Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"The developmental trajectories and modifiable factors of adolescents' subjective well-being from late adolescence to early adulthood.","authors":"Songli Mei, Chengbin Zheng, Leilei Liang, Marhaba Kiyum, Tongshuang Yuan, Junsong Fei, Kai Liu, Honghua Li, Xinli Lin","doi":"10.1186/s13034-025-00881-w","DOIUrl":"10.1186/s13034-025-00881-w","url":null,"abstract":"<p><strong>Background: </strong>Previous research on adolescents' subjective well-being has not focused on the transition from late adolescence to early adulthood. Moreover, explorations of the factors influencing adolescents' subjective well-being have mostly focused on a single level or variable. This study aimed to identify the different developmental trajectories of adolescents' subjective well-being during this transition period and the influencing factors at different levels.</p><p><strong>Methods: </strong>This study used data from the Chinese Family Panel Studies to longitudinally track 625 adolescents aged 16-19 years in 2014 for six years. This study adopted multi-party reports and collected data on four levels of adolescents: individuals, networks, families, and communities. Using the latent class growth model to distinguish the different developmental trajectories of adolescents' subjective well-being. Then, the environment-wide association study (EnWAS) was used to explore the factors influencing the categories of adolescents' subjective well-being trajectories.</p><p><strong>Results: </strong>This study identified three different developmental trajectories of subjective well-being: High initial level-relatively stable group, Medium initial level-rapidly decreasing group, Low initial level-slowly rising group. The results of EnWAS confirmed that there are 15 modifiable factors associated with the trajectory classification of adolescents' subjective well-being. The final multiple logistic regression model revealed the household book collection, tidiness of the home, desired level of education, future confidence, interpersonal relationships, social trust, sleep duration (marginal condition), all of which have significant impacts on adolescents' subjective well-being.</p><p><strong>Conclusions: </strong>Adolescents' subjective well-being trajectories from late adolescence to early adulthood show great heterogeneity. Adolescents' subjective well-being may be more influenced by the personal and family environment. Targeted interventions for various modifiable factors can significantly enhance adolescents' subjective well-being.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"21"},"PeriodicalIF":3.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669179","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":"Legacy of the GDR: regional disparities in childhood maltreatment in post-unification Germany.","authors":"C Kasinger, S Heiner, A Heller, T McLaren, M Beutel, V Clemens, E Brähler","doi":"10.1186/s13034-025-00876-7","DOIUrl":"10.1186/s13034-025-00876-7","url":null,"abstract":"<p><strong>Background: </strong>Previous research has identified growing up in the former German Democratic Republic (GDR) as a protective factor against childhood abuse and neglect compared to growing up in the former Federal Republic of Germany (FRG). This study investigates whether these differences persist among individuals born after German reunification, providing a novel focus on the post-unification generation and the possible transgenerational transmission of childhood maltreatment in Germany.</p><p><strong>Method: </strong>The prevalence of self-reported abusive and neglected childhood experiences among 17- to 31-year-olds, stratified by gender and socio-political context (East/West), was examined using the Childhood Trauma Questionnaire (CTQ). Data of the German Health Interview and Examination Survey for Children and Adolescents (KIGGS-study) between 2014 and 2017 was used. Logistic regression models were used to assess the influence of covariates such as age, subjective social status, and education on childhood trauma experiences.</p><p><strong>Results: </strong>Altogether, 18.6% (East = 15.8%/ West = 19.0%) of the N = 5,982 participants reported at least one type of maltreatment. The prevalence of at least moderate abuse was found to be 6.8% (East = 5.8%/West = 7.0%) for emotional, 3.7% (East = 2.4%/West = 3.9%) for physical, and 3.3% (East = 1.9%/West = 3.6%) for sexual abuse, and a prevalence of 9.2% (East = 8.5%/West = 9.3%) for emotional and 8.7% (East = 7.4%/West = 8.9%) for physical neglect. Individuals residing in eastern German regions reported significant lower prevalence rates for sexual and physical abuse, as well as overall maltreatment.</p><p><strong>Conclusion: </strong>Significant regional disparities in childhood maltreatment were observed among individuals raised in post-unification Germany, suggesting the persistence of sociopolitical influences from the former GDR as a protective factor. These findings underscore the importance of understanding transgenerational transmission factors of childhood maltreatment, such as parenting behaviors within differing sociopolitical contexts. The results have important implications for child welfare policies, emphasizing the need to address regional disparities and to incorporate historical and sociopolitical factors into future research and intervention strategies.