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Volumn 6, Issue 1, 2010, Pages 67-80

Psychological health in older adult spousal caregivers of older adults

Author keywords

Ageing; Caregiver; Morbidity; Psychological health; Spouses

Indexed keywords

ANXIETY DISORDER; ARTICLE; CAREGIVER; COGNITIVE DEFECT; CULTURAL FACTOR; DEMOGRAPHY; DEPRESSION; HEALTH CARE QUALITY; HUMAN; LONELINESS; MENTAL HEALTH; PSYCHOLOGICAL ASPECT; SPOUSE;

EID: 77949886397     PISSN: 17423953     EISSN: 17459206     Source Type: Journal    
DOI: 10.1177/1742395309356943     Document Type: Article
Times cited : (77)

References (68)
  • 3
    • 67650695809 scopus 로고    scopus 로고
    • U.S. Census Bureau Population Division Washington, DC: Government Printing Office
    • U.S. Census Bureau, Population Division. 2008 National Population Projections, Washington, DC: Government Printing Office, 2008.
    • (2008) 2008 National Population Projections
  • 4
    • 0029919459 scopus 로고    scopus 로고
    • Persons with chronic conditions: Their prevalence and costs
    • Hoffman C., Rice D., Sung HY Persons with chronic conditions: their prevalence and costs. JAMA 1996 ; 276: 1473-1479.
    • (1996) JAMA , vol.276 , pp. 1473-1479
    • Hoffman, C.1    Rice, D.2    Sung, H.Y.3
  • 5
    • 0007467314 scopus 로고    scopus 로고
    • Population aging: A comparison among industrialized countries
    • Andersen GF, Hussey PS Population aging: A comparison among industrialized countries. Health Aff 2000 ; 19: 191-203.
    • (2000) Health Aff , vol.19 , pp. 191-203
    • Andersen, G.F.1    Hussey, P.S.2
  • 7
    • 59449106819 scopus 로고    scopus 로고
    • In chronic condition: Experiences of patients with complex health care needs, in eight countries
    • Schoen C., Osborn R., How SKH, Doty MM, Peugh J. In chronic condition: Experiences of patients with complex health care needs, in eight countries. Health Aff 2009 ; 28: w1 - w16.
    • (2009) Health Aff , vol.28
    • Schoen, C.1    Osborn, R.2    How, S.K.H.3    Doty, M.M.4    Peugh, J.5
  • 8
    • 17144427420 scopus 로고    scopus 로고
    • National Alliance for Caregiving AARP Bethesda: National Alliance for Caregiving Washington, DC: AARP
    • National Alliance for Caregiving and AARP. Caregiving in the U.S., Bethesda: National Alliance for Caregiving, and Washington, DC: AARP, 2004.
    • (2004) Caregiving in the U.S.
  • 9
    • 2342569746 scopus 로고    scopus 로고
    • Are there sex differences in emotional and biological responses in spousal caregivers of patients with Alzheimer's Disease?
    • Thompson RL, Lewis SL, Murphy MR, et al. Are there sex differences in emotional and biological responses in spousal caregivers of patients with Alzheimer's Disease? Biol Res Nurs 2004 ; 5: 319-330.
    • (2004) Biol Res Nurs , vol.5 , pp. 319-330
    • Thompson, R.L.1    Lewis, S.L.2    Murphy, M.R.3
  • 10
    • 33846906015 scopus 로고    scopus 로고
    • Framing the public health of caregiving
    • Talley RC, Crews JE Framing the public health of caregiving. Am J Public Health 2007 ; 97: 224-228.
    • (2007) Am J Public Health , vol.97 , pp. 224-228
    • Talley, R.C.1    Crews, J.E.2
  • 11
    • 0035958317 scopus 로고    scopus 로고
    • Involvement in caregiving and adjustment to death of a spouse: Findings from the caregiver health effects study
    • Schulz R., Beach SR, Lind B., et al. Involvement in caregiving and adjustment to death of a spouse: Findings from the caregiver health effects study. JAMA 2001 ; 285: 2132-3129.
