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Emotion Regulation Difficulties and Health-Risk Behaviours in Adolescents 青少年情绪调节困难与健康风险行为
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-27 DOI: 10.1017/bec.2022.5
Parwinder Singh, Amandeep Singh
Health-Risk Behaviours (HRBs) are significantly associated with avoidable mortality in adolescents, and preventing HRBs requires an adequate understanding of related factors. Among associated factors, emotion regulation difficulties may impact youths’ engagement in HRBs. Researchers explored the relation of emotion regulation with HRBs; however, specific emotion regulation difficulties for less severe and more prevalent HRBs, such as self-harming behaviour, risky-driving, violence, unhealthy dietary behaviour, and poor adherence to prescribed medication, has not been much explored. The current study aimed to explore the predictability of adolescents’ specific difficulties in emotion regulation in relation to their engagement in HRBs. For this purpose, six different HRBs, that is, self-harm, violence, risky-driving, unhealthy dietary behaviour, inadequate physical activity, and lack of medication adherence, were studied. A total of 617 (Males = 356) adolescents (Mage = 15.77) from five districts of Punjab state (India) provided required information on standardised self-report measures. The data were subjected to regression analysis, and the findings show that the participants who scored high on emotion regulation difficulties reported engagement in HRBs more than their counterparts. Some specific difficulties are more important than others for different forms of HRBs. It implies that the intervention programmes targeting specific HRBs should address specific facets of emotional dysregulation.
健康危险行为(HRBs)与青少年可避免的死亡率显著相关,预防HRBs需要充分了解相关因素。在相关因素中,情绪调节困难可能会影响青少年的参与。研究人员探讨了情绪调节与HRBs的关系;然而,对于不那么严重和更普遍的hrb,如自残行为、冒险驾驶、暴力、不健康的饮食行为和对处方药的依从性差,具体的情绪调节困难还没有得到太多的探索。本研究旨在探讨青少年在情绪调节方面的特殊困难与他们参与hrb的关系的可预测性。为此目的,研究了六种不同的hrb,即自残、暴力、冒险驾驶、不健康的饮食行为、身体活动不足和缺乏药物依从性。来自旁遮普邦(印度)五个地区的617名青少年(男性= 356名)(男性= 15.77名)提供了标准化自我报告措施所需的信息。数据进行了回归分析,结果表明,情绪调节困难得分高的参与者比其他参与者更参与hrb。对于不同形式的hrb,一些特定的困难比其他困难更重要。这意味着针对特定hrb的干预方案应该解决情绪失调的特定方面。
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引用次数: 1
Cognitive-Behavioural Therapy for Type 1 Narcolepsy Comorbid With Sleep and Psychiatric Disturbances: A Case Report 认知行为疗法治疗伴睡眠和精神障碍的1型发作性睡病1例
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-03-29 DOI: 10.1017/bec.2022.4
I. Zečević
There is currently a lack of clinical research that would strongly support the application of CBT in the treatment of narcolepsy type 1. Despite that, there are several guidelines that suggest some techniques should be routinely applied. Currently, there is still a lack of results on what to do with patients who have comorbid sleep and psychiatric disorders or other psychosocial comorbidities and problems. This case study concerns a 27-year-old female who had narcolepsy type 1 and history of sleep, psychosocial, and psychiatric problems. Her main problems included cataplexy, daily tiredness and sleepiness, a problem with daily physical activity, and problems in her psychosocial functioning. The patient received 7 session of CBT treatment based on recommended techniques for patients with hypersomnia. Self-reported measure of sleep, anxiety, and depression were collected at the start and 1-month post-treatment. Objective psychological measures recorded positive changes in post-treatment assessment of CBT effect on her sleep pattern, significant reduction of cataplexy, depressive and anxiety symptoms, daily activity, and tiredness during the day.
