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Kane L, Baucom DH, Daughters SB. Dual-substance use disorder couples: An integrative review and proposed theoretical model. Clin Psychol Rev 2024; 111:102447. [PMID: 38781717 DOI: 10.1016/j.cpr.2024.102447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 04/17/2024] [Accepted: 05/16/2024] [Indexed: 05/25/2024]
Abstract
Committed romantic relationships between two individuals with Substance Use Disorder (or dual-SUD couples) are prevalent. Dual-SUD couples have poor treatment engagement and outcomes. Research has established a reciprocal link between relationship dynamics (e.g., conflict, intimacy) and substance use. Thus, the couple's relationship presents a distinct social context for both partner's substance use. Dual-SUD couples face unique challenges due to substance use being a shared behavior that may serve as a rewarding source of compatibility, closeness, and short-term relationship satisfaction despite it being at the cost of other alternative sources of substance-free reinforcement. Yet, treatment options for these couples are scarce. Dual-maladaptive health behaviors (e.g., dual-substance use) are challenging to treat; however, theory and preliminary research suggests that transformation of couple's joint motivation toward adaptive health behavior change may result in a more satisfying relationship and improved treatment outcomes for both individuals. The current paper reviews the extant literature on dual-SUD couples from theoretical, empirical, and treatment research and proposes an expanded paradigm regarding how we understand dual-SUD couples with the aim of informing basic research and treatment development.
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Affiliation(s)
- Louisa Kane
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, USA.
| | - Donald H Baucom
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, USA
| | - Stacey B Daughters
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, USA
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2
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Goodwin ME, Sayette MA. The impact of alcohol on affiliative verbal behavior: A systematic review and meta-analysis. ALCOHOL, CLINICAL & EXPERIMENTAL RESEARCH 2024; 48:1000-1021. [PMID: 38740542 DOI: 10.1111/acer.15312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 02/27/2024] [Accepted: 03/25/2024] [Indexed: 05/16/2024]
Abstract
BACKGROUND Language is a fundamental aspect of human social behavior that is linked to many rewarding social experiences, such as social bonding. Potential effects of alcohol on affiliative language may therefore be an essential feature of alcohol reward and may elucidate pathways through which alcohol is linked to social facilitation. Examinations of alcohol's impact on language content, however, are sparse. Accordingly, this investigation represents the first systematic review and meta-analysis of alcohol's effects on affiliative language. We test the hypothesis that alcohol increases affiliative verbal approach behaviors and discuss future research directions. METHODS PsycInfo and Web of Science were systematically searched in March 2023 according to our preregistered plan. Eligible studies included social alcohol administration experiments in which affiliative verbal language was assessed. We present a random-effects meta-analysis that examines the effect of alcohol compared to control on measures of affiliative verbal behavior. RESULTS Our search identified 16 distinct investigations (comprising 961 participants) that examined the effect of alcohol on affiliative verbal behavior. Studies varied greatly in methods and measures. Meta-analytic results demonstrated that alcohol is modestly associated with increases in affiliative verbal behavior (Hedges' g = 0.164, 95% CI [0.027, 0.301], p = 0.019). Study quality was rated using an adapted version of the Quality Assessment Tool for Quantitative Studies and did not significantly moderate alcohol's effects. CONCLUSIONS This study provides preliminary evidence that alcohol can increase affiliative verbal behaviors. This effect may be an important feature of alcohol reward. Given heterogeneity in study features, low study quality ratings, and limited reporting of effect size data, results simultaneously highlight the promise of this research area and the need for more work. Advances in language processing methodologies that could allow future work to systematically expand upon this finding are discussed.
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Affiliation(s)
- Madeline E Goodwin
- Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Michael A Sayette
- Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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3
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Biesen JN, Orban D, Ford T, Lentsch J, Balch T, Frost M, Fink BC. Contributions of Demand/Withdraw Processes and Alcohol Consumption on Emotional Flooding in Distressed Violent versus Distressed Non-Violent Couples. JOURNAL OF FAMILY VIOLENCE 2023; 38:869-882. [PMID: 37547628 PMCID: PMC10403252 DOI: 10.1007/s10896-022-00419-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/18/2022] [Indexed: 08/08/2023]
Abstract
Purpose Although alcohol-related intimate partner violence (IPV) is a serious public health problem, the mechanisms underlying this association are poorly understood. For instance, prior research has shown differences in distressed violent (DV) and distressed nonviolent (DNV) couples' demand/withdraw communication and the extent to which they become emotionally flooded (i.e., physiologically aroused) in response to conflict. Additionally, alcohol use is associated with increased demand/withdraw communication, IPV, and emotional flooding. Therefore, the present study sought to clarify the association between demand/withdraw communication and emotional flooding among relationally couples who use alcohol and who do and do not experience IPV. Methods Relationally distressed couples (Mage =30.1 years) reported on their physical aggression, demand/withdraw communication, emotional flooding, and total number of drinks during the past six months. Couples were denoted as DV (N = 58) if at least one partner reported IPV and DNV (N = 29) if neither partner reported IPV. Actor-partner interdependence modeling was used to test whether couple type (DV versus DNV) moderates the link between demand/withdraw behavior and emotional flooding. Results With one exception, alcohol use was unrelated to any of the processes under investigation in the current study. Moreover, men's and women's report of a woman-demand/man-withdraw pattern and man-demand/woman-withdraw pattern, respectively, were positively associated with each partner's own emotional flooding. Couple type (DV vs DNV) did not moderate these associations. Conclusions The present results highlight the need for sensitive measures that can capture the nuanced processes that underlie IPV in couples who use alcohol.
