Psychology Health & Medicine最新文献

{"title":"Improvements of depression, anxiety, stress, and social support through a telerehabilitation system in discharged COVID-19 patients: a randomized controlled pilot study.","authors":"Beatriz Carpallo Porcar, Sandra Calvo, Irene Liñares Varela, Laura Bafaluy Franch, Natalia Brandín de la Cruz, Manuel Gómez Barrera, Carolina Jiménez-Sánchez","doi":"10.1080/13548506.2024.2439180","DOIUrl":"10.1080/13548506.2024.2439180","url":null,"abstract":"<p><strong>Introduction: </strong>Post-acute COVID-19 patients who were discharged from hospitals during the epidemic faced significant challenges, not only physical sequelae, but also psychological distress, anxiety, and depression. It is already known that continued exercise improves psychosocial components, but few studies have explored the impact of multimodal rehabilitation programs, including therapeutic education, in this type of patient. There are no studies that explore the application of these programs through asynchronous telerehabilitation, which would open up new therapeutic windows.</p><p><strong>Methods: </strong>This pilot single-blinded randomized controlled trial included 35 post-discharge COVID-19 patients allocated to two intervention arms: an asynchronous telerehabilitation group (ATG) and a booklet-based rehabilitation group (BRG). The aim was to analyze the preliminary changes in depression, anxiety, stress, and social support comparing both groups.</p><p><strong>Results: </strong>The ATG exhibited statistically significant reductions in depression (<i>p</i> = 0.048) and stress (<i>p</i> = 0.033) compared to the BRG after intervention. While both groups showed improvements in psychosocial variables, the ATG demonstrated consistent lower depression levels at 3- and 6-month follow-ups (<i>p</i> = 0.010, <i>p</i> = 0.036 respectively) and notably higher social support at 3- and 6-month follow-ups (<i>p</i> = 0.038, <i>p</i> = 0.028 respectively).</p><p><strong>Discussion: </strong>This pilot study suggests that a multimodal rehabilitation program using asynchronous telerehabilitation provides substantial benefits in terms of alleviating psychological distress and improving social support in discharged COVID-19 patients. These data will enable for larger studies to confirm these results.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"519-539"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848422","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":"Prevalence of mental health problems in people living with HIV: a systematic review and meta-analysis.","authors":"Fei-Hong Hu, Peng Liu, Yi-Jie Jia, Meng-Wei Ge, Lu-Ting Shen, Xiao-Peng Xia, Hong-Lin Chen","doi":"10.1080/13548506.2024.2424998","DOIUrl":"10.1080/13548506.2024.2424998","url":null,"abstract":"<p><p>HIV remains a significant public health concern, with an estimation of 39 million people infected. There is a lack of universally accepted benchmarks for prevalence of mental health problems among people living with HIV. We aimed to compute aggregate estimates of mental health problems among people living with HIV. We conducted a comprehensive literature search in PubMed, Web of Science, and Embase. Our inclusion criteria encompassed peer-reviewed cross-sectional or longitudinal studies conducted in any country that investigated people living with HIV and provided data allowing us to determine the prevalence of mental health problems. We conducted a meta-analysis to determine the combined prevalence of mental health problems among people living with HIV and consider predefined moderators by subgroup meta-analysis and meta-regression analysis. Our initial search identified 31 407 records. After removing the duplication and excluding ineligible records, 240 studies were included in our meta-analysis. Six commonly reported mental health problems were identified (depression, anxiety, suicidal ideation, post-traumatic stress disorder, stigma, and psychological distress). The pooled prevalence was 31% (95% CI 28-34) for depression, 29% (24-34) for anxiety, 20% (17-24) for suicidal ideation, 20% (13-28) for post-traumatic stress disorder, 47% (40-55) for stigma, 44% (31-56) for psychological distress. After considering predefined moderators, the heterogeneity was still observed. A high prevalence of mental health problems was observed among people living with HIV. Effective prevention and treatment programs can alleviate symptoms and promote mental health. This, in turn, can have a positive impact on all aspects of HIV management, leading to improved overall health outcomes for people living with HIV.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"397-413"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592225","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":"Depression and anxiety in patients with type 2 diabetes in Indonesia and Malaysia: do age, diabetes duration, foot ulcers, and prescribed medication play a role?","authors":"Mohamed Hassan Elnaem, Nur Aqilah Syuhada Bukhori, Tengku Karmila Tengku Mohd Kamil, Sinta Rahayu, Diana Laila Ramatillah, Mahmoud E Elrggal","doi":"10.1080/13548506.2025.2450545","DOIUrl":"10.1080/13548506.2025.2450545","url":null,"abstract":"<p><p>Patients with type 2 diabetes mellitus (T2DM) are susceptible to mental health issues, impacting medication adherence and diabetes control. This study aimed to evaluate factors associated with depression and anxiety among T2DM patients in Indonesia and Malaysia. A cross-sectional