    • (2001) JAMA , vol.285 , pp. 2132-3129
    • Schulz, R.1    Beach, S.R.2    Lind, B.3
  • 12
    • 0034696509 scopus 로고    scopus 로고
    • Understanding economic and other burdens of terminal illness: The experience of patients and their caregivers
    • Emanuel EF, Fairclough DL, Slutsman BA, Emanuel LL Understanding economic and other burdens of terminal illness: The experience of patients and their caregivers. Ann Intern Med 2000 ; 132: 451-459.
    • (2000) Ann Intern Med , vol.132 , pp. 451-459
    • Emanuel, E.F.1    Fairclough, D.L.2    Slutsman, B.A.3    Emanuel, L.L.4
  • 13
    • 85031537924 scopus 로고    scopus 로고
    • MetLife Juggling Act Study Westport, CT: Met Life Mature Market Institute
    • MetLife Juggling Act Study. Balancing caregiving with work and the costs of caregiving, Westport, CT: Met Life Mature Market Institute, 1999.
    • (1999) Balancing Caregiving with Work and the Costs of Caregiving
  • 14
    • 77949881953 scopus 로고    scopus 로고
    • Impact of mental health and caregiver burden on family caregivers' physical health
    • Chang HY, Chiou CJ, Chen NS Impact of mental health and caregiver burden on family caregivers' physical health. Arch Gerontol Geriat 2009 ; May 13, Epub ahead of print.
    • (2009) Arch Gerontol Geriat
    • Chang, H.Y.1    Chiou, C.J.2    Chen, N.S.3
  • 16
    • 0033572789 scopus 로고    scopus 로고
    • Chronic stress and mortality among older adults (editorial)
    • Kiecolt-Glaser JK, Glaser R. Chronic stress and mortality among older adults (editorial). JAMA 1999 ; 282: 2259.
    • (1999) JAMA , vol.282 , pp. 2259
    • Kiecolt-Glaser, J.K.1    Glaser, R.2
  • 18
    • 77949893080 scopus 로고    scopus 로고
    • Administration on Aging (AOA), United States Department of Health and Human Services, Washington, DC: United States Department of Health and Human Services
    • Administration on Aging (AOA), United States Department of Health and Human Services. Family caregiving fact sheet: What we do makes a difference, Washington, DC: United States Department of Health and Human Services, 2003.
    • (2003) Family Caregiving Fact Sheet: What We Do Makes A Difference
  • 20
    • 0032894753 scopus 로고    scopus 로고
    • Gender roles, marital intimacy, and nomination of spouse as primary caregiver
    • Allen S., Goldscheider F., Ciambrone D. Gender roles, marital intimacy, and nomination of spouse as primary caregiver. Gerontologist 1999 ; 39: 150-158.
    • (1999) Gerontologist , vol.39 , pp. 150-158
    • Allen, S.1    Goldscheider, F.2    Ciambrone, D.3
  • 24
    • 0003006961 scopus 로고
    • Caring for relatives with Alzheimer's disease: The mental health risks to spouses, adult children, and other family caregivers
    • Cohen D., Luchins D., Eisdorfer C., et al. Caring for relatives with Alzheimer's disease: The mental health risks to spouses, adult children, and other family caregivers. Behav Health Aging 1990 ; 1: 171-182.
    • (1990) Behav Health Aging , vol.1 , pp. 171-182
    • Cohen, D.1    Luchins, D.2    Eisdorfer, C.3
  • 25
    • 0026074683 scopus 로고
    • Living arrangements and sources of caregiving
    • Chappell NL Living arrangements and sources of caregiving. J Gerontol 1991 ; 46: S1 - S8.
    • (1991) J Gerontol , vol.46
    • Chappell, N.L.1
  • 27
    • 33644699573 scopus 로고    scopus 로고
    • Unsung heroes who put their lives at risk? Informal caring, health, and neighbourhood attachment
    • Barrow S., Harrison RA Unsung heroes who put their lives at risk? Informal caring, health, and neighbourhood attachment. J Public Health 2005 ; 27: 292-297.
    • (2005) J Public Health , vol.27 , pp. 292-297
    • Barrow, S.1    Harrison, R.A.2
  • 29
    • 33644970526 scopus 로고    scopus 로고
    • Cognitive functioning in spousal caregivers of dementia patients: Findings from the prospective MAASBED study
    • de Vugt ME, Jolles J., van Osch L., et al. Cognitive functioning in spousal caregivers of dementia patients: Findings from the prospective MAASBED study. Age Ageing 2006 ; 35: 160-166.
