Evidence-Based Resilience-Enhancing Intervention Methods for Children Affected by Armed Conflict

Chapter

Abstract

Within the last 10 years, the concepts of risk and resilience have become more common in the intervention literature. In this chapter, we would like to draw from a wide array of literature to help intervention planners and researchers find suitable and effective methods for enhancing resilience.

Keywords

Amid Schizophrenia Toll Indonesia Sudan 

References

  1. Ajduković, M., & Ajduković, D. (1993). Psychological well-being of refugee children. Child Abuse & Neglect, 17, 843–854. doi: 10.1016/S0145-2134(08)80014-2.CrossRefGoogle Scholar
  2. Almqvist, K., & Broberg, A. G. (1999). Mental health and social adjustment in young refugee children 3½ years after their arrival in Sweden. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 723–730. doi: 10.1097/00004583-199906000-00020.CrossRefPubMedGoogle Scholar
  3. Barath, A. (2000). Treating war trauma in children and youth from the former Yugoslavia (electronic version). In N. Dimitrijevic (Ed.), Managing multiethnic local communities in the countries of the former Yugoslavia (pp. 355–368). Budapest: Local Government and Public Reform Initiative.Google Scholar
  4. Barber, B. K. (2001). Political violence, social integration, and youth functioning: Palestinian youth from the Intifada. Journal of Community Psychology, 29, 259–280. doi: 10.1002/jcop.1017.CrossRefGoogle Scholar
  5. Berger, R., Pat-Horenczyk, R., & Gelkopf, M. (2007). School-based intervention for prevention and treatment of elementary students’ terror-related distress in Israel: A quasi-randomized controlled trial. Journal of Traumatic Stress, 20(4), 541–551. doi:10.1002/jts.20225.CrossRefPubMedGoogle Scholar
  6. Batniji, R., Van Ommeren, M., & Saraceno, B. (2006). Mental and social health in disasters: Relating qualitative social science research and the sphere standard. Social Science & Medicine, 62(8), 1853–1864. doi: 10.1016/j.socscimed.2005.08.050.CrossRefGoogle Scholar
  7. Betancourt, T. S., & Khan, K. T. (2008). The mental health of children affected by armed conflict: Protective processes and pathways to resilience. International Review of Psychiatry, 20(3), 317–328. doi:  10.1080/09540260802090363.CrossRefPubMedGoogle Scholar
  8. Betancourt, T. S., Agnew-Blais, J., Gilman, S. E., Williams, D. R., & Ellis, B. H. (2010). Past horrors, present struggles: The role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra Leone. Social Science & Medicine, 70, 17–26. doi: 16/j.socscimed.2009.09.038.CrossRefGoogle Scholar
  9. Biglan, A., Mrazek, P. J., Carnine, D., & Flay, B. R. (2003). The integration of research and practice in the prevention of youth problem behaviors. American Psychologist, 58, 433–440. doi: 10.1037/0003-066X.58.6-7.433.CrossRefPubMedGoogle Scholar
  10. Bleuler, M. (1963). Conception of schizophrenia within the last fifty years and today. Proceedings of the Royal Society of Medicine, 56, 945–952.PubMedGoogle Scholar
  11. Bolton, P., Bass, J., Betancourt, T., Spellman, L., Onyango, G., Clougherty, K. F., et al. (2007). Interventions for depression symptoms among adolescent survivors of war and displacement in Northern Uganda. JAMA: The Journal of the American Medical Association, 298, 519–527. doi: 10.1001/jama.298.5.519.CrossRefGoogle Scholar
  12. Brock, S. E. (2002). Group crisis intervention. In S. E. Brock, S. R. Jimerson, & P. J. Lazarus (Eds.), Best practices in school crisis prevention and intervention (Chap. 20) (Vol. 2005). Bethesda, MD: National Association of School Psychologists.Google Scholar