目前缺乏临床研究有力支持CBT在1型发作性睡病治疗中的应用。尽管如此,还是有一些指导方针建议一些技术应该常规应用。目前,关于如何处理患有睡眠和精神疾病共病或其他社会心理共病和问题的患者,仍然缺乏结果。本案例研究涉及一名27岁的女性,她患有1型发作性睡病,并有睡眠、社会心理和精神问题史。她的主要问题包括中风、日常疲劳和困倦、日常身体活动问题以及心理社会功能问题。患者接受了7个疗程的CBT治疗,以推荐的睡眠过度患者技术为基础。在治疗开始和治疗后1个月收集睡眠、焦虑和抑郁的自我报告测量。客观的心理测量记录了CBT治疗后评估对患者睡眠模式的积极影响,显著减少了发作、抑郁和焦虑症状、日常活动和白天疲劳。
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引用次数: 0
Comparing the Transfer Effects of Three Neurocognitive Training Protocols in Children With Attention-Deficit/Hyperactivity Disorder: A Single-Case Experimental Design 三种神经认知训练方案对注意缺陷/多动障碍儿童迁移效果的比较:一个个案实验设计
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-12-03 DOI: 10.1017/bec.2021.26
Da-Wei Zhang, S. Johnstone, Hui Li, Xiangsheng Luo, Li Sun
Abstract The current study used behavioural and electroencephalograph measures to compare the transferability of three home-based interventions — cognitive training (CT), neurofeedback training (NFT), and CT combined with NFT — for reducing symptoms in children with attention-deficit/hyperactivity disorder (AD/HD). Following a multiple-baseline single-case experimental design, twelve children were randomised to a training condition. Each child completed a baseline phase, followed by an intervention phase. The intervention phase consisted of 20 sessions of at-home training. Tau-U analysis and standardised visual analysis were adopted to detect effects. Results showed that CT improved inhibitory function and NFT improved alpha EEG activity and working memory. The combined condition, which was a reduced ‘dose’ of CT and NFT, did not show any improvements. The three conditions did not alleviate AD/HD symptoms. While CT and NFT may have transfer effects on executive functions, considering the lack of improvement in symptoms, this study does not support CT and NFT on their own as a treatment for children with AD/HD.
目前的研究使用行为和脑电图测量来比较三种基于家庭的干预措施——认知训练(CT)、神经反馈训练(NFT)和CT联合NFT——在减轻注意力缺陷/多动障碍(AD/HD)儿童症状方面的可转移性。遵循多基线单例实验设计,12名儿童被随机分配到训练条件。每个孩子都完成了一个基线阶段,随后是一个干预阶段。干预阶段包括20次家庭培训。采用Tau-U分析和标准化视觉分析检测效果。结果显示,CT改善了抑制功能,NFT改善了α脑电图活动和工作记忆。减少CT和NFT“剂量”的组合情况没有显示出任何改善。这三种情况并没有减轻AD/HD症状。虽然CT和NFT可能对执行功能有转移作用,但考虑到症状的改善不足,本研究不支持CT和NFT单独作为AD/HD儿童的治疗方法。
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引用次数: 3
Positive Beliefs about Post-Event Processing in Social Anxiety Disorder 社交焦虑障碍事件后加工的积极信念
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-12-01 DOI: 10.1017/bec.2021.25
Ariella P. Lenton-Brym, Olivia Provost-Walker, Virginia Tsekova, R. McCabe, K. Rowa
Abstract Background: Post-event processing (PEP) is an important maintenance factor of social anxiety disorder (SAD). This study examined psychometric properties of the Positive Beliefs about Post-Event Processing Questionnaire (PB-PEPQ; Fisak & Hammond, 2013), which measures metacognitive beliefs about PEP. Method: Participants receiving treatment for SAD (n = 71) and other anxiety and related disorders (n = 266) completed self-report questionnaires at several timepoints. Results: Confirmatory factor analysis did not support the PB-PEPQ's proposed unidimensional model. Subsequent exploratory factor analysis yielded a three-factor structure consisting of engaging in PEP to (1) review negative events (Negative scale), (2) review positive events (Positive scale), and (3) better understand one's social anxiety (Understand scale). Within the SAD subsample, PB-PEPQ scales demonstrated good internal consistency (α = 0.83–0.85) and test–retest reliability (r = 0.65–0.78). Convergent and criterion validity of the PB-PEPQ Negative scale were supported. PB-PEPQ scale scores were significantly higher within the SAD group, as compared with the other groups (generalised anxiety disorder, panic disorder and agoraphobia, posttraumatic stress disorder, and obsessive-compulsive disorder), supporting the scales’ discriminative validity. Conclusion: Findings support the reliability and validity of the PB-PEPQ in a clinical sample and reveal the measure's multifactorial structure.
