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o
we
d
t
h
a
t
50%
o
f
t
h
e
hi
g
h
r
i
s
k
pa
r
t
i
c
i
pa
n
t
s
o
f
pr
e
gn
a
n
t
wo
m
e
n
e
x
pe
r
i
e
nc
e
d
de
pr
e
s
s
i
o
n
s
y
m
pt
o
m
s
[
7]
.
P
r
e
vi
o
us
s
t
ud
y
c
o
n
duc
t
e
d
i
n
I
n
do
n
e
s
i
a
r
e
l
a
t
e
d
to
de
pr
e
s
s
i
o
n
i
n
pr
e
g
n
a
n
t
wo
m
e
n
by
Ha
n
da
y
a
ni
a
n
d
F
o
ur
i
a
n
a
li
s
t
y
a
w
a
t
i
[
8]
a
l
s
o
f
o
un
d
r
e
s
u
l
t
t
h
a
t
20%
o
f
pa
r
t
i
c
i
p
a
n
t
s
o
f
pr
e
g
n
a
n
t
wo
m
e
n
e
x
p
e
r
i
e
n
c
e
d
s
y
m
pt
o
m
s
o
f
de
pr
e
s
s
i
o
n
.
De
pr
e
s
s
i
o
n
m
a
y
ha
v
e
a
n
e
g
a
t
i
ve
im
pa
c
t
o
n
pr
e
g
n
a
n
t
wo
m
e
n
.
P
r
e
gn
a
n
t
wo
m
e
n
w
h
o
s
e
d
e
pr
e
s
s
i
o
n
wa
s
n
o
t
t
r
e
a
t
e
d
e
a
r
l
y
c
o
u
l
d
r
e
s
u
l
t
i
n
d
i
f
f
i
c
u
l
t
a
d
j
us
t
m
e
n
t
b
e
t
we
e
n
m
o
t
h
e
r
a
n
d
c
hil
d
dur
i
ng
pe
r
i
n
a
t
a
l
a
n
d
po
s
t
pa
r
t
um
pe
r
i
o
ds
[
2]
.
M
o
r
e
o
v
e
r
,
ot
h
e
r
s
t
ud
i
e
s
h
a
v
e
a
l
s
o
f
o
u
n
d
t
h
a
t
de
pr
e
s
s
i
o
n
e
x
pe
r
i
e
n
c
e
d
dur
i
n
g
pr
e
gn
a
n
c
y
h
a
s
a
n
i
m
p
a
c
t
o
n
c
hil
d
bi
r
t
h
,
s
uc
h
a
s
c
o
m
p
li
c
a
t
i
o
n
s
dur
i
ng
c
hil
d
bi
r
t
h
,
e
m
e
r
ge
n
c
e
o
f
s
ym
pt
o
m
s
dur
i
n
g
pr
e
gn
a
n
c
y
,
pr
e
m
a
t
ur
e
bi
r
t
h
a
n
d
us
e
o
f
pa
i
n
r
e
l
i
e
f
dur
i
ng
c
hil
d
bi
r
t
h
[
10]
.
De
pr
e
s
s
i
o
n
e
x
p
e
r
i
e
nc
e
d
dur
i
ng
pr
e
g
n
a
n
c
y
m
a
y
pe
r
s
i
s
t
u
n
t
i
l
po
s
t
bi
r
t
h
if
i
t
i
s
n
o
t
t
r
e
a
t
e
d
we
l
l
s
i
nc
e
pr
e
gn
a
n
c
y
[
12]
.
I
t
c
a
n
l
e
a
d
t
o
n
e
ga
t
i
v
e
im
pa
c
t
o
f
th
e
f
e
t
us
.
S
y
m
pt
o
m
s
o
f
de
pr
e
s
s
i
o
n
a
n
d
a
nxi
e
t
y
e
x
p
e
r
i
e
n
c
e
d
dur
i
n
g
pr
e
g
n
a
n
c
y
c
a
n
a
l
s
o
l
e
a
d
to
t
h
e
r
i
s
k
o
f
pr
e
m
a
t
ur
e
bi
r
t
h
s
o
f
f
e
t
us
a
s
we
ll
a
s
l
o
w
bi
r
t
h
we
igh
t
[
11]
.
