Mental health science最新文献

{"title":"Using passive and active data to predict posttraumatic stress disorder symptoms and cannabis use in recently discharged UK veterans: A protocol for the MAVERICK feasibility study","authors":"Grace Williamson,&nbsp;Nora Trompeter,&nbsp;Dominic Murphy,&nbsp;Shaddy Saba,&nbsp;Eric R. Pedersen,&nbsp;Jordan P. Davis,&nbsp;Daniel Leightley","doi":"10.1002/mhs2.75","DOIUrl":"https://doi.org/10.1002/mhs2.75","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Posttraumatic stress disorder (PTSD) and comorbid cannabis use disorder (CUD) is a growing concern amongst UK veterans. Co-occurrence of problematic cannabis use, and PTSD is associated with greater PTSD symptom severity, decreased likelihood of cannabis use cessation, worse clinical outcomes, and increased societal burden. Despite increased screening efforts among veterans, there are no effective strategies for predicting risk for PTSD and problematic drug use escalation before these conditions develop, worsen, or become chronic. This feasibility study employs a 4-week (28-day) longitudinal design (daily data collection), multiple passive data collection features via a bespoke study smartphone app called MAVERICK, and active data collection via wearable technology to predict clinically meaningful escalations in cannabis use and PTSD symptoms in UK veterans. Questionnaire data will be collected between 06:00 a.m. and 10:00 a.m. each day. Passive data will be collected continuously in the background. The study will begin recruitment in June 2023 and will require 18 months to complete. Study results are expected to be published in January 2024. This trial will provide information on the feasibility and utility of a smartphone app (MAVERICK) to collect both active and passive data to predict PTSD symptoms and cannabis use in a UK veteran population. If the smartphone app is deemed feasible and acceptable to users, it has the potential to provide an effective measurement tool to mitigate risk of PTSD and problematic cannabis use among veterans.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.75","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing physiological arousal and emotional valence during behavioral intervention for pediatric feeding difficulties: A pilot study","authors":"Laura E. Phipps PhD,&nbsp;Walker S. Arce MS,&nbsp;Seth G. Walker PhD,&nbsp;James E. Gehringer PhD","doi":"10.1002/mhs2.74","DOIUrl":"https://doi.org/10.1002/mhs2.74","url":null,"abstract":"<p>This study's purpose is to introduce a new measurement system that objectively assesses the social validity of behavioral feeding intervention from the child's perspective via the concurrent measurement of two dimensions of emotion. To date, the primary measures of social validity for behavioral feeding intervention are caregiver treatment acceptability and satisfaction surveys. This is the first study to objectively measure two dimensions of emotion, physiological arousal and emotional valence, while children received behavioral intervention for feeding difficulties. Data collectors used a new open-source data collection software, <i>cometrics</i>, developed to synchronize and record physiological and observational data. Physiological data was collected using a wearable biosensor and observers recorded an index of child happiness, unhappiness, or neither using definitions by Phipps et al. (2022) for six children with a pediatric feeding disorder. Two out of six children needed programmed habituation to the device before data collection. All children assented to wearing the device during data collection. Recorded indices mapped to separable physiological states using electrodermal activity and its constituent components, skin conductance responses and skin conductance level, in addition to skin temperature. Findings demonstrated the feasibility of measuring two dimensions of child emotions during behavioral feeding intervention and revealed that children's physiological responses were distinctly different during intervals scored as happy, unhappy, or neither. This new data collection system has implications for future research on the child's emotional experience of behavioral feeding treatment and increases the possibilities for improving clinical practice.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.74","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Significance of overvaluation of weight and shape in childhood binge-eating disorder: Results from a population-based study","authors":"Alejandra Baron,&nbsp;Kathryn E. Smith,&nbsp;Tyler B. Mason","doi":"10.1002/mhs2.73","DOIUrl":"https://doi.org/10.1002/mhs2.73","url":null,"abstract":"<p>Binge-eating disorder (BED) involves recurrent binge-eating episodes with significant distress and is associated with adverse psychological and social problems. Previous studies in adults have suggested that presence of overvaluation of shape and weight may be a clinically relevant subtype of BED. The purpose of this study was to examine if overvaluation represents an important subtype of BED in children. It was hypothesized that children with both BED and overvaluation will have a higher body mass index <i>z</i>-scores (BMI-<i>z</i>) and internalizing psychopathology and lower cognitive functioning scores. Participants included a diverse sample of children between the ages of 9 and 10 years