Moira McKniff, Sophia Holmqvist, Marina Kaplan, Stephanie M Simone, Molly B Tassoni, Rachel E Mis, Tania Giovannetti
{"title":"Subtle inefficiencies in everyday tasks indicate early functional difficulties in older adults: Implications for clinical practice and research.","authors":"Moira McKniff, Sophia Holmqvist, Marina Kaplan, Stephanie M Simone, Molly B Tassoni, Rachel E Mis, Tania Giovannetti","doi":"10.1080/13854046.2025.2497381","DOIUrl":"https://doi.org/10.1080/13854046.2025.2497381","url":null,"abstract":"<p><p><b>Objectives</b>: This study investigated the validity and reliability of subtle errors and slowing in simple everyday tasks (Naturalistic Action Test [NAT]) to assess mild functional difficulties in older adults with mild cognitive impairmen (MCI). <b>Method</b>: Older adults (<i>N</i> = 111, MAge= 73.45; SD= 6.53) classified as having healthy cognition (HC) or MCI completed neuropsychological testing and two NAT tasks (breakfast and lunch) twice, separated by 4-6 wk. NATs were scored for subtle, inefficient actions (i.e., micro-errors) and the average time (in sec) to complete a task step. <b>Results:</b> Participants with MCI made significantly more micro-errors [<i>F</i> (1, 109) = 8.78, <i>p</i> = .004, partial <i>η</i><sup>2</sup> = 0.07] and had a significantly longer average time per step [<i>F</i> (1, 109) = 13.98, <i>p</i> < .001, partial <i>η<sup>2</sup></i> = 0.11] than participants with HC. Micro-errors correlated with tests of episodic memory (<i>r</i> = -0.237, <i>p</i> = .012) and executive functioning (<i>r</i> = -0.201, <i>p</i> = .035), whereas average time per step correlated only with episodic memory (<i>r</i> = -0.300, <i>p</i> = .0001). Test-retest reliability was good for average time per step (ICC = .872, <i>p</i> < .001) and moderate for micro-errors (ICC = .675, <i>p</i> < .001). <b>Conclusions:</b> Measures of inefficient actions and performance time in familiar everyday tasks demonstrated strong to adequate construct and concurrent validity, as well as test-retest- and inter-rater reliability, supporting their use for the quantifying mild functional difficulties. Future studies should explore this scoring approach to develop early markers of functional disability or dementia risk.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carmen Serrano-Munuera, Rocío Martínez-Regueiro, Eva María Martínez Fernández, Berta Alemany Perna, Daniel López Domínguez, Laura Rojas-Bartolomé, Astrid Adarmes Gómez, Paula Pérez Torre, María José Abenza Abildúa, Idoia Rouco Axpe, Inmaculada Feria-Vilar, Jesús Pérez Pérez, Jeremy D Schmahmann, Carmen García-Sánchez
{"title":"Validation of the Spanish version of the cerebellar cognitive-affective syndrome scale.","authors":"Carmen Serrano-Munuera, Rocío Martínez-Regueiro, Eva María Martínez Fernández, Berta Alemany Perna, Daniel López Domínguez, Laura Rojas-Bartolomé, Astrid Adarmes Gómez, Paula Pérez Torre, María José Abenza Abildúa, Idoia Rouco Axpe, Inmaculada Feria-Vilar, Jesús Pérez Pérez, Jeremy D Schmahmann, Carmen García-Sánchez","doi":"10.1080/13854046.2025.2488453","DOIUrl":"https://doi.org/10.1080/13854046.2025.2488453","url":null,"abstract":"<p><p><b>Objective:</b> To validate the Spanish version of the Cerebellar Cognitive-Affective Syndrome scale (CCAS-S), originally published in 2018, in patients with cerebellar ataxia and healthy subjects, as an adapted Spanish version based on normative data has not yet been published or validated. <b>Methods:</b> Spanish CCAS-S was -administered prospectively to 158 patients with cerebellar ataxia and 164 matched healthy subjects from -different regions of Spain. Discriminant validity and reliability were evaluated. A subgroup of 30 patients underwent detailed neuropsychological examinations to confirm the construct validity. The Scale for the Assessment and Rating of Ataxia (SARA) and the Brief Ataxia Rating Scale (BARS) were used to assess motor performance. <b>Results:</b> This Spanish instrument demonstrates reliability and exhibits statistically significant differences in performance between patients and healthy subjects. Our analysis revealed lower values for specificity in detecting possible, probable, or definite CCAS compared to those reported in the US validation study when utilizing the original cutoff values. Upon application of the appropriate -correction factor for education, the specificity values approximated those reported for probable and definite CCAS diagnostics in the original investigation. <b>Conclusions:</b> The adapted Spanish CCAS-S has demonstrated validity and good reliability in this cohort. Discriminant validity was satisfactory for probable and definite CCAS when the correction for education was applied, and modified template and instructions have been developed. Further research is necessary to investigate the significance of the possible CCAS category, as diagnosed using the Spanish version, as well as to assess the performance of the corrected scale in other Spanish-speaking countries.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryan Pelo, Melissa Cortez, Peter C Fino, Leland E Dibble
