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Physical Morbidity and Mortality in Psychiatric Patients

  • Conference paper
Interaction Between Mental and Physical Illness

Abstract

The risks of mortality and morbidity in mental patients are of interest in several respects. First, they may point to etiological links between mental disorders and physical illness. Second, they may have implications for treatment, and provide clues for preventive measures. In so far as they are not accounted for by selection mechanisms at the point of access to psychiatric treatment, mental illnesses may be associated in three different ways with increased or reduced risks for physical morbidity and mortality:

  1. 1.

    Through a direct relationship, emanating from psychiatric illness, which is the case, for example, in alcohol-related diseases or in depressive disorders with an elevated risk for suicide

  2. 2.

    Through an indirect relationship, mediated by factors associated with the mental disorder, such as deficient health behavior, self-neglect and immobility or long-term hospitalization as a protective factor against certain risks

  3. 3.

    Relationships between physical morbidity, mortality, and mental disorder may point to common underlying factors, e.g., coronary heart disease in conjunction with cerebrovascular dementia pointing to arteriosclerosis as a common basic disease, and this, in turn, to risk factors like hypertension and diabetes

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References

  • Allebeck P, Wistedt B (1986) Mortality in schizophrenia. A ten-year follow-up based on the Stockholm county inpatient register. Arch Gen Psychiatry 43: 650–653

    Google Scholar 

  • Allebeck P, Varia A, Wistedt B (1986) Suicide and violent death among patients with schizophrenia. Acta Psychiatr Scand 74: 43–49

    Article  PubMed  CAS  Google Scholar 

  • Alstrom CH (1942) Mortality in mental hospitals with especial regard to tuberculosis. Acta Psychiat Neurol Scand [Suppl] 24

    Google Scholar 

  • Amdur MA, Souchek J (1981) Death in aftercare. Compr Psychiatry 22: 619–626

    Article  PubMed  CAS  Google Scholar 

  • Babigian HM, Odoroff CL (1969) The mortahty experience of a population with psychiatric illness. Am J Psychiatry 126: 470–480

    PubMed  CAS  Google Scholar 

  • Baldwin JA (1979) Schizophrenia and physical disease. Psychol Med 9: 611–618

    Article  PubMed  CAS  Google Scholar 

  • Barclay LL, Zemcov A, Blass JP, Sansone J (1985) Survival in Alzheimer’s disease and vascular dementias. Neurology 35: 834–840

    PubMed  CAS  Google Scholar 

  • Bamer-Rasmussen P (1986) Suicide in psychiatric patients in Denmark, 1971–1981. II. Hospital utilization and risk groups. Acta Psychiatr Scand 73: 449–455

    Article  Google Scholar 

  • Bamer-Rasmussen P, Dupont A, Bille H (1986) Suicide in psychiatric patients in Denmark, 1971–81.1. Demographic and diagnostic description. Acta Psychiatr Scand 73: 441–448

    Google Scholar 

  • Benson G, Holmberg MB (1984) Drug-related mortahty in young people. Acta Psychiatr Scand 70: 525–534

    Article  PubMed  CAS  Google Scholar 

  • Berglund M (1984) Mortality in alcoholics related to clinical state at first admission. Acta Psychiatr Scand 70: 407–416

    Article  PubMed  CAS  Google Scholar 

  • Berglund M, Tunving K (1985) Assaultive alcoholics 20 years later. Acta Psychiatr Scand 71: 141–147

    Article  PubMed  CAS  Google Scholar 

  • Bickel H (1987) Psychiatric illness and mortality among the elderly: findings of an epidemio-logical study. In: Cooper B (ed) Psychiatric epidemiology. Croom Helm, London, pp 192–211

    Google Scholar 

  • Black DW, Warrack G, Winokur G ( 1985 a) The Iowa record-linkage study. I. Suicide and accidental deaths among psychiatric patients. Arch Gen Psychiatry 42: 71–75

    Google Scholar 

  • Black DW, Warrack G, Winokur G ( 1985 b) The Iowa record-linkage study. II. Excess mortahty among patients with organic mental disorders. Arch Gen Psychiatry 42: 78–81

