Pub Date : 2016-10-01DOI: 10.1080/15487768.2016.1232118
L. Davidson
{"title":"Crazy: A creative and personal look at mental illness","authors":"L. Davidson","doi":"10.1080/15487768.2016.1232118","DOIUrl":"https://doi.org/10.1080/15487768.2016.1232118","url":null,"abstract":"","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"62 1","pages":"394 - 396"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83994184","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 : 2016-10-01DOI: 10.1080/15487768.2016.1255276
A. Topor, A. Ljungberg
ABSTRACT The relationship with professionals is an important factor in relation to the outcome of interventions directed to persons with severe mental problems. However, the current knowledge regarding the development of helpful relationships within Individual Placement and Support (IPS) services is limited. The aim of the study was to investigate how participants in IPS services described their relationship with their IPS coach. The article is based on interviews from a Swedish government evaluation of IPS services, thematically analyzed. The results showed that the relationship with the coach is central for the participants’ success in the service. The main theme, “something different - as a human being” highlighted that the conditions for the relationship are different within IPS as compared to traditional services. The other themes were “here and now action,” “closer to wish-fulfilment – impact on the self,” and “from role to person.” The principles of IPS parallel the results from research about helpful relationships and offers good preconditions for the occurrence of such relationships. This can represent a bridge between evidence based methods and research on helpful relationships, and should be possible to implement in the development of evidence based methods as well as of treatment as usual.
{"title":"“Everything is so relaxed and personal” – The construction of helpful relationships in individual placement and support","authors":"A. Topor, A. Ljungberg","doi":"10.1080/15487768.2016.1255276","DOIUrl":"https://doi.org/10.1080/15487768.2016.1255276","url":null,"abstract":"ABSTRACT The relationship with professionals is an important factor in relation to the outcome of interventions directed to persons with severe mental problems. However, the current knowledge regarding the development of helpful relationships within Individual Placement and Support (IPS) services is limited. The aim of the study was to investigate how participants in IPS services described their relationship with their IPS coach. The article is based on interviews from a Swedish government evaluation of IPS services, thematically analyzed. The results showed that the relationship with the coach is central for the participants’ success in the service. The main theme, “something different - as a human being” highlighted that the conditions for the relationship are different within IPS as compared to traditional services. The other themes were “here and now action,” “closer to wish-fulfilment – impact on the self,” and “from role to person.” The principles of IPS parallel the results from research about helpful relationships and offers good preconditions for the occurrence of such relationships. This can represent a bridge between evidence based methods and research on helpful relationships, and should be possible to implement in the development of evidence based methods as well as of treatment as usual.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"8 1","pages":"275 - 293"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79767691","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 : 2016-10-01DOI: 10.1080/15487768.2016.1231640
C. Lidz, Lisa M. Smith
ABSTRACT Objective: Youth and young adults with serious mental health conditions have particularly poor records of stable employment, but stable employment is a key to recovery. Employment specialists have a key role in supported employment services in assisting them with employment. This article describes the thoughts and concerns of employment specialists about finding and supporting employment for youth and young adults with serious mental health conditions. Method: The authors undertook 12 intensive interviews with supported employment specialists in two states. These interviews were transcribed and coded by the authors. A number of themes were identified and prototypical examples identified and included in the findings. Results: Although the employment specialists varied in their enthusiasm and optimism about the job, they agreed on key problems that they face in supporting employment for young adults that include employer resistance to hiring people with mental illness, increasing use of online applications, larger organizations not making hiring decisions locally and thus the decisions are not responsive to the employment specialist, resistance from family and mental health professionals and the young adults themselves to full-time employment and putting benefits at risk, and resistance from young adults to disclosing their disability to coworkers and thus being unwilling to take supported employment positions. Conclusions and Implications for Practice: These interviews suggest that some of the features of supported employment practice might need to be modified if young adults with serious mental health issues are to gain employment that over time could lead to significant careers and recovery.