old from the baseline wave of the Adolescent Brain Cognitive Development study. Caregivers completed the Kiddie Schedule for Affective Disorders and Schizophrenia, the Child Behavior Checklist, and measures of demographics, and children completed neurocognitive tests and had their height and weight measured. The analytic sample included 7200 children. There were no interactions between BED status and overvaluation in relation to outcome variables. Yet, BED and overvaluation were independently associated with higher internalizing symptoms, higher BMI-<i>z</i>, and poorer cognitive functioning. Contrary to the expectations, results did not support significant interactions between BED status and overvaluation in children. However, the study highlights the independent clinical significance of BED and overvaluation with higher BMI-<i>z</i>, higher internalizing symptoms, and poorer cognitive functioning. Future studies are necessary to determine the developmental trajectories of BED and overvaluation into adolescence and adulthood.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.73","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Warning signals for mental health problems in at-risk young adults may be informed by momentary emotions reported by the general population: A novel application of the principles of statistical process control","authors":"Marieke J. Schreuder,&nbsp;Peter Kuppens,&nbsp;Evelien Schat,&nbsp;Peter de Jonge,&nbsp;Catharina A. Hartman,&nbsp;Eva Ceulemans","doi":"10.1002/mhs2.72","DOIUrl":"10.1002/mhs2.72","url":null,"abstract":"<p>Statistical process control (SPC) was recently introduced as a method for detecting person-specific warning signals for mental ill-health. Such warning signals occur when a person's repeatedly assessed emotions exceed a control limit. This control limit should in principle be based on the same person's emotions in a healthy period. As such data are often unavailable, this preregistered study investigated whether general population data can be used instead to estimate control limits. We used data from the HowNutsAreTheDutch study, in which adults from the general population (<i>N</i> = 746) rated their emotions three times a day for 1 month. Based on these data, we computed control limits according to the exponentially weighted moving average (EWMA) and Shewhart SPC methods. Next, we investigated how often young adults with versus without persistent mental health problems from the TRAILS TRANS-ID study (<i>N</i> = 100)–who rated their emotions daily for 6 months–reported scores beyond these general population-based control limits. Generally, warning signals occurred more often in young adults with persistent mental health problems compared to healthy young adults (<i>p</i> &lt; 0.05). The predictive performance of SPC did not consistently improve when control limits were conditioned on individuals' age, sex, and depressive symptoms, nor differ between methods (EWMA vs. Shewhart). The different emotions that were monitored, however, affected SPC performance, so that for most settings, warning signs in feeling tired and upset were worse for detecting mental-ill health compared to warning signs in other emotions (e.g., feeling nervous, relaxed, etc.).  It follows that warning signs in individual's emotions can perhaps be monitored using relatively generic norms, derived from the general population, opening up new avenues for research and low-threshold clinical application.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.72","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141361992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying protective factors related to burnout, moral injury, and resilience of registered nurses: An exploratory analysis","authors":"Sara L. Hubbell DNP, APRN, FNP-C, PMHNP-BC,&nbsp;Susan E. Young PhD, RN, PHNA-BC,&nbsp;Stephanie R. Duea PhD, RN,&nbsp;Christopher R. Prentice PhD","doi":"10.1002/mhs2.71","DOIUrl":"https://doi.org/10.1002/mhs2.71","url":null,"abstract":"<p>Nursing leadership continue to grapple with the pre-existing social, physical, spiritual, and emotional toll experienced by the nursing workforce, further exacerbated by the pandemic. The three-fold purpose of this current quantitative study was to measure the impact of the pandemic on nurses’ levels of burnout, moral injury, and resilience; measure levels of compassion satisfaction, and secondary traumatic stress; and identify protective factors against burnout and moral injury that could bolster resilience. An electronic survey was created using three validated instruments and sent to nurses in one US state. Bivariate and multivariate analyses were performed. Survey response rate was 5.5%. Respondents reported high levels of burnout and moral injury, and reduced levels of resilience. Protective factors included age, experience, education, and religion, with the older, more experienced, and educated nurse who identified as Christian being found to represent the most protected group. Multipronged strategies are needed to support, sustain, and recover nurses’ mental health across demographics to meet current and future workforce needs.