Families Systems & Health最新文献

{"title":"Everywhere and nowhere: A systematic review of spirituality training for behavioral health providers.","authors":"Taylor Young, Damon Rappleyea, Jake Jensen, Michael Olson, Randall Reitz","doi":"10.1037/fsh0001077","DOIUrl":"https://doi.org/10.1037/fsh0001077","url":null,"abstract":"<p><strong>Introduction: </strong>Spirituality is a recognized component of holistic care, yet many health care professionals struggle to integrate it into practice due to limited training, discomfort, and the absence of standardized guidelines. Behavioral health providers (BHPs) are uniquely trained in meaning-making, identity, relationships, and systemic context-domains that are inherently aligned with spiritual care. Despite this alignment, BHPs face similar challenges as other professionals when addressing spirituality in clinical settings.</p><p><strong>Method: </strong>This systematic review examined U.S.-based spirituality training for BHPs published between 2000 and 2024. A comprehensive search of PubMed, CINAHL, and APA PsycInfo identified relevant studies. Thematic synthesis was used to integrate findings and identify gaps in training content, assessment, and delivery.</p><p><strong>Results: </strong>Forty-three training programs were identified, most developed in academic contexts, with wide variation in structure and evaluation. Only two evidence-based models-Interprofessional Spiritual Care Education Curriculum and the Spiritual Competency Training in Mental Health-were found. Few programs used validated assessment tools. A novel clinical stance, spiritual humility, emerged from the synthesis, emphasizing self-awareness, openness, and respect for the diverse spiritual identities of patients and families.</p><p><strong>Discussion: </strong>Although existing models offer valuable structure, their implementation varies widely due to resource constraints and inconsistent interdisciplinary involvement in training contexts. Many programs lack validated assessment tools or patient and family input. Spiritual humility could complement these models as a stance supporting culturally responsive, family-centered spiritual care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197841","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":"Integrated systems integrating self-care: Supporting the prevention and mitigation of team member burnout and compassion fatigue.","authors":"Tai J Mendenhall, Katey W Cole, C R Macchi","doi":"10.1037/fsh0001080","DOIUrl":"https://doi.org/10.1037/fsh0001080","url":null,"abstract":"<p><strong>Introduction: </strong>Health care providers are among the highest risk professionals in Western culture(s) for burnout and compassion fatigue (BO/CF). Although they report being wholly committed to what they do, they are often overwhelmed by the intensity and volume of their clinical responsibilities and patient panels, workplace and interdisciplinary politics, administrative demands, and a tendency to underreport personal struggles or seek help. Trends show, too, that these sequelae are becoming even more prevalent-not less-over recent years.</p><p><strong>Method: </strong>After reviewing literature for this conceptual article across both behavioral/mental health and biomedical/physical health fields, we determined that conventional wisdom regarding the prevention and mitigation of BO/CF-that is, calling for providers to engage in generic self-care practices like sleep hygiene, physical activity, strategic time management, and appropriate boundary-setting-is not enough.</p><p><strong>Results: </strong>Preventing and mitigating burnout and compassion fatigue through multisystemic approaches is superior to monomodal approaches that focus solely on individual self-care practices. This article expands the scope to integrate baseline individual self-care with empirically supported strategies across other system levels (e.g., workplace teams, operational/administrative care structures) designed to synchronously-and holistically-promote provider health and well-being.</p><p><strong>Discussion: </strong>Purposeful efforts to attend to BO/CF prevention and mitigation across multiple system levels in integrated care contexts are both indicated and essential. Doing so will promote the health and well-being of our providers and facilitate the delivery of high(est) quality care to the patients and families we serve. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197858","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 relationship between maternal posttraumatic stress disorder and adverse birth outcomes in the United States: A meta-analysis.","authors":"Shannon D Simonovich, Amelia R Gavin, Nichole L Nidey, Megan E Deichen Hansen, Wan-Jung Hsieh, Dora N Watkins, Lauren Ables-Torres, Jana DeSimone Wozniak, Karen M Tabb, Hsiang Huang","doi":"10.1037/fsh0001075","DOIUrl":"https://doi.org/10.1037/fsh0001075","url":null,"abstract":"<p><p><b><i>Introduction</i></b>: Understanding how maternal posttraumatic stress disorder (PTSD) relates to birth outcomes is important for advancing maternal and infant well-being. This study aimed to investigate the association between maternal PTSD diagnosis and adverse birth outcomes in U.S. populations. <b><i>Method</i></b>: PubMed, CINAHL, APA PsycInfo, Academic Search Complete, and Health Source Nursing Academic Edition databases were searched for original research published in peer-reviewed journals from January 1, 1980, to August 1, 2023. Studies eligible for inclusion comprised those reporting an odds ratio or sufficient data to calculate the association between PTSD diagnosis and preterm birth or low birth weight in U.S.