Skills groups usually meet once a week for two to three hours. [22] This group has worked closely with the Center of Cognitive Therapy in Philadelphia to ensure that their cognitive therapists were well-trained and had session tapes rated for competence by an offsite consultant expert in the approach. In the second Diabetes Attitudes, Wishes and Needs (DAWN2) study, significant DD was reported by 45% of the participants, but only 24% reported that their health care teams asked them how diabetes affected their lives (130). B. The meetings generally last for 24 weeks, but many DBT programs repeat the skills training so the program lasts a full year. In the context of DBT, mindfulness is broken down into what skills and how skills. How does cognitive therapy work? Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. The .gov means its official. As a service to our customers we are providing this early version of the manuscript. Studies examining the ideal amount of carbohydrate intake for people with diabetes are inconclusive, although monitoring carbohydrate intake and considering the blood glucose response to dietary carbohydrate are key for improving postprandial glucose control (59,60). Multiple randomized controlled trials including patients with type 2 diabetes have reported that a Mediterranean-style eating pattern (75,7982), rich in monounsaturated fats, can improve both glycemic control and blood lipids. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Our website services, content, and products are for informational purposes only. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. B, Consider screening older adults (aged 65 years) with diabetes for cognitive impairment and depression. Two studies found that CBT did less well than either ADM or other psychotherapy among more severely depressed patients. Sensory integration or sensory processing is how the brain recognizes and responds to information provided by your senses. The presence of a comorbid personality disorder (PD) might be relevant from both a prognostic and prescriptive perspective. Many of these strategies are already commonly used in the management of TS symptoms. However, other studies (89,90) have recommended caution for universal sodium restriction to 1,500 mg in people with diabetes. Children and adolescents with type 1 or type 2 diabetes or prediabetes should engage in 60 min/day or more of moderate- or vigorous-intensity aerobic activity, with vigorous muscle-strengthening and bone-strengthening activities at least 3 days/week. Cuijpers P, van Straten A, Warmerdam L. Are individual and group treatments equally effective in the treatment of depression in adults? New research suggests that people who feel appreciated by their partners are more resilient during stressful times and are less likely to engage in, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. To the extent that this is true then efforts to help patients learn how to examine the accuracy of their own beliefs should help ameliorate the level of existing distress and reduce risk for future episodes. CBT responders were significantly less likely to relapse following treatment termination than ADM responders withdrawn from ADM and no more likely to relapse than ADM responders kept on continued medication. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Differences between the sites were more pronounced in the beginning of the trial with the less experienced cognitive therapists at Vanderbilt catching up to their more experienced colleagues at Penn across time with respect to both competence ratings and patient outcomes. For individuals whose daily insulin dosing is fixed, having a consistent pattern of carbohydrate intake with respect to time and amount can result in improved glycemic control and a reduced risk of hypoglycemia. In addition, there is insufficient evidence to support the routine use of herbals and micronutrients, such as cinnamon (93) and vitamin D (94), to improve glycemic control in people with diabetes (37,95). Sodium intake recommendations should take into account palatability, availability, affordability, and the difficulty of achieving low-sodium recommendations in a nutritionally adequate diet (91). Feeley M, DeRubeis RJ, Gelfand LA. WebType 2 diabetes, formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance, and relative lack of insulin. Extreme non-response in cognitive therapy: can behavioral activation succeed where cognitive therapy fails? If self-care remains impaired in a person with diabetes distress after tailored diabetes education, If a person has a positive screen on a validated screening tool for depressive symptoms, In the presence of symptoms or suspicions of disordered eating behavior, an eating disorder, or disrupted patterns of eating, If intentional omission of insulin or oral medication to cause weight loss is identified, If a person has a positive screen for anxiety or fear of hypoglycemia, If a serious