Families Systems & Health最新文献

{"title":"The early motherhood expectations versus reality study.","authors":"Jean Doherty, Margaret Folan, Aoife O'Donoghue, Leona Gill, Lucille Sheehy, Caroline Brophy, Barbara Coughlan","doi":"10.1037/fsh0000995","DOIUrl":"https://doi.org/10.1037/fsh0000995","url":null,"abstract":"<p><strong>Background: </strong>The reality of transitioning to motherhood is challenging, as a new mother's identity, body, and family dynamics change. Social myths and media portrayals create unrealistic expectations, leaving new mothers unprepared for the reality. Exploring these expectations versus the reality of their experiences is essential to improving mothers' outcomes.</p><p><strong>Aim: </strong>To explore first-time mothers' early motherhood experiences and how their experiences differed from their expectations.</p><p><strong>Method: </strong>An exploratory study using three sequential focus groups of 16 first-time mothers in three hospitals in Ireland. Focus groups were audio recorded and analyzed using reflexive thematic analysis.</p><p><strong>Findings: </strong>Four themes were identified: \"I wish I knew,\" \"the myth of normal,\" \"the lottery of support,\" and \"surviving and thriving in the fourth trimester.\" Participants reported high levels of self-criticism, guilt, and emotional exhaustion, struggling to meet unrealistic parenting standards. Many lacked consistent postpartum support, leaving them unprepared for the emotional and practical challenges of motherhood. Improved antenatal education and extended, structured postpartum care were strongly recommended.</p><p><strong>Discussion: </strong>This study emphasizes the importance of health care systems and policies which prioritize enhancing the quality and accessibility of professional care during the fourth trimester and beyond. Additionally, antenatal education should provide realistic portrayals of the transition to motherhood to prepare women for this critical period better. This study also recommends new mothers to accept instrumental support from partners and broader support networks.</p><p><strong>Conclusion: </strong>A gap exists between first-time mothers' expectations of early motherhood and reality. To reduce this gap, mothers require better preparation and improved postpartum care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287188","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":"Parent and child approach to sustainable healthy eating and physical activity behaviors: A descriptive study.","authors":"Mutlu Tuce Ulker, Aysegul Simsek, Eda Usta, Emine Rana Meşe, Şevval Ceren Büyükaslan, Irmak Yüksekbulut","doi":"10.1037/fsh0000991","DOIUrl":"https://doi.org/10.1037/fsh0000991","url":null,"abstract":"<p><strong>Aim: </strong>Considering that parents' lifestyle choices also affect children, it is important to evaluate and improve these effects. In this study, we aimed to determine the effects of parents' nutrition and physical activity behaviors, which have an important role in the acquisition and maintenance of positive health habits in primary school children on growth and development.</p><p><strong>Method: </strong>A descriptive and quantitative cross-sectional design was used in this study. We recruited 200 dyads (a mother with a child) conveniently. The Family Nutrition and Physical Activity Behaviors and Family Health Behaviors scales were administered to the parents. Anthropometric measurements, body mass index, and 3-day food consumption of children and their parents were recorded. Measurements were compared with scale scores. Anthropometric measurements were grouped according to the international obesity classification.</p><p><strong>Results: </strong>The parents of 200 children with a mean age of 11.2 years were included in the study. Family Nutrition and Physical Activity Scale score and health behaviors scale score of the parents were above the average. Anthropometric measurements and nutrient intakes such as carbohydrate, protein, and fatty acids were found to affect the scale scores. There was a moderate positive correlation between health behaviors and nutrition and physical activity.</p><p><strong>Conclusion: </strong>This study shows the results of health indicators of children involved in sports and their parents' behaviors. Nutrition and physical activity, which are the main health behaviors, affect the child as well as the parent. Health behaviors of families should be monitored by anthropometric measurements and food intake and positive habits should be gained. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251019","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":"Enhancing youth suicide prevention: The critical role of family involvement in screening, intervention, and postvention.","authors":"Matias Gay","doi":"10.1037/fsh0000994","DOIUrl":"https://doi.org/10.1037/fsh0000994","url":null,"abstract":"<p><strong>Background: </strong>Suicide often arises from a collapse of personal identity and life narrative; yet, traditional risk assessments frequently overlook these deeper disruptions. Narrative identity theory offers a lens to understand suicidality as a crisis of selfhood and meaning.