Prolonged Grief Disorder: Psychometric Validation of Criteria Proposed for DSM-V and ICD-11
- Publication Date
- August 04, 2009
- Journal
- PLOS Medicine
- Authors
- Holly G. Prigerson, Mardi J. Horowitz, Selby C. Jacobs, Colin M. Parkes, et al
- Volume
- 6
- Issue
- 8
- Pages
- e1000121
- DOI
- https://dx.plos.org/10.1371/journal.pmed.1000121
- Publisher URL
- http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1000121
- PubMed
- http://www.ncbi.nlm.nih.gov/pubmed/19652695
- PubMed Central
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2711304
- Europe PMC
- http://europepmc.org/abstract/MED/19652695
- Web of Science
- 000269229800016
- Scopus
- 69349102731
- Mendeley
- http://www.mendeley.com/research/prolonged-grief-disorder-psychometric-validation-criteria-proposed-dsmv-icd11
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Mendeley | Further Information
{"title"=>"Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11", "type"=>"journal", "authors"=>[{"first_name"=>"Holly G.", "last_name"=>"Prigerson", "scopus_author_id"=>"7007048974"}, {"first_name"=>"Mardi J.", "last_name"=>"Horowitz", "scopus_author_id"=>"7401749803"}, {"first_name"=>"Selby C.", "last_name"=>"Jacobs", "scopus_author_id"=>"7402313140"}, {"first_name"=>"Colin M.", "last_name"=>"Parkes", "scopus_author_id"=>"24600606600"}, {"first_name"=>"Mihaela", "last_name"=>"Aslan", "scopus_author_id"=>"8539375200"}, {"first_name"=>"Karl", "last_name"=>"Goodkin", "scopus_author_id"=>"7006272284"}, {"first_name"=>"Beverley", "last_name"=>"Raphael", "scopus_author_id"=>"7101959431"}, {"first_name"=>"Samuel J.", "last_name"=>"Marwit", "scopus_author_id"=>"6701845242"}, {"first_name"=>"Camille", "last_name"=>"Wortman", "scopus_author_id"=>"57200883070"}, {"first_name"=>"Robert A.", "last_name"=>"Neimeyer", "scopus_author_id"=>"7005719430"}, {"first_name"=>"George", "last_name"=>"Bonanno", "scopus_author_id"=>"7101685888"}, {"first_name"=>"Susan D.", "last_name"=>"Block", "scopus_author_id"=>"7103367371"}, {"first_name"=>"David", "last_name"=>"Kissane", "scopus_author_id"=>"26642965500"}, {"first_name"=>"Paul", "last_name"=>"Boelen", "scopus_author_id"=>"6701799789"}, {"first_name"=>"Andreas", "last_name"=>"Maercker", "scopus_author_id"=>"56059359000"}, {"first_name"=>"Brett T.", "last_name"=>"Litz", "scopus_author_id"=>"7003650902"}, {"first_name"=>"Jeffrey G.", "last_name"=>"Johnson", "scopus_author_id"=>"7406817596"}, {"first_name"=>"Michael B.", "last_name"=>"First", "scopus_author_id"=>"7102648764"}, {"first_name"=>"Paul K.", "last_name"=>"Maciejewski", "scopus_author_id"=>"7005036727"}], "year"=>2009, "source"=>"PLoS Medicine", "identifiers"=>{"pui"=>"355173291", "arxiv"=>"arXiv:1011.1669v3", "issn"=>"15491277", "isbn"=>"10.1371/journal.pmed.1000121", "doi"=>"10.1371/journal.pmed.1000121", "scopus"=>"2-s2.0-69349102731", "pmid"=>"19652695", "sgr"=>"69349102731"}, "id"=>"19ec3061-0c79-3dab-b0ce-30e57803e9f0", "abstract"=>"BACKGROUND Bereavement is a universal experience, and its association with excess morbidity and mortality is well established. Nevertheless, grief becomes a serious health concern for a relative few. For such individuals, intense grief persists, is distressing and disabling, and may meet criteria as a distinct mental disorder. At present, grief is not recognized as a mental disorder in the DSM-IV or ICD-10. The goal of this study was to determine the psychometric validity of criteria for prolonged grief disorder (PGD) to enhance the detection and potential treatment of bereaved individuals at heightened risk of persistent distress and dysfunction. METHODS AND FINDINGS A total of 291 bereaved respondents were interviewed three times, grouped as 0-6, 6-12, and 12-24 