American Journal of Orthopsychiatry最新文献

{"title":"Sexual identity differences in the association between psychological distress and cardiometabolic health among women: 2013-2018 National Health Interview Survey.","authors":"Colleen D Beatriz, Elizabeth R Bertone-Johnson, Billy A Caceres, Nicole A VanKim","doi":"10.1037/ort0000806","DOIUrl":"10.1037/ort0000806","url":null,"abstract":"<p><p>Poor psychological health has been consistently documented for sexually minoritized women. However, little is known about the association between poor psychological health and physical health. This study examined associations between psychological distress and cardiometabolic health, including cardiovascular disease risk conditions (hypertension, high cholesterol, and diabetes) and diagnoses (stroke, coronary heart disease, myocardial infarction, and angina), by sexual identity among women. Data are from the 2013-2018 National Health Interview Survey and included 102,279 women, who were straight (<i>n</i> = 97,909), lesbian/gay (<i>n</i> = 1,424), bisexual (<i>n</i> = 1,235), something else (<i>n</i> = 360), did not know (<i>n</i> = 712), and refused to disclose (<i>n</i> = 639). Multivariable multinomial logistic regression models were fit to estimate associations between psychological distress (measured with Kessler-6) and cardiometabolic health (self-reported diagnosis) and to examine sexual-identity differences in these associations. Covariates included sociodemographic characteristics. Overall, severe psychological distress was associated with significantly higher odds of having a cardiometabolic health condition (<i>OR</i> = 2.66). These associations generally did not statistically significantly differ based on sexual identity. However, potential substantive differences in the magnitude of the association existed among lesbian/gay (<i>OR</i> = 4.00) compared to straight women (<i>OR</i> = 2.73). Moreover, women who identified as gay/lesbian, bisexual, \"something else,\" or \"I don't know\" all reported significantly higher prevalence of severe psychological distress than straight women. Given the overall positive association between psychological distress and cardiometabolic health as well as the higher prevalence of severe psychological distress among sexual minority women, more work is needed to longitudinally examine the effects of psychological distress on health among sexually minoritized women. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513484","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 qualitative exploration of Muslim American college students' experiences of discrimination and coping.","authors":"Courtney A Colgan, Pratyusha Tummala-Narra, Tanvi N Shah, Tooba Fatima, Sahar M Sabet, Gayatri M Khosla","doi":"10.1037/ort0000808","DOIUrl":"https://doi.org/10.1037/ort0000808","url":null,"abstract":"<p><p>A majority of Muslim American college students have grown up exclusively within a post-9/11 climate of surveillance and discrimination. Recent events such as the Trump administration's \"Muslim ban\" and the Israel-Hamas War have led to additional spikes in Islamophobia and discrimination against Muslim Americans. Developmentally, college students are particularly susceptible to the impacts of discrimination because of the identity exploration that occurs during emerging adulthood. Yet, the effects of discrimination on Muslim American college students are understudied. This qualitative study sought to understand how 1.5- and second-generation immigrant-origin Muslim American college students (a) experience discrimination, (b) describe the emotional impacts of discrimination, and (c) cope with discrimination. Semistructured interviews were conducted with 13 Muslim American college students between the ages of 18 and 21 years (<i>M</i> = 19.85). Conventional content analysis yielded 14 themes and 9 subthemes. Themes consisted of pride in Muslim identity; complexity of visible markers of Muslim identity; stereotypes; microaggressions; multiple, intersecting forms of oppression; historical, ongoing sociocultural trauma; overt Islamophobia; fear, anxiety, and distrust; impact on identity; sadness and hopelessness about the future; intrapsychic forms of coping; relational forms of coping; shifting actions and behaviors; and generational differences in coping. Findings indicated that discrimination experienced by Muslim American college students is chronic, pervasive, and intersectional. Participants experienced discrimination at various stages in their development, across multiple contexts, and on account of multiple marginalized identities. Notably, participants' experiences of discrimination coexisted with a sense of pride in being Muslim. Implications for research and intervention are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513480","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":"Maternal childhood trauma, caregiving behavior, and child cognitive development in the context of drug addiction.","authors":"Jin Young Shin, Thomas J McMahon, Francesca Penner, Amanda Lowell","doi":"10.1037/ort0000802","DOIUrl":"https://doi.org/10.1037/ort0000802","url":null,"abstract":"<p><p>Exposure to childhood trauma confers intergenerational risk on child development. However, the mechanism linking a mother's childhood trauma with her child's cognitive development remains poorly understood. This study recruited 71 mother-child dyads affected by substance use disorder from local, community-based, outpatient substance