</p><p><strong>Aim: </strong>This article introduces a clinically applicable method to assess suicide risk through three core narrative domains: character (who the person is), setting (where they come from), and script (where they believe they are going).</p><p><strong>Method: </strong>Drawing on narrative identity theory and existential psychology, the proposed approach guides clinicians to identify disconnections in role, belonging, and future orientation. Story-based tools for assessment and intervention are presented to support the reconstruction of narrative coherence and personal agency.</p><p><strong>Results: </strong>Mapping narrative disruptions across character, setting, and script enables early identification of suicide risk, especially in individuals who may not meet traditional thresholds for acute risk. Narrative reauthoring interventions help reestablish continuity, coherence, and hope.</p><p><strong>Conclusion: </strong>This narrative framework enhances suicide prevention by moving beyond symptom management toward meaning-centered engagement. By helping individuals reweave fragmented life stories, clinicians can more effectively intervene in the existential and identity-based dimensions of suicidality. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251017","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":"User-centered development of a web application to promote naloxone carrying among supporters of adults with opioid prescriptions.","authors":"Laura Travers, Iris Bercovitz, Kiri Baga, Andrea Lobo, M Cole Ainsworth, Jessica Zhou, Richard Jermyn, Danielle Arigo","doi":"10.1037/fsh0000993","DOIUrl":"https://doi.org/10.1037/fsh0000993","url":null,"abstract":"<p><strong>Introduction: </strong>There is a critical need for new approaches to prevent opioid overdose; one is to expand the use of naloxone. Primary supporters of patients with opioid prescriptions are key in this role, though many hesitate to carry and administer naloxone. An insufficient understanding of supporters' experiences limits the ability to develop resources that will engage and promote naloxone use in this group. Web applications (apps) are accessible and can address concerns, though the preferences and needs of the supporters are poorly understood. This study was designed to identify (a) barriers and facilitators to naloxone use among supporters, and (b) preferences for a web app to provide relevant resources (e.g., content, design elements).</p><p><strong>Method: </strong>Participants (<i>N</i> = 16, <i>M</i>_age = 43, 50% racial/ethnic minority identification) identified as a patient's family member (87.5%) or friend (12.5%) and completed a semistructured interview.</p><p><strong>Results: </strong>Thematic analysis identified patterns in supporters' responses: a wide range of experiences (including ambivalence), anxiety for themselves and the patient, lack of knowledge about naloxone, and desire for clear communication from providers. They expressed interest in a web app for supporters and preferred an interface that guides them through its use. Responses also conveyed appreciation for validating their challenges, a preference for a mature tone to app content, and high acceptability of the app prototype.</p><p><strong>Discussion: </strong>Findings show that user-centered design informed a digital tool that is responsive to the unique needs of those who could help to prevent deaths from opioid overdose; this tool warrants testing in large, diverse groups of supporters. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251020","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":"Insights into workforce development: An exploratory study of primary care psychology internship graduate careers.","authors":"Nydia M Cappas, Yoamy Toro, Viviana Hoyos","doi":"10.1037/fsh0000998","DOIUrl":"https://doi.org/10.1037/fsh0000998","url":null,"abstract":"<p><strong>Introduction: </strong>As demand for integrated behavioral health services grows, understanding specialized training programs' contribution to workforce development becomes crucial. This study examines the career trajectories of graduates from a primary care psychology internship program in Puerto Rico to inform integrated care workforce strategies.</p><p><strong>Method: </strong>We analyzed data from an annual program survey conducted between March and June 2024 with 62 graduates (71% response rate) from a primary care psychology internship program (2007-2023 cohorts). The survey captured professional credentials, employment characteristics, and service patterns. Hispanic women comprised 85.5% (<i>n</i> = 53) of participants, who represented consecutive cohorts over 15 years. We analyzed descriptive statistics for licensure status, employment settings, leadership roles, and the population served.</p><p><strong>Results: </strong>Most graduates (72.6%, <i>n</i> = 45) obtained psychology licensure. While 32.3% (<i>n</i> = 20) completed postdoctoral training, most entered practice directly. Currently, 41.9% (<i>n</i> = 26) work in primary care settings, and 51.6% (<i>n</i> = 32) in integrated care environments. Half of the sample (50.0%, <i>n</i> = 31) hold leadership positions. Most (61.3%, <i>n</i> = 38) work with underserved populations, with 46.8% (<i>n</i> = 29) working with people who experience substance use disorders.