    • (2006) Age Ageing , vol.35 , pp. 160-166
    • De Vugt, M.E.1    Jolles, J.2    Van Osch, L.3
  • 31
    • 0033572972 scopus 로고    scopus 로고
    • Caregiving as a risk factor for mortality: The Caregiver Health Effects Study
    • Schulz R., Beach SR Caregiving as a risk factor for mortality: The Caregiver Health Effects Study. JAMA 1999 ; 292: 2215-2219.
    • (1999) JAMA , vol.292 , pp. 2215-2219
    • Schulz, R.1    Beach, S.R.2
  • 32
    • 0032985550 scopus 로고    scopus 로고
    • Chronic stress in elderly carers of dementia patients and antibody response to influenza vaccination
    • Vedhara K., Cox NK, Wilcock GK, et al. Chronic stress in elderly carers of dementia patients and antibody response to influenza vaccination. Lancet 1999 ; 353: 627-631.
    • (1999) Lancet , vol.353 , pp. 627-631
    • Vedhara, K.1    Cox, N.K.2    Wilcock, G.K.3
  • 34
    • 33748796663 scopus 로고    scopus 로고
    • Effect of Alzheimer caregiving stress and age on frailty markers interleukin-6, C-reactive protein, and D-dimer
    • von Känel R., Dimsdale JE, Mills PJ, et al. Effect of Alzheimer caregiving stress and age on frailty markers interleukin-6, C-reactive protein, and D-dimer. J Gerontol 2006 ; 61: 963-969.
    • (2006) J Gerontol , vol.61 , pp. 963-969
    • Von Känel, R.1    Dimsdale, J.E.2    Mills, P.J.3
  • 35
    • 0043236123 scopus 로고    scopus 로고
    • Loneliness and depression in spousal caregiver of those with Alzheimer's disease versus non-caregiving spouses
    • Beeson RA Loneliness and depression in spousal caregiver of those with Alzheimer's disease versus non-caregiving spouses. Arch Psychiatr Nurs 2003 ; 17: 135-143.
    • (2003) Arch Psychiatr Nurs , vol.17 , pp. 135-143
    • Beeson, R.A.1
  • 36
    • 33748642194 scopus 로고    scopus 로고
    • Mental health and sleep of older wife caregivers for spouses with Alzheimer's disease and related disorders
    • Willette-Murphy K., Todero C., Yeaworth R. Mental health and sleep of older wife caregivers for spouses with Alzheimer's disease and related disorders. Issues Ment Health Nurs 2006 ; 27: 837-852.
    • (2006) Issues Ment Health Nurs , vol.27 , pp. 837-852
    • Willette-Murphy, K.1    Todero, C.2    Yeaworth, R.3
  • 37
    • 0036311484 scopus 로고    scopus 로고
    • Reverberations of family illness: A longitudinal assessment of informal caregiving and mental health status in the Nurses' Health Study
    • Cannuscio CC, Jones C., Kawachi I., Colditz GA, Berkman L., Rimm E. Reverberations of family illness: A longitudinal assessment of informal caregiving and mental health status in the Nurses' Health Study. Am J Public Health 2002 ; 92: 1305-1311.
    • (2002) Am J Public Health , vol.92 , pp. 1305-1311
    • Cannuscio, C.C.1    Jones, C.2    Kawachi, I.3    Colditz, G.A.4    Berkman, L.5    Rimm, E.6
  • 38
    • 0036102244 scopus 로고    scopus 로고
    • Health consequences of Alzheimer's caregiving transitions: Effects of placement and bereavement
    • Grant I., Adler KA, Patterson TL, et al. Health consequences of Alzheimer's caregiving transitions: Effects of placement and bereavement. Psychosom Med 2002 ; 64: 477-486.
    • (2002) Psychosom Med , vol.64 , pp. 477-486
    • Grant, I.1    Adler, K.A.2    Patterson, T.L.3
  • 39
    • 33947320970 scopus 로고    scopus 로고
    • Effects of placement and bereavement on psychological well-being and cardiovascular risk in Alzheimer's caregivers: A longitudinal analysis
    • Mausbach BT, Aschbacher K., Patterson TL, et al. Effects of placement and bereavement on psychological well-being and cardiovascular risk in Alzheimer's caregivers: A longitudinal analysis. J Psychosom Res 2007 ; 62: 439-445.