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Affiliation(s)
- Judith N. Biesen
- University of New Mexico, Department of Psychiatry and Behavioral Sciences
| | - Daniel Orban
- University of New Mexico, Department of Psychology
| | - Tia Ford
- University of New Mexico, Department of Psychology
| | | | | | - Madeleine Frost
- University of New Mexico, Department of Psychiatry and Behavioral Sciences
| | - Brandi C. Fink
- University of Oklahoma Health Sciences Center, Department of Psychiatry and Behavioral Sciences
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4
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Goodwin ME, Sayette MA. A social contextual review of the effects of alcohol on emotion. Pharmacol Biochem Behav 2022; 221:173486. [PMID: 36349654 DOI: 10.1016/j.pbb.2022.173486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 10/05/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Abstract
Drinking and drinking problems are complex phenomena. Understanding the etiology of alcohol use disorder requires consideration of biological, psychological, and social processes. It is our view that the last of these dimensions is just beginning to receive adequate scrutiny. In this selective review, we discuss the concept of a biopsychosocial analysis of the effects of alcohol. After briefly addressing biological and psychological research on alcohol's emotional effects, we bid to make a case for the vital role that social processes play in understanding why people drink. The bulk of the paper describes research illustrating the contributions that a social psychological perspective can make to advance understanding of the rewarding effects of alcohol. Overall, studies incorporating social contexts have revealed reliable evidence that alcohol enhances emotional experience in many social environments and have identified socio-contextual variables that moderate responses to alcohol. Further, these studies have broadened the scope of constructs thought to be socially rewarding, including social bonding, relationship functioning, and humor enjoyment. Our analysis concludes by identifying research areas we believe would profit from additional research.
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Affiliation(s)
| | - Michael A Sayette
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
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Fairbairn CE, Creswell KG, Hales AH, Williams KD, Wilkins KV. Mixing Misery and Gin: The Effect of Alcohol Administration on Ostracism Response. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2021; 48:1269-1283. [PMID: 34404275 DOI: 10.1177/01461672211038450] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Williams's need-threat model proposes that ostracism responses are reflexive and, because of their evolutionary significance, difficult to diminish. Alcohol is widely consumed in social contexts and for reasons of coping with social stress, and major theories of alcohol propose that intoxication disrupts cognitive appraisal of environmental threats, leading to stress relief. Surprisingly, though, no well-powered experimental research has examined the impact of alcohol intoxication on distress from social ostracism. In three studies across two independent laboratories (N = 438), participants were randomly assigned to receive either an alcoholic or nonalcoholic (i.e., no-alcohol control or placebo) beverage and were exposed to an ostracism (or social inclusion) manipulation. Results, which emerged as remarkably consistent across all studies, indicated strong and consistent effects of ostracism on mood and needs satisfaction among both intoxicated and sober participants. Findings have important implications for ostracism theory and speak to boundary conditions for alcohol's ability to relieve stress.
