Psychology and Psychotherapy-Theory Research and Practice最新文献

{"title":"Veterans' experiences of somatic experiencing and prolonged exposure therapies for post-traumatic stress disorder: A qualitative analysis.","authors":"Anna Harwood-Gross, Shir Elias, Karen Lerner, Nitsa Nacasch, Cathy Lawi, Danny Brom, Adi Barak","doi":"10.1111/papt.12570","DOIUrl":"https://doi.org/10.1111/papt.12570","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the proliferation of research into evidence based treatment for military PTSD there is little evidence for treatment assignment criterion and military based PTSD still demonstrates low remission rates.</p><p><strong>Method: </strong>Thirty participants in a randomized control trial comparing Prolonged Exposure (PE) and Somatic Experiencing (SE) were interviewed on their experiences in therapy and their responses assessed using a descriptive phenomenological analysis approach to delineate the central tenets of the two therapeutic approaches.</p><p><strong>Results: </strong>Results indicated that participants from both therapies covered themes of the experience of change, the experience of the therapeutic relationship and the therapeutic process. Within these themes, SE and PE participants reported both similar experiences, such as the predominance of physiological or bodily experiences and also described nuanced differences, specifically pertaining to therapy characteristics. SE participants described the process in terms of learning a language, applicable to alternative scenarios and PE participants described the process in terms of conquering exposures in order to achieve respite from symptoms.</p><p><strong>Conclusion: </strong>The current findings have relevance in terms of presenting the key elements of the distinct trauma therapies and determining treatment appropriateness based on desired outcomes. They highlight the commonalities and differences between the patient experience in PE and SE, specifically the relevance of the bodily response, treatment expertise and therapist characteristics in both treatments. Understanding the unique elements of PE, a gold-standard PTSD treatment and SE, a novel somatic-based psychotherapy, will allow for better treatment preparation for participants and potentially aid treatment assignment.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980651","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":"Clients' experiences of psychotherapeutic interventions addressing trauma.","authors":"R Lepistö, A Ahmad, S Kangaslampi, K Peltonen","doi":"10.1111/papt.12569","DOIUrl":"https://doi.org/10.1111/papt.12569","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aimed to evaluate and synthesise qualitative research on adult clients' experiences of psychotherapeutic interventions addressing trauma across multiple modalities.</p><p><strong>Methods: </strong>Six databases (PsycINFO, MEDLINE, The Cochrane Central Register of Controlled Trials, Web of Science, Scopus, and CINAHL) were systematically searched. Google Scholar and reference lists of included and other relevant reviews were also searched, and in total 37 studies met the inclusion criteria. Relevant data were extracted, quality assessed following the Critical Appraisal Skill Programme checklist, and data synthesised using thematic synthesis.</p><p><strong>Results: </strong>The specific helpful factors and perceived impact of the interventions aligned with their theoretical bases. Certain factors were perceived to be helpful or challenging regardless of the modality used, such as relational factors between the client and the therapist, and within group settings. Towards the end of the interventions, feelings of ambivalence and emotional struggles which pervaded the process gradually resolved, as a majority of the clients expressed a sense of benefit from the whole experience. Most of the studies included in this review were published post-2020, underscoring research interest towards clients' psychotherapeutic experiences.</p><p><strong>Conclusions: </strong>The review provides a comprehensive understanding of helpful and challenging factors of interventions addressing trauma, as perceived by clients. The analysis serves as a foundation for future intervention development. Also, it highlights the importance of therapist responsiveness and discussions with clients at various intervention stages to foster a sense of safety, prevent early drop-outs, and emphasise clients as agents of change in their therapeutic process.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923852","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 pre and post evaluation of the communication and interaction training programme for professionals in dementia care.","authors":"Sophie Trees, Ian Andrew James, Sally Stapleton, Daniel Rippon","doi":"10.1111/papt.12568","DOIUrl":"https://doi.org/10.1111/papt.12568","url":null,"abstract":"<p><strong>Background: </strong>NICE guidelines advocate that healthcare professionals should aim to use non-pharmacological and person-centred approaches as primary strategies to reduce or prevent distress in people living with dementia who reside within care settings. However, despite these recommendations, recent studies have illustrated that there is still a requirement for healthcare professionals to have adequate opportunities to access training programmes and guidance on how to effectively use non-pharmacological approaches in dementia care settings. Communication and Interaction Training (CAIT) was developed to train healthcare professionals in dementia care on how to apply person-centred principles to effectively reduce or negate distress in people living with dementia in a non-invasive manner.