SSM. Mental health最新文献

{"title":"Intersecting Identities: Exploring stigma, minority stress, resilience, and identity in sexual and gender diverse youths of color","authors":"Mariam Adeyeba ,&nbsp;Sam Calvetti ,&nbsp;Gabriel Lockett ,&nbsp;Jules Sostre ,&nbsp;Lindsay Slay ,&nbsp;Jeremy T. Goldbach ,&nbsp;Michele D. Kipke","doi":"10.1016/j.ssmmh.2025.100458","DOIUrl":"10.1016/j.ssmmh.2025.100458","url":null,"abstract":"<div><div>Sexual and gender diverse youths of color (SGD) navigate complex and intersecting challenges that impact their mental health and well-being, yet they remain largely understudied in empirical research. This qualitative study explores this population's lived experiences of resilience, stress, and identity.</div><div>Between June and July 2023, we conducted six focus groups as part of a longitudinal cohort study exploring the health behaviors of racial and gender minority youths. A sample of 24 Black and Latinx SGD youths was invited to participate in these discussions, each lasting 60 min. The data collected from these focus groups were analyzed using reflexive thematic analysis.</div><div>Our findings highlight several key themes, including connection to culture, collective care, uniqueness, resistance through existence, mental health concerns, and survival strategies. Participants described the importance of ancestral and community history, representation, self-exploration, and solidarity in fostering resilience. They shared experiences of discrimination and violence and emphasized the importance of diverse and inclusive spaces in affirming their identities and supporting their mental health.</div><div>Our findings underscore the resilience of SGD youths of color amidst systemic oppression, emphasizing the importance of intersectional perspectives. Understanding the complex interplay of cultural, social, and individual factors, including race, gender, and sexuality, is crucial for developing interventions and policies that promote the well-being and empowerment of SGD youths of color. By centering their voices and experiences, this research emphasizes the need for community support, advocacy, and systemic change to create inclusive environments that affirm and celebrate the complexity of intersectional identities.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100458"},"PeriodicalIF":4.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924014","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":"Out of Focus: Illuminating embodied entanglements of treatment resistance in schizophrenia and depression through narrative interviews and digital storytelling","authors":"Leighton Schreyer ,&nbsp;Allison Crawford ,&nbsp;Oshan Fernando ,&nbsp;Vanessa Lockwood ,&nbsp;Sophie Soklaridis ,&nbsp;Gary Remington ,&nbsp;Araba Chintoh ,&nbsp;Suze Berkhout ,&nbsp;Csilla Kalocsai","doi":"10.1016/j.ssmmh.2025.100454","DOIUrl":"10.1016/j.ssmmh.2025.100454","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100454"},"PeriodicalIF":4.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906496","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":"Impacts of adolescent participation in a mental health education, leadership, and advocacy program (the Live4Life Crew) on outcomes after leaving secondary school in Victoria, Australia: A qualitative study","authors":"Lakshmi Neelakantan ,&nbsp;Nina Logan ,&nbsp;Monika Raniti ,&nbsp;Nicola Reavley","doi":"10.1016/j.ssmmh.2025.100448","DOIUrl":"10.1016/j.ssmmh.2025.100448","url":null,"abstract":"<div><h3>Background</h3><div>A key component of the Live4Life program, run by not-for-profit entity Youth Live4Life, is a ‘Crew’ of youth mental health ambassadors aged 14–16 years who undergo a mental health education, leadership, and advocacy program. Building on past evaluations, this study explores the impacts of Live4LifeCrew participation on their lives after leaving secondary school.</div></div><div><h3>Objective</h3><div>This study describes the impacts of Crew participation on alumni's health, wellbeing, education, employment, and skill development after leaving secondary school, and to explore the drivers of these impacts.</div></div><div><h3>Methods</h3><div>Semi-structured in-depth interviews were conducted with Crew alumni (n = 16, 67 % female) in Victoria, Australia. Template analysis was used to analyse the data, using the Bronfenbrenner's Process-Person-Context-Time (PPCT) as an organising framework.</div></div><div><h3>Results</h3><div>Crew participation enhanced interpersonal skills such as leadership, communication, public speaking, and empathy that alumni continued to use in their study, work, and relationships. Participants reported maintenance of key Mental Health First Aid skills, including knowledge of mental health problems and confidence to help others experiencing a mental health crisis. Their own help-seeking behaviours improved during and after Crew participation. Effective adult support was vital in shaping participant experiences; however, when such support did not consider the school or community context, it negatively impacted Crew members' experiences. Crew alumni characterised the Live4Life model as unique in a context with high stigma around mental health challenges and limited mental health education.</div></div><div><h3>Conclusions</h3><div>Alumni described the Live4Life Crew program as an impactful and positive experience. Participants noted the importance of tailoring implementation to specific settings to further enhance the program's impact.