Alcohol and alcoholism最新文献

{"title":"Associations of stress mindset with problematic alcohol use and human flourishing: an exploratory path analysis.","authors":"Heidi H Meyer, Bethany L Stangl, Melanie L Schwandt, Vijay A Ramchandani, Nancy Diazgranados, Jeremy W Luk","doi":"10.1093/alcalc/agag030","DOIUrl":"10.1093/alcalc/agag030","url":null,"abstract":"<p><strong>Objective: </strong>Stress is an inevitable part of life that can have positive or negative effects depending on one's beliefs about stress (stress mindset). Having a more stress-is-enhancing mindset may lead to better physical and psychological health outcomes, but its associations with alcohol-related outcomes have not been examined. This study assessed whether stress mindset was associated with problematic alcohol use and human flourishing, and whether these associations were mediated by perceived stress and loneliness.</p><p><strong>Methods: </strong>The analytic sample included 202 adults [mean age = 42.0 years old, 51.5% male, 46.0% White, and 41.6% with a history of alcohol use disorder] who completed self-reported measures of stress mindset, perceived stress, loneliness, problematic alcohol use, and human flourishing. Correlational and path analyses were conducted.</p><p><strong>Results: </strong>Higher stress mindset scores (viewing stress as more enhancing) were correlated with lower perceived stress, lower loneliness, lower problematic alcohol use, and higher human flourishing. Perceived stress was a significant mediator of the associations between stress mindset and both outcomes, such that higher stress mindset scores were indirectly associated with lower problematic alcohol use and higher human flourishing via lower perceived stress. Loneliness mediated the association between stress mindset and human flourishing, such that higher stress mindset scores were associated with higher human flourishing via lower loneliness.</p><p><strong>Conclusions: </strong>The promotion of a stress-is-enhancing mindset is relevant to alcohol intervention as it may help individuals view stress in more adaptive ways and activate social support that has the potential to reduce problematic alcohol use and foster human flourishing.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863240","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":"Morbidity and mortality in alcohol use disorder: the role of comorbid substance use disorder, age, sex, and the A1 allele of the Taq1A (rs1800497) polymorphism in the ANKK1 gene in an 18-year follow-up.","authors":"Kerstin K Rauwolf, Ulf Berggren, Jan Balldin, Caroline Hasselgren Bune, Kristina J Berglund","doi":"10.1093/alcalc/agag020","DOIUrl":"10.1093/alcalc/agag020","url":null,"abstract":"<p><strong>Background and aims: </strong>The present study aimed to: (i) compare a patient group with solely alcohol use disorder (AUD) to a group with poly-substance use disorder (poly-SUD) regarding sociodemographic background, morbidity, mortality, and the prevalence of the A1 allele of the Taq1A polymorphism. (ii) Investigate whether gender, age, poly-SUD, and the prevalence of the A1 allele or interactions among these factors, are associated with mortality risk over an 18-year follow-up period.</p><p><strong>Methods: </strong>This study comprised 360 individuals treated for severe alcohol withdrawal symptoms in 1997 at a treatment unit in Sweden. Genotyping was performed during their hospital stay, and participants were followed annually for up to 18 years using data from Swedish registers.</p><p><strong>Results: </strong>Fifty-three percent of the participants had died over the 18 year period. Poly-SUD patients exhibited higher rates of psychiatric disorders, gastrointestinal diseases, and intoxication as the primary diagnosis. Patients with AUD exhibited a higher prevalence of cardiac diseases. Traumatic causes of death were more prevalent in the poly-SUD group, whereas somatic diseases were more common among individuals with AUD. Male sex and age were the strongest predictors of premature death among individuals with AUD. The A1 allele of the Taq1A polymorphism showed a borderline association with an increased hazard of death.</p><p><strong>Conclusions: </strong>Male sex and age are the strongest predictors of premature death. Patients with poly-SUD may represent a distinct subgroup with different comorbidities and causes of death. To determine whether there is a genetic vulnerability as indicated by the findings, research using larger samples with sufficient statistical power is needed.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621647","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":"Emotion dysregulation and dissociation mediate the association between alexithymia and depressive symptoms in individuals with alcohol use disorder.","authors":"Justyna Zaorska, Maciej Kopera, Małgorzata Rydzewska, Hubert Suszek, Paweł Kobyliński, Elisa M Trucco, Andrzej Jakubczyk","doi":"10.1093/alcalc/agag024","DOIUrl":"10.1093/alcalc/agag024","url":null,"abstract":"<p><strong>Aims: </strong>Dissociation may be considered both a severe psychopathological symptom and an everyday life experience. Still, little is known about the role of dissociation in emotion processing of individuals with alcohol use disorder (AUD), as the results of current studies remain inconclusive. The aim of this study was to examine associations between dissociation, emotional processing (emotion dysregulation; alexithymia) and depressive symptoms in patients with AUD and healthy individuals.