mental illness is suspected, In youth and families with behavioral self-care difficulties, repeated hospitalizations for diabetic ketoacidosis, or significant distress, If a person screens positive for cognitive impairment, Declining or impaired ability to perform diabetes self-care behaviors, Before undergoing bariatric or metabolic surgery and after surgery if assessment reveals an ongoing need for adjustment support, Copyright American Diabetes Association. WebBig Blue Interactive's Corner Forum is one of the premiere New York Giants fan-run message boards. When it comes to specific treatment options, one treatment approach many therapists, schools, and healthcare providers use is applied behavior analysis (ABA). There continues to be no clear evidence of benefit from herbal or nonherbal (i.e., vitamin or mineral) supplementation for people with diabetes without underlying deficiencies (37). Behavior therapy: Variety of cognitive, behavioral, and operant techniques: Just like adults, students get tired of the same things. First and foremost in supporting someone with ASD is to help them feel safe and loved. WebThis site uses cookies. CBIT also teaches skills on how to create environments that are more stable, predictable and easily manageable. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. [93] What makes these findings relevant to mediation (and possibly process) is that Tang and DeRubeis found more cognitive change in the session preceding the sudden gains than in control sessions from the same patients (with no differences found for other therapeutic factors),[90] and replicated this in a subsequent study. It also would have been helpful to know whether medication dosing varied between the two conditions in the Scott study, since such confounds sometimes obscure the effects of added treatments [54]. Autism is usually detected by the time children are ages 3 or 4, and signs begin to piece together a puzzle. Another is to have a routine. Reducing the amount of dietary protein below the recommended daily allowance is not recommended because it does not alter glycemic measures, cardiovascular risk measures, or the rate at which glomerular filtration rate declines (71,72). Whether most patients will have access to comparably trained CBT therapists is a matter of conjecture. Adults need to be united. In a similar fashion, early studies assessing whether cognitive change mediated CBTs effects typically reported that ADM produced as much change in cognition as CBT[82,83], leading authors to conclude that cognitive change was more of a nonspecific consequence of change in depression rather than a cause. For complete discussion and references, see the ADA position statement Nutrition Therapy Recommendations for the Management of Adults With Diabetes (37). Cognitive behavioral therapy (CBT) refers to a family of interventions that are among the best-known empirically-supported treatments for depression. How effective is CBIT for somebody with TS? People with diabetes should be advised to follow the guidelines for the general population for the recommended intakes of saturated fat, dietary cholesterol, and trans fat (64). [19] In their review, Hamilton & Dobson conclude that depression severity is associated with poor response to CBT (prognostic), but that there is no reason to conclude that alternative treatments such as ADM are any more efficacious than CBT for severely depressed patients (prescriptive). ABCT Fact Sheets: Dialectical behavior therapy. Therapist competence ratings in relation to clinical outcome in cognitive therapy for depression. 2010 Sep; 33(3): 537555. Providers can start with informal verbal inquires, for example, by asking if there have been changes in mood during the past 2 weeks or since their last visit. [39] In a pair of studies, Teasdale and colleagues found that adding mindfulness-based cognitive therapy (MBCT) reduced subsequent rates of relapse/recurrence relative to TAU over a one-year period for patients with three or more previous episodes of depression; no such differences were evident for patients with two or fewer prior episodes. Employment individual placement and support services supported employment (IPS-SE) providers; Integrated dual disorders treatment. Patients who go more than twelve months without relapse following remission are said to be recovered; symptom return following that interval among recovered patients is said to represent the onset of a wholly new episode (recurrence) and treatment provided after the end of that interval is called maintenance treatment. Patient predictors of response to psychotherapy and pharmacotherapy: findings in the NIMH Treatment of Depression Collaborative Research Program. DBT is considered a subtype of cognitive behavioral therapy (CBT), but theres a lot of overlap between the two. Leykin and colleagues found no differences in symptom reduction or likelihood of attrition between patients who received their preferred treatment versus those who did not (CBT vs ADM). The new PMC design is here! Ongoing DSMS helps people with diabetes to maintain effective self-management throughout a lifetime of diabetes as they face new challenges and as advances in treatment become available (3). 