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100448"},"PeriodicalIF":4.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927822","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":"A comparison of cognitive and health assessment tools used in a dementia prevention and risk management program for urban-dwelling older aboriginal Australians (DAMPAA)","authors":"Zoë Hyde ,&nbsp;Carmela Pestell ,&nbsp;Lynette Yappo ,&nbsp;Glennette Dowden ,&nbsp;Alex Lalovic ,&nbsp;Lesley Markey ,&nbsp;Michael Bynder ,&nbsp;Emma-Jane Hunt ,&nbsp;Dawn Bessarab ,&nbsp;Kay Cox ,&nbsp;Leon Flicker ,&nbsp;Dina LoGiudice ,&nbsp;Keith D. Hill ,&nbsp;Sandra Thompson ,&nbsp;Aaron Basile ,&nbsp;Kate Smith","doi":"10.1016/j.ssmmh.2025.100455","DOIUrl":"10.1016/j.ssmmh.2025.100455","url":null,"abstract":"<div><h3>Background</h3><div>In partnership with Aboriginal Elders and Aboriginal community-controlled organisations, we developed a dementia risk management and prevention program for Aboriginal Australians aged ≥45 years. In this study, we report neuropsychological assessment data for people who underwent eligibility screening and baseline assessment and explore associations between the cognitive assessment tools used.</div></div><div><h3>Methods</h3><div>Fifty Aboriginal people living in metropolitan Perth, Western Australia without known dementia were assessed with the Kimberley Indigenous Cognitive Assessment dementia screening tool (KICA-Cog) and a battery of standard neuropsychological tests.</div></div><div><h3>Results</h3><div>Participants were aged 45–80 years (mean 63.5; standard deviation [SD] 9.4 years). Eleven participants (22.0 %) were male and 39 (78.0 %) were female. Of 49 participants with complete data, 13 (26.5 %) had a GAD-7 score indicating a possible anxiety disorder and 20 (40.8 %) had a KICA-Dep score indicating possible depression. All participants were screened with the KICA-Cog and 44–49 were screened with the other tests. The mean KICA-Cog score was 37.2 (SD 1.7; range: 33–39) and the mean Montreal Cognitive Assessment (MoCA) score was 22.2 (SD 4.5; range: 13–30). There were moderate correlations between the KICA-Cog and MoCA, Symbol Digit Modalities Test (oral version), and Hopkins Verbal Learning Test total immediate recall and delayed recall scores. There were weak or no correlations between the KICA-Cog and other cognitive assessment tools. Four participants had previously been told they had cognitive impairment. The KICA-Cog and MoCA scores for these participants were 37.0 (SD 2.2; range: 34–39) and 18.8 (SD 1.5; range: 17–20), respectively.</div></div><div><h3>Discussion</h3><div>A high prevalence of possible depression and anxiety suggest mental health support may be required for people participating in dementia prevention programs. The KICA-Cog is the only valid screening tool for dementia in Aboriginal and Torres Strait Islander people, but its clinical utility could potentially be improved to better detect mild neurocognitive disorder.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100455"},"PeriodicalIF":4.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902028","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":"Systematic review and development of a comprehensive conceptualization of social gender affirmation for trans and gender diverse people","authors":"Guendalina Di Luigi,&nbsp;Giulia Zoppolat,&nbsp;Sigsten Stieglitz,&nbsp;David Matthew Doyle","doi":"10.1016/j.ssmmh.2025.100453","DOIUrl":"10.1016/j.ssmmh.2025.100453","url":null,"abstract":"<div><div>Social gender affirmation (SGA) plays a pivotal role in the well-being of transgender and gender diverse (TGD) people, yet research on the topic remains fragmented and inconsistent. This systematic scoping review examines 61 studies to provide a cohesive understanding of how SGA is conceptualized, operationalized, and experienced across different contexts. We categorize existing literature into three main areas: theoretical and applied frameworks, quantitative measures, and qualitative insights. Theoretical models emphasize SGA's multifaceted nature, linking individual experiences of affirmation to broader societal and institutional dynamics, yet they often neglect intersectional considerations. Quantitative tools for measuring SGA show significant variation and lack standardization, limiting cross-study comparability. Qualitative research highlights themes such as the importance of gender-affirming language, the empowering impact of advocacy and practical support, and the need for genuine recognition within close relationships and communities. We integrate and build upon this research by proposing the <em>Integrative Model of Social Gender Affirmation</em>, a comprehensive framework that situates SGA within the interaction of individual experiences, personal relationships, and broader social networks. Acknowledging the dynamic nature of SGA, we highlight the need for research to examine its multifaceted aspects and for society to create environments where TGD people feel seen, supported, and empowered.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100453"},"PeriodicalIF":4.