SSM. Mental health最新文献

{"title":"Associations of Taiwanese patient-caregiver concordance on death preparedness with dyadic end-of-life outcomes","authors":"Fur-Hsing Wen ,&nbsp;Chia-Hsun Hsieh ,&nbsp;Wen-Chi Chou ,&nbsp;Jen-Shi Chen ,&nbsp;Wen-Cheng Chang ,&nbsp;Siew Tzuh Tang","doi":"10.1016/j.ssmmh.2025.100553","DOIUrl":"10.1016/j.ssmmh.2025.100553","url":null,"abstract":"<div><h3>Background</h3><div>Despite dyadic interdependence of preparedness for death, associations of death preparedness (conjoint cognitive prognostic awareness and emotional acceptance) with psychological distress and quality of life (QOL) have been mainly examined cross-sectionally in patients or caregivers. This study longitudinally assessed associations of patient-caregiver concordance on death preparedness with dyads' psychological distress, QOL, and caregivers’ burden.</div></div><div><h3>Patients/methods</h3><div>Among 520 Taiwanese terminal cancer dyads, multivariate hierarchical linear models examined associations between death-preparedness concordance and anxiety, depression, QOL, and caregiving burden, separately for patients and caregivers across four concordant states (unprepared-concordant, cognitive-concordant, emotional-concordant, and sufficient-concordant) versus discordance, reported as β estimates with 95 % confidence intervals.</div></div><div><h3>Results</h3><div>Death-preparedness concordance was associated with outcomes, except unprepared concordance showed no association with patient outcomes, and emotional concordance was unrelated to caregiver outcomes. Relative to the discordant group, patients in the cognitive-concordant state had more anxiety (0.927 [0.364, 1.490]) and worse QOL (−3.933 [-6.661, −1.205]), whereas those in the emotional-concordant state had fewer symptoms of anxiety (−1.913 [-3.154, −0.672]) and depression (−1.617 [-3.128, −0.106]). The sufficient-concordant state was associated with fewer anxiety symptoms (−0.940 [-1.471, −0.409]) and better QOL (4.119 [1.252, 6.986]). Caregivers in unprepared- and cognitive-concordant states had more depressive symptoms and worse QOL, while those in the sufficient-concordant state reported fewer depressive symptoms (−1.960 [-3.348, −0.572]) and better QOL (3.922 [1.419, 6.425]). Cognitive-concordant caregivers also reported higher subjective burden (2.228 [0.962, 3.494]).</div></div><div><h3>Conclusions</h3><div>Sufficient concordance in death preparedness reduces patient anxiety and caregiver depression while improving dyads’ QOL, underscoring its role in enhancing end-of-life outcomes.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100553"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415249","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":"Cognitive interviewing for understanding and adaptation of mental health screening instruments among people living with HIV in rakai, Uganda: the thinking a lot questionnaire, the patient health questionnaire 9 (PHQ-9), and the hopkins symptoms checklist (HSCL)","authors":"Nora S. West ,&nbsp;Lydia P. Namuganga ,&nbsp;Dauda Isabirye ,&nbsp;Rosette Nakubulwa ,&nbsp;William Ddaaki ,&nbsp;Neema Nakyanjo ,&nbsp;Fred Nalugoda ,&nbsp;Sarah M. Murray ,&nbsp;Caitlin E. Kennedy","doi":"10.1016/j.ssmmh.2025.100517","DOIUrl":"10.1016/j.ssmmh.2025.100517","url":null,"abstract":"<div><h3>Background</h3><div>Mental health is conceptualized differently across cultures, making exploration of the understandability of screening tools for the purpose of adaptation critical.</div></div><div><h3>Methods</h3><div>In Uganda, we used cognitive interviewing to understand comprehension of and make adaptations to three scales for measuring psychological distress: the Thinking Too Much (TTM) Questionnaire, the Patient Health Questionnaire 9 (PHQ-9), and the Hopkins Symptoms Checklist (HSCL). We recruited 12 people living with HIV from the Rakai Community Cohort Study (RCCS) and interviewed seven potential users of the scales (four RCCS survey interviewers and three local health workers). Data were analyzed systematically using a team-based matrix approach.</div></div><div><h3>Results</h3><div>The HSCL was generally well understood, with minor clarifications needed. The TTM Questionnaire was also well understood, though differences between “how much” and “how often” required specificity. Both included local idioms of distress from prior adaptations. The PHQ-9 performed less well, with many questions interpreted variably or showing unclear local applicability, especially among people living with HIV. For example, questions about trouble concentrating were misunderstood, focusing on examples like newspapers rather than the broader issue of concentration.</div></div><div><h3>Conclusion</h3><div>Future research should explore the validity and utility of commonly used instruments as mental health research expands in Africa, and both researchers and public health programmers should consider the strengths and limitations of screening instruments in their setting.