Sofie Rousseau, Danielle Katz, Avital Schussheim, Tahl I Frenkel
{"title":"Intergenerational transmission of maternal prenatal anxiety to infant fearfulness: the mediating role of mother-infant bonding.","authors":"Sofie Rousseau, Danielle Katz, Avital Schussheim, Tahl I Frenkel","doi":"10.1007/s00737-024-01475-9","DOIUrl":"10.1007/s00737-024-01475-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study is the first to directly investigate the mechanistic role of maternal bonding toward her infant in the early intergenerational pathway of risk from maternal anxiety to infant fearfulness.</p><p><strong>Methods: </strong>Mothers (N = 216; M<sub>age</sub>=32.78) reported on their anxiety and bonding at four time-points between pregnancy and ten-months postpartum. At four and ten-months postpartum, infant temperamental precursors of anxiety were assessed through maternal report and observation.</p><p><strong>Results: </strong>Cross-lagged longitudinal path modeling indicated a significant link between prenatal maternal anxiety and infant temperamental fearful withdrawal at 10-months postpartum (R<sup>2</sup> = 0.117), which was fully explained by decreased maternal bonding at one-month postpartum and increased infant temperamental negative reactivity at 4-months postpartum.</p><p><strong>Conclusion: </strong>Results support the need to foster maternal bonding in preventive perinatal care, particularly in the context of maternal anxiety.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"157-171"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141299898","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":"Sex/gender differences in spontaneous reports to a French Addictovigilance centre.","authors":"Héléne Peyriére, Ange Dampierre, Roselyne Vallo, Margot Lestienne, Céline Eiden, Héléne Donnadieu","doi":"10.1007/s00737-024-01486-6","DOIUrl":"10.1007/s00737-024-01486-6","url":null,"abstract":"<p><p>To specify psychoactive substances and related complications observed in spontaneous reports (SRs) in women versus men, we assessed SRs on substance-linked acute toxicity sent to a French Addictovigilance centre. Over the period 2021-2022, 880 SRs were analysed (33.4% concerned women). Severe complications concerned more men than women (70.3% versus 59.5%; p = 0.0014). In women, the main implicated substances were psychoactive medications (opioids, benzodiazepines). The most frequently reported complication was suicidal behaviour (14.6% versus 7.8%, p = 0.002). In men, SRs concerned mainly illicit substances (cocaine, amphetamines) or misuse of opioid maintenance therapy or nitrous oxide. The main complications in men were infections (12.97% versus 5.4%, p = 0.0006) and neurological troubles (37.6% versus 23.5%, p < 0.0001).Our data highlight sex/gender disparities in substance use and complications, in agreement with recent literature and French national Addictovigilance data.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"191-195"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557932","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}
Elizabeth Aviv, Yael Waizman, Elizabeth Kim, Jasmine Liu, Eve Rodsky, Darby Saxbe
{"title":"Cognitive household labor: gender disparities and consequences for maternal mental health and wellbeing.","authors":"Elizabeth Aviv, Yael Waizman, Elizabeth Kim, Jasmine Liu, Eve Rodsky, Darby Saxbe","doi":"10.1007/s00737-024-01490-w","DOIUrl":"10.1007/s00737-024-01490-w","url":null,"abstract":"<p><strong>Purpose: </strong>Although the division of unpaid household labor has been studied as a driver of global gender inequity, the cognitive dimension of household labor-planning, anticipating, and delegating household tasks-has received less empirical investigation. Cognitive household labor represents a form of invisible and often unacknowledged domestic work that has been challenging to measure.</p><p><strong>Methods: </strong>Within 322 mothers of young children, we assessed the division of both cognitive (\"planning\") and physical (\"execution\") household labor within 30 common household tasks using a self-report measure.</p><p><strong>Results: </strong>We found that while mothers did more of the overall domestic labor than their partners, the division of cognitive labor was particularly gendered, such that women's share of cognitive labor was more disproportionate than physical household labor. We found that cognitive labor was associated with women's depression, stress, burnout, overall mental health, and relationship functioning.</p><p><strong>Conclusions: </strong>This study is one of the first to investigate cognitive labor quantitatively, and the first to investigate cognitive and physical dimensions within the same household tasks. Understanding how cognitive labor affects mothers' mental wellbeing has important implications for both practice and policy.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"5-14"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475790","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}
