Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_60_22
Aana Shah, Nabagata Das, R. Arasappa, S. Ganjekar, H. Thippeswamy, Veena A. Satyanarayana, M. Kishore, Kimneihat Vaiphei, P. Chandra
Perinatal depression (PND) is associated with poor obstetric and neonatal outcomes, and severe PND warrants psychiatric hospitalization. A mother–baby unit is ideal for joint admission of the mother–baby dyad for treating mothers with severe PND. Medical and psychosocial factors might precipitate, perpetuate, and maintain PND and hence requires holistic interventions by a multidisciplinary team. The current case illustrates various symptom domains, risks, protective factors, and ways to differentiate postpartum blues and bipolar depression from PND. Measures to prevent a relapse form an essential component of managing PND.
{"title":"Perinatal depression – Case review in clinical grand rounds","authors":"Aana Shah, Nabagata Das, R. Arasappa, S. Ganjekar, H. Thippeswamy, Veena A. Satyanarayana, M. Kishore, Kimneihat Vaiphei, P. Chandra","doi":"10.4103/jopsys.jopsys_60_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_60_22","url":null,"abstract":"Perinatal depression (PND) is associated with poor obstetric and neonatal outcomes, and severe PND warrants psychiatric hospitalization. A mother–baby unit is ideal for joint admission of the mother–baby dyad for treating mothers with severe PND. Medical and psychosocial factors might precipitate, perpetuate, and maintain PND and hence requires holistic interventions by a multidisciplinary team. The current case illustrates various symptom domains, risks, protective factors, and ways to differentiate postpartum blues and bipolar depression from PND. Measures to prevent a relapse form an essential component of managing PND.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"300 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114352747","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_37_22
Lakshmi Nirisha, B. Malathesh, Pavithra Jayasankar, Puttaswamy Ashwatha, Rajani Parthasarathy, N. Manjunatha, C. Kumar, J. Thirthalli, S. Math
Introduction: The clinical interview (CI) based diagnosis has more validity than the structured interview schedules based diagnosis. Hence, the epidemiological studies by clinician's evaluation would be more valuable. To date, there is no clinical epidemiological studies by psychiatrists' CIs of the primary care patients in India, especially for substance use and psychotic disorders. Objectives: To understand the prevalence of selected psychiatric disorders among patients of primary health centers (PHCs) based on the psychiatrist's CI. Materials and Methods: Data collected from a file review of Telepsychiatric On-Consultation Training program (2016–2018) in which 73 in-service primary care doctors are trained in live general consultation of rural PHCs of Mandya district, Karnataka, India. Results: Prevalence of the psychiatric disorders among adult primary care patients was 47.5%. The common mental disorders (CMDs) (35.2%) were most common among them, followed by substance use (9.5%) and psychotic disorders (2.6%). Discussion: This is the first clinical epidemiological study from Indian rural primary health care based on a psychiatrist's CI. Nearly half of the primary care patients were diagnosed with psychiatric disorders. This study demonstrated the feasibility of conducting such epidemiological studies with available time and resources. This study reported a higher prevalence of psychiatric disorders in rural PHCs.
{"title":"Analyzing psychiatric disorders from rural primary health centers: A clinical epidemiological study from a District of South India","authors":"Lakshmi Nirisha, B. Malathesh, Pavithra Jayasankar, Puttaswamy Ashwatha, Rajani Parthasarathy, N. Manjunatha, C. Kumar, J. Thirthalli, S. Math","doi":"10.4103/jopsys.jopsys_37_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_37_22","url":null,"abstract":"Introduction: The clinical interview (CI) based diagnosis has more validity than the structured interview schedules based diagnosis. Hence, the epidemiological studies by clinician's evaluation would be more valuable. To date, there is no clinical epidemiological studies by psychiatrists' CIs of the primary care patients in India, especially for substance use and psychotic disorders. Objectives: To understand the prevalence of selected psychiatric disorders among patients of primary health centers (PHCs) based on the psychiatrist's CI. Materials and Methods: Data collected from a file review of Telepsychiatric On-Consultation Training program (2016–2018) in which 73 in-service primary care doctors are trained in live general consultation of rural PHCs of Mandya district, Karnataka, India. Results: Prevalence of the psychiatric disorders among adult primary care patients was 47.5%. The common mental disorders (CMDs) (35.2%) were most common among them, followed by substance use (9.5%) and psychotic disorders (2.6%). Discussion: This is the first clinical epidemiological study from Indian rural primary health care based on a psychiatrist's CI. Nearly half of the primary care patients were diagnosed with psychiatric disorders. This study demonstrated the feasibility of conducting such epidemiological studies with available time and resources. This study reported a higher prevalence of psychiatric disorders in rural PHCs.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"30 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114030443","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_53_22
