{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:43:08Z","timestamp":1791229388286,"version":"4.1.0"},"reference-count":62,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Orthop Relat Res"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Fear avoidance can play a prominent role in maladaptive responses to an injury. In injured athletes, such pain-related fear or fear avoidance behavior may have a substantial influence on the recovery process. Specifically, it may explain why some are able to reach their preinjury abilities, whereas others are unable to return to sport.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Questions\/purposes<\/jats:title>\n            <jats:p>(1) Is fear avoidance in athletes associated with decreased physical function after injury? (2) To what degree is fear avoidance associated with athletes\u2019 pain intensity?<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>In a cross-sectional study, we recruited injured athletes\u2014defined as patients with sports-related injury, weekly engagement in sport activities, participation in competitive events as part of a team or club, self-identification as an athlete, and a desire to return to sport after recovery\u2014from an orthopaedic sports medicine center at a major urban university hospital. Of 130 approached patients, 102 (84% men; mean \u00b1 SD age 25 \u00b1 8.5 years) met the inclusion criteria. Participants completed a demographic questionnaire, the Athlete Fear Avoidance Questionnaire, which assesses injury-related fear and avoidance behavior specifically in an athletic population, the Pain Catastrophizing Scale, the Hospital Anxiety and Depression Scale, and two Patient-Reported Outcomes Measurement Information System measures: Physical Function Computerized Adaptive Testing (CAT) and Pain Intensity CAT.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>After controlling for age, injury region (upper versus lower extremity), catastrophic thinking, and emotional distress, we found that an increase in athletes\u2019 fear avoidance was associated with a decrease in physical function (b = -0.32; p = 0.002). The model explained 30% of the variation in physical function with 7.3% explained uniquely by fear avoidance. After controlling for initial appointment\/followup, surgery for the current condition, multiple pain conditions, history of prior sport-related injury\/surgery, pain medication prescription, catastrophic thinking, and emotional distress, athletes' fear avoidance was not associated with pain (b = -0.14; p = 0.249). The model explained 40% of the variation in pain intensity and pain catastrophizing (b = 0.30; p = 0.001) uniquely explained 7.1% of this variation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>In injured athletes, fear avoidance is independently associated with decreased physical function, whereas pain catastrophizing is associated with high pain intensity. Both level of an athlete\u2019s fear avoidance and catastrophic thinking about pain should be accounted for in clinical interventions aimed at helping athletes improve recovery and return to sport.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence<\/jats:title>\n            <jats:p>Level II, prognostic study.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11999.0000000000000085","type":"journal-article","created":{"date-parts":[[2018,4,27]],"date-time":"2018-04-27T16:07:25Z","timestamp":1524845245000},"page":"754-763","source":"Crossref","is-referenced-by-count":85,"title":["What Is the Relationship of Fear Avoidance to Physical Function and Pain Intensity in Injured Athletes?"],"prefix":"10.1097","volume":"476","author":[{"given":"Stefan F.","family":"Fischerauer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mojtaba","family":"Talaei-Khoei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rens","family":"Bexkens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Ring","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke S.","family":"Oh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana-Maria","family":"Vranceanu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,2,16]]},"reference":[{"key":"R1-20230814","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00005768-200102000-00008","article-title":"Muscle function in 164 men and women aged 20-84 yr","volume":"33","author":"Akima","year":"2001","journal-title":"Med Sci Sports Exerc."},{"key":"R2-20230814","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1123\/jsep.31.1.60","article-title":"Measuring postinjury depression among male and female competitive athletes","volume":"31","author":"Appaneal","year":"2009","journal-title":"J Sport Exerc Psychol."},{"key":"R3-20230814","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1136\/bjsports-2014-093842","article-title":"The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction","volume":"48","author":"Ardern","year":"2014","journal-title":"Br J Sports Med."},{"key":"R4-20230814","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1136\/bjsports-2012-091203","article-title":"A systematic review of the psychological factors associated with returning to sport following injury","volume":"47","author":"Ardern","year":"2013","journal-title":"Br J Sports Med."},{"key":"R5-20230814","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1177\/0363546513489284","article-title":"Psychological responses matter in returning to preinjury level of sport after anterior cruciate ligament reconstruction surgery","volume":"41","author":"Ardern","year":"2013","journal-title":"Am J Sports Med."