</p><p><strong>Methods: </strong>A total of 136 individuals who participated in an 8-week abstinence-based inpatient alcohol treatment program comprised the AUD group, and 80 healthy adults comprised the non-AUD [healthy controls (HC)] group. Self-report measures were used to assess alexithymia [difficulties describing and identifying feelings; Toronto Alexithymia Scale (TAS)-20], depressive symptom severity [Beck Depression Inventory (BDI)], emotion dysregulation [Difficulties in Emotion Regulation Scale (DERS)], and dissociative experiences [Dissociative Experiences Scale (DES)-II].</p><p><strong>Results: </strong>Individuals with AUD reported significantly higher levels of dissociation, emotion dysregulation, alexithymia, and depressive symptoms compared to HCs. Difficulties in emotion regulation and severity of depressive symptoms were positively associated with dissociation, but only in the AUD group. Difficulties in emotion regulation and dissociation serially mediated the association between alexithymia and severity of depressive symptoms, but only in the AUD group.</p><p><strong>Conclusions: </strong>Associations between emotion processing characteristics, dissociation, and depressive symptom severity differ in individuals with and without AUD. These results suggest that dissociation might be a promising target for therapeutic interventions among individuals with AUD.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759383","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":"Demoralization, employment status, and early symptom reduction as correlates of treatment discontinuation in outpatient alcohol use disorder.","authors":"Chung-Han Lee, Ting-Ting Yen, I-Chun Chen, Chiann-Yi Hsu, Ting-Gang Chang","doi":"10.1093/alcalc/agag017","DOIUrl":"10.1093/alcalc/agag017","url":null,"abstract":"<p><strong>Background: </strong>Treatment discontinuation is common in outpatient alcohol use disorder (AUD) care, and attendance-related missingness can complicate interpretation of early symptom change in naturalistic cohorts.</p><p><strong>Methods: </strong>We followed 72 adults newly entering outpatient care for moderate-to-severe AUD at a tertiary hospital in Taiwan (baseline and 1, 3, and 6 months). Discontinuation was defined as ≥30 consecutive days without documented clinic contact. Symptom trajectories were modeled using generalized estimating equations with and without baseline severity adjustment; baseline correlates of 1-month discontinuation were estimated using Firth bias-reduced logistic regression, and early symptom change was evaluated in a landmark analysis restricted to participants retained to the 1-month visit.</p><p><strong>Results: </strong>The demoralization-by-time interaction for Alcohol Use Disorders Identification Test (AUDIT) reduction was significant in unadjusted models but attenuated after adjusting for baseline AUDIT (P = .385). Regular employment was independently associated with higher odds of 1-month discontinuation [adjusted Firth odds ratio (OR) 7.67, 95% confidence interval (CI) 1.19-49.24]. In the landmark cohort (n = 50), early symptom improvement at 1 month was not significantly associated with subsequent discontinuation by 3 months (Firth OR 0.58, 95% CI 0.16-2.04).</p><p><strong>Conclusions: </strong>After accounting for baseline severity, demoralization was not a robust determinant of symptom trajectories. Regular employment showed a consistent association with early discontinuation, suggesting potentially modifiable time- and access-related barriers; early symptom change should be interpreted as an attendance-conditioned correlate rather than a standalone prognostic marker.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571596","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":"Co-occurring psychiatric disorders are key determinants of disability in alcohol use disorder: a cross-sectional analysis in 157 recently detoxified patients.","authors":"Benjamin Rolland, Anna-Rita Galiano, Anjesa Veseli, François Bailly, Olivier Lejeune, Bernard Michelland, Louis Carrier, Monique Guénin, Christophe Icard, Louis-Ferdinand Lespine","doi":"10.1093/alcalc/agag026","DOIUrl":"10.1093/alcalc/agag026","url":null,"abstract":"<p><strong>Background: </strong>Disability is a central outcome in alcohol use disorder (AUD), yet little is known about its determinants.