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Stress, coping, HIV status, psychosocial resources, and depressive mood in African American gay, bisexual, and heterosexual men

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American Journal of Community Psychology

Abstract

The associations between stress, physical health, psychosocial resources, coping, and depressive mood were examined in a community sample of African American gay, bisexual, and heterosexual men (N=139). Data were collected from physical exams and in-person interviews. In our theoretical framework, depressive mood scores were regressed first on stressors, next on psychosocial resources, and finally on coping strategy variables. Results revealed that psychosocial resources mediate the effects of stressors, including health symptoms, hassles, and life events, on depressive mood. There were no significant differences in depressive mood associated with HIV status or sexual orientation. Results are discussed in terms of community interventions needed to provide social support as a buffer between stress and psychological distress in African American men.

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References

  • Aldwin, C., & Revenson, T. (1987). Does coping help?Journal of Personality and Social Psychology, 53, 337–348.

    Article  PubMed  Google Scholar 

  • Anderson, L. P. (1991). Acculturative stress: A theory of relevance to Black Americans.Clinical Psychology Review, 11, 685–702.

    Article  Google Scholar 

  • Aspinwall, L. G., & Taylor, S. E. (1992). Modeling cognitive adaptation: A longitudinal investigation of the impact of individual differences and coping on college adjustment and performance.Journal of Personality and Social Psychology, 63, 989–1003.

    Article  PubMed  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  Google Scholar 

  • Barbarin, O. (1983). Coping with ecological transitions by Black families: A psychosocial model.Journal of Community Psychology, 11, 308–322.

    Google Scholar 

  • Barbarin, O. A. (1993). Coping and resilience: Exploring the inner lives of African American children.Journal of Black Psychology, 19, 478–492.

    Google Scholar 

  • Barbarin, O. A., & Chesler, M. (1986). The medical context of parent coping with childhood cancer.American Journal of Community Psychology, 14, 221–235.

    Article  PubMed  Google Scholar 

  • Billings, A., & Moos, R. (1981). The role of coping resources and social resources in attenuating the stress of life events.Journal of Personality and Social Psychology, 57, 808–818.

    Google Scholar 

  • Bolger, N. (1990). Coping as a personality process: A prospective study.Journal of Personality and Social Psychology, 59, 525–537.

    Article  PubMed  Google Scholar 

  • Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, F. L., & Clark, K. C. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer.Journal of Personality and Social Psychology, 65, 375–390.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (1966).HIV/AIDS surveillance report, May.

  • Clark, L. A., & Watson, D. (1988). Mood and the mundane: Relations between daily life events and self-reported mood.Journal of Personality and Social Psychology, 54, 296–308.

    Article  PubMed  Google Scholar 

  • Cochran, S. D., & Mays, V. M. (1994). Depressive distress among homosexually active African American men and women.American Journal of Psychiatry, 151, 524–529.

    PubMed  Google Scholar 

  • Cohen, J. (1960). A coefficient of agreement for nominal scales.Educational and Psychological Measurement, 20, 37–46.

    Google Scholar 

  • Cohen, J., & Cohen, P. (1983).Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.), Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Cohen, S., Evans, G. W., Stokols, D., Krantz, D. S. (1986).Behavioral, health, and environmental stress. New York: Plenum Press.

    Google Scholar 

  • Coyne, J., Aldwin, C., & Lazarus, R. S. (1981). Depression and coping in stressful episodes.Journal of Abnormal Psychology, 90, 434–447.

    Article  Google Scholar 

  • Cronkite, R. C., & Moos, R. H. (1984). The role of predisposing and moderating factors in the stress-illness relationship.Journal of Health and Social Behavior, 25, 372–393.

    Article  PubMed  Google Scholar 

  • D'Augelli, A. R. (1990). Community psychology and the HIV epidemic: The development of helping communities.Journal of Community Psychology, 18, 337–346.

    Google Scholar 

  • D'Augelli, A. R., & Hart, M. M. (1987). Gay women, men, and families in rural settings: Toward the development of helping communities.American Journal of Community Psychology, 15, 79–93.

    Article  PubMed  Google Scholar 

  • Dalton, H. (1989). AIDS in blackface.Daedalus, 118, 205–227.

    Google Scholar 

  • DeLongis, A., Folkman, S., & Lazarus, R. S. (1988a). Hassles, health, and mood: A prospective study with repeated daily assessments.Journal of Personality and Social Psychology, 54, 466–475.

    Article  Google Scholar 

  • DeLongis, A., Folkman, S., & Lazarus, R. S. (1988b). The impact of daily stress on health and mood: Psychological and social resources as mediators.Journal of Personality and Social Psychology, 54, 486–496.

