Archives of Psychiatric Nursing最新文献

{"title":"Impact of dog-assisted therapy on biomechanical and functional parameters in adults with autism spectrum disorder: A non-randomized controlled trial","authors":"Javier Fernández-Sánchez ,&nbsp;Ana Myriam Lavín-Pérez ,&nbsp;Luis Lucio Lobato Rincón ,&nbsp;Israel González García ,&nbsp;Javier Vallejo Bermejo ,&nbsp;Juan Carlos Rueda ,&nbsp;Paloma Esteban Fernández ,&nbsp;Sergio Soriano Carceller ,&nbsp;Daniel Collado-Mateo","doi":"10.1016/j.apnu.2025.151891","DOIUrl":"10.1016/j.apnu.2025.151891","url":null,"abstract":"<div><div>Dog-assisted therapy (DAT) is a complementary therapy that can lead to several therapeutic benefits in different populations, but little investigation has been made about its benefits in adults with autism spectrum disorder (ASD). Thus, the present study aimed to explore the biomechanical and functional benefits of DAT in adults with ASD. The study was a non-randomized controlled clinical trial following the CONSORT guidelines, in which 25 adults with ASD participated. Twelve of them were involved in a dog-assisted intervention twice a week with a multidisciplinary team for 10 weeks. Results showed a within-group improvement in the gait (<em>p</em> = 0.041), balance (<em>p</em> = 0.020) and risk of falling (<em>p</em> = 0.022) of adults with ASD who completed dog-assisted intervention. However, no differences were found with the control group. Regarding the number of falls, all the adults who experienced a fall before de DAT decreased its number after the intervention. These results suggest the potential of DAT to address physical problems in groups of patients with difficulties or severe disabilities.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151891"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting","authors":"Ananth Nazarene ,&nbsp;Amal Salman S.M. Alobaidli ,&nbsp;Sejo Varghese ,&nbsp;Deborah Nelson ,&nbsp;Ashishkumar Ramesh Badanapurkar ,&nbsp;Shiju Ramapurath ,&nbsp;Abeir Khamis Mohamed Hassan ,&nbsp;Divya Cecilia Dsouza ,&nbsp;Shuja Mohd Reagu ,&nbsp;Maryam Hussain Siddiqui ,&nbsp;Franclin Garcia Pineda ,&nbsp;Majid Ali Y.A. Al-Abdulla ,&nbsp;Kalpana Singh","doi":"10.1016/j.apnu.2025.151890","DOIUrl":"10.1016/j.apnu.2025.151890","url":null,"abstract":"<div><h3>Background</h3><div>In inpatient psychiatric units, around 50 % of patients exhibit aggressive symptoms, with aggression and violence being common issues. While mechanical restraint is least preferred by patients and is considered a last resort by healthcare professionals, its use might be preventable. Minimization of Aggression and Violence (MoAV) intervention in acute mental health services offers a comprehensive assessment, comprehensive staff training in de-escalation, and the implementation of evidence-based, proactive, and non-invasive measures can help reduce the need for restraints.</div></div><div><h3>Aim</h3><div>To assess the impact of the MoAV intervention introduced in 2017 across acute inpatient mental health services, focusing on its effect on physical restraint incidents. A retrospective analysis compared data from 2016 (pre-intervention) and 2021 (post-intervention).</div></div><div><h3>Result</h3><div>There was a significant reduction in the number of restraints from 253 in 2016 to 47 in 2021. The percentage of restrained patients decreased from 25 % to 4 %, p = (&lt;0.001). The mean duration of restraint incidents slightly increased from 59.1 min in 2016 to 61.3 min in 2021, though this change was not statistically significant.</div></div><div><h3>Conclusion</h3><div>Overall, the MoAV intervention appears to have made significant strides in reducing restraint use in acute mental health settings. Further research and continuous evaluation are essential to build on these findings and enhance patient care and safety.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151890"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of childhood trauma on postpartum depression: A prospective cohort study","authors":"Elton Brás Camargo Júnior ,&nbsp;Leticia Furtado Alves ,&nbsp;Ana Carolina Andrade ,&nbsp;Julio Ruiz Marrara ,&nbsp;Maria Neyrian de Fátima Fernandes ,&nbsp;Jie Hu ,&nbsp;Edilaine Cristina da Silva Gherardi-Donato","doi":"10.1016/j.apnu.2025.151892","DOIUrl":"10.1016/j.apnu.2025.151892","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to analyze the influence of childhood trauma on postpartum depression (PPD) through a prospective longitudinal evaluation.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted with women evaluated at two postpartum periods: the immediate postpartum period and between the middle and end of the third month. Data were collected using the Childhood Trauma Questionnaire (CTQ) which assesses five types of trauma (emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect), and the Edinburgh Postnatal Depression Scale (EPDS). Generalized Estimating Equations (GEE) and adjusted multinomial logistic regressions were performed.