    Google Scholar 

  • Black DW, Warrack G, Winokur G (1985c) The Iowa record-linkage study. III. Excess mortahty among patients with “functional” disorders. Arch Gen Psychiatry 42: 82–88

    Google Scholar 

  • Blessed G, Wilson ID (1982) The contemporary natural history of mental disorder in old age. Br J Psychiatry 141: 59–67

    Article  PubMed  CAS  Google Scholar 

  • Brook OH (1985) Mortality in the long-stay population of Dutch mental hospitals. Acta Psychiatr Scand 71: 626–635

    Article  PubMed  CAS  Google Scholar 

  • Campbell AJ, Diep C, Reinken J, McCosh L (1985) Factors predicting mortality in a total population sample of the elderly. J Epidemiol Community Health 39: 337–342

    Article  PubMed  CAS  Google Scholar 

  • Carter G, Jancar J (1983) Mortality in the mentally handicapped: a 50 year survey at the Stoke Park group of Hospitals (1930–1980). J Ment Defic Res 27: 143–156

    PubMed  Google Scholar 

  • Christie AB (1982) Changing patterns in mental illness in the elderly. Br J Psychiatry 140: 154–159

    Article  PubMed  CAS  Google Scholar 

  • Christie AB (1985) Survival in dementia: a review. In: Arie T (ed) Recent advances in psychogeriatrics 1. Churchill Livingstone, Edinburgh, pp 33–43

    Google Scholar 

  • Christie AB, Train JD (1984) Change in the pattern of care for the demented. Br J Psychiatry 144: 9–15

    Article  PubMed  CAS  Google Scholar 

  • ConMnissioners in Lunacy for England and Wales (1909) Annual Report. HMSO, London

    Google Scholar 

  • Coryell W (1981) Diagnosis-specific mortality. Primary unipolar depression and Briquet’s syndrome (somatization disorder). Arch Gen Psychiatry 38: 939–942

    Article  PubMed  CAS  Google Scholar 

  • Coryell W, Noyes R, Clancy J (1982) Excess mortality in panic disorder. A comparison with primary unipolar depression. Arch Gen Psychiatry 39: 701–710

    Google Scholar 

  • Craig TJ, Lin SP (1981) Mortality among psychiatric inpatients. Age-adjusted comparison of populations before and after psychotropic drug era. Arch Gen Psychiatry 38:935– 938

    Google Scholar 

  • Cutler NR, Heston LL, Davies P, Haxby JV, Shapiro MB (1985) Alzheimer’s disease and Down’s syndrome: new insights. Ann Intern Med 103: 566–578

    PubMed  CAS  Google Scholar 

  • Diesfeldt HFA, van Houte LR, Moerkens RM (1986) Duration of survival in senile dementia. Acta Psychiatr Scand 73: 366–371

    Article  PubMed  CAS  Google Scholar 

  • Duckworth GS, Kedward HB, Bailey WF (1979) Prognosis of mental illness in old age. A four year follow-up study. Can J Psychiatry 24: 674–682

    Google Scholar 

  • Dupont A, Möller Jensen O, Strömgren E, Jablensky A ( 1986 a) Incidence of cancer in patients diagnosed as schizophrenic in Denmark. In: ten Horn GHMM, Giel R, Gulbinat WH, Henderson JH (eds) Psychiatric case registers in public health. Elsevier, Amsterdam, pp 229–239

    Google Scholar 

  • Dupont A, Vaeth M, Videbech P (1986 b) Mortality and life expectancy of Down’s syndrome in Denmark. J Ment Defic Res

    Google Scholar 

  • Eastwood MR, Stiasny S, Meier HMR, Woogh CM (1982) Mental illness and mortality. Compr Psychiatry 23: 377–385

    Article  PubMed  CAS  Google Scholar 

  • Enzell K (1984) Mortality among persons with depressive symptoms and among responders and non-responders in a health check-up. An investigation of persons bom in 1905 and followed up from age 66 to 75. Acta Psychiatr Scand 69: 89–102

    Article  PubMed  CAS  Google Scholar 

  • Ernst K, Moser U, Ernst C (1980) Zunehmende Suicide psychiatrischer Klinikpatienten:Realität oder Artefakt? Arch Psychiatr Nervenkr 228: 351–363

