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m
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o
r
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R
e
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de
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n
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t
R
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bl
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t
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r
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bl
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T
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bl
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ti
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n±S
D
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ma
l
43.48
±
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il
d
34.33
±
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S
e
ve
r
e
56.45
±
4.45
P
a
r
e
nt
B
e
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te
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D
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p
r
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v
e
d
45.36±8.12
P
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s
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r
im
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l
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nt
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r
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ubs
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is
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y
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P
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nt
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us
p
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te
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A
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n t
h
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a
s
t
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it
h
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ti
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ow
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e
l
f
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e
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e
m.
or
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p
r
e
s
s
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o
n
4.1±1.23
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ul
ti
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e
s
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e
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o
r
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is
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s
8.1±2.4
V
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nt
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mp
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r
O
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r
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ts
5.5±3.5
R
ig
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E
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n
4.2±2.3
H
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r
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h P
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s
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5.9±1.4
D
if
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ul
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nw
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udy
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36
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S
D=
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12)
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7)
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2)
.
3.
2
.
S
t
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p
2
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p
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an
at
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t
h
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igges
t
t
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we
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p
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d
in
or
d
e
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t
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p
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t
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s
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i
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T
a
bl
e
3
.
T
a
bl
e
3.
De
s
c
r
i
pt
i
o
n
o
f
i
n
t
e
r
vi
e
w
S
e
s
s
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n
I
nt
e
r
v
ie
w
m
e
th
o
ds
T
h
e
m
e
C
o
nt
e
nt
s
D
ur
a
ti
o
n
(
mi
ns
)
1
F
a
c
e
t
o
f
a
c
e
in
te
r
v
i
e
w
s
e
s
s
i
o
n
P
a
r
e
nt
B
e
a
te
n
or
D
e
p
r
i
v
e
d
1.
T
h
r
e
a
te
ni
ng i
n
c
id
e
nt
2.
G
e
t
ph
y
s
i
c
a
l
a
bus
e
3.
G
e
t
s
oc
ia
l
is
o
la
ti
o
n
f
r
om s
c
hi
z
o
phr
e
ni
a
5
-
10
2
F
a
c
e
t
o
f
a
c
e
in
te
r
v
i
e
w
s
e
s
s
i
o
n
P
a
r
e
nt
ha
s
C
r
im
in
a
l
o
r
M
e
nt
a
l
I
ll
n
e
s
s
R
e
c
o
r
d.
or
S
ubs
ta
nc
e
A
bus
e
H
is
t
o
r
y
1.
P
r
e
v
i
o
us
e
ve
nt
s
of
a
bus
e
2.
H
is
t
o
r
y
of
t
h
e
di
s
e
a
s
e
3.
P
r
e
v
i
o
us
c
r
im
in
a
l
a
c
ti
o
ns
5
-
10
3
F
a
c
e
t
o
f
a
c
e
in
te
r
v
i
e
w
s
e
s
s
i
o
n
M
ul
ti
pl
e
S
tr
e
s
s
e
s
o
r
C
r
is
e
s
1.
F
e
a
r
a
nd a
n
x
ie
t
y
w
he
n
c
a
r
in
g
f
or
2.
T
h
e
f
or
m
of
bu
r
de
n
f
e
lt
w
he
n
c
a
r
in
g
f
or
3.
T
h
e
m
o
s
t
s
tr
e
s
s
f
ul
e
ve
nt
w
h
e
n c
a
r
in
g
f
o
r
5
-
10
1)
P
ar
e
n
t
be
aten
or
de
pr
ive
d
W
i
t
h
r
e
ga
r
d
to
t
h
e
t
h
e
m
e
o
f
P
a
r
e
n
t
B
e
a
t
e
n
o
r
De
pr
i
ve
d
.
a
s
s
t
a
t
e
d
by
t
h
e
pa
r
t
i
c
i
pa
n
t
s
:
“
Some
ti
me
s
if
the
de
s
ir
e
is
not
f
oll
ow
e
d
he
is
angr
y
and
thr
e
atens
to
hit
”
(
P
1)
“
Othe
r
than
that
w
he
n
s
c
hi
z
ophr
e
nia
as
k
e
d
about
s
ome
thi
ng.
he
thr
e
w
objec
ts
ne
ar
him…
.