摘要背景:事件后处理(PEP)是社交焦虑症(SAD)的重要维持因素。本研究检验了事件后处理积极信念问卷(PB-PEPQ;Fisak&Hammond,2013)的心理测量特性,该问卷测量了关于政治公众人物的元认知信念。方法:接受SAD(n=71)和其他焦虑及相关疾病治疗的参与者(n=266)在几个时间点完成了自我报告问卷。结果:证实性因子分析不支持PB-PEPQ提出的一维模型。随后的探索性因素分析产生了一个三因素结构,包括参与政治公众人物(1)回顾负面事件(负面量表),(2)回顾正面事件(正面量表)和(3)更好地理解自己的社交焦虑(理解量表)。在SAD子样本中,PB-PEPQ量表表现出良好的内部一致性(α=0.83-0.85)和测试-再测试可靠性(r=0.65-0.78)。PB-PEPQ-阴性量表的收敛性和标准有效性得到支持。与其他组(广泛性焦虑症、恐慌症和广场恐惧症、创伤后应激障碍和强迫症)相比,SAD组的PB-PEPQ量表得分显著较高,支持量表的判别有效性。结论:研究结果支持PB-PEPQ在临床样本中的可靠性和有效性,并揭示了该测量的多因素结构。
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引用次数: 0
The Relationship between Beliefs about Emotions and Emotion Regulation: A Systematic Review 情绪信念与情绪调节的关系:系统综述
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-11-24 DOI: 10.1017/bec.2021.23
Eun-Jee Hong, M. Kangas
Abstract Emotion regulation is a known predictor for psychopathology and a target for treatment. A growing body of literature has examined the role of beliefs about emotions (BEs) in the emotion regulation process, yet the relationship between the two has yet to be systematically evaluated. A systematic review was conducted across five databases and 22 studies that assessed the relationship between BEs and emotion regulation were identified. The findings generally revealed a positive relationship between beliefs about the controllability and goodness of emotions and emotion regulation. There was strong evidence that beliefs about controllability were consistently associated with ‘active’ emotion regulatory strategies. This outcome has important implications for targeting change in therapy. However, further investigation is needed to establish consistent patterns regarding beliefs about the goodness of emotion and emotion regulation using longitudinal designs.
