that is often associated with psychiatric complications such as distress symptoms. Many studies showed that pain interference may determine different degrees of adaptation to the condition, while other findings suggest that traumatic experiences are common in individuals suffering from chronic migraine. Failures in reflective functioning may be useful for the understanding of how these experiences may impact one's individual functioning. The present study sought to test the hypothesis that an association between traumatic experiences and general distress (depression, anxiety, and stress) in individuals with chronic migraine would be mediated by failures in reflective functioning, also examining the relations with pain interference. 332 individuals (93% women) with a clinical diagnosis of chronic migraine (<i>M</i> = 37.89; SD = 10.74) filled out a protocol to assess traumatic experiences, failures in reflective functioning, pain interference, and general distress. Structural Equation Modelling was used to assess the relationship between the observed variables. Significant paths were found from traumatic experiences to failures in reflective functioning, pain interference, and distress. Furthermore, significant paths were found from failures in reflective functioning to pain interference and distress. Furthermore, a significant path was found from pain interference to distress. Moreover, significant indirect effects were found from traumatic experiences to distress via failures in reflective functioning, and from traumatic experiences to distress by pain interference. Results underscore the importance of both traumatic experiences and failures in reflective functioning for determining levels of distress in individuals with chronic migraine. The implications of the findings for future empirical investigation and clinical intervention were deepened.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702267","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":"Factors of families resilience in children with autism spectrum disorder: a latent profile analysis.","authors":"Si-Jin Liu, Gang Zhao, Quan-Zhi Zhang, Hong-Mei Wu, Yi-Si Jin, Wen-Long Liu, Yun Li, Shi-Xia Dai, Xiao-Juan Zhang, Lian-Lian Wang, Ying-Mei E","doi":"10.1080/13548506.2025.2474166","DOIUrl":"https://doi.org/10.1080/13548506.2025.2474166","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to explore distinct profiles of family resilience in a sample of Chinese families with children diagnosed with autism spectrum disorder (ASD). Moreover, we identified socio-demographic predictors of these latent profiles.</p><p><strong>Methods: </strong>The cross-sectional study included 229 children (74.4% boys) diagnosed with ASD from maternity and child healthcare hospitals and comprehensive hospitals in three cities (Shenzhen, Xiamen and Tianyang), China. The socio-demographic characteristics questionnaire and the Chinese version of the Family Resilience Assessment Scale (FRAS) were complicated by parents (229) of children with ASD. Latent profile analysis (LPA) was used to identify and describe profiles of family resilience. Multinomial logistic regression was then performed to identify significant predictors.</p><p><strong>Results: </strong>Three profiles were found after LPA [low family resilience (28.3%), moderate family resilience (41.9%), and high family resilience (29.7%)]. Multinomial logistic regression revealed the severity of illness, cost of treatment and father employment status were significant factors predicted family resilience.</p><p><strong>Conclusion: </strong>We found that most of the families with children affected by ASD had low or moderate family resilience. Family resilience profiles were predicted by socio-demographic characteristics which included the severity of illness, cost of treatment and father employment status. Intervention is suggested to higher the level of family resilience.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702264","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":"Unmet needs, burden, and quality of life among family caregivers of patients with advanced hematological malignancy.","authors":"Mohammad Minwer Alnaeem, Mohammad Al Qadire, Abdulqadir J Nashwan","doi":"10.1080/13548506.2025.2482954","DOIUrl":"https://doi.org/10.1080/13548506.2025.2482954","url":null,"abstract":"<p><p>This study investigates caregiver burden, unmet needs, and quality of life (QoL) in family caregivers (FCs) of patients with advanced hematology malignancies (HMs). A descriptive cross-sectional survey was conducted at a governmental hospital (Between April - July 2021), involving 