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Affiliation(s)
| | | | - Andrew H Hales
- University of Virginia, Charlottesville, USA.,The University of Mississippi, Oxford, USA
| | | | - Kaleigh V Wilkins
- University of Illinois at Urbana-Champaign, USA.,Loyola University Chicago, IL, USA
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Blumenstock SM, Papp LM. Substance use behaviors in the daily lives of U.S. college students reporting recent use: The varying roles of romantic relationships. Soc Sci Med 2021; 279:114021. [PMID: 34004570 DOI: 10.1016/j.socscimed.2021.114021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 01/09/2021] [Accepted: 05/06/2021] [Indexed: 10/21/2022]
Abstract
RATIONALE While the detrimental consequences of problematic substance use behaviors in early adulthood are well-documented, the interpersonal predictors of substance use in the naturalistic context of daily life are less known. METHODS Using ecological momentary assessments to capture moments of binge drinking, marijuana use, nicotine use, and prescription misuse in everyday life, this study explored the romantic relationship contexts (status, quality, partner presence) of substance use among young adults (aged 18-21) attending a university in the Midwestern U.S. Between 2017 and 2019, 296 participants, who had endorsed recent substance use at screening for a larger study on prescription misuse, completed four reports per day for approximately 28 days, resulting in over 23,000 reports for this investigation. RESULTS Relationship status, partner support, and partner presence in the moment were all associated with at least one type of substance use behavior. Generalized multilevel models indicated that partnered participants engaged in less marijuana use, nicotine use, and prescription misuse in daily life compared to single participants. Higher partner support predicted less binge drinking, yet also predicted higher nicotine use and prescription misuse. When with a romantic partner in daily life, partnered participants were more likely to engage in binge drinking and marijuana use, and less likely to misuse prescription drugs. Nicotine use was more likely when with a partner, but only if partner support was high. CONCLUSIONS Findings highlight the intricate links between interpersonal contexts and substance behaviors and indicate supportive relationships are not universally protective against substance use among this population.
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Affiliation(s)
- Shari M Blumenstock
- University of Wisconsin-Madison, Human Development and Family Studies Department, 4166 Nancy Nicholas Hall, 1300 Linden Dr., Madison, WI, 53706, USA.
| | - Lauren M Papp
- University of Wisconsin-Madison, Human Development and Family Studies Department, 4166 Nancy Nicholas Hall, 1300 Linden Dr., Madison, WI, 53706, USA.
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Salvatore JE, Larsson Lönn S, Sundquist J, Sundquist K, Kendler KS. Disentangling Social-Genetic From Rearing-Environment Effects for Alcohol Use Disorder Using Swedish National Data. Psychol Sci 2020; 31:1140-1149. [PMID: 32816617 DOI: 10.1177/0956797620931542] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Investigations of social-genetic effects, whereby a social partner's genotype affects another's outcomes, can be confounded by the influence of the social partner's rearing environment. We used marital information on more than 300,000 couples from Swedish national data to disentangle social-genetic from rearing-environment effects for alcohol use disorder (AUD). Using observational and extended-family designs, we found that (a) marriage to a spouse with a predisposition toward AUD (as indexed by a parental history of AUD) increased risk for developing AUD; (b) this increased risk was not explained by socioeconomic status, the spouse's AUD status, or contact with the spouse's parents; and (c) this increased risk reflected the psychological consequences of the spouse having grown up with an AUD-affected parent (i.e., a rearing-environment effect) rather than a social-genetic effect. Findings illustrate that a spouse's rearing-environment exposures may confer risk for AUD.
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Affiliation(s)
- Jessica E Salvatore
- Department of Psychology, Virginia Commonwealth University.,Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University
| | | | - Jan Sundquist
- Center for Primary Health Care Research, Lund University
| | | | - Kenneth S Kendler
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University.,Department of Psychiatry, Virginia Commonwealth University.,Department of Human and Molecular Genetics, Virginia Commonwealth University
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Orehek E, Human LJ, Sayette MA, Dimoff JD, Winograd RP, Sher KJ. Self-Expression While Drinking Alcohol: Alcohol Influences Personality Expression During First Impressions. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2019; 46:109-123. [PMID: 31039070 DOI: 10.1177/0146167219843933] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
People are motivated to be perceived both positively and accurately and, therefore, approach social settings and adopt means that allow them to reach these goals. We investigated whether alcohol consumption helps or hinders the positivity and accuracy of social impressions using a thin-slicing paradigm to better understand the effects of alcohol in social settings and the influence of alcohol on self-expression. These possibilities were tested in a sample of 720 participants randomly assigned to consume an alcohol, placebo, or control beverage while engaged in conversation in three-person groups. We found support for the hypothesis that alcohol (compared with placebo or control) increased the positivity of observers' personality expression, but did not find support for the hypothesis that alcohol increased the accuracy of personality expression. These findings contribute to our understanding of the social consequences of alcohol consumption, shedding new light on the interpersonal benefits that alcohol can foster.
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Affiliation(s)
| | | | | | | | - Rachel P Winograd
- University of Missouri, St Louis - Missouri Institute of Mental Health, USA
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Derrick JL, Wittkower LD, Pierce JD. Committed relationships and substance use: recent findings and future directions. Curr Opin Psychol 2019; 30:74-79. [PMID: 30986616 DOI: 10.1016/j.copsyc.2019.03.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 02/15/2019] [Accepted: 03/05/2019] [Indexed: 11/25/2022]
Abstract
Recent research on substance use in committed relationships covers three general areas. First, partners tend to be concordant for substance use, and concordance is at least partially the result of partner influence (or convergence). Second, substance use (particularly discrepant use) predicts relationship outcomes such as lower relationship quality and greater conflict, intimate partner aggression, and risky sex. Concordant use, however, can be protective. Finally, relationship variables, such as conflict, intimate partner aggression, and support for cessation, predict substance use. Recent advances in methodological innovation, such as the use of longitudinal designs and dyadic data, are noted. Although the field has moved in some new directions conceptually, the research in this area is still relatively atheoretical. Suggestions for future research directions are discussed.
