Archives of Women's Mental Health最新文献

{"title":"Anxiety and neural correlates of attention and self-regulation in pregnancy: a resting-state EEG study","authors":"Josephine C.P. Levy,&nbsp;Tal Yatziv,&nbsp;Madison Bunderson,&nbsp;Cody Bartz,&nbsp;Emily A. Vancor,&nbsp;Helena J.V. Rutherford","doi":"10.1007/s00737-024-01505-6","DOIUrl":"10.1007/s00737-024-01505-6","url":null,"abstract":"<div><h3>Purpose</h3><p>Pregnant women are particularly vulnerable to experiencing mental health difficulties, especially anxiety. Anxiety in pregnancy can be characterized as having two components: general symptomology experienced in the general population, and pregnancy-related anxiety more focused on pregnancy, delivery, and the future child. In addition, women also commonly report experiencing attentional control and self-regulation difficulties across the peripartum period. However, links between anxiety and neural and cognitive functioning in pregnancy remain unclear. The present study investigated whether anxiety is associated with neural markers of attention and self-regulation measured using electroencephalography (EEG). Specifically, we examined associations between general and pregnancy-related anxiety and (1) beta oscillations, a neural marker of attentional processing; and (2) the coupling of beta and delta oscillations, a neural marker of self-regulation, in frontal and prefrontal regions.</p><h3>Methods</h3><p>A sample of 135 women in the third trimester of their pregnancy completed a resting-state EEG session.</p><h3>Results</h3><p>General anxiety was associated with increased beta oscillations, in line with research in the general population, interpreted as reflecting hyperarousal. Pregnancy-related anxiety was associated with decreased beta oscillations, interpreted as reflecting inattention and mind-wandering. Moreover, pregnancy-related anxiety, but not general anxiety, was linked to stronger delta-beta coupling, suggesting anxiety specifically related to the pregnancy is associated with investing greater effort in self-regulation.</p><h3>Conclusion</h3><p>Our results suggest that general and pregnancy-related anxiety may differentially relate to neural patterns underlying attention and self-regulation in pregnancy.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 1","pages":"43 - 53"},"PeriodicalIF":3.2,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01505-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103888","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":"Neuropsychological performance in women at risk of postpartum depression and postpartum psychosis","authors":"Giulia Cattarinussi,&nbsp;Giulia Segre,&nbsp;Alessandra Biaggi,&nbsp;Katie Hazelgrove,&nbsp;Fabio Sambataro,&nbsp;Manuela Russo,&nbsp;Andrew Lawrence,&nbsp;Montserrat Fusté,&nbsp;Mitul A. Mehta,&nbsp;Gertrude Seneviratne,&nbsp;Michael C. Craig,&nbsp;Maddalena Miele,&nbsp;Susan Pawlby,&nbsp;Susan Conroy,&nbsp;Carmine M. Pariante,&nbsp;Paola Dazzan","doi":"10.1007/s00737-024-01510-9","DOIUrl":"10.1007/s00737-024-01510-9","url":null,"abstract":"<div><h3>Purpose</h3><p>While neuropsychological deficits are commonly observed in affective and psychotic disorders, this remains unexplored in these disorders when they occur during pregnancy and the postpartum period.</p><h3>Methods</h3><p>A neuropsychological test battery was administered to women defined at risk of postpartum depression (PD, <i>N</i> = 53) because having either a current or past diagnosis of major depressive disorder, women at risk of postpartum psychosis (PP, <i>N</i> = 43) because of a diagnosis of bipolar disorder or schizoaffective disorder and/or a previous episode of PP and women not at risk (NR, <i>N</i> = 48) in the third trimester of pregnancy. Generalized and specific cognitive abilities were compared between groups.</p><h3>Results</h3><p>Women at risk of PP presented worse executive functions and processing speed compared to NR and worse performance compared to women at risk of PD across all cognitive domains. In addition, women at risk of PP who developed a psychiatric relapse in the first four weeks post-partum showed worse verbal learning and memory, visual memory, executive functions and processing speed in pregnancy compared to NR, whereas women at risk of PP who remained well presented neuropsychological performance that was intermediate between that of the women NR and those at risk of PP who developed symptoms. There were no differences in performance between women at risk of PD and the NR women, even if 31 women at risk of PD presented depressive symptoms at the time of cognitive assessment.</p><h3>Conclusions</h3><p>Our findings in women at risk of PP align with neuropsychological findings in individuals with, or at risk of psychosis unrelated to pregnancy. In addition, initial evidence that women at risk of PP who develop a psychiatric relapse in the postpartum show a particularly poor neuropsychological performance in pregnancy suggests that this could be considered part of a phenotype for the disease and help guiding future preventive strategies in this clinical population. In women at risk of PD, the presence of depressive symptoms did not influence cognitive performance.