{"title":"Employment specialists’ perspectives on implementing supported employment with young adults","authors":"C. Lidz, Lisa M. Smith","doi":"10.1080/15487768.2016.1231640","DOIUrl":"https://doi.org/10.1080/15487768.2016.1231640","url":null,"abstract":"ABSTRACT Objective: Youth and young adults with serious mental health conditions have particularly poor records of stable employment, but stable employment is a key to recovery. Employment specialists have a key role in supported employment services in assisting them with employment. This article describes the thoughts and concerns of employment specialists about finding and supporting employment for youth and young adults with serious mental health conditions. Method: The authors undertook 12 intensive interviews with supported employment specialists in two states. These interviews were transcribed and coded by the authors. A number of themes were identified and prototypical examples identified and included in the findings. Results: Although the employment specialists varied in their enthusiasm and optimism about the job, they agreed on key problems that they face in supporting employment for young adults that include employer resistance to hiring people with mental illness, increasing use of online applications, larger organizations not making hiring decisions locally and thus the decisions are not responsive to the employment specialist, resistance from family and mental health professionals and the young adults themselves to full-time employment and putting benefits at risk, and resistance from young adults to disclosing their disability to coworkers and thus being unwilling to take supported employment positions. Conclusions and Implications for Practice: These interviews suggest that some of the features of supported employment practice might need to be modified if young adults with serious mental health issues are to gain employment that over time could lead to significant careers and recovery.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"72 2 1","pages":"339 - 352"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89172874","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 : 2016-10-01DOI: 10.1080/15487768.2016.1231639
J. Nicholson, Karen Albert, Bernice G. Gershenson, Valerie F. Williams, Kathleen Biebel
ABSTRACT Family Options is a psychiatric rehabilitation intervention for parents with severe mental illness and their children who work with family coaches to set and achieve goals. The objective of this study is to compare changes in well-being, functioning, and supports and resources achieved from enrollment to 12 months by mothers participating in Family Options (N = 22) with changes from enrollment to 6 months. Mothers’ scores are compared on standardized measures of psychological distress, trauma symptom severity, mental and physical health status, social support, and the number of services needed but not received from enrollment to 6 months, and from enrollment to 12 months. Data were also obtained about help received and satisfaction with Family Options. Mothers achieved significant improvements in well-being at 12 months, as measured in terms of reductions in psychological distress and symptom severity scores. Significant improvements in social support and services received were reported at 6 months but not at 12 months. Mothers received help obtaining services and benefits for themselves and their children and were satisfied with the intervention. Findings underscore the importance of further refinements to the intervention and larger-scale, rigorous testing of Family Options.
{"title":"Developing Family Options: Outcomes for mothers with severe mental illness at twelve months of participation","authors":"J. Nicholson, Karen Albert, Bernice G. Gershenson, Valerie F. Williams, Kathleen Biebel","doi":"10.1080/15487768.2016.1231639","DOIUrl":"https://doi.org/10.1080/15487768.2016.1231639","url":null,"abstract":"ABSTRACT Family Options is a psychiatric rehabilitation intervention for parents with severe mental illness and their children who work with family coaches to set and achieve goals. The objective of this study is to compare changes in well-being, functioning, and supports and resources achieved from enrollment to 12 months by mothers participating in Family Options (N = 22) with changes from enrollment to 6 months. Mothers’ scores are compared on standardized measures of psychological distress, trauma symptom severity, mental and physical health status, social support, and the number of services needed but not received from enrollment to 6 months, and from enrollment to 12 months. Data were also obtained about help received and satisfaction with Family Options. Mothers achieved significant improvements in well-being at 12 months, as measured in terms of reductions in psychological distress and symptom severity scores. Significant improvements in social support and services received were reported at 6 months but not at 12 months. Mothers received help obtaining services and benefits for themselves and their children and were satisfied with the intervention. Findings underscore the importance of further refinements to the intervention and larger-scale, rigorous testing of Family Options.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"33 1","pages":"353 - 369"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81377333","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 : 2016-07-02DOI: 10.1080/15487768.2016.1197859