-based populations. Study selection was completed at the abstract and full-text levels by two independent reviewers. Primary outcomes were the pooled association between PTSD and preterm birth and the pooled association between PTSD and low birth weight. <b><i>Results</i></b>: A total of eight studies met the inclusion criteria. Meta-analysis was performed using RevMan 5.4.1 software and showed an increased odds ratio for preterm birth among pregnant women with a PTSD diagnosis (<i>OR</i> = 1.29; 95% confidence interval [1.01, 1.64]; <i>I</i>² = 42%). There was no increase in odds of low birth weight among pregnant women with a PTSD diagnosis. <b><i>Discussion</i></b>: In this study, PTSD was associated with an increased risk of preterm birth. Screening for and early identification of PTSD during pregnancy should be a U.S. health policy priority. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186435","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":"Digital dynamics in integrated primary care: Clinician perspectives and a rapid workflow for mobile health adoption through a couple and family technology lens.","authors":"David J Johnson, Greg N Hall, Camila A Pulgar, Paige Bentley, Katie E Duckworth, Marcia H McCall, Stephanie S Daniel","doi":"10.1037/fsh0001079","DOIUrl":"https://doi.org/10.1037/fsh0001079","url":null,"abstract":"<p><p><b><i>Objective</i></b>: This study aimed to examine clinicians' perspectives on integrating mobile health (mHealth) applications in integrated primary care and, drawing from these perspectives, to develop a pragmatic workflow for guiding adoption, applying the Couple and Family Technology framework and the technology acceptance model (TAM). <b><i>Method</i></b>: We used a mixed-methods study combining a TAM-based survey (<i>N</i> = 68) with semistructured interviews (<i>n</i> = 10). Quantitative domains included perceived usefulness, ease of use, attitudes, facilitating conditions, and intention to adopt; qualitative data were analyzed via framework analysis. <b><i>Results</i></b>: Clinicians expressed modestly positive acceptance of mHealth, identifying four adoption domains that informed the development of a pragmatic workflow-clinical fit, implementation barriers/benefits, relational impacts, and integration strategies. <b><i>Conclusions</i></b>: Integrating mHealth in integrated primary care is as much systemic and relational as technological. Combining the Couple and Family Technology and TAM clarifies why adoption succeeds or stalls. Implementation should pair standardized app vetting with role-clear workflows and clinician training. <b><i>Implications for Integrated Care</i></b>: A pragmatic Rapid mHealth App Triage Workflow (Table 5) supports team-based app selection and use in integrated behavioral health care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186432","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":"Nacogdoches.","authors":"Matthew J Hoag","doi":"10.1037/fsh0001089","DOIUrl":"https://doi.org/10.1037/fsh0001089","url":null,"abstract":"<p><p>This article discusses the personal experiences the author regarding the place, Nacogdoches. The author's first job was at the Burke Center, a community mental health authority serving several rural counties in East Texas. The Burke Center was part of the public behavioral health safety net in Nacogdoches, where behavioral health resources were scarce and often difficult for people in the community to access. It was the kind of place that filled gaps, providing care where there were few other options. The work ranged from crisis intervention to long-term case management, often with limited resources and overwhelming demand. It was also a place where new clinicians learn quickly or leave quickly. The author was hired to work with adults but soon found my home on the pediatric side of the clinic, working with children and families. Being a young clinician among parents and families was initially intimidating, but the work became deeply meaningful. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118850","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":"Design and implementation of a stratified care model for refugee women's behavioral health in an obstetrical care setting.","authors":"Joelle T Taknint, Resham Gellatly, Maithri Ameresekere, Audrey Montgomery, Kettie Louis, Kalo C Sokoto, Johanna Milord","doi":"10.1037/fsh0001073","DOIUrl":"https://doi.org/10.1037/fsh0001073","url":null,"abstract":"<p><strong>Introduction: </strong>In December 2022, hospital-based obstetrical providers identified significant behavioral health (BH) needs among recently arrived Haitian refugee patients. Demand for BH services exceeded capacity, and services were not culturally tailored for perinatal Haitian women. This necessitated a reimagining of the BH care model. This quality improvement article describes the process of designing and implementing an embedded BH care model into a refugee-serving obstetrical clinic.