BJPsych Open最新文献

{"title":"Parental substance use and adolescent psychiatric symptom profiles in Lagos, Nigeria: school-based cross-sectional study.","authors":"Abiodun O Adewuya, Olabisi E Oladipo, Arit E Esangbedo","doi":"10.1192/bjo.2026.12120","DOIUrl":"https://doi.org/10.1192/bjo.2026.12120","url":null,"abstract":"<p><strong>Background: </strong>Parental substance use (PSU) is associated with increased psychiatric risk among offspring, but evidence from Sub-Saharan Africa remains limited.</p><p><strong>Aims: </strong>To examine cross-sectional associations between PSU and Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) algorithm-defined adolescent psychiatric symptom profiles in Lagos, Nigeria, and assess whether family dysfunction statistically attenuates these associations.</p><p><strong>Method: </strong>Data came from the Lagos Schools Emotional and Behavioural Health Survey, a school-based sample of 9437 adolescents aged 11-17 years. PSU was categorised as neither parent, only father, only mother or both parents using substances, defined as adolescent-reported at least weekly parental alcohol consumption or tobacco use over the past 12 months. Psychiatric symptom profiles were identified using structured MINI-KID self-report algorithms administered with trained research-assistant support. Logistic regression estimated adjusted odds ratios (aORs). Family dysfunction, defined as domestic violence or high family conflict, was examined using cross-sectional statistical attenuation models.</p><p><strong>Results: </strong>PSU was reported by 20.0% of adolescents: 17.3% father-only, 1.3% mother-only and 1.4% both parents. Associations followed a graded pattern. Dual-parent PSU was associated with increased odds of symptoms meeting algorithm thresholds for substance use disorder (aOR = 5.84, 95% CI 3.42-9.97), alcohol use disorder (aOR = 4.98, 95% CI 3.09-8.03) and major depressive disorder (aOR = 2.81, 95% CI 1.94-4.07). Family dysfunction partially attenuated selected associations.</p><p><strong>Conclusions: </strong>PSU was associated with elevated adolescent psychiatric symptom profiles in a graded fashion. Findings are cross-sectional and do not establish causality. Outcomes represent self-reported symptoms meeting MINI-KID algorithm thresholds, not clinician-confirmed diagnoses.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e257"},"PeriodicalIF":4.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179285","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":"Enhanced observation for management of agitated, confused or distressed behaviours in acute general hospitals: systematic review of quality and safety considerations.","authors":"Phoebe Averill, Simon Arday, Jan Kruczynski, Sirpa Tölli, Robert Latchford, Chris Sims, Dani Lewis, Ananya Hein, Nutmeg Hallett, Erik Mayer","doi":"10.1192/bjo.2026.12130","DOIUrl":"https://doi.org/10.1192/bjo.2026.12130","url":null,"abstract":"<p><strong>Background: </strong>People who are agitated, confused or distressed seldom receive holistic care within acute general hospitals. Unmet needs relating to conditions such as mental illnesses, learning disabilities or dementia can contribute to patient behaviours which staff find challenging to manage (e.g. self-harm). Enhanced observation, involving one-to-one care and monitoring, is a restrictive intervention often used to manage these presentations. The characteristics and outcomes of high-quality enhanced observation in this setting remain ill-defined, compromising quality and safety.</p><p><strong>Aims: </strong>To understand what constitutes high-quality, safe enhanced observation in an acute general hospital for patients presenting with agitated, confused or distressed behaviours.</p><p><strong>Method: </strong>A systematic review was performed, involving searches of five bibliographic databases, hand-searching, and forward and backward citation searching. Data describing the characteristics of high-quality, safe enhanced observation practice were eligible and included in a framework-based synthesis. Quality and safety outcomes were summarised thematically. Studies were appraised for quality, and data interpretation was shaped by lived experience experts.</p><p><strong>Results: </strong>Fifty studies were included. Enhanced observation practice was influenced by individual staff members (e.g. attitudes), teams (e.g. teamwork fluency) and wider organisational factors (e.g. leadership, organisational culture). The quality and safety problems identified included self-harm, aggression and staff neglect of caring responsibilities during enhanced observation.</p><p><strong>Conclusions: </strong>Findings on the characteristics and outcomes of high-quality, safe enhanced observation provision should inform the development of evidence-based guidance to support improved, standardised practice in acute general hospitals. Evidence gaps with respect to patient experiences of enhanced observation and trauma-informed approaches to its delivery warrant urgent attention.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e259"},"PeriodicalIF":4.