mo post-loss. Item response theory (IRT) analyses derived the most informative, unbiased PGD symptoms. Combinatoric analyses identified the most sensitive and specific PGD algorithm that was then tested to evaluate its psychometric validity. Criteria require reactions to a significant loss that involve the experience of yearning (e.g., physical or emotional suffering as a result of the desired, but unfulfilled, reunion with the deceased) and at least five of the following nine symptoms experienced at least daily or to a disabling degree: feeling emotionally numb, stunned, or that life is meaningless; experiencing mistrust; bitterness over the loss; difficulty accepting the loss; identity confusion; avoidance of the reality of the loss; or difficulty moving on with life. Symptoms must be present at sufficiently high levels at least six mo from the death and be associated with functional impairment. CONCLUSIONS The criteria set for PGD appear able to identify bereaved persons at heightened risk for enduring distress and dysfunction. The results support the psychometric validity of the criteria for PGD that we propose for inclusion in DSM-V and ICD-11. Please see later in the article for Editors' Summary.", "link"=>"http://www.mendeley.com/research/prolonged-grief-disorder-psychometric-validation-criteria-proposed-dsmv-icd11", "reader_count"=>276, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>15, "Librarian"=>2, "Researcher"=>37, "Student > Doctoral Student"=>31, "Student > Ph. D. Student"=>57, "Student > Postgraduate"=>20, "Student > Master"=>45, "Other"=>12, "Student > Bachelor"=>37, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>3, "Professor"=>9}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>15, "Librarian"=>2, "Researcher"=>37, "Student > Doctoral Student"=>31, "Student > Ph. D. Student"=>57, "Student > Postgraduate"=>20, "Student > Master"=>45, "Other"=>12, "Student > Bachelor"=>37, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>3, "Professor"=>9}, "reader_count_by_subject_area"=>{"Unspecified"=>15, "Agricultural and Biological Sciences"=>6, "Philosophy"=>1, "Arts and Humanities"=>2, "Business, Management and Accounting"=>1, "Veterinary Science and Veterinary Medicine"=>1, "Engineering"=>1, "Nursing and Health Professions"=>9, "Medicine and Dentistry"=>48, "Neuroscience"=>1, "Physics and Astronomy"=>1, "Psychology"=>161, "Social Sciences"=>29}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>48}, "Social Sciences"=>{"Social Sciences"=>29}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>161}, "Unspecified"=>{"Unspecified"=>15}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Engineering"=>{"Engineering"=>1}, "Neuroscience"=>{"Neuroscience"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>6}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>9}, "Philosophy"=>{"Philosophy"=>1}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Turkey"=>1, "Belgium"=>1, "Hong Kong"=>1, "United States"=>10, "Japan"=>1, "Brazil"=>1, "Denmark"=>1, "Italy"=>1, "United Kingdom"=>2, "Australia"=>1, "Germany"=>1, "Spain"=>1}, "group_count"=>13}CrossRef
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Scopus | Further Information
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- {"referral"=>"http://www.psyciencia.com/9Vb0e", "language"=>"Spanish", "title"=>"La terapia de exposición podría ayudar a las personas que sufren del trastorno por duelo prolongado - Psyciencia", "type"=>"Discussion board", "publication"=>"David Aparicio", "published_on"=>"2014-11-06T00:00:00.000Z", "link_state"=>"APPROVED", "id"=>28814, "created"=>"2014-11-05T06:48:40.000Z", "crowdsourced"=>false, "article"=>{"id"=>9288, "doi"=>"10.1371/journal.pmed.1000121", "title"=>"Prolonged Grief Disorder: Psychometric Validation of Criteria Proposed for <italic>DSM-V</italic> and <italic>ICD-11</italic>", "published_on"=>"2009-08-04T00:00:00.000Z"}}