{"title":"Commentary: are postconcussive symptoms and exercise testing appropriate tools to identify autonomic impairment after mild traumatic brain injury?","authors":"Ryan Pelo, Melissa Cortez, Peter C Fino, Leland E Dibble","doi":"10.1080/13854046.2025.2492689","DOIUrl":"10.1080/13854046.2025.2492689","url":null,"abstract":"<p><strong>Objective: </strong>After mild traumatic brain injury (mTBI), autonomic nervous system dysfunction is thought to contribute to exercise intolerance and self-reported postconcussive symptoms (e.g. dizziness, lightheadedness, brain fog) but little has been done to establish this relationship in the literature.</p><p><strong>Methods: </strong>Through recent literature review, it appears that few studies have assessed both autonomic function and exercise intolerance, and for those that have utilized varying methodologies making comparison across studies difficult. Some emerging research has identified potential impairment within the sympathetic nervous system after mTBI but no relationship between exercise tolerance testing and postconcussive symptoms has been established.</p><p><strong>Conclusion: </strong>For neuropsychologists, a physiologic understanding of the scope of autonomic dysfunction and appropriate assessment is vitally important, as autonomic nervous system impairment has the potential to impact sleep and mood, and subsequently cognitive function and mental health. When working in collaboration with other disciplines, referrals to exercise intolerance testing and laboratory based autonomic assessments may occur. However, given the lack of an established evidence, the use of exercise intolerance and/or related symptoms to clinically insinuate dysfunction of the autonomic nervous system function is likely premature, and a more thorough assessment of autonomic function <i>via</i> established batteries is more appropriate.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Dimitriadou, Nikolaos Scarmeas, Mary Yannakoulia, Efthymios Dardiotis, Paraskevi Sakka, Georgios M Hadzigeorgiou, Mary H Kosmidis
{"title":"Assessing mental flexibility in the older population with low levels of education.","authors":"Maria Dimitriadou, Nikolaos Scarmeas, Mary Yannakoulia, Efthymios Dardiotis, Paraskevi Sakka, Georgios M Hadzigeorgiou, Mary H Kosmidis","doi":"10.1080/13854046.2025.2490124","DOIUrl":"https://doi.org/10.1080/13854046.2025.2490124","url":null,"abstract":"<p><p>ΑBSTRACT<b>Objectives:</b> The Trail Making Test (TMT) is widely used for the assessment of mental flexibility in older individuals, but those with limited education are often unable to perform Part B; thus, we explored its clinical utility in assessing an older cohort with low education. Moreover, we explored the clinical utility of speedy reciting of the months of the year (MY) backwards (MB) as an alternative. <b>Methods:</b> We administered the TMT and MY to a sample of cognitively healthy individuals >64 years old and individuals with dementia who participated in a population-based epidemiological study, the Hellenic Longitudinal Investigation of Aging and Diet. <b>Results:</b> Of those who completed TMT-Part A (<i>n</i> = 1270), 69.6% of the cognitively healthy and 34.6% of the dementia group also completed Part B, while of those who successfully recited the months of the year forward (MF, <i>n</i> = 701), 95.1% of the cognitively healthy and 62.1% of the dementia group recited the months backwards. Group differences emerged on all test variables (Cohen's <i>d</i>s: -1.922 to -0.475) except TMT-Part B. Correlations revealed better performance on all test variables with higher levels of education and lower age, respectively, but associations with sex were inconsistent. Diagnostic group was a predictor, along with education and age, on all test variables, but not sex. ROCs suggested better diagnostic value for the MB, compared to TMT-Part B. Normative data are provided for MY. <b>Conclusions:</b> Our findings support the use of MB, rather than TMT-Part B, for assessing mental flexibility in older individuals with low levels of education.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel E Mis, Jared F Benge, Jennifer L Thompson Kamar, Troy A Webber, Steven Paul Woods
