Mental health science最新文献

{"title":"“We want to be heard”: A qualitative study of mental health care access among patients of an urban federally qualified health center","authors":"Marvin So MD, MPH,&nbsp;Jacob Makofane BS,&nbsp;Miguel Hernandez BA","doi":"10.1002/mhs2.41","DOIUrl":"10.1002/mhs2.41","url":null,"abstract":"<p>Although depression is common in primary care, challenges to timely intervention exist, particularly for communities of color and lower socioeconomic status. Our objective was to understand barriers and facilitators to mental healthcare access among a sample of patients receiving care at a federally qualified health center (FQHC) in Minnesota, United States. We qualitatively interviewed 34 patients of an urban FQHC, purposively sampled on race/ethnicity, insurance status, language, and depression symptom status (based on Patient Health Questionnaire-9 responses). We inductively and deductively analyzed interview data, leveraging theory in both the codebook development and analysis processes. Participants, who were predominantly English-speaking, female, not privately insured, and people of color, shared numerous barriers and facilitators to accessing mental healthcare. Prominent barriers primarily concerned healthcare providers, including perceived dismissal of mental health concerns and challenges with provider continuity. Additional barriers included the costs of mental health care, communication breakdowns, the patient portal, and community-specific perceptions of mental health. Prominent facilitators included clinic organizational factors (internal and external) and staff friendliness and warmth. Other factors including consideration of patients' financial situation, integrated management of behavioral and physical health conditions, language concordant staff, the telehealth visit modality, and the clinic's social mission were also raised as facilitating access. Patient voices from a single FQHC illustrate the challenges and possibilities of providing mental healthcare in safety net settings. Clinical, strategy, and policy solutions can be tailored to minimize barriers and optimize facilitators documented herein.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 4","pages":"261-269"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.41","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134907818","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":"Exploring the Feasibility of Integrating Mental Health into a Family Planning Program in low-resource settings","authors":"Zahra Sarmad, Rida Z. Shah, Fareeha Javaid, Hasha Siddiqui, Murk Qazi, Aneeta Pasha","doi":"10.56508/mhgcj.v6i1.176","DOIUrl":"https://doi.org/10.56508/mhgcj.v6i1.176","url":null,"abstract":"Introduction: Mental health challenges remain a pressing issue, underscored by the glaring gap between the elevated demand and the scarce resources. Research has highlighted the effectiveness of integrating mental health services with primary care services, particularly in low-resource settings. Purpose: The objective of this research was to evaluate the perceived implications and feasibility of integrating basic mental health services into an existing community-based family planning initiative in Pakistan. By adopting a community-driven and co-produced methodology, our study not only ensured a deeper resonance with local needs but also paved the way for a sustainable and transformative uptake of mental health services in low-resource settings. This co-produced strategy, anchored in mutual collaboration and shared expertise with the community, promises a more holistic, enduring, and adaptive integration of essential health services within community frameworks.Methodology: This study utilized a qualitative research approach to obtain a comprehensive understanding of the program's feasibility and potential for expansion. Interview tools and guides, tailored to the regional language, were developed by the Research Associate to gather insights from the lady health workers involved in delivering the intervention, as well as from the clients. Overall, our team conducted 24 interviews, of which 9 were with the lady health workers and 15 with clients. The interviews were facilitated by the Research Associate and a Psychologist.Results: Utilizing the socio-ecological model, we thematically analyzed factors at individual, interpersonal, and community levels that support or hinder the integration of mental health services with existing community-based programmes. We also examined the intervention's impact on its users and the healthcare providers.Our analysis underscores the significant potential of integrating mental health services into existing community-based health programmes, such as family planning, in low-resource settings. Predominant themes highlighted women's willingness to use these services, influenced by strong relationships and trust in the lady health workers, ease of access to services, and community support. Identified barriers to integration included prevailing poverty, a preference for direct financial incentives in addition to counseling, confidentiality concerns in tight-knit communities, and the lingering stigma surrounding mental health.Conclusion: Our findings highlight the value of community collaboration in healthcare, particularly in low-resource settings. The co-production approach blends professional guidance with local insights, fostering community ownership and enhancing program sustainability. As the first to merge mental health with family planning in Pakistan, our research suggests that future health initiatives can greatly benefit from community-driven methods, leading to more sustainable and transformative health outcome","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"294 