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"22"},"PeriodicalIF":3.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669178","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":"Predicting psychotic-like experiences among adolescents: the interplay of childhood trauma, cognitive biases, neuroticism, and depression.","authors":"Chang Xi, Xin Xu, Song Wang","doi":"10.1186/s13034-025-00878-5","DOIUrl":"10.1186/s13034-025-00878-5","url":null,"abstract":"<p><strong>Background: </strong>Childhood trauma, cognitive biases, neuroticism, and depression have emerged as crucial risk markers for psychotic-like experiences (PLEs). However, the interplay among these variables in influencing the risk of PLEs remains largely unexplored. This study aims to investigate the effect of the complex relationship between childhood trauma, cognitive biases, neuroticism, and depression on the risk of PLEs among adolescents.</p><p><strong>Methods: </strong>A total of 4,087 adolescents from three senior high schools were recruited for this study. We utilized the Community Assessment of Psychic Experiences to measure PLEs, the Childhood Trauma Questionnaire to assess childhood trauma, the Davos Assessment of Cognitive Biases scale to evaluate cognitive biases, the neuroticism subscale of the Neuroticism-Extraversion-Openness Personality Inventory to assess neuroticism, and the Patient Health Questionnaire to measure depression. Psychiatric diagnoses were screened using a self-report questionnaire.</p><p><strong>Results: </strong>Childhood trauma, cognitive biases, neuroticism and depression were all associated with an increased risk of PLEs. Participants who had experienced childhood trauma in conjunction with depression, cognitive biases, or neuroticism exhibited a significantly higher risk of endorsing PLEs compared to those who had solely encountered childhood trauma. Path analysis revealed that cognitive biases, neuroticism and depression are significant mediators of the relationship between childhood trauma and PLEs. The model explained 44.7% of the variance in PLEs.</p><p><strong>Conclusions: </strong>Our study highlights cognitive biases, neuroticism, and depression as key mediators linking childhood trauma to PLEs, recognizing the complex interplay among these factors is crucial and should be integrated into clinical screening and therapeutic strategies to mitigate the risk of PLEs.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"20"},"PeriodicalIF":3.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633893","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":"Longitudinal associations between executive function and positive parenting during early childhood and resilience, self-regulation, and behavioral problems in school-age children.","authors":"Lalin Rungsattatharm, Priyakorn Tasingha, Pon Trairatvorakul, Weerasak Chonchaiya","doi":"10.1186/s13034-025-00875-8","DOIUrl":"10.1186/s13034-025-00875-8","url":null,"abstract":"<p><strong>Background: </strong>Longitudinal studies of associations between executive function (EF) and parenting behaviors during early childhood and resilience, self-regulation, and behavioral problems in school-age children are scarce. This study aims to evaluate long-term associations between EF and parenting behaviors during preschool and resilience, self-regulatory efficacy, and behavioral problems in 9-year-old children.</p><p><strong>Methods: </strong>From February 2021-March 2022, 195 participants were enrolled from a larger longitudinal study conducted since age 6 months. Parents reported child EF difficulties and behavioral problems at ages 4, 6, and 9, as well as parenting behaviors at ages 4 and 6. Children reported resilience and self-regulatory efficacy at age 9. The relationships between these variables were analyzed using path analysis.</p><p><strong>Results: </strong>Among 195 participants (51.3% female) with a median age of 108 months (interquartile range 108-109), EF difficulties at ages 4 and 6 exhibited direct and indirect relationships with lower resilience, reduced self-regulatory efficacy, and behavioral problems at age 9. Positive parenting at ages 4 and 6 were indirectly associated with better resilience, self-regulatory efficacy, and fewer behavioral problems at age 9, mediated by reduced EF difficulties and behavioral problems during preschool.</p><p><strong>Conclusions: </strong>EF difficulties during preschool were correlated with decreased resilience, self-regulatory efficacy, and behavioral problems in school-age children. Interventions focusing on promoting EF and positive parenting during early childhood may alleviate behavioral problems and potentially enhance resilience and self-regulatory efficacy during school-age.