Behavioral Sleep Medicine最新文献

{"title":"Parental Incarceration History and Adolescent Sleep.","authors":"Amelia R Branigan, Jess M Meyer","doi":"10.1080/15402002.2026.2658815","DOIUrl":"10.1080/15402002.2026.2658815","url":null,"abstract":"<p><strong>Objectives: </strong>We examine whether parental incarceration is associated with multiple domains of poor sleep in adolescence, a developmental period when circadian rhythms shift and sleep deprivation is widespread.</p><p><strong>Method: </strong>We used multivariable regression to examine whether a history of father-only incarceration, mother-only incarceration, or both-parent incarceration was associated with sleep duration (hours of sleep per night), timing (bedtime and waketime), disturbance (difficulty falling or staying asleep), and regularity (social jetlag, the absolute difference in sleep midpoint between school nights and weekends). Our sample included 15-year-olds in the Future of Families and Child Wellbeing Study, a survey of children born in midsize or larger U.S. cities.</p><p><strong>Results: </strong>Father-only incarceration and both-parent incarceration were each associated with 1-2 additional days of disturbed sleep per month. Both-parent incarceration was also associated with more irregular sleep, amounting to 17 minutes more social jetlag. Short sleep duration was pervasive regardless of parental incarceration history.</p><p><strong>Conclusions: </strong>As children of incarcerated parents age into adolescence, they no longer get less sleep but continue to get worse sleep than peers with never-incarcerated parents. Practitioners and policymakers addressing health among adolescents of incarcerated parents should consider the importance of poor sleep, particularly sleep irregularity and sleep disturbance.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823580","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":"Circadian Typology and Self-esteem, Perceived Social Support and Life Satisfaction in a Spanish Population Sample.","authors":"Roque Crespo Castizo, Juan Manuel Antúnez","doi":"10.1080/15402002.2026.2621865","DOIUrl":"10.1080/15402002.2026.2621865","url":null,"abstract":"<p><strong>Introduction: </strong>Circadian rhythms are biological rhythms that are repeated every 24 hours, and are reflected in circadian typology, a variable that has been related to different aspects of mental health, such as resilience, optimism, and emotional intelligence.</p><p><strong>Objectives: </strong>This study aims to analyze the relationships between circadian typology and perceived social support, self-esteem, and life satisfaction, considering the possible influence of sex.</p><p><strong>Method: </strong>345 participants (200 women), aged 16-76 years (31.77 ± 16.14 years), completed the reduced Morningness-Eveningness Questionnaire, the MOS Social Support Survey, the Rosenberg Self-Esteem Scale and the Satisfaction with Life Scale.</p><p><strong>Results: </strong>Morning-type participants scored higher than evening-type participants on emotional support, instrumental support, global support, and life satisfaction. Also, morning-type participants scored higher on global self-esteem, and on positive and negative dimensions of self-esteem, which is consistent with the bifactorial model's view of these as related but independent dimensions of self-esteem.</p><p><strong>Conclusions: </strong>These results suggest that morning typology could be considered as a protective factor for the development of psychological problems and mental disorders, as is associated with variables indicative of better mental health (greater self-esteem, life satisfaction and perceived social support), while evening typology is associated with factors considered to be risk factors for mental health.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"358-370"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088161","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":"Estimating Public Knowledge About Cognitive Behavioral Therapy for Insomnia (CBT-I) and Alternative Treatments.","authors":"Arash Assar, Jamie Walker, Mara Egeler, Veronica Floyd, Harrison Dickens, Ivan Vargas","doi":"10.1080/15402002.2025.2610674","DOIUrl":"10.1080/15402002.2025.2610674","url":null,"abstract":"<p><strong>Objectives: </strong>This study assessed public knowledge about insomnia treatments, particularly Cognitive Behavioral Therapy for Insomnia (CBT-I), and examined whether familiarity varied by gender or race. The primary aim was to quantify what proportion of adults in the United States are familiar with and use CBT-I.</p><p><strong>Methods: </strong>A nationally representative sample of 3080 U.S. adults (<i>M_age </i>= 39.5 years, <i>SD_age </i>= 12.9) was surveyed. Approximately 48.3% identified as women. Participants reported their familiarity with various insomnia treatments, including pharmacological and behavioral options, and whether they had used prescription medications, over-the-counter sleep aids, or CBT-I within the past year or at any point in their lifetime.