Nagesh B Pai, Shae-Leigh Vella
Moral injury (MI) is a relatively new concept in the nascent stages of development. MI is a trauma-based phenomenon, distinct from Post Traumatic Stress Disorder (PTSD) as it is not a physiologically fear-based disorder, but often co-exists with PTSD. MI is primarily concerned with the transgression of deeply held moral beliefs and negative mental health sequelae. Recent significant global events are highlighting the need for a greater understanding of the concept of MI and the associated mental health consequences. Thus, this article provides a narrative review of the concept of MI. This article reviews the concept of MI including definitions of MI and associated concepts. The similarities and differences between MI and PTSD are considered. This article also examines MI within a military context and a civilian context, which is necessitated in the context of current events; namely the fall of Afghanistan and the current COVID-19 pandemic. The article also discusses the importance of MI in a treatment setting. Theory and research in the field of MI highlight the impact of MI on those who are exposed to potentially morally injurious events (PMIEs). This impact is evident in symptoms beyond the realm of PTSD. Further it is apparent that certain sectors of society are more at risk of being exposed to PMIEs and that MI may differ between military and civilian populations. As such research into MI in both populations is needed, especially within the context of current events.
{"title":"Moral injury: A contemporary perspective","authors":"Nagesh B Pai, Shae-Leigh Vella","doi":"10.4103/jopsys.jopsys_53_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_53_22","url":null,"abstract":"Moral injury (MI) is a relatively new concept in the nascent stages of development. MI is a trauma-based phenomenon, distinct from Post Traumatic Stress Disorder (PTSD) as it is not a physiologically fear-based disorder, but often co-exists with PTSD. MI is primarily concerned with the transgression of deeply held moral beliefs and negative mental health sequelae. Recent significant global events are highlighting the need for a greater understanding of the concept of MI and the associated mental health consequences. Thus, this article provides a narrative review of the concept of MI. This article reviews the concept of MI including definitions of MI and associated concepts. The similarities and differences between MI and PTSD are considered. This article also examines MI within a military context and a civilian context, which is necessitated in the context of current events; namely the fall of Afghanistan and the current COVID-19 pandemic. The article also discusses the importance of MI in a treatment setting. Theory and research in the field of MI highlight the impact of MI on those who are exposed to potentially morally injurious events (PMIEs). This impact is evident in symptoms beyond the realm of PTSD. Further it is apparent that certain sectors of society are more at risk of being exposed to PMIEs and that MI may differ between military and civilian populations. As such research into MI in both populations is needed, especially within the context of current events.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115206058","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_52_22
Somashekhar Bijjal, Fakirappa B Ganiger, Jitendra Mugali, Manal Shaikh, Vijayalaxmi Purad, B. Anirudh
Deliberate self-harm is an act or self-inflicted injury without suicidal intent and nonfatal outcome. In recent years, the rates of self-harm are increasing in women of childbearing age and are recognized as a global health problem. Various risk factors such as adverse life events, lack of social and emotional support, and personality traits have been identified in women presenting with self-harm. Such acts not only affect the physical and psychological well-being of the women but also have deleterious effects on overall children's development of all domains. Women presenting with self-harm during perinatal period should be evaluated carefully for underlying causative factors and adequately treated so as to decrease the morbidity.