},{"key":"R6-20230814","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1080\/02701367.2001.10608974","article-title":"Social support and recovery from sport injury: elite skiers share their experiences","volume":"72","author":"Bianco","year":"2001","journal-title":"Res Q Exerc Sport."},{"issue":"Suppl 2","key":"R7-20230814","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1111\/j.1600-0838.2010.01188.x","article-title":"Psychological skills training as a way to enhance an athlete's performance in high-intensity sports","volume":"20","author":"Birrer","year":"2010","journal-title":"Scand J Med Sci Sports."},{"key":"R8-20230814","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s12671-012-0109-2","article-title":"Mindfulness to enhance athletic performance: theoretical considerations and possible impact mechanisms","volume":"3","author":"Birrer","year":"2012","journal-title":"Mindfulness."},{"key":"R9-20230814","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.psychsport.2009.09.005","article-title":"Self-protective changes in athletic identity following anterior cruciate ligament reconstruction","volume":"11","author":"Brewer","year":"2010","journal-title":"Psychol Sport Exerc."},{"key":"R10-20230814","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1080\/08870440008400307","article-title":"Attributions for recovery and adherence to rehabilitation following anterior cruciate ligament reconstruction: a prospective analysis","volume":"15","author":"Brewer","year":"2000","journal-title":"Psychol Health."},{"key":"R11-20230814","first-page":"492","article-title":"Psychiatric and functional evaluation of professional athletes following anterior cruciate ligament reconstruction","volume":"49","author":"Celebi","year":"2015","journal-title":"Acta Orthop Traumatol Turc."},{"key":"R12-20230814","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1097\/01.mlr.0000258615.42478.55","article-title":"The Patient-Reported Outcomes Measurement Information System (PROMIS): progress of an NIH Roadmap cooperative group during its first two years","volume":"45","author":"Cella","year":"2007","journal-title":"Med Care."},{"key":"R13-20230814","first-page":"10","article-title":"CDC grand rounds: prescription drug overdoses\u2013a US epidemic","volume":"61","year":"2012","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"R14-20230814","first-page":"1426","article-title":"Improving patient reported outcomes using item response theory and computerized adaptive testing","volume":"34","author":"Chakravarty","year":"2007","journal-title":"J Rheumatol."},{"key":"R15-20230814","doi-asserted-by":"crossref","first-page":"746","DOI":"10.2519\/jospt.2008.2887","article-title":"The association of pain and fear of movement\/reinjury with function during anterior cruciate ligament reconstruction rehabilitation","volume":"38","author":"Chmielewski","year":"2008","journal-title":"J Orthop Sport Phys Ther."},{"key":"R16-20230814","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.2522\/ptj.20100277","article-title":"Longitudinal changes in psychosocial factors and their association with knee pain and function after anterior cruciate ligament reconstruction","volume":"91","author":"Chmielewski","year":"2011","journal-title":"Phys Ther."},{"key":"R17-20230814","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1007\/s00520-009-0606-6","article-title":"Is my patient suffering clinically significant emotional distress? Demonstration of a probabilities approach to evaluating algorithms for screening for distress","volume":"17","author":"Clover","year":"2009","journal-title":"Support Care Cancer."},{"key":"R18-20230814","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"power primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol Bull."},{"key":"R19-20230814","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1097\/AJP.0b013e3182385392","article-title":"Fear-avoidance model of chronic pain: the next generation","volume":"28","author":"Crombez","year":"2012","journal-title":"Clin J Pain."},{"key":"R20-20230814","doi-asserted-by":"crossref","first-page":"634","DOI":"10.4085\/1062-6050-49.3.75","article-title":"Development and validation of the Athlete Fear Avoidance Questionnaire","volume":"50","author":"Dover","year":"2015","journal-title":"J Athl Train."},{"key":"R21-20230814","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1111\/j.1440-1681.2007.04752.x","article-title":"Age-related changes in the structure and function of skeletal muscles","volume":"34","author":"Faulkner","year":"2007","journal-title":"Clin Exp Pharmacol Physiol."},{"key":"R22-20230814","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.3899\/jrheum.110402","article-title":"The PROMIS of better outcome assessment: responsiveness, floor and ceiling effects, and Internet administration","volume":"38","author":"Fries","year":"2011","journal-title":"J Rheumatol."},{"key":"R23-20230814","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.3899\/jrheum.090358","article-title":"Progress in assessing physical function in arthritis: PROMIS short forms and computerized adaptive testing","volume":"36","author":"Fries","year":"2009","journal-title":"J Rheumatol."},{"key":"R24-20230814","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1037\/a0030220","article-title":"Mindfulness and acceptance models in sport psychology: a decade of basic and applied scientific advancements","volume":"53","author":"Gardner","year":"2012","journal-title":"Canadian Psychology."},{"key":"R25-20230814","first-page":"304","article-title":"The use of PROMIS and Assessment Center to deliver patient-reported outcome measures in clinical research","volume":"11","author":"Gershon","year":"2010","journal-title":"J Appl Measure."