Paul W Savoca, Laura M Glynn, Molly M Fox, Misty C Richards, Bridget L Callaghan
{"title":"Exploring the impact of maternal early life adversity on interoceptive sensibility in pregnancy: implications for prenatal depression.","authors":"Paul W Savoca, Laura M Glynn, Molly M Fox, Misty C Richards, Bridget L Callaghan","doi":"10.1007/s00737-024-01504-7","DOIUrl":"10.1007/s00737-024-01504-7","url":null,"abstract":"<p><strong>Purpose: </strong>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><p><strong>Methods: </strong>The pregnant individuals were in the second trimester of their first pregnancy and were compared to a group of nulliparous, non-parenting women.</p><p><strong>Results: </strong>Previous exposure to ELA significantly moderated pregnancy-related differences in self-reported interoception (interoceptive sensibility). 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><p><strong>Conclusions: </strong>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>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"15-24"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","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}
Harikrupa Sridhar, M Thomas Kishore, Prabha S Chandra
{"title":"Child developmental outcomes associated with postpartum depression and anxiety in low and middle-income countries: a systematic review.","authors":"Harikrupa Sridhar, M Thomas Kishore, Prabha S Chandra","doi":"10.1007/s00737-024-01485-7","DOIUrl":"10.1007/s00737-024-01485-7","url":null,"abstract":"<p><strong>Aims: </strong>This systematic review aims to summarize the findings of empirical studies conducted in low- and middle-income countries (LMICs) examining the relationship between postpartum depression and anxiety, and child developmental outcomes measured at 24 months of child's age.</p><p><strong>Methods: </strong>The study was performed as per PRISMA guidelines for a systematic review. EBESCO, ProQuest, PubMed, Science Direct, Google Scholar, and BMJ databases were examined, along with a forward and backward examination of the citations published. The New Ottawa scales (NOS) was used to assess the quality of the studies. The findings of the studies were integrated using a narrative synthesis approach.</p><p><strong>Results: </strong>The systematic review revealed that there are 14 studies examining the impact of postpartum depression (n=14) and postpartum anxiety (n=2) across different domains of child development in LMICs. Studies varied regarding the severity and duration of maternal depression, the context and nature of evaluation, and motherinfant characteristics which are important to understand the association between postpartum depression and anxiety and infant development. Maternal depression is negatively associated with language development, socio-emotional and behavioural development while its association with motor and cognitive development is inconsistent. The impact of maternal anxiety on infant development was examined in two studies, and both have identified a negative association. However, the results of the current review need to be interpreted within the scope and limitations of the methodologies adopted by each study details of which are elaborated in the manuscript.</p><p><strong>Conclusion: </strong>Postpartum depression and anxiety can have a wide range of effects on child development. Therefore, periodic infant developmental assessments should become part of routine psychiatric evaluation. There is a need for uniform guidelines for conducting studies and reporting data related to postpartum mental health and child development.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"113-128"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141417513","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}
Elisabeth Nordenswan, Kirby Deater-Deckard, Eeva-Leena Kataja, Mira Karrasch, Matti Laine, Juho Pelto, Eeva Holmberg, Hetti Lahtela, Hanna Ahrnberg, Jani Kajanoja, Max Karukivi, Hasse Karlsson, Linnea Karlsson, Riikka Korja
{"title":"Maternal alexithymia and caregiving behavior: the role of executive functioning - A FinnBrain Birth Cohort study.","authors":"Elisabeth Nordenswan, Kirby Deater-Deckard, Eeva-Leena Kataja, Mira Karrasch, Matti Laine, Juho Pelto, Eeva Holmberg, Hetti Lahtela, Hanna Ahrnberg, Jani Kajanoja, Max Karukivi, Hasse Karlsson, Linnea Karlsson, Riikka Korja","doi":"10.1007/s00737-024-01523-4","DOIUrl":"10.1007/s00737-024-01523-4","url":null,"abstract":"<p><strong>Purpose: </strong>The growing interest in parental cognition calls for research clarifying how cognition interacts with other parenting determinants to shape caregiving behavior. We studied the interplay between executive functioning (EF; cognitive processes that enable goal-directed thinking and behavior) and alexithymic traits (characterized by emotion processing/regulation difficulties) in relation to emotional availability (EA; the dyad's ability to share an emotionally healthy relationship). As EF has been reported to shape parents' ability to regulate thoughts and emotions during caregiving, we examined whether EF moderated the association between maternal alexithymic traits, and EA.