    Article  PubMed  Google Scholar 

  • Dilworth-Anderson, P., & Anderson, N. B. (1994). Dementia caregiving in Blacks: A contextual approach to research. In B. Lebowitz, E. Light, & G. Neidereche (Eds.),Mental and physical health of Alzheimer's caregivers (pp. 385–409). New York: Springer.

    Google Scholar 

  • Dohrenwend, B. S., & Dohrenwend, B. P. (1974).Stressful life events. New York: Wiley.

    Google Scholar 

  • Eckenrode, J. (1984). The impact of chronic and acute stressors on daily reports of mood.Journal of Personality and Social Psychology, 46, 907–918.

    Article  PubMed  Google Scholar 

  • Felton, B. J., & Revenson, T. A. (1984). Coping with chronic illness: A study of illness controllability and the influence of coping strategies on psychological adjustment.Journal of Consulting and Clinical Psychology, 52, 343–353.

    Article  PubMed  Google Scholar 

  • Fleishman, J. A., & Fogel, B. (1994). Coping and depressive symptoms among people with AIDS.Health Psychology, 13, 156–169.

    Article  PubMed  Google Scholar 

  • Fleiss, J. L. (1981).Statistical methods for rates and proportions. New York: Wiley.

    Google Scholar 

  • Folkman, S., Chesney, M. A., Cooke, M., Boccellari, A., & Collette, L. (1994). Care-giver burden in HIV-positive and HIV-negative partners of men with AIDS.Journal of Consulting and Clinical Psychology, 62, 746–756

    Article  PubMed  Google Scholar 

  • Folkman, S., Chesney, M., Pollack, L., & Coates, T. (1993). Stress, control, coping, and depressive mood in human immunodeficiency virus-positive and-negative gay men in San Francisco.Journal of Nervous and Mental Disease, 181, 409–416.

    Article  PubMed  Google Scholar 

  • Folkman, S., Chesney, M., Pollack, L., & Phillips, C. (1992). Stress, coping and high risk sexual behavior.Health Psychology, 11, 218–222.

    Article  PubMed  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample.Journal of Health and Social Behavior, 21, 219–239.

    Article  PubMed  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1986). Stress processes and depressive symptomatology.Journal of Abnormal Psychology, 95, 107–113.

    Article  PubMed  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1988). Coping as a mediator of emotion.Journal of Personality and Social Psychology, 54, 466–475.

    Article  PubMed  Google Scholar 

  • Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. (1986a). The dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomesJournal of Personality and Social Psychology, 50, 571–579.

    Article  PubMed  Google Scholar 

  • Folkman, S., Lazarus, R. S., Gruen, R., & Delongis, A. (1986b). Appraisal, coping, health status, and psychological symptoms.Journal of Personality and Social Psychology, 50, 571–579.

    Article  PubMed  Google Scholar 

  • Freidman, L. C., Nelson, D. V., Baer, P. E., Lane, M., Smith, F. E., & Dworkin, R. J. (1992). The relationship of dispositional optimism, daily life stress, and domestic environment to coping methods used by cancer patients.Journal of Behavioral Medicine, 15, 127–142.

    Article  Google Scholar 

  • Gary, L. E., & Berry, G. L. (1985). Depressive symptomatology among Black men.Journal of Multicultural Counseling and Development, 13, 121–129.

    Google Scholar 

  • Glyshaw, K., Cohen, L. H., & Towbes, L. C. (1989). Coping strategies and psychosocial distress: Prospective analyses of early and middle adolescents.American Journal of Community Psychology, 17, 607–623.

    Article  PubMed  Google Scholar 

  • Grant, I., Olshen, R. A., Atkinson, J. H., Heaton, R. K. Nelson, J., McCutchan, J. A., & Weinrich, J. (1993). Depressed mood does not explain neuropsychological deficits in HIV-infected persons.Neuropsychology, 7, 53–61.

    Article  Google Scholar 

  • Hays, R. B., Turner, H., & Coates, T. J. (1992). Social support, AIDS-related symptoms, and depression among gay men.Journal of Consulting and Clinical Psychology, 60, 463–469.

    Article  PubMed  Google Scholar 

  • Holahan, C. J., & Moos, R. H. (1987). Risk, resistance, and psychological distress: A longitudinal analysis with adults and children.Journal of Abnormal Psychology, 96, 3–13.

    Article  PubMed  Google Scholar 

  • Icard, L. (1985/1986). Black gay men and conflicting social identities: Sexual orientation versus racial identity.Journal of Social Work and Human Sexuality, 4, 83–93.