- {"referral"=>"http://www.usatoday.com/story/life/2017/01/15/grief-health-reynolds-fisher/96346436/", "language"=>"English", "title"=>"As Debbie Reynolds' death reminded us, grief can sicken and kill", "type"=>"Blog", "publication"=>"USA TODAY", "published_on"=>"", "link_state"=>"APPROVED", "id"=>62429, "created"=>"2017-01-18T07:44:04.000Z", "crowdsourced"=>false, "article"=>{"id"=>9288, "doi"=>"10.1371/journal.pmed.1000121", "title"=>"Prolonged Grief Disorder: Psychometric Validation of Criteria Proposed for <italic>DSM-V</italic> and <italic>ICD-11</italic>", "published_on"=>"2009-08-04T00:00:00.000Z"}}
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Journal Comments | Further Information
- {"type"=>"COMMENT", "annotationUri"=>"info:doi/10.1371/annotation/75cf11b9-2602-4eff-a298-543373021cf3", "title"=>"PGD: what???", "body"=>"Is it the modern times that say: okay, 6 months is long enough, grab yourself together and go on with your life?\r\nHow do you measure the loss, the pain when the love of your life dies after being together with him for 50 years? How can you say that being sad over his death for more than 6 months is a disease? My father died june 2005 and my mother is now ready to go out in the world again. But she has not been ill; it took her some time to realise that she has some more time to go and she can do activities without my father. It took me 3 years to recover, but I have a history of depressions and maybe that made me more vulnerable. I think that grieving is a very personal experience and for every single person different and not to catch in 6 months.", "isRemoved"=>false, "created"=>"2009-08-19T21:12:57Z", "lastModified"=>"2009-08-19T21:12:57Z", "creator"=>{"userId"=>"139575"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>false}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1000121", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>0, "mostRecentActivity"=>"2009-08-19T21:12:57Z", "replies"=>[]}
- {"type"=>"COMMENT", "annotationUri"=>"info:doi/10.1371/annotation/d2fe7196-c6d9-4d6a-814f-e175667675fb", "title"=>"why limit PGD?", "body"=>"Why should PGD be limited to just those who have lost someone through death? What about children who have been left behind by a parent, person whose significant other has left them, etc. These people also may be feeling extreme grief for extended periods of time. Inclusion of these populations may make your study stronger and allow for a wider population to attain diagnosis and treatment. Are there drugs to help with extreme grief? If not, should some be identified? Maybe drug identification would be included with the same efforts of PGD inclusion in the DSM-V and ICD-11 diagnosis guidelines (?). ", "isRemoved"=>false, "created"=>"2009-08-25T19:38:58Z", "lastModified"=>"2009-08-25T19:38:58Z", "creator"=>{"userId"=>"1017"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>false}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1000121", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>0, "mostRecentActivity"=>"2009-08-25T19:38:58Z", "replies"=>[]}
- {"id"=>"260828112705712128", "text"=>"@mhoove Dat je gedurende lange tijd helemaal niet kan functioneren. http://t.co/0T6x8xm3", "created_at"=>"2012-10-23T19:40:42Z", "user"=>"daanwesterink", "user_name"=>"Daan Westerink", "user_profile_image"=>"http://a0.twimg.com/profile_images/2539212551/rt38jc4vgo0bwyh5fzjz_normal.jpeg"}