</div></div><div><h3>Results</h3><div>This study included 153 women who completed both assessments. The type of childhood trauma evaluated significantly influenced PPD symptoms at both time points. The PPD symptoms remained stable over time, with no significant interaction between trauma exposure and time. Emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect were found to be significant predictors of chronic PPD. Emotional abuse, physical abuse, and emotional neglect are also associated with early onset PPD. For late-onset PPD, only emotional neglect and sexual abuse remained as significant predictors. Emotional abuse was the most influential predictor of both early-onset and chronic PPD, while emotional neglect had the greatest impact on late-onset PPD.</div></div><div><h3>Conclusion</h3><div>This study highlighted the significant influence of childhood trauma on PPD. Furthermore, PPD symptoms remained stable over time. Early screening for PPD in postpartum women and the identification of childhood trauma during pregnancy are essential to mitigate PPD risk factors.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151892"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-neglect, anxiety and depression among empty nesters in China: A network analysis","authors":"Xiao Wang ,&nbsp;Jianying Fu ,&nbsp;Xiuhong Wang","doi":"10.1016/j.apnu.2025.151893","DOIUrl":"10.1016/j.apnu.2025.151893","url":null,"abstract":"<div><div>Previous studies have shown that anxiety and depression are important factors affecting self-neglect among empty nesters and are a prerequisite for the occurrence of self-neglect. However, there is still little data on the potential mechanism of influence between anxiety, depression and self-neglect. This study aimed to construct a network structure to investigate the connections between self-neglect, anxiety and depression in Chinese empty nesters, identifying core and bridge symptoms in the network and analyze the mechanisms that influence their connection. We analyzed data from 4985 empty nesters aged 60 and above in the CLHLS 2017–2018. Questionnaire items were selected to assess self-neglect, while depression and anxiety were measured using the CESD-10 and GAD-7 scales. Network analysis was conducted using R software to explore the relationships between self-neglect, anxiety, and depression. Network analysis identified central nodes (e.g., GAD2, CESD3) and bridge nodes (e.g., SN1, GAD1, CESD1) that link self-neglect, anxiety, and depression symptoms. Central symptoms (e.g., uncontrollable worry, felt sadness) and key bridge symptoms (e.g., lifestyle, nervousness or anxiety, bother by things) could serve as intervention targets for empty nesters experiencing self-neglect, anxiety, and depression.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151893"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating role of smoking cessation motivation in overcoming nicotine dependence and cessation challenges among male smokers: A mixed study","authors":"Shaimaa Mohamed Amin ,&nbsp;Mohamed Ali Zoromba ,&nbsp;Heba Emad El-Gazar ,&nbsp;Mohamed Gamal Noaman Malek ,&nbsp;Mohamed Hussein Ramadan Atta","doi":"10.1016/j.apnu.2025.151888","DOIUrl":"10.1016/j.apnu.2025.151888","url":null,"abstract":"<div><h3>Background</h3><div>Nicotine dependence and smoking-related behaviors remain significant public health challenges worldwide. In the Arab region, limited studies explore the factors influencing nicotine addiction and smoking cessation, especially regarding gender differences and psychological factors such as stress and coping strategies.</div></div><div><h3>Aim</h3><div>This study aims to explore the level of nicotine dependence among smokers in Egypt, examine the relationship between nicotine dependence and smoking cessation, and identify the psychological and coping factors that influence smoking behaviors.</div></div><div><h3>Methods</h3><div>A mixed-methods convergent parallel design was used. The quantitative component included a cross-sectional survey with 327 adult smokers, using the 21-item challenges to stopping smoking (CSS-21) scale, the Glover-Nilsson Smoking Behavioral Questionnaire (GN-SBQ), and the French Smoking Cessation Motivation Scale (F-SCMS). Descriptive and inferential statistics, including Pearson's correlation and regression analyses, were used to analyze the data. The qualitative component involved semi-structured interviews with 19 smokers, which were analyzed thematically. The study adhered to the STROBE and COREQ guidelines for reporting.</div></div><div><h3>Results</h3><div>The survey revealed that 60 % of participants were categorized as highly nicotine dependent, with a mean CSS-21 score of 3.4 ± 0.8. A significant positive correlation was found between nicotine dependence and coping strategies (<em>r</em> = 0.45, <em>p</em> &lt; 0.01). Psychological stress was identified as a major barrier to smoking cessation (<em>t</em> = 2.3, <em>p</em> = 0.03). Qualitative data indicated that smokers often experienced stress-related triggers, with coping mechanisms ranging from avoidance to smoking as a means of stress relief.