Archives of Women's Mental Health最新文献

{"title":"Childhood traumatic experiences and postpartum depression: a mixed methods narrative study","authors":"Maria McDonald,&nbsp;Richard Jiang,&nbsp;Sahana Gopi,&nbsp;Jennifer L. Payne,&nbsp;Xin Tong","doi":"10.1007/s00737-026-01777-0","DOIUrl":"10.1007/s00737-026-01777-0","url":null,"abstract":"<div><h3>Purpose</h3><p>Postpartum depression (PPD) is a significant public health concern with profound effects on the health and well-being of women, children, and families. A growing body of research has identified an association between childhood traumatic experiences and an increased risk of PPD. This study aims to elucidate potentially underrecognized childhood experiences that are perceived as traumatic or particularly formative, and to examine whether linguistic features in brief trauma narratives are associated with PPD symptomatology.</p><h3>Methods</h3><p>This analysis included data from 143 participants who provided narrative responses to an open-ended item on the Childhood Traumatic Events Scale (CTES). Topic modeling and thematic analysis were used to identify recurring trauma-related themes, while dictionary-based sentiment analysis quantified the emotional valence of participants’ responses. Pearson’s correlation analyses examined associations between sentiment scores and PPD severity across four postpartum time points (Week 2, Week 6, Month 3, and Month 6).</p><h3>Results</h3><p>Three primary themes emerged: (1) familial adversity, (2) verbal/emotional abuse, and (3) childhood relocation or moving. Across all narratives, sentiment scores indicated predominantly negative language. No significant associations were found between sentiment scores and PPD symptomatology through six months postpartum.</p><h3>Conclusion</h3><p>Expanding assessment tools to include open-ended narrative prompts may strengthen the identification and characterization of childhood adversity in both research and clinical settings. Further research is needed to better understand whether and how narrative language reflects perinatal mental health.</p><h3>Clinical trial number</h3><p>Not applicable.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-026-01777-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149189948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: A systematic review of postpartum psychosis resulting in infanticide: missed opportunities in screening, diagnosis, and treatment","authors":"Alexandria Y. Alford,&nbsp;Alisha D. Riggins,&nbsp;Joanne Chopak-Foss,&nbsp;Logan T. Cowan,&nbsp;Emmanuela C. Nwaonumah,&nbsp;Tobi F. Oloyede,&nbsp;Sarah T. Sejoro,&nbsp;Wendy S. Kutten","doi":"10.1007/s00737-026-01776-1","DOIUrl":"10.1007/s00737-026-01776-1","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149178820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction models for postpartum post-traumatic stress disorder: a systematic review and meta-analysis","authors":"Huijing Shi,&nbsp;Jinyang Liu,&nbsp;Chaochao Yang,&nbsp;Kexin Xue,&nbsp;Liping Pan,&nbsp;Yanli Zeng","doi":"10.1007/s00737-026-01765-4","DOIUrl":"10.1007/s00737-026-01765-4","url":null,"abstract":"<div><h3>Background</h3><p>Postpartum post-traumatic stress disorder acts as an invisible scar, eroding maternal mental health and exerting long-term effects on infant development. Existing screening methods have limitations, hindering early prevention. Predictive models offer a promising approach for early identification of postpartum post-traumatic stress disorder. This study aims to establish a current evidence baseline and outline future directions through a systematic review and meta-analysis.</p><h3>Methods</h3><p>We systematically searched ten databases—PubMed, Web of Science, Embase, Cochrane Library, PsycINFO, CINAHL, Scopus, and three Chinese databases (CNKI, Wanfang, CBM)—from inception to August 12, 2025. Studies developing and/or validating multivariable prediction models for post-traumatic stress disorder within 12 months postpartum were included. The PROBAST tool was used to assess risk of bias and applicability. Random-effects models were employed for meta-analysis of validated model performance (AUC, sensitivity, specificity).</p><h3>Results</h3><p>Seventeen studies involving 17,236 participants were included. The pooled AUC was 0.84 (95% CI: 0.80–0.88), with a pooled sensitivity of 0.77 and specificity of 0.82. Frequently identified predictors included mode of delivery, level of social support, pregnancy complications, and fear of childbirth. Considerable heterogeneity was observed (<i>I</i>² = 89.7%), and calibration and external validation were insufficiently reported.