    Google Scholar 

  • Jones, J. M. (1991). Racism: A cultural analysis of the problem. In R. Jones (Ed.),Black psychology (pp. 609–635). Berkeley, CA: Cobb & Henry.

    Google Scholar 

  • Kanner, A. D., Coyne, J. C., Schaefer, C., & Lazarus, R. S. (1981). Comparisons of two modes of stress measurement: Daily hassles and uplifts versus major life events.Journal of Behavioral Medicine, 4, 1–39.

    Article  PubMed  Google Scholar 

  • Kanner, A. D., & Feldman, S. S. (1991). Control over uplifts and hassles and its relationship to adaptional outcomes.Journal of Behavioral Medicine, 14, 187–201.

    Article  PubMed  Google Scholar 

  • Kenkel, M. B. (1986). Stress-coping-support in rural communities: A model for primary prevention.American Journal of Community Psychology, 14, 457–478.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., O'Brien, K., Joseph, J. G., Ostrow, D. G., Phair, J. P., Chmiel, J. S., Wortman, C. B., & Emmons, C. (1988). Effects of HIV infection, perceived health, and clinical status on a cohort at risk for AIDS.Social Science and Medicine, 26, 569–578.

    Article  Google Scholar 

  • Kiyak, H. A., Vitaliano, P. P., & Crinean, J. (1988). Patients' expectations as predictors of orthognathic surgery outcomes.Health Psychology, 7, 251–268.

    Article  PubMed  Google Scholar 

  • Klassen, A. D., Williams, C. J., & Lived, E. E. (1989).Sex and morality in the U.S. Middletown, CT: Wesleyan University Press.

    Google Scholar 

  • Kurdek, L. A., & Siesky, G. (1990). The nature and correlates of psychological adjustment in gay men with AIDS-related conditions.Journal of Applied Social Psychology, 20, 846–860.

    Article  Google Scholar 

  • Larsen, R. J., Diener, E., & Emmons, R. A. (1986). Affect intensity and reactions to daily life events.Journal of Personality and Social Psychology, 51, 803–814.

    Article  Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984).Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  • Leavy, R. (1983). Social support and psychological disorder: A review.Journal of Community Psychology, 11, 3–21.

    PubMed  Google Scholar 

  • Leserman, J., Perkins, D. O., & Evans D. L. (1992). Coping with the threat of AIDS: The role of social support.American Journal of Psychiatry, 149, 1514–1520.

    PubMed  Google Scholar 

  • Lewinsohn, P., & Libet, J. (1972). Pleasant events, activity schedules, and depression.Journal of Abnormal Psychology, 79, 291–295.

    Article  PubMed  Google Scholar 

  • Litt, M. D., Tennen, H., Affleck, G., & Klock, S. (1992). Coping and cognitive factors in adaptation to in vitro fertilization failure.Journal of Behavioral Medicine, 15, 171–187.

    Article  PubMed  Google Scholar 

  • Mapou, R. L., & Law, W. A. (1994). Neurobehavioral aspects of HIV disease and AIDS: An update.Professional Psychology Research and Practice, 25, 132–140.

    Article  Google Scholar 

  • Marsh, N. V., & McCall, D. W. (1994). Early neuropsychological change in HIV infection.Neuropsychology, 8, 44–48.

    Article  Google Scholar 

  • Miller, E. N., Selnes, O. A., McArthur, J. C., Satz, P., Becker, J. T., Cohen, B. A., Sheridan, K., Macahado, A. M., Van Gorp, W. G., & Visscher, B. (1990). Neuropsychological performance in HIV-1 infected homosexual men: The Multicenter AIDS Cohort Study (MACS).Neurology, 40, 197–203.

    PubMed  Google Scholar 

  • Monroe, S. (1983). Major and minor events as predictors of psychological distress.Journal of Behavioral Medicine, 6, 189–205.

    Article  PubMed  Google Scholar 

  • Monteiro, K. P., Peterson, J. L., & Folkman, S. (1994).Ways of coping: Cross-ethnic validity and cultural differences. Manuscript submitted for publication.

  • Moos, R. H. (1984). Context and coping: Toward a unifying conceptual framework.American Journal of Community Psychology, 12, 5–25.

    Article  PubMed  Google Scholar 

  • Namir, S., Alumbaugh, M. J., Fawzy, F. I., & Wolcott, D. L. (1989). The relationship of social support to physical and psychological aspects of AIDS.Psychology and Health, 3, 77–86.

    Google Scholar 

  • Namir, S., Wolcott, D. L., Fawzy, F. I., & Alumbaugh, M. J. (1987). Coping with AIDS: Psychological and health implications.Journal of Applied Social Psychology, 17, 309–328.