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"19"},"PeriodicalIF":3.4,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584951","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":"Motor developmental delay in preschoolers with autism spectrum disorders in China and its association with core symptoms and maternal risk factors: a multi-center survey.","authors":"Dan Long, Ting Yang, Jie Chen, Jie Zhang, Ying Dai, Li Chen, Feiyong Jia, Lijie Wu, Yan Hao, Ling Li, Xiaoyan Ke, Mingji Yi, Qi Hong, Jinjin Chen, Shuanfeng Fang, Yichao Wang, Qi Wang, Chunhua Jin, Tingyu Li","doi":"10.1186/s13034-025-00858-9","DOIUrl":"10.1186/s13034-025-00858-9","url":null,"abstract":"<p><strong>Background: </strong>Motor disturbance, as a related symptom of autism spectrum disorders (ASD), has not received the attention it deserves. We aimed to investigate the different degrees of motor developmental delay and influencing factors in Chinese preschool children with ASD, in order to enhance people's awareness of motor developmental delay in ASD children.</p><p><strong>Methods: </strong>We recruited 1,256 ASD children aged 2-6 years from the China Multi-Center Preschool Autism Project (CMPAP). We investigated the overall status of neurodevelopment in preschool children with ASD through the Revised Children Neuropsychological and Behavior Scale (CNBS-R2016) and the Gesell Developmental Scale (GDS). The multivariate ordered logistic regression model was used to analyze the relationship between different degrees of motor developmental delay and demographic, core symptoms of ASD, and maternal risk factors, which were evaluated using the questionnaires, the Childhood Autism Rating Scale (CARS) and the Social Responsiveness Scale-Second Edition (SRS-2).</p><p><strong>Results: </strong>The proportions of delayed development in various neurodevelopmental domains was significantly imbalanced in preschool children with ASD. The proportions of gross and fine motor developmental delay were as high as 39.6% and 68.4% respectively. ASD children in different age subgroups all exhibited gross and fine motor developmental delay. The CARS and SRS-2 total scores of ASD children with mild, moderate-severe gross or fine motor developmental delay were significantly higher than those with normal motor skills development (P < 0.05). ASD children aged ≥ 5 years, or higher CARS and SRS-2 total scores, or gestational age in the 28-36^+ 6 weeks were more likely to suffer from gross motor developmental delay (OR values were 5.504, 1.083, 1.846 respectively) and fine motor developmental delay (OR values were 2.216, 1.074, 1.011, 1.661 respectively).</p><p><strong>Conclusion: </strong>Gross and fine motor developmental delay were difficulties that most preschool children with ASD may face, and ASD children with motor developmental delay had greater deficits in social skills. Therefore, it is necessary to continuously monitor the gross and fine motor development progress of children with ASD for facilitating early identification and individualized intervention.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"18"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566263","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":"Is physical exercise associated with reduced adolescent social anxiety mediated by psychological resilience?: evidence from a longitudinal multi-wave study in China.","authors":"Jingtao Wu, Yanhong Shao, Wanli Zang, Jun Hu","doi":"10.1186/s13034-025-00867-8","DOIUrl":"10.1186/s13034-025-00867-8","url":null,"abstract":"<p><strong>Objective: </strong>The study aims to investigate whether physical exercise is associated with psychological resilience, thereby significantly affecting adolescent social anxiety, and to analyze the longitudinal cross-temporal stability between these three interrelated factors.</p><p><strong>Methods: </strong>The methodology involved a survey utilizing the International Physical Activity Questionnaire (IPAQ), the Connor-Davidson Resilience Scale (CD-RISC), and the Social Anxiety Scale (SAS) across various regions in China, including Sichuan, Guangdong, Shanxi Province, and Beijing. A total of 1259 participants were recruited from primary, middle, and high schools, with an average age of 13.7 years. The sample comprised 626 males and 633 females. A longitudinal tracking survey approach was implemented, commencing in June 2023, with follow-up rounds scheduled every three months, culminating in a total of four rounds.</p><p><strong>Results: </strong>The results are as follows: (1) Physical exercise was significantly positively correlated with psychological resilience (r = 0.35, p < 0.001) and significantly negatively correlated with social anxiety (r = - 0.26, p < 0.001); (2) Physical exercise could significantly negatively predict social anxiety in the next period (PET1 → SAT2: β = - 0.31, p < 0.001); (3) Psychological resilience played a mediating role in the association between physical exercise on social anxiety (PET1 → PRT2: β = 0.42, PRT2 → SAT3: β = - 0.38, p-values < 0.001).</p><p><strong>Conclusion: </strong>Physical exercise, psychological resilience, and social anxiety exhibit cross-temporal stability, and physical exercise has a significant lagged effect on psychological resilience and social anxiety. Physical exercise may indirectly reduce social anxiety through its association with enhanced psychological resilience in adolescents.