</p><p><strong>Discussion: </strong>The findings suggest that program graduates are engaged in roles within integrated care and underserved areas. However, structural barriers, including limited postdoctoral opportunities and regional economic factors, influence career development paths. This study highlights the need to systematically examine the career trajectories of integrated care internship graduates while considering the contextual factors that shape workforce development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251018","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":"Facilitators and challenges of implementing an integrated behavioral health model: An exploratory qualitative analysis of a New Jersey demonstration project.","authors":"Rebecca A Klege, Jennifer C Berko, Theresa Menders, Charu Verma, Ann M Nguyen","doi":"10.1037/fsh0000988","DOIUrl":"https://doi.org/10.1037/fsh0000988","url":null,"abstract":"<p><strong>Introduction: </strong>Despite strong evidence supporting integrated behavioral health (IBH), implementing the Primary Care Behavioral Health (PCBH) model remains challenging, particularly in safety-net settings like Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs). This study examines facilitators and barriers to PCBH adoption during a New Jersey-based demonstration project funded by The Nicholson Foundation (2013-2019).</p><p><strong>Method: </strong>We conducted semistructured interviews with 18 behavioral health and primary care staff from 10 FQHCs/CHCs between June and September 2022. A thematic analysis using both inductive and deductive approaches guided our interpretation.</p><p><strong>Results: </strong>Five key facilitators emerged: (a) external system support, (b) leadership champions driving workflow redesign, (c) positive provider attitudes toward change, (d) comprehensive PCBH training for all staff, and (e) visibility of behavioral health consultants. Major challenges included: (a) lack of resources and standardized training materials, (b) difficulty recruiting and retaining behavioral health professionals, and (c) complex billing processes that delay revenue generation.</p><p><strong>Discussion: </strong>While PCBH implementation is complex, critical enablers can support success in FQHCs/CHCs. As PCBH gains traction in healthcare systems, insights from this study can inform future efforts, particularly in underserved settings aiming to integrate behavioral health into primary care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236062","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":"Latent class analysis of behavioral health service use among underserved youth in integrated primary care.","authors":"Alfonso L Floyd, Chimereodo Okoroji, Katrina A Markowicz, Stephanie Crewe, Heather A Jones","doi":"10.1037/fsh0000992","DOIUrl":"https://doi.org/10.1037/fsh0000992","url":null,"abstract":"<p><strong>Objective: </strong>To identify distinct and heterogeneous typologies of behavioral health service use and associated factors based on need, predisposing, and enabling determinants, among a predominantly Black and publicly insured youth population in integrated pediatric primary care (IPPC). This study aims to address the unmet behavioral health needs of youth by understanding the characteristics associated with behavioral health engagement in order to tailor interventions accordingly.</p><p><strong>Method: </strong>Latent class analysis was used to explore distinct subgroups among 416 youth (<i>M</i>_age = 10.81, <i>SD</i>_age = 3.74; 51% female; 74% Black; 74% public insurance) receiving integrated behavioral health services in a large, urban pediatric primary care setting in the Southeastern United States. Caregivers completed the Pediatric Symptom Checklist-17 to assess psychosocial problems in youth.</p><p><strong>Results: </strong>Latent class analyses revealed two distinct classes of IPPC youth: \"high attention and mixed problems,\" primarily younger boys with nonprivate insurance coverage, and \"low attention/externalizing and moderate internalizing problems,\" primarily older girls with private insurance coverage.</p><p><strong>Conclusions: </strong>These findings highlight the need for behavioral health services in IPPC for behavioral health specialists, pediatricians, and other interdisciplinary professionals to provide tailored, culturally responsive, and flexible treatment to address the unmet and unique behavioral health needs of this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027024","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":"Barriers to preventive care and medical screenings among children with Down syndrome in South Carolina as described by parents.","authors":"Vinita Oberoi Leedom, Sonja A Rasmussen, Russell Kirby, Geoffrey I Scott, Dwayne E Porter, Daniela B Friedman","doi":"10.1037/fsh0000987","DOIUrl":"https://doi.org/10.1037/fsh0000987","url":null,"abstract":"<p><strong>Introduction: </strong>Studies have evaluated the receipt of preventive care among children with Down syndrome, but barriers surrounding access to screenings and health care in general have not been well described among this population across the United States. This study describes parental perspectives on barriers to screenings and health care.