use treatment programs. Maternal exposure to childhood trauma, caregiving behavior, and child cognitive development were assessed in each mother-child dyad. These were measured through a comprehensive biopsychosocial interview, an observed dyadic interaction coded using the Coding Interactive Behavior system, and the Bayley Scales of Infant and Toddler Development, Screening Test, respectively. We hypothesized that compromised caregiving behavior would mediate a negative relationship between maternal childhood trauma and child cognitive development. Analyses did not support this hypothesis. Specifically, maternal childhood trauma was not significantly associated with child cognitive development nor the four dimensions of maternal caregiving behavior. However, caregiving behavior (specifically maternal sensitivity and limit setting) was associated with child cognitive development, when controlling for maternal childhood trauma and child age. The lack of associations observed suggests that protective factors may buffer the intergenerational impact of childhood trauma. Furthermore, the relationship between quality of caregiving and child cognitive development highlights the importance of interventions which foster sensitive caregiving behaviors that may bolster child cognitive development in the context of maternal substance use disorder and maternal childhood trauma. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513483","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":"Interconnectedness of mindfulness facets and their impact on mental health outcomes in Asian American and European American college students: A network approach.","authors":"Duckhyun Jo, Michael C Pan","doi":"10.1037/ort0000809","DOIUrl":"https://doi.org/10.1037/ort0000809","url":null,"abstract":"<p><p>Despite extensive research supporting the effectiveness of mindfulness-based interventions, the understanding of the dynamic connections between various mindfulness facets, particularly across diverse cultures, remained limited. This study aimed to investigate the networks among mindfulness aspects across different cultural backgrounds and their individual associations with mental health and well-being. Using the data collected from 710 undergraduate students in Hawaii (445 Asian Americans, 265 European Americans), we constructed sparse networks for each group to investigate their centrality index. To compare the overall structures of these networks, we utilized permutation-based tests. In addition, we used relative weight analysis to evaluate the distinct contributions of each mindfulness facet to positive and negative mental health outcomes. The results indicated similar trends in both racial groups, emphasizing the importance of specific mindfulness aspects like describing and acting with awareness within the mindfulness construct. However, notable variations were observed, particularly in how observing and nonjudging facets related among Asian Americans. In addition, acting with awareness and nonjudging showed substantial inverse associations with negative mental health outcomes across groups, whereas the observing aspect displayed positive connections with anxiety and stress among Asian Americans. The findings suggest which aspects are fundamental to mindfulness, aiding in a nuanced understanding of the construct. They also emphasize the importance of acknowledging cultural diversity in both mindfulness research and its clinical applications. Practical implications and directions for future research were discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513482","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":"Ethnic discrimination, cultural identification, and well-being among undocumented Hispanic immigrants in the United States: A test of the rejection-identification model.","authors":"Lawrence G Watkins, Cory L Cobb, Seth J Schwartz, Maria Duque, Pablo Montero-Zamora, Aigerim Alpysbekova, Sara Romero, Beyhan Ertanir, Charles R Martinez","doi":"10.1037/ort0000810","DOIUrl":"https://doi.org/10.1037/ort0000810","url":null,"abstract":"<p><p>This study aimed to examine the rejection-identification model (RIM) within a community sample of undocumented Hispanic immigrants in the United States, a unique and vulnerable population who face distinct legal and sociopolitical challenges. The RIM posits that ethnic discrimination is associated with increased identification with one's ethnic group, which, in turn, is positively associated with well-being. Data were collected from a community sample of 140 undocumented Hispanic immigrants living in the South-Central United States during the height of the 2015 Trump presidential campaign. Path analysis was employed to examine direct and indirect effects of perceived ethnic discrimination vis-à-vis ethnic identity, U.S. identity, and two forms of well-being (life satisfaction and flourishing). Age (<i>M</i> = 34.83), gender (50% men), and time spent in the United States were included as covariates. Higher ethnic discrimination was associated with lower U.S. and ethnic identity. Both ethnic and U.S. identity were positively associated with flourishing, whereas only U.S. identity was positively associated with life satisfaction. We also found a significant indirect effect of ethnic identity in the relationship between ethnic discrimination and flourishing. Findings are inconsistent with the RIM, as ethnic discrimination was negatively rather than positively associated with ethnic group identification. Undocumented Hispanic immigrants are a vulnerable population who may experience dual disidentification from both U.S. and ethnic cultural streams when perceiving ethnic discrimination during adverse sociopolitical periods. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513481","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":"Cultural-economic stress and mental health among Ukrainian immigrants residing in the U.S. post-Russian invasion.","authors":"Aigerim Alpysbekova, Mia M Cisco, Beyhan Ertanir, Duyen H Vo, Carolina Scaramutti, Lea Nehme, Pablo Montero-Zamora, Tara Bautista, Seth J Schwartz","doi":"10.1037/ort0000796","DOIUrl":"https://doi.org/10.1037/ort0000796","url":null,"abstract":"<p><p>The present study investigates the perceived impact of cultural and family-economic stressors on the mental health and well-being of Ukrainian migrants in the United States who arrived either pre- or post-Russian invasion. We used a range of tools for assessment, including the general anxiety disorder (GAD-7), CESD-B-10, Harvard Trauma Questionnaire (HTQ-22), posttraumatic stress disorder (PTSD-17), 10-item Revised Life Orientation Test, Alcohol Use Disorders Identification Test, seven-item Perceived Discrimination Scale, six-item Perceived Context of Reception Scale, Language Stress-7, family-economic stress-13 (FES-13), Survivor's guilt-9, and Satisfaction with Life-5 scales. Utilizing latent profile analysis with a sample of 703 Ukrainian migrants, we identified three distinct classes based on levels of cultural and family-economic stress: low, moderate, and high stress. We found that the high-stress class reported the highest levels of depressive (<i>M</i> = 27.29, <i>SD</i> = 6.02), anxiety (<i>M</i> = 12.11, <i>SD</i> = 4.30), and PTSD symptoms (<i>M</i> = 42.19, <i>SD</i> = 11.01), along with lower life satisfaction (<i>M</i> = 10.76, <i>SD</i> = 4.99) and higher rates of Survivor's guilt (<i>M</i> = 23.07, <i>SD</i> = 7.57), trauma (<i>M</i> = 16.76, <i>SD</i> = 5.51), and alcohol misuse (<i>M</i> = 14.57, <i>SD</i> = 10.84). Conversely, the low-stress class reported higher levels of optimism (<i>M</i> = 22.14, <i>SD</i> = 5.01). Importantly, individuals arriving after the invasion were disproportionately represented in the high-stress class, with a significant majority meeting criteria for probable anxiety, depression, and PTSD diagnoses. Furthermore, a substantial portion of high-stress participants met criteria for alcohol dependence, emphasizing the pivotal role of stressors in influencing the mental health of Ukrainian migrants, and suggesting the need for tailored interventions addressing cultural and family-economic stressors. This study enhances our understanding of cultural and family-economic stress theories within a European migrant context, emphasizing the significance of arrival cohort and stress levels in mental health interventions for migrant populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481676","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":"Challenging the use of the overall adverse childhood experiences (ACEs) score: Comparing total ACEs, maltreatment, and household dysfunction on mental health problems among White, African American, and Native American women under correctional control.","authors":"Michael Fitzgerald, Alex Bishop","doi":"10.1037/ort0000784","DOIUrl":"https://doi.org/10.1037/ort0000784","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) have been consistently linked to mental health problems. There have been recent conceptual and empirical critiques that suggest maltreatment and household dysfunction to not be combined to create a composite ACE score. Women in correctional custody demonstrate disproportionately high ACE levels and greater mental health problems as to racial minorities. The present study compared the effects of varying operationalizations of the ACEs measure on women's mental health stratified across race using a sample of White, African American, and Native American women in correctional custody in Oklahoma. The cross-sectional study administered a paper-and-pencil survey to 494 women. Structural equation modeling was used to test hypotheses. Maltreatment was a significant predictor of women's mental health across all racial groups but demonstrated the strongest effect among African American inmates. Household dysfunction was not a significant predictor of mental health for any racial group. When comparing the maltreatment-only model to the maltreatment and household dysfunction model, and the overall ACE score model, there was little explained variance lost. These findings indicate that maltreatment demonstrates unique associations with women's mental health and may be the driving force behind the relationship between ACEs and adult mental health among women within correctional custody. Researchers are advised to not use the overall ACE score and instead break down the measure into the maltreatment and household dysfunction subscales. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481675","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":"\"I want to succeed for her, so I can assure a better future for her\": Parenting in Bedouin society in Israel.","authors":"Nitzan Scharf, Yair Ziv","doi":"10.1037/ort0000803","DOIUrl":"https://doi.org/10.1037/ort0000803","url":null,"abstract":"<p><p>Bedouin society in Israel is characterized as a marginalized minority (Muslim) society struggling to maintain its uniqueness in a Western (Jewish) dominant society. In this unique qualitative study, we aimed to shed light on the distinctive characteristics of Bedouin parenting practices in the context of social change by exploring Bedouin parents' accounts of factors contributing to or hampering their parenthood. Ninety-nine parents (<i>M</i>_age = 33.25, <i>SD</i> = 4.89) were interviewed about their parenting and their perceptions of Bedouin society. Interviews were analyzed using a phenomenological approach. Parents' accounts indicated a tension between preserving traditions, social norms, and religious rules that offer cohesion, comfort, and security and embracing individualistic values and cultural changes to promote social mobility for future generations. Bedouin mothers were conflicted between seeking self-fulfillment and meeting societal expectations. Whereas some emphasized investing time and effort in parenting as a form of ensuring their children's success, others saw investing in themselves as a means to improve family mobility. The findings suggest the need to be mindful of cultural values that are important to parents (e.g., maintaining traditions) and of barriers to help-seeking (e.g., viewing secular ideas as threats to religiously based social structures) when working with parents from minority indigenous societies such as the Bedouin. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395527","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":"Positivity as a moderator of the association between enacted stigma and mental health among lesbian, gay, and bisexual individuals.","authors":"Geva Shenkman, Kfir Ifrah, Yuval Shaia","doi":"10.1037/ort0000805","DOIUrl":"https://doi.org/10.1037/ort0000805","url":null,"abstract":"<p><p>In this study, we investigated the association between enacted stigma and adverse mental health outcomes in Israeli lesbian, gay, and bisexual (LGB) individuals. Additionally, we explored the moderating effect of positivity, namely the inclination to perceive oneself, one's life, and one's future in a generally positive outlook, in this association. For this purpose, we surveyed 520 cisgender LGB Israelis (<i>M</i>_age = 33.20, <i>SD</i> = 8.68; 30.8% self-reported as lesbian women, 48.8% self-reported as gay men, 20.4% self-reported as bisexual individuals), and assessed enacted stigma, depressive symptoms, anxiety, negative affect, and positivity. The results of the hierarchical regressions and simple slope analyses indicated that enacted stigma was associated with higher depressive symptoms, anxiety, and negative affect. As hypothesized, positivity played a moderating role in the association between enacted stigma and adverse mental health indicators, whereby the association was weaker among participants with higher positivity scores and stronger among those with lower positivity scores. The findings contribute novel insights to the sexual minority literature within the field of mental health by unfolding the role played by positivity in mitigating the detrimental effects of enacted stigma. The results underscore that practitioners should not only be knowledgeable about the negative repercussions of enacted stigma, but they should also monitor positivity and integrate interventions aimed at enhancing positivity into their clinical work with sexual minority individuals. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395528","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":"Championing racial equity within mental health systems: Perceptions and experiences among state government organization staff leading the charge.","authors":"Alexandra M Alden, Alisa K Lincoln","doi":"10.1037/ort0000801","DOIUrl":"https://doi.org/10.1037/ort0000801","url":null,"abstract":"<p><p>The COVID-19 pandemic and police brutality, especially the murder of George Floyd, have intensified the focus on racial equity within a diverse array of organizations. While a variety of strategies are employed in the pursuit of racial equity in mental health care, there is a notable gap in recognizing the crucial role of individual staff driving change within organizations. Few studies have examined these individuals and the ways they think about their work and its impact. Here, we examine the ways that state health and mental health authority (SH/MHA) staff understand racial equity in mental health care when faced with unusual support for equity reform following the Summer of 2020. Through in-depth qualitative interviews with 58 individuals working in SH/MHAs of 31 states across the United States, we examine the perspectives and experiences of staff engaging in racial equity work when they sense that sociohistoric events perhaps temporarily lifted constraints. Findings confirm the importance of people in the racial equity work process and show that study participants have the characteristics of champions with (a) a conceptualization of (in)equity that involves White systems, including their own organizations, and the need for persistent, sustainable work, (b) an emotional investment toward racial equity, and (c) autonomous motivations of morality and empathy. This study underscores the profound transformative capacity of champions within organizations. Gaining insight into their perceptions and experiences offers a deep understanding of the qualities of a champion and equips us to bolster their pursuits toward racial equity within mental health systems. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367640","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}