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Affiliation(s)
- Jaye L Derrick
- Department of Psychology, University of Houston, 3695 Cullen Blvd. Room 126, Houston, TX 77204-5022, United States.
| | - L David Wittkower
- Department of Psychology, University of Houston, 3695 Cullen Blvd. Room 126, Houston, TX 77204-5022, United States
| | - Jace D Pierce
- Department of Psychology, University of Houston, 3695 Cullen Blvd. Room 126, Houston, TX 77204-5022, United States
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10
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Fettro MN, Nomaguchi K. Spousal Problems and Family-to-Work Conflict Among Employed US Adults. JOURNAL OF FAMILY AND ECONOMIC ISSUES 2018; 39:277-296. [PMID: 30555218 PMCID: PMC6289534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Using data from the 2011 National Survey of Midlife Development in the United States Refreshed Sample (N = 980), this paper examines how three types of spousal problems-poor physical health, poor mental health, and behavioral disorders-are related to respondents' family-to-work conflict (FWC) among employed adults aged 25-61. Results suggest that all three types of their spouses' problems were related to respondents' higher FWC, with their spouses' poor mental health having the strongest association. These associations were not significant after controlling for respondents' role overload, financial strain, and relationship strain. There were few variations by respondents' gender and parental status in these associations. Relationship strain played the primary role as a mediator, which was stronger for men than women. These findings support the idea of stress proliferation, suggesting that one's problems can be linked to a series of other stressors including one's spouse's FWC.
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Affiliation(s)
- Marshal Neal Fettro
- Department of Sociology & Center for Family and Demographic Research, Bowling Green State University, Williams Hall, Bowling Green, OH 43043, USA
| | - Kei Nomaguchi
- Department of Sociology & Center for Family and Demographic Research, Bowling Green State University, Williams Hall, Bowling Green, OH 43043, USA
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11
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Fairbairn CE, Briley DA, Kang D, Fraley RC, Hankin BL, Ariss T. A meta-analysis of longitudinal associations between substance use and interpersonal attachment security. Psychol Bull 2018; 144:532-555. [PMID: 29494194 DOI: 10.1037/bul0000141] [Citation(s) in RCA: 79] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Substance use has long been associated with close relationship distress. Although the direction of influence for this association has not been established, it has often been assumed that substance use is the causal agent and that close relationship distress is the effect. But research seeking to establish temporal precedence in this link has produced mixed findings. Further, theoretical models of substance use and close relationship processes present the plausibility of the inverse pathway-that insecure close relationships may serve as a vulnerability factor for the development of later substance problems. The current review applies an attachment-theoretical framework to the association between close social bonds and substance use and substance-related problems. Targeting longitudinal studies of attachment and substance use, we examined 665 effect sizes drawn from 34 samples (total N = 56,721) spanning time frames ranging from 1 month to 20 years (M = 3.8 years). Results revealed a significant prospective correlation between earlier attachment and later substance use (r = -.11, 95% CI [-.14, -0.08]). Further, cross-lagged coefficients were calculated which parsed auto-regressive effects, indicating that lower attachment security temporally preceded increases in substance use (r = -.05, 95% CI [-.06, -.04]). Analyses further indicated that the pathway from earlier attachment to later substance use was significantly stronger than that from earlier substance use to later attachment. Results also revealed several moderators of the attachment-substance use link. These findings suggest that insecure attachment may be a vulnerability factor for substance use, and indicate close relationship quality as a promising line of inquiry in research on substance use disorder risk. (PsycINFO Database Record
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Affiliation(s)
| | - Daniel A Briley
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - Dahyeon Kang
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - R Chris Fraley
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - Benjamin L Hankin
- Department of Psychology, University of Illinois at Urbana-Champaign
| | - Talia Ariss
- Department of Psychology, University of Illinois at Urbana-Champaign
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Cranford JA. Commentary on Salvatore et al. (2017): Dyadic research can clarify non-shared environmental influences on alcohol use disorder and divorce. Addiction 2017; 112:594-595. [PMID: 28261983 DOI: 10.1111/add.13768] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Accepted: 01/10/2017] [Indexed: 11/28/2022]
Affiliation(s)
- James A Cranford
- Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
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