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 1","pages":"55 - 65"},"PeriodicalIF":3.2,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11762223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103902","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":"Unravelling the threads: understanding the interplay of Cultural values, female workforce engagement, human development index and suicide rates","authors":"Elisa Vigna,&nbsp;Ingrid van Balkom,&nbsp;Michaeline Bresnahan,&nbsp;Keely Cheslack-Postava,&nbsp;George Musa,&nbsp;Megan Ryan,&nbsp;Norbert Skokauskas,&nbsp;Christina Hoven,&nbsp;Vladimir Carli","doi":"10.1007/s00737-024-01502-9","DOIUrl":"10.1007/s00737-024-01502-9","url":null,"abstract":"<div><h3>Purpose</h3><p>Suicide is a major public health problem across the world. Extensive research on the field shows that suicide is affected by several sociological, economic, and cultural risk factors. Over the last century, social changes have driven the reshaping of traditional gender roles, often in an uneven fashion, strongly depending on context. This study proposes updated findings on the impact that changes in traditional gender roles could have on suicide rates</p><h3>Methods</h3><p>It will do so by examining the correlation between female labor force participation (FLPR) and sex-specific suicide rates. Moreover, it will examine this association depending on human development (HDI) and Hofstede’s individualism index. To do so, data from 2010 to 2019 from 47 countries is collected from the WHO, ILOSTAT and UN agencies’ websites.</p><h3>Results</h3><p>Analysis show a significant interaction between FLPR, HDI and individualism index scores on male suicide rates (<i>p</i> = 0.002). There is a negative association between FLPR and male suicide rates in relatively lower HDI countries, while in very high HDI countries an increase in FLPR is correlated with an increase in male suicide rates. Similar trends but no significant interaction is observed for female suicide rates.</p><h3>Conclusion</h3><p>This study suggests that female participation is beneficial for male population as it reduces male suicide rates. However, this association appears to be context dependent. In countries where institutional adjustment is already established, and human development is very high, other factors might be of interest in examining the trends of suicide rates among men and women.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"287 - 296"},"PeriodicalIF":3.2,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01502-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103903","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":"Effects of jazz dance and concurrent training on psychological variables in menopausal women: A randomized controlled trial","authors":"Danielly Yani Fausto,&nbsp;Julia Beatriz Bocchi Martins,&nbsp;Fábio Hech Dominski,&nbsp;Adriana Coutinho de Azevedo Guimarães","doi":"10.1007/s00737-024-01509-2","DOIUrl":"10.1007/s00737-024-01509-2","url":null,"abstract":"<div><h3>Purpose</h3><p>To analyze the effect of two 16-week interventions with jazz dance and concurrent training compared to a control group on anxiety, depression, stress, mood, and the perspective of aging in menopausal women, after 1-month, post-intervention, and at the 6-month follow-up<i>.</i></p><h3>Methods</h3><p>70 post-menopausal women (53.19 ± 3.39 years) randomized into 3 groups:intervention group with Jazz Dance (JD); intervention group with Concurrent Training (CT), and Control Group (CG). Both interventions lasted 16 weeks, with 60-min classes, JD with a frequency of two weekly classes, and CT three times a week. The intensity of the JD was progressive and according to the frequency of beats per minute of the songs. In CT, the aerobic an initial intensity of 60% of HRmax, reaching 90%, and resistance the volume of sets and loads increased progressively throughout the intervention. Questionnaires related to symptoms of anxiety and depression (Hospital Anxiety and Depression Scale); stress (Perceived Stress Scale); mood (Brunel Mood Scale); and aging perspective (Sheppard Inventory) were applied. Intention-to-treat (ITT) and protocol adherence analysis were performed.</p><h3>Results</h3><p>In the protocol analysis, the JD showed improvements in anxiety and depressive symptoms after 1-month, which remained at the follow-up. The TC presented reduced anxiety and depressive symptoms after 16 weeks, which also remained at the follow-up. Considering stress, the CT showed improvements at all times and the JD post-intervention. As for mood, the CT presented reduced anger, mental confusion, and fatigue only after 1-month, and both exercise groups presented increased vigor at all times.</p><h3>Conclusion</h3><p>Both interventions were beneficial, however dance showed immediate results for anxiety and depression, and concurrent training for stress. Considering mood, concurrent training was more effective for anger, mental confusion, and fatigue, while both interventions were effective for vigor.</p><h3>Registration</h3><p>Brazilian Clinical Trials Registry (REBEC) RBR – 87ndrv.