Journal of psychopathology and clinical science最新文献

{"title":"Moving toward transdiagnostic dimensional models of neurodiversity and mental health (and away from models of psychopathology).","authors":"Isabelle Morris,Giorgia Michelini,Sylia Wilson","doi":"10.1037/abn0001007","DOIUrl":"https://doi.org/10.1037/abn0001007","url":null,"abstract":"This article discusses the transdiagnostic dimensional models of neurodiversity and mental health. Moving toward transdiagnostic dimensional models of neurodiversity and mental health-rather than dimensional models of psychopathology-embraces neurodiversity as human diversity and destigmatizes neurodivergence. Individuals with neurodevelopmental conditions do not need to be \"cured\" of neurodivergence as pathology, but the inclusion of neurodevelopmental conditions in transdiagnostic dimensional models does recognize the high co-occurrence of different neurodevelopmental conditions with each other and with mental health concerns and increases access to appropriate and needed supports to improve well-being across the lifespan. Increasing recognition that neurodiversity is part of human diversity prompts reconsideration of the current dominant conceptualization of neurodivergence as inherently atypical or pathological. \"Neurodiversity\" refers to the tremendous range of possible variations in brain function, neurocognition, and behavior-no two brains or minds function in exactly the same way. \"Neurodivergent,\" often contrasted with \"neurotypical,\" refers to a brain or mind that functions in a way that deviates from culturally normative expectations. Neurodivergence may manifest in different ways and to varying degrees-and be more or less adaptive at different times, in different contexts, or from different perspectives. \"Neurodevelopmental conditions\" are characterized by neurodivergence, including early-arising differences that affect cognition, motor function, sensation, perception, and/or communication and are currently included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition in the \"Neurodevelopmental Disorders\" chapter. The authors propose a distinction between neurodevelopmental conditions and mental health conditions such that DSM neurodevelopmental disorders should no longer be subsumed under the mental disorder classification but instead reclassified alongside them, resulting in the Diagnostic and Statistical Manual of Neurodevelopmental and Mental Disorders. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143897379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotion regulation, depressive symptoms, and sleep problems in adolescents: A four-wave random-intercept cross-lagged panel model.","authors":"Sihan Liu,Jiefeng Ying,Anan Feng,Qian Shi,Jutta Joormann","doi":"10.1037/abn0001006","DOIUrl":"https://doi.org/10.1037/abn0001006","url":null,"abstract":"Depressive symptoms and sleep problems are detrimental for adolescents, with emotion regulation related to both problems. The present study explores emotion regulation as a potential mediator of the reciprocal associations between depressive symptoms and sleep problems and examines gender differences. A total of 1,535 adolescents (47.4% girls; baseline Mage = 13.19 years) were included in this four-wave longitudinal study with 6-month intervals. We used random-intercept cross-lagged panel models to examine our research questions. The results indicated that increases in sleep problems significantly predicted more depressive symptoms 6 months later but not vice versa. Emotion regulation mediated the reciprocal associations between depressive symptoms and sleep problems. Multigroup analyses on the associations among depressive symptoms, sleep problems, and emotion regulation showed that sleep problems predicted depressive symptoms, but not vice versa, in both girls and boys. However, emotion regulation was a mediator only in girls but not boys. These findings support the critical role of sleep problems in the development of depressive symptoms, underscoring the necessity for early and targeted sleep interventions. Emotion regulation was shown to mediate the reciprocal associations between depressive symptoms and sleep problems in girls only highlighting the need for more focus on gender differences and a need for gender-sensitive intervention strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Updating patient perceptions with intensive longitudinal data for enhanced case conceptualizations: An approach with Bayesian informative priors.","authors":"Saskia Scholten,Lars Klintwall,Julia Anna Glombiewski,Julian Burger","doi":"10.1037/abn0000993","DOIUrl":"https://doi.org/10.1037/abn0000993","url":null,"abstract":"Addressing the persistent heterogeneity in psychopathology, treatment outcomes, and the science-practice gap requires a systematic approach to personalizing psychotherapy. Case conceptualization seeks to understand a patient's unique psychopathology by generating and continuously updating hypotheses about predisposing, precipitating, and maintaining factors. This study introduces a new data-driven method to formalize this process with personalized network estimation, combining prior elicitation and Bayesian inference. It is the first to test its clinical usefulness with 12 patients, primarily treated for depression, and their therapists (preregistered and can be found as the additional online materials: https://osf.io/38qdx). Patients employed the Perceived Causal Networks method to create personalized \"prior networks,\" mapping how they perceived their symptoms to interact. Bayesian inference was used to update these prior networks using longitudinal data collected subsequently 6 times daily over 15 days (N = 935), resulting in personalized \"posterior networks.