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological predictors of adolescent depression and anxiety symptoms across one season in grassroots netball","authors":"Lucy E. Davies,&nbsp;Martin Turner,&nbsp;Rachel Hopley,&nbsp;Matthew Slater,&nbsp;Elizabeth C. Braithwaite","doi":"10.1002/mhs2.39","DOIUrl":"10.1002/mhs2.39","url":null,"abstract":"<p>Much of our knowledge about the relationship between psychological variables related to sport and adolescent mental health is based on research from elite athletes. However, the vast majority of adolescents who engage in sports do so at the grassroots level. We therefore sought to understand how self-reported psychological variables and sleep may be associated with symptoms of depression and anxiety across one season in grassroots adolescent netball. We collected self-report, paper-based questionnaire data from adolescent netball players at one large netball club based in the West Midlands of the United Kingdom at the start of the season (timepoint 1, September 2018, <i>N</i> = 140) and end of the season (timepoint 2, March 2019, <i>N</i> = 132). Ages ranged from 11 to 19 (<i>M</i> = 13.54), which were categorized as under 14s (U14, ages 11–14) and under 19s (U19, ages 15–19). Participants self-reported symptoms of depression and anxiety, basic psychological needs related to netball, demands and resources related to netball, and sleep quality at each time point. We used standardized residual change scores to test whether changes in the psychological variables related to their engagement in grassroots netball (basic psychological needs, demands and resources) and sleep quality were associated with changes in depression and anxiety symptoms over time. We report that increases in perceived sporting demands and reductions in sleep quality were associated with elevated symptoms of depression over the season. Reductions in perceptions of autonomy were associated with increases in symptoms of anxiety. We report novel evidence that self-reported, malleable psychological variables related to sports participation, and sleep quality, are associated with mental health in youth female athletes competing at the grassroots level. It would be worthwhile to explore whether mental health interventions and/or education delivered via grassroots sports clubs may be an effective method for promoting mental health resilience in adolescent athletes.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 4","pages":"250-260"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.39","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136212828","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":"Anorexia nervosa seen from a fathers' perspectives: A thematic analysis","authors":"Elisabeth Bratt Neuberg,&nbsp;Gerhard Andersson","doi":"10.1002/mhs2.37","DOIUrl":"10.1002/mhs2.37","url":null,"abstract":"<p>Few studies have explored the views of fathers in relation to daughters diagnosed with anorexia nervosa (AN). The aim of this study was to investigate this aspect. This study was part of a larger study. Fourteen fathers (age 46–68 years) of 14 daughters (age 19–29 years) diagnosed with AN were interviewed between 1996 and 2002. The interview consisted of 15 open-ended questions exploring the views of fathers in relation to their daughters later diagnosed with AN. Following transcription, thematic analysis was used to identify main themes and subthemes based on the data. We identified three themes: “Family dynamic,” “Proximity and distance to the daughter,” and “Commitment and knowledge seeker,” and 10 subthemes. The fathers were involved during the upbringing and the relation to the daughter was important. Different studies show the importance of the paternal role for the daughter's healthy development, and for AN. Not sharing equally, the responsibility of early childcaring, could foster the experience of inadequacy regarding the paternal role in the future. In our study, the fathers considered the mothers to be the experts during the daughters' adolescence. This attitude could have hindered them from understanding their daughters pathological eating problems. This and other studies indicate the importance of viewing the fathers as a resource when planning treatment approaches.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 4","pages":"242-249"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.37","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134943645","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":"When perceived physician burnout leads to family burnout: How secondary emotional trauma impacts physician spouses","authors":"Sarah A. Grimmer PhD,&nbsp;Kristine M. Jacquin PhD","doi":"10.1002/mhs2.38","DOIUrl":"10.1002/mhs2.38","url":null,"abstract":"<p>This study investigated the effect of perceived physician burnout on psychological distress (anxiety, depression, and secondary traumatic stress) in physician spouses. Two-hundred and three physician spouses participated in the study between April and May 2021. Physician spouses completed a burnout measure on behalf of their physician partner, and psychological distress measures for themselves. Results showed perceived physician burnout was positively correlated with anxiety (<i>r</i> = 0.24), depression (<i>r</i> = 0.13), and secondary traumatic stress (<i>r</i> = 0.14) in physician spouses. A covariate analysis including eight demographic variables did not significantly contribute to the relationship between perceived physician burnout and psychological distress in physician spouses. Moderation analyses showed no significant interactions when the personality trait agreeableness, total score on a resiliency questionnaire, and compassion fatigue were included as moderators in the relationship between perceived physician burnout and psychological distress in physician spouses. These findings indicate that physician spouses experience secondary psychological distress when they believe their partner (the physician) is experiencing burnout, emphasizing the need for mental health support during medical training.