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100517"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010611","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":"Sexually explicit and violent media use among high school students in Vietnam: Gender-differentiated links with sexual misconduct victimization, perpetration, and health","authors":"Kathryn M. Yount ,&nbsp;Meghan Macaulay ,&nbsp;Kim Tu Tran","doi":"10.1016/j.ssmmh.2025.100520","DOIUrl":"10.1016/j.ssmmh.2025.100520","url":null,"abstract":"<div><h3>Background</h3><div>In lower-income countries, research is lacking on levels and associations of using <em>sexually explicit, physically non-violent media</em> (SEM) or <em>sexually explicit, physically violent media</em> (SVM) with well-being outcomes in high-school students.</div></div><div><h3>Objective</h3><div>We tested theories of gendered aggression and moral incongruence to explain the associations of SEM use and/or SVM use versus non-use with sexual misconduct perpetration/victimization and other well-being outcomes among students attending three high schools in Ho Chi Minh City, Vietnam.</div></div><div><h3>Method</h3><div>712 students completed surveys about their general health, mental health, alcohol use, academic disengagement, sexual misconduct perpetration and victimization, beliefs about pro-violence peer norms, and any SEM/SVM use in the prior six months. Unadjusted and adjusted regression models were estimated.</div></div><div><h3>Results</h3><div>Most reported SEM (47 %) or SVM (32 %) use. SVM use was higher among boys (39 %) than girls (27 %) (χ² <em>p</em> = 0.01). Among boys, compared to non-users, users reported worse self-rated health (SEM acoef = 0.44 (0.10, 0.78); SVM acoef = 0.58 (0.23, 0.93)), higher alcohol use (SEM aOR = 2.42 (1.06, 5.58); SVM aOR = 2.44 (1.05, 5.62)), and higher sexual <em>misconduct</em> perpetration involving physical dating violence, stalking, or sexual violence (SVM aOR = 5.02 (1.39, 18.06)). Among girls, compared to non-users, SVM users reported higher sexual <em>misconduct</em> perpetration (aOR = 2.59 (1.13, 5.92)) and sexual violence victimization (aOR = 5.74 (1.81, 18.22)); SEM users reported higher sexual misconduct victimization involving physical dating violence, sexual harassment, stalking, or sexual violence (OR = 2.32 (1.33, 4.04)).</div></div><div><h3>Conclusion</h3><div>Most high-school students in this study reported sexualized media use, and boys reported SVM use more often than girls. Corroborating gendered aggression theory, sexualized media use tended to predict violence perpetration among boys and victimization among girls. Corroborating moral incongruence theory, boys’ use was associated with worse self-rated health and alcohol use. Contextualized programs may reduce student access to common modalities of sexualized media use and educate school communities about the harms of use.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100520"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010390","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":"Social support and its associations with mental health and parenting among mothers with young children in Western Kenya","authors":"Clariana Vitória Ramos de Oliveira ,&nbsp;Silvana Freire ,&nbsp;Juliet K. McCann ,&nbsp;Michael Ochieng ,&nbsp;Joshua Jeong","doi":"10.1016/j.ssmmh.2025.100551","DOIUrl":"10.1016/j.ssmmh.2025.100551","url":null,"abstract":"<div><div>This study examined associations between perceived social support, maternal mental health, and parenting practices among mothers with young children under aged 2 years in rural Western Kenya. Data were collected as part of the baseline evaluation of a cluster randomized controlled trial evaluating a parenting intervention. Maternal perceived social support was reported using the Multidimensional Scale of Perceived Social Support, and community connectedness with two study-developed items. Maternal depressive symptoms were measured using the CES-D, parenting distress with Parenting Stress Index–Short Form, and caregiver stimulation practices with Family Care Indicators. Multilevel linear regression models examined associations between social support and maternal mental health and parenting outcomes. The analytic sample included 539 mothers, of whom 49.4 % were aged 25–34 years, 36.4 % were at risk of depression, and 19.9 % reported high parenting stress. Higher perceived support was associated with fewer depressive symptoms (β = −0.14, p &lt; .001), lower parenting stress (β = −0.24, p &lt; .001), and greater stimulation practices (β = 0.08, p = .04). Family support was more strongly associated with mental health outcomes, while friend support was associated with stimulation. Community connectedness was associated with lower parenting stress but not with depressive symptoms. Findings highlight the importance of family support for maternal well-being and peer support for fostering stimulation practices among mothers with young children.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100551"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415251","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":"Perceptions, beliefs, and attitudes toward mental health and the implementation of digital mental health interventions in a university community in an Andean region: A qualitative study","authors":"Rosario Yslado-Méndez ,&nbsp;Stefan Escobar-Agreda ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;David Villarreal-Zegarra ,&nbsp;Junior Duberli Sánchez-Broncano ,&nbsp;Jovanna Hasel Olivares Cordova ,&nbsp;Wilfredo Manuel Trejo Flores ,&nbsp;Claudia Alvarez-Yslado ,&nbsp;Leonardo Rojas-Mezarina","doi":"10.1016/j.ssmmh.2025.100541","DOIUrl":"10.1016/j.ssmmh.2025.100541","url":null,"abstract":"<div><h3>Introduction</h3><div>The design and implementation of digital mental health interventions (DMHI) requires understanding users' attitudes and perceptions to enhance acceptance in practice. In Peru's university settings, this remains underexplored.