- {"id"=>"489823829930160129", "text"=>"#PLOSMedicine: Prolonged Grief Disorder: Psychometric Validation of Criteria Proposed for DSM-V and ICD-11 http://t.co/HDqqTjFDsA", "created_at"=>"2014-07-17T17:27:56Z", "user"=>"cecilia_brando", "user_name"=>"Cecilia Brando", "user_profile_image"=>"http://pbs.twimg.com/profile_images/428069501402243072/1zr33wgq_normal.jpeg"}
- {"id"=>"525231126135463936", "text"=>"@olijrobinson Yep, DSMV -http://t.co/BYJWlReKFU", "created_at"=>"2014-10-23T10:23:53Z", "user"=>"NeuroKneel", "user_name"=>"Níall Lally", "user_profile_image"=>"http://pbs.twimg.com/profile_images/517743184823070720/GNWuSODP_normal.png"}
- {"id"=>"525231342737719296", "text"=>"@olijrobinson Yeah, you're right, DSM5 http://t.co/BYJWlReKFU", "created_at"=>"2014-10-23T10:24:45Z", "user"=>"NeuroKneel", "user_name"=>"Níall Lally", "user_profile_image"=>"http://pbs.twimg.com/profile_images/517743184823070720/GNWuSODP_normal.png"}
- {"id"=>"910002456993570816", "text"=>"#VCCC_Conf17 Key references from Prof Brian Kelly on complicated #grief https://t.co/HYheUIWLUf & https://t.co/GB0KUuXItn #bereavement", "created_at"=>"2017-09-19T04:47:47Z", "user"=>"Dr_Chi_Li", "user_name"=>"Chi Li", "user_profile_image"=>"http://pbs.twimg.com/profile_images/608090066372587521/n7_0RCbu_normal.png"}
- {"id"=>"910003086340407296", "text"=>"RT @Dr_Chi_Li: #VCCC_Conf17 Key references from Prof Brian Kelly on complicated #grief https://t.co/HYheUIWLUf & https://t.co/GB0KUuXItn #b…", "created_at"=>"2017-09-19T04:50:17Z", "user"=>"mchapmanonline", "user_name"=>"Michael Chapman", "user_profile_image"=>"http://pbs.twimg.com/profile_images/430874228632453120/E9N-YUHT_normal.jpeg"}
- {"id"=>"910004169825648641", "text"=>"RT @Dr_Chi_Li: #VCCC_Conf17 Key references from Prof Brian Kelly on complicated #grief https://t.co/HYheUIWLUf & https://t.co/GB0KUuXItn #b…", "created_at"=>"2017-09-19T04:54:35Z", "user"=>"ms_mbarrett", "user_name"=>"Michelle Barrett", "user_profile_image"=>"http://pbs.twimg.com/profile_images/709506325282033665/A70TFsjm_normal.jpg"}
- {"id"=>"913874858357829632", "text"=>"RT @Dr_Chi_Li: #VCCC_Conf17 Key references from Prof Brian Kelly on complicated #grief https://t.co/HYheUIWLUf & https://t.co/GB0KUuXItn #b…", "created_at"=>"2017-09-29T21:15:19Z", "user"=>"ANZSPMed", "user_name"=>"ANZSPM News Editor", "user_profile_image"=>"http://pbs.twimg.com/profile_images/608089540201349120/CzjPYsbH_normal.jpg"}
Wikipedia | Further Information
- {"title"=>"Prolonged grief disorder", "url"=>"http://en.wikipedia.org/wiki/Prolonged_grief_disorder", "timestamp"=>"2019-02-08T15:33:45Z"}
- {"title"=>"Grief", "url"=>"http://en.wikipedia.org/wiki/Grief", "timestamp"=>"2019-02-26T12:35:19Z"}
- {"title"=>"Anhaltende Trauerstörung", "url"=>"http://de.wikipedia.org/wiki/Anhaltende_Trauerstörung", "timestamp"=>"2019-01-23T13:54:02Z"}
- {"title"=>"File:Criteria for PGD proposed for DSM-V and ICD-11..jpg", "url"=>"http://commons.wikimedia.org/wiki/File:Criteria_for_PGD_proposed_for_DSM-V_and_ICD-11..jpg", "timestamp"=>"2016-11-25T11:30:08Z"}
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- {"month"=>"3", "year"=>"2012", "pdf_views"=>"110", "xml_views"=>"0", "html_views"=>"537"}
- {"month"=>"4", "year"=>"2012", "pdf_views"=>"79", "xml_views"=>"2", "html_views"=>"450"}
- {"month"=>"5", "year"=>"2012", "pdf_views"=>"73", "xml_views"=>"2", "html_views"=>"425"}
- {"month"=>"6", "year"=>"2012", "pdf_views"=>"53", "xml_views"=>"1", "html_views"=>"375"}
- {"month"=>"7", "year"=>"2012", "pdf_views"=>"68", "xml_views"=>"0", "html_views"=>"336"}
- {"month"=>"8", "year"=>"2012", "pdf_views"=>"50", "xml_views"=>"6", "html_views"=>"282"}
- {"month"=>"9", "year"=>"2012", "pdf_views"=>"71", "xml_views"=>"0", "html_views"=>"375"}
- {"month"=>"10", "year"=>"2012", "pdf_views"=>"76", "xml_views"=>"2", "html_views"=>"428"}