</p><h3>Conclusion</h3><p>This review demonstrates that prediction models for postpartum post-traumatic stress disorder show promising predictive accuracy and development potential. However, methodological flaws and high heterogeneity constrain their generalizability. Future research should adhere to TRIPOD guidelines, conduct large-sample, multi-center external validations, and strengthen calibration and clinical utility assessments. Such efforts could help translate prediction models into clinically usable tools, shifting the healthcare paradigm from reactive symptom management to proactive, individualized risk prevention, thereby reducing maternal trauma and optimizing family outcomes.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149098820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a nurse-led telephonic brief intervention to reduce risky alcohol use among women in primary care in Brazil: a randomized controlled trial","authors":"Ana Vitória Corrêa Lima,&nbsp;Jéssica Lima De Oliveira Pinheiro Gaia,&nbsp;Divane De Vargas","doi":"10.1007/s00737-026-01772-5","DOIUrl":"10.1007/s00737-026-01772-5","url":null,"abstract":"<div><h3>Background</h3><p>Despite the increase in alcohol use among women worldwide, evidence on scalable, gender-responsive interventions remains limited, particularly in primary-care settings. This study evaluated the effectiveness of a nurse-delivered, telephonic brief intervention (BI) for reducing risky and harmful alcohol use among women.</p><h3>Methods</h3><p>This randomized controlled trial included 151 women recruited from four primary-care facilities in São Paulo, Brazil, who scored 8–19 on the Alcohol Use Disorders Identification Test (AUDIT). Participants were randomly assigned to an intervention group (IG), which received a nurse-delivered telephone BI, or a control group (CG), which received feedback only. The primary outcome was the change in AUDIT scores assessed longitudinally from baseline through 24 months of follow-up.</p><h3>Results</h3><p>In women receiving the telephonic BI, AUDIT scores significantly reduced during the first 6 months postintervention. Although this benefit was attenuated over longer-term follow-up, AUDIT scores in the control group followed an increasing trajectory over time. Race and household income were significantly associated with AUDIT scores; this suggests that socioeconomic factors may influence patterns of alcohol-related risk and intervention outcomes.</p><h3>Conclusions</h3><p>A nurse-delivered telephonic BI produced meaningful short- to medium-term reductions in risky and harmful alcohol use among women in the primary-care setting. The attenuation of effects beyond 6 months suggests that a single brief intervention may be insufficient to sustain behavioral change over the long term and supports the evaluation of booster sessions or other low-intensity follow-up strategies. As a low-cost and scalable approach that can be integrated into routine primary care, telephonic BI may expand access to alcohol-related preventive care for women, particularly in resource-constrained settings.</p><h3>Clinical trial number</h3><p>RBR-6msv2kv</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-026-01772-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149098028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: An online intervention targeting intimate partner violence in perinatal women with recent mental health care utilization: a multisite randomized clinical trial","authors":"Dawn M. Johnson,&nbsp;Ananda Sen,&nbsp;Dongru Chen,&nbsp;Kristina Countryman,&nbsp;Maria Muzik,&nbsp;Briana Joseph,&nbsp;Golfo Tzilos Wernette,&nbsp;Caron Zlotnick","doi":"10.1007/s00737-026-01775-2","DOIUrl":"10.1007/s00737-026-01775-2","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13627254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between maternal mental health-related hospitalisation within the first postnatal year and potentially avoidable hospitalisation among their children in the Northern Territory of Australia, using 16 years of linked administrative data","authors":"Demeke Mesfin Belay,&nbsp;Abel Fekadu Dadi,&nbsp;Holger W Unger,&nbsp;Samuel Hailegebreal Gele,&nbsp;Behailu Derseh,&nbsp;Bernard Leckning,&nbsp;Steven Guthridge","doi":"10.1007/s00737-026-01774-3","DOIUrl":"10.1007/s00737-026-01774-3","url":null,"abstract":"<div><h3>Purpose</h3><p>Children of mothers with postnatal mental health conditions are at increased risk of adverse health and psychosocial outcomes. This study assessed the association between postnatal mental health-related hospitalisation (MHrH) of Aboriginal and non-Aboriginal mothers and the risk of potentially avoidable hospitalisations (PAH) among their children when aged 12 to 60 months.