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 3","pages":"525 - 540"},"PeriodicalIF":3.2,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071848","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":"Correction to: The impact of mental health and psychological stressors on menstrual cycle modulation: exploring the influence of age and hormonal contraceptives","authors":"Jéssica Castro Pereira Petrine,&nbsp;Larissa Sampaio Jacques,&nbsp;Tayná Márcia da Cruz Santos,&nbsp;Fernanda Aparecida Castro Pereira,&nbsp;Paula Midori Castelo,&nbsp;Bruno Del Bianco –Borges","doi":"10.1007/s00737-024-01507-4","DOIUrl":"10.1007/s00737-024-01507-4","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"395 - 398"},"PeriodicalIF":3.2,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054790","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":"Event-related potentials and behavioral correlates of emotional recognition memory in late pregnancy","authors":"Sivan Raz","doi":"10.1007/s00737-024-01503-8","DOIUrl":"10.1007/s00737-024-01503-8","url":null,"abstract":"<div><h3>Purpose</h3><p>Research on cognitive and emotional functions during pregnancy challenges the prevalent perception of cognitive decline in pregnant women. This study investigates the behavioral and neural dynamics of cognitive-affective processing in third-trimester pregnant women, comparing them with non-pregnant controls.</p><h3>Methods</h3><p>Using a 64-channel EEG-ERP system, we recorded brain activity as participants engaged in an emotional word recognition task. This task involved initially viewing a sequence of emotional and neutral words, followed by a recognition test where participants identified each word as 'new' or 'previously seen'.</p><h3>Results</h3><p>Contrary to widespread beliefs about diminished recognition ability during late pregnancy, our results revealed no significant differences in error rates between groups. However, pregnant participants demonstrated slower reaction times. In terms of neural responses, pregnant women exhibited increased amplitudes in the N1, P2, and N400 ERP components, suggesting that they may require additional brain resources compared with non-pregnant individuals to process perceptual information. A significant interaction was observed between pregnancy status and the emotional valence of stimuli. Pregnant women showed heightened N1 and N400 responses to negative words, indicating increased sensitivity to stimuli potentially representing threat. This enhanced response was not observed for positive or neutral words. Furthermore, there was an amplified N1 response to 'new' words, but not to 'old' words.</p><h3>Conclusion</h3><p>These findings suggest that late pregnancy is characterized by heightened responsiveness to new and particularly negative stimuli, potentially leading to a more cautious behavioral approach. Heightened vigilance and sensitivity could offer evolutionary advantages, optimizing fetal development and enhancing maternal well-being.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 1","pages":"25 - 42"},"PeriodicalIF":3.2,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016221","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":"Exploring the impact of maternal early life adversity on interoceptive sensibility in pregnancy: implications for prenatal depression","authors":"Paul W. Savoca,&nbsp;Laura M. Glynn,&nbsp;Molly M. Fox,&nbsp;Misty C. Richards,&nbsp;Bridget L. Callaghan","doi":"10.1007/s00737-024-01504-7","DOIUrl":"10.1007/s00737-024-01504-7","url":null,"abstract":"<div><h3>Purpose</h3><p>Pregnancy is a sensitive period of development in adult life characterized by massive changes in physical, emotional, and cognitive function. Such changes may be adaptive, e.g., facilitating adjustment to physical demands, but they may also reflect or contribute to risks inherent to this stage of life, e.g., prenatal depression. One cognitive ability that may undergo change during pregnancy and contribute to mental wellness is interoception - the ability to perceive, integrate, and model sensory information originating from the body. Strong interoceptive abilities are associated with lower rates of depression in non-pregnant adult populations, and interoception is generally weaker in individuals at higher risk for depression, for example, exposure to early life adversity (ELA). In the present online, cross-sectional study, we investigated whether interoception in pregnant women differed based on histories of ELA, in ways that increased their relative risk for prenatal depression symptoms.</p><h3>Methods</h3><p>The pregnant individuals were in the second trimester of their first pregnancy and were compared to a group of nulliparous, non-parenting women.</p><h3>Results</h3><p>Previous exposure to ELA significantly moderated pregnancy-related differences in self-reported interoception (interoceptive <i>sensibility</i>). A further moderated-mediation analysis revealed that the extent to which interoceptive sensibility buffered against depressive symptoms was conditional on ELA exposure, suggesting more ELA is associated with lower interoceptive sensibility during pregnancy, which increased prenatal depression risk.