  13. Brown, C. H., & Liao, J. (1999). Principles for designing randomized preventive trials in mental health: An emerging developmental epidemiology paradigm. American Journal of Community Psychology, 27, 673–710. doi: 10.1023/A:1022142021441.CrossRefPubMedGoogle Scholar
  14. Bryce, J. W., Walker, N., Ghorayeb, F., & Kanj, M. (1989). Life experiences, response styles and mental health among mothers and children in Beirut, Lebanon. Social Science & Medicine, 28, 685–695. doi: 10.1016/0277-9536(89)90216-5.CrossRefGoogle Scholar
  15. Chase, R., Doney, A., Sivayogan, S., Ariyaratne, V., Satkunanayagam, P., & Swaminathan, A. (1999). Mental health initiatives as peace initiatives in Sri Lankan school children affected by armed conflict. Medicine, Conflict and Survival, 15(4), 379–390.CrossRefPubMedGoogle Scholar
  16. Cohen, E., Dekel, R., & Solomon, Z. (2002). Long-term adjustment and the role of attachment among Holocaust child survivors. Personality and Individual Differences, 33(2), 299–310. doi:  10.1016/S0191-8869(01)00156-8. CrossRefPubMedGoogle Scholar
  17. Cohen, J. A., & Mannarino, A. P. (2008). Trauma-focused cognitive behavioural therapy for children and parents. Child and Adolescent Mental Health, 13, 158–162. doi: 10.1111/j.1475-3588.2008.00502.x.CrossRefGoogle Scholar
  18. Cohen, J. A., Mannarino, A. P., Berliner, L., & Deblinger, E. (2000). Trauma-focused cognitive behavioral ­therapy for children and adolescents. Journal of Interpersonal Violence, 15, 1202–1223. doi: 10.1177/088626000015011007.CrossRefGoogle Scholar
  19. Cortes, L., & Buchanan, M. J. (2007). The experiences of Colombian child soldiers from a resilience perspective. International Journal for the Advancement of Counselling, 29, 43–55. doi: 10.1007/s10447-006-9027-0.CrossRefGoogle Scholar
  20. Cryder, C., Kilmer, R., Tedeschi, R., & Calhoun, L. (2006). An exploratory study of Posttraumatic growth in children following a natural disaster. The American Journal of Orthopsychiatry, 76, 65–69. doi: 10.1037/0002-9432.76.1.65 CrossRefPubMedGoogle Scholar
  21. Daud, A., af Klintberg, B., & Rydelius, P.-A. (2008). Resilience and vulnerability among refugee children of traumatised and non-traumatized parents. Child and Adolescent Psychiatry and Mental Health, 2, 7. doi: 10.1186/1753-2000-2-7 CrossRefPubMedGoogle Scholar
  22. Davydov, D. M., Stewart, R., Ritchie, K., & Chaudieu, I. (2010). Resilience and mental health. Clinical Psychology Review, 30(5), 479–495. doi:  10.1016/j.cpr.2010.03.003. CrossRefPubMedGoogle Scholar
  23. Dybdahl, R. (2001a). A psychosocial support program for children and mothers in war. Clinical Child Psychology and Psychiatry, 6, 425–437. doi:  10.1177/1359104501006003010. CrossRefGoogle Scholar
  24. Dybdahl, R. (2001b). Children and mothers in war: An outcome study of a psychosocial intervention program. Child Development, 72, 1214–1230. doi:  10.1111/1467-8624.00343. CrossRefPubMedGoogle Scholar
  25. Ehntholt, K. A., Smith, P. A., & Yule, W. (2005). School-based cognitive-behavioural therapy group intervention for refugee children who have experienced war-related trauma. Clinical Child Psychology and Psychiatry, 10, 235–250. doi:  10.1177/1359104505051214. CrossRefGoogle Scholar
  26. Ehntholt, K. A., & Yule, W. (2006). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war related trauma. Clinical Child Psychology and Psychiatry, 47(12), 1197–2010. doi: 10.1111/j.1469-7610.2006.01638.x. CrossRefPubMedGoogle Scholar
  27. Farhood, L. F. (1999). Testing a model of family stress and coping based on war and non-war stressors, family resources and coping among Lebanese families. Archives of Psychiatric Nursing, 13, 192–203. doi: 10.1016/S0883-9417(99)80005-3.CrossRefPubMedGoogle Scholar