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.71","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Change blindness, reward bias, negative affective priming: Exploring individual-level associations between depression/anxiety symptoms and cognition","authors":"Annamaria Balogh,&nbsp;Glyn Lewis,&nbsp;Roz Shafran,&nbsp;Oliver J. Robinson","doi":"10.1002/mhs2.70","DOIUrl":"https://doi.org/10.1002/mhs2.70","url":null,"abstract":"<p>Cognitive biases are thought to contribute to depression/anxiety. In addition to self-reported measures, cognitive tasks could potentially be integrated with clinical practice as more precise measures of cognitive biases. In a large online study we explored the individual-level association between depression/anxiety symptoms and performance on (1) reward bias, (2) negative affective priming, and (3) change blindness tasks. Participants completed tasks alongside depression/anxiety symptom questionnaires. We used regression analyses to test for associations between task performance and questionnaire scores. We conducted a replication study of the change blindness task, and performed a mega-analysis of the two studies. Faster reaction time in the change blindness task was associated with higher depression score (<i>B</i> = −27, <i>p</i> = 0.034) in the first study (<i>N</i> = 545) and higher depression and anxiety scores (depression: <i>B</i> = −15, <i>p</i> = 0.045; anxiety: <i>B</i> = −17, <i>p</i> = 0.022) in the replication study (<i>N</i> = 616). These effects were significant in the mega-analysis but did not withstand adjusting for age in either the original and replication studies or the mega-analysis. We found no association between depression/anxiety and reward bias (<i>N</i> = 504) and negative affective priming (<i>N</i> = 539). Our results provide preliminary evidence that individuals with more severe depressive/anxious symptoms may be <i>faster</i> at identifying changes in the change blindness task. Contrary to previous findings, neither reward bias nor negative affective priming was associated with depression/anxiety.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The maintenance of complex visual scenes in working memory may require activation of working memory manipulation circuits in the dlPFC: A preliminary report","authors":"Frederick Nitchie,&nbsp;Abigail Casalvera,&nbsp;Marta Teferi,&nbsp;Milan Patel,&nbsp;Kevin G. Lynch,&nbsp;Walid Makhoul,&nbsp;Yvette I. Sheline,&nbsp;Nicholas L. Balderston","doi":"10.1002/mhs2.61","DOIUrl":"10.1002/mhs2.61","url":null,"abstract":"<p>Past research has shown that the bilateral dorsolateral prefrontal cortices (dlPFC) are implicated in both emotional processing as well as cognitive processing,^1,2,3 in addition to working memory^{4, 5}. Exactly how these disparate processes interact with one another within the dlPFC is less understood. To explore this, we designed a task that looked at working memory performance during fMRI under both emotional and nonemotional conditions, and tested it in this preliminary report. Participants were asked to complete three tasks (letters, neutral images, emotional images) of the Sternberg Sorting Task under one of two trial conditions (sort or maintain). Regions of interest consisted of the left and right dlPFC as defined by brain masks based on NeuroSynth⁶. Results showed a significant main effect of the ‘sort’ condition on reaction speed for all three trial types, as well as a main effect of task type (letters) on accuracy. In addition, a significant interaction was found between trial type (sort) and task type (letters), but not for either of the picture tasks. Although preliminary, these results reveal a discrepancy between BOLD signal and behavioral data, with no significant difference in BOLD activity during image trials being displayed, despite longer response times for every condition. While these initial results show that the dlPFC is implicated in nonemotional cognitive processing, more research is needed to explain the lack of BOLD activation seen here for similar emotionally valanced tasks, possibly indicating the involvement of other brain networks.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.61","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140990292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of sex and gender with disordered eating behavior in youth with hypertension","authors":"Gagana S. Borra BS,&nbsp;Hanna L. Ravi MD,&nbsp;Ella C. Perrin MD,&nbsp;Andrew M. South MD, MS","doi":"10.1002/mhs2.65","DOIUrl":"https://doi.org/10.1002/mhs2.65","url":null,"abstract":"<p>Females have higher disordered eating behavior (DEB) prevalence versus males in the general population, but no data exist in adolescents with hypertension (HTN). Our objective was to determine the association of sex and gender with DEB prevalence in adolescents with HTN disorders. This was a secondary analysis of data from a prospective cross-sectional study of adolescents aged 11–18 years with HTN disorders. We excluded patients with diabetes mellitus, kidney failure/transplantation, or gastrostomy tube dependence. We collected data via abstraction and surveys, including the SCOFF questionnaire. Our exposures were self-reported sex and gender, and our outcome was SCOFF ≥ 2/5. We used bivariate generalized linear models. Of 74 participants, 61% identified as male, and 39% identified as female. DEB prevalence was 28%: 20% in males and 41% in females by sex and gender. Females had double the DEB risk versus males by sex (risk ratio [RR]: 2.07, 95% confidence level [CL]: 0.9996–4.28) and gender (RR: 2.02, 95% CL: 0.98–4.18), but both <i>p</i> &gt; 0.05. Among adolescents with HTN disorders, while females had double the risk of screening positive for DEB versus males by sex and gender, the results were not statistically significant. Adolescents with HTN may benefit from routine DEB screening, especially those that identify as female, but larger studies are needed.