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151888"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring healthcare professionals' attitudes towards patients attempting suicide and their moral sensitivities in emergency departments: A descriptive-correlational analysis","authors":"Ayşe Büyükbayram Arslan ,&nbsp;Leyla Baysan Arabacı ,&nbsp;Ceyda Başoğul","doi":"10.1016/j.apnu.2025.151886","DOIUrl":"10.1016/j.apnu.2025.151886","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the relationship between moral sensitivities among physicians and nurses in the emergency department and their attitudes towards patients who have attempted suicide.</div></div><div><h3>Methods</h3><div>This correlational and descriptive study took place in the emergency departments of three distinct university hospitals in Turkiye. The study was conducted with 152 physicians and nurses who volunteered to participate in the research. Data were analyzed using descriptive statistics, ANOVA, independent samples <em>t</em>-test, bonferroni test, pearson correlation, and linear regression.</div></div><div><h3>Results</h3><div>Of all participants, 61.8 % (<em>n</em> = 91) were female; 58.6 % (<em>n</em> = 89) were nurses, and the mean age was 29.01 (SD = 6.94) years. The mean scores obtained by participants from the MSQ and the ASETSA were 81.93 (SD = 20.97) and 96.17 (SD = 7.99), respectively. Statistical analysis revealed a significant relationship between participants' mean score on the ASETSA and both the total mean score and dimension mean scores (autonomy, providing benefit, holistic approach, orientation) of the MSQ (<em>p</em> &lt; 0.001). Moral sensitivity was found to be a significant predictor in explaining attitudes towards suicide attempts, accounting for 14 % of the variance (R² = 0.14, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Physicians and nurses in the emergency department who prioritize respecting the patient's autonomy, providing benefit, safeguarding the patient's integrity, and employing ethical considerations in their interactions and practices tend to harbor more positive attitudes towards individuals attempting suicide. Implementing education programs, clinical guidelines, and algorithms aimed at enhancing moral sensitivity can facilitate this development.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151886"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determination of cyberchondria levels of late adolescents and the factors affecting these levels","authors":"Abdullah Gergin ,&nbsp;İlçim Ercan Koyuncu ,&nbsp;Serap Balcı","doi":"10.1016/j.apnu.2025.151889","DOIUrl":"10.1016/j.apnu.2025.151889","url":null,"abstract":"<div><h3>Objectives</h3><div>Cyberchondria refers to the excessive and repetitive seeking of online health information. Higher levels of cyberchondria can lead to increased stress and anxiety in adolescents, trigger compulsive behaviors, and impact daily activities. This study aims to determine the levels of cyberchondria among late adolescents and the factors affecting these levels.</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive study was conducted between December 2022 and February 2023 with 300 nursing students from the Faculty of Health Sciences at a foundation university in Istanbul. Data were collected using a structured Data Form and the Cyberchondria Severity Scale-Short Form (CSS − 12). Statistical analyses were performed using SPSS, with categorical variables summarized as frequencies and percentages, and continuous variables reported as means and standard deviations. Normal distribution was assessed with the Kolmogorov–Smirnov test.</div></div><div><h3>Results</h3><div>The research findings indicated that the mean score for cyberchondria among late adolescents was 32.53 ± 8.04. It was observed that older adolescents, those with illiterate fathers, and those who trusted health-related information on the internet tended to have higher cyberchondria scores. However, factors such as gender, mother's education level, presence of a health professional in the family, time spent on the internet, and the presence of a chronic disease in oneself or in the family did not affect cyberchondria levels.</div></div><div><h3>Conclusion</h3><div>This study found moderate levels of cyberchondria among late adolescents. Pediatric nurses should implement educational programs to help adolescents critically evaluate online health information. Further research is needed to assess the long-term psychological effects and intervention efficacy.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151889"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144125391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Views of adolescents with mental disorders on their physical health: A qualitative study","authors":"Pelin Çiray ,&nbsp;Neslihan Günüşen ,&nbsp;Sevecen Çelik Ince ,&nbsp;Eren Halaç","doi":"10.1016/j.apnu.2025.151887","DOIUrl":"10.1016/j.apnu.2025.151887","url":null,"abstract":"<div><h3>Introduction</h3><div>Adolescents with mental disorders are at risk for physical health problems from the early stages of psychiatric diagnosis and treatment.