197 FCs. The survey used three validated tools: Needs Assessment of Family Caregivers-Cancer, Short form Zarit Burden Interview, and Caregiver Quality of Life Index-Cancer. The findings revealed that psychological needs (average score 29.6) and daily activity needs (average score 26.5) were the most unmet. The majority of caregivers reported experiencing a high burden (51.3%) and poor QoL, with an average score of 72.1. Those with higher daily activity unmet needs (β = 0.214, <i>p</i> < 0.001) and higher financial unmet needs (β = 0.696, <i>p</i> = 0.044) were associated with poor QoL. Also, patients with higher psychological unmet needs (β = .414, <i>p</i> < .001) and higher burden scores (β = 0.542, <i>p</i> < 0.001) had poor QoL. These results highlight an urgent requirement for measures addressing the unmet needs of FCs of patients with HMs in Jordan. The study underscores the importance of healthcare professionals recognizing and supporting the mental, psychological, and social needs of FCs.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702268","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":"Type D personality, and quality of life in couples undergoing in vitro fertilization treatment:the role of dyadic coping.","authors":"Jie-Yu Wang, Chun-Yan Wang, Jing-Xian Cheng, Dan-Ni Wang, Chang-E Chen, Jing-Jing Pang, Jiang-Ying Han, Gui-Ying Luo","doi":"10.1080/13548506.2025.2478662","DOIUrl":"https://doi.org/10.1080/13548506.2025.2478662","url":null,"abstract":"<p><p>There is limited research on the relationship between type D personality, dyadic coping, and quality of life (QoL), with most studies focusing on the individual perspective rather than the dyadic perspective. Additionally, evidence for the systemic-transaction model (STM) is limited, and research on infertile couples is scarce. This study investigated the relationship between type D personality and QoL in couples with infertility through the mediation of dyadic coping mechanisms. The present descriptive cross-sectional study recruited 452 infertile couples (<i>N</i> = 904) receiving in vitro fertilization (IVF) treatment from a tertiary hospital in Hefei, China, between January and May of 2022. Information on sociodemographic and clinical characteristics, type D personality, dyadic coping, and the QoL of the dyads was collected. The dyadic data were examined using the Actor-Partner Interdependence Mediation Model approach (APIMeM). The results suggest that type D personality, dyadic coping, and QoL in infertile couples have Actor-Partner Interdependence effects. The negative impact of Type D personality can spill over from individuals to the dyadic domain of couples. In the later stage, the negative impact of type D personality on QoL can be reduced by enhancing the dyadic coping level of both members of the infertile couple.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694599","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":"Are social supports associated with suicidal ideation based on gender differences among adolescents in Indonesia?","authors":"Ayu Khoirotul Umaroh, Purwo Setiyo Nugroho","doi":"10.1080/13548506.2025.2481623","DOIUrl":"https://doi.org/10.1080/13548506.2025.2481623","url":null,"abstract":"<p><p>The proportion of Indonesian junior and senior high school students considering suicide was around 5.2% in 2015. This research analysed the association between social supports and suicidal ideation based on gender differences among adolescents in Indonesia.</p><p><strong>Methods: </strong>This cross-sectional study analysed secondary data from the Global School-based Health Survey (GSHS). The 9,333 respondents were aged 11 to 18 years. The dependent variable was suicidal ideation in the past 12 months before the survey. The independent variables were peer support, parent support, and parent attention. The multivariable analysis applied the enter method to examine the adjusted effect causing the dependent variable.</p><p><strong>Result: </strong>Boys had a higher risk than girls of considering suicide on all of the associated independent variables, including boys aged <15 years (AOR 6.134, 95% CI 4.342-8.665), boys in junior high school (AOR 3.160, 95% CI 2.205-4.528), boys with no peer support (AOR 4.230, 95% CI 2.996-5.972), boys with no parental support (AOR 2.481, 95% CI 1.686-3.650) and boys with no parental attention (AOR 3.268, 95% CI 2.292-4.658).</p><p><strong>Conclusion: </strong>Boys with no peer support had a 4.230 times higher risk of suicidal ideation.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694590","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}