  28. Feldman, R., & Vengrober, A. (2011). Posttraumatic stress disorder in infants and young children exposed to war-related trauma. Journal of the American Academy of Child & Adolescent Psychiatry, 50(7), 645–658. doi:  10.1016/j.jaac.2011.03.001. CrossRefPubMedGoogle Scholar
  29. Fernando, C., & Ferrari, M. (2011). Spirituality and resilience in children of war in Sri Lanka. Journal of Spirituality and Mental Health, 13, 52–77. doi: 10.1080/19349637.2011.547138.CrossRefGoogle Scholar
  30. Foa, E., Keane, T., & Friedman, M. (2000). Effective treatments for PTSD: Practice guidelines from the international society for traumatic stress studies. New York: The Guilford Press.Google Scholar
  31. Forchuk, C. (2001). Evidence-based psychiatric/mental health nursing. Evidence-Based Mental Health, 4, 39–40. doi:  10.1136/ebmh.4.2.39. CrossRefPubMedGoogle Scholar
  32. Garbarino, J., Dubrow, N., Kostelny, K., & Pardo, C. (1992). Children in danger: Coping with the consequences of community violence. San Francisco, CA: Jossey-Bass.Google Scholar
  33. Harel-Fisch, Y., Radwan, Q., Walsh, S. D., Laufer, A., Amitai, G., Fogel-Grinvald, H., & Abdeen, Z. (2010). Psychosocial outcomes related to subjective threat from armed conflict events (STACE): Findings from the Israeli-Palestinian cross-cultural HBSC study. Child Abuse & Neglect, 34, 623–638. doi:  10.1016/j.chiabu.2009.12.007. CrossRefGoogle Scholar
  34. Harris, D. A. (2010). When child soldiers reconcile: Accountability, restorative justice, and the renewal of empathy. Journal of Human Rights Practice, 2(3), 334–354. doi: 10.1093/jhuman/huq015.CrossRefGoogle Scholar
  35. Howar, S., Dryden, J., & Johnson, B. (1999). Childhood resilience: Review and critique of literature. Oxford Review Education, 25(3), 307–323.CrossRefPubMedGoogle Scholar
  36. Inter-Agency Standing Committee (IASC). (2007). IASC guidelines on mental health and psychosocial support in emergency settings. Geneva: IASC.Google Scholar
  37. International Federation Reference Centre for Psychosocial Support. (2007). Community-based psychosocial support. Trainer’s book. A training kit. Copenhagen: PS Centre Publications.Google Scholar
  38. Jordans, M. J., Tol, W. A., Komproe, I. H., Susanty, D., Vallipuram, A., Ntamatumba, P., et al. (2010). Development of a multi-layered psychosocial care system for children in areas of political violence. International Journal of Mental Health Systems, 4, 15. doi:10.1186/1752-4458-4-15.CrossRefPubMedGoogle Scholar
  39. Kilmer, R. P., Gil-Rivas, V., Tedeschi, R. G., Cann, A., Calhoun, L. G., Buchanan, T., & Taku, K. (2009). Use of the revised posttraumatic growth inventory for children. Journal of Traumatic Stress, 22(3), 248–253. doi:10.1002/jts.20410.CrossRefPubMedGoogle Scholar
  40. Kithakye, M., Morris, A. S., Terranova, A. M., & Myers, S. S. (2010). The Kenyan political conflict and children’s adjustment. Child Development, 81(4), 1114–1128. doi:10.1111/j.1467-8624.2010.01457.x.CrossRefPubMedGoogle Scholar
  41. Klasen, F., Oettingen, G., Daniels, J., Post, M., Hoyer, C., & Adam, H. (2010). Posttraumatic resilience in former Ugandan child soldiers. Child Development, 81(4), 1096–1113. doi:10.1111/j.1467-8624.2010.01456.x.CrossRefPubMedGoogle Scholar
  42. Kok, G., Schaalma, H., Ruiter, R.A., Van Empelen, P., & Brug, J. (2004). Intervention mapping: Protocol for applying health psychology theory to prevention programmes. Journal of Health Psychology, 9(1), 85–98. doi:  10.1177/1359105304038379. CrossRefPubMedGoogle Scholar
  43. Kostelny, K. & Wessells, M. (2010). Psychosocial Assessment of Education in Gaza and Recommendations for Response. UNESCO. Retrieved Feb 5, 2013 from http://resourcecentre.savethechildren.se/content/library/documents/psychosocialassessment-education-gaza-and-recommendations-response.