摘要情绪调节是精神病理学的一个已知预测因子,也是治疗的目标。越来越多的文献研究了关于情绪的信念(BEs)在情绪调节过程中的作用,但两者之间的关系尚未得到系统的评估。对五个数据库进行了系统综述,确定了22项评估BEs与情绪调节之间关系的研究。研究结果总体上揭示了关于情绪可控性和善良性的信念与情绪调节之间的正相关关系。有强有力的证据表明,关于可控性的信念始终与“主动”情绪调节策略有关。这一结果对靶向改变治疗具有重要意义。然而,还需要进一步的研究,以使用纵向设计建立关于情绪善良和情绪调节的信念的一致模式。
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引用次数: 6
Transdiagnostic Behavioural Intervention for Children with Anxiety and Depressive Disorders: A Feasibility Study 跨诊断行为干预对儿童焦虑和抑郁障碍的可行性研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-11-17 DOI: 10.1017/bec.2021.24
K. Kishida, S. Ishikawa, A. Ubara, Nozomi Abe, Honami Arai
Abstract There is increasing support for the efficacy of transdiagnostic cognitive behavioural interventions for anxiety and depression. However, little is known about the applicability of transdiagnostic behavioural interventions for children younger than 12 years old. This study was conducted to examine the feasibility and potential efficacy of Streamlined Transdiagnostic Intervention for Anxiety and Depression (STREAM) for children with anxiety and/or depressive disorders using a randomised controlled design with a wait-list control (WLC) condition and blind-assessments. Of the 22 potential participants, 16 Japanese children (M = 9.81; SD = 0.75; range 9–12 years) with principal anxiety or depressive disorder were eligible and enrolled. Then, the participants were randomly assigned to the STREAM or WLC condition. The dropout rates were 0% for both the conditions at post-assessment. Mixed model analyses showed that, although there were no significant interactions at post-assessment between both the conditions, both anxiety and depressive disorders significantly improved at 3 months compared with pre-assessment for the combined condition (the STREAM and WLC conditions). Therefore, this study demonstrated the feasibility of the STREAM in the Japanese clinical setting and potentially supported its efficacy for children with anxiety and depressive disorders at the follow-up assessment.
摘要越来越多的人支持跨诊断认知行为干预对焦虑和抑郁的疗效。然而,人们对12岁以下儿童的跨诊断行为干预的适用性知之甚少。本研究采用等待名单对照(WLC)条件和盲评估的随机对照设计,检验焦虑和抑郁障碍儿童的简化转诊干预(STREAM)的可行性和潜在疗效。在22名潜在参与者中,16名患有主要焦虑或抑郁障碍的日本儿童(M=9.81;SD=0.75;年龄9-12岁)符合条件并入选。然后,参与者被随机分配到STREAM或WLC条件下。在评估后,两种情况下的辍学率均为0%。混合模型分析表明,尽管在评估后两种情况之间没有显著的相互作用,但与联合情况(STREAM和WLC情况)的评估前相比,焦虑和抑郁障碍在3个月时都有显著改善。因此,本研究证明了STREAM在日本临床环境中的可行性,并可能在后续评估中支持其对焦虑和抑郁障碍儿童的疗效。
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引用次数: 2
The Assessment of Food Addiction and the Yale Food Addiction Scale in Bariatric Surgery Populations 减肥手术人群的食物成瘾评估和Yale食物成瘾量表
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-11-03 DOI: 10.1017/bec.2021.21
Paul Stanley, A. O’Donovan, J. Schwartz, S. Edwards–Hampton
Abstract Food addiction (FA) appears among bariatric weight loss surgery candidates who struggle to control the intake of hyperpalatable/refined foods have high rates of psychopathology and related health problems. Despite this, prevalence rates of FA in the bariatric sector are reported as low or variable. We investigated the prevalence of FA and the applicability of conventionally used metrics for 166 pre-surgery candidates from a weight management centre (USA) and a major metropolitan hospital (Australia). Self-report measures assessed FA (Yale Food Addiction Scale (YFAS)), body mass index (BMI), disordered eating, addictive personality, psychopathology, and diet. Consistent with prior research, standard YFAS scoring, requiring the endorsement of a distress/impairment (D/I) criterion (FA + D/I), yielded a FA prevalence rate of 12.7%, compared to 37.3% when D/I was omitted (FA − D/I). We compared profiles for those with FA using each scoring method against those ‘without’, who did not meet a minimum of three YFAS symptoms (non-FA ≤ 2). Both methods differentiated those with and without FA on addictive traits, disordered eating and hyperpalatable food consumption. Only FA + D/I differentiated markers of psychological distress or impairment, including depression, anxiety and quality of life. Results indicate a need for further FA research in bariatric settings.