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 4","pages":"231-241"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.38","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135645296","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":"Mental Health Advocacy in The Gambia, West Africa","authors":"Stephanie Thorson-Olesen, Safiya Njai","doi":"10.56508/mhgcj.v6i1.174","DOIUrl":"https://doi.org/10.56508/mhgcj.v6i1.174","url":null,"abstract":"Introduction: To promote mental health globally, including low-and middle-income countries, research and advocacy are essential. The Republic of The Gambia is one of the smallest countries in the world and is the focus of this research. Purpose: This study examines social and cultural aspects of access to mental health treatment in The Gambia, West Africa. Methodology: The population of focus consisted of adults over 18 living in The Gambia. The methodological approach was a qualitative phenomenological study involving semi-structured interviews conducted via Zoom, by a researcher from The Gambia. Results: Data were collected from 17 participants living in The Gambia at the time of the study. A team of analysts with diverse backgrounds evaluated transcripts and identified five themes highlighting social and cultural conceptualizations of mental health and mental illness, sociocultural determinants of health, interventions, barriers to care, and legal frameworks to support mental health change. Conclusions: The findings from this study are significant for mental health providers who seek to understand different perceptions of mental health and mental illness and the associated stigma. Furthermore, this study suggests several opportunities for mental health advocacy in The Gambia","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136236523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contributions of trauma and economic insecurity to psychological distress in response to the COVID-19 pandemic","authors":"Sarah Abdul-Ghani BS,&nbsp;Emma C. Lathan PhD,&nbsp;Amanda Miao BS,&nbsp;Rebecca Gibbons BS,&nbsp;Leyla Eghbalzad PhD,&nbsp;Abigail Powers PhD, ABPP,&nbsp;Negar Fani PhD","doi":"10.1002/mhs2.36","DOIUrl":"10.1002/mhs2.36","url":null,"abstract":"<p>Racially minoritized women with limited socioeconomic resources are at increased risk for adverse psychological outcomes in response to the coronavirus disease 2019 (COVID-19) pandemic. Disproportionate rates of trauma exposure and economic insecurity likely heighten risk for these outcomes among socioeconomically vulnerable individuals, but the unique contributions of these factors are poorly understood. As such, we examined trauma and economic factors as predictors of pandemic-related psychological distress and symptoms. Ninety-six women recruited for a trauma research study (91.7% Black, <i>M</i>_age = 38.3 years, SD_age = 11.8 years) completed measures of trauma exposure, economic insecurity, and several items assessing psychological distress and symptoms related to the COVID-19 pandemic. We examined concern for mental and physical health impacts of COVID-19 as well as changes in self-reported levels of anxiety and anhedonia from the 3 months before the pandemic to the previous 2 weeks. Linear regression analyses were used to assess contributions of trauma exposure and economic insecurity to COVID-19-related distress. Childhood maltreatment and lifetime trauma exposure did not predict COVID-19-related distress; however, financial concern significantly contributed to concern for the physical health impact of COVID-19 (<i>B</i> = 0.30, <i>p</i> &lt; 0.05). Food insecurity emerged as the only significant predictor of concern for the mental health impact of COVID-19 (<i>B</i> = 0.91, <i>p</i> &lt; 0.01). Housing instability was the only significant predictor of COVID-19-related increases in anhedonia (<i>B</i> = −0.30, <i>p</i> &lt; 0.05). Economic insecurity, namely, self-reported financial concern, food insecurity, and housing instability, was related to COVID-19-related psychological distress and symptoms in a sample of predominately Black American women living in under-resourced communities. Findings may help identify populations at risk for COVID-19-related psychological distress and symptoms and appropriate interventions, such as expanding access to nutritious food sources and housing support, for minoritized community members.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 4","pages":"222-230"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.36","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73976771","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":"Neighborhood poverty prospectively predicts PTSD symptoms six-months following trauma exposure","authors":"Meghna Ravi,&nbsp;Abigail Powers,&nbsp;Barbara O. Rothbaum,&nbsp;Jennifer S. Stevens,&nbsp;Vasiliki Michopoulos","doi":"10.1002/mhs2.35","DOIUrl":"10.1002/mhs2.35","url":null,"abstract":"<p>Individuals living in areas with high rates of poverty are disproportionately affected by posttraumatic stress disorder (PTSD). Despite this association, little is known about how neighborhood poverty rates impact risk for PTSD development. In the current prospective study, we determined the relationship between neighborhood poverty rate and PTSD symptoms 6-months after experiencing a traumatic event in a sample of varied race, gender, and socioeconomic