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"17"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566255","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":"Beyond psychotropics: critical strategies for supporting youth in foster care.","authors":"Nicole L Hadler, Gerrit I van Schalkwyk","doi":"10.1186/s13034-025-00874-9","DOIUrl":"10.1186/s13034-025-00874-9","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"15"},"PeriodicalIF":3.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531355","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":"Moral distress among inpatient child and adolescent psychiatry staff: a mixed-methods study of experiences and associated factors.","authors":"Nora Eder, Kristin Nordenberg, Niklas Långström, Alexander Rozental, Astrid Moell","doi":"10.1186/s13034-025-00868-7","DOIUrl":"10.1186/s13034-025-00868-7","url":null,"abstract":"<p><strong>Background: </strong>Moral distress among healthcare staff is associated with emotional strain and workforce attrition but remains insufficiently explored in child and adolescent psychiatry (CAP). We investigated the experiences and factors contributing to moral distress among staff in inpatient CAP.</p><p><strong>Methods: </strong>We conducted a 2023 nationwide mixed-methods survey with 106 staff members from CAP inpatient units in Sweden. Quantitative data on moral distress were collected using the Stress of Conscience Questionnaire, while open-ended questions provided qualitative data on perceptions of moral distress and the impact of working with coercive measures. Findings were integrated using triangulation.</p><p><strong>Results: </strong>Staff reported high levels of moral distress, with physicians experiencing the highest. Triangulation revealed converging findings with younger and less experienced staff experiencing more moral distress. Aligning with the qualitative theme \"Providing care one does not believe in\", moral distress was also strongly associated with quantitative data of a demanding work environment, low social support, and intention to resign from job. The theme \"Ethical dilemmas about coercive measures\" indicated how coercive measure use could contribute to moral distress, while a more positive attitude to coercive measures was associated with lower moral distress.</p><p><strong>Conclusions: </strong>Moral distress among CAP inpatient staff in Sweden was pronounced, particularly among younger, less experienced professionals, and physicians. Addressing moral distress appears critical in supporting staff well-being, promoting workforce retention, and maintaining high-quality patient care.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"16"},"PeriodicalIF":3.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531356","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":"Correction: Mental health needs in war-affected refugee children: barriers, gaps, and strategies for effective care.","authors":"Mohsen Khosravi","doi":"10.1186/s13034-024-00857-2","DOIUrl":"10.1186/s13034-024-00857-2","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"14"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499581","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":"Climate change hopefulness, anxiety, and behavioral intentions among adolescents: randomized controlled trial of a brief \"selfie\" video intervention.","authors":"Laelia Benoit, Sarah R Lowe, Isaiah Thomas, Doron Amsalem, Andrés Martin","doi":"10.1186/s13034-025-00872-x","DOIUrl":"10.1186/s13034-025-00872-x","url":null,"abstract":"<p><strong>Aim: </strong>We tested the utility of showing \"selfie\" videos to increase adolescents' climate change hope, agency, and behavioral intentions, and to decrease their climate anxiety.</p><p><strong>Methods: </strong>We conducted a randomized controlled trial among healthy volunteers, ages 14 to 18, enrolled through a crowdsourcing platform. We randomly assigned participants (N = 1039) to view one of three 110-s-long video interventions featuring the same adolescent protagonist: positive (depicting an action-oriented stance); negative (defeatist stance); and control (neutral stance and unrelated content). The primary outcome was climate change hope; secondary outcomes were climate change anxiety, behavioral intention scales, and 100-point sliders about hopefulness and agency.</p><p><strong>Results: </strong>Viewing positive \"selfie\" videos proved effective among adolescents in increasing hopefulness and a sense of agency regarding climate change (< 0.001), but not in decreasing climate anxiety or increasing intentions to engage in pro-environmental behaviors.</p><p><strong>Conclusion: </strong>Brief video-based interventions featuring adolescent protagonists showed potential to increase hope and agency regarding climate change. While this single exposure did not directly affect anxiety levels or behavioral intentions, future research should examine whether repeated exposure and different \"doses\" of such interventions might influence these outcomes. The ubiquity and reach of social media hold promise to scale these inexpensive and specifically tailored interventions.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"13"},"PeriodicalIF":3.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476465","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}