(
P
6)
(
P
8)
“
E
v
e
r
hit
a
ne
ighbor
w
he
n
as
k
ing
f
or
f
ood
and
dr
ink…
”
(
P
1)
Ot
h
e
r
B
a
r
r
i
e
r
r
e
l
a
t
e
d
to
De
pr
i
v
e
d
“
W
he
n
s
c
hiz
ophr
e
nia
w
e
nt
on
a
r
ampage
or
w
a
s
angr
y
I
did
r
e
s
tr
ain
it
bac
k
”
(
P
3)
“
I
he
lp
pr
ov
ide
f
ood
and
dr
ink
and
take
a
bath
i
f
n
e
e
de
d”
(
P
4)
2)
P
ar
e
n
t
h
as
c
r
im
in
al
or
m
e
n
tal
il
ln
e
s
s
r
e
c
or
d.
or
s
u
bs
tan
c
e
abu
s
e
h
is
tor
y
“
Sc
hiz
ophr
e
nia
has
e
x
pe
r
ien
c
e
d
divor
c
e
w
it
h
his
w
if
e
.
it
happe
ne
d
about
1
y
e
ar
ago…
.
”
(
P
7
)
(
P
9)
“
Sc
hiz
ophr
e
nia.
w
he
n
f
ir
e
d
f
r
om
their
w
o
r
k
.
is
oft
e
n
day
dr
e
aming
and
alone.
and
as
k
ing
f
or
mone
y
t
o
be
able
to
w
o
r
k
again.
.
”
(
P
10
)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
S
N:
2252
-
8806
I
n
t
.
J
.
P
ubl
i
c
He
a
l
t
h
S
c
i
.
Vo
l
.
8
,
N
o
.
2
,
J
un
e
201
9
:
19
7
–
20
1
200
3)
M
u
lt
ipl
e
s
tr
e
s
s
e
s
or
c
r
i
s
e
s
“
Y
e
s
.
w
he
n
s
c
hiz
oph
r
e
nia
goe
s
on
a
r
ampage
.
I
as
k
my
ne
ighbor
s
and
other
f
amili
e
s
f
or
he
lp
in
e
nga
ging
in
s
c
hiz
ophr
e
nia
s
o
as
not
to
har
m
other
s
.
thi
s
mak
e
s
me
v
e
r
y
s
tr
e
s
s
f
ul”
(
P
11)
(
P
5
)
“
Sc
hiz
ophr
e
nia
als
o
s
ome
ti
me
s
.
c
lot
hing.
ur
inat
e
s
and
de
f
e
c
ates
in
place
s
s
o
it
mak
e
s
me
v
e
r
y
dis
tur
be
d
and
s
tr
e
s
s
e
d.
I
am
pati
e
nt
and
r
e
s
igned…
”
(
P
2)
F
a
mi
li
e
s
s
t
r
e
s
s
r
e
a
c
t
i
o
n
i
n
t
r
e
a
t
i
n
g
s
c
hi
z
o
ph
r
e
ni
a
is
f
e
l
t
li
ke
a
ps
y
c
h
o
l
o
g
i
c
a
l
b
ur
de
n
s
h
o
we
d
r
e
v
e
a
l
e
d
t
h
a
t
t
h
e
o
v
e
r
a
l
l
f
a
mi
ly
s
t
r
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s
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r
e
a
c
t
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o
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r
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e
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t
e
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o
f
de
pr
i
v
e
d
s
c
hi
z
o
ph
r
e
ni
a
.
T
h
e
ps
y
c
h
o
l
o
g
i
c
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l
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wa
s
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e
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s
e
d
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a
r
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c
i
pa
n
t
s
i
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e
f
o
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m
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r
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bl
o
o
d
p
r
e
s
s
ur
e
[
6,
8
-
9
]
.
T
h
e
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e
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s
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e
c
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s
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f
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hi
t
wi
l
l
ge
t
a
n
gr
y
a
n
d
h
ur
t
ot
h
e
r
s
a
r
oun
d
him
.
F
e
e
li
ngs
o
f
wo
r
r
y
u
n
t
i
l
t
h
e
h
e
a
r
t
f
l
ut
t
e
r
s
a
l
s
o
f
e
e
l
f
a
mi
ly
i
f
s
c
hi
z
o
ph
r
e
ni
a
go
e
s
o
n
.
d
o
n
ot
g
o
b
a
c
k
h
o
m
e
a
n
d
m
a
ke
m
i
s
t
a
ke
s
o
u
t
s
i
de
[6
-
7,
9
-
10
]
.