</p><h3>Methods</h3><p>This is a whole-population retrospective cohort study using individual-level linked records for 59,159 children born in the Northern Territory from 2002 to 2017. Children were exposed if their mothers had at least one episode of MHrH within the first postnatal year. Incidence rates of PAH were determined, and weighted multilevel mixed-effect survival analysis was used to estimate the weighted hazard ratio (wHR) of PAH associated with exposure status. Overlap weights were used for confounder adjustment.</p><h3>Results</h3><p>The incidence rate (per 1,000 child-months) of PAH amongst 20,718 children born to Aboriginal mothers was 11.85 (95%CI: 10.27–13.67) in exposed and 8.94 (95%CI: 8.75–9.13) in non-exposed; and, amongst 38,441 children born to non-Aboriginal mothers, 1.62 (95%CI: 1.13–2.33) in exposed and 2.08 (95%CI: 2.01–2.14) in non-exposed. After adjustment, exposed children born to Aboriginal mothers had a 24% higher risk of PAH (wHR: 1.24; 95%CI: 1.04–1.47) compared to their non-exposed counterparts, with a weighted population attributable fraction (wPAF) of 0.55% (95%CI: 0.09–1.07). No corresponding difference in risk of PAH was demonstrated among children born to non-Aboriginal mothers (wHR: 0.73; 95%CI: 0.50–1.08).</p><h3>Conclusion</h3><p>Exposed children of Aboriginal mothers experienced a higher risk of PAH compared to non-exposed children. Meaningful reductions in PAH require culturally grounded, comprehensive maternal and child health programs that respond to the broader determinants underlying preventable child hospitalisations, including maternal mental health and related issues.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149079453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation of the Brazilian version of the Postpartum Specific Anxiety Scale – Research Short-Form for Global Crises (PSAS-BR-RSF-C)","authors":"Bruna Cardoso Gerhardt,&nbsp;Camila Zimmer,&nbsp;Jovana Serra,&nbsp;Kydja M. Souza Torres de Araújo,&nbsp;Victoria Fallon,&nbsp;Sergio A. Silverio,&nbsp;Adriane Xavier Arteche","doi":"10.1007/s00737-026-01771-6","DOIUrl":"10.1007/s00737-026-01771-6","url":null,"abstract":"<div><h3>Purpose</h3><p>Anxiety symptoms are highly prevalent during the postpartum period; however, validated instruments to measure postpartum-specific anxiety in Brazil are lacking. This study aimed to evaluate the psychometric properties of the Brazilian Portuguese version of the Postpartum Specific Anxiety Scale – Research Short-Form for Global Crises (PSAS-BR-RSF-C) in a Brazilian sample.</p><h3>Methods</h3><p>A convenience sample of 189 Brazilian mothers of infants aged 0 to 12 months completed the PSAS-BR-RSF-C, the Edinburgh Postnatal Depression Scale (EPDS), the Generalized Anxiety Disorder scale (GAD-7), and the Self-Compassion Scale (SCS) online. Spearman correlations, confirmatory factor analysis (CFA) with Diagonally Weighted Least Squares estimation, and McDonald’s omega reliability indices were calculated.</p><h3>Results</h3><p>CFA supported the four-factor structure proposed for the original instrument (CFI = 0.978; TLI = 0.970; RMSEA = 0.060 [90% CI: 0.035–0.083]; SRMR = 0.077). The PSAS-BR-RSF-C total score showed moderate-to-strong and significant correlations with measures of anxiety (GAD-7; <i>r</i> = .52), depression (EPDS; <i>r</i> = .61), and self-criticism (SCS; <i>r</i> = .52), demonstrating good convergent validity. Overall internal consistency was satisfactory (McDonald’s ω = 0.85).</p><h3>Conclusion</h3><p>These findings provide initial support for the validity and overall internal consistency of the PSAS-BR-RSF-C in Brazilian postpartum samples, while indicating that the reliability of some factor scores warrants further investigation. The instrument offers a brief, culturally adapted tool for researchers and clinicians assessing postpartum anxiety in Brazil, including during global health crises.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149057358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal anxiety, tobacco use, and infant birth weight: a multilevel analysis of PRAMS data","authors":"Sunghyun Chung,&nbsp;Lawrence Watkins","doi":"10.1007/s00737-026-01773-4","DOIUrl":"10.1007/s00737-026-01773-4","url":null,"abstract":"<div><h3>Purpose</h3><p>Maternal anxiety is a clinically relevant mental health concern during pregnancy and may contribute to reduced fetal growth, particularly when co-occurring with prenatal tobacco use. To examine the individual and contextual associations of maternal anxiety and prenatal tobacco use with infant birth weight using 2021–2023 Pregnancy Risk Assessment Monitoring System data. The analytic sample included 29,288 mothers nested within 11 states or jurisdictions.</p><h3>Methods</h3><p>Two-level linear mixed models were estimated to predict continuous infant birth weight, with a random slope for maternal anxiety to assess whether the anxiety–birth weight association varied across states or jurisdictions.