Discover mental health最新文献

{"title":"Individual placement and support; service development and implementation of an evidence-based practice in Iran.","authors":"Zahra Mirsepassi, Maryam Tabatabaee, Mansoureh Panahi, Shahrzad Chehrenegar, Vandad Sharifi, Pardis Shekari, Elnaz Pashaei Ghelichi, Zohreh Tadbiri Nooshabadi, Maryam Rasoulian","doi":"10.1007/s44192-025-00174-w","DOIUrl":"https://doi.org/10.1007/s44192-025-00174-w","url":null,"abstract":"<p><strong>Background: </strong>Individuals with severe mental illness (SMI) often face challenges in obtaining and maintaining employment, resulting in low occupational rates. The Individual Placement and Support (IPS) program has been proven effective in promoting employment for people with SMI. However, its implementation in low-resource settings is limited. This study aims to share the experience of developing and implementing IPS in Iran and to discuss the challenges encountered.</p><p><strong>Methods: </strong>An interdisciplinary team was formed, including academic members and experts in providing occupational services. Employment specialists were trained through workshops and supervision sessions. Stakeholders, including hospital administrators and psychiatrists, were engaged to promote the adoption of IPS. The study included individuals with SMI who accepted the invitation to participate. The IPS fidelity scale was utilized to assess the quality of the service.</p><p><strong>Results: </strong>During the 36-month study period, 40 clients were referred, with a majority being male and having a diploma or university degree. The IPS fidelity scale scores were 74 at 6 months and 96 at 12 months. However, a significant dropout rate was observed, with the majority occurring during the first and third steps of the IPS process.</p><p><strong>Conclusion: </strong>The implementation of IPS in Iran faced challenges, including limited resources and high dropout rates. Despite these challenges, the study demonstrates the feasibility of developing and implementing IPS in a low-resource setting. Efforts to secure funding and engage stakeholders were crucial for the sustainability of the service. This study highlights the need for comprehensive, evidence-based occupational programs for individuals with SMI in Iran and similar settings. Further research and interventions are warranted to address the identified challenges and improve employment outcomes for individuals with SMI.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"62"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liberating the mental health and wellbeing benefits of laughing alone: a new taxonomic model and scoping review for future research.","authors":"Freda Gonot-Schoupinsky, Xavier Gonot-Schoupinsky, Mark Weeks","doi":"10.1007/s44192-025-00183-9","DOIUrl":"https://doi.org/10.1007/s44192-025-00183-9","url":null,"abstract":"<p><p>Laughter has been predominantly viewed as a social behavior, and laughing alone is often regarded doubtfully, even pathologized. While solitary laughter can be symptomatic of mental health issues, one motivation of this review was to explore whether it can also offer mental health benefits. Research demonstrates that over 10% of laughter occurs in solitude and there is increasing awareness that it is not only enjoyed but can serve important roles in supporting health and wellbeing. To establish a useful foundation for further exploration of its potential in enhancing health and wellbeing, this review scopes the subject across disciplines. An unprecedented search revealed 120 records (n = 83 academic articles n = 37 literary and book references) that mention solitary laughter in meaningful ways. The Solitary Laughter Model (SLM) developed for this research supported an initial classification according to the conditions in which the laughter took place be it complete solitary, public solitary, assisted solitary, or social solitary laughter. Our research reveals that laughing alone tends to be perceived as particularly problematic when done in public. Nevertheless, we also uncovered favorable mental health perspectives on solitary laughter and recent exciting clinical applications in assisted solitary laughter. The implications of these findings are discussed. The SLM is proposed as a pragmatic model to encourage precision in this nascent field of investigation and health practice. This review concludes that solitary laughter is an important human behavior deserving more scientific investigation to further unlock its mental health and wellbeing benefits.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to mental health care for Black and Latino teens with anxiety and depression: a qualitative study.","authors":"Lora Daskalska, David Nelson, Jacquelyn Smith, Staci Young","doi":"10.1007/s44192-025-00190-w","DOIUrl":"https://doi.org/10.1007/s44192-025-00190-w","url":null,"abstract":"<p><strong>Background: </strong>Anxiety and depression are common mental disorders among children and their prevalence has increased in recent years. Unfortunately, some children do not have access to mental health care. Black and Latino children have been reported to be more likely to have unmet mental health care needs than other racial or ethnic groups. This study sought to identify the influential factors in accessing mental health care for Black and Latino teens with anxiety or depression in Milwaukee, Wisconsin, and identify recommendations to improve access for this group.