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The moderating effect of the dispositional resilience on the relationship between Post-traumatic Stress Disorder and the professional quality of life of the military returning from the peacekeeping operations 性格弹性在维和归来军人创伤后应激障碍与职业生活质量关系中的调节作用
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2560
Silvia Platania, Sabrina Castellano, M. Petralia, Fabio Digrandi, M. Coco, Mariano Pizzo, S. Nuovo
Recent studies have highlighted the increased risk of exposure to PTSD among military personnel who are faced with extreme stressor events, the stress related to the peacekeeping mission, indicates that even peacekeepers could be at risk of developing PTSD independently of war attacks or wounds.  The resilience’s construct has a strong theoretical background, and in a pragmatic way has been shown to be a significant stress resistance resource in multiple groups, like those involved in military and security operations. The aim of this study was to examine the impact of resilience on the relationship between post-traumatic stress disorder (measured through the Davidson trauma scale) and professional quality of life. Our sample included 399 (138 females, 261 males) military who carried out peacekeeping operations between 2017 and 2019. In order to test the moderation hypothesis, a hierarchical regression analysis was performed, and a three-step regression model was carried out. The results that emerged in our study reveal that the moderating effect of resilience is evident in all the effects of on the professional quality of life.
最近的研究强调,在面临极端压力源事件的军事人员中,接触创伤后应激障碍的风险增加,与维和任务有关的压力表明,即使是维和人员也可能独立于战争袭击或创伤而有患创伤后应激症的风险。韧性的构建有着强大的理论背景,并且以一种务实的方式被证明是多个群体的重要抗压资源,比如那些参与军事和安全行动的群体。本研究的目的是检验恢复力对创伤后应激障碍(通过戴维森创伤量表测量)和职业生活质量之间关系的影响。我们的样本包括2017年至2019年间执行维和行动的399名军人(138名女性,261名男性)。为了检验适度假设,进行了层次回归分析,并建立了三步回归模型。我们的研究结果表明,韧性的调节作用在对职业生活质量的所有影响中都很明显。
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引用次数: 5
Validation of the Italian version of the Injection Phobia Scale - Anxiety and application to blood donors 意大利版注射恐惧症量表的验证-焦虑及其在献血者中的应用
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2600
Marco Bani, A. Pepe, F. Zorzi, S. Ardenghi, G. Rampoldi, M. Strepparava
Anxiety related to medical procedures is pervasive, in particular for those involving needles and blood, such as injections and blood donations. Therefore, assessment and detection of anxiety before and during these procedures is critical for developing timely interventions for the at-risk population, and thereby increasing the panel of potential blood donors. The Injection Phobia Scale-Anxiety (IPS-Anx) was an 18 item questionnaire for estimating anxiety related to blood and needles; however, it had never been used among blood donors. The measures were translated and tested during a pre-pilot phase (Study 1). During Study 2 (n = 344) and 3 (n = 370), the model of measurement of IPS-IT-Anx was evaluated by exploratory factor analysis and confirmatory factor analysis. Test-retest stability, convergent validity, and reliability of measures were assessed during Study 4 (n = 243). Finally, the scores from participants in the different studies were pooled (Study 5; n = 957) in order to test whether the factor structure showed multigroup invariance, and to evaluate whether IPS-IT-Anx scores were associated with blood donation. The overall results of the statistical analysis supported a 12-item measurement model comprising the two original dimensions, distal and contact fear, of the IPS-IT-Anx. The findings of the study supported IPS-IT-Anx, suggesting it had excellent psychometric properties and was suitability for each clinical research uses focused on the assessment of blood-injection anxiety.