</div></div><div><h3>Aim</h3><div>This study aims to explore the perspectives of adolescents with mental disorders regarding physical health.</div></div><div><h3>Method</h3><div>This study employed a qualitative descriptive design. Purposive sampling method was used. The sample consisted of 13 adolescents who were being followed up at a child and adolescent psychiatry outpatient clinic. Data were collected through in-depth interviews using a descriptive information form and a semi-structured interview form. The data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>The views of adolescents with mental disorders on their physical health were grouped under three main themes: (1) perceptions about health, (2) promoting and maintaining physical health, and (3) needs.</div></div><div><h3>Conclusions</h3><div>The findings revealed that adolescents varied in how they defined and perceived physical health, and that mental disorders influenced these perceptions. A multidisciplinary approach should be prioritized to protect and promote the physical health of adolescents with mental disorders.</div></div><div><h3>Limitations</h3><div>A limitation of this study is that the adolescents were receiving medical services from the physician who referred them to the study. Another limitation is that the study focuses on the subjective experiences of adolescents with mental disorders.</div></div><div><h3>Implications</h3><div>The study emphasizes the necessity of individualized and multidimensional interventions to support the physical health of adolescents with mental disorders. The findings highlight the need for healthcare professionals and policymakers to develop multidisciplinary approaches and sustainable support mechanisms aimed at improving the physical health of adolescents.</div></div><div><h3>Recommendations</h3><div>Future studies should focus on developing interventions and programs aimed at improving the physical health of adolescents with mental disorders. Future studies could further explore the role of parental perspectives.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151887"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of AI on psychiatric nursing: The good, the bad, and the ugly","authors":"Phillip Olla","doi":"10.1016/j.apnu.2025.151881","DOIUrl":"10.1016/j.apnu.2025.151881","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151881"},"PeriodicalIF":2.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144125390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of depression, anxiety and the coping strategies of patients recovered from COVID-19 infection in a Malaysian tertiary hospital","authors":"Thinesh Kumar Karadapanddy ,&nbsp;Anne Yee ,&nbsp;Thian Chee Loh ,&nbsp;Ong Hui Koh ,&nbsp;Nur 'Aqilah Mohd Hodori","doi":"10.1016/j.apnu.2025.151883","DOIUrl":"10.1016/j.apnu.2025.151883","url":null,"abstract":"<div><h3>Objectives</h3><div>This study evaluates the prevalence of depression and anxiety among patients who recovered from COVID-19 infection, with a focus on the significance of coping strategies, particularly in the culturally diverse country like Malaysia. Understanding these mechanisms is vital for addressing mental health challenges post-pandemic.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among patients treated for COVID-19 in a tertiary hospital in Malaysia. The Depression Anxiety Stress Scale (DASS-21) and Brief-COPE were used to measure mental health and coping strategies. Cultural influences, such as the role of religion and community, were considered alongside coping mechanisms. Non-probability sampling was employed, limiting generalizability. Multivariate logistic regression controlled for confounding variables such as age, gender, and comorbidities.</div></div><div><h3>Results</h3><div>The prevalence of depression and anxiety among participants was 27.9 % and 43.6 %, respectively. Hospitalized respondents showed higher level of anxiety with OR = 5.03 (CI: 1.09–23.23). Avoidant coping increased the odds of depression and anxiety, while approach coping decreased these odds. Although religion is an important cultural factor in Malaysia, it did not emerge as a statistically significant coping mechanism in this study, highlighting the complexity of cultural influences on mental health.</div></div><div><h3>Conclusion</h3><div>Depression and anxiety remain prevalent among COVID-19 survivors, especially among those hospitalized. Targeted mental health interventions that promote approach coping strategies and address cultural influences are essential. Policymakers should focus on providing long-term mental health support, particularly for vulnerable groups, and consider the potential of AI tools to enhance post-pandemic care.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151883"},"PeriodicalIF":2.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}