{"title":"A descriptive review on perinatal deliberate self-harm: An untraversed mental health domain","authors":"Somashekhar Bijjal, Fakirappa B Ganiger, Jitendra Mugali, Manal Shaikh, Vijayalaxmi Purad, B. Anirudh","doi":"10.4103/jopsys.jopsys_52_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_52_22","url":null,"abstract":"Deliberate self-harm is an act or self-inflicted injury without suicidal intent and nonfatal outcome. In recent years, the rates of self-harm are increasing in women of childbearing age and are recognized as a global health problem. Various risk factors such as adverse life events, lack of social and emotional support, and personality traits have been identified in women presenting with self-harm. Such acts not only affect the physical and psychological well-being of the women but also have deleterious effects on overall children's development of all domains. Women presenting with self-harm during perinatal period should be evaluated carefully for underlying causative factors and adequately treated so as to decrease the morbidity.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131102814","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_39_22
R. Giridhar, Emily MacDonagh
{"title":"Perinatal mental health services in the United Kingdom: We have only just begun","authors":"R. Giridhar, Emily MacDonagh","doi":"10.4103/jopsys.jopsys_39_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_39_22","url":null,"abstract":"","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121788081","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_46_22
Keya Das, R Monisha, V. R. R. Ryali
Delusional parasitosis is a psychiatric disorder wherein a person strongly believes themselves being infected by a parasite. Cotard's syndrome is a neuropsychiatric disorder of rarity that occurs as nihilistic delusions ranging from denial of the existence of body parts to negating one's existence. Both could be either primary or secondary to other mental disorders such as depression and schizophrenia. We present a case report where Mr. R, a middle-aged male of lower socioeconomic status, of agrarian background presented with marked depressive features for the past 2 years with a significant history of similar complaints 5 years back. A provisional diagnosis of recurrent depressive disorder (RDD), current episode-severe depression without psychotic symptoms was made with treatment initiation. In subsequent follow-ups, Mr. R reported that his lungs are destroyed and one of his lungs and heart were nonexistent causing him breathing difficulty, and all were a consequence of the organisms devouring his organs. Antipsychotic was hiked to the maximum dose with continued antidepressants, and electroconvulsive therapy was given in inpatient treatment, considering the diagnosis of RDD's current episode of severe depression with psychotic symptoms (delusional parasitosis with Cotard's syndrome). A dual clinical presentation of delusional parasitosis with co-existant Cotard's syndrome secondary to depressive disorder is uncommon and thereby being discussed. Whether Cotard's can be subsumed under the umbrella of delusional parasitosis or is an evolving entity in itself made this clinical scenario intriguing.
{"title":"The mirror has two faces: A unique case of delusional parasitosis with Cotard's syndrome in a tertiary care hospital in South India","authors":"Keya Das, R Monisha, V. R. R. Ryali","doi":"10.4103/jopsys.jopsys_46_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_46_22","url":null,"abstract":"Delusional parasitosis is a psychiatric disorder wherein a person strongly believes themselves being infected by a parasite. Cotard's syndrome is a neuropsychiatric disorder of rarity that occurs as nihilistic delusions ranging from denial of the existence of body parts to negating one's existence. Both could be either primary or secondary to other mental disorders such as depression and schizophrenia. We present a case report where Mr. R, a middle-aged male of lower socioeconomic status, of agrarian background presented with marked depressive features for the past 2 years with a significant history of similar complaints 5 years back. A provisional diagnosis of recurrent depressive disorder (RDD), current episode-severe depression without psychotic symptoms was made with treatment initiation. In subsequent follow-ups, Mr. R reported that his lungs are destroyed and one of his lungs and heart were nonexistent causing him breathing difficulty, and all were a consequence of the organisms devouring his organs. Antipsychotic was hiked to the maximum dose with continued antidepressants, and electroconvulsive therapy was given in inpatient treatment, considering the diagnosis of RDD's current episode of severe depression with psychotic symptoms (delusional parasitosis with Cotard's syndrome). A dual clinical presentation of delusional parasitosis with co-existant Cotard's syndrome secondary to depressive disorder is uncommon and thereby being discussed. Whether Cotard's can be subsumed under the umbrella of delusional parasitosis or is an evolving entity in itself made this clinical scenario intriguing.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126679736","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_58_22
S. Ganjekar, Rajani Parthasarathy
{"title":"Mental health questionnaire into mother and child protectionc ard (Thayi card): Initiative to integrate perinatal mental health into reproductive and child health program in Karnataka","authors":"S. Ganjekar, Rajani Parthasarathy","doi":"10.4103/jopsys.jopsys_58_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_58_22","url":null,"abstract":"","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121446086","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_3_23
G. Desai, P. Chandra
{"title":"Perinatal mental health in India: Time to deliver!","authors":"G. Desai, P. Chandra","doi":"10.4103/jopsys.jopsys_3_23","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_3_23","url":null,"abstract":"","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128788068","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}
Pub Date : 2023-01-01DOI: 10.4103/jopsys.jopsys_33_22
Lakshmi Shiva, G. Desai, Veena A. Satyanarayana, Padmalatha Venkataram, P. Chandra
Background: Somatic symptoms especially in the early postpartum period may be common, but their frequency and severity may indicate underlying childbirth-related Post Traumatic Stress Disorder (PTSD) and postpartum depression. Materials and Methods: This study aimed to assess somatic symptoms in women during the early postpartum period and their association to childbirth-related PTSD and depression. This was a community-based cross-sectional study conducted in South India. The Scale for Assessment of Somatic Symptoms (SASS), Childbirth Experience Questionnaire (CEQ), PTSD Checklist (PCL), and Edinburgh Postnatal Depression Scale (EPDS) were used to assess somatic symptoms, negative childbirth experience, PTSD symptoms, and depression, respectively. Results: Among 95 primigravida women who were in their 2–6 weeks postpartum, the occurrence of somatic symptoms varied from 4% to 79% depending on the nature of symptoms. Pain symptoms, fatigue and weakness, and alteration in biological functions such as libido, sleep, and appetite were more commonly noted. The total severity score on SASS correlated negatively with the CEQ (r = −0.544, P = .001) and positively with scores on the PCL (r = 0.494, P = .001) and EPDS (r = 0.565, p = .001), indicating that somatic symptoms were associated with negative childbirth experience, childbirth-related PTSD, and depression. The frequencies of somatic symptoms were noted to be higher in women with childbirth-related PTSD and depression. Conclusion: Women presenting with multiple and severe somatic complaints in the early postnatal period may have underlying PTSD or depression following a negative childbirth experience. A detailed and sensitive enquiry along with appropriate care should be provided to such women to enhance maternal well-being.