与医疗程序有关的焦虑普遍存在,特别是那些涉及针头和血液的手术,如注射和献血。因此,在这些程序之前和过程中评估和检测焦虑对于为高危人群制定及时的干预措施至关重要,从而增加潜在献血者的人数。注射恐惧症焦虑量表(IPS-Anx)是一份包含18个项目的问卷,用于评估与血液和针头相关的焦虑;然而,它从未在献血者中使用过。在预试验阶段(研究1)对测量结果进行翻译和测试。在研究2 (n = 344)和3 (n = 370)期间,通过探索性因子分析和验证性因子分析评估IPS-IT-Anx的测量模型。在研究4 (n = 243)中评估了测试重测的稳定性、收敛效度和信度。最后,将不同研究参与者的得分汇总(研究5;n = 957)检验因子结构是否呈现多组不变性,评价IPS-IT-Anx评分是否与献血相关。统计分析的总体结果支持由IPS-IT-Anx的远端恐惧和接触恐惧两个原始维度组成的12项测量模型。该研究的结果支持IPS-IT-Anx,表明它具有出色的心理测量特性,适合于专注于评估血液注射焦虑的每个临床研究用途。
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引用次数: 0
Career Orientation: a qualitative study of the best practices in the Swiss context 职业定位:瑞士最佳实践的定性研究
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2552
A. Parola, J. Marcionetti
The latest economic crisis, globalization, and fast-changing of post-industrial society have severely impacted educational transitions. This 21 st century world of work complexity is considered a risk factor for adolescents and young adults. Due to this scenario, the theory and practice of career counseling have undergone profound changes. This research proposes qualitative interviews with five Swiss leading and experienced counselors and work professionals aiming to study career counseling models and career orientation best practices. The study uses the consensual qualitative research (CQR) methodology, recently used in qualitative research on counseling interventions in different contexts. From the analysis, four domains emerge: Tacking care of the client, Distress, Collaboration, and Future need . The results highlight the importance of supporting young people in career construction already from primary school, intervening within education systems, and involving them. Starting from findings of qualitative interviews, implications regarding the counseling model and research, and future directions are discussed.
最近的经济危机、全球化和后工业社会的快速变化严重影响了教育转型。21世纪的世界,工作的复杂性被认为是青少年和年轻人的危险因素。在这种情况下,职业咨询的理论和实践都发生了深刻的变化。本研究通过对5位瑞士资深咨询师和职场专业人士进行定性访谈,旨在研究职业咨询模式和职业导向最佳实践。该研究采用了共识定性研究(CQR)方法,该方法最近被用于不同背景下的咨询干预定性研究。从分析中,出现了四个领域:关注客户、困扰、协作和未来需求。研究结果强调了从小学开始就支持年轻人进行职业建设、干预教育系统并让他们参与的重要性。从质性访谈的结果出发,讨论了对咨询模式和研究的启示,以及未来的发展方向。
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引用次数: 5
Psychosocial Factors and Clinical Predictors of Suicide Risk in College Students 大学生自杀风险的心理社会因素及临床预测因素
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2602
A. Gómez
Suicidal behavior in youth is a multi-causal phenomenon and a global public health problem. Studies to identify risk factors have increased in recent decades, however, studies rarely examine the combined and mediating effect of multiple psychosocial and clinical factors in predicting suicidal risk in college students. This study aims to analyze the psychosocial risk factors and clinical predictors associated directly and indirectly with suicide risk in Colombian university students. 786 students between the ages of 16 and 30 (M=22.34 years; SD=4.7) from the Luis Amigo Catholic University (Colombia) participated. 72% were women and 28% men. An ad hoc socio-demographic card was used with information about the history of attempted suicide (SAS), mental disorder (HMI) and family suicide attempts (SAF). Plutchik's Suicide Risk Scale (SR), Hopelessness Scale (BHS), Beck's Anxiety Scale (BAI) and Depression Scale (BDI) and Barratt's Impulsivity Scale (BIS) were used. It was found that 22% of the college students were at risk of suicide and 9.7% had attempted suicide in the past year. Significant (p<0.01) and positive correlations were found between SR, SAS, HMI, SAF, BHS, BAI, BDI and BIS. Binary regression analysis showed that depression (OR=1.2) anxiety (OR=1), impulsivity (OR=1.1), suicide attempts (OR=70), mental disorder and family suicide attempts (OR=2.0; OR=3.8) explained between 45% and 68% of the suicide risk variance. The structural equation model showed that impulsivity and suicide attempt are mediating variables for suicide risk. The totality of independent variables explained 65% of suicidal risk. These findings will help to orient the design of clinical strategies for the detection, prevention and intervention of suicidal risk in university contexts.