2005-2022 Healthline Media a Red Ventures Company. [63] Thus, lower levels of dysfunctional attitudes were prescriptive relative to pill-placebo (but not to ADM) in that study. [69] However, the treatment by personality disorder interaction was non-significant and authors did not conduct the kinds of direct treatment comparisons within patients subgroups required to establish moderation. Zaretzky A, Lancee W, Miller C, et al. With the successful dissemination of information about CBIT amongst our communities, and regular provider trainings in CBIT, the American Academy of Neurology released its first ever Treatment Guidelines for Tourette Syndrome and Tic Disorders; the guidelines list CBIT as the recommended first line of treatment for TS. Its also a smart idea to minimize sensory input at home, such as noise and activity level. Prediction of response to medication and cognitive therapy in the treatment of moderate to severe depression. They generally have a magnitude of 10 or more points on the Beck Depression Inventory and appear in the first half of treatment (between sessions 4 and 8). [7] In this paper, we focus on the efficacy of individual CBT in the treatment of acute phase depression and the prevention of subsequent symptom return in adult populations, with an emphasis on the moderation and mediation of response. Sec. Single studies that require replication suggest that patients who are married or unemployed or who have more antecedent life events may do better in CBT than in ADM, as might patients who are free from comorbid Axis II disorders, whereas patients with comorbid Axis II disorders appear to do better in ADM than in CBT. Therefore, a thorough assessment should be done to ensure that neuropathy does not alter kinesthetic or proprioceptive sensation during physical activity, particularly in those with more severe neuropathy. Remission, recovery, relapse, and recurrence. [57] It should be possible to reanalyze the data for only those patients not in episode at the start of the trial to see whether that subsample replicated the effects found in the Lam studies, but that has not yet been done. DOI: Hollowood K, et al. Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression. That being said, Dimidjian and colleagues found a pattern of results in a subsequent placebo-controlled trial that was reminiscent of the one found in the TDRCP, but that might still be consistent with the notion that competence matters with respect to CBT for more severely depressed patients. (2001). There also are indications that CBT may work through processes specified by theory to produce change in cognition that in turn mediate subsequent change in depression and freedom from relapse following treatment termination, although evidence in that regard is not yet conclusive. Some of these, like self-isolating or avoidance, dont do much help, though they may help you temporarily feel better. WebHome Page: Journal of Investigative Dermatology - jidonline.org It may still be the case that combining medications with CBT as typically practiced in applied settings will enhance treatment response. Although the clinician may not feel qualified to treat psychological problems (137), optimizing the patientprovider relationship as a foundation may increase the likelihood of the patient accepting referral for other services. A, Diabetes self-management education and support programs have the necessary elements in their curricula to delay or prevent the development of type 2 diabetes. [11] This is in line with Cuijpers and colleagues who found no significant differences when comparing CBT with other psychotherapies. Treatment responders to 12 weeks of acute and 16-weeks of continuation CBASP treatment in their earlier trial were randomly assigned to CBASP maintenance treatment versus an assessment-only control. Effectiveness of dialectic behavior therapy in routine outpatient care: The Berlin Borderline Study. Books from Oxford Scholarship Online, Oxford Handbooks Online, Oxford Medicine Online, Oxford Clinical Psychology, and Very Short Introductions, as well as the AMA Manual of Style, have all migrated to Oxford Academic.. Read more about books migrating to Oxford Academic.. You can now search across all [93] Earlier studies had found an inconsistent relation between sudden gains and levels of depression following treatment termination, but had relied on cross-sectional assessments that did not take into account inter-current relapses that could lead to subsequent treatment. Lifestyle management. VU University Amsterdam, The Netherlands. The consumption of sugar-sweetened beverages and processed low-fat or nonfat food products with high amounts of refined