</p><p><strong>Aims: </strong>This paper provides an overview of current debates regarding the use of non-pharmacological approaches in dementia care, as initial care strategies, to reduce the primary use of pharmacological interventions that may have deleterious side effects for people living with dementia. Furthermore, this paper provides a summary of an evaluation that assessed the extent to which a 2-day CAIT programme could enhance healthcare professionals in their perceived ability to communicate therapeutically with and provide care for people living with dementia.</p><p><strong>Materials & methods: </strong>In this evaluation, 35 healthcare professionals in dementia care engaged with the 2-day CAIT programme. The Confidence in Dementia Scale, Knowledge in Dementia Scale and Compassionate Competence Scale were administered for participants to complete pre and post training.</p><p><strong>Results: </strong>A series of parametric paired samples t-tests were completed, and the results indicated that the 2-day CAIT course was effective in enhancing healthcare professionals' perceived confidence, communication skills, sensitivity, and ability to meet the care needs of people living with dementia. However, staff' knowledge of dementia did not significantly increase following the CAIT course, which could be due to participants already having high levels of knowledge on dementia prior to training.</p><p><strong>Discussion & conclusion: </strong>These results indicated that engaging in CAIT could be beneficial in enhancing healthcare professionals' perceived ability to use therapeutic communication strategies in their interactions with people living with dementia. Discussion is provided on how the delivery of training programmes, such as CAIT, may assist in re-enforcing guidelines that advocate for the use of non-pharmacological and non-invasive approaches in dementia care.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856821","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":"Exploring the implementation of a novel, transdiagnostic, hybrid ecological momentary intervention for improving resilience in youth (EMIcompass): A process evaluation in the realist framework.","authors":"Isabell Paetzold, Jessica Gugel, Anita Schick, Christian Rauschenberg, Dusan Hirjak, Benjamin Boecking, Lawrence Doi, Matthias Schwannauer, Ulrich Reininghaus","doi":"10.1111/papt.12565","DOIUrl":"https://doi.org/10.1111/papt.12565","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research indicates that the hybrid compassion-focused intervention EMIcompass may reduce stress reactivity and improve quality of life. Our aim was to investigate what components of the intervention work for whom, how, and under which circumstances to contribute to the enhancement of resilience.</p><p><strong>Methods: </strong>We conducted a process evaluation using a realist framework. First, we developed initial programme theories using compassion-focused interventions and ecological momentary intervention documents, in addition to conducting a focus group and an interview with an individual expert. Second, we tested the initial programme theories based on qualitative data from 20 participants. Third, we refined the programme theories by analysing and interpreting the data.</p><p><strong>Results: </strong>We identified four programme components experienced as enhancing the activation of the soothing system and the application of compassion-focused principles. EMIcompass was perceived as lowering the burden of and barriers to treatment and facilitating the translation into daily life. Intra- and interpersonal context factors interacted with the mechanisms, leading to improvement in well-being, which was identified as a main outcome.</p><p><strong>Discussion: </strong>The intervention worked by strengthening participants' soothing system and facilitating ecological translation leading to improved well-being. Adaptions to improve the intervention may allow for more flexibility in individual intervention trajectories acknowledging different needs and preferences.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856825","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":"\"It's like I used to share a room with self-injury, but now it lives next door\": Exploring experiences of naturalistic improvement in non-suicidal self-injury.","authors":"E Hudson, S Hartley, P J Taylor","doi":"10.1111/papt.12567","DOIUrl":"https://doi.org/10.1111/papt.12567","url":null,"abstract":"<p><strong>Background: </strong>Many people who engage in non-suicidal self-injury (NSSI) do not access support from health services, and evidence regarding the effectiveness of interventions is mixed. Despite this, NSSI prevalence rates decrease from adolescence into adulthood. Little is known about what helps alleviate difficulties with NSSI beyond psychological or medical intervention. This study sought to understand factors influencing naturalistic improvements in NSSI.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted over video call with 16 participants who believed their difficulties with NSSI had improved due to factors not attributed to psychological or medical intervention. Interviews were audio recorded and transcribed verbatim for analysis.</p><p><strong>Results: </strong>A reflexive thematic analysis revealed four main themes. Increased insight into NSSI experiences promoted self-compassion and self-acceptance and enabled participants to reflect on the conflicting role of NSSI. Safe and supportive relationships helped alleviate loneliness, and developing alternative coping strategies enhanced feelings of control over self-injury. Creating a life guided by personal values promoted independence, choice, and self-esteem.