青少年自杀行为是一个多原因现象,也是一个全球性的公共卫生问题。近几十年来,确定自杀风险因素的研究有所增加,然而,研究很少检查多种心理社会和临床因素在预测大学生自杀风险中的联合和中介作用。本研究旨在分析与哥伦比亚大学生自杀风险直接或间接相关的心理社会风险因素和临床预测因素。16 ~ 30岁学生786名(M=22.34岁;来自Luis Amigo天主教大学(哥伦比亚)的研究人员SD=4.7。其中女性占72%,男性占28%。使用一张特设的社会人口统计卡片,其中包含有关企图自杀(SAS)、精神障碍(HMI)和家庭自杀企图(SAF)的信息。采用Plutchik自杀风险量表(SR)、绝望量表(BHS)、Beck焦虑量表(BAI)、抑郁量表(BDI)和Barratt冲动性量表(BIS)。调查发现,22%的大学生有自杀倾向,9.7%的大学生在过去一年中曾试图自杀。SR、SAS、HMI、SAF、BHS、BAI、BDI与BIS呈显著正相关(p<0.01)。二元回归分析显示,抑郁(OR=1.2)、焦虑(OR=1)、冲动(OR=1.1)、自杀企图(OR=70)、精神障碍和家庭自杀企图(OR=2.0;OR=3.8)解释了45%到68%的自杀风险差异。结构方程模型表明,冲动性和自杀企图是自杀风险的中介变量。自变量的总和解释了65%的自杀风险。这些发现将有助于指导临床策略的设计,以检测、预防和干预大学背景下的自杀风险。
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引用次数: 7
Time of Wisdom and time for Wisdom. The role of time perspective on wisdom in old age 智慧的时间和智慧的时间。时间观对老年智慧的作用
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2598
Manuela Zambianchi
Introduction: Wisdom was defined as a deep knowledge about the most relevant questions of life. Other theoretical perspectives maintain that wisdom is related also to the development of post-formal dialectical thinking and to the ability in managing the uncertainty of the future. Several studies have shown that wisdom is related to high level of psychological well-being in old age. This study explored the relationships between wisdom and time perspective in the third and fourth age, after controlling for age, gender and level of education as structural variables. Method: 155 subjects (m. age: 68.69; 67% females and 33% males) filled in the WITHAQ questionnaire (Moraitou & Efklides, 2013) and the S-ZTPI questionnaire (Carelli et al., 2011). Results: Positive correlations emerged between wisdom as post-formal thinking and future positive, negative correlation with present fatalistic. Wisdom as pragmatics of life is positively correlated with past positive and future positive, while wisdom as awareness of future uncertainty show positive correlations with past negative and past positive, future negative and future positive. Three hierarchical regression model that posited each of them a dimension of wisdom as dependent variable highlights time perspective as significant, positive contributor to them. Conclusions: The study highlights the relevance of time perspective for wisdom, opening new interesting paths of both research and interventions aimed at a better comprehension of the mechanisms that link the cognitive and affective relation with time in old age with the unfolding of wisdom in its specific dimensions and at translating these results into concrete therapeutic interventions.
引言:智慧被定义为对生活中最相关问题的深入了解。其他理论观点认为,智慧也与后形式辩证思维的发展和管理未来不确定性的能力有关。几项研究表明,智慧与老年人的高水平心理健康有关。本研究在控制了年龄、性别和教育水平作为结构变量后,探讨了第三和第四年龄段智慧与时间观之间的关系。方法:155名受试者(男性:68.69;67%为女性,33%为男性)填写WITHAQ问卷(Moraitou&Efklides,2013)和S-ZTPI问卷(Carelli等人,2011)。结果:后形式思维的智慧与未来呈正相关,与现在宿命论呈负相关。作为生活语用学的智慧与过去的积极性和未来的积极性呈正相关,而作为对未来不确定性的意识的智慧则与过去的消极性和过去的积极、未来的消极和未来的正面呈正相关。三个层次回归模型假设他们每个人都有一个智慧维度作为因变量,强调时间视角是他们的重要积极贡献者。结论:该研究强调了时间视角与智慧的相关性,为研究和干预开辟了新的有趣途径,旨在更好地理解老年人与时间的认知和情感关系与智慧在特定维度上的发展之间的联系机制,并将这些结果转化为具体的治疗干预措施。
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引用次数: 0
Boredom, alexithymia, and desire thinking in eating disorders: a cross-sectional study 饮食失调中的无聊、述情障碍和欲望思维:一项横断面研究
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2529
G. Craparo, Oriana Gagliano, Giulia Costanzo, V. Rosa, A. Gori, L. Mendolicchio
Background: Eating disorders (ED) can be considered in terms of affective disorders. In this perspective, abnormal eating behaviors would be dysfunctional defensive behaviors related to difficulties to recognize and modulate traumatic emotional experiences. The aim of this study is to explore the associations between alexithymia, boredom, impulsiveness, and desire thinking in subjects with eating disorders. Methods: 45 patients with ED and 45 healthy controls completed the following questionnaires: Toronto Alexithymia Scale, Barratt Impulsiveness Scale, Multidimensional State Boredom Scale, Desire Thinking Questionnaire, Body Uneasiness Test and Somatoform Dissociation Questionnaire. Results: Our results seem to confirm that alexithymia, boredom, impulsivity, and desire thinking are strictly related in ED. In particular, difficulties in identifying feelings contribute to determine boredom experiences which, in turn, contribute significantly to structure body image disorders. Conclusions: This study adds new insights into the associations between alexithymia, boredom, impulsiveness, and desire thinking in subjects with eating disorders. Future areas of investigation could better explore the role of boredom experiences in structuring body image dissatisfaction and its relationship with alexithymia.