    Article  PubMed  CAS  Google Scholar 

  • Forssman H, Jansson B (1960) Follow-up study of 849 men admitted for mental disorders to the psychiatric ward of a general hospital. Acta Psychiatr Neurol Scand 35: 57–72

    Article  CAS  Google Scholar 

  • Fryers T (1986) Survival in Down’s syndrome. J Ment Defic Res 30: 101–110

    PubMed  Google Scholar 

  • Giel R, Dijk S, van Weerden-Dijkstra JR (1978) Mortality in the long-stay population of all Dutch mental hospitals. Acta Psychiatr Scand 57: 361–368

    Article  PubMed  CAS  Google Scholar 

  • Gilmore AJJ (1975) Some characteristics of non-surviving subjects in a three-year longitudinal study of elderly people living at home. Geront Clin 17: 72–79

    Article  PubMed  CAS  Google Scholar 

  • Go RCP, Todorov AB, Elston RC, Constantinidis J (1978) The malignancy of dementias. Ann Neurol 3: 559–561

    Article  PubMed  CAS  Google Scholar 

  • Gopalaswamy AK, Morgan R (1985) Too many chronic mentally disabled patients are too fat. Acta Psychiatr Scand 72: 254–258

    Article  PubMed  CAS  Google Scholar 

  • Hagnell O, Lanke J, Rorsman B (1981) Suicide rates in the Lundby study: mental illness as a risk factor for suicide. Neuropsychobiology 7: 248–253

    Article  PubMed  CAS  Google Scholar 

  • Hall RCW, Popkin MK, Devaul RA, Faillace LA, Stickney SK (1978) Physical illness presenting as psychiatric disease. Arch Gen Psychiatry 35: 1315–1320

    Article  PubMed  CAS  Google Scholar 

  • Hall RCW, Gardner ER, Stickney SK, LeCann AF, Popkin MK (1980) Physical illness manifesting as psychiatric disease. II. Analysis of a State Hospital inpatient population. Arch Gen Psychiatry 37: 989–995

    Google Scholar 

  • Halldin J, Björk K, Lindeberg A (1985) Mortality in an urban population in central Sweden in relation to mental disorder and alcohol consumption. Acta Psychiatr Scand 72:374– 381

    Google Scholar 

  • Haugland G, Craig TJ, Goodman AB, Siegel C (1983) Mortality in the era of deinstitution-alization. Am J Psychiatry 140: 848–852

    PubMed  CAS  Google Scholar 

  • Hawton K (1987) Assessment of suicide risk. Br J Psychiatry 150: 145–153

    Article  PubMed  CAS  Google Scholar 

  • Herrman HE, Baldwin JA, Christie D (1983) A record-linkage study of mortality and general hospital discharge in patients diagnosed as schizophrenic. Psychol Med 13: 581–593

    Article  PubMed  CAS  Google Scholar 

  • Hessö R (1977) Suicide in Norwegian, Finnish, and Swedish psychiatric hospitals. Arch Psychiatr Nervenkr 224: 119–127

    PubMed  Google Scholar 

  • Heston LL (1981) Genetic studies of dementia: with emphasis on Parkinson’s disease and Alzheimer’s neuropathology. In: Mortimer JA, Schumann LM (eds) The epidemiology of dementia. Oxford University Press, New York, pp 101–114

    Google Scholar 

  • Heston LL, Mastri AR, Anderson VE, White J (1981) Dementia of the Alzheimer type: clinical genetics, natural history and associated conditions. Arch Gen Psychiatry 38:1085– 1090

    Google Scholar 

  • Hsu LKG (1980) Outcome of anorexia nervosa. A review of the literature (1954 to 1978). Arch Gen Psychiatry 37: 1041–1046

    Article  PubMed  CAS  Google Scholar 

  • Innes G, Millar WM (1970) Mortality among psychiatric patients. Scott Med J 15: 143–148

    PubMed  CAS  Google Scholar 

  • Jarvik LF, Ruth V, Matsuyama SS (1980) Organic brain syndrome and aging. Arch Gen Psychiatry 37: 280–286