    Article  Google Scholar 

  • Nicholson, W. D., & Long, B. C. (1990). Self-esteem, social support, internalized homophobia, and coping strategies of HIV+gay men.Journal of Consulting and Clinical Psychology, 58, 873–876.

    Article  PubMed  Google Scholar 

  • O'Brien, K., Wortman, C. B., Kessler, R. C., & Joseph, J. G. (1993). Social relationships of men at risk for AIDS.Social Science and Medicine, 36, 1161–1167.

    Article  PubMed  Google Scholar 

  • Ostrow, D. G., Monjan, A., Joseph, J., VanRaden, M., Fox, R., Kingsley, L., Dudley, J., & Phair, J. (1989). HIV-related symptoms and psychological functioning in a cohort of homosexual men.American Journal of Psychiatry, 146, 737–742.

    PubMed  Google Scholar 

  • Ostrow, D. G., Whitaker, R. E. D., Fraiser, K., Cohen, C., Wan, J., Frank, C., & Fisher, E. (1991). Racial differences in social support and mental health in men with HIV infection: A pilot study.AIDS Care, 3, 55–62.

    PubMed  Google Scholar 

  • Peterson, J. L., Coates, T. J., Catania, J. A., Hilliard, B., Middleton, L., & Hearst, N. (1995). Help-seeking for AIDS high-risk sexual behavior among gay and bisexual African American men.AIDS Education and Prevention, 7, 1–9.

    PubMed  Google Scholar 

  • Quinn, M. E., Fontana, A. F., & Reznikoff, M. (1987). Psychological distress in reaction to lung cancers as a function of spousal support and coping strategy.Journal of Psychosocial Oncology, 4, 79–90.

    Article  Google Scholar 

  • Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population.Applied Psychological Measurement, 1, 385–401.

    Google Scholar 

  • Rabkin, J. G., Williams, J. B. W., Neugebauer, R., Remien, R. H., & Goetz, R. (1990) Maintenance of hope in HIV-spectrum homosexual men.American Journal of Psychiatry, 147, 1322–1326.

    PubMed  Google Scholar 

  • Reed, G. M., Kemeny, M. E., & Taylor, S. E. (1990, June).Coping responses and psychological adjustment in gay men with AIDS: A longitudinal analysis. Paper presented at the Sixth International Conference on AIDS, San Francisco.

  • Rehm, L. (1978). Mood, pleasant events, and unpleasant events: Two pilot studies.Journal of Consulting and Clinical Psychology, 46, 854–859.

    Article  PubMed  Google Scholar 

  • Reich, J., & Zautra, A. (1981). Life events and personal causation: Some relationships with satisfaction and distress.Journal of Personality and Social Psychology, 41, 1002–1012.

    Article  PubMed  Google Scholar 

  • Rohde, P., Lewinsohn, P. M., Tilson, M., & Seeley, J. R. (1990). Dimensionality of coping and its relation to depression.Journal of Personality and Social Psychology, 58, 499–511.

    Article  PubMed  Google Scholar 

  • Rowlingson, R. T., & Felner, R. D. (1988). Major life events, hassles, and adaptation in adolescence: Confounding in the conceptualization and measurement of life stress and adjustment revisited.Journal of Personality and Social Psychology, 55, 432–444.

    Article  Google Scholar 

  • Sarason, I. G., Johnson, J. H., & Siegel, J. M. (1978). Assessing the impact of life changes: Development of the Life Experiences Survey.Journal of Consulting and Clinical Psychology, 46, 932–946.

    Article  PubMed  Google Scholar 

  • Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies.Health Psychology, 4, 219–247.

    Article  PubMed  Google Scholar 

  • Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update.Cognitive Therapy and Research, 16, 201–228.

    Article  Google Scholar 

  • Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, G. J., Sr., Lefebvre, R. C., Abbott, R. A., & Carver, C. S. (1989). Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being.Journal of Personality and Social Psychology, 57, 1024–1040.

    Article  PubMed  Google Scholar 

  • Scheier, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach.Journal of Personality and Social Psychology, 56, 267–283.

    Article  PubMed  Google Scholar 

  • Scheier, M. F., Weinraub, J. K., & Carver, C. S. (1986). Coping and stress: Divergent strategies of optimists and pessimists.Journal of Personality and Social Psychology, 51, 1257–1264.

    Article  PubMed  Google Scholar 

  • Schwarzer, R., Dunkel-Schetter, & Kemeny, M. (1994). The multidimensional nature of received social support in gay men at risk of HIV infection and AIDS.American Journal of Community Psychology, 22, 319–339.