  44. Kuterovac-Jagodic´, G. (2003). Posttraumatic stress symptoms in Croatian children exposed to war: A prospective study. Journal of Clinical Psychology, 59, 9–25. doi:10.1002/jclp.10114.CrossRefPubMedGoogle Scholar
  45. Laor, N., Wolmer, L., & Cohen, D. J. (2001). Mother’s functioning and children’s symptoms 5 years after Scud missile attack. The American Journal of Psychiatry, 158, 1020–1026. doi: 10.1176/appi.ajp.158.7.1020 CrossRefPubMedGoogle Scholar
  46. Laufer, A., & Solomon, Z. (2010). Political ideology and psychological symptoms following terror. Youth Society, 41(3), 414–433. doi: 10.1177/0044118X09333658.CrossRefGoogle Scholar
  47. Layne, C. M., Beck, C. J., Rimmasch, H., Southwick, J. S., Moreno, M. A., & Hobfoll, S. E. (2009). Promoting “resilient” post-traumatic adjustment in childhood and beyond: “Unpacking” life events, adjustment trajectories, resources, and interventions. In D. Brom, P. Pat-Horenczyk, & J. Ford (Eds.), Treating traumatized children. Risk, resilience and recovery. East Sussex: Routledge.Google Scholar
  48. Layne, C. M., Pynoos, R. S., Saltzman, W. R., Arslanagic´, B., Savjak, N., Popoviz, T., et al. (2001). Trauma/grief-focused group psychotherapy: School-based postwar intervention with traumatized Bosnian adolescents. Group Dynamics: Theory, Research, and Practice, 5, 277–290. doi: 10.1037/1089-2699.5.4.277.CrossRefGoogle Scholar
  49. Layne, C. M., Saltzman, W. R., Poppleton, L., Burlingame, G. M., Pasalic, A., Durakovic, E., et al. (2008). Effectiveness of a school-based group psychotherapy program for war-exposed adolescents: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1048–1062. doi: 10.1097/CHI.0b013e31817eecae CrossRefPubMedGoogle Scholar
  50. Lewis, M. D., & Granic, I. (Eds.). (2000). Emotion, development, and self-organization: Dynamic systems approaches to emotional development, Cambridge studies in social and emotional development (pp. 37–69). New York, NY, US: Cambridge University Press, xiii, 411pp.Google Scholar
  51. Llabre, M. M., & Hadi, F. (1997). Social support and psychological distress in Kuwaiti boys and girls exposed to the Gulf crisis. Journal of Clinical Child Psychology, 26, 247–255. doi:10.1207/s15374424jccp2603_3.CrossRefPubMedGoogle Scholar
  52. Lloyd, E., Penn, H., Barreau, S., Burton, V., Davis, R., Potter, S., et al. (2005). How effective are measures taken to mitigate the impact of direct experience of armed conflict on the psychosocial and cognitive development of children aged 0–8? In: Research evidence in education library. London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London.Google Scholar
  53. Loughry, M., Ager, A., Flouri, E., Khamis, V., Afana, A., H., & Qouta, S. (2006). The impact of structured activities among Palestinian children in a time of conflict. Journal of Child Psychology and Psychiatry, 47(12), 1211–1218. 10.1111/j.1469-7610.2006.01656.x.CrossRefPubMedGoogle Scholar
  54. Luthar, S. S., & Cicchetti, D. (2000). The construct of resilience: Implications for interventions and social policies. Development and Psychopathology, 12(4), 857–885.CrossRefPubMedGoogle Scholar
  55. Meehl, P. E. (1962). Schizotaxia, schizotypy, schizophrenia. American Psychologist, 17, 827–838. doi:10.1037/h0041029CrossRefGoogle Scholar
  56. Möhlen, H., Parzer, P., Resch, F., & Brunner, R. (2005). Psychosocial support for war-traumatized child and adolescent refugees: Evaluation of a short-term ­treatment program. The Australian and New Zealand Journal of Psychiatry, 39, 81–87. doi:10.1111/j.1440-1614.2005.01513.xPubMedGoogle Scholar
  57. National Institute for Clinical Excellence. (2005). Clinical guideline 26. Post-traumatic stress disorder (PTSD). The management of PTSD in adults and children in primary and secondary care. Retrieved Feb 4 2013, from www.nice.org.uk/CG026NICEguideline.