    Article  PubMed  CAS  Google Scholar 

  • Kang J, Lemaire H-G, Unterbeck A, Salbaum JM, Masters CL, Multhaup G, Beyreuther K, Mûller-Hill B (1987) The precursor of Alzheimer’s disease amyloid A4 protein resembles a cell-surface receptor. Nature 325: 733–736

    Article  PubMed  CAS  Google Scholar 

  • Kaszniak AW, Fox J, Gandell DL, Garrón DC, Huckman MS, Ramsey RG (1978) Predictors of mortahty in presenile and senile dementia. Ann Neurol 3: 246–252

    Article  PubMed  CAS  Google Scholar 

  • Katona CLE, Lowe D, Jack RL (1983) Prediction of outcome in psychogeriatric patients. Acta Psychiatr Scand 67: 297–306

    Article  PubMed  CAS  Google Scholar 

  • Kay DWK, Bergmann K (1966) Physical disability and mental health in old age. A follow-up of a random sample of elderly people seen at home. J Psychosom Res 10: 3–12

    Google Scholar 

  • Kendler KS (1986) A twin study of mortality in schizophrenia and neurosis. Arch Gen Psychiatry 43: 643–649

    Article  PubMed  CAS  Google Scholar 

  • Kerr TA, Schapira K, Roth M (1969) The relationship between premature death and affective disorders. Br J Psychiatry 115: 1277–1282

    Article  PubMed  CAS  Google Scholar 

  • Koranyi EK (1980) Somatic illness in psychiatric patients. Psychosomatics 21: 887–891

    PubMed  CAS  Google Scholar 

  • Kraft DP, Babigian HM (1976) Suicide by persons with and without psychiatric contacts. Arch Gen Psychiatry 33: 209–215

    Article  PubMed  CAS  Google Scholar 

  • Langley GE, Bayatti NN (1984) Suicides in Exe Vale Hospital 1972–1981. Br J Psychiatry 145: 463–467

    Article  PubMed  CAS  Google Scholar 

  • Larsson T, Sjogren T (1954) A methodological, psychiatric and statistical study of a large Swedish rural population. Acta Psychiatr Neurol Scand [Suppl] 89

    Google Scholar 

  • Lipowski ZJ (1975) Psychiatry of somatic diseases: epidemiology pathogenesis, classification. Compr Psychiatry 16: 105–124

    Article  PubMed  CAS  Google Scholar 

  • Magnusson H, Helgason T (1981) Epidemiology of mental disorders in the aged on Iceland. In: Magnussen G, Nielsen J, Buch J (eds) Epidemiology and prevention of mental illness in old age. Nordisk Samrâd for Aeldreaktivitet, Hellerup, pp 29–33

    Google Scholar 

  • Malzberg B (1953) Further studies of mortality among patients with mental disease. Acta Med Scand 145 [Suppl]: 215–230

    Google Scholar 

  • Martin RL, Cloninger CR, Guze SB, Clayton PJ ( 1985 a) Mortality in a follow-up of 500 psychiatric outpatients. I Total mortality. Arch Gen Psychiatry 42: 47–54

    Google Scholar 

  • Martin RL, Cloninger CR, Guze SB, Clayton PJ (1985 b) Mortality in a follow-up of 500 psychiatric outpatients. II Cause-specific mortality. Arch Gen Psychiatry 42: 58–66

    Google Scholar 

  • Modestin J (1982) Suizid in der psychiatrischen Institution. Nervenarzt 53: 254–261

    PubMed  CAS  Google Scholar 

  • Mölsä PK, Marttila RJ, Rinne UK (1986) Survival and cause of death in Alzheimer’s disease and multi-infarct dementia. Acta Neurol Scand 74: 103–107

    Article  PubMed  Google Scholar 

  • Müller C (1981) Psychische Erkrankungen und ihr Verlauf sowie ihre Beeinflussung durch das Alter. Huber, Bern

    Google Scholar 

  • Murphy JM, Monson RR, Ohvier DC, Sobol AM, Leighton AH (1987) Affective disorders and mortahty. A general population study. Arch Gen Psychiatry 44: 473–480