</p><p><strong>Method: </strong>Twenty-four semistructured interviews with parents of children with Down syndrome were administered to families across South Carolina in 2022. Thematic analysis was used to identify salient themes related to barriers to care.</p><p><strong>Results: </strong>Barriers to preventive care identified by families included ineffective care coordination, insurance-related concerns, health care provider access shortages, and language barriers.</p><p><strong>Discussion: </strong>Findings can be used to address problems with major aspects of medical care and to make care more family-centered and accessible for children with Down syndrome. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027463","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":"Improved pediatric behavioral health appointment scheduling in an integrated primary care program.","authors":"Anjali D Sapkal, Jasmine R Holt, Devin P Adams, Hilary M Bowers, Vanessa Sarabia, Alissa Jae Lazo-Kim, Jason Schweitzer, Andrew Richardson, Anne Bird, Kathryn A Hollenbach","doi":"10.1037/fsh0000985","DOIUrl":"https://doi.org/10.1037/fsh0000985","url":null,"abstract":"<p><strong>Introduction: </strong>To better understand appointment scheduling for pediatric behavioral health (BH) referrals, we examined appointment scheduling behavior among patients with and without access to primary care mental health integration (PCMHI).</p><p><strong>Method: </strong>A prospective cohort study compared PCMHI and non-PCMHI pediatric patients with BH referrals from January 17, 2022, to June 10, 2022. Six pediatric primary care clinics affiliated with a southern California Children's Hospital were studied: two PCMHI and four non-PCMHI clinics with similar patient demographic characteristics. BH referrals at PCMHI clinics are directly referred to the embedded integrated health therapists. Non-PCMHI clinics referred patients to community BH services. Data were collected from electronic health record abstraction and telephone interviews.</p><p><strong>Results: </strong>PCMHI (<i>n</i> = 471) and non-PCMHI (<i>n</i> = 97) groups did not differ significantly in patient characteristics. About 87.3% (<i>n</i> = 172) of PCMHI patients eligible for an integrated health therapist initial BH appointment scheduled their appointment within 14 days compared to 9.2% (<i>n</i> = 7) of the non-PCMHI patients (χ² = 148.2, <i>p</i> < .001). There was no difference in median days to initial BH appointment between the cohorts, PCMHI: 21 (interquartile range = 15, 27.5) and non-PCMHI: 23 (interquartile range = 13, 35), <i>p</i> = .71. Primary reasons for not scheduling initial BH appointments were similar for both groups and included confusion about the referral and patient/parent busy schedules.</p><p><strong>Conclusion: </strong>Patients in the PCMHI cohort were more likely to schedule their initial BH appointment compared to the non-PCMHI cohort. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027469","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":"A preoperative relational screener and associations with weight loss: A pilot feasibility study.","authors":"Haley M Kiser, Keeley J Pratt, Ashleigh Pona, Lindsay Breslin, LeeAnn Swager","doi":"10.1037/fsh0000967","DOIUrl":"https://doi.org/10.1037/fsh0000967","url":null,"abstract":"<p><strong>Introduction: </strong>Family factors and stressful life events are reasons for not proceeding immediately with metabolic and bariatric surgery, yet there is no formal screening for these factors during routine preoperative psychological evaluation. This pilot study determined the feasibility of implementing a preoperative relational screener and referral to a behavioral health consultation, and associations between relational factors with 12-month weight loss.</p><p><strong>Method: </strong>Preoperative patients (<i>N</i> = 137) were asked to participate. Feasibility was noted by interest, completion of screener, screening as impaired on the relational measures, and completion of consultation. For patients proceeding to surgery, five models were conducted to determine changes in percent total weight loss (%TWL) over 12 months, based on the interaction with visits and screening as impaired, family functioning, stressful life events, death of a close friend or relative, and major financial crisis.</p><p><strong>Results: </strong>Sixty-seven patients were interested; 57 completed the screener (85.1%, 79% female, 72% White); 43 screened (75.4%) as impaired on ≥ 1 assessment and were eligible for the consultation, 21 patients (48.8%) completed the consultation. Patients who screened as impaired had poorer %TWL (<i>p</i> = .013) compared to patients who did not. Patients with ≥ 1 stressful life event had poorer %TWL compared to those who did not experience any (<i>p</i> = .008), including the top two endorsed events-death of a close friend (<i>p</i> ≤ .001) or a major financial crisis (<i>p</i> = .009).</p><p><strong>Conclusion: </strong>The relational screener provides additional information about patients' psychosocial needs and challenges before surgery. This is critical considering the majority of participants screened as impaired on at least one assessment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018496","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}