</div></div><div><h3>Objective</h3><div>To identify coping strategies, attitudes toward mental health, and perceptions of implementing DMHI among members of a public university in Peru.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological study with purposive sampling was conducted with 34 participants: 10 students, 10 faculty members, 10 administrative staff, and 4 institutional policy decision-makers from a public university in Peru. Semi-structured interviews were used to collect data, and thematic and content analysis was performed to identify patterns and categories.</div></div><div><h3>Results</h3><div>Participants reported various coping strategies, most commonly seeking professional help and social interaction. Although most consider mental health essential, economic barriers and negative experiences hinder adherence to services. Virtual care during the pandemic was positively valued for continuity and convenience, although some expressed doubts about its effectiveness compared to in-person care.</div></div><div><h3>Conclusions</h3><div>In a public Andean university, there is openness to digital solutions for managing mental health, yet barriers persist related to cost, privacy, and connectivity. Universities should strengthen workforce training and advance context-tailored DMHI efforts within the campus setting.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100541"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265663","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":"Trusting relationships in prison and well-being after release","authors":"Jason Schnittker","doi":"10.1016/j.ssmmh.2025.100539","DOIUrl":"10.1016/j.ssmmh.2025.100539","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100539"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265666","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":"Digital labor as a social determinant of mental health: The case of performative extreme eating in Japan","authors":"Daisuke Hori ,&nbsp;Kei Muroi","doi":"10.1016/j.ssmmh.2025.100537","DOIUrl":"10.1016/j.ssmmh.2025.100537","url":null,"abstract":"<div><h3>Introduction</h3><div>Social media has transformed eating into a global spectacle, with online eating performances emerging as one of the major entertainment genres. While the impact of online performance on viewers is a growing public health concern, the well-being of the performers themselves remains underexplored. This narrative review analyzes “performative extreme eating”—the voluntary, deliberate consumption of excessive food for entertainment or digital labor—framing it as a challenge for mental, behavioral and occupational health.</div></div><div><h3>Methods</h3><div>This narrative review synthesizes information from diverse sources through a non-systematic search of academic literature, supplemented by an analysis of journalistic reports and relevant cultural media to provide a comprehensive overview of the phenomenon, using Japan as a primary case study.</div></div><div><h3>Results</h3><div>Performative extreme eating often appears distinct from clinical eating disorders as it may lack the subjective distress or loss of control required for diagnosis. However, this performative facade can obscure serious underlying vulnerabilities, including undiagnosed binge eating disorder and bulimia nervosa. Our analysis of the Japanese context reveals how precarious digital labor acts as a social determinant of mental health, creating a public health blind spot exacerbated by nascent worker protections and policy inaction.</div></div><div><h3>Conclusion</h3><div>Performative extreme eating is a pressing challenge at the intersection of digital culture, the gig economy, and occupational health. Addressing it requires a multi-pronged strategy: Targeted research on its prevalence and health effects, occupational health guidelines for performers, and thoughtful, evidence-based regulations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100537"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265667","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":"The Solution-focused Intervention for Mental health (SIM): description and feasibility testing of a positive psychology intervention in Swedish adolescents","authors":"Fredrik Söderqvist ,&nbsp;Lena Uvhagen ,&nbsp;Johanna Gustafsson ,&nbsp;Cynthia Franklin","doi":"10.1016/j.ssmmh.2025.100493","DOIUrl":"10.1016/j.ssmmh.2025.100493","url":null,"abstract":"<div><div>A paucity of studies exists that report on the description and testing of school-based interventions set out to promote mental well-being among adolescents, particularly in a Swedish context. The aim of this paper is to describe a new strength-based intervention designed using the core elements of solution-focused brief therapy for coaching within a normative frame of mental well-being. The Solution-focused Intervention for Mental health (SIM) is a nine-week, classroom-based, group intervention that has been developed to be both feasible and effective in addressing the current public health challenge concerning adolescent mental health. The intervention is described in accordance with guidelines for group-based behaviour change interventions. The results of three subsequent studies are presented and they support the intervention's feasibility. These studies demonstrate improvements in student participation, session attendance and ratings, as well as in a mental well-being outcome. The first two studies show small effect sizes and the third shows a medium effect size, thereby further substantiating the efficacy of implementing SIM in upper secondary schools. The program is now ready to be evaluated in a forthcoming randomized controlled trial.