study was conducted in Indonesia and Malaysia from October 2022 to April 2023 among T2DM patients. The study utilised an instrument with patient and disease data and three validated tools to assess depression, anxiety, and medication adherence. Statistical analysis, including binary logistic regression, was performed using SPSS® version 28 software. A study of 606 T2DM patients revealed that 56.5% were at risk of depression, while 41.6% were at risk of anxiety. Older patients with T2DM had lower rates of depression (AOR = 0.41, 0.25-0.68) and anxiety than younger patients. Normal-weight patients were less likely to experience depression and anxiety (AOR = 0.44, 0.27-0.72) than overweight patients. Patients without diabetic foot ulcers had a lower risk of depression (AOR = 0.34, 0.21-0.55) and anxiety than those with foot ulcers. Patients with a shorter duration of diabetes had a higher risk of depression (AOR = 3.27, 1.70-6.30) and anxiety than those with a longer duration. Patients on insulin-based regimens had higher rates of depression and anxiety (AOR = 2.28, 1.20-4.30) than those on metformin-based regimens. Nonadherent patients were more likely to experience depression and anxiety (AOR = 4.30, 2.22-8.32) than patients who adhered to their medication. The prevalence of depression and anxiety is concerning and influenced by factors such as age, diabetes duration, the presence of diabetic foot ulcers, and the prescribed medication regimen. Further efforts are necessary to enhance the mental health of T2DM patients and improve management outcomes.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"555-571"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025837","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 intervention for knee osteoarthritis: a systematic review and meta-analysis.","authors":"Yuichi Isaji, Yasuyuki Kurasawa, Daisuke Sasaki, Masateru Hayashi, Takashi Kitagawa","doi":"10.1080/13548506.2025.2454039","DOIUrl":"10.1080/13548506.2025.2454039","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to evaluate the effectiveness of psychological interventions compared to standard rehabilitation in patients with knee osteoarthritis (OA). Given the recognized influence of psychological factors in OA management, the review assessed their impact on pain, functional disability, and self-efficacy. A comprehensive search was performed across multiple databases, including PubMed, PsycINFO, CINAHL, the Cochrane Central Register of Controlled Trials, Web of Science, OpenGrey, and ClinicalTrials.gov, covering records from inception to September 2023. Eligible studies were randomized controlled trials that examined psychological interventions such as cognitive-behavioral therapy and biofeedback in adults with knee OA diagnosed based on established clinical or radiological criteria. Studies with mixed populations were included only if at least 75% of participants had OA. Exclusion criteria included studies focused on surgical patients or individuals with systemic conditions (e.g. rheumatoid arthritis). No restrictions were placed on intervention duration, allowing for a broad range of studies to be considered. From the 3,649 records identified, 70 studies met the inclusion criteria, and 20 studies involving 3,138 participants were included in the meta-analysis. The results demonstrated that psychological interventions led to significant improvements in pain (mean difference [MD]: -1.04; 95% confidence interval [CI]: -1.61 to -0.46), disability and function (standardized mean difference [SMD]: -0.26; 95% CI: -0.38 to -0.15), and self-efficacy (SMD: 0.49; 95% CI: 0.28 to 0.70). The strongest effects were observed in self-efficacy. However, concerns regarding methodological limitations, variability in intervention approaches, and high heterogeneity led to the evidence quality being rated as low to very low. This review underscores the potential benefits of psychological interventions in knee OA management, particularly for enhancing self-efficacy. Nonetheless, further high-quality research employing standardized protocols is needed to validate these findings and facilitate their clinical application.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"636-662"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054166","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":"A network analysis on the relationship between depression symptoms and loneliness in elderly Peruvians.","authors":"Tomás Caycho-Rodríguez, Andy Sánchez-Vilela, Renzo Carranza Esteban, Mario Reyes-Bossio, Jonatan Baños-Chaparro, Lindsey W Vilca, Julio Torales, Iván Barrios","doi":"10.1080/13548506.2024.2430795","DOIUrl":"10.1080/13548506.2024.2430795","url":null,"abstract":"<p><p>Loneliness and depression are the most prevalent mental health issues among older adults, and their relationship has been documented in studies using reflective psychopathological models based on the total scores. However, mental health problems should be investigated at the level of individual symptoms in order to develop intervention strategies aimed at mitigating the adverse impact of both variables. The goal was to examine the extent to which symptoms of loneliness relate to symptoms of depression in elderly Peruvians using the network method in 328 Peruvian adults with an average age of 68.44 years (SD = 7.64). The participants were selected through non-probability convenience sampling, which may limit the generalizability of the results. The Patient Health Questionnaire-2 (PHQ-2) and three-item UCLA Loneliness Scale were used in this study. Network analysis was used to identify central and bridging symptoms within the network of loneliness and depressive symptoms. Furthermore, the invariance in symptom networks between men and women was estimated. The results indicated that 'feeling excluded' was the most central symptom. Furthermore, the symptoms 'feeling excluded' and 'anhedonia' have the strongest relationship and can be considered as bridge symptoms between loneliness and depressive disorders. Symptom networks were invariant between men and women (<i>M</i> = .26; <i>p</i> = .42; S = .09; <i>p</i> = .38). In conclusion, the network structure provides valuable insights into the relationship between the symptoms of loneliness and depression in older Peruvian adults. The results suggest that the symptoms 'feeling excluded' and 'anhedonia' could serve as potential targets for psychological interventions aimed at efficiently reducing loneliness and depression.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"473-488"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717818","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":"Depression and psychological help-seeking attitude among Turkish mothers of children with autism: problem-focused coping as a mediator.","authors":"Aman Sado Elemo, Ecem Can","doi":"10.1080/13548506.2024.2440655","DOIUrl":"10.1080/13548506.2024.2440655","url":null,"abstract":"<p><p>Studies demonstrate that mothers of children with autism spectrum disorder (ASD) experience depression and are less likely to seek professional psychological help. This study examined the roles of coping strategies in predicting psychological help-seeking attitudes among mothers of children with ASD. A total of 250 Turkish mothers of children with autism were recruited using purposive sampling during their training at the autism center in Istanbul. The results showed that depression was positively associated with problem-focused coping and negatively associated with psychological help-seeking attitudes. Psychological help-seeking attitudes and problem-focused coping were positively correlated with avoidant coping. Mediation analysis demonstrated that problem-solving plays a mediating role in the relationship between depression and psychological help-seeking attitudes. When addressing the psychological help-seeking attitudes of mothers of children with autism, future prevention and intervention programs may have to take into account mothers' depressive symptoms, and how they view and cope with depression and challenges related to parenting their child with autism.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"540-554"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899269","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":"Tackling nomophobia: the influence of support systems and organizational practices.","authors":"Hassan Hessari, Peter Busch, Stephen Smith","doi":"10.1080/13548506.2024.2417310","DOIUrl":"10.1080/13548506.2024.2417310","url":null,"abstract":"<p><p>This study investigates the growing issue of nomophobia, characterized by the anxiety of being without a mobile phone, in the workplace. Utilizing the broaden-and-build theory, this research examines the impact of supportive leadership, co-worker support, Human Resource Management (HRM) practices, and affective commitment on reducing nomophobia among employees. Data were collected from 393 employees across various educational organizations. Structural Equation Modeling (SEM) was employed to test the proposed hypotheses. The findings reveal that supportive leadership significantly reduces nomophobia by enhancing HRM practices and affective commitment. However, contrary to expectations, co-worker support was found to increase nomophobia, suggesting that informal communication and social interactions via mobile devices might exacerbate smartphone dependency. HRM practices emerged as a critical factor in mitigating nomophobia, more so than affective commitment. This study contributes to the literature by highlighting the complex dynamics of workplace relationships and offering practical insights for organizations aiming to reduce nomophobia and improve employee well-being.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"572-601"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513091","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":"Comparative bibliometric study of mental health research trends during COVID-19, Mpox, dengue, and Ebola outbreaks infectious diseases.","authors":"Yaqing Wang, Dongmei Zhuang, Mingjie Xuan, Wenzhuo Wei, Tong Yu, Cheng Liu, Jingyu Lv, Jinzi Fu, Tao Zhang, Jingwen Li, Zhengning Cao, Xiaoming Li","doi":"10.1080/13548506.2024.2439135","DOIUrl":"10.1080/13548506.2024.2439135","url":null,"abstract":"<p><p>As the prevalence of mental health issues continues to rise, the impact of widespread diseases on mental health has garnered increasing attention. This study employs bibliometric analysis to evaluate the state of research on mental health concerns associated with four infectious diseases: COVID-19, mpox, dengue fever, and Ebola. Utilizing Citespace, we conducted an in-depth analysis encompassing publication trends, author networks, institutional affiliations, and international collaborations, alongside themes in references and keywords. Our findings reveal that each of these diseases has significantly affected mental health over the last two decades. Notably, the volume of mental health literature related to COVID-19 far surpasses that of the other diseases, with 34 833 documents compared to 36 for mpox, 62 for dengue, and 279 for Ebola. The United States emerges as the most influential country in this field. International cooperation during infectious diseases was not strong, and the contribution of low-middle income countries was lower than that of high income countries. Our research underscores the growing societal relevance of mental health, influenced by factors including social distancing and mortality due to these diseases. Looking ahead, there is a crucial need for enhanced international cooperation and a focused attention on the mental health of vulnerable populations during pandemics.