</p><p><strong>Conclusions: </strong>The findings of the study highlight several internal and external naturalistic processes deemed meaningful in improving difficulties with NSSI. Clinical implications include the importance of developing and embedding these approaches within services and interventions to improve outcomes for individuals who self-injure while promoting a person-centred approach.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856810","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":"Goal-oriented practices in youth mental health and wellbeing settings: A scoping review and thematic analysis of empirical evidence.","authors":"Jenna Jacob, Lori Wozney, Hanne Weie Oddli, Charlie Duncan, Jill Chorney, Debbie Emberly, Duncan Law, Sharon Clark, Sofie Heien, Leah Boulos, Mick Cooper","doi":"10.1111/papt.12564","DOIUrl":"https://doi.org/10.1111/papt.12564","url":null,"abstract":"<p><strong>Introduction: </strong>Goal-oriented practices involve practitioners working collaboratively with clients to identify, develop and focus on objectives for the therapeutic work. It has been suggested that the key mechanism underpinning goal-oriented practices with young people is the development of epistemic trust via the foundation of open communication, along with shared decision-making: including young people in decisions about their care. However, goal-oriented work in practice is variable in scope and content, with no research consensus on what it entails, the mechanisms of change and reported outcomes.</p><p><strong>Method: </strong>This research aims to map the extent, range and nature of the evidence-base for goal-oriented practices, including gaps, through a synthesis of the available empirical evidence from the past 20 years. A scoping review of 9783 studies published from 2003 onwards was conducted.</p><p><strong>Results: </strong>In total, 116 studies were identified for inclusion in the review, focusing on goal-oriented practices specifically related to the mental health and wellbeing of children and young people aged 0-18 (including caregivers as relevant). Alongside presentation of the key elements of the included studies, three themes were developed relating to the features of mental health and wellbeing goal-oriented practice in the contexts of the studies: Conceptual and Empirical Constructs of Goal-Oriented Practices, Quality and Making 'Good' Goals, and The Socio-Cultural Contexts of Goal-Oriented Practice.</p><p><strong>Conclusion: </strong>Several areas for future research are identified that will build on this evidence, and further understanding in this area. Work towards the development of best practice principles will move practice towards transparency in the understanding and delivery of goal-oriented practices.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820232","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 parental mentalizing on the link between parental depression and child emotion regulation.","authors":"Mor Keleynikov, Dana Lassri, Noga Cohen, Joy Benatov","doi":"10.1111/papt.12563","DOIUrl":"https://doi.org/10.1111/papt.12563","url":null,"abstract":"<p><strong>Background: </strong>Parental depression has consistently been shown to impact child's emotion regulation (ER), with limited research on risk and protective factors, especially in preschoolers. Grounded in Morris and colleagues' model of emotion socialization, this study addresses this gap by examining the mediating and moderating roles of parental mentalizing (reflective functioning).</p><p><strong>Aims: </strong>We aimed to explore whether pre-mentalizing modes mediate the link between parental depressive symptoms and the child's ER tendencies and whether parental interest and curiosity and parental certainty about mental states can buffer this link.</p><p><strong>Materials & methods: </strong>The study sample included 732 parents (91% females) of children aged 3-7 years. To assess parental mentalizing, the Parental Reflective Functioning Questionnaire was used. Child ER skills were assessed with the Emotion Regulation Checklist, and depression was assessed with the Patient Health Questionnaire.</p><p><strong>Results: </strong>Findings demonstrated a negative link between parental depressive symptoms and children's ER skills, mediated by heightened parental pre-mentalizing modes. Contrary to expectations, parental interest and curiosity did not moderate this link, but parental certainty about mental states emerged as a protective factor, weakening the link between depressive symptoms and child ER skills.</p><p><strong>Conclusion: </strong>The results contribute to the understanding of ER development, particularly in the context of parental depressive symptoms, emphasizing parental mentalizing as a pivotal factor within this intricate dynamic.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803527","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":"Therapists' perspectives on the Maudsley model anorexia nervosa treatment for adolescents and young adults (MANTRa): A qualitative interview study.","authors":"Michael Zeiler, Petra Sackl-Pammer, Tanja Wittek, Susanne Ohmann, Sonja Werneck-Rohrer, Stefanie Truttmann, Julia Philipp, Gabriele Schöfbeck, Konstantin Kopp, Helene Krauss, Ulrike Schmidt, Andreas Karwautz, Gudrun Wagner","doi":"10.1111/papt.12562","DOIUrl":"https://doi.org/10.1111/papt.12562","url":null,"abstract":"<p><strong>Objectives: </strong>A rising incidence of eating disorders in the young population and limited effectiveness of available treatment approaches underscore the need for innovative therapies. This study explores therapists' perspectives regarding a promising new manualized psychotherapeutic treatment (MANTRa) for adolescents and young adults with anorexia nervosa (AN).