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100493"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605891","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":"From Trauma to Resilience to Peace? Charting resilient and pluralistic paths forward in post-civil war Sri Lanka","authors":"Eranda Jayawickreme,&nbsp;Nuwan Jayawickreme","doi":"10.1016/j.ssmmh.2025.100509","DOIUrl":"10.1016/j.ssmmh.2025.100509","url":null,"abstract":"<div><div>This introductory editorial for the special issue, “From Trauma to Resilience to Peace? Charting Paths Forward in Post-Civil-War Sri Lanka,” synthesizes six distinct contributions to map the island's psychosocial landscape in the sixteen years since the end of the civil war. Quantitative and qualitative examinations demonstrates that wartime violence, chronic economic stressors, and political volatility continue to impact mental health, while maternal narratives highlight the trans-generational impact of the war. Yet these investigations also reveal some hopeful possibilities for promoting resilience using tools such as spiritual coping, social-capital buffers, and practitioner ingenuity. New directions include targeted clinical care and social-protection policies combined with transitional-justice safeguards and community-based pluralism initiatives. Together, these articles make the case that sustainable peace must be both psychosocial and political, anchoring mental health recovery in both material security and engaged inter-ethnic and inter-religious coexistence.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100509"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789990","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":"Group dynamics in the delivery of the Reflective Fostering Programme: managing ‘face-threat’ risks in a mentalization-based intervention for foster carers","authors":"Po Ruby ,&nbsp;Carys Seeley ,&nbsp;Thando Katangwe-Chigamba ,&nbsp;Adaku Anyiam-Osigwe ,&nbsp;Caroline Cresswell ,&nbsp;Karen Irvine ,&nbsp;Nick Midgley ,&nbsp;Jamie Murdoch","doi":"10.1016/j.ssmmh.2025.100523","DOIUrl":"10.1016/j.ssmmh.2025.100523","url":null,"abstract":"<div><div>Interventions aimed at enhancing the reflective capacity of parents and carers (their ability to think about their own and their child's mental states, and how these underpin behaviour) aim to improve the quality of the carer-child relationship and child wellbeing. Evaluating how implementation of such interventions for foster carers interacts with the wider context of social care is vital for understanding how intervention mechanisms function. The Reflective Fostering Programme (RFP) is a mentalization-based, psycho-educational intervention delivered across 10 sessions to groups of 5–10 foster carers. Video-recordings of sessions were collected between April 2020 and December 2023 in three sites taking part in a randomised controlled trial in the United Kingdom. Group size in our sample ranged from 5 to 8 people (18 in total). Most participants were foster carers (n = 16), with the remaining (n = 2) kinship or connected carers. In close alignment with the demographic characteristics of carers in the UK, the majority (n = 15) were female, and White British (n = 17). Drawing on Goffman's concept of ‘face threat’, we used conversation analysis to examine the enactment of reflective fostering mechanisms within sessions to explore how the wider children's social care system shaped implementation and mechanisms of change. The development of supportive and trusting group dynamics was critical for facilitating engagement and participation with RFP. However, a supportive dynamic was contingent on carers navigating ‘interactional dilemmas’ to manage face-threatening risks to their personal and professional reputations. Active engagement with RFP relied on successful mitigation of these face-threats. In doing so, an interactional space was afforded for carers to practise and develop their reflective capacity. These findings highlight how implementation of RFP and other group-based foster care interventions need to carefully consider pre-existing relationships, the distribution of power, and strategies for creating a space for carers to overcome potential face-threatening risks and share difficult experiences. Social care services can facilitate implementation by creating a supportive environment which acknowledges and validates carer stress and vulnerability.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100523"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157510","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}