T
h
e
f
a
mi
l
y
b
e
li
e
v
e
s
t
h
a
t
p
o
s
t
-
r
e
s
t
r
a
i
n
s
c
hi
z
o
ph
r
e
ni
a
i
s
l
e
f
t
by
wo
r
k
by
hi
s
f
a
mi
ly
.
s
c
hi
z
o
ph
r
e
ni
a
po
s
t
r
e
s
t
r
a
i
n
wi
ll
r
u
n
a
r
o
un
d
t
h
e
h
o
us
e
.
a
n
gr
y
.
a
n
d
h
a
r
m
ot
h
e
r
pe
o
pl
e
s
o
t
h
a
t
t
h
e
pe
r
c
e
i
v
e
d
f
a
mi
ly
i
s
n
o
t
c
a
l
m
w
hil
e
t
a
ki
ng
c
a
r
e
o
f
po
s
t
r
e
s
t
r
a
i
n
s
c
hi
z
o
ph
r
e
ni
a
.
M
e
n
t
a
l
he
a
l
t
h
o
f
t
h
e
f
a
mi
ly
s
y
s
t
e
m
a
ppr
o
a
c
h
j
u
s
t
i
f
i
e
d
u
n
de
r
c
o
n
d
i
t
i
o
ns
o
f
s
e
l
f
c
a
r
e
.
a
n
d
t
h
e
r
a
pe
ut
i
c
i
n
t
e
r
v
e
n
t
i
o
n
s
f
o
r
c
hi
l
dr
e
n
m
u
s
t.
t
h
e
r
e
f
o
r
e
.
a
l
s
o
i
nv
o
l
v
e
pa
r
e
n
t
s
a
n
d
s
i
b
li
ngs
[
8
-
11
]
.
Kn
o
w
l
e
dge
o
f
u
ni
que
f
a
mi
ly
a
tt
a
c
hm
e
n
t
pa
tt
e
r
n
s
i
s
us
e
f
u
l
f
o
r
a
da
pt
i
n
g
t
h
e
r
a
pe
ut
i
c
t
r
e
a
t
m
e
n
t
s
a
n
d
pr
e
v
e
n
t
i
v
e
i
n
t
e
r
v
e
n
t
i
o
n
s
f
o
r
s
c
hi
z
o
ph
r
e
ni
a
a
n
d
f
a
m
il
i
e
s
a
f
f
e
c
t
e
d
by
t
h
e
f
a
mi
ly
b
ur
de
n
.
F
a
mi
ly
m
e
m
be
r
s
a
s
s
i
s
t
i
n
c
a
r
i
n
g
f
o
r
c
l
i
e
n
t
s
.
I
f
t
h
e
f
a
mi
ly
wo
r
ks
.
t
h
e
n
ot
h
e
r
f
a
mi
ly
m
e
m
be
r
s
w
h
o
h
e
l
p
t
a
ke
c
a
r
e
o
f
c
l
i
e
n
t
n
e
e
ds
s
uc
h
a
s
e
a
t
i
ng
a
n
d
dr
i
n
k
i
ng.
T
h
e
f
a
mi
ly
h
e
l
p
s
m
e
e
t
t
h
e
n
e
e
ds
o
f
s
e
l
f
-
c
a
r
e
c
l
o
t
hi
n
g
[
12
-
14]
.
A
do
l
e
s
c
e
n
t
s
o
c
i
a
l
r
e
l
a
t
i
o
n
s
a
s
r
e
por
t
e
d
t
h
r
o
ugh
t
h
e
s
t
i
g
m
a
e
x
pe
r
i
e
n
c
e
d
.
h
a
v
e
a
n
e
ga
t
i
v
e
i
m
p
a
c
t
o
n
b
o
y
s
a
n
d
g
i
r
l
s
[
11,
15]
.
A
m
a
j
o
r
i
t
y
pa
r
e
n
t
h
a
s
s
ubs
t
a
n
c
e
a
b
us
e
hi
s
t
o
r
y
.
P
a
r
e
n
t
a
l
r
e
po
r
t
s
o
f
s
ym
pt
o
m
s
o
f
P
T
S
D
(
P
o
s
t
-
T
r
a
um
a
t
i
c
S
y
ndr
o
m
e
)
a
n
d
de
pr
e
s
s
i
o
n
h
a
v
e
s
t
r
o
n
g
n
e
ga
t
i
v
e
e
f
f
e
c
t
s
o
n
g
i
r
l
s
”
o
u
t
c
o
m
e
s
.
i
nc
l
ud
i
ng
s
t
i
g
ma
e
x
pe
r
i
e
n
c
e
d.
e
x
t
e
r
n
a
l
i
z
i
ng
b
e
h
a
vi
o
r
.
a
n
d
s
c
h
o
o
l
da
y
s
r
a
t
h
e
r
t
h
a
n
b
o
y
s
[
8,
10
-
11
,
15
-
16
]
.