},{"key":"R26-20230814","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/JSM.0b013e318287b870","article-title":"The prevalence of failure-based depression among elite athletes","volume":"23","author":"Hammond","year":"2013","journal-title":"Clin J Sport Med."},{"key":"R27-20230814","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1002\/jor.21308","article-title":"Evaluation of the PROMIS physical function item bank in orthopaedic patients","volume":"29","author":"Hung","year":"2011","journal-title":"J Orthop Res."},{"key":"R28-20230814","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0959-8049(05)80015-2","article-title":"Screening for anxiety and depression in cancer patients: the effects of disease and treatment","volume":"30a","author":"Ibbotson","year":"1994","journal-title":"Eur J Cancer."},{"key":"R29-20230814","doi-asserted-by":"crossref","first-page":"e3945","DOI":"10.1097\/MD.0000000000003945","article-title":"Ten weeks of physical-cognitive-mindfulness training reduces fear-avoidance beliefs about work-related activity: randomized controlled trial","volume":"95","author":"Jay","year":"2016","journal-title":"Medicine."},{"key":"R30-20230814","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1007\/s00167-004-0591-8","article-title":"Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction","volume":"13","author":"Kvist","year":"2005","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"R31-20230814","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1080\/02701367.1994.10607639","article-title":"Psychological consequences of athletic injury among high-level competitors","volume":"65","author":"Leddy","year":"1994","journal-title":"Res Q Exerc Sport."},{"key":"R32-20230814","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s10865-006-9085-0","article-title":"The fear-avoidance model of musculoskeletal pain: current state of scientific evidence","volume":"30","author":"Leeuw","year":"2007","journal-title":"J Behav Med."},{"key":"R33-20230814","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/0005-7967(83)90009-8","article-title":"Outline of a Fear-Avoidance Model of exaggerated pain perception\u2013I","volume":"21","author":"Lethem","year":"1983","journal-title":"Behav Res Ther."},{"key":"R34-20230814","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1016\/j.jclinepi.2009.11.021","article-title":"Representativeness of the Patient-Reported Outcomes Measurement Information System Internet panel","volume":"63","author":"Liu","year":"2010","journal-title":"J Clin Epidemiol."},{"key":"R35-20230814","doi-asserted-by":"crossref","first-page":"727","DOI":"10.4085\/1062-6050-51.11.06","article-title":"Patient-Reported Outcomes Measurement Information System Physical Function Item Bank, Version 1.0: Physical Function Assessment for Athletic Patient Populations","volume":"51","author":"Madsen","year":"2016","journal-title":"J Athl Train."},{"key":"R36-20230814","doi-asserted-by":"crossref","first-page":"2523","DOI":"10.1177\/0363546512456836","article-title":"Return to high school and college level football following ACL reconstruction: a MOON cohort study","volume":"40","author":"McCullough","year":"2012","journal-title":"Am J Sports Med."},{"key":"R37-20230814","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/00042752-199904000-00004","article-title":"A longitudinal examination of athletes' emotional and cognitive responses to anterior cruciate ligament injury","volume":"9","author":"Morrey","year":"1999","journal-title":"Clin J Sport Med."},{"key":"R38-20230814","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1192\/bjp.179.6.540","article-title":"Hospital Anxiety and Depression (HAD) scale: factor structure, item analyses and internal consistency in a large population","volume":"179","author":"Mykletun","year":"2001","journal-title":"Br J Psychiatry."},{"key":"R39-20230814","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jsr.2014.09.001","article-title":"Variation among states in prescribing of opioid pain relievers and benzodiazepines\u2013United States, 2012","volume":"51","author":"Paulozzi","year":"2014","journal-title":"J Safety Res."},{"key":"R40-20230814","doi-asserted-by":"crossref","first-page":"604","DOI":"10.2340\/16501977-0372","article-title":"Predictors of pain and function outcome after rehabilitation in patients with patellofemoral pain syndrome","volume":"41","author":"Piva","year":"2009","journal-title":"J Rehabil Med."},{"key":"R41-20230814","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ptsp.2010.07.005","article-title":"A review of return to sport concerns following injury rehabilitation: practitioner strategies for enhancing recovery outcomes","volume":"12","author":"Podlog","year":"2011","journal-title":"Phys Ther Sport."},{"key":"R42-20230814","first-page":"178","article-title":"Injured athletes: a study of emotional responses","volume":"94","author":"Quackenbush","year":"1994","journal-title":"J Sport Behav."},{"key":"R43-20230814","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s10195-010-0118-7","article-title":"The relationship between functional levels and fear-avoidance beliefs following anterior cruciate ligament reconstruction","volume":"11","author":"Ross","year":"2010","journal-title":"J Orthop Traumatol."},{"key":"R44-20230814","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.15585\/mmwr.mm655051e1","article-title":"Increases in drug and opioid-involved overdose deaths\u2014United States, 2010-2015","volume":"65","author":"Rudd","year":"2016","journal-title":"MMWRMorb Mortal Wkly Rep."