</p><p><strong>Method: </strong>An intervention mapping (IM) approach guided this study. A needs assessment (IM Phase 1; January 2023) was conducted with interest holders (<i>n</i> = 8), and the Integrated Women's Behavioral Health Framework (Crawford et al., 2022) was selected for adaptation and implementation (IM Phase 2). Following logic model development (IM Phase 3), a stratified care model, the Refugee Women's Health Clinic behavioral health care model, was developed (IM Phase 4) and implemented (IM Phase 5). A process evaluation was conducted to assess fidelity, dose exposure and completeness, dose satisfaction, reach, recruitment, and context (IM Phase 6).</p><p><strong>Results: </strong>Results (IM Phase 6) indicated good fidelity in implementing BH screening (78%), significant group psychotherapy uptake (accounting for 49% of all BH visits during the study period), and the need for iterative care model adaptation to changing needs in the local context.</p><p><strong>Discussion: </strong>The Refugee Women's Health Clinic behavioral health care model was feasible to implement in a low-resource setting. Process evaluation findings support model uptake and offer a potential blueprint for BH care model design in similar integrated care settings, in line with the goals of IM. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of family caregivers of children and youth with special health care needs in a medical home-connected virtual preparedness intervention.","authors":"Jennifer S Griffin, Thomas J Hipper, Reneé K Davis, Franklin King, Esther Chernak, Priyatham Kurapati, Renee M Turchi","doi":"10.1037/fsh0001081","DOIUrl":"https://doi.org/10.1037/fsh0001081","url":null,"abstract":"<p><strong>Introduction: </strong>Families with children and youth with special health care needs (CYSHCN) have unique considerations for staying safe in disasters and emergencies and regard the child/youth's medical home provider as a trusted information source in these events.</p><p><strong>Method: </strong>We previously showed improved quantitative metrics of emergency preparedness following a virtual home preparedness intervention (VHPI) in families with CYSHCN recruited from a statewide medical home network. The CYSHCN had technology reliance, mobility needs, intellectual disability, and/or vision/hearing impairment. The VHPI comprised pre-post interviews (<i>n</i> = 170/148), preparedness materials, and individualized referrals for identified needs, coordinated through the medical home. Immediately post-VHPI, participants (<i>n</i> = 143) provided feedback in semistructured interviews, which were explored qualitatively through conventional content analysis. Interviews were conducted from April 2020 to June 2022.</p><p><strong>Results: </strong>All participants were family caregivers of CYSHCN, primarily mothers (83%). Most (57%) rented their home, and 13% preferred a language other than English. Themes identified from the semistructured interviews included preparedness as a missing piece of routine medical care, expertise and action centered on the child/youth, flexibility and compassion, receptivity to/new awareness about emergency preparedness, changes in confidence/self-efficacy, and benefit of recurrent encounters. Cost, time, and specific health challenges/needs were preparedness barriers. Durable medical equipment providers were a valued preparedness resource for technology-reliant CYSHCN, and households with multiple individuals with disabilities/functional needs were identified as needing more intensive support.</p><p><strong>Discussion: </strong>The high degree of participant engagement and the many identified, addressable needs suggest that CYSHCN families desire and may benefit from tailored emergency preparedness interventions in the medical home. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13632645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review of mental or behavioral health care in integrated specialty medical care settings.","authors":"Lucinda B Leung, Amy Bonilla, Meron Begashaw, Isomi Miake-Lye, Paul G Shekelle","doi":"10.1037/fsh0001072","DOIUrl":"10.1037/fsh0001072","url":null,"abstract":"<p><strong>Introduction: </strong>Although the integration of mental health services is widely accepted as important in primary care, the benefits for specialty medical care are less clear. This systematic review aimed to assess evidence on whether mental or behavioral health integration into specialty care can improve patient and health service delivery outcomes.</p><p><strong>Methods: </strong>We searched MEDLINE and APA PsycInfo from 2014 to 2024. We also hand-searched reference lists, consulted content experts, and used an artificial intelligence function (DistillerSR). Studies were included if they met the following criteria: (a) adult patients in specialty medical care with co-occurring behavioral health conditions; (b) use of approaches or models for integration of mental/behavioral health; (c) comparison with usual care or alternative approaches; and (d) reporting patient and health service delivery outcomes.