T
h
e
pe
r
c
e
pt
i
o
n
s
o
f
f
a
mi
ly
c
a
r
e
g
i
ve
r
s
i
n
t
hi
s
a
r
e
a
a
n
d
a
b
o
ut
t
h
e
i
r
f
r
e
e
t
i
m
e
.
t
h
i
s
c
a
n
pr
o
vi
de
a
b
r
o
a
de
r
pe
r
s
pe
c
t
i
v
e
f
o
r
m
e
n
t
a
l
h
e
a
l
t
h
t
h
e
r
a
p
i
s
t
s
.
r
e
h
a
bil
i
t
a
t
i
o
n
m
a
n
a
ge
r
s
a
n
d
po
l
i
c
y
m
a
k
e
r
s
to
un
de
r
s
t
a
n
d
ne
e
ds
.
o
v
e
r
c
o
m
e
c
ha
l
l
e
nge
s
a
n
d
b
a
r
r
i
e
r
s
f
r
o
m
t
hi
s
f
a
mi
ly
c
a
r
e
gr
o
up
[
11
-
12
,
15
,
17]
.
R
e
s
e
a
r
c
h
e
r
s
a
r
gue
t
h
a
t
m
e
e
t
i
n
g
t
h
e
n
e
e
d
s
o
f
s
e
l
f
-
c
a
r
e
f
o
r
f
a
mi
l
y
b
a
t
hs
h
e
l
p
s
m
e
e
t
t
h
e
n
e
e
d
t
o
b
a
t
h
e
po
s
t
-
r
e
s
t
r
a
i
n
s
c
hi
z
o
ph
r
e
ni
a
.
T
h
e
f
a
mi
ly
r
e
v
e
a
l
e
d
t
h
a
t
p
o
s
t
-
r
e
s
tr
a
i
n
s
c
hi
z
o
ph
r
e
ni
a
h
a
d
a
de
s
i
r
e
t
o
t
a
ke
a
b
a
t
h
a
n
d
d
i
d
not
wa
n
t
to
t
a
ke
a
b
a
t
h
.
T
h
e
r
e
l
a
t
i
o
n
s
hi
p
be
t
we
e
n
t
h
e
ge
n
e
r
a
l
t
e
n
de
n
c
y
t
o
a
v
o
i
d
a
c
t
i
o
n
s
i
n
pr
o
bl
e
m
s
i
t
ua
t
i
o
ns
a
n
d
t
h
e
t
e
n
de
n
c
y
t
o
s
e
e
k
s
o
c
i
a
l
t
r
a
n
s
f
e
r
to
ov
e
r
c
o
m
e
st
r
e
s
s
[
12,
15,
18]
.
A
s
s
e
r
t
i
ve
b
e
ha
vi
o
r
wa
s
a
l
s
o
f
o
un
d
t
o
c
o
r
r
e
l
a
t
e
wi
t
h
t
h
e
t
e
n
de
n
c
y
t
o
b
e
i
nvo
l
v
e
d
in
s
ubs
t
i
t
u
t
i
o
n
a
c
t
i
vi
t
i
e
s
.
Gr
e
a
t
e
r
wi
l
li
ng
ne
s
s
t
o
di
s
p
la
y
a
s
s
e
r
t
i
v
e
be
h
a
vi
o
r
i
s
o
b
s
e
r
v
e
d
i
n
s
u
bj
e
c
t
s
wh
o
e
x
pr
e
s
s
a
t
e
n
de
nc
y
t
o
a
v
o
i
d
t
hi
nk
i
ng
a
b
o
ut
p
r
o
bl
e
m
s
a
n
d
f
i
nd
a
c
t
i
v
e
s
o
l
ut
i
o
n
s
i
n
s
t
r
e
s
s
f
u
l
s
i
t
ua
t
i
o
n
s
.
T
h
e
r
e
f
o
r
e
,
t
h
e
f
a
m
il
y
t
r
i
e
s
to
m
e
e
t
t
h
e
n
e
e
ds
o
f
po
s
t
-
r
e
s
t
r
a
i
n
s
c
hi
z
o
ph
r
e
ni
a
b
a
t
h
s
o
t
h
a
t
pe
r
s
o
n
a
l
hy
g
i
e
n
e
i
n
s
c
hi
z
o
ph
r
e
ni
a
c
a
n
b
e
we
l
l
m
a
i
n
t
a
i
ne
d
a
n
d
c
a
n
pr
e
ve
n
t
di
s
e
a
s
e
.