W. Mak, R. Chan, Ingrid H. Y. Pang, Nicola Y. L. Chung, S. Yau, J. Tang
ABSTRACT The present study evaluated the effectiveness of the Wellness Recovery Action Planning (WRAP) in a matched controlled design among individuals in recovery of mental illness in Hong Kong. Feedback from the first batch of WRAP facilitators in Hong Kong was sought for future implementation of WRAP. Participants were recruited from the service units of the largest nongovernmental organization (NGO) serving people in recovery in Hong Kong. Fifty-nine service users were recruited to learn WRAP and 59 service users served as matched controls. The WRAP program consisted of eight weekly sessions delivered by NGO staff who were certified WRAP facilitators. Assessments were completed before, immediately after, and 3 months after the program. Findings based on repeated measures ANOVAs showed that compared with their matched controls, WRAP participants reported significant increase in perceived social support. No significant change was noted in empowerment, hope, self-stigma, social network size, symptom severity, and recovery. Facilitators discussed issues on cultural adaptation and resources needed for future implementation of WRAP for Chinese. Discrepancies between the present findings and those from previous studies were discussed. This is the first quantitative study evaluating the effectiveness of WRAP among Chinese.
{"title":"Effectiveness of Wellness Recovery Action Planning (WRAP) for Chinese in Hong Kong","authors":"W. Mak, R. Chan, Ingrid H. Y. Pang, Nicola Y. L. Chung, S. Yau, J. Tang","doi":"10.1080/15487768.2016.1197859","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197859","url":null,"abstract":"ABSTRACT The present study evaluated the effectiveness of the Wellness Recovery Action Planning (WRAP) in a matched controlled design among individuals in recovery of mental illness in Hong Kong. Feedback from the first batch of WRAP facilitators in Hong Kong was sought for future implementation of WRAP. Participants were recruited from the service units of the largest nongovernmental organization (NGO) serving people in recovery in Hong Kong. Fifty-nine service users were recruited to learn WRAP and 59 service users served as matched controls. The WRAP program consisted of eight weekly sessions delivered by NGO staff who were certified WRAP facilitators. Assessments were completed before, immediately after, and 3 months after the program. Findings based on repeated measures ANOVAs showed that compared with their matched controls, WRAP participants reported significant increase in perceived social support. No significant change was noted in empowerment, hope, self-stigma, social network size, symptom severity, and recovery. Facilitators discussed issues on cultural adaptation and resources needed for future implementation of WRAP for Chinese. Discrepancies between the present findings and those from previous studies were discussed. This is the first quantitative study evaluating the effectiveness of WRAP among Chinese.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"49 1","pages":"235 - 251"},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83144474","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 : 2016-07-02DOI: 10.1080/15487768.2016.1197860
Joana Moura Cabral Master, C. Barreto Carvalho, C. Motta, Marina Sousa, P. Gilbert
ABSTRACT Several studies about stigmatization and shame toward mental health problems have contributed to minimizing the impact of these negative attitudes on people diagnosed with mental illnesses, on their families and on their communities. The Attitudes Towards Mental Health Problems Scale (ATMHP) is a self-report scale aimed at the assessment of attitudes toward mental health that involve several factors relating to attitudes and shame (internal, external, and reflected shame) when facing mental health problems. The goal of the current study was to translate, and to adapt this scale to the Portuguese population, and to study its psychometric properties in a sample of Azorean adults with and without psychiatric problems. The scale was administered to 411 participants with ages between 19 and 81 years. Confirmatory factor analysis was carried out on the initial model proposed by the authors of the ATMHP, and results showed a poor adjustment. An alternative model comprising an additional factor was tested and presented good model fit indices. Based on the alternative model, further analysis revealed that the scale has good psychometric properties.