  58. NCTSN (National Child Traumatic Stress Network). 2005. Mental health interventions for refugee children in resettlement. White paper II from the national child traumatic stress network. Refugee trauma task force.CrossRefPubMedGoogle Scholar
  59. Nguyen-Gillham, V., Giacaman, R., Naser, G., & Bouyce, W. (2008). Normalising the abnormal: Palestinian youth and the contradictions of resilience in protracted conflict. Health and Social Care in the Community, 16(3), 291–298. doi:  10.1111/j.1365-2524.2008.00767.x.CrossRefPubMedGoogle Scholar
  60. Onyut, L., Neuner, F., Schauer, E., Ertl, V., Odenwald, M., Schauer, M., et al (2005). Narrative exposure therapy as a treatment for child war survivors with posttraumatic stress disorder: Two case reports and a pilot study in an African refugee settlement. BMC Psychiatry, 5, 7–9. doi:10.1186/1471-244X-5-7CrossRefPubMedGoogle Scholar
  61. Oren, L., & Possick, C. (2010). Is ideology a risk factor for PTSD symptom severity among Israeli political evacuees? Journal of Traumatic Stress, 23(4), 483–490. doi: 10.1002/jts.20540.CrossRefPubMedGoogle Scholar
  62. Peltonen, K., & Punamäki, R.-L. (2010). Preventive interventions among children exposed to trauma of armed conflict: A literature review. Aggressive Behavior, 36(2), 95–116. doi:10.1002/ab.20334.CrossRefPubMedGoogle Scholar
  63. Peltonen, K., Qouta, S., Sarraj, E. E., & Punamäki, R.-L. (2010). Military trauma and social development: The moderating and mediating roles of peer and sibling relations in mental health. International Journal of Behavioral Development, 34(6), 554–563. doi:10.1177/0165025410368943.CrossRefGoogle Scholar
  64. Punamäki, R.-L. (1996). Can ideological commitment protect children’s psychosocial well-being in situations of political violence? Child Development, 67, 55–69. doi:10.1111/j.1467-8624.1996.tb01719.x.CrossRefGoogle Scholar
  65. Punamäki, R.-L. (1996). Can ideological commitment protect children’s psychological well-being in political violence? Child Development, 67, 55–69. doi:10.1111/j.1467-8624.1996.tb01719.x.CrossRefPubMedGoogle Scholar
  66. Punamäki, R. L. (1997). The mental health function of dreaming and playing (pp. 259–271). Gaza: Gaza Community Mental Health Program Publications.Google Scholar
  67. Punamäki, R., Muhammed, A. H., & Abdulrahman, H. A., (2001). Impact of traumatic events on coping strategies and their effectiveness among Kurdish children. International Journal of Behavioral Development, 28(1), 59–70. doi:  10.1080/01650250344000271.CrossRefPubMedGoogle Scholar
  68. Punamäki, R. L., Qouta, S., & El Sarraj, E. (2001). Resiliency factors predicting psychological adjustment after political violence among Palestinian children. International Journal of Behavioral Development, 25, 256–267. doi:10.1080/01650250042000294.CrossRefGoogle Scholar
  69. Punamäki, R.-L., & Suleiman, R. (1990). Predictors and effectiveness of coping with political violence among Palestinian children. British Journal of Social Psychology, 29, 67–77. doi:10.1111/j.2044-8309.1990.tb00887.x.CrossRefPubMedGoogle Scholar
  70. Qouta, S., El-Sarraj, E., & Punamäki, R.-L. (2001). Mental flexibility as resiliency factor among children exposed to political violence. International Journal of Psychology, 36, 1–7. doi:10.1080/00207590042000010CrossRefGoogle Scholar
  71. Rodenburg, R., Benjamin, A., de Roos, C., Meijer, A. M., & Stams, G. J. (2009). Efficacy of EMDR in children: A meta-analysis. Clinical Psychology Review, 29(7), 599–606. doi: 10.1016/j.cpr.2009.06.008.CrossRefPubMedGoogle Scholar