</p><h3>Conclusions</h3><p>Together this work suggests that levels of interoception during pregnancy are sensitive to previous adversity exposure. It also suggests that interoceptive-focused interventions for preventing/treating prenatal depressive symptoms in high-risk women may be worth exploring.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 1","pages":"15 - 24"},"PeriodicalIF":3.2,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999379","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":"Depression, higher level of tension induction, and impaired coping strategies in response to stress in women with PCOS correlate with clinical and laboratory indices of hyperandrogenism and not with central obesity and insulin resistance","authors":"Edyta Dutkiewicz,&nbsp;Dominik Rachoń,&nbsp;Miłosz Dziedziak,&nbsp;Agnieszka Kowalewska,&nbsp;Joanna Moryś","doi":"10.1007/s00737-024-01500-x","DOIUrl":"10.1007/s00737-024-01500-x","url":null,"abstract":"<p>PCOS is characterized by ovarian hyperandrogenism and insulin resistance (IR), which give rise to symptoms of hyperandrogenism and central obesity, which in turn may cause depression, lower self-esteem, and deteriorate coping strategies in stressful situations. </p><p>to examine the mental condition, self-esteem, and ways of coping with stress in women with PCOS compared to age and BMI-matched healthy controls and to correlate them with clinical and laboratory hyperandrogenism, central obesity, and IR. </p><p>42 women with PCOS and 39 controls were assessed for the above-mentioned psychological measures and correlated with serum hormonal and metabolic parameters.</p><p>Compared to controls, women with PCOS had more symptoms of depression (p = 0.026), a higher level of tension induction (p = 0.032), were more prone to alcohol consumption (p = 0.015), and were less likely to use the strategy of active coping in stressful situations (p = 0.014) and to seek instrumental (p = 0.048) and emotional support (p = 0.043). The presence of hirsutism correlated negatively with the level of emotional induction (R = -0.32, p &lt; 0.05), and androgenic alopecia positively with the hedonistic tone (R = 0.36, p &lt; 0.05). Serum testosterone (TST) correlated positively with the likelihood of seeking instrumental support in stressful situations (R = 0.31, p &lt; 0.05) and with emotional focus (R = 0.34, p &lt; 0.05). Serum androstenedione (A4-dione) correlated negatively with the escape behavior (R = -0.32, p &lt; 0.05). No correlations were found between waist circumference and IR with the studied psychological measures. </p><p>Women with PCOS are characterized by depression, higher levels of tension induction, and impaired coping strategies in stressful situations, which correlate with clinical and laboratory indices of hyperandrogenism and not with central obesity and IR.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"339 - 348"},"PeriodicalIF":3.2,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01500-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995196","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":"Mediating effect of menopausal symptoms between the lifestyle and depressive symptoms","authors":"Si Qin,&nbsp;Yang Luo","doi":"10.1007/s00737-024-01501-w","DOIUrl":"10.1007/s00737-024-01501-w","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to explore relationship between lifestyle and depressive symptoms and evaluated the mediating effect of menopausal symptoms.</p><h3>Methods</h3><p>This was a secondary analysis of a survey in Hunan Province, China. We selected 3190 women aged 40 to 55 into final analyses. Menopausal and depressive symptoms were assessed by the Kupperman Menopausal Index and the 9-item Patient Health Questionnaire, respectively. A self-administered questionnaire was used to collect demographic and lifestyle information.</p><h3>Results</h3><p>The prevalence of depressive symptoms was 19.5%. After adjusting for demographic variables, passive smoking, drinking, and intensity of physical activity were positively associated with depressive symptoms. Frequency of exercise was a protective factor for depressive symptoms (AOR = 0.783, 95%CI: 0.446–0.991). Excess or restricted sleep duration was associated with higher probability of having depressive symptoms (AOR = 1.746, 95% CI: 1.324–2.304). Menopausal symptoms partially mediated the relationship between lifestyle and depressive symptoms.</p><h3>Conclusion</h3><p>Findings highlighted the importance of menopausal symptoms in the relationship between the lifestyle and depressive symptoms, and provided a possibility that active lifestyle might improve depression symptoms among women at perimenopause through changes in sex hormones.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"28 2","pages":"329 - 338"},"PeriodicalIF":3.2,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970526","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":"Sex differences and gender influence in psychosis","authors":"Judith Usall,&nbsp;Susana Ochoa","doi":"10.1007/s00737-024-01493-7","DOIUrl":"10.1007/s00737-024-01493-7","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"659 - 660"},"PeriodicalIF":3.2,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970527","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}