\" Both Perceived Causal Networks and longitudinal assessments were evaluated as feasible and acceptable. Face validity was scored highest for the posterior networks. Patients emphasized the personal relevance of these networks, while therapists noted their value in guiding the therapeutic process. However, prior, posterior, and data networks showed significant dissimilarities. These differences may stem from patients' limited insight into symptom interactions, insufficient power in the longitudinal data, or variations in self-perception. Despite some inconsistencies, the study shows potential for combining two methods to create personalized models of psychopathology, highlighting the need for future research to refine this formalization process into a more rigorous theoretical-empirical cycle to test these models. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disentangling the effects of daily physical activity and natural white light exposure on affect.","authors":"Stewart A Shankman,James E Glazer,Brent I Rappaport,Lilian Y Li,Florian Wüthrich,Lauren N Grzelak,Sebastian Walther,Vijay A Mittal","doi":"10.1037/abn0000995","DOIUrl":"https://doi.org/10.1037/abn0000995","url":null,"abstract":"Physical activity has a well-known positive effect on mood and often occurs outside in natural light. The specific effects of natural light exposure on mood are understudied, but clinically significant as it may reflect a widely accessible method to enhance mood. This study thus aimed to disentangle the effects of (a) physical activity and (b) natural light exposure on daily mood. For 2 weeks, 131 participants wore actigraphs that assessed their physical activity and light exposure. Participants also rated their positive and negative affect 3 times/day. Multilevel models separated within-person (relative to self) and between-person (relative to others) effects. Results suggest that within person increases in daily natural light exposure (B = 0.03, p < .05) and physical activity (B = 0.08, p < .05) were independently associated with increased positive affect, but not negative affect. Results remained significant controlling for between-person effects and other covariates, including overall depression severity. Findings offer preliminary evidence that natural light exposure may be one pathway to increase positive affect in everyday life. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using behavioral economics to understand reinforcement mechanisms of loss-of-control eating: An ecological momentary assessment approach.","authors":"Emily K Burr,Lidia Z Meshesha,Robert D Dvorak,Quinn Allen,Tatiana Magri,Callie L Wang,Emma R Hayden,Nadia E Rodriguez,Angelina V Leary,Madison Maynard,Stephen A Wonderlich,Glen Forester,Lauren M Schaefer","doi":"10.1037/abn0000996","DOIUrl":"https://doi.org/10.1037/abn0000996","url":null,"abstract":"Loss-of-control eating (LOCE) is the subjective inability to stop eating once one has started or to refrain from food consumption. State-level affect, food craving, and reward dysfunction have all been implicated as vulnerabilities to recurrent LOCE, mostly studied in the context of binge eating (i.e., LOCE with objective overeating). Hypothetical purchase tasks are a behavioral economic approach to assessing the reward value of a given behavior or commodity, which have typically been used in substance use literature. The current study tested a momentary mediation model in which positive and negative affect at Time 1 was hypothesized to predict Time 2 food demand (assessed using three variables from an ambulatory food purchase task), in turn leading to LOCE at Time 3 by way of Time 2 craving (affect → food demand → craving → LOCE). This model was assessed using a 10-day ecological momentary assessment protocol in 78 community adults with recurrent LOCE (87% female, 71% White). At the within-subjects (i.e., momentary) level, LOCE was predicted by prior food craving. Food reward value metrics additionally mediated the LOCE antecedent of negative affect, but not positive affect. Interestingly, between subjects, the relationship between craving and LOCE was unexpectedly negative, and only negative affect was associated with subsequent LOCE, by way of time two craving but not time two food reward value. Clinical implications and future directions are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Past suicide attempt is associated with a weaker decision-making bias to actively escape from suicide-related stimuli.","authors":"Adam C Jaroszewski,Alexander J Millner,Samuel J Gershman,Peter J Franz,Kate H Bentley,Evan M Kleiman,Matthew K Nock","doi":"10.1037/abn0000989","DOIUrl":"https://doi.org/10.1037/abn0000989","url":null,"abstract":"Theory and evidence suggest that people attempt suicide to escape acute