  72. Rosenthal, D. (1963). A suggested conceptual framework. In D. Rosenthal (Ed.), The Genian quadruplets (pp. 505–516). New York: Basic Books.Google Scholar
  73. Saigh, P. A., Mroueh, M., Zimmerman, B. J., & Fairbank, J. A. (1995). Self-efficacy expectations among traumatized adolescents. Behaviour Research and Therapy, 33, 701–704. doi:10.1016/0005-7967(94)00092-X.CrossRefPubMedGoogle Scholar
  74. Salmon, K., & Bryant, R. A. (2002). Posttraumatic stress disorder in children: The influence of developmental factors. Clinical Psychology Review, 22(2), 163–188. doi.  10.1016/S0272-7358(01)00086-1.CrossRefPubMedGoogle Scholar
  75. Schaeffer, C. M., Bruns, E., Weist, M., Stephan, S. H., Goldstein, J., & Simpson, Y. (2005). Overcoming challenges to using evidence-based interventions in schools. Journal of Youth and Adolescence, 34, 15–22. doi:10.1007/s10964-005-1332-0CrossRefGoogle Scholar
  76. Thabet, A. A., Ibraheem, A. N., Shivram, R., Winter, E. A., & Vostanis, P. (2009). Parenting support and PTSD in children of a war zone. International Journal of Social Psychiatry, 55(3), 226–237. doi:  10.1177/0020764008096100. CrossRefPubMedGoogle Scholar
  77. Tol, W.A., Komproe, I.H., Susanty, S., Jordans, M.J.D., Macy, R.D., & De Jong, J.T.V.M. (2008). School-based mental health intervention for children affected by political violence in Indonesia: A cluster randomized trial. JAMA, 300(6), 655–662. doi:  10.1001/jama.300.6.655.CrossRefPubMedGoogle Scholar
  78. Vanderbilt-Adriance, E., & Shaw, D., (2008). Conceptualizing and re-evaluating resilience across levels of risk, time, and domains of competence. Clinical Child and Family Psychology Review, 11, 30–58. doi:10.1007/s10567-008-0031-2.CrossRefPubMedGoogle Scholar
  79. Waddell, C., & Godderis, R. (2005). Rethinking evidence-based practice for children’s mental health. Evidence-Based Mental Health, 8, 60–62. doi:10.1136/ebmh.8.3.60.CrossRefPubMedGoogle Scholar
  80. Weisenberg, M., Schwarzwald, J., Waysman, M., Solomon, Z., & Klingman, A. (1993). Coping of school-age children in the sealed room during scud missile bombardment and postwar stress reactions. Journal of Consulting and Clinical Psychology, 61, 462–467. doi:10.1037/0022-006X.61.3.462CrossRefPubMedGoogle Scholar
  81. Wolff, P. H., & Fesseha, G. (1998). The orphans of Eritrea: Are orphanages part of the problem or part of the solution? The American Journal of Psychiatry, 155, 1319–1324PubMedGoogle Scholar
  82. Wolmer, L., Hamiel, D., & Laor, N. (2011). Preventing children’s posttraumatic stress after disaster with teacher-based intervention: A controlled study. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 340–348. doi:10.1016/j.jaac.2011.01.002CrossRefPubMedGoogle Scholar
  83. Woodside, D., Santa Barbara, J., & Benner, D. G. (1999). Psychological trauma and social healing in Croatia. Medicine, Conflict & Survival, 15(4), 355–367. doi:10.1080/13623699908409477.CrossRefPubMedGoogle Scholar
  84. Yule, W. (2002). Alleviating the effects of war and displacement on children. Traumatology, 8(3), 160–180. doi:10.1177/153476560200800304.CrossRefGoogle Scholar
  85. Zubin, J., & Spring, B. (1977). Vulnerability, a new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–126. doi:10.1037/0021-843X.86.2.103.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of TampereTampereFinland
  2. 2.School of Social Sciences and Humanities/PsychologyUniversity of TampereTampereFinland

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