</p><p><strong>Methods: </strong>Among 119 mothers with 2.5-year-olds drawn from the FinnBrain Birth Cohort, EF was measured with Cogstate tasks, alexithymic traits with the Toronto Alexithymia Scale (TAS-20), and caregiving with the Emotional Availability Scales (EAS).</p><p><strong>Results: </strong>More alexithymic traits on the TAS-20 subscale Externally Oriented Thinking (EOT) were associated with poorer caregiving in a hierarchical regression analysis (ΔR<sup>2</sup> = 0.05, p = .01). A marginally significant moderation effect was found when adding the EOTxEF interaction term to the model (ΔR<sup>2</sup> = 0.03, p = .06). These associations weakened slightly when controlling for education level. Estimation of simple slopes and a Johnson-Neyman figure indicated a significant association between higher EOT and lower EAS, that increased in strength as EF decreased from the group mean level.</p><p><strong>Conclusions: </strong>The influence of cognitive alexithymic traits on EA could be especially pronounced among low EF parents, but further studies are needed to support and extend the findings. The potential role of parental reflective functioning in this context is discussed.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"67-75"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581828","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":"The impact of mind-body therapies on the mental health of women victims of violence: A meta-analysis.","authors":"Sevgi Koroglu, Gülgün Durat","doi":"10.1007/s00737-024-01484-8","DOIUrl":"10.1007/s00737-024-01484-8","url":null,"abstract":"<p><strong>Purpose: </strong>Violence against women is a common public health problem and causes negative mental health outcomes. Mind-body therapies aim to positively affect a person's mental health by focusing on the interaction between mind, body, and behavior. Therefore, this study aims to evaluate the effect of mind-body therapies on women's mental health.</p><p><strong>Methods: </strong>Randomized controlled trials published in the last 20 years comparing mind-body therapies with active control or waiting lists in women victims of violence were included. Pubmed, Cochrane, Scopus, Web of Science, and CINAHL databases were searched until August 2023. The random effects model and fixed effects model were used for data analysis. The heterogeneity of the study was assessed using the I<sup>2</sup> index, and publication bias was assessed using Egger's test and funnel plot.</p><p><strong>Results: </strong>Twelve eligible studies with a sample size of 440 women victims of violence were selected. Mind-body therapies led to a statistically significant reduction in anxiety scores (SMD: 1.95, 95% CI: 1.01, 2.89), depression scores (SMD: 1.68, 95% CI: 0.83, 2.52) and posttraumatic stress scores (SMD: 0.95, 95% CI: 0.73, 1.18). There was a high level of heterogeneity in the outcome for anxiety (I<sup>2</sup> = 85.18), a high level of heterogeneity for depression (I<sup>2</sup> = 88.82), and a low level of heterogeneity for PTSD (I<sup>2</sup> = 19.61). Results of subgroup analysis based on the number of sessions showed that eight or fewer sessions reduced anxiety (SMD: 3.10, 95% CI: 1.37, 4.83) and depression scores (SMD: 3.44, 95% CI: 1.21, 5.68), while PTSD scores did not change.</p><p><strong>Conclusion: </strong>Evidence suggests that mind-body therapies may reduce anxiety, depression, and PTSD in women victims of violence.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":"95-111"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490700","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":"The prevalence of postpartum depression among women with physical disabilities: a systematic review and meta-analysis.","authors":"Blaire C Pingeton, Bryn Evohr, Sherryl H Goodman","doi":"10.1007/s00737-025-01558-1","DOIUrl":"https://doi.org/10.1007/s00737-025-01558-1","url":null,"abstract":"<p><strong>Purpose: </strong>Pregnant and postpartum mothers with physical disabilities face discrimination in healthcare settings and high rates of maternal and obstetric complications, as well as having higher rates of lifetime depression prior to pregnancy, potentially increasing their likelihood of experiencing postpartum depression (PPD). Some studies have found higher rates of PPD in mothers with physical disabilities than in mothers without physical disabilities, with more disabling symptoms associated with worse PPD systems; however, the literature is sparse and heterogenous. This systematic review and meta-analysis advanced this area of study by evaluating the strength of the association between PPD and physical disability.