</p><p><strong>Results: </strong>Participants were substantially more familiar with pharmacological treatments than behavioral therapies, with notably low recognition of CBT-I. Treatment utilization patterns supported that people tend to have a greater reliance on pharmacological interventions, particularly over-the-counter options, than CBT-I. Demographic differences emerged, with women and White participants reporting greater awareness of insomnia treatments than men and individuals from other racial groups. Age related differences were also observed, though, these varied by treatment approach.</p><p><strong>Conclusions: </strong>This study identified major gaps in public awareness of CBT-I and highlighted disparities in treatment knowledge. Addressing these gaps is critical for improving treatment access and promoting CBT-I as a first-line, evidence-based treatment for insomnia.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"330-345"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12797138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"<i>My Partner Just Wants to Sleep</i>\": A Qualitative Study of the Experience of Living with a Partner with Narcolepsy or Idiopathic Hypersomnia.","authors":"Carlos A Rodriguez-Jimenez, Simone Buzwell, Ben Bullock","doi":"10.1080/15402002.2025.2589259","DOIUrl":"10.1080/15402002.2025.2589259","url":null,"abstract":"<p><p>Narcolepsy and Idiopathic Hypersomnia (IH) are chronic sleep disorders that negatively impact the Health-Related Quality of Life (HRQoL) of those who are diagnosed with the disorders. As such, Narcolepsy and IH may also impact the HRQoL of those close to the patient (e.g. partners, parents).</p><p><strong>Aim: </strong>This project explored the experiences of partners of people with Narcolepsy or IH, and examined how living with someone with the diagnosis had impacted their own HRQoL.</p><p><strong>Methods: </strong>In this in-depth qualitative study, semi-structured interviews were used to collect data from eight people (4 males and 4 females, aged between 21 and 53 years old) whose partners had Narcolepsy T1, T2, or IH. The data was analyzed using Reflexive Thematic Analysis (RTA) to find common themes emerging from the participants' narratives. Self-reports for psychological distress (K10) and sleep quality (PSQI) were used.</p><p><strong>Results: </strong>Five themes (and two sub-themes) were identified: 1) changes in dyadic identity; 2) negative impact on intimacy; 3) loneliness; 4) sacrifices to maintain the relationship, and 5) dissatisfaction at the lack of knowledge and information.</p><p><strong>Conclusions: </strong>Partners of patients with Narcolepsy or IH reported being affected by some of the symptoms of their partners' sleep disorder. Partners' social and emotional HRQoL were the features most strongly impacted by the disorders. Future research should focus on developing collaborative care models that involve patients' partners in treatment.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"275-286"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551765","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":"Insomnia Symptoms and Self-Injurious Behaviors among Adolescents and Young Adults: The Mediating Role of Depressive and Anxiety Symptoms.","authors":"Suying Wu, Yang Li, Sijing Chen, Xiao Chen, Wei Wei, Chenyun Zhang, Liangliang Ping, Yuyun Huang, Farong Liu, Yun-Kwok Wing, Le Shi, Jianyu Que","doi":"10.1080/15402002.2025.2591682","DOIUrl":"10.1080/15402002.2025.2591682","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the relationship between insomnia symptoms and self-injurious behaviors (SIB) among adolescents and young adults, with a focus on the mediation effects of depression and anxiety on this association.</p><p><strong>Methods: </strong>An online survey among adolescents and young adults was conducted in Xiamen City, Fujian Province, from December 2022 to May 2023. SIB was assessed using two items from Health-Related Risky Behavior Inventory. Insomnia, depressive, and anxiety symptoms were evaluated by Insomnia Severity Index, Patient Health Questionnaire, and Generalized Anxiety Disorder Scale, respectively. A structural equation model was employed to explore the mediating role of depressive and anxiety symptoms in the relationship between insomnia and SIB.</p><p><strong>Results: </strong>A total of 3436 participants (M_age = 18.12 years; 58.4% female) were included in final analysis, with 707 (20.6%) reporting SIB within the past 12 months. Participants with SIB exhibited higher levels of insomnia, depressive, and anxiety symptoms compared to those without SIB. Insomnia symptoms were significantly associated with SIB (β = 0.343, <i>p</i> < .001). Additionally, depressive (β = 0.093, <i>p</i> < .001) and anxiety (β = 0.026, <i>p</i> = .001) symptoms mediated the relationship between insomnia symptoms and SIB. Total indirect effects accounted for 79.33% of the total effects (insomnia → SIB). However, sex did not moderate the mediation effect. Sensitivity analyses yielded similar results.</p><p><strong>Conclusion: </strong>Depressive and anxiety symptoms mediate the relationship between insomnia and SIB in adolescents and young adults, suggesting that insomnia may act as a transdiagnostic factor contributing to emotional dysregulation and SIB.