</p><p><strong>Results: </strong>We reviewed 39 studies (out of 6,392 identified titles), yielding 17 original research articles (describing 15 integrations). Based on the Center for Integrated Health Solutions framework, we found only one published study describing full collaboration in an integrated practice (Level 6). We assessed one study at Level 5, seven studies at Level 4, five studies at Level 3, and one study at Level 2. Outcomes of interest and intervention characteristics varied greatly across studies, making it difficult to draw comparisons.</p><p><strong>Discussion: </strong>There is insufficient evidence from the published literature on how best to integrate mental/behavioral health services into specialty care. Additional research remains necessary to confirm any promising early findings. Future studies could be strengthened by aligning outcomes and providing more detail on integration processes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889340","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 family, health system, and health professional dynamics related to implementation of a five-component framework for weight and lifestyle conversations with children and families.","authors":"Emma Schwartzkoff, Kerith Duncanson, Andrew Bailey, Georgina Williams, Tracy Burrows","doi":"10.1037/fsh0001062","DOIUrl":"https://doi.org/10.1037/fsh0001062","url":null,"abstract":"<p><strong>Introduction: </strong>Brief intervention frameworks can support health professionals to motivate patients to adopt lifestyle changes. In New South Wales, Australia, health services use the 5As (ask, assess, advise, assist, and arrange) framework to address unhealthy lifestyles and overweight and obesity in children. This study assessed health professionals' adherence to the 5As framework and factors influencing families' perceptions and propensity to adopt lifestyle changes.</p><p><strong>Methods: </strong>This observational, cross-sectional study analyzed data from electronic medical records and caregiver surveys from a regional health service in New South Wales, Australia, over 12 months from June 2022 to May 2023.</p><p><strong>Results: </strong>Of <i>n</i> = 461 caregivers who completed valid surveys, 64.9% reported their child received a growth assessment, but only 6.3% received the full 5As framework. Children under 4 years, those attending a community health service, and those with a healthy weight were most likely to receive the complete 5As framework. In contrast, children over 13 years, those attending an emergency department and those with obesity were least likely. Reported adherence with the 5As framework influenced caregivers' perceptions and reported intervention impact.</p><p><strong>Discussion: </strong>Children routinely received growth assessments, but many families did not receive subsequent steps of the 5As framework. Improving health professional adherence to the framework is necessary for promoting behavior change. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802213","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":"Beyond the patient: Health care providers' insights on partner engagement in contraceptive decision-making.","authors":"Patricia N E Roberson, Kendall Bradey, Angela R Andrews, Amy Alspaugh, Alexandria Wilson, Jill M Maples, Nikki B Zite","doi":"10.1037/fsh0001060","DOIUrl":"10.1037/fsh0001060","url":null,"abstract":"<p><strong>Introduction: </strong>Family planning is a dyadic decision influenced by social, cultural, and structural factors. However, contraceptive counseling in perinatal care often centers on pregnant individuals alone, potentially overlooking the critical role of partner involvement. This qualitative study explored health care providers' (HCPs) perceptions of involving partners in perinatal contraceptive education to understand the potential value and challenges of dyadic approaches, guided by the biobehavioral family model.</p><p><strong>Method: </strong>Ten HCPs (including physicians, nurse practitioners, and community health directors) serving low-income populations in Appalachian Tennessee participated in semistructured interviews. The interviews focused on their perceptions of the Planning Together intervention, a dyadic workbook designed to integrate contraceptive education with couple communication training for pregnant couples. Interview transcripts were analyzed using thematic analysis.</p><p><strong>Results: </strong>Four primary themes emerged from the analysis: (a) strengths and challenges of partner involvement, (b) importance of couple communication training, (c) ensuring patient-centeredness, and (d) continued need for information. Providers endorsed dyadic approaches as valuable for fostering partner buy-in and consistent contraceptive use.</p><p><strong>Discussion: </strong>Findings underscore the potential of family-centered contraceptive education to improve relational dynamics and health outcomes. However, they also highlight significant logistical (e.g., appointment attendance) and relational barriers that must be addressed. The study indicates a need for HCP training in dyadic communication skills and for e-health literacy interventions to combat misinformation. By demonstrating how relational dynamics shape contraceptive behaviors, this study advances the biobehavioral family model and offers practical strategies for integrating partners into perinatal care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708569","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}