</p><p><strong>Methods: </strong>We searched PubMed and PsycInfo, with the primary inclusion criteria being that the studies had an established measure of depression in women during the postpartum period and either a cohort identified as having physical disability or an established measure of physical disability in a general population sample. We aggregated the prevalence of PPD in women with physical disabilities and tested the robustness of our findings to moderators, including region, sample population, and measure type.</p><p><strong>Results: </strong>Findings from our quantitative meta-analysis (n=14) demonstrated a strong (d=.76, p<.0001) association between PPD and physical disabilities, such that individuals with physical disabilities reported more depression symptoms than individuals without physical disabilities. Moderator analyses were null, revealing that the association between PPD and physical disabilities was robust to several variables. Qualitative results support our conclusion that individuals with physical disabilities are at increased risk of PPD symptoms.</p><p><strong>Conclusion: </strong>Our findings of a strong association between physical disability and PPD support the need for more research. Additional studies would 1) augment a nuanced understanding of how best to conceptualize PPD in women with physical disabilities and 2) facilitate testing the robustness of the association between PPD and physical disabilities to additional important moderators.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051430","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: Research on the selfefficacy and resilience of female graduate students in the era of artificial intelligence: analysis of the mechanism of mobile phone dependence, anxiety and mentoring relationship.","authors":"Xianjie Peng, Ruwei Nie, Sihan Tong","doi":"10.1007/s00737-025-01556-3","DOIUrl":"10.1007/s00737-025-01556-3","url":null,"abstract":"","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021645","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}
Cecilia Martinez-Torteya, Laura E Miller-Graff, Jessica R Carney, Sandra P Esparza-Dávila, Jessica C Acuapa-Juárez, Kathryn H Howell
{"title":"The pregnant moms' empowerment program - Mexico enhances mental health for women exposed to intimate partner violence: a pilot randomized controlled trial.","authors":"Cecilia Martinez-Torteya, Laura E Miller-Graff, Jessica R Carney, Sandra P Esparza-Dávila, Jessica C Acuapa-Juárez, Kathryn H Howell","doi":"10.1007/s00737-024-01549-8","DOIUrl":"https://doi.org/10.1007/s00737-024-01549-8","url":null,"abstract":"<p><strong>Purpose: </strong>Given the lack of available and effective interventions to address the detrimental consequences of perinatal exposure to intimate partner violence (IPV) on maternal mental health, and reported very low access to IPV-related mental health services in Mexico, we examined the feasibility and efficacy of a culturally adapted, virtual, brief group psychosocial intervention designed to improve maternal mental and physical health and reduce IPV revictimization for pregnant women exposed to IPV. In this pilot randomized controlled trial, we evaluated maternal outcomes after participation in the Pregnant Moms' Empowerment Program (PMEP) in Mexico.</p><p><strong>Methods: </strong>Women were recruited from social service agencies and health centers in the community, as well as social media advertisements that targeted pregnant women living in Mexico. Women were randomized to receive the intervention (n = 43) or a control condition (i.e., referrals to local services; n = 47). Women completed questionnaires at baseline, post-intervention, and 3-months postpartum that assessed their exposure to IPV, depression, posttraumatic stress symptoms (PTSS), physical health symptoms, and resilience, as these were our primary outcomes of interest. Women in the intervention condition participated in ten, 60-minute virtual group sessions. Multilevel models were used to evaluate effects of treatment over time.</p><p><strong>Results: </strong>On average, women in the intervention condition participated in six treatment sessions. Compared to the control group, intervention participants reported significantly fewer symptoms of depression at both the post-intervention and 3-month postpartum assessments (d = 0.64, d = 0.59, respectively) and fewer physical health symptoms at the post-intervention assessment (d = 0.77). Trend-level improvements in PTSS scores for post-intervention (d = 0.56) and 3-months postpartum (d = 0.56), as well as physical health at 3-months postpartum (d = 0.59), were also observed. There were no group differences in exposure to IPV over time.</p><p><strong>Conclusion: </strong>The current study adds to the evidence base for the PMEP intervention while also expanding it to a new cultural context by suggesting promise of its clinical utility in targeting Mexican women's perinatal depression, PTSS, and physical health symptoms.</p>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999188","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}