P
r
e
vi
o
us
s
t
ud
y
c
o
n
duc
t
e
d
by
De
a
v
e
,
He
r
o
n
,
E
v
a
ns
,
a
n
d
E
m
o
n
d
[
9]
f
o
un
d
t
ha
t
de
pr
e
s
s
i
o
n
dur
i
n
g
pr
e
gn
a
nc
y
c
a
n
c
a
us
e
de
ve
l
o
p
m
e
n
t
de
l
a
y
o
f
c
hil
dr
e
n
.
De
pr
e
s
s
io
n
t
h
a
t
c
o
n
t
i
n
ue
s
po
s
t
bi
r
t
h
pr
o
c
e
s
s
c
a
n
d
i
s
r
upt
t
h
e
pr
o
c
e
s
s
o
f
a
da
pt
a
t
i
o
n
o
f
m
o
t
h
e
r
a
n
d
c
hil
d,
a
n
d
n
e
ga
t
i
ve
l
y
im
pa
c
t
o
n
a
tt
a
c
hm
e
n
t
a
n
d
i
n
f
a
n
t
c
a
r
e
o
f
mot
h
e
r
to
c
hil
d
[
12]
.
P
r
e
gn
a
n
t
wo
m
e
n
wh
o
e
x
pe
r
i
e
n
c
e
d
de
pr
e
s
s
i
o
n
c
a
n
b
e
h
e
l
p
p
r
i
m
a
r
i
ly
us
i
ng
dr
ugs
.
Ho
we
v
e
r
,
t
h
e
y
t
e
n
d
to
h
e
s
i
t
a
t
e
to
us
i
n
g
dr
ugs
dur
i
ng
pr
e
gna
n
c
y
d
ue
to
f
e
a
r
o
f
s
t
i
g
m
a
a
n
d
s
i
d
e
e
f
f
e
c
t
s
o
f
i
t
f
o
r
t
h
e
f
e
t
us
[
13
]
.
T
h
e
r
e
f
o
r
e
,
ot
h
e
r
i
n
t
e
r
v
e
n
t
i
o
ns
t
o
r
e
duc
e
de
pr
e
s
s
i
o
n
o
n
pr
e
gn
a
n
t
wo
m
e
n
w
i
t
h
f
e
we
r
s
i
de
e
f
f
e
c
t
s
o
n
b
o
t
h
pr
e
g
n
a
n
t
m
ot
h
e
r
a
n
d
t
h
e
f
e
t
us
a
r
e
n
e
e
de
d.
One
o
f
t
h
e
f
a
c
t
o
r
s
t
h
a
t
c
a
n
h
e
l
p
r
e
duc
i
n
g
de
pr
e
s
s
i
o
n
l
e
v
e
l
s
o
f
pr
e
gn
a
n
t
wo
m
e
n
i
s
mi
nd
f
u
l
ne
s
s
.
M
i
n
d
f
u
l
ne
s
s
c
o
m
e
s
f
r
o
m
t
h
e
p
s
y
c
h
o
l
o
g
y
o
f
B
udd
hi
s
m
.
M
i
n
d
f
u
l
ne
s
s
a
ppr
o
a
c
h
c
o
n
c
e
r
ns
o
n
qu
a
l
i
t
y
o
f
a
t
t
e
n
t
i
o
n
a
n
d
a
wa
r
e
n
e
s
s
o
f
a
p
e
r
s
o
n
,
w
hi
c
h
c
a
n
b
e
de
ve
l
o
pe
d
a
n
d
t
r
a
i
n
e
d
t
h
r
o
ugh
m
e
d
i
t
a
t
i
o
n
.
T
h
e
de
f
i
n
i
t
i
o
n
o
f
m
i
nd
f
u
l
ne
s
s
i
s
t
h
e
a
wa
r
e
n
e
s
s
t
h
a
t
a
r
i
s
e
s
by
f
o
c
us
i
ng
a
t
t
e
n
t
i
o
n
a
t
t
hi
s
m
o
m
e
n
t
by
n
ot
j
ud
g
i
n
g
t
h
e
pe
r
c
e
i
v
e
d
e
x
pe
r
i
e
n
c
e
[
14]
.