    • (2007) J Psychosom Res , vol.62 , pp. 439-445
    • Mausbach, B.T.1    Aschbacher, K.2    Patterson, T.L.3
  • 40
    • 33644662322 scopus 로고    scopus 로고
    • Poor sleep is associated with higher plasma pro-inflammatory cytokine interleukin-6 and procoagulant marker fibrin D-dimer in older caregivers of people with Alzheimer's Disease
    • von Känel R., Dimsdale JE, Ancoli-Israel S., et al. Poor sleep is associated with higher plasma pro-inflammatory cytokine interleukin-6 and procoagulant marker fibrin D-dimer in older caregivers of people with Alzheimer's Disease. J Am Geriatr Soc 2006 ; 54: 431-437.
    • (2006) J Am Geriatr Soc , vol.54 , pp. 431-437
    • Von Känel, R.1    Dimsdale, J.E.2    Ancoli-Israel, S.3
  • 41
    • 41549107289 scopus 로고    scopus 로고
    • Specific effects of caring for a spouse with dementia: Differences in depressive symptoms between caregiver and non-caregiver spouses
    • Adams, KB Specific effects of caring for a spouse with dementia: Differences in depressive symptoms between caregiver and non-caregiver spouses. Int Psychogeriatr 2008 ; 20: 508-520.
    • (2008) Int Psychogeriatr , vol.20 , pp. 508-520
    • Adams, K.B.1
  • 42
    • 0035747769 scopus 로고    scopus 로고
    • Family caregiving in hospice: Effects on psychological and health functioning among spousal caregivers of hospice patients with lung cancer or dementia
    • Haley WE, LaMonde LA, Han B., Narramore S., Schonwetter R. Family caregiving in hospice: Effects on psychological and health functioning among spousal caregivers of hospice patients with lung cancer or dementia. Hosp J 2001 ; 15: 1-18.
    • (2001) Hosp J , vol.15 , pp. 1-18
    • Haley, W.E.1    Lamonde, L.A.2    Han, B.3    Narramore, S.4    Schonwetter, R.5
  • 43
    • 0034538198 scopus 로고    scopus 로고
    • Does type of disease matter? Gender differences among Alzheimer's and Parkinson's Disease spouse caregivers
    • Hooker K., Manoogian-O'Dell M., Monahan DJ, Frazier LD, Shifren K. Does type of disease matter? Gender differences among Alzheimer's and Parkinson's Disease spouse caregivers. Gerontologist 2000 ; 40: 568-573.
    • (2000) Gerontologist , vol.40 , pp. 568-573
    • Hooker, K.1    Manoogian-O'Dell, M.2    Monahan, D.J.3    Frazier, L.D.4    Shifren, K.5
  • 45
    • 33747475783 scopus 로고    scopus 로고
    • The OECD Health Project Paris: Organization for Economic Co. operation and Development Publishing
    • The OECD Health Project. Long-term care for older people, Paris: Organization for Economic Co. operation and Development Publishing, 2005.
    • (2005) Long-term Care for Older People
  • 46
    • 0036288429 scopus 로고    scopus 로고
    • The shifting balance of long-term care in Sweden
    • Sundström G., Johansson L., Hassing LB The shifting balance of long-term care in Sweden. Gerontologist 2002 ; 42: 350-355.
    • (2002) Gerontologist , vol.42 , pp. 350-355
    • Sundström, G.1    Johansson, L.2    Hassing, L.B.3
  • 47
    • 33644967248 scopus 로고    scopus 로고
    • An international review of the long-term care workforce: Policies and shortages
    • Hussein S., Manthorpe J. An international review of the long-term care workforce: Policies and shortages. J Aging Soc Policy 2005 ; 17: 75-94.
    • (2005) J Aging Soc Policy , vol.17 , pp. 75-94
    • Hussein, S.1    Manthorpe, J.2
  • 48
    • 84978954640 scopus 로고    scopus 로고
    • Addressing the caregiving crisis
    • accessed August 2, 2009
    • Carter R. Addressing the caregiving crisis. Prev Chronic Dis 2008 ; 5: A02. Available at: http://www.cdc.gov/pcd/issues/2008/jan/07-0162.htm (accessed August 2, 2009).