distress. However, little is known about why people select suicide instead of other ways to escape (e.g., alcohol/drug use). One possibility is that suicide-related stimuli in one's environment (e.g., suicide methods) bias this decision, particularly when such stimuli elicit little aversion. We tested whether suicide-related stimuli bias decisions to escape acute distress. We recruited 360 adults with past 3-month active suicidal thoughts and behaviors (STB; n = 120), elevated psychiatric symptoms without STB (n = 152), or no symptoms/STB (n = 88). Participants explicitly rated personalized suicide pictures (e.g., pointing a gun up at oneself) and positive contrasts and completed a behavioral task, where they made decisions to escape an acutely distressing noise in relation to these stimuli. We used a computational model of task performance to capture latent biases hypothetically influencing decision making. We assessed STB 3 months later. Results indicated that people with a past suicide attempt exhibited much lower suicide aversion than others. In the behavioral task, the suicidal group made more impulsive escape decisions in relation to suicide versus positive stimuli. The computational model helped explain this effect, capturing a latent bias driven by the suicide stimuli. Within the suicidal group, weaker biases mediated the association between lower suicide aversion and higher odds of past suicide attempt. These results provide evidence of novel, specific, incrementally valid, and objectively assessed suicide-attempt correlate and suggest that decision science is useful for understanding mechanisms increasing risk for suicide and other escape-related phenomena involving stimulus-driven processes (e.g., substance misuse, and anxiety). (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What's strength centrality got to do with it? Examining the stability of central symptoms across symptom ensembles and time in idiographic networks.","authors":"Claire E Cusack,Luis E Sandoval-Araujo,Juan C Hernández,Jamie-Lee Pennesi,Gal Lazarus,Cheri A Levinson,Aaron J Fisher","doi":"10.1037/abn0001005","DOIUrl":"https://doi.org/10.1037/abn0001005","url":null,"abstract":"Network analysis is a popular method researchers use to characterize the structure of psychopathology and inform personalized treatments. Typically, applied researchers, based on network theory, interpret symptoms with the highest strength centrality as most important to network structure and represent amenable treatment targets. This study examines the stability of strength centrality in idiographic networks in a sample of participants with eating disorders (N = 26, 90-day assessment, M = 356.00 observations per person) and a second sample of participants with social anxiety disorder (N = 42, 30-day assessment, M = 201.90 observations per person). We estimated idiographic networks using three different item-inclusion approaches and accounted for time using a \"sliding window\" method (e.g., Window 1 = data from Days 1-15, Window 2 = data from Days 2-16). Items included in networks were selected in three ways: default networks (six items with the highest means at Window 1), changing means networks (six items with the highest means at each respective Window), and random ensembles (random combinations of any six items across all sliding windows). In both samples, we found that the most central symptom in the default network was central in less than half of idiographic changing means networks (maximum = 29.41% of networks). Our results show that node strength centrality estimates are sensitive to item ensemble and temporal effects. We discuss implications concerning inferences assigned to strength centrality given the frequency at which strength centrality changes and future efforts developing network-informed personalized treatment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Semantic signals in self-reference: The detection and prediction of depressive symptoms from the daily diary entries of a sample with major depressive disorder.","authors":"Amanda C Collins,Damien Lekkas,Matthew D Nemesure,Tess Z Griffin,George D Price,Arvind Pillai,Subigya Nepal,Michael V Heinz,Andrew T Campbell,Nicholas C Jacobson","doi":"10.1037/abn0001003","DOIUrl":"https://doi.org/10.1037/abn0001003","url":null,"abstract":"Individuals with major depressive disorder (MDD) experience fewer positive and more negative emotions and use fewer positive words to describe themselves. Natural language processing techniques have been used to predict depression, with pronoun and emotion usage being identified as important features. However, it is unclear how depressed individuals use positive and negative words when writing about themselves. Individuals with MDD (N = 258) completed ecological momentary assessments three times a day (including the Patient Health Questionnaire-9 [PHQ-9] and a free-text diary entry) and weekly ecological momentary assessments (including a free-text response to a life events prompt) over a 90-day study period. Using natural language processing techniques, we generated 20 model features to detect and predict averages of and changes in weekly depression from diary entries. Four regression models detected and predicted total PHQ-9 and changes in PHQ-9, and two