{"title":"Digital and analog approaches for managing daily activities in younger and older adults.","authors":"Rachel E Mis, Jared F Benge, Jennifer L Thompson Kamar, Troy A Webber, Steven Paul Woods","doi":"10.1080/13854046.2025.2487151","DOIUrl":"10.1080/13854046.2025.2487151","url":null,"abstract":"<p><p><b>Objective</b>: Technology is increasingly critical for performing daily activities, which has multiple implications for the practice of clinical neuropsychology. This study sought to characterize use of digital and traditional analog approaches to instrumental activities of daily living (iADLs) among samples of younger and older adults and identify cognitive factors associated with self-perceived errors in using digital approaches. <b>Method</b>: Sixty community-dwelling adults aged 50 and older and 46 younger healthy adults aged 35 and younger completed a telephone-based research evaluation including demographics, mood, general health, and neurocognitive functioning. Participants also completed a questionnaire on frequency of usage and perceived errors in completing nine iADLs <i>via</i> digital and analog approaches. <b>Results</b>: Participants overall reported using digital more frequently than analog approaches at a very large effect size, with a digital preference most obvious for activities such as navigation and financial account management. The younger group reported using digital approaches more frequently than the older group at a large effect size. Better cognitive performance was associated with less frequent use of analog, but not digital, approaches. Furthermore, better cognition was associated with moderately less frequent self-reported digital errors in the older, but not the younger, groups. <b>Conclusions</b>: Younger and older adults are increasingly adopting digital approaches to performing daily tasks. This highlights both the need and opportunity for the field of clinical neuropsychology to better understand how technology impacts the ability to perform daily tasks and develop assessment tools that adequately capture how patients are functioning in a digitally enriched environment.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-25"},"PeriodicalIF":3.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Taylor D Lambertus, Julie Suhr, Adrienne Jankowski
{"title":"Cross-validation of the MMPI dissimulation ADHD scale in a sample of adults presenting for ADHD evaluation.","authors":"Taylor D Lambertus, Julie Suhr, Adrienne Jankowski","doi":"10.1080/13854046.2025.2486303","DOIUrl":"https://doi.org/10.1080/13854046.2025.2486303","url":null,"abstract":"<p><p><b>Objective:</b> There are few attention deficit/hyperactivity disorder (ADHD)-specific symptom validity tests (SVTs) available. The revised Dissimulation ADHD scale (Ds-ADHD-r) was developed to identify noncredible reporting on the Minnesota Multiphasic Personality Inventory (MMPI). The current study examines whether the Ds-ADHD-r can identify noncredible performance and reporting in a clinical sample. <b>Method</b>: Participants (<i>N</i> = 113) completed neuropsychological evaluations in an university clinic, including the Conners' Adult ADHD Rating Scale (CAARS), MMPI-2-RF or MMPI-3, at least one standalone performance validity test (PVT), and at least four embedded PVTs. Noncredible groups were created based on falling above or below the cutoff on at least one PVT or falling above or below the cutoff on one SVT. <b>Results:</b> Those who scored above the SVT cutoffs scored higher on both the RBS and the Ds-ADHD-r compared to those who scored below the SVT cutoffs, while PVT performance groups did not differ on either the RBS or Ds-ADHD-r. The Ds-ADHD-r demonstrated greater utility in identifying symptom overreporting when compared to the MMPI RBS. The Ds-ADHD-r did not show utility in detecting noncredible performance. In correlation analyses, the Ds-ADHD-r was more strongly correlated to MMPI F and <i>F</i> scales as compared to FBS and RBS. <b>Conclusions</b>: Results support the utility of the Ds-ADHD-r to detect symptom overreporting in adults seeking evaluation for ADHD, though validation in additional, more diverse samples are needed.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Special issue editorial: Promoting cognitive health in LGBTQIA+ clinical neuropsychology.","authors":"Anthony N Correro, Jason D Flatt","doi":"10.1080/13854046.2025.2483969","DOIUrl":"https://doi.org/10.1080/13854046.2025.2483969","url":null,"abstract":"","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":"39 3","pages":"517-523"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elliott M Gomez, Andrea Mustafa, Ilex Beltran-Najera, Natalie R Ridgely, Jennifer L Thompson, Luis D Medina, Steven Paul Woods