    Google Scholar 

  • Nakane Y, Ohta Y (1986) The example of linkage with a cancer register. In: ten Horn GHMM, Giel R, Gulbinat WH, Henderson JH (eds) Psychiatric case registers in public health. Elsevier, Amsterdam, pp 240–245

    Google Scholar 

  • Nielsen J, Homma A, Biöm-Henriksen T (1977) Follow-up 15 years after a geronto-psychiatric prevalence study. Conditions concerning death, cause of death, and life expectancy in relation to psychiatric diagnosis. J Gerontol 32: 554–561

    Google Scholar 

  • ödegärd Ö (1936) Mortahty in Norwegian mental hospitals from 1916 to 1933. Acta Psychiatr Scand 11: 323–356

    Article  Google Scholar 

  • ödegärd Ö (1951) Mortahty in Norwegian mental hospitals 1926–1941. Acta Genet (Basel) 2: 141–173

    Google Scholar 

  • ödegärd Ö (1952) The excess mortahty of the insane. Acta Psychiatr Neurol Scand 27:353– 367

    Google Scholar 

  • ödegärd Ö (1967) Mortahty in Norwegian psychiatric hospitals 1950–1962. Acta Genet (Basel) 17: 137–153

    Google Scholar 

  • Perris C, Beskow J, Jacobsson L (1980) Some remarks on the incidence of successful suicide in psychiatric cases. Soc Psychiatry 15: 161–166

    Article  Google Scholar 

  • Persson G (1981) Five-year mortahty in a 70–year-old urban population in relation to psychiatric diagnosis, personahty, sexuality and early parental death. Acta Psychiatr Scand 64: 244–253

    Article  PubMed  CAS  Google Scholar 

  • Ribourdouille M, Corten P (1986) Mortahté chez des patients fréquentant un secteur psych-iatrique. Acta Psychiatr Belg 86: 514–525

    PubMed  CAS  Google Scholar 

  • Rorsman B (1974) Mortahty among psychiatric patients. Acta Psychiatr Scand 50: 354–375

    Article  PubMed  CAS  Google Scholar 

  • Rorsman B, Hagnell O, Lanke J (1982) Mortahty in the Lundby study. Natural death in different forms of mental disorder in a total population investigated during a 25–year period. Neuropsychobiology 8: 188–197

    Article  PubMed  CAS  Google Scholar 

  • Rorsman B, Hagnell O, Lanke J (1983) Mortahty and psychiatric speciahst care in the Lundby study. Age-standardized death rates in different forms of psychiatric services in a total population investigated during a 25–year period. Neuropsychobiology 9: 2–8

    Article  PubMed  CAS  Google Scholar 

  • Rorsman B, Hagnell O, Lanke J (1985) Prevalence of age psychosis and mortahty among age psychotics in the Lundby study. Change over time during a 25–year observation period. Neuropsychobiology 13: 167–172

    Article  PubMed  CAS  Google Scholar 

  • Roth M (1955) The natural history of mental disorder in old age. J Ment Sei 101: 281–301

    CAS  Google Scholar 

  • Saugstad LF, ödegärd Ö (1979) Mortahty in psychiatric hospitals in Norway 1950–74. Acta Psychiatr Scand 59: 431–447

    Article  PubMed  CAS  Google Scholar 

  • Saugstad L, ödegärd Ö (1985) Recent rise in supposedly stress dependent causes of death in psychiatric hospitals in Norway indicating increased “stress” in hospitals? Acta Psychiatr Scand 71: 402–409

    Article  PubMed  CAS  Google Scholar 

  • Schmidt W, de Lint J (1969) Mortality experiences of male and female alcoholic patients. J Stud Alcohol 30: 112–118

    CAS  Google Scholar 

  • Schmidtke A, Häfner H (1985) Do cohort efYects influence suicide rates? Arch Gen Psychiatry 42: 926–927

    Article  PubMed  Google Scholar 

  • Schwalb H, Eckmann F, Brüninghaus H (1981) Psychopharmaka und kardiale Risikofakto-ren. Nervenarzt 52: 549–553