T
h
e
f
a
mi
ly
s
t
a
t
e
d
t
h
a
t
t
h
e
f
u
l
f
il
lm
e
n
t
of
b
a
t
hi
ng
n
e
e
d
s
i
s
il
l
us
t
r
a
t
e
d
by
b
a
t
h
t
i
m
e
.
b
a
t
hi
ng
m
e
t
h
o
d.
b
a
t
hi
n
g
p
l
a
c
e
.
a
n
d
pr
o
bl
e
m
s
w
h
e
n
b
a
t
hi
ng
a
r
e
n
o
t
m
e
t
.
T
h
e
h
o
s
p
i
t
a
l
o
r
n
ur
s
e
m
us
t
d
o
f
a
m
il
y
c
o
p
i
n
g
whil
e
f
a
c
i
ng
v
a
r
i
o
us
pr
o
b
l
e
m
s
i
n
t
r
e
a
t
i
n
g
t
h
e
c
l
i
e
n
t
’
s
m
e
n
t
a
l
d
i
s
o
r
de
r
a
f
t
e
r
p
o
s
t
.
T
hi
s
a
c
t
i
vi
t
y
c
a
n
b
e
r
e
a
l
i
z
e
d
t
hr
o
ugh
t
h
e
pr
o
vi
s
i
o
n
o
f
c
o
un
s
e
l
i
ng
s
e
r
vi
c
e
s
a
n
d
h
e
a
l
t
h
c
a
r
e
wo
r
ke
r
s
a
l
w
a
y
s
c
o
n
t
r
o
l
f
a
mi
li
e
s
a
n
d
c
l
i
e
n
t
s
.
M
u
l
t
i
p
l
y
f
a
mi
ly
e
m
po
we
r
m
e
n
t
i
n
m
a
na
g
i
n
g
t
h
e
v
a
r
i
o
us
b
ur
de
ns
f
a
c
e
d
by
f
a
mi
li
e
s
w
h
o
c
a
r
e
f
o
r
p
o
s
t
-
m
e
n
t
a
l
d
i
s
o
r
de
r
s
[
18
-
20]
.
T
h
e
n
e
e
d
f
o
r
s
e
l
f
-
c
a
r
e
e
l
im
i
n
a
t
i
o
n
in
s
c
hi
z
o
ph
r
e
ni
a
po
s
t
-
r
e
s
t
r
a
i
n
he
l
p
s
f
u
lf
il
l
t
h
e
n
e
e
d
f
o
r
s
e
l
f
-
e
li
mi
na
t
i
o
n
c
a
r
e
i
n
s
c
hi
z
o
ph
r
e
ni
a
po
s
t
-
r
e
s
t
r
a
i
n
.
S
c
hi
z
o
ph
r
e
ni
a
a
l
s
o
s
o
m
e
t
i
m
e
s
ur
i
na
t
e
s
a
n
d
de
f
e
c
a
t
e
s
i
n
p
l
a
c
e
s
s
o
i
t
m
a
ke
s
m
e
v
e
r
y
d
i
s
t
ur
b
e
d
a
n
d
s
t
r
e
s
s
e
d.
I
a
m
pa
t
i
e
n
t
a
n
d
r
e
s
i
g
n
e
d.
f
a
mi
ly
e
nvi
r
o
nm
e
n
t
i
n
t
e
r
a
c
t
i
o
n
a
f
f
e
c
t
s
b
o
t
h
a
ggr
e
s
s
i
o
ns
d
i
r
e
c
t
e
d
o
u
twa
r
d
a
n
d
s
y
m
pt
o
m
s
o
f
m
o
o
d
a
n
d
a
n
xi
e
t
y
d
i
s
o
r
de
r
s
i
n
a
s
pe
c
i
f
i
c
wa
y
[
20
-
2
5
]
.
T
h
e
f
a
mi
ly
e
x
p
l
a
i
ne
d
t
h
a
t
t
h
e
m
e
t
h
o
d
o
f
s
c
hi
z
o
ph
r
e
ni
a
po
s
t
-
r
e
s
tr
a
i
n
r
e
m
o
v
a
l
i
s
v
a
r
i
e
d.
t
h
a
t
i
s
by
c
o
v
e
r
i
ng
t
h
e
s
o
i
l
.
b
e
i
ng
g
i
ve
n
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