{"title":"Attitudes towards mental health problems scale: Confirmatory factor analysis and validation in the Portuguese population","authors":"Joana Moura Cabral Master, C. Barreto Carvalho, C. Motta, Marina Sousa, P. Gilbert","doi":"10.1080/15487768.2016.1197860","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197860","url":null,"abstract":"ABSTRACT Several studies about stigmatization and shame toward mental health problems have contributed to minimizing the impact of these negative attitudes on people diagnosed with mental illnesses, on their families and on their communities. The Attitudes Towards Mental Health Problems Scale (ATMHP) is a self-report scale aimed at the assessment of attitudes toward mental health that involve several factors relating to attitudes and shame (internal, external, and reflected shame) when facing mental health problems. The goal of the current study was to translate, and to adapt this scale to the Portuguese population, and to study its psychometric properties in a sample of Azorean adults with and without psychiatric problems. The scale was administered to 411 participants with ages between 19 and 81 years. Confirmatory factor analysis was carried out on the initial model proposed by the authors of the ATMHP, and results showed a poor adjustment. An alternative model comprising an additional factor was tested and presented good model fit indices. Based on the alternative model, further analysis revealed that the scale has good psychometric properties.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"44 1","pages":"206 - 222"},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81615790","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 : 2016-07-02DOI: 10.1080/15487768.2016.1171175
C. Pennington, C. Campbell, R. Monk, D. Heim
ABSTRACT Research is reported that examines whether imagined social contact combined with implicit attitude feedback may be an effective intervention for inducing changes in attitudes toward mental ill health. The Implicit Relational Assessment Procedure (IRAP) captured participants’ implicit attitudes toward individuals with a mental illness and provided a measure of attitude bias. Forty-eight participants (17 male, 95.8% White British) were randomly assigned to one of four experimental conditions: (1) Imagined social contact with implicit attitude feedback, (2) imagined social contact without feedback, (3) control with feedback, and (4) control without feedback. This resulted in a data set detailing 12,288 implicit responses, with each participant completing 256 IRAP trials. Participants then completed an attitude change assessment 24 hours later. Results revealed that imagined social contact was successful in changing implicit attitudes, with the addition of implicit attitude feedback further strengthening participants’ positive attitudes toward mental ill health. Explicit attitudes remained unaffected. These findings are the first to highlight the practical importance of combining imagined social contact with implicit attitude feedback to improve attitudes toward out-groups who are stigmatized.
{"title":"The malleability of stigmatizing attitudes: Combining imagined social contact with implicit attitude feedback","authors":"C. Pennington, C. Campbell, R. Monk, D. Heim","doi":"10.1080/15487768.2016.1171175","DOIUrl":"https://doi.org/10.1080/15487768.2016.1171175","url":null,"abstract":"ABSTRACT Research is reported that examines whether imagined social contact combined with implicit attitude feedback may be an effective intervention for inducing changes in attitudes toward mental ill health. The Implicit Relational Assessment Procedure (IRAP) captured participants’ implicit attitudes toward individuals with a mental illness and provided a measure of attitude bias. Forty-eight participants (17 male, 95.8% White British) were randomly assigned to one of four experimental conditions: (1) Imagined social contact with implicit attitude feedback, (2) imagined social contact without feedback, (3) control with feedback, and (4) control without feedback. This resulted in a data set detailing 12,288 implicit responses, with each participant completing 256 IRAP trials. Participants then completed an attitude change assessment 24 hours later. Results revealed that imagined social contact was successful in changing implicit attitudes, with the addition of implicit attitude feedback further strengthening participants’ positive attitudes toward mental ill health. Explicit attitudes remained unaffected. These findings are the first to highlight the practical importance of combining imagined social contact with implicit attitude feedback to improve attitudes toward out-groups who are stigmatized.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"50 1","pages":"175 - 195"},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78250935","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 : 2016-07-02DOI: 10.1080/15487768.2016.1197864
Sadaaki Fukui, M. Salyers, C. Rapp, Richard J. Goscha, L. Young, Ally Mabry
ABSTRACT Shared decision making has become a central tenet of recovery-oriented, person-centered mental health care, yet the practice is not always transferred to the routine psychiatric visit. Supporting the practice at the system level, beyond the interactions of consumers and medication prescribers, is needed for successful adoption of shared decision making. CommonGround is a systemic approach, intended to be part of a larger integration of shared decision-making tools and practices at the system level. The authors discuss the organizational components that CommonGround uses to facilitate shared decision making, and we present a fidelity scale to assess how well the system is being implemented.