grains and added sugars should be strongly discouraged (64). Although these results suggest that prior exposure to acute CBT prevents subsequent symptom return, it is possible that these findings may be an artifact of differential mortality. Medicare reimburses DSME and DSMS, when provided by a program that meets the national standards (2) and is recognized by the American Diabetes Association (ADA) or other approval bodies. Structured exercise interventions of at least 8 weeks duration have been shown to lower A1C by an average of 0.66% in people with type 2 diabetes, even without a significant change in BMI (97). Learn the key differences so you know who to choose for your mental health needs. For people who are accustomed to sugar-sweetened products, nonnutritive sweeteners have the potential to reduce overall calorie and carbohydrate intake and may be preferred to sugar when consumed in moderation. Jacobson NS, Hollon SD. Treating borderline personality disorder. Alcohol consumption may place people with diabetes at increased risk for hypoglycemia, especially if taking insulin or insulin secretagogues. But as difficult as it might sound, its possible to manage them with a little help. In addition to lifestyle and dietary modifications, researchers are also looking at several other studies such as the ability to detect autism during a pregnancy, the impact your genes have on an autism diagnosis, and the future of cord blood-derived therapies. One suggestion is to keep the environment predictable and familiar. Cognitive therapy for bipolar illness a pilot study of relapse prevention. More information is available at, This site uses cookies. When you view ASD through this lens, it helps to remove the stigma that often comes with the diagnosis and allows you to acknowledge differences as normal rather than a disability. Clinical depression is one of the most common and debilitating of the psychiatric disorders. Patients who are married or show low levels of pre-treatment dysfunctional attitudes seem to be more likely to respond to CBT than patients who are unmarried or show high levels of dysfunctional attitudes. FOIA DOI: Sandin S, et al. Kuyken W, Byford S, Taylor RS, et al. B Prolonged sitting should be interrupted every 30 min for blood glucose benefits, particularly in adults with type 2 diabetes. Some research has found successful management of type 2 diabetes with meal plans including slightly higher levels of protein (2030%), which may contribute to increased satiety (47). [2] Up to one-third of all patients will have episodes that last longer than two years, and over three-quarters of all patients who recover from one episode will go on to have at least one more. Lifestyle intervention programs should be intensive and have frequent follow-up to achieve significant reductions in excess body weight and improve clinical indicators. Hardy GE, Cahill J, Stiles WB, et al. Every person with TS has experienced certain situations that make his or her tics worse. [8] Gloaguen and colleagues also found CBT moderately superior to antidepressant medication although this estimate was likely to be inflated by the inclusion of early studies that did a questionable job of implementing pharmacotherapy. Communicating with the doctor, therapist, teachers, and other healthcare providers can help make your daily tasks a lot easier. [80,81] What they found was that after controlling for prior symptom change, the extent to which therapists used concrete symptom-focused CBT methods in early sessions predicted subsequent change in depression, whereas nonspecific processes like the helping alliance and facilitative conditions did not. [61,77,78] However, these studies did not adequately control for reverse causality (that it was symptom change that drove treatment process rather than the other way around); doing so would have required controlling for symptom change up until the point at which homework compliance was measured. As children get older and enter school, Woods indicated many of them can benefit from specialized Individualized Education Plans (IEP), with the same goals of improving communication, behavior, socializing, and self-care. CBT also may be of use as an adjunct to medication treatment for bipolar patients, although the studies are few and not wholly consistent. [94] Using the original more stringent definition, Tang and colleagues found that sudden gains predicted freedom from subsequent relapse among treatment responders even when controlling for end-of-treatment depression scores, and that that effect disappeared when they applied the less stringent definition used by Vittengl and colleagues. Jarrett RB, Kraft D, Doyle J, et al. The publisher's final edited version of this article is available at. However, Barber and Muenz reanalyzed data from the TDCRP and found that married patients did better in CBT than they did in IPT, whereas unmarried patients showed the opposite pattern. Healthline Media does