</p><p><strong>Methods: </strong>In the baseline data from the QUALIFACT multicenter prospective cohort study, which enrolled 157 recently detoxified patients with AUD between April 2021 and March 2024, Functional disability was assessed using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Clinical, psychiatric, and patient-reported variables were collected, including Diagnostic and Statistical Manual-5th edition (DSM-5) AUD criteria and the Alcohol Quality of Life Scale (AQoLS). To identify predictors of disability, we applied penalized linear regression with elastic net regularization, combined with nested cross-validation to ensure model robustness.</p><p><strong>Results: </strong>Five predictors were consistently selected in predictive models: major depressive disorder (β = 4.97) and psychotic syndrome (β = 4.85) showed the strongest associations with higher disability scores followed by the AQoLS \"Activities\" dimension (β = 0.76), while anxiety disorder (β = 0.23) and antisocial personality disorder (β = 0.19) showed smaller but significant contributions. Notably, no markers of AUD severity such as DSM-5 criteria were retained as predictors.</p><p><strong>Conclusions: </strong>Disability in AUD appears to be driven primarily by psychiatric co-occurring psychiatric disorders and patient-perceived functional limitations, rather than by traditional markers of AUD severity. These findings suggest that WHODAS 2.0 captures dimensions of impairment not reflected in DSM-5 criteria and highlight the importance of integrated care approaches addressing co-occurring psychiatric disorders. Future studies should validate these findings in larger and more diverse AUD populations.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147758947","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":"Infrequent, monthly, weekly, or daily? Big Five traits of longitudinal drinking-frequency profiles.","authors":"Matsuri Okamoto, Atsushi Oshio","doi":"10.1093/alcalc/agag012","DOIUrl":"10.1093/alcalc/agag012","url":null,"abstract":"<p><p>Using five-wave Japanese panel data (2019-23; N = 14 271), we identified four drinking-frequency classes: abstinent/very infrequent, monthly, weekly, and almost daily. Adjusted multinomial logistic regression models showed extraversion predicted higher-frequency membership, whereas conscientiousness reduced intermediate-frequency odds. An agreeableness × conscientiousness term suggested possible moderation. Results add to evidence on personality-drinking associations in the Japanese general population.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759446","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":"Synergistic effects of metabolic syndrome and hazardous alcohol use on liver injury among Asian Americans.","authors":"Kerry Yi Chen Lee, Butros Fakhoury, Ye In Christopher Kwon, Hyundam Gu, Matthew Ambrosio, Nicole Ng, Juan Pablo Arab","doi":"10.1093/alcalc/agag027","DOIUrl":"10.1093/alcalc/agag027","url":null,"abstract":"<p><strong>Aims: </strong>Explore the combined effects of alcohol use and metabolic syndrome (MetS) on liver injury in Asian Americans.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of self-reported Asian Americans aged ≥21 years from the NIH All of Us database. MetS was defined using Adult Treatment Panel III criteria and operationalized as a binary diagnosis and severity score. Alcohol use was assessed using the Alcohol Use Disorders Identification Test-Concise (AUDIT-C) questionnaire. Participants were categorized into four groups based on hazardous drinking status and MetS presence. Primary outcomes include liver injury (alanine aminotransferase >33 U/l for men, >25 U/l for women). Multivariable logistic regression models adjusted for age, sex, smoking, and socioeconomic status were used.</p><p><strong>Results: </strong>Among 799 participants, 132 (16.5%) had MetS only, 190 (23.8%) had hazardous drinking only, and 41 (5.1%) had both exposures. Overall, 25.8% met criteria for liver injury, with prevalence differing across groups (P < .05): 32.6% of MetS only, 22.1% of hazardous drinking only, and greater than 35% in the combined-exposure group. Elevated triglycerides, waist circumference, MetS severity, MetS binary, and low high-density lipoprotein independently increased odds of liver injury. Significant interactions were observed between hazardous drinking and MetS severity [odds ratio (OR) 1.40; confidence interval (CI) 1.04-1.88], triglycerides (OR 3.62; CI 1.72-7.66), and blood pressure (OR: 2.09; CI 1.02-4.28).</p><p><strong>Conclusions: </strong>Metabolic dysfunction, particularly hypertriglyceridemia, synergistically interacts with hazardous alcohol use to increase liver injury risk in Asian Americans, underscoring the need for combined metabolic and alcohol reduction strategies.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759422","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":"Youth digital alcohol marketing surveillance: assessing content on 2 social media platforms across 20 alcohol brands.","authors":"Jonathan K Noel, Julia A Dilley, Jessie Milne, Sybil Masse, Sean J Haley","doi":"10.1093/alcalc/agag022","DOIUrl":"10.1093/alcalc/agag022","url":null,"abstract":"<p><strong>Aims: </strong>Alcohol advertising is causally linked to early alcohol initiation and other harms. We characterized the content of social media alcohol advertising, and documented compliance with alcohol industry guidelines intended to prevent risks to minors and other populations vulnerable to alcohol harms.