I
n
mi
nd
f
u
l
ne
s
s
,
a
pe
r
s
o
n
d
i
r
e
c
t
s
hi
s
/
he
r
a
t
t
e
n
t
i
o
n
t
o
hi
s
/
h
e
r
pr
e
s
e
n
t
m
i
nd
a
n
d
wo
r
l
d
;
a
n
d
hi
s
/
h
e
r
c
ur
r
e
n
t
e
x
pe
r
i
e
n
c
e
s
s
uc
h
a
s
f
e
e
l
i
ngs
a
n
d
b
o
d
y
s
e
ns
a
t
i
o
n
s
,
e
x
t
e
r
n
a
l
s
t
i
m
u
li
s
u
c
h
a
s
s
i
g
h
t
,
s
o
un
d
a
n
d
s
m
e
ll
[
15]
.
M
i
n
d
f
u
l
ne
s
s
-
b
a
s
e
d
i
n
t
e
r
ve
n
t
i
o
n
s
h
a
ve
be
e
n
de
v
e
l
o
pe
d
t
o
o
v
e
r
c
o
m
e
de
pr
e
s
s
i
o
n
o
f
pr
e
gn
a
n
t
wo
m
e
n
.
F
r
o
m
pr
e
vi
o
us
s
t
ud
i
e
s
,
c
o
n
c
l
ude
d
t
h
a
t
m
i
nd
f
u
l
ne
s
s
c
a
n
de
c
r
e
a
s
e
t
h
e
s
y
m
pt
o
m
s
o
f
de
pr
e
s
s
i
o
n
,
a
nxi
e
t
y
,
o
r
ps
y
c
h
o
l
o
g
i
c
a
l
d
i
s
t
r
e
s
s
e
x
p
e
r
i
e
n
c
e
d
by
pr
e
g
n
a
n
t
wo
m
e
n
(
16,
17
,
18
,
19
,
2]
.
A
c
c
o
r
d
i
n
g
t
o
B
a
e
r
,
S
m
i
t
h
,
Ho
pki
n
s
,
K
r
i
e
t
e
m
e
y
e
r
,
a
n
d
T
o
n
e
y
[
20]
,
m
i
nd
f
u
l
ne
s
s
i
s
d
i
v
i
de
d
i
n
t
o
f
i
ve
d
i
m
e
n
s
i
o
ns
:
o
b
s
e
r
vi
ng,
de
s
c
r
i
bi
ng,
a
c
t
i
n
g
w
i
t
h
a
wa
r
e
ne
s
s
,
n
o
n
e
j
udg
i
ng
o
f
i
nne
r
e
x
p
e
r
i
e
nc
e
a
n
d
n
o
n
r
e
a
c
t
i
vi
t
y
t
o
i
nn
e
r
e
x
pe
r
i
e
n
c
e
.
T
h
e
o
bs
e
r
vi
n
g
d
im
e
ns
i
o
n
d
i
s
c
us
s
e
s
o
n
h
o
w
pe
r
s
o
n
c
a
n
be
a
wa
r
e
o
f
t
h
e
e
x
t
e
r
n
a
l
a
n
d
i
n
t
e
r
n
a
l
e
x
pe
r
i
e
n
c
e
s
r
e
c
e
i
ve
d
by
him
s
e
l
f
,
s
uc
h
a
s
s
e
ns
a
t
i
o
n
,
c
o
gni
t
i
o
n
,
e
m
o
t
i
o
n
,
s
i
g
h
t
,
s
oun
d
a
n
d
s
m
e
l
l
.
T
h
e
d
im
e
ns
i
o
n
o
f
de
s
c
r
i
bi
ng
i
s
a
b
o
ut
t
h
e
wa
y
pe
o
p
l
e
l
a
b
e
l
e
x
t
e
r
n
a
l
e
x
pe
r
i
e
n
c
e
w
i
t
h
wo
r
ds
.