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.65","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and factors associated with eating disorders among undergraduate students in a public university in Ghana","authors":"Michelle M. K. Doku,&nbsp;Samuel A. Sackar,&nbsp;Portia Nkumsah-Riverson,&nbsp;Joana Ainuson-Quampah","doi":"10.1002/mhs2.64","DOIUrl":"https://doi.org/10.1002/mhs2.64","url":null,"abstract":"<p>To estimate the prevalence of eating disorders (EDs) among undergraduate students in a public university in Ghana; to identify the factors associated with EDs and to explore the relationship between sociodemographics and developing EDs. A cross-sectional design was employed to obtain data from 1101 students using the total enumeration sampling method. Information on sociodemographics was obtained and anthropometric measurements were self-reported. The Eating Attitude Test was modified to obtain the prevalence rate. The factors associated with EDs and the relationship between sociodemographics and EDs were also assessed using a chi-square statistical test. Logistic regression analysis was used to assess the association between sociodemographic variables and ED risk. A total of 1101 students participated in the study with a mean age of 21.87 ± 2.94, ranging from 16 to 43 years. About 7% of the students were found to have EDs, with the majority being female young adults. Factors found to influence EDs were peer/family pressure, stress, and body dissatisfaction. The association between psychological factors and EDs was found to be statistically significant (<i>p</i> &lt; 0.05). Gender (<i>p</i> = 0.011), course of study (<i>p</i> = 0.001), and level of study (<i>p</i> = 0.010) were sociodemographic variables associated with an increased likelihood of developing EDs. This study found the prevalence of EDs to be relatively higher than that estimated for Africa and non-Western countries and almost as high as that of the Western world. This calls for urgent steps to be taken, including creating awareness and increasing nutrition education to reduce the incidence, if not completely nip it in the bud. Sociocultural factors and body image preferences were identified as core factors underlying susceptibility to EDs and hence will inform and guide intervention activities. This study will address literature gaps and provide baseline data on the prevalence rate of EDs in Ghana and Africa at large. Information from the study will aid dietitians/nutritionists in developing interventions suitable for persons with EDs. Most importantly, this study will refer individuals who may have EDs to seek the necessary assistance from qualified health professionals like doctors, dietitians, and psychologists.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.64","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurocognitive markers during maximum alcohol use in late adolescence as predictors of change in later drinking behaviors","authors":"Nafisa Ferdous PhD,&nbsp;María Luisa Zúñiga PhD,&nbsp;Kelly E. Courtney PhD","doi":"10.1002/mhs2.63","DOIUrl":"10.1002/mhs2.63","url":null,"abstract":"<p>The influence of alcohol use on later neurocognitive functioning is well researched, yet few studies have investigated whether neurocognition post-drinking initiation in adolescence predicts changes in later alcohol use. The objective of this study was to investigate neurocognitive task performance during maximum alcohol use in late adolescence as predictors of drinking behaviors 3–7 years later. Analyses (<i>n</i> = 105) were conducted on a longitudinal data set involving adolescents (12–13 years old) who were followed for 16 years. Time 1 (T1) was defined as the individuals' maximum drinking year within the first 10 study years and Time 2 (T2) was the first available data entry 3–7 years after T1. Four hierarchical linear regression models predicting follow-up alcohol use were estimated: drinking days, average drinks per drinking day, peak drinks, and binge episodes. All models included inhibition/cognitive flexibility, visuospatial ability, verbal memory, working memory, and their interactions with sex, while covarying for age at T1, follow-up duration, and controlling for T1 drinking. Better visuospatial ability at T1 predicted decreases in later binge episodes at T2 (<i>β</i> = −0.19, <i>p</i> = 0.048, partial <i>r</i>² = 0.039). While better inhibition/cognitive flexibility at T1 predicted increases in follow-up drinks per drinking day at T2 (<i>β</i> = 0.18, <i>p</i> = 0.016, partial <i>r</i>² = 0.057). Findings suggest specific neurocognitive abilities during maximum drinking in late adolescence are useful as predictors of change in later drinking quantity per occasion and could potentially inform intervention research targeting this age group.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.63","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140670275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}