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069297","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":"Supervision-based evaluation of primary healthcare workers’ performance after mhGAP-HIG training in Pakistan","authors":"Asma Humayun,&nbsp;Arooj Najmussaqib,&nbsp;Noor ul Ain Muneeb","doi":"10.1016/j.ssmmh.2025.100451","DOIUrl":"10.1016/j.ssmmh.2025.100451","url":null,"abstract":"<div><h3>Background</h3><div>The province of Khyber Pakhtunkhwa (KP) in Pakistan faces significant gaps in mental health services, marked by limited resources and inequitable distribution of services. To strengthen the existing services in nine districts of the province, 105 primary healthcare workers (PHCWs)— including primary care physicians and clinical psychologists—were previously trained to assess and manage mental health conditions using mhGAP-HIG adapted for Pakistan. The PHCWs received remote supervision for three months post-training. This study discusses the mechanism for remote supervision using digital technology and evaluated its impact on the performance of trained PHCWs.</div></div><div><h3>Methods</h3><div>A mixed-method approach was used to analyze clinical the reported data. The assessment, management (including pharmacological and psychosocial interventions), and referral needs in all reported cases were monitored during supervision. Both qualitative and quantitative feedback from the PHCWs were also analyzed.</div></div><div><h3>Results</h3><div>Out of 105 trained PHCWs, 50.34 % submitted 413 cases through the mhGAP-HIG-PK mobile application. Supervision was crucial in ensuring compliance with assessment protocols in 24.70 % cases, management protocols in 38.25 % of cases and referral protocols in 5 % of cases. The most frequently identified condition was depressive disorder (56.9 %). Commonly reported stressors by the patients at the primary healthcare included bereavement, socio-economic difficulties, marital challenges, and stressors related to family. PHCWs expressed a preference for remote supervision and found it beneficial for assessment (61.1 %), management (72.2 %), and referral (44.4 %).</div></div><div><h3>Conclusion</h3><div>Following mhGAP training, remote supervision using digital tools can be effective in monitoring the performance of PHCWs to enhance their skills to assess and manage mental health conditions in low-resource settings. The collection and evaluation of supervision-based data are crucial for improving training programs to strengthen the capacity of PHCWs.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100451"},"PeriodicalIF":4.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123850","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":"The Voices: Marija's narrative on living with hallucinations","authors":"Melanie Demarco,&nbsp;Ruth Falzon ,&nbsp;Anton Grech,&nbsp;Marija","doi":"10.1016/j.ssmmh.2025.100438","DOIUrl":"10.1016/j.ssmmh.2025.100438","url":null,"abstract":"<div><div>This paper presents how Marija copes with hallucinations through insight and self-reflectiveness. She hopes that professionals and, most of all, persons experiencing “The Voices” benefit from her experiences and recommendations. Marija approached us with this research aim. She wanted to be unhindered by guiding questions, leading us to the Biographic Narrative Interpretive Method using a Single QUestion aimed at Inducing Narrative (SQUIN-BNIM). Data collection involved three meetings and emails for five months. I-poems present Marija's vivid and evocative imagery and her narrative dominates the paper. Marija represents the ambivalent body of literature regarding quality of life (QoL) and Voices, namely that insight and self-reflectiveness are not only coping mechanisms allowing for self-sufficiency and independence, and a better QoL; but can also lead to more anxiety due to deeper understanding. She declares that resilience, attitude, mentalisation, and spirituality are vital coping skills and recommends some strategies she finds useful. She feels contained using structured daily schedules and year-long planning. Her mentalisation allows her to distinguish which voices are real and which are hallucinations, aware of a continuous challenge. Her belief in God gives her purpose, contains disappointments, and allows for value-based aspirations to create a purposeful and meaningful life that leaves her content, with efforts to inspire others. These findings embrace human diversity and how professionals must continually address a person's uniqueness, not their condition.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100438"},"PeriodicalIF":4.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895044","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":"Community-based stress, social support, and depressive symptoms among black adults: A mediation analysis","authors":"James Huynh ,&nbsp;Dae-zhane Boland ,&nbsp;Cindy Le ,&nbsp;Aisha D. Fletcher ,&nbsp;Lauren R. Anderson ,&nbsp;Courtney Thomas Tobin","doi":"10.1016/j.ssmmh.2025.100452","DOIUrl":"10.1016/j.ssmmh.2025.100452","url":null,"abstract":"<div><div>Guided by social disorganization theory, this study examines the extent to which social support mediates the relationship between community-based stressors and depressive symptoms among Black Americans. Social support is a key mechanism linking psychosocial community-based stressors to racial disparities in mental health. However, little research has explored various sources of social support—family, friend, and church—mediates these relationships. Using data from the Nashville Stress and Health Study (N = 623), this study employs OLS regression and structural equation modeling to assess whether social support explains the associations between community-based stressors and depressive symptoms. Results show family support fully mediates the impact of perceived neighborhood disorder, highlighting the critical role of familial networks in shaping mental health. These findings underscore the importance of family-centered health interventions and culturally relevant community programs designed to strengthen social support and mitigate the adverse effects of community stressors on mental health disparities.