T
h
e
d
i
m
e
n
s
i
o
n
o
f
a
c
t
i
n
g
w
i
t
h
a
wa
r
e
n
e
s
s
i
s
a
b
o
ut
t
h
e
a
bil
i
t
y
o
f
a
pe
r
s
o
n
to
pe
r
f
o
r
m
a
n
a
c
t
i
vi
t
y
w
i
t
h
f
o
c
us
a
nd
a
wa
r
e
ne
s
s
.
T
h
e
n
o
nj
udg
i
ng
o
f
i
nn
e
r
e
x
pe
r
i
e
n
c
e
d
im
e
n
s
i
o
n
i
s
t
h
e
s
i
t
ua
t
i
o
n
w
he
n
a
pe
r
s
o
n
do
e
s
n
o
t
g
i
v
e
a
n
a
s
s
e
s
s
m
e
n
t
o
f
wha
t
h
e
f
e
e
l
s
o
r
t
hi
n
k
s
a
b
o
u
t
.
T
h
e
d
i
m
e
n
s
i
o
n
o
f
n
o
n
r
e
a
c
t
i
vi
t
y
t
o
i
nne
r
e
x
pe
r
i
e
n
c
e
i
s
c
o
n
d
i
t
i
o
n
whi
c
h
a
pe
r
s
o
n
r
e
c
e
i
ve
s
t
h
e
t
h
o
ugh
t
s
a
n
d
f
e
e
l
i
ng
s
j
u
s
t
t
h
e
wa
y
i
t
i
s
,
a
n
d
h
e
i
s
a
bl
e
to
l
e
t
i
t
go
wi
t
h
o
ut
b
e
i
n
g
d
i
s
s
o
l
v
e
d
a
n
d
c
a
r
r
i
e
d
a
wa
y
by
t
h
a
t
f
e
e
li
ng
o
r
t
h
o
u
gh
t
.
I
n
a
dd
i
t
i
o
n
t
o
m
i
n
d
f
u
l
ne
s
s
,
s
e
l
f
-
c
o
m
pa
s
s
i
o
n
i
s
a
l
s
o
f
o
un
d
t
o
h
a
v
e
a
r
e
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RE
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Evaluation Warning : The document was created with Spire.PDF for Python.
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166
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27]
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[
26]
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pr
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[
28]
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[
29]
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[
30]
a
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RE
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NC
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[1
]
K
r
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k
,
G
.
,
“
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A
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.
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.
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I
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D
u
n
k
e
l
S
c
h
e
t
t
e
r
,
C.
,
&
T
an
n
e
r,
L
.
,
“
A
n
x
i
e
t
y
,
D
e
p
r
e
s
s
i
o
n
an
d
St
re
s
s
i
n
Preg
n
a
n
cy
:
Im
p
l
i
c
at
i
o
n
s
fo
r
Mo
t
h
e
rs
,
Ch
i
l
d
r
e
n
,
R
e
s
e
ar
ch
,
a
n
d
Pra
c
t
i
ce
”
,
Cu
r
r
e
n
t
O
p
i
n
i
o
n
i
n
P
s
ych
i
a
t
r
y
,
25
(2
),
1
4
1
-
1
4
8
,
2
0
1
5
.
[1
2
]
O
s
b
o
rn
e
,
S.
,
&
O
’
K
e
a
n
e
,
V
.
,
“
Ma
n
ag
emen
t
o
f
D
e
p
re
s
s
i
o
n
d
u
ri
n
g
Pr
e
g
n
an
cy
”
,
P
r
o
g
r
es
s
i
n
Neu
r
o
l
o
g
y
a
n
d
P
s
ych
i
a
t
r
y,
1
3
(
2
),
6
-
1
1
.
D
O
I
:
1
0
.
1
0
0
2
/
p
n
p
.
1
1
3
,
2
0
0
9
.
[1
3
]
Bad
k
e
r,
R.
,
&
Mi
s
ri
,
S.
,
“
Mi
n
d
f
u
l
n
e
s
s
-
b
as
e
d
T
h
e
rap
y
i
n
t
h
e
P
e
r
i
n
at
al
P
e
r
i
o
d
:
A
r
e
v
i
ew
o
f
t
h
e
L
i
t
e
rat
u
r
e
”
,
B
C
M
ed
i
ca
l
Jo
u
r
n
a
l
,
5
9
(1
),
18
-
2
1
,
2
0
1
7
.