    Article  PubMed  Google Scholar 

  • Stanton, A. L., & Snider, P. R. (1993). Coping with a breast cancer diagnosis: A prospective study.Health Psychology, 12, 16–23.

    Article  PubMed  Google Scholar 

  • Stone, A. A. (1981). The association between perceptions of daily experiences and self-and spouse-related mood.Journal of Research in Personality, 15, 510–522.

    Article  Google Scholar 

  • Stone, A. A. & Neal, J. M. (1984a). New measure of daily coping: Development and preliminary results.Journal of Personality and Social Psychology, 46, 892–906.

    Article  Google Scholar 

  • Stone, A. A., & Neal, J. M. (1984b). Effects of a daily survey is differentially associated with concurrent mood.Journal of Consulting and Clinical Psychology, 52, 56–58.

    Google Scholar 

  • Stone, A., Helder, L., & Schneider, M. (1988). Coping with stressful events: Coping dimensions and issues. In L. Cohen (Ed.),Life events and psychological functioning: Theoretical and methodological issues (pp. 182–210). Newbury Park, CA: Sage.

    Google Scholar 

  • Storosom, J., Van den Boom, F., Van Beauzekom, M., & Sao, H. (1990).Stress and coping in people with HIV infection. Paper presented at the Sixth International Conference on AIDS, San Francisco.

  • Suls, J., & Fletcher, B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: A meta-analysis.Health Psychology, 4, 249–288.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (1989).Using multivariate statistics (2nd ed.), New York: Harper Collins.

    Google Scholar 

  • Taylor, S. E., Kemeny, M. E., Aspinwall, L. G., Schneider, S. G., Rodriguez, R., & Herbert, M. (1992). Optimism, coping, psychological distress, and high-risk sexual behavior among men at risk for acquired immunodeficiency syndrome (AIDS).Journal of Personality and Social Psychology, 63, 460–473.

    Article  PubMed  Google Scholar 

  • Thomas, V. G., Miiburn, N. G., Brown, D. R., & Gary, L. E. (1988). Social support and depressive symptoms among Blacks.Journal of Black Psychology, 14, 35–45.

    Google Scholar 

  • Tross, S., & Hirsch, D. A. (1988). Psychological distress and neuropsychological complications of HIV infection and AIDS.American Psychologist, 43, 929–934.

    Article  PubMed  Google Scholar 

  • Van-Gorp, W. G., Hinkin, C., Satz, P., Miller, E. N., Weisman, J., Holston, S., Drebing, C., Marcotte, T. D., & Dixon, W. (1993). Subtypes of HIV-related neuropsychological functioning: A cluster analysis approach.Neuropsychology, 7, 62–72.

    Article  Google Scholar 

  • Vernon, S. W., Roberts, R. E., & Lee, E. S. (1981). Prevalence of depression in Los Angeles County.American Journal of Epidemiology, 113, 691–699.

    Google Scholar 

  • Vinokur, A., & Caplan, R. D. (1986). Cognitive and affective components of life events: Their relations and effects on well-being.American Journal of Community Psychology, 14, 351–370.

    Article  PubMed  Google Scholar 

  • Wills, T. A. (1986). Stress and coping in early adolescence: Relationships to substance use in urban high schools.Health Psychology 5, 503–529.

    Article  PubMed  Google Scholar 

  • Wolf, T. M., Balson, P. M., Morse, E. V., Simon, P. M., Gaumer, R. H., Dralle, P. W., & Williams, M. H. (1991). Relationship of coping style to affective state and perceived support in asymptomatic and symptomatic HIV-infected persons: Implications for clinical management.Journal of Clinical Psychiatry, 52, 171–173.

    PubMed  Google Scholar 

  • Wong, M. & Kaloupek, D. G. (1986). Coping with dental treatment: The potential impact of situational demands.Journal of Behavioral Medicine, 9, 579–598.

    Article  PubMed  Google Scholar 

  • Zich, J., & Temoshok, L. (1987). Perceptions of social support in men with AIDS and ARC: Relationships with distress and hardiness.Journal of Applied Social Psychology, 7, 193–215.

    Article  Google Scholar 

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The research was completed at the Center for AIDS Prevention Studies, University of California at San Francisco and was supported in part by National Institute of Mental Health Grants MH44045 and MH42459. The authors express their appreciation to the participants in this study.

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Peterson, J.L., Folkman, S. & Bakeman, R. Stress, coping, HIV status, psychosocial resources, and depressive mood in African American gay, bisexual, and heterosexual men. Am J Commun Psychol 24, 461–487 (1996). https://doi.org/10.1007/BF02506793

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