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149163563","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":"Antecedents to episodes involving aggression and coercion in in-patient mental health settings: scoping review.","authors":"Njål Herman Eikeng Sterri, Øyvind Lockertsen, Tonje Lossius Husum, Veronica Lockertsen, Johan Siqveland, Mette Senneseth","doi":"10.1192/bjo.2026.12123","DOIUrl":"https://doi.org/10.1192/bjo.2026.12123","url":null,"abstract":"<p><strong>Background: </strong>Preventing episodes involving aggression and reducing coercive measures are important goals in in-patient mental health settings. Antecedents may provide insight into how episodes are described to develop. However, most studies reflect staff perspectives, and often describe and temporally specify antecedents inconsistently.</p><p><strong>Aims: </strong>This scoping review mapped reported antecedents to episodes involving aggression and episodes involving coercive measures, and identified which appeared shared or specific to either phenomenon.</p><p><strong>Method: </strong>This review followed the Joanna Briggs Institute methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidance, and included 39 studies from systematic searches across Ovid Medline, APA PsycINFO and Scopus. Reported antecedents were extracted, standardised and mapped to six analytical domains.</p><p><strong>Results: </strong>The review mapped 240 antecedents, many of which appeared shared across the phenomena. Patient studies emphasised experiences of restrictive care, loss of autonomy and poor interaction quality. Staff studies emphasised immediate, observable situations related to risk management, such as patient aggression, denied requests and interpersonal conflict. Most studies did not specify the temporal boundaries of antecedents.</p><p><strong>Conclusions: </strong>The perspectives represented in studies and the ways antecedents are conceptualised influence which antecedents become visible in the literature. Overlapping antecedents indicate that episodes involving aggression and episodes involving coercive measures are often described as part of the same escalation process, although patient and staff studies seem to highlight different stages. Prevention efforts therefore require attention to the entire trajectory, and to the point at which staff perceive intervention as necessary. Future studies should incorporate both perspectives, prioritise patient involvement, and more clearly define and temporally specify antecedents.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e258"},"PeriodicalIF":4.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168774","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":"Evaluating social cognitive remediation for labour participation in severe mental illness: insights from a small-scale randomised controlled trial.","authors":"Guillaume Barbalat, Julien Plasse, Marie-Cécile Bralet, Sophie Cervello, Nicolas Franck","doi":"10.1192/bjo.2026.12124","DOIUrl":"https://doi.org/10.1192/bjo.2026.12124","url":null,"abstract":"<p><strong>Background: </strong>Employment rates remain critically low among individuals with severe mental illness. Although social cognition explains a significant portion of the variance in functional outcomes, research into social cognitive interventions has remained scarce.</p><p><strong>Aims: </strong>To evaluate the impact of a social cognitive remediation (SCR) programme on functional and psychological outcomes over a 6-month post-intervention period.</p><p><strong>Method: </strong>This randomised controlled trial was conducted across three sheltered employment centres in France (2020-2024; ClinicalTrials.gov protocol record: 2019-A00124-53). We evaluated the efficacy of a 12-week SCR programme versus an active control with respect to the ratio of hours effectively worked versus those expected at 6 months post treatment (primary outcome). Secondary outcomes included patient-reported measures of self-esteem, internalised stigma, recovery and anxiety. Intention-to-treat and per-protocol effects were estimated using targeted minimum loss-based estimation, with attrition accounted for through inverse probability of censoring weights.</p><p><strong>Results: </strong>Of the 105 randomised participants (SCR: <i>n</i> = 53; control: <i>n</i> = 52; mean age: 35.6 [s.d. = 8.8] years; 71% male), 39 dropped out, yielding a per-protocol sample of 33 participants per arm. Attrition was 28% immediately after the intervention and 37% at 6-month follow-up. SCR was associated with a 6.5% increase in the ratio of hours worked versus those expected in the intention-to-treat analysis and a 3.6% increase in the per-protocol analysis (both <i>P</i> < 0.05). SCR also reduced internalised stigma at 6 months post treatment (<i>P</i> < 0.03).</p><p><strong>Conclusions: </strong>Our findings suggest that a 3-month SCR programme improves employment maintenance and reduces internalised stigma in individuals with severe mental illness. Future research should use larger samples and improve retention to confirm these findings.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e256"},"PeriodicalIF":4.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164074","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":"Elephants in the room; evidence, inference and autistic psychiatrists: commentary on Doherty et al.","authors":"Sandra Reyes-Beaman","doi":"10.1192/bjo.2026.12134","DOIUrl":"https://doi.org/10.1192/bjo.2026.12134","url":null,"abstract":"","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e255"},"PeriodicalIF":4.0,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164228","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":"Association of the major depressive disorder-associated locus rs12415800 with bipolar disorder in a Taiwan Biobank-NHIRD linked cohort.","authors":"Mu-N Liu, Kan-Chih Chen, Ding-Lieh Liao, Mu-Hong Chen, Po-Hsiu Kuo, Shih-Jen Tsai","doi":"10.1192/bjo.2026.12114","DOIUrl":"https://doi.org/10.1192/bjo.2026.12114","url":null,"abstract":"<p><strong>Background: </strong>Genome-wide association studies in East Asian populations have identified the gene variant, rs12415800, of the <i>Sirtuin 1</i> gene (<i>SIRT1</i>) as a major depressive disorder (MDD) risk locus with the A allele conferring increased risk. Accumulating evidence suggests that <i>SIRT1</i>-related genetic effects extend beyond MDD.