[1
4
]
K
ab
at
-
Z
i
n
n
,
J
.
,
“
Mi
n
d
fu
l
n
e
s
s
-
b
as
e
d
I
n
t
e
rv
en
t
i
o
n
s
i
n
Co
n
t
e
x
t
:
Pas
t
,
Pre
s
e
n
t
,
an
d
Fu
t
u
r
e
”
,
Cl
i
n
i
ca
l
P
s
ych
o
l
o
g
y
:
S
ci
e
n
ce
a
n
d
P
r
a
ct
i
ce,
1
0
(2
),
1
4
4
-
1
5
6
.
D
O
I
:
1
0
.
1
0
9
3
/
c
l
i
p
s
y
.
b
p
g
0
1
6
,
2
0
0
3
.
[1
5
]
Bae
r,
R.
A
.
,
L
y
k
i
n
s
,
E
.
L
.
B
.
,
&
P
e
t
e
rs
,
J
.
R.
,
“
Mi
n
d
f
u
l
n
e
s
s
an
d
S
e
l
f
-
C
o
m
p
as
s
i
o
n
a
s
Pre
d
i
c
t
o
rs
o
f
Ps
y
c
h
o
l
o
g
i
c
al
W
el
l
b
e
i
n
g
i
n
L
o
n
g
-
T
e
r
m
M
e
d
i
t
at
o
rs
a
n
d
Mat
c
h
ed
N
o
n
me
d
i
t
at
o
rs
”
,
Th
e
Jo
u
r
n
a
l
o
f
P
o
s
i
t
i
ve
P
s
ych
o
l
o
g
y:
D
ed
i
c
a
t
e
d
t
o
f
u
r
t
h
e
r
i
n
g
r
es
e
a
r
c
h
a
n
d
p
r
o
m
o
t
i
n
g
g
o
o
d
p
r
a
c
t
i
ce,
7
(
3
),
2
3
0
-
2
3
8
.
D
O
I
:
1
0
.
1
0
8
0
/
1
7
4
3
9
7
6
0
.
2
0
1
2
.
6
7
4
5
4
8
,
2
0
1
2
.
[1
6
]
Y
azd
an
i
me
h
r
,
R.
,
O
m
i
d
i
,
A
.
,
Sad
at
,
Z
.
,
&
A
k
b
ari
,
H
.
,
“
T
h
e
E
ff
ec
t
o
f
Mi
n
d
fu
l
n
e
s
s
-
In
t
eg
rat
ed
Co
g
n
i
t
i
v
e
Beh
a
v
i
o
r
T
h
e
rap
y
o
n
D
e
p
re
s
s
i
o
n
a
n
d
A
n
x
i
e
t
y
a
mo
n
g
Pr
eg
n
a
n
t
W
o
me
n
:
A
Ran
d
o
mi
z
e
d
Cl
i
n
i
c
al
T
ri
a
l
”
,
Jo
u
r
n
a
l
o
f
Ca
r
i
n
g
S
ci
e
n
ces
,
5
(
3
),
1
9
5
-
2
0
4
.
D
O
I
:
1
0
.
1
5
1
7
1
/
j
c
s
.
2
0
1
6
.
0
2
1
,
2
0
1
6
.
[1
7
]
T
o
m
fo
h
r
-
Mad
s
e
n
,
L
.
M.
,
Ca
m
p
b
e
l
l
,
T
.
S.
,
G
i
e
s
b
rech
t
,
G
.
F.
,
L
e
t
o
u
rn
e
a
u
,
N
.
L
.
,
Carl
s
o
n
,
L
.
E
.
,
Mad
s
e
n
,
J
.
W
.
,
&
D
i
mi
d
j
i
an
,
S.
,
“
Mi
n
d
f
u
l
n
e
s
s
-
b
as
e
d
co
g
n
i
t
i
v
e
t
h
e
rap
y
fo
r
p
s
y
c
h
o
l
o
g
i
c
al
d
i
s
t
re
s
s
i
n
p
reg
n
a
n
cy
:
s
t
u
d
y
p
ro
t
o
co
l
f
o
r
a
ran
d
o
mi
z
e
d
c
o
n
t
ro
l
l
e
d
t
ri
a
l
”
Tr
i
a
l
s
,
17
,
4
9
8
.
h
t
t
p
:
/
/
d
o
i
.
o
r
g
/
1
0
.