- {"month"=>"11", "year"=>"2012", "pdf_views"=>"76", "xml_views"=>"0", "html_views"=>"448"}
- {"month"=>"12", "year"=>"2012", "pdf_views"=>"58", "xml_views"=>"0", "html_views"=>"392"}
- {"month"=>"1", "year"=>"2013", "pdf_views"=>"35", "xml_views"=>"1", "html_views"=>"449"}
- {"month"=>"2", "year"=>"2013", "pdf_views"=>"38", "xml_views"=>"2", "html_views"=>"461"}
- {"month"=>"3", "year"=>"2013", "pdf_views"=>"56", "xml_views"=>"0", "html_views"=>"589"}
- {"month"=>"4", "year"=>"2013", "pdf_views"=>"63", "xml_views"=>"0", "html_views"=>"710"}
- {"month"=>"5", "year"=>"2013", "pdf_views"=>"51", "xml_views"=>"0", "html_views"=>"775"}
- {"month"=>"6", "year"=>"2013", "pdf_views"=>"36", "xml_views"=>"0", "html_views"=>"526"}
- {"month"=>"7", "year"=>"2013", "pdf_views"=>"45", "xml_views"=>"0", "html_views"=>"455"}
- {"month"=>"8", "year"=>"2013", "pdf_views"=>"52", "xml_views"=>"2", "html_views"=>"446"}
- {"month"=>"9", "year"=>"2013", "pdf_views"=>"46", "xml_views"=>"7", "html_views"=>"627"}
- {"month"=>"10", "year"=>"2013", "pdf_views"=>"63", "xml_views"=>"1", "html_views"=>"576"}
- {"month"=>"11", "year"=>"2013", "pdf_views"=>"77", "xml_views"=>"4", "html_views"=>"559"}
- {"month"=>"12", "year"=>"2013", "pdf_views"=>"52", "xml_views"=>"2", "html_views"=>"547"}
- {"month"=>"1", "year"=>"2014", "pdf_views"=>"38", "xml_views"=>"2", "html_views"=>"457"}
- {"month"=>"2", "year"=>"2014", "pdf_views"=>"42", "xml_views"=>"2", "html_views"=>"718"}
- {"month"=>"3", "year"=>"2014", "pdf_views"=>"50", "xml_views"=>"5", "html_views"=>"903"}
- {"month"=>"4", "year"=>"2014", "pdf_views"=>"57", "xml_views"=>"2", "html_views"=>"803"}
- {"month"=>"5", "year"=>"2014", "pdf_views"=>"56", "xml_views"=>"0", "html_views"=>"851"}
- {"month"=>"6", "year"=>"2014", "pdf_views"=>"41", "xml_views"=>"0", "html_views"=>"610"}
- {"month"=>"7", "year"=>"2014", "pdf_views"=>"42", "xml_views"=>"0", "html_views"=>"433"}
- {"month"=>"8", "year"=>"2014", "pdf_views"=>"46", "xml_views"=>"4", "html_views"=>"465"}
- {"month"=>"9", "year"=>"2014", "pdf_views"=>"49", "xml_views"=>"1", "html_views"=>"606"}
- {"month"=>"10", "year"=>"2014", "pdf_views"=>"70", "xml_views"=>"4", "html_views"=>"764"}
- {"month"=>"11", "year"=>"2014", "pdf_views"=>"59", "xml_views"=>"3", "html_views"=>"750"}
- {"month"=>"12", "year"=>"2014", "pdf_views"=>"44", "xml_views"=>"2", "html_views"=>"526"}
- {"month"=>"1", "year"=>"2015", "pdf_views"=>"33", "xml_views"=>"1", "html_views"=>"474"}
- {"month"=>"2", "year"=>"2015", "pdf_views"=>"33", "xml_views"=>"0", "html_views"=>"446"}
- {"month"=>"3", "year"=>"2015", "pdf_views"=>"58", "xml_views"=>"0", "html_views"=>"571"}
- {"month"=>"4", "year"=>"2015", "pdf_views"=>"58", "xml_views"=>"0", "html_views"=>"497"}
- {"month"=>"5", "year"=>"2015", "pdf_views"=>"44", "xml_views"=>"1", "html_views"=>"421"}
- {"month"=>"6", "year"=>"2015", "pdf_views"=>"39", "xml_views"=>"0", "html_views"=>"464"}
- {"month"=>"7", "year"=>"2015", "pdf_views"=>"37", "xml_views"=>"0", "html_views"=>"430"}
- {"month"=>"8", "year"=>"2015", "pdf_views"=>"37", "xml_views"=>"0", "html_views"=>"396"}
- {"month"=>"9", "year"=>"2015", "pdf_views"=>"41", "xml_views"=>"0", "html_views"=>"378"}
- {"month"=>"10", "year"=>"2015", "pdf_views"=>"49", "xml_views"=>"0", "html_views"=>"497"}
- {"month"=>"11", "year"=>"2015", "pdf_views"=>"41", "xml_views"=>"0", "html_views"=>"536"}
- {"month"=>"12", "year"=>"2015", "pdf_views"=>"55", "xml_views"=>"0", "html_views"=>"451"}
- {"month"=>"1", "year"=>"2016", "pdf_views"=>"34", "xml_views"=>"0", "html_views"=>"347"}
- {"month"=>"2", "year"=>"2016", "pdf_views"=>"41", "xml_views"=>"0", "html_views"=>"406"}
- {"month"=>"3", "year"=>"2016", "pdf_views"=>"52", "xml_views"=>"0", "html_views"=>"445"}