},{"key":"R45-20230814","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/00002508-200106000-00009","article-title":"Pain catastrophizing predicts pain intensity, disability, and psychological distress independent of the level of physical impairment","volume":"17","author":"Severeijns","year":"2001","journal-title":"Clin J Pain."},{"key":"R46-20230814","doi-asserted-by":"crossref","first-page":"391","DOI":"10.2165\/00007256-199622060-00006","article-title":"Psychological impact of injuries in athletes","volume":"22","author":"Smith","year":"1996","journal-title":"Sports Med."},{"key":"R47-20230814","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/S0025-6196(12)62108-9","article-title":"Emotional responses of athletes to injury","volume":"65","author":"Smith","year":"1990","journal-title":"Mayo Clin Proc."},{"key":"R48-20230814","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/S0025-6196(12)62265-4","article-title":"Competitive athletes: preinjury and postinjury mood state and self-esteem","volume":"68","author":"Smith","year":"1993","journal-title":"Mayo Clin Proc."},{"key":"R49-20230814","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/S0304-3959(98)00097-9","article-title":"Catastrophizing, pain, and disability in patients with soft-tissue injuries","volume":"77","author":"Sullivan","year":"1998","journal-title":"Pain."},{"key":"R50-20230814","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1037\/1040-3590.7.4.524","article-title":"The Pain Catastrophizing Scale: development and validation","volume":"7","author":"Sullivan","year":"1995","journal-title":"Psychol Assess."},{"key":"R51-20230814","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/10413200008404220","article-title":"Catastrophizing and pain perception in sport participants","volume":"12","author":"Sullivan","year":"2000","journal-title":"J Appl Sport Psychol."},{"key":"R52-20230814","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-198509000-00007","article-title":"Rating systems in the evaluation of knee ligament injuries","volume":"198","author":"Tegner","year":"1985","journal-title":"Clin Orthop Relat Res."},{"key":"R53-20230814","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1037\/0090-5550.52.1.74","article-title":"Fear of reinjury, negative affect and catastrophizing predicting return to sport in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery","volume":"5","author":"Tripp","year":"2007","journal-title":"Rehabil Psychol."},{"key":"R54-20230814","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/S1469-0292(03)00022-0","article-title":"The subjective pain experience of athletes following anterior cruciate ligament surgery","volume":"5","author":"Tripp","year":"2004","journal-title":"Psychol Sport Exerc."},{"key":"R55-20230814","first-page":"154","article-title":"Comparing postoperative pain experiences of the adolescent and adult athlete after anterior cruciate ligament surgery","volume":"38","author":"Tripp","year":"2003","journal-title":"J Athl Train"},{"key":"R56-20230814","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1002\/1529-0131(199907)42:7<1361::AID-ANR9>3.0.CO;2-9","article-title":"Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a systematic review of randomized clinical trials","volume":"42","author":"van Baar","year":"1999","journal-title":"Arthritis Rheum."},{"key":"R57-20230814","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/0304-3959(94)00279-N","article-title":"Fear of movement\/(re)injury in chronic low back pain and its relation to behavioral performance","volume":"62","author":"Vlaeyen","year":"1995","journal-title":"Pain."},{"key":"R58-20230814","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/S0304-3959(99)00242-0","article-title":"Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art","volume":"85","author":"Vlaeyen","year":"2000","journal-title":"Pain."},{"key":"R59-20230814","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/0304-3959(93)90127-B","article-title":"A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability","volume":"52","author":"Waddell","year":"1993","journal-title":"Pain."},{"key":"R60-20230814","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.jad.2008.06.007","article-title":"Validity of the Hospital Anxiety and Depression Scale to assess depression and anxiety following traumatic brain injury as compared with the Structured Clinical Interview for DSM-IV","volume":"114","author":"Whelan-Goodinson","year":"2009","journal-title":"J Affect Disord."},{"key":"R61-20230814","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/JSM.0b013e31815aed6b","article-title":"Prevalence of and risk factors associated with symptoms of depression in competitive collegiate student athletes","volume":"17","author":"Yang","year":"2007","journal-title":"Clin J Sport Med."},{"key":"R62-20230814","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The Hospital Anxiety and Depression Scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psych Scand."}],"container-title":["Clinical Orthopaedics &amp; Related Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00003086-201804000-00023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T05:39:50Z","timestamp":1691991590000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00003086-201804000-00023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,16]]},"references-count":62,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1007\/s11999.0000000000000085","relation":{},"ISSN":["0009-921X"],"issn-type":[{"value":"0009-921X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,16]]}}}