1
1
8
6
/
s
1
3
0
6
3
-
0
1
6
-
1
6
0
1
-
0
,
2
0
1
6
.
[1
8
]
G
o
o
d
m
an
,
J
.
H
.
,
G
u
ar
i
n
o
,
A
.
,
Ch
en
au
s
k
y
,
K
.
,
K
l
e
i
n
,
L
.
,
Prag
e
r,
J
.
,
P
e
t
e
rs
e
n
,
R.
,
Fr
eem
an
,
M.
,
“
C
A
L
M
Pr
e
g
n
an
cy
:
Re
s
u
l
t
s
o
f
a
Pi
l
o
t
St
u
d
y
o
f
Mi
n
d
fu
l
n
e
s
s
-
Bas
e
d
C
o
g
n
i
t
i
v
e
T
h
e
rap
y
fo
r
P
e
ri
n
at
al
A
n
x
i
e
t
y
”
,
A
r
ch
i
ves
o
f
W
o
m
en
’
s
M
en
t
a
l
H
ea
l
t
h
,
17
(
5
),
3
7
3
–
3
8
7
.
h
t
t
p
:
/
/
d
o
i
.
o
r
g
/
1
0
.
1
0
0
7
/
s
0
0
7
3
7
-
0
1
3
-
0
4
0
2
-
7
,
2
0
1
4
.
[1
9
]
V
i
e
s
t
e
n
,
C.
,
&
A
s
t
i
n
,
J
.
,
“
E
ffec
t
s
o
f
a
Mi
n
d
fu
l
n
e
s
s
-
Bas
e
d
I
n
t
e
rv
e
n
t
i
o
n
d
u
r
i
n
g
Preg
n
a
n
cy
o
n
Pren
at
al
St
re
s
s
an
d
Mo
o
d
:
R
e
s
u
l
t
s
o
f
a
P
i
l
o
t
St
u
d
y
”
,
A
r
ch
i
ves
o
f
W
o
m
en
’
s
M
en
t
a
l
H
ea
l
t
h
,
11
,
67
-
7
4
.
D
O
I
:
1
0
.
1
0
0
7
/
s
0
0
7
3
7
-
0
0
8
-
0
2
1
4
-
3
,
2
0
0
7
.
[2
0
]
Bae
r,
R.
A
.
,
Smi
t
h
,
G
.
T
.
,
H
o
p
k
i
n
s
,
J
.
,
K
ri
e
t
emey
e
r,
J
.
,
&
T
o
n
ey
,
L
.
,
“
U
s
i
n
g
s
el
f
-
R
e
p
o
rt
A
s
s
e
s
s
m
en
t
Me
t
h
o
d
s
t
o
E
x
p
l
o
re
Fa
ce
t
s
o
f
Mi
n
d
f
u
l
n
e
s
s
”
,
A
s
s
es
s
m
en
t
,
13
(
2
7
),
2
7
-
4
5
.
D
O
I
:
1
0
.
1
1
7
7
/
1
0
7
3
1
9
1
1
0
5
2
8
3
5
0
4
,
2
0
0
6
.
[2
1
]
Fel
d
e
r,
J
.
N
.
,
L
em
o
n
,
E
.
,
Sh
e
a,
K
.
,
K
ri
p
k
e,
K
.
,
&
D
i
m
i
d
j
i
an
,
S.
,
“
R
o
l
e
o
f
S
el
f
-
Co
m
p
as
s
i
o
n
i
n
Ps
y
c
h
o
l
o
g
i
c
al
W
e
l
l
-
Be
i
n
g
a
mo
n
g
P
e
ri
n
at
al
W
o
me
n
”
,
A
r
ch
i
ves
o
f
W
o
m
en
’
s
M
en
t
a
l
H
ea
l
t
h
,
1
9
(4
),
6
8
7
-
6
9
0
.
D
O
I
:
1
0
.
1
0
0
7
/
s
0
0
7
3
7
-
0
1
6
-
0
6
2
8
-
2
,
2
0
1
5
.