背景:进食障碍(ED)可以从情感障碍的角度来考虑。从这个角度来看,异常饮食行为将是与难以识别和调节创伤情绪体验有关的功能失调的防御行为。本研究的目的是探讨饮食障碍患者的述情障碍、无聊、冲动和欲望思维之间的关系。方法:采用多伦多述情障碍量表、Barratt冲动量表、多维状态无聊量表、欲望思维量表、躯体不安量表和躯体形式解离量表对45例ED患者和45名健康对照者进行问卷调查。结果:我们的研究结果似乎证实了述情障碍、无聊、冲动和欲望思维在ED中是严格相关的。特别是,识别感觉的困难有助于确定无聊体验,而无聊体验反过来又会显著导致结构-身体形象障碍。结论:这项研究为饮食障碍患者的述情障碍、无聊、冲动和欲望思维之间的关系提供了新的见解。未来的研究领域可以更好地探索无聊体验在构建身体形象不满中的作用及其与述情障碍的关系。
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引用次数: 9
Factorial Structure and Psychometric Properties of the Quality of Life Inventory in an Indonesian College Sample 印尼大学样本生活质量量表的因子结构和心理测量特性
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2593
G. S. Sugara, C. Rakhmat, Juntika Nurihsan, Ilfiandra
Quality of Life Inventory is a measuring tool to reveal the quality of life that has adequate psychometric properties in the United States. The research aims to investigate the QOLI structure model with a sample of Indonesian society. The results showed that the Indonesian sample (n = 697) showed a lower quality of life than the US-based standardization sample. Exploratory and confirmatory factor analysis shows that the three-factor model incorporates the construct of the fit model for Indonesian society. QOLI three-factor model consisting of personal growth (play, helping, spiritual, learning and creativity), social functioning (friends, family, neighborhood, community and relative) and self-functioning (health, self-esteem, financial, home, work and love). Psychometric properties show adequate results in accordance with Frisch's findings. In conclusion, this study shows that QOLI can be used in the Indonesian context. Recommendations for future studies can test QOLI in clinical samples from a three-factor model.
生活质量清单是一种衡量工具,用于揭示在美国具有足够心理测量特性的生活质量。本研究旨在以印尼社会为样本,研究生活质量指数结构模型。结果显示,印尼样本(n=697)的生活质量低于美国标准化样本。探索性和验证性因素分析表明,三因素模型包含了印尼社会拟合模型的构建。QOLI三因素模型包括个人成长(游戏、帮助、精神、学习和创造力)、社会功能(朋友、家人、邻居、社区和亲戚)和自我功能(健康、自尊、经济、家庭、工作和爱情)。根据Frisch的发现,心理测量特性显示出足够的结果。总之,这项研究表明QOLI可以在印度尼西亚的环境中使用。对未来研究的建议可以从三因素模型中测试临床样本的QOLI。
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引用次数: 2
Understanding the link between interoceptive deficits and binge eating symptoms among adolescents: A serial mediation analysis 了解青少年内感受缺陷与暴食症状之间的联系:一项系列中介分析
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2564
M. D. Nardo, D. Marchetti, M. Fulcheri, M. Verrocchio
The aim of this study was to assess relevant psychological predictors of binge eating behaviors in a non-clinical sample of Italian male and female adolescents. To do so, 120 adolescents aged 17-21 years participated in a cross-sectional study. Cognitive-affective components of binge eating symptoms (BES) were assessed with the Binge Eating Scale. Difficulty recognizing and accurately identifying internal emotional states was assessed with the Interoceptive Deficits (ID) subscale of the Eating Disorders Inventory-3. Body uneasiness (BU) was measured using the Body Uneasiness Test. Negative affectivity (PA, NA) was assessed with the Positive and Negative Affect Schedule. Based on Pearson’s correlations results, we conducted a mediation model analysis to examine whether the ID-BES relationship was mediated by NA and BU. Examined relationships were preserved after controlling for the effect of age, gender and BMI. The current study’s findings contribute to clarify the role that BU-related NA may play on ID in the appearance of BES and provide preliminary support for the potential role of NA and BU as self-regulatory mechanisms involved in this association.