食物成瘾(FA)出现在减肥手术患者中,他们努力控制超美味/精制食品的摄入,有很高的精神病理和相关健康问题发生率。尽管如此,据报道,肥胖人群中FA的患病率很低或变化不定。我们调查了来自一家体重管理中心(美国)和一家大城市医院(澳大利亚)的166名术前患者的FA患病率和常规指标的适用性。自我报告测量评估FA(耶鲁食物成瘾量表(YFAS))、体重指数(BMI)、饮食失调、成瘾人格、精神病理和饮食。与先前的研究一致,标准的YFAS评分,需要认可的窘迫/损害(D/I)标准(FA + D/I),得出的FA患病率为12.7%,而忽略D/I (FA - D/I)时为37.3%。我们使用每种评分方法比较了FA患者与“无”患者的概况,这些患者至少不满足三种YFAS症状(非FA≤2)。两种方法都区分了有FA和没有FA的人的成瘾特征、饮食失调和过度可口的食物消费。只有FA + D/I可以区分心理困扰或障碍的标志物,包括抑郁、焦虑和生活质量。结果表明,有必要在肥胖情况下进一步研究FA。
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引用次数: 1
Brief ‘Appetitive Trait Tailored Intervention’: Development in a Sample of Adults with Overweight and Obesity 简要的“胃口特征定制干预”:超重和肥胖成人样本的发展
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-11-03 DOI: 10.1017/bec.2021.22
Claudia Hunot-Alexander, H. Croker, A. Fildes, F. Johnson, R. Beeken
Abstract Appetitive traits are associated with weight and could be managed using behavioural strategies. Personalised approaches to weight loss could use a person's appetitive trait profile to tailor weight management advice. This study aimed to explore participants’ experiences of a brief Appetitive Trait Tailored Intervention (ATTI) based on participants’ Adult Eating Behaviour Questionnaire (AEBQ) scores. The ATTI was developed using strategies from modified Cognitive Behavioural Therapy and behaviour change techniques. Acceptability testing of the ATTI was carried out with participants (body mass index ≥25) who completed the AEBQ online and were sent their appetitive trait profile and corresponding weight loss tips via e-mail. Participants were asked to follow the tips for 8 weeks and following the tips, perceived helpfulness, barriers, and initial and final body weight. Qualitative interviews explored their experiences. Thirty-seven participants provided feedback and reported the majority of the tips to be helpful. Thirty-two participants (92.5% female) provided their final weight; 10 reported weight loss ≥5% of initial weight. Qualitative interviews (n = 21) revealed that tailoring was seen as novel and participants felt that the ATTI increased their self-awareness and encouraged behavioural changes. The low intensity of the ATTI limited engagement for some. The ATTI is an acceptable, novel approach to weight management.
食欲特征与体重有关,可以通过行为策略进行管理。个性化的减肥方法可以根据一个人的食欲特征来定制体重管理建议。本研究旨在探讨参与者在成人饮食行为问卷(AEBQ)得分基础上的简短胃口特征定制干预(ATTI)体验。ATTI是使用改进的认知行为疗法和行为改变技术的策略开发的。参与者(身体质量指数≥25)在线完成AEBQ,并通过电子邮件发送他们的食欲特征概况和相应的减肥提示,对ATTI进行可接受性测试。参与者被要求遵循提示8周,并遵循提示,感知帮助,障碍,以及最初和最终的体重。定性访谈探讨了他们的经历。37名参与者提供了反馈,并报告说大多数建议是有用的。32名参与者(92.5%为女性)提供了最终体重;10例报告体重减轻≥初始体重的5%。定性访谈(n = 21)显示,剪裁被视为新颖的,参与者认为ATTI提高了他们的自我意识并鼓励了行为改变。ATTI的低强度限制了一些人的参与。ATTI是一种可接受的、新颖的体重管理方法。
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引用次数: 6
Emotional Eating After Manipulating Emotion Regulation: A Laboratory Study in Adolescents 情绪调节后情绪进食的实验研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-10-22 DOI: 10.1017/bec.2021.20
T. Debeuf, S. Verbeken, Brenda Volkaert, N. Michels, J. Blechert, C. Braet
Abstract It is often assumed that emotional eating occurs when an individual is unable to utilise emotion regulation (ER) to cope with stress. In this stress exposure study, we explored whether manipulating participants’ ER strategies (rumination or self-compassion) influenced their stress-related affect and food consumption. Fifty-three adolescents (Mage = 14.72) were included; half of the participants were instructed to use rumination as their ER strategy, and half were instructed to use self-compassion. We could not demonstrate that the ER strategies differently affected stress-related affect. However, we did find that increased Happiness following ER self-compassion predicted reduced High-Fat Sweet food consumption, whereas increased Happiness following ER rumination instead led to greater High-Fat Sweet food consumption. In participants who ruminated, food consumption reduced feelings of Frustration, but not Boredom or Happiness. Post-hoc exploration revealed that only ER self-compassion, not ER rumination, normalised levels of stress-related affect. The results highlight the need for more research into the complex relationship between ER strategies, affect states, and food types in their effect on emotional eating.