</p><p><strong>Aims: </strong>To investigate the association between rs12415800 and bipolar disorder, with additional analysis of MDD.</p><p><strong>Method: </strong>We analysed data from the Taiwan Biobank linked to the National Health Insurance Research Database, including 145 780 participants of Han Chinese ancestry. Clinically diagnosed bipolar disorder and MDD were identified using standardised ICD-9-CM and ICD-10-CM codes. Multivariable logistic regression models were applied with the GG genotype as the reference, adjusting for age and sex. Stratified analyses were conducted by age group and sex.</p><p><strong>Results: </strong>Both the rs12415800 AG and AA genotypes were associated with an increased risk of bipolar disorder. Compared with GG genotype carriers, AA genotype carriers had a significantly higher risk of bipolar disorder overall (adjusted odds ratio (aOR) = 1.20, 95% CI = 1.05-1.37), particularly among participants aged ≥50 years (aOR = 1.38, 95% CI = 1.14-1.68). The overall and age-stratified associations remained materially similar after excluding participants with schizophrenia or schizo-affective disorder, although sex-specific findings were inconsistent.</p><p><strong>Conclusions: </strong>Our findings suggest that genetic variation near <i>SIRT1</i>, particularly the rs12415800 risk A allele, may be associated with bipolar disorder susceptibility, especially among older individuals. Given prior evidence linking this allele to reduced <i>SIRT1</i> mRNA expression, further investigation of SIRT1-related pathways in the pathophysiology of bipolar disorder is warranted.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e254"},"PeriodicalIF":4.0,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164085","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":"Religion, spirituality and religious preoccupation in bipolar disorder: cross-cultural scoping review.","authors":"Abdelaziz A Osman, Muhanad Elnoor, Syed Ali Bokhari, Mohammed Alhadi Malik, Syed Fahad Javaid, Abdelgadir H Osman, Mohamed A Alnor","doi":"10.1192/bjo.2026.12115","DOIUrl":"https://doi.org/10.1192/bjo.2026.12115","url":null,"abstract":"<p><strong>Background: </strong>Religious and spiritual preoccupation is clinically salient in bipolar affective disorder, especially during manic and mixed episodes. The boundary between culturally sanctioned religious experience and psychopathological religiosity is contested across cultures, creating diagnostic, therapeutic and ethical challenges.</p><p><strong>Aims: </strong>To map evidence on religious preoccupation in bipolar disorder across cultural and religious settings, synthesise clinical and cultural determinants, and identify research gaps.</p><p><strong>Method: </strong>This scoping review followed Joanna Briggs Institute methodology and PRISMA Extension for Scoping Reviews guidance, and was pre-registered on the Open Science Framework (10.17605/OSF.IO/V3WA6). PubMed/Medline, Scopus, Google Scholar and four regional databases were searched. Bipolar-specific empirical studies were analysed separately from contextual reviews, historical and conceptual publications, and mixed or non-clinical samples. Data were synthesised narratively and thematically.</p><p><strong>Results: </strong>Eighty-three sources published between 1966 and 2026 were included, comprising 46 bipolar-specific empirical studies and 37 contextual sources. Religious preoccupation, including hyper-religiosity, religious delusions, grandiosity and spiritual experiences, was documented across all six World Health Organization regions. Cultural context shaped explanatory models, pathways to care, diagnostic interpretation, medication adherence and outcomes. Religiosity was associated with protective effects, including lower suicidality and better coping, and adverse effects, including treatment delay and negative religious coping. Evidence gaps remain for Islamic, East Asian, Indigenous and secular-pluralistic populations.</p><p><strong>Conclusions: </strong>Religious preoccupation in bipolar disorder is cross-cultural and remains understudied outside Western settings. Clinicians require cultural competence and cultural formulation approaches to distinguish psychopathology from normative religious expression. Future research should prioritise underrepresented regions, culturally validated tools and care models integrating religious leaders.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e252"},"PeriodicalIF":4.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135029","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":"Prevalence and predictors of use of mental health and well-being support among healthcare workers in England: findings from NHS CHECK.","authors":"Brendan Dempsey, Pamela Almeida-Meza, Bethany Croak, Danielle Lamb, Neil Greenberg, Ira Madan, Rosalind Raine, Anne Marie Rafferty, Rupa Bhundia, Simon Wessely, Sharon A M Stevelink","doi":"10.1192/bjo.2026.12108","DOIUrl":"https://doi.org/10.1192/bjo.2026.12108","url":null,"abstract":"<p><strong>Background: </strong>Healthcare can be a demanding career, and there is a rising interest in fostering the well-being of healthcare workers (HCWs).