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"287-300"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558416","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":"Daily Associations Between Ethnic and Racial Discrimination and Sleep Among Mexican-Origin Adolescents.","authors":"Tiffany Yip, Kyle Lorenzo, Zhenqiang Zhao, Jasmine Diaz, Lijuan Wang, Mario Cruz-Gonzalez, Kristin Valentino, Irene Park, Jenny Zhen-Duan, Kiara Alvarez, Margarita Alegría","doi":"10.1080/15402002.2026.2620780","DOIUrl":"10.1080/15402002.2026.2620780","url":null,"abstract":"<p><strong>Objectives: </strong>Ethnic and racial discrimination stress is a key social determinant of sleep health, yet its day-to-day influence on Mexican-origin adolescents remains underexplored. This study focused on Mexican-origin adolescents and examined the negative effects of daily ethnic and racial discrimination stress on sleep.</p><p><strong>Method: </strong>The analytic sample included 256 Mexican-origin adolescents (48.8% female, 49.7% male, 1.56% non-binary; mean age = 13.50; <i>SD =</i> 1.11; range = 12-16 years old) residing in a suburban area in the United States Midwest. Using multi-level models that disentangle between- and within-person effects, this study assessed daily ethnic and racial discrimination stress and self-reported same-night sleep using a 21-day daily report method. Daily sleep indicators included nighttime duration, onset latency, and quality.</p><p><strong>Results: </strong>On days when adolescents reported higher levels of discrimination stress, they also reported longer sleep onset latency. At the between-person level, youth who reported higher levels of discrimination stress reported poorer sleep quality. Possible reciprocal dynamics between stress and sleep were tested. Results showed that at the within-person level, sleep behaviors were not associated with next-day racial discrimination. At the between-person level, adolescents who reported higher sleep quality or longer sleep duration the prior night also reported lower levels of next-day discrimination, suggesting that sleep disturbances may be associated with stress experiences.</p><p><strong>Conclusion: </strong>This study highlights the importance of targeted support for Mexican-origin adolescents' sleep health especially on days when they experience ethnic and racial discrimination.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"346-357"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042176","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 Sleep Apnea in Four Arab Countries (Egypt, Jordan, Iraq, and Oman): A Systematic Review and Meta-Analysis.","authors":"Mohammed Jameel Wahab, Hamideh Ebrahimi, Mohammed Hakim Shamran Al-Hchaim, Muhammad Saifullah, Karrar Najah Abd AlJaleel, Alaa Hamza Hermis, Yusra Sulaiman Al Nasiri, Abbas Abdul-Hussein Hassan, Nassim Samir Saker, Hanan I Nazar","doi":"10.1080/15402002.2025.2609548","DOIUrl":"10.1080/15402002.2025.2609548","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) is a prevalent sleep-related breathing disorder associated with cardiovascular, metabolic, and psychological complications. Data on its prevalence in Arab countries remain scarce. This study aimed to estimate the pooled prevalence of OSA in Egypt, Jordan, Oman, and Iraq, and to explore sources of heterogeneity.</p><p><strong>Methods: </strong>A systematic search of major scientific databases was conducted to identify studies up to 2025. Pooled prevalence was calculated using a random-effects model and Heterogeneity was assessed. Subgroup analyses were performed by country and diagnostic tool, and meta-regression examined temporal trends. Publication bias was evaluated with Egger's and Begg's tests, and adjusted using the trim-and-fill method.</p><p><strong>Results: </strong>Fifty studies with 58 prevalence estimates involving 881,184 participants were included. The pooled prevalence of OSA was 33.0% (95% CI: 28.3%-37.8%), with marked heterogeneity (I² = 99.8%). Subgroup analysis showed higher prevalence in Egypt (39%) compared with Jordan (28%) and other Arab countries (24%). No significant differences were observed between diagnostic tools, and heterogeneity persisted across subgroups. Meta-regression revealed no significant change in prevalence over time. Evidence of small-study effects was found; after trim-and-fill adjustment, the pooled prevalence rose to 37.1%.</p><p><strong>Conclusion: </strong>OSA prevalence in Arab countries is higher than in many Western populations, representing a significant public health concern. The persistent heterogeneity and stable prevalence suggest that risk factors such as obesity, sedentary lifestyle, and genetic predisposition remain unchanged. These findings underscore the need for targeted prevention, systematic screening, and improved diagnostic standards to reduce the disease burden.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"301-316"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914010","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":"Staying Up Like a Vampire: Psychometric Validation of the Vamping Scale, Its Links to Sleep and Mental Well-Being.","authors":"Busra Yigit, Esra Nur Turkdogan, Kemal Feyzi Ergin, Seydi Ahmet Satici","doi":"10.1080/15402002.2025.2609553","DOIUrl":"10.1080/15402002.2025.2609553","url":null,"abstract":"<p><strong>Methods: </strong>In Study 1, 349 Turkish-speaking adults (57% female; <i>M</i> = 24.05 years, range = 18-68) completed the translated Vamping Scale with related sleep and procrastination measures. CFA, item-total correlations, and IRT assessed factor structure and item properties, while reliability was evaluated with α, ω, and λ6. In Study 2, 342 adults (56% female; <i>M</i> = 26.65 years, range = 18-56) completed the Vamping Scale with mental health and well-being measures. Pearson correlations and SEM tested whether psychological distress mediated the relationship between vamping and well-being.