摘要人们通常认为,当一个人无法利用情绪调节(ER)来应对压力时,就会发生情绪性进食。在这项压力暴露研究中,我们探讨了操纵参与者的ER策略(沉思或自我同情)是否会影响他们与压力相关的情绪和食物消费。53名青少年(Mage=14.72)被纳入研究;一半的参与者被指示使用沉思作为他们的ER策略,一半被指示使用自我同情。我们无法证明ER策略对压力相关情绪的影响不同。然而,我们确实发现,ER自我同情后幸福感的增加预示着高脂肪甜食的消费减少,而ER沉思后幸福感增加反而导致高脂肪甜食消费增加。在沉思的参与者中,食用食物可以减少沮丧感,但不会减少无聊感或幸福感。事后研究表明,只有ER的自我同情,而不是ER的沉思,才能使压力相关的影响水平正常化。研究结果强调,需要更多地研究ER策略、情绪状态和食物类型对情绪饮食的影响之间的复杂关系。
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引用次数: 0
Information Certainty Influences the Attitudes of Students and Teachers Towards COVID-19 信息确定性影响学生和教师对新冠肺炎的态度
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2021-10-14 DOI: 10.1017/bec.2021.19
Ricardo de la Vega, Roberto Ruíz Barquín, Szilvia Boros, A. Szabó
Abstract The COVID-19 pandemic struck Spain severely from the beginning. Prevention via information that fosters knowledge, reasonable concern, control, and personal care is the most effective means to slow down the pandemic. In this intervention field study, first, we assessed actual knowledge, concern, control, and care about the COVID-19 in 111 Spanish university teachers and students. Subsequently, we randomly assigned them to two groups. One group (n = 53) received uncertain information about prevention measures, whereas the other group (n = 58) received certain information. Analysis of covariance, using baseline measures as covariates, revealed that the group receiving the certain information reported an immediately increased perceived control and personal care about the pandemic. These findings suggest that measures that are known to be effective in COVID-19 prevention, if communicated with certainty (i.e., solid evidence), could influence people's attitudes, possibly through the schematic organisation of new information.
新冠肺炎疫情从一开始就严重打击了西班牙。通过促进知识的信息、合理关注、控制和个人护理进行预防是减缓大流行的最有效手段。在本次干预现场研究中,我们首先对111名西班牙高校师生的COVID-19实际知识、关注、控制和关心情况进行了评估。随后,我们将他们随机分为两组。一组(n = 53)获得的预防措施信息不确定,而另一组(n = 58)获得的信息是确定的。使用基线测量作为协变量的协方差分析显示,收到某些信息的小组报告立即增加了对大流行的控制和个人护理。这些研究结果表明,已知在预防COVID-19方面有效的措施,如果准确地传达(即有确凿的证据),可能会通过对新信息的概要组织来影响人们的态度。
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引用次数: 1
期刊
Behaviour Change
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