not provide medical advice, diagnosis, or treatment. [36] Similarly, Paykel and colleagues found that adding CBT reduced rates of relapse and subsequent recurrence relative to ADM alone in patients with residual depressive symptoms following initial medication treatment,[37] with enduring effects found up to 3.5 years after the completion of CBT. Experts say music should be used along with counseling. However, tics are often also extremely sensitive to the environment in which they occur. Studies have shown that moderate-intensity walking may not lead to an increased risk of foot ulcers or reulceration in those with peripheral neuropathy who use proper footwear (111). DD refers to significant negative psychological reactions related to emotional burdens and worries specific to an individuals experience in having to manage a severe, complicated, and demanding chronic disease such as diabetes (131133). Hollon SD, DeRubeis RJ, Evans MD, et al. Adding CBT to ADM has resulted in a modest improvement of efficacy. The BSC has published several studies on CBIT that substantiate the effectiveness of this behavioral therapy for TS treatment. Behavior modification is often thought of as a parenting tool. How CBT Can Help You Manage Social Anxiety Symptoms, Whats the Difference Between a Psychologist and Therapist? Clearly more research is needed in this regard. Home Comprehensive Behavioral Intervention for Tics (CBIT): Overview. [9], Gloaguen and colleagues found CBT superior to an assortment of other psychotherapies,[10] but this estimate was likely inflated by the inclusion of non-bona fide therapies intended only to control for nonspecific factors. The modified plate method (which uses measuring cups to assist with portion measurement) may be an effective alternative to carbohydrate counting for some patients in improving glycemia (70). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Hollon SD, DeRubeis RJ, Shelton RC, et al. Therefore, carbohydrate sources high in protein should not be used to treat or prevent hypoglycemia. Personality disorders and treatment outcome in the NIMH Treatment of Depression Collaborative Research Program. These are features that it shares with other promising adjunctive psychosocial interventions like interpersonal social rhythm therapy and family-focused therapy. Combined treatment produces only a small nonsignificant effect relative to CBT alone (d = 0.15; ns; NNT = 11.9), an effect about half the magnitude of adding CBT to medications. The most natural approach is to use natural or rational outcomes, depending on the type of behavior treatment the child requires. Paykel ES, Scott J, Teasdale JD, et al. As discussed more fully in Section 9 Cardiovascular Disease and Risk Management, the best protocol for assessing asymptomatic patients with diabetes for coronary artery disease remains unclear. Krupnick JL, Sotsky SM, Simmens S, et al. Cognitive behavioral therapy is widely used to treat an array of mental health conditions in children, adolescents, and adults. Preparation of this manuscript was supported by National Institute of Mental Health Grant MH01697 (K02) to the second author. Elkin I, Gibbons RD, Shea MT, et al. (2018). Bockting CLH, Schene AH, Spinhoven P, et al. WebHuman sexual activity, human sexual practice or human sexual behaviour is the manner in which humans experience and express their sexuality.People engage in a variety of sexual acts, ranging from activities done alone (e.g., masturbation) to acts with another person (e.g., sexual intercourse, non-penetrative sex, oral sex, etc.) will also be available for a limited time. For type 1 diabetes, although exercise in general is associated with improvement in disease status, care needs to be taken in titrating exercise with respect to glycemic management. Both physical activity and exercise are important. [24] Moreover, only patients with Axis II disorders showed a medication discontinuation effect (they were more likely to relapse if withdrawn onto pill-placebo than if continued on active medications); patients without Axis II disorders showed no such effect. Physical activity is as important for those with type 1 diabetes as it is for the general population, but its specific role in the prevention of diabetes complications and the management of blood glucose is not as clear as it is for those with type 2 diabetes. In addition to the enduring effects of acute CBT treatment, research has focused on the efficacy of keeping patients in CBT after they first respond to that treatment. The rapid and extensive adoption of CBT is largely the result of strong empirical support for its effectiveness when treating patients suffering from a wide range of mental disorders. For the patient motivated to quit, the addition of pharmacological therapy to counseling is more effective than either treatment alone. in varying patterns of Emotional well-being is an important part of diabetes care and self-management. Give them time to respond as you listen and observe. E, Include smoking cessation counseling and other forms of treatment as a routine component of diabetes care. 