classification models detected and predicted moderate to severe depression. The models classified current (area under the receiver operating curve [AUC] = 0.68) and future depression (AUC = 0.63), and suggest that lower valence increased usage of \"I\"/\"me\"/\"my,\" and lower valence of passages with \"I\"/\"me\" as the subject, influenced model predictions toward more severe depression, supporting prior research. These findings highlight that depressed individuals use less positive and more negative words when referring to themselves. Treatments targeting positive affect and digital interventions with written components may be beneficial for targeting MDD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathways to alcohol use and problems in adulthood for children with attention-deficit/hyperactivity disorder (ADHD): The role of common impairments above and beyond ADHD symptom persistence.","authors":"Brooke S G Molina,Christine A P Walther,Frances L Wang,Traci M Kennedy,Patrick J Curran,Elizabeth M Gnagy,Sarah L Pedersen","doi":"10.1037/abn0000986","DOIUrl":"https://doi.org/10.1037/abn0000986","url":null,"abstract":"Childhood attention-deficit/hyperactivity disorder (ADHD) is a known risk factor for later alcohol-related outcomes, such as drinking at young ages or developing alcohol use disorder by adulthood. However, research has yet to determine whether common ADHD-related impairments (e.g., lower educational attainment) in early adulthood play a role in this outcome above and beyond ADHD symptom persistence. Individuals with (n = 316) and without (n = 223) ADHD in childhood participated in a longitudinal study (Mage = 29). Childhood diagnoses were based on comprehensive, standardized assessments, and follow-up data were self-report and parent report. Mediating pathways through key impairments and ADHD symptom persistence in early adulthood were simultaneously tested, from childhood ADHD (absent/present) to later adulthood (Mage = 29) alcohol outcomes (alcohol-related problems and heavy drinking frequency), using Mplus 8.2. Support was found for the mediating roles of greater social impairment, lower educational attainment, and ADHD symptom persistence in the association between childhood ADHD and alcohol-related problems. Mediation by early adulthood delinquency for alcohol problems was not supported. No mediating pathways to heavy drinking frequency were supported. These findings illustrate the importance of social and academic functioning, in addition to ADHD symptom persistence, in risk for alcohol-related problems as individuals with a history of ADHD in childhood enter a phase of life requiring substantial adulthood responsibility. These results suggest the critical importance of focusing prevention and treatment efforts on major domains of functioning in addition to ADHD symptom reduction for prevention and treatment of harmful alcohol use. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personality in psychosis decades after onset: Tests of models of the relations between psychopathology and personality.","authors":"Elizabeth A Martin, Jennifer M Blank, Katherine G Jonas, Wenxuan Lian, Roman Kotov","doi":"10.1037/abn0000971","DOIUrl":"10.1037/abn0000971","url":null,"abstract":"<p><p>Models have been put forth to describe relations between psychopathology and personality. However, the relation in individuals with psychotic disorders is unclear. As a test of models of psychopathology-personality in psychosis, the current study included 239 individuals, each with one of four psychotic disorders-schizophrenia (SZ), bipolar disorder with psychotic features (BPp), major depressive disorder with psychotic features (MDDp), and substance-induced psychosis (SIP)-and compared their personality to a never-psychotic sample (NP; <i>n</i> = 257). In support of the complication + scar model, we found SZ, BPp, MDDp, and SIP were significantly higher on neuroticism and detachment, and most were higher on mistrust and eccentric perceptions than the NP group (average Cohen's <i>d</i> = |0.83| across all personality measures). Also compared to the NP group, SZ was lower on extraversion, agreeableness, and conscientiousness; MDDp was lower on extraversion and conscientiousness; and SIP was lower on agreeableness and conscientiousness (average Cohen's <i>d</i> = |0.77|). Differences were observed among the psychotic disorder groups (SZ, BPp, MDDp, SIP), with effects up to <i>d</i> = 1.38. In support of the complication model, the non-recovered group was significantly higher on mistrust, eccentric perceptions, and detachment but lower on extraversion and conscientiousness than the recovered group (average <i>d</i> = |0.57| across measures). In support of the scar model, individuals who met threshold for recovery continued to manifest personality deviations, although smaller in magnitude (average <i>d</i> = |0.32| across measures) compared to NP. Overall, we found support for the complication and scar models, suggesting that while symptoms are associated with personality differences, psychosis is associated with permanent personality alterations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"251-261"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627045","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}