</p><p><strong>Methods: </strong>Ten qualitative, key informant interviews were conducted between February 2022 and January 2023 and analyzed using thematic analysis as the research approach.</p><p><strong>Results: </strong>Study findings were categorized into six themes:(1) Mental health during the COVID-19 pandemic, (2) First points of contact, (3) Preferences for mental health professional characteristics, (4) Adequate care: Culturally-appropriate, trauma-informed, and family-centered, (5) Community awareness of mental health and resources available, (6) Availability of mental health services.</p><p><strong>Conclusions: </strong>Recommendations for public health policy and practice to increase access for these groups are discussed.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of health literacy and subjective happiness in pregnancy on neonatal anthropometry: a cohort study.","authors":"Samira Silakhori, Safa Mousavi, Sadra Sarandili, Mojgan Rahmanian","doi":"10.1007/s44192-025-00192-8","DOIUrl":"https://doi.org/10.1007/s44192-025-00192-8","url":null,"abstract":"<p><strong>Background: </strong>Maternal health literacy (MHL) and happiness can significantly impact pregnancy outcomes (POs) and neonatal health. This study primarily aimed to assess the level of maternal health literacy. Additionally, we sought to determine how maternal health literacy, happiness, socio-demographics, and pregnancy outcomes influence neonatal anthropometrics, thereby providing a more comprehensive understanding of the determinants of maternal and neonatal health.</p><p><strong>Methods: </strong>In a 2-year cohort study on 591 pregnant women with normal pregnancies, we recorded the maternal socio-demographic and obstetric factors. Moreover, the Maternal Health Literacy and Pregnancy Outcomes Questionnaire (MHLAPQ) and Happiness Questionnaire were used to gather health-related information. After delivery, the neonatal anthropometric measurements, including body weight (BW), supine length (SL), and head circumference (HC), were recorded at birth.</p><p><strong>Results: </strong>Among the 591 participants, 338 (57.2%) were in the 20-29-year age group. The mean maternal health literacy (MHL) score was 57.34 ± 8.67. MHL scores were associated with maternal and paternal education and occupation, as well as a history of miscarriage. Pregnancy outcomes were linked to maternal and paternal education and employment status, while higher happiness scores were found among housewives. BW showed significant differences based on maternal occupation and a history of stillbirth, while SL varied significantly with maternal occupation. Positive correlations were identified between BW and MHL, as well as between PO, MHL, and maternal happiness scores.</p><p><strong>Conclusion: </strong>In summary, our results revealed that MHL and happiness are important factors in improving the POs and neonatal health. In addition, maternal and paternal education and occupation were found to affect the MHL scores.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The lived experience of acculturative stress in second-generation Haitian American emerging adults.","authors":"Cassandre V Horne","doi":"10.1007/s44192-025-00191-9","DOIUrl":"https://doi.org/10.1007/s44192-025-00191-9","url":null,"abstract":"<p><p>Second-generation Haitian American emerging adults function within three cultures; the American culture, Black American culture, and the Haitian culture. Balancing and living within multiple cultures while trying to grow in autonomy and adulthood can affect the mental health of emerging adults. Gaining independence while finding identity coupled with cultural expectations can contribute to increasing stress levels. The aim of this phenomenological inquiry is to explore the lived experience of second generation Haitian American emerging adults while focusing on mental health. This descriptive phenomenological inquiry explored the mental health effects of acculturative stress in emerging adults who identified as second-generation Haitian Americans. The population sample consisted of 30 participants ages 19-29 years, with a mean of (M_age = 25.97, SD = 2.95). Data was collected through semi-structured one-on-one interviews, which were guided by fifteen open ended questions. Thematic analysis approach was applied to the qualitative data. Saturation was reached after 23 participant interviews and 7 additional interviews after saturation to confirm result findings. Resulting themes revealed that Haitian parents and culture were strict, a dual identity, and lack of awareness/support for mental health in the culture were stressors. Themes of admiration for the Haitian culture and resiliency serve as possibilities as to why participants pursued higher education. The triple minority status of the heritage culture has contributed to increased stress levels resulting in the expression of anxiety, depression and self-critical thoughts such as feelings of imposter syndrome.