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"414-436"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808712","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":"Prevalence of postpartum depression and its association with diabetes mellitus among mothers in public health facilities in Mbarara, Southwestern Uganda.","authors":"Catherine Atuhaire, Kabanda Taseera, Esther C Atukunda, Daniel Atwine, Lynn T Matthews, Godfrey Zari Rukundo","doi":"10.1080/13548506.2024.2433545","DOIUrl":"10.1080/13548506.2024.2433545","url":null,"abstract":"<p><p>Postpartum Depression (PPD) is a major health challenge with potentially devastating maternal and physical health outcomes. Development of diabetes mellitus has been hypothesized as one of the potential adverse effects of PPD among mothers in the postpartum period, but this association has not been adequately studied especially in low resource settings. This study aimed at determining prevalence of postpartum depression and its association with diabetes mellitus among mothers in Mbarara District, southwestern Uganda. We conducted a facility based cross-sectional study of 309 mothers between 6th week to 6th month after childbirth. Using proportionate stratified consecutive sampling, mothers were enrolled from postnatal clinics of two health facilities, Mbarara Regional Referral Hospital and Bwizibwera Health center IV. PPD was diagnosed using the Mini-International Neuropsychiatric Interview (MINI 7.0.2) for the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Diabetes mellitus was diagnosed by measuring Hemoglobin A1c (HbA1c). Logistic regression was used to determine the association of PPD and diabetes mellitus among mothers. The study established that PPD prevalence of PPD among mothers of 6th weeks to 6th months postpartum period in Mbarara was 40.5% (95% CI: 35.1-45.1%) and it was statistically significantly associated with diabetes mellitus in mothers between 6 weeks and 6 months postpartum. The prevalence of diabetes mellitus among mothers with PPD was 28% compared to 13.6% among mothers without PPD. Mothers with PPD had 3 times higher odds of being newly diagnosed with diabetes as compared to those without PPD (aOR = 3.0, 95% CI: 1.62-5.74, <i>p</i> = 0.001). Mothers with PPD between 6 weeks and 6 months postpartum are more likely to have diabetes mellitus as compared to those without PPD. Well-designed prospective analytical studies are needed to conclude on the risk of diabetes mellitus in relation to PPD. Early screening of PPD may be considered in postpartum mothers.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"502-518"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752349","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":"Drawing the lines of fibromyalgia: a mixed-methods approach to mapping body image, body schema, and emotions in patient subtypes.","authors":"Justyna Świdrak, Tamara Rodriguez, Luciano Polino, Ana Arias, Xavier Torres, Maria V Sanchez-Vives","doi":"10.1080/13548506.2024.2424997","DOIUrl":"10.1080/13548506.2024.2424997","url":null,"abstract":"<p><p>Fibromyalgia is characterized by widespread chronic pain and multiple additional symptoms which may result in significant disability. Recent studies have demonstrated disturbances in body image and body schema in people affected by this condition. Importantly, it affects a heterogenous population in which distinct profiles can be identified based on physiological and/or psychological characteristics. The objective of our study was to explore individual differences in experiencing one's own body in fibromyalgia. We applied a mixed methods design and included data from 28 women diagnosed with fibromyalgia. We measured symptom intensity (Fibromyalgia Impact Questionnaire, part 1), disturbances in body schema (adapted Fremantle Back Awareness Questionnaire) and body image (Body Esteem Scale, Multidimensional Assessment of Interoceptive Awareness). Additionally, participants drew their bodies and how they experienced them (Body Drawing task). Next, we asked five experts in chronic pain treatment to evaluate the drawings on a specially designed scale and indicate what kind of emotions these drawings expressed. We found evidence of disturbed body experiences and large individual differences in each of the measured variables which allowed for clustering participants into three groups, named 'Connected body', 'Conflicted body', and 'Disconnected body'. These preliminary results suggest patients with fibromyalgia may have both qualitatively and quantitatively distinct disrupted body experience.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"615-635"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669790","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}