    PubMed  CAS  Google Scholar 

  • Shaw S, Sims A (1984) A survey of unexpected deaths among psychiatric in-patients and expatients. Br J Psychiatry 146: 473–476

    Article  Google Scholar 

  • Similae S, von Wendt L, Rantakallio P (1986) Mortahty of mentally retarded children to 17 years of age assessed in a prospective one-year birth cohort. J Ment Defic Res 30:401– 405

    Google Scholar 

  • Sims A (1978) Hypotheses linking neuroses with premature mortality. Psychol Med 8: 255–263

    Article  PubMed  CAS  Google Scholar 

  • Sims A (1984) Neuroses and mortahty: investigating an association. J Psychosom Res 28: 353–362

    Article  PubMed  CAS  Google Scholar 

  • Sims A, Prior P (1978) The pattern of mortahty in severe neuroses. Br J Psychiatry 133: 299–305

    Article  PubMed  CAS  Google Scholar 

  • Singer E, Garfmkel R, Cohen MS, Srole L (1976) Mortahty and mental health: evidence from the Midtown Manhattan restudy. Soc Sci Med 10: 517–525

    Article  PubMed  CAS  Google Scholar 

  • Steinhausen H-C, Glanville K (1983) Follow-up studies of anorexia nervosa: a review of research findings. Editorial. Psychol Med 13: 239–249

    Google Scholar 

  • Tait D (1983) Mortahty and dementia among ageing defectives. J Ment Defic Res 27:133– 142

    Google Scholar 

  • Taylor JR, Combs-Orme T, Taylor DA (1983) Alcohol and mortahty. Diagnostic consider-ations. J Stud Alcohol 44: 17–25

    Google Scholar 

  • Tokuhata GK, Stehman VA (1958) Mortahty in state mental hospitals of Michigan, 1950–54. Public Health Rep 73: 750–761

    Article  PubMed  CAS  Google Scholar 

  • Tsuang MT (1978) Suicide in schizophrenics, maniacs, depressives, and surgical controls. A comparison with general population suicide mortahty. Arch Gen Psychiatry 35:153– 155

    Google Scholar 

  • Tsuang MT, Simpson JC (1985) Mortahty studies in psychiatry. Should they stop or proceed? Arch Gen Psychiatry 42: 98–103

    Article  PubMed  CAS  Google Scholar 

  • Tsuang MT, Woolson RF, Fleming J A (1980) Premature deaths in schizophrenia and affective disorders. An analysis of survival curves and variables affecting the shortened survival. Arch Gen Psychiatry 37: 979–983

    Google Scholar 

  • Tsuang MT, Perkins KP, Simpson JC (1983) Physical diseases in schizophrenia and affective disorders. J Chn Psychiatry 44: 42–43

    CAS  Google Scholar 

  • Vitahano PP, Peck A, Johnson DA, Prinz PN, Eisdorfer C (1981) Dementia and other competing risks for mortality in the institutionalized aged. J Am Geriatr Soc 29: 513–519

    Google Scholar 

  • Wood JB, Evenson RC, Cho DW, Hagan BJ (1985) Mortahty variations among public mental health patients. Acta Psychiatr Scand 72: 218–229

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization (1986) Summary report. Working group on preventive practices in suicide and attempted suicide. WHO, Copenhagen (ICP/PSF 017 (S), 6526 V)

    Google Scholar 

Download references

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Authors and Affiliations

  1. Zentralinstitut für Seelische Gesundheit J5, Postfach 122120, D-6800, Mannheim 1, Germany

    H. Häfner & H. Bickel

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  1. H. Häfner
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  2. H. Bickel
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Editors and Affiliations

  1. Department of Psychiatry, University Hospital, S-221 85, Lund, Sweden

    Rolf Öhman , Annika Franck Holmkvist  & Sören Nielzén ,  & 

  2. The British Journal of Psychiatry, 17 Belgrave Square, SWIX 8PG, GB-London, UK

    Hugh L. Freeman

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Häfner, H., Bickel, H. (1989). Physical Morbidity and Mortality in Psychiatric Patients. In: Öhman, R., Freeman, H.L., Holmkvist, A.F., Nielzén, S. (eds) Interaction Between Mental and Physical Illness. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73993-4_6

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