- {"month"=>"4", "year"=>"2016", "pdf_views"=>"51", "xml_views"=>"0", "html_views"=>"544"}
- {"month"=>"5", "year"=>"2016", "pdf_views"=>"31", "xml_views"=>"0", "html_views"=>"542"}
- {"month"=>"6", "year"=>"2016", "pdf_views"=>"42", "xml_views"=>"0", "html_views"=>"344"}
- {"month"=>"7", "year"=>"2016", "pdf_views"=>"49", "xml_views"=>"0", "html_views"=>"337"}
- {"month"=>"8", "year"=>"2016", "pdf_views"=>"38", "xml_views"=>"0", "html_views"=>"311"}
- {"month"=>"9", "year"=>"2016", "pdf_views"=>"52", "xml_views"=>"0", "html_views"=>"470"}
- {"month"=>"10", "year"=>"2016", "pdf_views"=>"59", "xml_views"=>"0", "html_views"=>"949"}
- {"month"=>"11", "year"=>"2016", "pdf_views"=>"28", "xml_views"=>"1", "html_views"=>"1017"}
- {"month"=>"12", "year"=>"2016", "pdf_views"=>"73", "xml_views"=>"2", "html_views"=>"1036"}
- {"month"=>"1", "year"=>"2017", "pdf_views"=>"65", "xml_views"=>"5", "html_views"=>"1246"}
- {"month"=>"2", "year"=>"2017", "pdf_views"=>"56", "xml_views"=>"5", "html_views"=>"1155"}
- {"month"=>"3", "year"=>"2017", "pdf_views"=>"91", "xml_views"=>"3", "html_views"=>"1175"}
- {"month"=>"4", "year"=>"2017", "pdf_views"=>"84", "xml_views"=>"4", "html_views"=>"996"}
- {"month"=>"5", "year"=>"2017", "pdf_views"=>"75", "xml_views"=>"4", "html_views"=>"826"}
- {"month"=>"6", "year"=>"2017", "pdf_views"=>"88", "xml_views"=>"2", "html_views"=>"615"}
- {"month"=>"7", "year"=>"2017", "pdf_views"=>"78", "xml_views"=>"4", "html_views"=>"610"}
- {"month"=>"8", "year"=>"2017", "pdf_views"=>"68", "xml_views"=>"7", "html_views"=>"593"}
- {"month"=>"9", "year"=>"2017", "pdf_views"=>"69", "xml_views"=>"0", "html_views"=>"825"}
- {"month"=>"10", "year"=>"2017", "pdf_views"=>"117", "xml_views"=>"4", "html_views"=>"890"}
- {"month"=>"11", "year"=>"2017", "pdf_views"=>"92", "xml_views"=>"3", "html_views"=>"832"}
- {"month"=>"12", "year"=>"2017", "pdf_views"=>"106", "xml_views"=>"2", "html_views"=>"792"}
- {"month"=>"1", "year"=>"2018", "pdf_views"=>"110", "xml_views"=>"2", "html_views"=>"601"}
- {"month"=>"2", "year"=>"2018", "pdf_views"=>"149", "xml_views"=>"1", "html_views"=>"368"}
- {"month"=>"3", "year"=>"2018", "pdf_views"=>"145", "xml_views"=>"7", "html_views"=>"430"}
- {"month"=>"4", "year"=>"2018", "pdf_views"=>"151", "xml_views"=>"0", "html_views"=>"491"}
- {"month"=>"5", "year"=>"2018", "pdf_views"=>"103", "xml_views"=>"2", "html_views"=>"464"}
- {"month"=>"6", "year"=>"2018", "pdf_views"=>"104", "xml_views"=>"5", "html_views"=>"383"}
- {"month"=>"7", "year"=>"2018", "pdf_views"=>"126", "xml_views"=>"7", "html_views"=>"350"}
- {"month"=>"8", "year"=>"2018", "pdf_views"=>"109", "xml_views"=>"9", "html_views"=>"344"}
- {"month"=>"9", "year"=>"2018", "pdf_views"=>"105", "xml_views"=>"3", "html_views"=>"342"}
- {"month"=>"10", "year"=>"2018", "pdf_views"=>"151", "xml_views"=>"2", "html_views"=>"435"}
- {"month"=>"11", "year"=>"2018", "pdf_views"=>"146", "xml_views"=>"8", "html_views"=>"501"}
- {"month"=>"12", "year"=>"2018", "pdf_views"=>"125", "xml_views"=>"3", "html_views"=>"416"}
- {"month"=>"1", "year"=>"2019", "pdf_views"=>"112", "xml_views"=>"6", "html_views"=>"364"}
- {"month"=>"2", "year"=>"2019", "pdf_views"=>"109", "xml_views"=>"1", "html_views"=>"348"}
- {"month"=>"3", "year"=>"2019", "pdf_views"=>"166", "xml_views"=>"4", "html_views"=>"482"}
- {"month"=>"4", "year"=>"2019", "pdf_views"=>"181", "xml_views"=>"2", "html_views"=>"509"}
- {"month"=>"5", "year"=>"2019", "pdf_views"=>"152", "xml_views"=>"4", "html_views"=>"445"}
- {"month"=>"6", "year"=>"2019", "pdf_views"=>"144", "xml_views"=>"4", "html_views"=>"354"}
- {"month"=>"7", "year"=>"2019", "pdf_views"=>"141", "xml_views"=>"3", "html_views"=>"292"}