</p><p><strong>Methods: </strong>Semi-structured qualitative interviews were conducted with 10 therapists (nine female) who provided 24-34 sessions of MANTRa per patient. Interview topics included positive and negative experiences with MANTRa in general, with the workbook and other components. Reflexive thematic analysis was used to interpret the data. Furthermore, written notes taken by the therapists after each sessions were analysed.</p><p><strong>Results: </strong>The thematic analysis revealed five overarching themes: (1) Variety of therapeutic tools and content elements included in the workbook; (2) Getting the therapeutic process going; (3) Flexibility in use of the workbook; (4) Impact of the scientific and multidisciplinary framework on quality assurance; (5) Formal design of the workbook. Therapists' case formulation letters to the patients were regarded as powerful tools to strengthen therapeutic alliance and promote recovery. In-depth therapists' training, regular supervision and a multi-professional treatment setting were important factors to ensure high treatment quality.</p><p><strong>Conclusions: </strong>The findings suggest how the MANTRa content (e.g. inclusion of additional therapeutic tools), the therapists' training and the format (e.g. provision of a digital version) can be improved to reach maximum impact. Therapists' formulation letters may be an effective therapeutic tool not only for AN but also across the spectrum of psychiatric disorders in adolescents and young adults.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774724","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":"Visual hallucinations in psychosis: What do people actually see?","authors":"Charlotte Aynsworth, Felicity Waite, Samuel Sargeant, Clara Humpston, Robert Dudley","doi":"10.1111/papt.12553","DOIUrl":"https://doi.org/10.1111/papt.12553","url":null,"abstract":"<p><strong>Background: </strong>One in three people with psychosis experience visions. However, little is known about what people see, and current treatments have limited benefits.</p><p><strong>Objectives: </strong>To improve the understanding and treatment of visions, this study explored the phenomenology of visions in people with psychosis.</p><p><strong>Methods: </strong>Twelve people with psychosis participated in semi-structured interviews. Reflective thematic analysis was used.</p><p><strong>Results: </strong>Three main themes were generated covering important aspects of phenomenology: 'Content', 'Coherence' and 'Quality'. The first theme 'Content: People see people', demonstrated that the most distressing visions were of people. The second theme 'Coherence: Visions of people who behave like people', captured how visions were coherent with real human behaviour, often by being multimodal experiences that spoke to and touched the observer. The third theme, 'Quality: They look too real' highlighted the compelling sense of authenticity of the visions, making them indistinguishable from reality.</p><p><strong>Conclusion: </strong>Visions represent what we expect to see in everyday life: people, who act and look real. This powerful combination provides insight into the absorbing and all-encompassing nature of visions and their impact on participant's lives. The framework of 'Content', 'Coherence' and 'Quality' provides guidance to support clinicians and researchers to better explore the phenomenology of visions in psychosis.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649662","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":"Internalizing symptoms and affective vulnerability among heterosexual and sexual minority young adults.","authors":"Alison C McLeish, Kimberly R Hartson, Joy L Hart, Kandi L Walker","doi":"10.1111/papt.12560","DOIUrl":"10.1111/papt.12560","url":null,"abstract":"<p><strong>Objectives: </strong>Sexual minority young adults report higher rates of anxiety and depression, and affective vulnerability factors (i.e. anxiety sensitivity, distress tolerance, emotion dysregulation) may help explain these mental health disparities.</p><p><strong>Design: </strong>The current cross-sectional study examined differences between sexual minority and heterosexual college students (n = 465; M_age = 19.84, SD = 3.51; 76.3% female) in anxiety, depression and affective vulnerability and whether affective vulnerability served as an explanatory mechanism in these associations.</p><p><strong>Methods: </strong>Participants completed self-report measures for course credit.</p><p><strong>Results: </strong>Sexual minority young adults reported greater anxiety, depression, anxiety sensitivity, emotion regulation difficulties and lower distress tolerance. There were also significant indirect effects for all three affective vulnerability variables for anxiety symptoms and for emotion regulation difficulties for depression symptoms.</p><p><strong>Conclusions: </strong>Affective vulnerability, particularly emotion regulation difficulties, appears to serve as a mechanism through which sexual minority status is associated with anxiety and depression. Improving emotion regulation skills may help to reduce mental health disparities in this population.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649661","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}