{"title":"Supporting shared decision making beyond consumer-prescriber interactions: Initial development of the CommonGround fidelity scale","authors":"Sadaaki Fukui, M. Salyers, C. Rapp, Richard J. Goscha, L. Young, Ally Mabry","doi":"10.1080/15487768.2016.1197864","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197864","url":null,"abstract":"ABSTRACT Shared decision making has become a central tenet of recovery-oriented, person-centered mental health care, yet the practice is not always transferred to the routine psychiatric visit. Supporting the practice at the system level, beyond the interactions of consumers and medication prescribers, is needed for successful adoption of shared decision making. CommonGround is a systemic approach, intended to be part of a larger integration of shared decision-making tools and practices at the system level. The authors discuss the organizational components that CommonGround uses to facilitate shared decision making, and we present a fidelity scale to assess how well the system is being implemented.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"6 1","pages":"252 - 267"},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78873471","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 : 2016-07-02DOI: 10.1080/15487768.2016.1197863
Lisa Korsbek
ABSTRACT This account reflects on the topic of recovery as it unfolds in a human relationship. The purpose of the account is to illuminate the recovery process as it takes place in a human relationship and to introduce a concept of corecovery, meaning a process of mutual change in the relationship between a professional and a person with mental health issues for recovery to take place in such a relationship. The writing is based on lived experience, scientific literature related to recovery research, and interpersonal theory and relational therapy. Although the recovery movement must be seen as incompatible with classical psychoanalysis, the account concludes that the interpersonal theory in the work of Harry Stack Sullivan and the essence of the therapeutic relationship as seen by D. W. Winnicott offer some illustrations of central aspects of the recovery process as it takes place between humans in a relationship. An implication is the need for corecovery, meaning a process of change of professionals on a personal and a system level, leaving old ideas and understandings behind, but at the same time grasping insight of human development in some parts of relational therapeutic thinking.
{"title":"Corecovery: Mental health recovery in a dynamic interplay between humans in a relationship","authors":"Lisa Korsbek","doi":"10.1080/15487768.2016.1197863","DOIUrl":"https://doi.org/10.1080/15487768.2016.1197863","url":null,"abstract":"ABSTRACT This account reflects on the topic of recovery as it unfolds in a human relationship. The purpose of the account is to illuminate the recovery process as it takes place in a human relationship and to introduce a concept of corecovery, meaning a process of mutual change in the relationship between a professional and a person with mental health issues for recovery to take place in such a relationship. The writing is based on lived experience, scientific literature related to recovery research, and interpersonal theory and relational therapy. Although the recovery movement must be seen as incompatible with classical psychoanalysis, the account concludes that the interpersonal theory in the work of Harry Stack Sullivan and the essence of the therapeutic relationship as seen by D. W. Winnicott offer some illustrations of central aspects of the recovery process as it takes place between humans in a relationship. An implication is the need for corecovery, meaning a process of change of professionals on a personal and a system level, leaving old ideas and understandings behind, but at the same time grasping insight of human development in some parts of relational therapeutic thinking.","PeriodicalId":72174,"journal":{"name":"American journal of psychiatric rehabilitation","volume":"41 1","pages":"196 - 205"},"PeriodicalIF":0.0,"publicationDate":"2016-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90606546","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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