[2
2
]
N
e
ff
,
K
.
D
.
,
“
S
el
f
-
c
o
m
p
as
s
i
o
n
:
A
n
A
l
t
e
r
n
at
i
v
e
C
o
n
ce
p
t
u
al
i
zat
i
o
n
o
f
a
H
e
a
l
t
h
y
A
t
t
i
t
u
d
e
t
o
w
ar
d
O
n
e
s
el
f
”
S
el
f
a
n
d
Id
en
t
i
t
y,
2
,
8
5
-
1
0
2
,
2
0
0
3
.
[2
3
]
N
e
ff
,
K
.
D
.
,
“
T
h
e
D
e
v
el
o
p
me
n
t
a
n
d
V
al
i
d
at
i
o
n
o
f
a
S
cal
e
t
o
M
e
as
u
r
e
S
el
f
c
o
m
p
as
s
i
o
n
”
,
S
el
f
a
n
d
Id
e
n
t
i
t
y
,
2
,
2
2
3
-
2
5
0
.
D
O
I
:
1
0
.
1
0
8
0
/
1
5
2
9
8
8
6
0
3
9
0
2
0
9
0
3
5
,
2
0
0
3
a.
[2
4
]
Mo
h
a
m
a
d
i
ri
z
i
,
S
.
,
&
K
o
rd
i
,
M.
,
“
T
h
e
R
e
l
at
i
o
n
s
h
i
p
b
e
t
w
een
M
u
l
t
i
-
D
i
me
n
s
i
o
n
a
l
S
el
f
-
Co
m
p
as
s
i
o
n
a
n
d
F
et
al
-
Mat
e
rn
al
A
t
t
ac
h
men
t
i
n
Pren
at
al
Pe
r
i
o
d
i
n
Re
ff
e
r
ed
W
o
me
n
t
o
Mas
h
h
a
d
H
e
al
t
h
C
en
t
e
r
”
,
Jo
u
r
n
a
l
o
f
E
d
u
c
a
t
i
o
n
a
n
d
H
ea
l
t
h
P
r
o
m
o
t
i
o
n
,
5
:
2
1
,
2
0
1
6
.
[2
5
]
Co
x
,
J
.
L
.
,
H
o
l
d
en
,
J
.
M.
,
&
Sag
o
v
s
k
y
,
R.
,
“
D
e
t
ec
t
i
o
n
o
f
P
o
s
t
n
at
al
D
e
p
r
e
s
s
i
o
n
:
D
e
v
el
o
p
me
n
t
o
f
t
h
e
1
0
-
It
e
m
E
d
i
n
b
u
rg
h
P
o
s
t
n
at
al
D
e
p
re
s
s
i
o
n
S
c
a
l
e
”
,
B
r
i
t
i
s
h
J
o
u
r
n
a
l
o
f
P
s
ych
i
a
t
r
y
,
1
5
0
,
7
8
2
-
7
8
6
,
1
9
8
7
.
[2
6
]
Pe
r
e
i
ra
,
A
.
T
.
,
X
av
i
e
r,
S.
,
B
en
t
o
,
E
.
,
A
z
e
v
ed
o
,
J
.
,
M
arq
u
e
s
,
M.
,
S
o
ar
e
s
,
M.
J
.
,
Ma
ce
d
o
,
A
.
F.
,
“
Mi
n
d
f
u
l
n
e
s
s
,
S
e
l
f
-
Co
m
p
as
s
i
o
n
an
d
D
e
p
r
e
s
s
i
v
e
S
y
m
p
t
o
m
s
i
n
P
r
e
g
n
an
t
W
o
me
n
”
,
24
rd
E
u
r
o
p
e
a
n
Co
n
g
r
e
s
s
o
f
Ps
y
ch
i
at
r
y
,
2
0
1
6
.
E
u
ro
p
e
:
E
u
ro
p
e
an
Ps
y
c
h
i
at
r
y
3
3
S.
D
O
I:
h
t
t
p
:
/
/
d
x
.
d
o
i
.
o
r
g
/
1
0
.
1
0
1
6
/
j
.
e
u
rp
s
y
.
2
0
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