</p><p><strong>Results: </strong>A revised 10-item, two-factor model showed acceptable fit (CFI = .901; SRMR = .0562) and high internal consistency (α = .890). Vamping was positively related to bedtime procrastination, sleep effort, and psychological distress, and negatively to life satisfaction and well-being. SEM confirmed psychological distress mediated the link between vamping and well-being.</p><p><strong>Conclusion: </strong>The Turkish Vamping Scale is a psychometrically sound instrument for assessing late-night technology use behaviors in adult populations. The findings underscore the detrimental associations between vamping, sleep-related difficulties, and psychological distress, supporting the need for targeted interventions. Future research should incorporate longitudinal designs and objective sleep measures to clarify causal pathways.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"317-329"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Stressors and Sleep Problems During Adolescence: Evidence from the ALSPAC Cohort.","authors":"Eirini Flouri, Blanka Frizzi, Marta Francesconi","doi":"10.1080/15402002.2026.2624609","DOIUrl":"10.1080/15402002.2026.2624609","url":null,"abstract":"<p><strong>Objectives: </strong>Much research on risk factors of poor sleep in adolescence has focussed on stressful life events, but without explicitly investigating the role of family-wide (rather than personal) events. We carried out this study to explore the role of stressful family-wide events in sleep problems in adolescence in the general population.</p><p><strong>Method: </strong>Using data from the Avon Longitudinal Study of Parents and Children (ALSPAC), we investigated the role of recent family-wide stressors (at ages 12-16 years) in sleep problems (at age 17 years), while controlling for previous exposure to personal and family-wide stressors and other confounders (<i>N</i> = 4,561). Our list of recent family-wide stressors included not only major and rare adversities (such as death of a parent) but also relatively common events (such as death of a family pet) and normative transitions (such as birth of a sibling).</p><p><strong>Results: </strong>Our results showed a small but significant relation between number of recent family-wide stressors and adolescent sleep problems (b = 0.06, 95% CI: 0.04-0.09). This association was robust to confounder adjustment and similar for males and females.</p><p><strong>Conclusions: </strong>Our findings suggest that interventions aiming to protect or improve the sleep of adolescents could target those experiencing a large number of recent family events even if these events were relatively minor.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"385-391"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108600","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":"Sleep Duration Associated with Subjective Cognitive Decline: Influence of Age, Sex, Race and Ethnicity.","authors":"Anthony Q Briggs, Marcus Johnson, Sadia B Ghani, Andrew S Tubbs, William D S Killgore, Debbie Chung, Azizi Seixas, Girardin Jean-Louis, Michael A Grandner","doi":"10.1080/15402002.2026.2623103","DOIUrl":"10.1080/15402002.2026.2623103","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the relationship between short and long sleep duration and subjective cognitive decline (SCD) in a diverse cohort of cognitively normal mid- to older-age adults.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of the 2022 Behavioral Risk Factor Surveillance System (BRFSS) data, including 63,948 adults aged 40-70. SCD was assessed using BRFSS survey queries. Multivariable logistic regression models examined the association between sleep duration ( < 7, 7, ≥8 hours) and SCD, adjusting for age, sex, race/ethnicity, education, and history of depression.</p><p><strong>Results: </strong>Both short and long sleep durations were associated with higher odds of SCD. The association between short sleep and SCD was strongest among individuals in their 40s at the start of midlife. Findings were consistent across all ages for non-Hispanic Whites (NHW) and for Hispanics/Latinos in their 50s and 70s. Black/African American (B/AA) adults exhibited a stronger relationship between both short and long sleep duration and SCD as they aged from midlife into their 80s, compared to NHWs.</p><p><strong>Conclusions: </strong>Short sleep duration is more strongly associated with subjective cognitive decline in midlife, particularly among B/AA adults. Addressing sleep disparities may help mitigate the risk of SCD.</p>","PeriodicalId":55393,"journal":{"name":"Behavioral Sleep Medicine","volume":" ","pages":"371-384"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115049","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}