- {"month"=>"8", "year"=>"2019", "pdf_views"=>"131", "xml_views"=>"0", "html_views"=>"263"}
- {"month"=>"9", "year"=>"2019", "pdf_views"=>"163", "xml_views"=>"2", "html_views"=>"370"}
- {"month"=>"10", "year"=>"2019", "pdf_views"=>"144", "xml_views"=>"1", "html_views"=>"340"}
- {"month"=>"11", "year"=>"2019", "pdf_views"=>"126", "xml_views"=>"2", "html_views"=>"368"}
- {"month"=>"12", "year"=>"2019", "pdf_views"=>"140", "xml_views"=>"5", "html_views"=>"399"}
- {"month"=>"1", "year"=>"2020", "pdf_views"=>"175", "xml_views"=>"4", "html_views"=>"314"}
- {"month"=>"2", "year"=>"2020", "pdf_views"=>"241", "xml_views"=>"0", "html_views"=>"164"}
- {"month"=>"3", "year"=>"2020", "pdf_views"=>"325", "xml_views"=>"2", "html_views"=>"199"}
- {"month"=>"4", "year"=>"2020", "pdf_views"=>"553", "xml_views"=>"1", "html_views"=>"246"}
- {"month"=>"5", "year"=>"2020", "pdf_views"=>"618", "xml_views"=>"0", "html_views"=>"261"}
- {"month"=>"6", "year"=>"2020", "pdf_views"=>"269", "xml_views"=>"0", "html_views"=>"260"}
- {"month"=>"7", "year"=>"2020", "pdf_views"=>"87", "xml_views"=>"23", "html_views"=>"390"}
- {"month"=>"8", "year"=>"2020", "pdf_views"=>"89", "xml_views"=>"7", "html_views"=>"349"}
- {"month"=>"9", "year"=>"2020", "pdf_views"=>"229", "xml_views"=>"4", "html_views"=>"364"}
- {"month"=>"10", "year"=>"2020", "pdf_views"=>"179", "xml_views"=>"12", "html_views"=>"434"}
- {"month"=>"11", "year"=>"2020", "pdf_views"=>"212", "xml_views"=>"6", "html_views"=>"463"}
- {"month"=>"12", "year"=>"2020", "pdf_views"=>"242", "xml_views"=>"11", "html_views"=>"338"}
- {"month"=>"1", "year"=>"2021", "pdf_views"=>"141", "xml_views"=>"6", "html_views"=>"323"}
- {"month"=>"2", "year"=>"2021", "pdf_views"=>"120", "xml_views"=>"4", "html_views"=>"329"}
- {"month"=>"3", "year"=>"2021", "pdf_views"=>"23", "xml_views"=>"0", "html_views"=>"58"}
PMC Usage Stats | Further Information
- {"scanned-page-browse"=>"0", "month"=>"1", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"55", "unique-ip"=>"55", "pdf"=>"17", "year"=>"2010", "figure"=>"1", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"2", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"98", "year"=>"2010", "pdf"=>"35", "unique-ip"=>"91", "figure"=>"4", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"3", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"104", "unique-ip"=>"98", "pdf"=>"36", "year"=>"2010", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"4", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"120", "year"=>"2010", "pdf"=>"35", "unique-ip"=>"103", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"5", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"81", "unique-ip"=>"82", "pdf"=>"51", "year"=>"2010", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"6", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"63", "year"=>"2010", "pdf"=>"25", "unique-ip"=>"61", "figure"=>"2", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"7", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"94", "unique-ip"=>"88", "pdf"=>"41", "year"=>"2010", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"8", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"86", "year"=>"2010", "pdf"=>"29", "unique-ip"=>"70", "figure"=>"4", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"9", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"90", "unique-ip"=>"81", "pdf"=>"71", "year"=>"2010", "figure"=>"2", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"10", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"124", "year"=>"2010", "pdf"=>"52", "unique-ip"=>"122", "figure"=>"4", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"11", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"139", "unique-ip"=>"118", "pdf"=>"24", "year"=>