status. Participants (<i>N</i> = 252) were enrolled in a hospital emergency department after experiencing a traumatic event. Demographic information (including zip code of residence), baseline PTSD symptoms, and baseline trauma history was assessed in the emergency department. PTSD symptoms were again assessed 6-months posttrauma. Neighborhood poverty rate was determined using the American Community Survey. Correlation analyses revealed that neighborhood poverty was significantly associated with baseline PTSD symptoms (<i>r</i> = 0.181, <i>p</i> = 0.004) and PTSD symptoms 6-months posttrauma (<i>r</i> = 0.163, <i>p</i> = 0.009). A regression analysis controlling for baseline trauma exposure, clinician-rated trauma severity, and individual socioeconomic status demonstrated that neighborhood poverty predicted PTSD symptoms six-months posttrauma (<i>R</i>² = 0.099, <i>B</i> = 0.15, <i>p</i> = 0.04), but this relationship was no longer significant when baseline PTSD symptoms was added as an additional covariate (<i>R</i>² = 0.304, <i>B</i> = 0.07, <i>p</i> &gt; 0.05). Overall, results suggest that neighborhood poverty generally increases PTSD symptom severity, and the context in which an individual lives should be considered when conceptualizing risk for PTSD.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 4","pages":"213-221"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.35","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84619697","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":"Negative interpretation bias in females with bulimia nervosa","authors":"Victoria Burmester,&nbsp;Dasha Nicholls","doi":"10.1002/mhs2.34","DOIUrl":"https://doi.org/10.1002/mhs2.34","url":null,"abstract":"<p>Persons with bulimia nervosa (BN) often experience psychosocial difficulties, in particular heightened sensitivity to social rejection and a negative bias toward their social environment. Conversely, social competence and close friendships are protective against mental ill health. The aims of this study were to evaluate the interpretation of ambiguous social scenarios in females with and without BN and to assess the relationship between interpretation biases and clinical characteristics. Females with BN (<i>n</i> = 35) and controls (<i>n</i> = 35) were recruited via social media. Participants completed the Eating Disorder Examination Questionnaire (EDE-Q), Adult Rejection Sensitivity Questionnaire, the Depression Anxiety and Stress Scales (DASS), and finished sentence stems depicting ambiguous social scenarios. Completed sentence stems were rated as positive, neutral, or negative by blinded researchers. Females with BN made fewer positive and more negative interpretations of sentence stems than controls. The frequency of negative interpretations correlated positively with clinical symptoms on the EDE-Q, A-RSQ, and DASS. A negative interpretation bias was found in females with BN, which aligns with the finding shown by Cardi et al. that females with anorexia nervosa have a negative interpretation bias toward ambiguous social scenarios. This bias was not only associated with eating disorder psychopathology but also with depression, anxiety, and stress, highlighting a potential transdiagnostic role. Interventions that address psychosocial difficulties might prevent the onset, reduce symptoms, and improve prognosis.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 3","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.34","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50144144","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":"Mindfulness, inductive reasoning, and awareness of age-related changes: A daily diary study","authors":"Lyndsey N. Graham,&nbsp;Shevaun D. Neupert","doi":"10.1002/mhs2.32","DOIUrl":"10.1002/mhs2.32","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Mindfulness, understood as present-centered thinking, has positive effects on cognition. Cognitive abilities fluctuate on a daily basis in older adulthood. Awareness of age-related change (AARC) focuses on an individual's perception of life changes as a result of growing older and includes dimensions of both gains and losses. AARC losses are negative age-related changes that are attributed to growing older, and have been linked to fluctuations in cognition. Utilizing Holas and Jankowski's cognitive model of mindfulness as a framework, we investigated the potential mediation effect of AARC losses as a type of perceived change in internal experiences. We used multilevel models to analyze daily diary data from 116 older adults (aged 60–90, <i>M</i> = 64.71, <i>SD</i> = 4.98). Participants provided baseline information on Day 1 and then completed parallel versions of inductive reasoning tests each day along with reports of daily mindfulness and AARC on Days 2–9. In line with the cognitive model of mindfulness, within-person increases in daily mindfulness were associated with increases in inductive reasoning performance. Our results also extend the cognitive model of mindfulness because we found through multilevel mediation that increases in mindfulness were associated with decreases in AARC losses, which were then associated with increases in inductive reasoning performance. AARC losses significantly mediated the within-person relationship between mindfulness and cognition. Efforts aimed at reducing perceived AARC losses might assist older adults in taking full advantage of the positive benefits of mindfulness on their daily cognitive abilities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"1 4","pages":"206-212"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.32","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88043529","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}