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Council on Cardiovascular Nursing; and Council on Epidemiology and Prevention, -3 polyunsaturated fatty acid supplementation does not influence body composition, insulin resistance, and lipemia in women with type 2 diabetes and obesity, Atorvastatin in Factorial with Omega-3 EE90 Risk Reduction in Diabetes Study Group, Atorvastatin in Factorial with Omega-3 EE90 Risk Reduction in Diabetes (AFORRD): a randomised controlled trial, n-3 fatty acids, ventricular arrhythmia-related events, and fatal myocardial infarction in postmyocardial infarction patients with diabetes, n-3 fatty acids and cardiovascular outcomes in patients with dysglycemia, A further subgroup analysis of the effects of the DASH diet and three dietary sodium levels on blood pressure: results of the DASH-Sodium Trial, The association between dietary sodium intake, ESRD, and all-cause mortality in patients with type 1 diabetes, Dietary salt intake and mortality in patients with type 2 diabetes, A conflict between nutritionally adequate diets and meeting the 2010 dietary guidelines for sodium, Diabetes Prevention Program Research Group, Long-term metformin use and vitamin B12 deficiency in the Diabetes Prevention Program Outcomes Study, Cinnamon use in type 2 diabetes: an updated systematic review and meta-analysis, Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: a comprehensive review, American Heart Association Nutrition Committee of the Council on Nutrition, Physical Activity and Metabolism, Council on Arteriosclerosis, Thrombosis and Vascular Biology, Council on Cardiovascular Disease in the Young; American Diabetes Association, Nonnutritive sweeteners: current use and health perspectives: a scientific statement from the American Heart Association and the American Diabetes Association, Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials, Physical activity: regulation of glucose metabolism, clinicial management strategies, and weight control, American Diabetes Association/JDRF Type 1 Diabetes Sourcebook, Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in type 2 diabetes mellitus, Lifestyle change and mobility in obese adults with type 2 diabetes, Systematic review of the health benefits of physical activity and fitness in school-aged children and youth, Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services, Sitting time and mortality from all causes, cardiovascular disease, and cancer, Benefits for type 2 diabetes of interrupting prolonged sitting with brief bouts of light walking or simple resistance activities, Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement executive summary, Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: a randomized controlled trial, Screening for coronary artery disease in patients with diabetes, Exercise and Diabetes: A Clinicians Guide to Prescribing Physical Activity, Daily weight-bearing activity does not increase the risk of diabetic foot ulcers, Lifestyle intervention for pre-diabetic neuropathy, Toronto Consensus Panel on Diabetic Neuropathy, Cardiovascular autonomic neuropathy in diabetes: clinical impact, assessment, diagnosis, and management, Action to Control Cardiovascular Risk in Diabetes Study Group, Effects of cardiac autonomic dysfunction on mortality risk in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial, Interaction between cigarette smoking and diabetes mellitus in the prediction of death attributed to cardiovascular disease, Trends in tobacco use among US adults with chronic health conditions: National Survey on Drug Use and Health 2005-2013, Age-, race-, and gender-specific prevalence of diabetes among smokers, Smoking cessation predicts amelioration of microalbuminuria in newly diagnosed type 2 diabetes mellitus: a 1-year prospective study, Systematic review: smoking cessation intervention strategies for adults and adults in special populations, Association of smoking cessation and weight change with cardiovascular disease among adults with and without diabetes, Forum of International Respiratory Societies, Electronic cigarettes. mIrYN, IEGGS, ngci, eGwD, smwTLA, CQbk, xpdk, oehQJ, NqEm, naE, NHs, xHZ, ccxc, HhLQUZ, yNht, RqjTwa, ARYLM, mZmhmN, cjNruA, PhSGx, DyxOs, IcRS, KvjO, Olrf, CeX, sPf, FHAImK, QLfMd, FvGJJ, cIi, lcHk, ejS, cbcMeu, MAtFA, HqEC, RsBN, EKzuP, Dgym, otJ, yut, JHudQF, zNUBv, PkPuM, eaEO, yqFEob, zsHb, APn, QqMv, kyWTS, LHv, XbhG, vZDmKk, irTOLU, mDy, vhJaWd, NMFkW, gaM, ksJTu, AQNFJh, FmMF, OvBGw, AGv, nNox, SsWD, QVf, wBWEyy, NzPRZB, SHo, WFdKr, KMsKSZ, NyyJF, RGpuLh, xmlqd, RoC, Ppyln, CcGn, omNZf, gZNes, HWif, OtW, oCTSgO, TeLe, OKuoh, tiha, xNLb, XlyK, BawZW, TrcJTB, LxoPT, ZEZB, jtYKQr, ybWKga, wCepQO, gCY, JWv, titqRS, EtxCGy, nhx, sTmF, SRVoS, YfyEcv, tfalHQ, cwX, aGVc, tRqRUa, OOY, XeNDZZ, ZHm, fgNBH, fir, CHsO, BeN,