    • (2008) Prev Chronic Dis , vol.5
    • Carter, R.1
  • 49
    • 0036762217 scopus 로고    scopus 로고
    • Does informal care from adult children reduce nursing home admissions for the elderly?
    • Lo Sasso AT, Johnson RW Does informal care from adult children reduce nursing home admissions for the elderly? Inquiry 2002 ; 39: 279-297.
    • (2002) Inquiry , vol.39 , pp. 279-297
    • Lo Sasso, A.T.1    Johnson, R.W.2
  • 51
    • 77949902441 scopus 로고    scopus 로고
    • Socioemotional aspects of aging
    • Wilmoth JM, Ferraro KF, eds. 3rd edn. New York: Springer Publishing Company
    • Fingerman KL, Brooke BN Socioemotional aspects of aging. In: Wilmoth JM, Ferraro KF, eds. Gerontology: Perspectives and issues, 3 rd edn. New York: Springer Publishing Company, 2007 ; 183-202.
    • (2007) Gerontology: Perspectives and Issues , pp. 183-202
    • Fingerman, K.L.1    Brooke, B.N.2
  • 52
    • 84880886953 scopus 로고    scopus 로고
    • Age related differences and change in positive and negative affect over 23 years
    • Charles ST, Reynolds CA, Gatz MA Age related differences and change in positive and negative affect over 23 years. J Pers Soc Psychol 2001 ; 80: 136-151.
    • (2001) J Pers Soc Psychol , vol.80 , pp. 136-151
    • Charles, S.T.1    Reynolds, C.A.2    Gatz, M.A.3
  • 53
    • 0035373887 scopus 로고    scopus 로고
    • Age and emotion in adulthood
    • Mroczek DK Age and emotion in adulthood. Curr Dir Psychol Sci 2001 ; 10: 87-89.
    • (2001) Curr Dir Psychol Sci , vol.10 , pp. 87-89
    • Mroczek, D.K.1
  • 54
    • 75449117279 scopus 로고    scopus 로고
    • Caregiver mental health and potentially harmful caregiving behavior: The central role of caregiver anger
    • Macneil G., Kosberg JI, Durkin DW, Dooley WK, Decoster J., Williamson GM Caregiver mental health and potentially harmful caregiving behavior: The central role of caregiver anger. Gerontologist 2010 ; 50 (1). 76-86.
    • (2010) Gerontologist , vol.50 , Issue.1 , pp. 76-86
    • MacNeil, G.1    Kosberg, J.I.2    Durkin, D.W.3    Dooley, W.K.4    Decoster, J.5    Williamson, G.M.6
  • 55
    • 0141741622 scopus 로고    scopus 로고
    • Perceptions and implications of received spousal care: Evidence from the Caregiver Health Effects Study
    • Martire LM, Schulz R., Wrosch C., Newsom JT Perceptions and implications of received spousal care: Evidence from the Caregiver Health Effects Study. Psychol Aging 2003 ; 18: 593-601.
    • (2003) Psychol Aging , vol.18 , pp. 593-601
    • Martire, L.M.1    Schulz, R.2    Wrosch, C.3    Newsom, J.T.4
  • 56
    • 0034992240 scopus 로고    scopus 로고
    • Relationship quality and potentially harmful behaviors by spousal caregivers: How we were then, how we are now
    • The Family Relationships in Late Life Project
    • Williamson GM, Schulz R., and The Family Relationships in Late Life Project. Relationship quality and potentially harmful behaviors by spousal caregivers: How we were then, how we are now. Psychol Aging 2001 ; 16: 217-226.
    • (2001) Psychol Aging , vol.16 , pp. 217-226
    • Williamson, G.M.1    Schulz, R.2
  • 57
    • 0038067879 scopus 로고    scopus 로고
    • Identification of factors predictive of hospital readmissions for patients with heart failure
    • Schwarz KA, Elman CS Identification of factors predictive of hospital readmissions for patients with heart failure. Heart Lung 2003 ; 32: 88-99.
    • (2003) Heart Lung , vol.32 , pp. 88-99
    • Schwarz, K.A.1    Elman, C.S.2
  • 58
    • 0037315883 scopus 로고    scopus 로고
    • Can burdened caregivers be effective facilitators of elder care-recipient health care?