"2010", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"12", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"116", "year"=>"2010", "pdf"=>"46", "unique-ip"=>"98", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"1", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"89", "unique-ip"=>"83", "pdf"=>"32", "year"=>"2011", "figure"=>"5", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"2", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"116", "year"=>"2011", "pdf"=>"33", "unique-ip"=>"102", "figure"=>"2", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"3", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"156", "unique-ip"=>"139", "pdf"=>"49", "year"=>"2011", "figure"=>"13", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"4", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"189", "year"=>"2011", "pdf"=>"57", "unique-ip"=>"152", "figure"=>"7", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"5", "cited-by"=>"0", "abstract"=>"3", "full-text"=>"153", "unique-ip"=>"142", "pdf"=>"40", "year"=>"2011", "figure"=>"4", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"6", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"117", "year"=>"2011", "pdf"=>"43", "unique-ip"=>"103", "figure"=>"6", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"7", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"123", "unique-ip"=>"99", "pdf"=>"24", "year"=>"2011", "figure"=>"5", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"8", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"52", "year"=>"2011", "pdf"=>"23", "unique-ip"=>"56", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"9", "cited-by"=>"3", "abstract"=>"2", "full-text"=>"77", "unique-ip"=>"79", "pdf"=>"19", "year"=>"2011", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"10", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"86", "year"=>"2011", "pdf"=>"20", "unique-ip"=>"81", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"11", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"103", "unique-ip"=>"95", "pdf"=>"25", "year"=>"2011", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"12", "scanned-page-browse"=>"0", "cited-by"=>"1", "abstract"=>"5", "full-text"=>"69", "year"=>"2011", "pdf"=>"17", "unique-ip"=>"59", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"1", "scanned-page-browse"=>"0", "cited-by"=>"2", "abstract"=>"2", "full-text"=>"112", "year"=>"2012", "pdf"=>"25", "unique-ip"=>"97", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"2", "cited-by"=>"1", "abstract"=>"2", "full-text"=>"133", "unique-ip"=>"115", "pdf"=>"21", "year"=>"2012", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"3", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"7", "full-text"=>"113", "year"=>"2012", "pdf"=>"30", "unique-ip"=>"102", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"4", "cited-by"=>"1", "abstract"=>"6", "full-text"=>"127", "unique-ip"=>"117", "pdf"=>"21", "year"=>"2012", "figure"=>"1", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"5", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"6", "full-text"=>"95", "year"=>"2012", "pdf"=>"22", "unique-ip"=>"89", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"scanned-page-browse"=>"0", "month"=>"8", "cited-by"=>"0", "abstract"=>"5", "full-text"=>"92", "unique-ip"=>"95", "pdf"=>"49", "year"=>"2009", "figure"=>"13", "scanned-summary"=>"0", "supp-data"=>"0"}
- {"month"=>"9", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"9", "full-text"=>"99", "year"=>"2009", "pdf"=>"37", "unique-ip"=>"101", "figure"=>"10", "scanned-summary"=>"0", "supp-data"=>"0"}
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Relative Metric
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