本研究的目的是在意大利男性和女性青少年的非临床样本中评估暴饮行为的相关心理预测因素。为此,120名17-21岁的青少年参与了一项横断面研究。采用暴饮量表评定暴饮症状的认知情感成分。识别和准确识别内部情绪状态的困难通过饮食障碍清单-3的感觉缺陷(ID)分量表进行评估。使用身体不安测试来测量身体不安(BU)。消极情感(PA,NA)采用积极和消极情感量表进行评估。基于Pearson的相关性结果,我们进行了中介模型分析,以检验ID-BES关系是否由NA和BU介导。在控制了年龄、性别和BMI的影响后,已检查的关系得以保留。目前的研究结果有助于阐明BU相关NA在ID上可能在BES出现中发挥的作用,并为NA和BU作为参与这种关联的自我调节机制的潜在作用提供初步支持。
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引用次数: 1
Medical Humanities & Clinical Psychology 医学人文与临床心理学
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2896
S. Settineri, E. Merlo
The aim of the last MJCP editorials was to establish a bridge between scientific research, teaching and public engagement in accordance with the production of the Journal, which is one of the activities of the University of Messina. With this piece we want to point out the institution in the two channels for the degree in Medicine and Surgery in the first year of the course, 2020-21, of an Integrated Course (IC) called Medical Humanities (MH), already promoted by the College of the Italian Coordinators of the Degree Courses in Medicine and Surgery.
《墨西拿大学学报》上几篇社论的目的是根据《墨西拿大学学报》的制作,在科研、教学和公众参与之间建立一座桥梁,这是墨西拿大学的活动之一。通过这篇文章,我们想指出在2020-21学年的第一年,医学和外科学位的两个渠道的机构,这是一门名为医学人文学科(MH)的综合课程(IC),已经由意大利医学和外科学位课程协调员学院推广。
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引用次数: 2
Women during the Covid-19 lockdown: more anxiety symptoms in women with children than without children and role of the resilience 新冠肺炎封锁期间的女性:有孩子的女性比没有孩子的女性出现更多的焦虑症状,以及韧性的作用
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2559
E. Benassi, M. Vallone, Michela Camia, M. Scorza
Backgrounds. In addition to being a public physical health emergency, Coronavirus disease 2019 (COVID-19) has been identified as a psychological health emergency of global concern. The emergency measures implemented by the Italian Government from March to June 2020 included drastic limitations to living conditions that may have impacted on women with children in particular. Nevertheless, few studies focused on them investigating psychopathological consequences of lockdown and protective factors for mental health. Aims. First aim was to examine differences on generalized anxiety symptoms between working women with children and without children; second, we investigated whether psychological resilience contributed to low emotional impact of the COVID-19 lockdown. Method. An online survey was administered to 516 working mothers and 514 working women without children. Participants responded to Generalized Anxiety Disorder Scale (GAD7) and Connor-Davidson Resilience Scale (CD-RISC 25). Results. Significant differences emerged between the two groups, with higher symptoms and percentages of generalized anxiety disorders (GADs) in the group of mothers relative to women without children. Regression analysis showed that CD-RISC 25 score, more than having/not having children, had a predictive effect on GAD7 score, concurring to reduce anxiety symptoms. Conclusions. Our findings suggest that dealing with lockdown was a particularly stressful experience for working mothers who had to balance personal life, work, and raising children without other resources. Resilience may be a protection against emotional problems and supportive interventions should be implemented in the present and in the future to promote mental health in this population.
背景。2019冠状病毒病(COVID-19)除了是公共身体健康紧急事件外,还被确定为全球关注的心理健康紧急事件。意大利政府于2020年3月至6月实施的紧急措施包括严格限制生活条件,这可能特别影响到有孩子的妇女。然而,很少有研究集中在他们身上,调查封锁的精神病理后果和心理健康的保护因素。目标第一个目的是检查有孩子和没有孩子的职业妇女在广泛性焦虑症状上的差异;其次,我们调查了心理弹性是否有助于降低COVID-19封锁的情绪影响。方法。这项在线调查对516名职业母亲和514名没有孩子的职业女性进行了调查。参与者对广泛性焦虑障碍量表(GAD7)和康纳-戴维森弹性量表(CD-RISC 25)有反应。结果。两组之间出现了显著差异,与没有孩子的妇女相比,母亲组的广泛性焦虑症(GADs)的症状和百分比更高。回归分析显示,CD-RISC 25评分比生育/未生育对GAD7评分有更大的预测作用,同时也能减轻焦虑症状。结论。我们的研究结果表明,对于那些必须在没有其他资源的情况下平衡个人生活、工作和抚养孩子的职业母亲来说,应对封锁是一种特别紧张的经历。恢复力可能是对情绪问题的一种保护,应该在现在和将来实施支持性干预措施,以促进这一人群的心理健康。
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引用次数: 22
期刊
Mediterranean Journal of Clinical Psychology
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