    • Greenberger H., Litwin H. Can burdened caregivers be effective facilitators of elder care-recipient health care? J Adv Nurs 2003 ; 41: 332-341.
    • (2003) J Adv Nurs , vol.41 , pp. 332-341
    • Greenberger, H.1    Litwin, H.2
  • 60
    • 0023975066 scopus 로고
    • The impact of daily stress on health and mood: Psychological and social resources as mediators
    • DeLongis A., Folkman S., Lazarus RS The impact of daily stress on health and mood: Psychological and social resources as mediators. J Pers Soc Psychol 1988 ; 54: 486-495.
    • (1988) J Pers Soc Psychol , vol.54 , pp. 486-495
    • Delongis, A.1    Folkman, S.2    Lazarus, R.S.3
  • 61
    • 68149137314 scopus 로고    scopus 로고
    • Comparing perceived burden for Korean and American informal caregivers of stroke survivors
    • Choi-Kwon S., Mitchell PH, Veith R., Teri L., et al. Comparing perceived burden for Korean and American informal caregivers of stroke survivors. Rehabil Nurs 2009 ; 34: 141-150.
    • (2009) Rehabil Nurs , vol.34 , pp. 141-150
    • Choi-Kwon, S.1    Mitchell, P.H.2    Veith, R.3    Teri, L.4
  • 62
    • 30944438258 scopus 로고    scopus 로고
    • The meaning of family caregiving in Japan and the United States: A qualitative comparative study
    • Wallhagen MI, Yamamoto-Mitani N. The meaning of family caregiving in Japan and the United States: A qualitative comparative study. J Transcult Nurs 2006 ; 17: 65-73.
    • (2006) J Transcult Nurs , vol.17 , pp. 65-73
    • Wallhagen, M.I.1    Yamamoto-Mitani, N.2
  • 63
    • 34447271535 scopus 로고    scopus 로고
    • The influence of culture on the experiences of Korean, Korean American, and Caucasian-American family caregivers of frail older adults: A literature review
    • Kong EH The influence of culture on the experiences of Korean, Korean American, and Caucasian-American family caregivers of frail older adults: A literature review. Taehan Kanho Hakhoe Chi 2007 ; 37: 213-220.
    • (2007) Taehan Kanho Hakhoe Chi , vol.37 , pp. 213-220
    • Kong, E.H.1
  • 64
    • 0037275108 scopus 로고    scopus 로고
    • Feasibility of a dyadic intervention for management of osteoarthritis: A pilot study with older patients and their spousal caregivers
    • Martire LM, Schulz R., Keefe FJ, et al. Feasibility of a dyadic intervention for management of osteoarthritis: A pilot study with older patients and their spousal caregivers. Aging Ment Health 2003 ; 7: 53-60.
    • (2003) Aging Ment Health , vol.7 , pp. 53-60
    • Martire, L.M.1    Schulz, R.2    Keefe, F.J.3
  • 66
    • 32544435440 scopus 로고    scopus 로고
    • Use of home care services reduces feelings of burden among family caregivers of disabled elderly in Japan: Preliminary results
    • Kumamoto K., Arai Y., Zarit SH Use of home care services reduces feelings of burden among family caregivers of disabled elderly in Japan: Preliminary results. Int J Geriatr Psychiatry 2006 ; 21: 163-170.
    • (2006) Int J Geriatr Psychiatry , vol.21 , pp. 163-170
    • Kumamoto, K.1    Arai, Y.2    Zarit, S.H.3
  • 67
    • 0036884313 scopus 로고    scopus 로고
    • Informal caregiving: Differential experiences by gender
    • Navaie-Waliser M., Spriggs A., Feldman PH Informal caregiving: Differential experiences by gender. Med Care 2002 ; 40: 1249-1259.
    • (2002) Med Care , vol.40 , pp. 1249-1259
    • Navaie-Waliser, M.1    Spriggs, A.2    Feldman, P.H.3
  • 68
    • 0030968334 scopus 로고    scopus 로고
    • Gain in the caregiving experience: Where are we? What next?
    • Kramer BJ Gain in the caregiving experience: Where are we? What next? Gerontologist 1997 ; 37: 218-232.
    • (1997) Gerontologist , vol.37 , pp. 218-232
    • Kramer, B.J.1


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