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"59"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Job stress prevalence in Iranian drivers and contributing factors: Systematic review and Meta-analysis.","authors":"Parvaneh Isfahani, Rasoul Corani Bahador, Somayeh Samani, Mahdieh Poodineh Moghadam, Mohammad Sarani, Mahnaz Afshari","doi":"10.1007/s44192-025-00188-4","DOIUrl":"https://doi.org/10.1007/s44192-025-00188-4","url":null,"abstract":"<p><strong>Background: </strong>Job stress is a significant concern among drivers, particularly in Iran, where its prevalence varies by geographical region. This study aims to systematically review and analyze the prevalence of job stress among Iranian drivers and identify contributing factors.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted following the PRISMA guidelines. A comprehensive search strategy was implemented across multiple databases, including Web of Science, Scopus, PubMed, SID, Magiran, and Google Scholar engine. Studies included were cross-sectional in nature, reporting on moderate to high job stress levels among Iranian drivers up to December 30, 2024. Quality assessment was performed using Mitton's checklist, and data were analyzed using Comprehensive Meta-Analysis Software.</p><p><strong>Results: </strong>Out of 320 articles screened, 11 studies met the inclusion criteria for meta-analysis. The overall prevalence of job stress among Iranian drivers was found to be 46.3% (95% CI: 30.3-63.1%). The highest prevalence was reported in North Khorasan province (87.9%), while the lowest was in Tehran (8.2%). Factors contributing to job stress included work shifts (31%) and noise exposure (23%), and working environment (23%). Meta-regression analysis indicated that sample size, average age, and work experience significantly influenced study heterogeneity (P < 0.05).</p><p><strong>Conclusion: </strong>This systematic review underscores the urgent need for policies aimed at reducing job stress among Iranian drivers, focusing on enhancing working conditions and providing mental health support to improve overall well-being and safety on the roads.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"58"},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study on depression, anxiety, and stress among the Bangladeshi population amid COVID-19.","authors":"Mamunur Rahman, Sushmita Biswas, Nafisa Humayera Kabir, Ka Yiu Lee, Md Kamrul Hasan","doi":"10.1007/s44192-025-00185-7","DOIUrl":"https://doi.org/10.1007/s44192-025-00185-7","url":null,"abstract":"<p><p>Depression, anxiety, and stress have surged worldwide, including in Bangladesh during the COVID-19 pandemic. This study aimed to assess the mental health condition of the Bangladeshi population during this pandemic. A cross-sectional study was carried out online between Feb 17, 2021, and Apr 8, 2021, during the lockdown period in Bangladesh with structured questions of the DASS-21 (Depression Anxiety Stress Scales-21), and about 310 responses were collected for the study purpose. One-way ANOVA and statistical analysis were performed by STATA-13 to determine the statistical significance. Depression was found to be significantly associated (p < 0.05) with both level of education (higher level observed among postgraduates) and previous psychological intervention (higher rate of being exposed to psychiatrists earlier). Comparing normal, mild, moderate and severe levels, the most common level of depression was moderate (28.06%) among the respondents, along with highly severe anxiety (22.26%) and moderate stress (18.39%). Participant's living area was significantly associated with depression (p = 0.033) and anxiety (p = 0.014), with individuals residing in urban areas exhibiting higher rates. Despite their adverse mental health status during the pandemic, only 36 out of 310 (12%) participants visited psychologists or psychiatrists. There remains substantial stigma around seeking formal mental health treatment in Bangladesh, such as low compliance rates even for talk therapy. Government organizations and NGOs should raise awareness among the public by conducting community-level campaigns, offering state-level insurance, initiating peer support programs, and using digital space to familiarize people with mental health issues.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"57"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and cognitive impairment: a review of the emerging evidence.","authors":"Nicholas Aderinto, Gbolahan Olatunji, Emmanuel Kokori, Ikponmwosa Jude Ogieuhi, Ismaila Ajayi Yusuf, Emmanuel Egbunu, Bonaventure Michael Ukoaka, Adetola Emmanuel Babalola, Temiloluwa Oluwakorede Adefusi, John Ehi Aboje, Abdulrahmon Moradeyo","doi":"10.1007/s44192-025-00189-3","DOIUrl":"https://doi.org/10.1007/s44192-025-00189-3","url":null,"abstract":"<p><p>The recent surge of COVID-19 cases has raised concerns about its potential long-term effects on cognitive function. This review explores the growing body of research investigating the link between COVID-19 infection and cognitive impairment. Studies employing observational, longitudinal, and case-control designs reveal a concerning prevalence of cognitive impairment in survivors, affecting domains like attention, memory, executive function, and processing speed. The persistence of these deficits for months after the initial infection highlights the potential for long-term consequences. While the precise mechanisms remain under investigation, potential contributing factors include neuroinflammation, hypoxia, and psychological effects. Limitations within the current research landscape necessitate further investigation into the long-term trajectory of cognitive decline, the potential for intervention and recovery, and the role of vaccination in mitigating these effects. Understanding the multifaceted nature of this issue is crucial for developing effective strategies to ensure optimal cognitive health outcomes for COVID-19 survivors.