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100452"},"PeriodicalIF":4.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924093","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":"Examining interactions between chronic pain, positive mental health and coping on past-year suicidal ideation in a Canadian sample","authors":"Sarah E. Turner ,&nbsp;Justin J. Lang ,&nbsp;Natalie Doan ,&nbsp;Melanie Varin ,&nbsp;Wendy Thompson ,&nbsp;Raelyne L Dopko","doi":"10.1016/j.ssmmh.2025.100450","DOIUrl":"10.1016/j.ssmmh.2025.100450","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic pain affects approximately 20% of the Canadian population and is related to increases in suicide-related outcomes. Protective factors for suicidal behaviours are understudied, yet they are an important area of research for promoting mental health and preventing suicide. This study examined the relationship between chronic pain and past-year suicidal ideation and the moderating roles of positive mental health and coping.</div></div><div><h3>Methods</h3><div>Data were from the 2019/20 cycle of the Canadian Community Health Survey, a cross-sectional Canadian survey (n= 64,654). Chronic pain (yes/no), positive mental health (including self-rated mental health (low/high) and community belonging (low/high)), coping (low/high) and past-year suicidal ideation (yes/no) were measured using self-report survey questions. We used weighted logistic regression to assess relationships between chronic pain, self-rated mental health, community belonging, coping, and suicidal ideation adjusting for sociodemographic, mental health and substance use variables. Additive and multiplicative interactions were used to test moderation between chronic pain, positive mental health and coping on past-year suicidal ideation.</div></div><div><h3>Results</h3><div>Experiencing chronic pain was associated with increased odds of suicidal ideation (adjusted odds ratio [aOR] 2.32, 95% Confidence Interval [CI] 1.85- 2.90). High positive mental health and coping were protective factors for suicidal ideation (aORs of 0.13, 0.57 and 0.24, respectively). Additive interactions showed that experiencing chronic pain, along with low positive mental health or coping was associated with a higher odds of suicidal ideation than the sum of the individual associations. There were no significant multiplicative interactions.</div></div><div><h3>Conclusion</h3><div>This study shows that chronic pain is associated with higher odds of suicidal ideation, and the odds were even higher for those who also reported low positive mental health or coping. In addition to facilitating reductions in chronic pain, providing individuals experiencing chronic pain with mental health support and coping skills may protect against suicidal ideation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100450"},"PeriodicalIF":4.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888012","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":"“It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa","authors":"Nondumiso Dlamini ,&nbsp;Siphesihle Hlongwane ,&nbsp;Carina Herbst ,&nbsp;Maryam Shahmanesh ,&nbsp;Nothando Ngwenya ,&nbsp;Sarah Bernays ,&nbsp;Janet Seeley","doi":"10.1016/j.ssmmh.2025.100449","DOIUrl":"10.1016/j.ssmmh.2025.100449","url":null,"abstract":"<div><div>In South Africa, many young people relocate from rural to urban areas for education, attending day schools while residing in rented accommodation. Migration exposes them to risk, including alcohol and drug abuse, sexual exploitation and violence. We developed and assessed a support system for young migrants, aged 14-24 in KwaZulu-Natal, South Africa. Five trained peer navigators conducted needs assessments for 283 young internal migrants between June 2021 and October 2022. The intervention included mobile phone support and streamlined referrals through a call centre, connecting young migrants to a study social worker, local healthcare facilities, and peer assistance. To assess the intervention, we conducted repeat in-depth interviews with 20 participants and 5 interviews with peer navigators, in-person and by telephone. Most young migrants rented rooms in unsafe areas to be near their schools, which presented physical, psychological, and mental challenges during the transition from living with parents/carers. The young migrants valued the intervention, including access to sexually transmitted infection treatment, psychosocial support from the social worker, and assistance from peer navigators in tackling general challenges. They appreciated that the peers provided a confidential space to engage and share openly with little fear of being judged. Our findings show that protection for young migrants can be provided through supportive structures such as peer-led interventions.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100449"},"PeriodicalIF":4.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888013","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}