{"title":"Health literacy mediates the association between cognition and healthcare provider interactions among gay and bisexual men with HIV disease.","authors":"Elliott M Gomez, Andrea Mustafa, Ilex Beltran-Najera, Natalie R Ridgely, Jennifer L Thompson, Luis D Medina, Steven Paul Woods","doi":"10.1080/13854046.2024.2319902","DOIUrl":"10.1080/13854046.2024.2319902","url":null,"abstract":"<p><p><b>Introduction:</b> Gay and bisexual men (GBM) account for the highest rates of incident infection with HIV in the U.S., and experience social, systemic barriers to accessing and engaging in healthcare services. Interacting with healthcare providers can be a complex process for some GBM with HIV disease. The current study examined the contributions of cognition and health literacy to perceived interactions with healthcare providers among GBM with HIV disease. <b>Methods:</b> The sample included 100 adults with HIV disease (ages 24-75) who identified as GBM. All participants completed the Dealing with Health Professionals subscale of the Beliefs Related to Medication Adherence survey, as well as the Cogstate neuropsychological battery, self-report measures of cognitive symptoms, and well-validated measures of health literacy. <b>Results:</b> Worse performance-based cognition and subjective cognitive symptoms were both associated with perceived difficulties dealing with healthcare providers, but these associations were fully mediated by lower health literacy. <b>Conclusion:</b> Health literacy may play a role in the association between poorer cognitive functioning and difficulties navigating healthcare interactions among GBM with HIV disease. Further studies are needed to determine whether cognitive approaches to enhancing the access, understanding, and use of health information in GBM with HIV disease improves healthcare interactions and outcomes.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"658-679"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew E Reineberg, Kristen L Eckstrand, Jason D Flatt
{"title":"Exploring the relationship between cognition and mental health in intersex participants in the UK Biobank study.","authors":"Andrew E Reineberg, Kristen L Eckstrand, Jason D Flatt","doi":"10.1080/13854046.2024.2414478","DOIUrl":"10.1080/13854046.2024.2414478","url":null,"abstract":"<p><p><b>Objective:</b> The physical and mental health of intersex individuals is woefully understudied. A recent survey of intersex individuals found high rates of self-reported cognitive issues such as difficulty remembering and concentrating as well as high rates of mental health issues, such as depression and anxiety. <b>Method:</b> The current study explores whether cognitive differences are observed between 353 intersex and over 400,000 non-intersex people using a latent model of cognitive tasks derived from measures in the UK (United Kingdom) Biobank study. <b>Results:</b> There were no differences in intelligence between intersex people and non-intersex people. We found significantly lower executive function and processing speed in intersex individuals versus non-intersex individuals. However, after accounting for mental health differences <i>via</i> regression and case-control matching, there were no significant differences in executive function or processing speed between intersex individuals and non-intersex individuals. <b>Conclusion:</b> Mental health differences between intersex and non-intersex individuals may account for differences in cognitive factor scores.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"702-722"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel K Greene, Tara M Rutter, Randi A Phelps, Emily K Olsen, Raquel Harmon, Danielle N Moyer
{"title":"Diagnostic assessment of autism spectrum disorder in transgender and gender diverse youth.","authors":"Rachel K Greene, Tara M Rutter, Randi A Phelps, Emily K Olsen, Raquel Harmon, Danielle N Moyer","doi":"10.1080/13854046.2024.2331272","DOIUrl":"10.1080/13854046.2024.2331272","url":null,"abstract":"<p><p><b>Objective:</b> Higher prevalence of autism spectrum disorder (ASD) diagnosis and associated traits has been observed among transgender and gender diverse (TGD) youth, and the number of TGD youth requesting evaluation for autism is growing. This study explored the demographic and clinical profiles of TGD youth evaluated in a specialty autism clinic. <b>Method:</b> Retrospective autism evaluation results for 41 TGD youth aged 5-18 years and 67 cisgender-matched controls were included in the study. <b>Results:</b> Approximately, half of TGD youth were diagnosed with autism (TGDASD+; <i>n</i> = 19 <i>vs.</i> TGDASD-; <i>n</i> = 22). There were no group differences in sex assigned at birth, gender identity, FSIQ, race, or ethnicity. Compared to TGDASD- (allistic) youth, TGD autistics had significantly lower adaptive functioning and were more likely to have an IEP eligibility of ASD. Anxiety and mood disorders were more common in TGD youth, whereas language disorders were more prevalent in cisgender controls. Attention-Deficit/Hyperactivity Disorder (ADHD) was more common among TGDASD- youth (72%) than TGDASD+ youth (47%), though not significantly. <b>Conclusions:</b> TGD youth with school-based IEP eligibilities of ASD and lower adaptive functioning are more likely to be diagnosed with ASD upon medical evaluation. The combination of identifying as TGD and having ADHD may heighten suspicion for ASD. Asking about gender identity during autism evaluations for children middle school-aged and older is recommended.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":" ","pages":"599-620"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}