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring stress and recovery among students: examining the role of study modes.","authors":"Philipp Stang, Maren Weiss, Peter Jaensch, Stefanie Scholz","doi":"10.1007/s44192-025-00186-6","DOIUrl":"https://doi.org/10.1007/s44192-025-00186-6","url":null,"abstract":"<p><p>Understanding stress and recovery dynamics among students is essential for promoting their well-being and academic success. This study delves into the complex interplay of stressors and coping mechanisms among university students. Drawing upon health psychology and resilience research, we investigate the experiences of stress and recovery among both full-time and part-time students, considering gender and age. Our findings reveal significant differences between full-time and part-time students in various aspects of stress, including emotional stress, conflicts, and lack of energy. Full-time students reported higher levels of stress in these dimensions, which could indicate possible effects on their academic performance and general well-being. Moreover, gender-specific differences in stress experiences were observed, with female students exhibiting higher levels of stress compared to their male counterparts, particularly in terms of emotional stress and lack of energy. Interestingly, while age did not significantly impact stress and recovery experiences, other variables such as workload and coping strategies appeared to play crucial roles. Our study underscores the importance of the diverse needs of students. Overall, this research sheds light on the intricate relationship between stress, recovery, and study program variables among students, offering valuable insights for educators, policymakers, and mental health practitioners seeking to enhance student well-being and academic success in higher education settings.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strong support systems foster positive self-image in patients with scoliosis.","authors":"Megan Glahn Castille, Susan Resendiz Ortega","doi":"10.1007/s44192-025-00180-y","DOIUrl":"https://doi.org/10.1007/s44192-025-00180-y","url":null,"abstract":"<p><strong>Purpose: </strong>Friend support and social support have been suggested to be beneficial for adolescents facing medical challenges; however, there is little research to identify who is providing emotional support for children and adolescents with scoliosis. Therefore, the purpose of this study was to investigate the sources of emotional support and to analyze a program designed to encourage social support, the Scolios-us Mentor Program (Mentor Program).</p><p><strong>Methods: </strong>This study consisted of a cross-sectional survey. The survey included the SRS-22r, BSSQ-Brace, and questions about demographics, mental health, the Scolios-us Mentor Program, and general scoliosis experience. The survey was distributed via email to Mentor Program participants and to scoliosis clinicians to provide to their patients. Descriptive statistics, Mann-Whitney U tests, and correlations (Cochran-Armitage, Pearson's correlation, and Spearman's correlation) were used to analyze responses.</p><p><strong>Results: </strong>A total of 46 participants with an age range was 8-18 were included in the final analysis. The median current age was 13 (IQR: 3), and the median diagnosis age was 10 (IQR: 4). Our results indicate that most participants (76.1%) received emotional support from at least two sources, including family, friends, healthcare providers, and support groups. Participants with two or more support sources had significantly higher self-image scores than those below this threshold (p =.042). Self-image scores were significantly higher for those who reported receiving emotional support from a healthcare provider (p =.027). Over 60% (29/46) of participants participated in the Scolios-us Mentor Program. No significant differences were noted in BSSQ-Brace or SRS- 22r scores between those who participate in the Mentor Program versus those who do not, but mentees scored lower for function, self-image, and management than mentors. Interestingly, as program satisfaction increased, BSSQ-Brace scores decreased (p =.012).</p><p><strong>Conclusions: </strong>Having a strong emotional support system is important for self-image in children and adolescents with scoliosis. Healthcare providers appear to play an important role in promoting a positive self-image in their scoliosis patients. To help patients foster a strong support system, healthcare providers should be knowledgeable of the available psychosocial resources, including scoliosis support groups, for children and adolescents with scoliosis.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"54"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}