背景:躯体症状尤其在产后早期可能是常见的，但其频率和严重程度可能表明潜在的分娩相关创伤后应激障碍(PTSD)和产后抑郁症。材料与方法:本研究旨在评估产后早期妇女的躯体症状及其与分娩相关PTSD和抑郁症的关系。这是一项在南印度进行的以社区为基础的横断面研究。采用躯体症状评估量表(SASS)、分娩经历问卷(CEQ)、创伤后应激障碍量表(PCL)和爱丁堡产后抑郁量表(EPDS)分别评估躯体症状、负分娩经历、创伤后应激障碍症状和抑郁。结果:在95名产后2-6周的初产妇中，根据症状的性质，躯体症状的发生率从4%到79%不等。疼痛症状、疲劳和虚弱以及性欲、睡眠和食欲等生物功能的改变更为常见。SASS总分与CEQ呈负相关(r = - 0.544, P = .001)，与PCL (r = 0.494, P = .001)和EPDS (r = 0.565, P = .001)呈正相关(r = 0.565, P = .001)，表明躯体症状与负分娩经历、分娩相关PTSD和抑郁相关。躯体症状的频率在患有与分娩有关的PTSD和抑郁症的妇女中较高。结论:产后早期出现多重严重躯体疾患的妇女可能有潜在的创伤后应激障碍或抑郁。应向这些妇女提供详细和敏感的调查以及适当的护理，以提高产妇的福利。
{"title":"Somatic symptoms in the postpartum period and their association with childbirth-related post traumatic stress disorder and depression: A cross-sectional study","authors":"Lakshmi Shiva, G. Desai, Veena A. Satyanarayana, Padmalatha Venkataram, P. Chandra","doi":"10.4103/jopsys.jopsys_33_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_33_22","url":null,"abstract":"Background: Somatic symptoms especially in the early postpartum period may be common, but their frequency and severity may indicate underlying childbirth-related Post Traumatic Stress Disorder (PTSD) and postpartum depression. Materials and Methods: This study aimed to assess somatic symptoms in women during the early postpartum period and their association to childbirth-related PTSD and depression. This was a community-based cross-sectional study conducted in South India. The Scale for Assessment of Somatic Symptoms (SASS), Childbirth Experience Questionnaire (CEQ), PTSD Checklist (PCL), and Edinburgh Postnatal Depression Scale (EPDS) were used to assess somatic symptoms, negative childbirth experience, PTSD symptoms, and depression, respectively. Results: Among 95 primigravida women who were in their 2–6 weeks postpartum, the occurrence of somatic symptoms varied from 4% to 79% depending on the nature of symptoms. Pain symptoms, fatigue and weakness, and alteration in biological functions such as libido, sleep, and appetite were more commonly noted. The total severity score on SASS correlated negatively with the CEQ (r = −0.544, P = .001) and positively with scores on the PCL (r = 0.494, P = .001) and EPDS (r = 0.565, p = .001), indicating that somatic symptoms were associated with negative childbirth experience, childbirth-related PTSD, and depression. The frequencies of somatic symptoms were noted to be higher in women with childbirth-related PTSD and depression. Conclusion: Women presenting with multiple and severe somatic complaints in the early postnatal period may have underlying PTSD or depression following a negative childbirth experience. A detailed and sensitive enquiry along with appropriate care should be provided to such women to enhance maternal well-being.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128814937","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}
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