</p><p><strong>Aims: </strong>To examine self-reported use of mental health and well-being support available to HCWs and explore predictors of use.</p><p><strong>Method: </strong>Data were collected by a longitudinal cohort study. The baseline survey was distributed from April 2020, followed by three surveys at 6 months (time 1; <i>n</i> = 10 514), 12 months (time 2; <i>n</i> = 10 429) and 32 months (time 3; <i>n</i> = 6382) post baseline. Use of mental health support (e.g. therapy) was assessed at each follow-up, and 96 supports were measured at time 1 only. Multilevel regression modelling was used to explore baseline predictors.</p><p><strong>Results: </strong>At time 1, we developed seven support categories. Practical supports (e.g. free or discounted food or parking) were the most commonly used (58%), whereas employee assistance programmes were least commonly used (5%). Furthermore, 21% of HCWs reported never using any support. Mental health support access varied: 23% of participants had used support before August 2021 (time 1), 17% between March 2020 and January 2022 (time 2), and 21% between February 2022 and May 2023 (time 3). HCWs who were male, older and/or of Asian ethnicity had lower odds of accessing support, whereas those who reported symptoms of common mental disorders at baseline had higher odds.</p><p><strong>Conclusions: </strong>Most HCWs (79%) reported having accessed some support, whereas 21% had not. Practical and informal supports were most used, whereas uptake of employee assistance programmes was low. Future research should explore and address barriers faced by male, older, Asian and non-permanent staff to improve access and, in turn, the well-being, performance and patient care of these individuals.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 6","pages":"e253"},"PeriodicalIF":4.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135002","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":"Invalidating environments and adolescent non-suicidal self-injury: longitudinal cross-lagged test of negative urgency and distress tolerance - CORRIGENDUM.","authors":"Mehdi Akbari, Farhad Alijani, Shahram Mohammadkhani, Edward A Selby","doi":"10.1192/bjo.2026.12137","DOIUrl":"https://doi.org/10.1192/bjo.2026.12137","url":null,"abstract":"","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e251"},"PeriodicalIF":4.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073527","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":"A protocol for population-level data linkage to investigate patterns of service use and healthcare needs of young people experiencing mental ill-health in Victoria, Australia.","authors":"Amity E Watson, Jana M Menssink, Kate M Filia, Matthew P Hamilton, Mengmeng Wang, Shu Mei Teo, Daniel Gan, Debra J Rickwood, Patrick D McGorry, Ian B Hickie, Alison Ruth Yung, Cathrine Mihalopoulos, Alex Parker, Victoria L Ryall, Magenta Simmons, Shelley Cox, Ziad Nehme, Sarah E Hetrick, Karen Smith, Carl I Moller, Katrina Witt, Caroline X Gao, Susan M Cotton","doi":"10.1192/bjo.2026.12086","DOIUrl":"https://doi.org/10.1192/bjo.2026.12086","url":null,"abstract":"<p><strong>Background: </strong>Mental disorders are a leading cause of disease burden in 10-24-year-olds. In Australia, fragmentation within and across health, mental health and human services sectors contributes to gaps in service provision and increased disease burden. Comprehensive methodologies are needed to identify service gaps and inefficiencies to shape policy, optimise resource allocation and improve outcomes for young people.</p><p><strong>Aims: </strong>To describe the design and methodology of a population-based data linkage study involving evaluation of health, mental health and human service use among young people in Victoria and identify subgroups experiencing unmet mental health needs.</p><p><strong>Method: </strong>The primary cohort comprises young people aged 12-25 years in the period between January 2018 and December 2025. For comparative purposes, children aged 5-11 years and adults aged 26-53 years are also included. We describe data sources, linkage methodology and planned analyses. Traditional statistical methods alongside contemporary machine learning and natural language processing techniques will be used.</p><p><strong>Results: </strong>The study will provide a comprehensive examination of the clinical characteristics of young people, their service use behaviour and typical pathways through care that cannot be gleaned from examining datasets in isolation. Ongoing consultation and engagement with young people and key stakeholders will inform interpretation, dissemination and translation of findings.</p><p><strong>Conclusions: </strong>By integrating data across multiple service sectors, this study will generate novel evidence regarding pathways through care and unmet mental health needs among Victorian young people. Findings will inform mental health service reform and support improvements in healthcare delivery, service integration and outcomes for young people.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"12 5","pages":"e249"},"PeriodicalIF":4.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069266","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}