</p><h3>Results</h3><p>Prenatal tobacco use was associated with an approximately 219-gram reduction in birth weight (<i>p</i> &lt; .001), while maternal anxiety was associated with an approximately 60-gram reduction (<i>p</i> &lt; .001). State-level prevalence of anxiety and tobacco use did not directly predict birth weight; however, the association between maternal anxiety and birth weight varied across states or jurisdictions.</p><h3>Conclusions</h3><p>These findings support integrated prenatal care approaches that combine maternal mental health screening, tobacco cessation support, and attention to contextual systems that may shape maternal and infant health.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149057375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidance on providing telebehavioral health care for perinatal populations: An assessment of resources and gaps","authors":"Armenda Bialas,&nbsp;Julia Rollison,&nbsp;Jessica L. Sousa,&nbsp;Rachel K. Landis,&nbsp;Laura J. Faherty","doi":"10.1007/s00737-026-01770-7","DOIUrl":"10.1007/s00737-026-01770-7","url":null,"abstract":"<div><h3>Purpose</h3><p>Perinatal behavioral health conditions are a leading cause of maternal morbidity and mortality. Telehealth can reduce access barriers, but availability of implementation guidance specific to the perinatal period is unknown.</p><h3>Methods</h3><p>We conducted a comprehensive environmental scan of 71 organizational websites and nine semi-structured clinician interviews to identify clinician-facing telehealth implementation resources geared towards those practicing in the United States.</p><h3>Results</h3><p>Twenty organizations (28%) published perinatal telehealth materials; sixteen provided nineteen unique resources specific to perinatal telebehavioral health. Most resources (<i>n</i> = 14) provided broad guidance relevant to the perinatal period, while six addressed prenatal telehealth care. No resources provided postpartum-specific guidance. Interviews revealed mixed perspectives on the adequacy of clinical guidance resources.</p><h3>Conclusion</h3><p>Limited and outdated resources, particularly the absence of postpartum‑specific guidance, suggest the need for coordinated, perinatal‑specific telebehavioral health implementation materials.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-026-01770-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health of female prisoners in Spain: vulnerabilities and challenges in prison environments","authors":"Carmen Meneses-Falcón,&nbsp;Victoria C. Borges-Ara","doi":"10.1007/s00737-026-01769-0","DOIUrl":"10.1007/s00737-026-01769-0","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of the study is to identify factors associated with the intake of psychotropic medication in prison among a sample of Spanish female prisoners.</p><h3>Methods</h3><p>Information was collected from 1544 female prisoners in 39 prisons using a self-completed questionnaire in the presence of the researchers. The questionnaire had 60 questions. A descriptive, bivariate analysis and a logistic regression analysis were performed to calculate the ORs.</p><h3>Results</h3><p>Our results show that 44.1% (681) were taking medication for their mental health in prison. In the logistic regression, seven variables were significantly associated with taking psychiatric medication and mental health problems: being Spanish meant a prisoner was five times more likely compared to being foreign (OR 5.31); intellectual disability was eight times more likely (OR 7.88); to have been treated for anxiety or depression was three times more likely (OR 3.32); a negative assessment of psychological health (OR 0,72) and older age (OR 1,03) were correlated; having been in solitary confinement was twice as likely (OR 2.65); and feeling unwell and self-injury meant a prisoner was almost five times more likely to be medicated (OR 4.89).</p><h3>Conclusions</h3><p>Mental health in prison should be addressed from a therapeutic as well as a pharmacological perspective, requiring a model of intervention for mental disorders that is centred on the needs of women and not androcentric. Furthermore, the use of solitary confinement is questioned due to its negative impact on mental health. The creation of a prison environment that promotes recovery and includes gender perspective is a key component for a comprehensive mental health policy in prisons.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"29 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-026-01769-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149023685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}