</p><p><strong>Methods: </strong>In January and February 2024, 816 ads were gathered from Instagram, YouTube, and their respective ad libraries (Meta and Alphabet). Ads were selected for 20 alcohol brands representing the 5 top-selling brands within each of 4 major alcohol product categories: beer, spirits, seltzers, and ready-to-drink cocktails. Multiple team members reviewed each ad and documented features, themes, compliance with industry guidelines, and responses to the ads using a standard protocol based on prior research.</p><p><strong>Results: </strong>After removal of 148 exact duplicates, a sample of 309 ads were coded from the remaining 668 ads collected (46% of the sample). A total of 59% contained video. Common content included corporate branding (89%) and product display (68%). A total of 33% of ads, half of video ads (53%), and up to two-thirds (66%) of ads on one social media platform were non-compliant with industry guidelines. Ad views ranged from 13 to 37 million. Median user engagement (likes, shares, comments) was 79.5 per ad (range 0-168 240). User engagement was significantly higher for non-compliant ads vs. compliant ads (P = .007), although there was no difference in views (P = .263).</p><p><strong>Conclusions: </strong>Findings suggest a need for updating guidelines and stronger independent surveillance to monitor digital ad content to prevent messaging that may increase alcohol risks, especially for young people and other vulnerable populations.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147669691","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 social context of drinking and its association with days of heavy episodic drinking in the past month among a nationally representative sample of adolescents and young adults in the United States, 2021-23.","authors":"Madison O Walsh, Matthew G Myers, Xiaoyu Liang, Kipling M Bohnert","doi":"10.1093/alcalc/agag016","DOIUrl":"10.1093/alcalc/agag016","url":null,"abstract":"<p><strong>Introduction: </strong>Prior research links solitary drinking under the age of 21 years, the legal drinking age in the USA, with adverse health later in life. This study examines associations between the social context of drinking (i.e. drinking alone vs with others) and the frequency of heavy episodic drinking (HED) days in the past 30 days among 12-20-year-olds in the USA.</p><p><strong>Materials and methods: </strong>We aggregated National Survey on Drug Use and Health data from 2021 to 2023 for all individuals aged 12-20 years who drank alcohol in the past month (unweighted n = 6 261). The focal independent variable of interest was the social context of drinking in the past month, and the primary outcome was the categorical frequency of HED days in the past month. Weighted multinomial logistic regression was used to estimate associations, adjusting for sociodemographic factors.</p><p><strong>Results: </strong>Drinking alone, compared to drinking with others, was associated with a higher likelihood of HED on 20-30 days in the past month compared to 0 days in the adjusted model [relative risk ratio: 5.48, 95% confidence interval: 2.45, 12.25].</p><p><strong>Conclusions: </strong>Among this nationally representative sample of adolescents and young adults under the legal drinking age in the USA who drank alcohol in the past month, we found that drinking alone compared to drinking with others was associated with the highest frequency of HED days in the past month. This association was not observed across lower HED day frequency categories. Tailored interventions targeting individuals in this age range who drink alone may be necessary to help reduce high-frequency HED.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571742","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":"Associations between alcohol-related parenting factors and youth alcohol expectancies: considering the role of perceived friends' disapproval of alcohol use.","authors":"Nicole Lim, Nicole Kennelly, Tammy Chung, Margret Z Powell, Shawn J Latendresse, Carolyn E Sartor","doi":"10.1093/alcalc/agag014","DOIUrl":"10.1093/alcalc/agag014","url":null,"abstract":"<p><p>We investigated variations in associations of alcohol-related parenting factors with alcohol expectancies by perceived friends' disapproval of alcohol use in middle-school-aged youth (n = 7657). Perceived friend disapproval moderated the association of deciding on rules about drinking with positive expectancies. Parenting factors and friend disapproval were independently associated with negative expectancies.</p>","PeriodicalId":7407,"journal":{"name":"Alcohol and alcoholism","volume":"61 3","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589393","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}