Language, Achievement, and Cognitive Processing in Psychiatrically Disturbed Children with Previously Identified and Unsuspected Language Impairments

This study examined the language, achievement, and cognitive characteristics of 380 children, aged 7 to 14 years, consecutively referred to child psychiatric services. Among those children referred solely for psychiatric problems, 40% had a language impairment that had never been suspected. Children...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of child psychology and psychiatry 1998-09, Vol.39 (6), p.865-877
Hauptverfasser: Cohen, Nancy J., Barwick, Melanie A., Horodezky, Naomi B., Vallance, Denise D., Im, Nancie
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 877
container_issue 6
container_start_page 865
container_title Journal of child psychology and psychiatry
container_volume 39
creator Cohen, Nancy J.
Barwick, Melanie A.
Horodezky, Naomi B.
Vallance, Denise D.
Im, Nancie
description This study examined the language, achievement, and cognitive characteristics of 380 children, aged 7 to 14 years, consecutively referred to child psychiatric services. Among those children referred solely for psychiatric problems, 40% had a language impairment that had never been suspected. Children with previously identified and unsuspected language impairments were similar with respect to receptive and expressive language and on measures of cognitive processing. Although both groups of children with language impairments exhibited poorer academic achievement than children with normal language, children with previously identified language impairments had the lowest achievement. The milder achievement problems of children with unsuspected language impairment may explain why their problems had not been suspected. Both the clinical and theoretical implications of the findings are discussed. Heightened awareness concerning the high frequency of language impairment and other cognitive processing problems in children referred for psychiatric assessment and treatment should lead to more systematic examination of language functioning and evaluation of the impact of language and communication functioning on therapeutic outcomes.
doi_str_mv 10.1111/1469-7610.00387
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_85687208</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1111_1469_7610_00387</cupid><sourcerecordid>85687208</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4107-b6f986d975617f680338bbf3fb1a00352b0ddbdf431edd7a9269edc2c5de08113</originalsourceid><addsrcrecordid>eNqFkkGP0zAQhSMEWsrCmRNSBIjThrXjxHaOq8KWQoGCWHG0nHiSejdxip106Q_h_-KQUCGkVXOJHH_zZt7kBcFTjF5j_5zjhGYRo_6IEOHsXjA7fLkfzBCKcZRRgh4Gj5y7RghRkvKT4CRjKcdZOgt-raSpelnBWXhRbDTsoAHTnYXSqHDeVkZ3egfh2rYFOKdNFWoTrt3eo7KzupB1vQ_faNf1NgdfsdG1smDCW91tfBXsdNs7jyyVV9Wl9sygfGVc77ZQdP78d4Bw2WyltkN79zh4UMrawZPpfRpcXb79Nn8XrT4vlvOLVVQkGLEop2XGqfJmKGYl5YgQnuclKXMs_TrSOEdK5apMCAalmMximoEq4iJVgDjG5DR4NepubfujB9eJRrsC6loa8IMLnlLOYsSPgoxkqd95fBRMWYLjGCMPPv8PvG57a7xbEROGME2SQe3FXRDmjGHuZxtcnI9UYVvnLJRia3Uj7V5gJIaUiCETYsiE-JMSX_Fs0u3zBtSBn2Lh719O99L5f1xaaQrtDlhMKCVkaJyM2K2uYX-sq3g_X6_H7tFY5nMDPw9l0t4IyghLxfdPC7HIPnz9kny8FMOq8ORPNrnVqoJ_1nCHw9-cjfI8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1877182081</pqid></control><display><type>article</type><title>Language, Achievement, and Cognitive Processing in Psychiatrically Disturbed Children with Previously Identified and Unsuspected Language Impairments</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Periodicals Index Online</source><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><creator>Cohen, Nancy J. ; Barwick, Melanie A. ; Horodezky, Naomi B. ; Vallance, Denise D. ; Im, Nancie</creator><creatorcontrib>Cohen, Nancy J. ; Barwick, Melanie A. ; Horodezky, Naomi B. ; Vallance, Denise D. ; Im, Nancie</creatorcontrib><description>This study examined the language, achievement, and cognitive characteristics of 380 children, aged 7 to 14 years, consecutively referred to child psychiatric services. Among those children referred solely for psychiatric problems, 40% had a language impairment that had never been suspected. Children with previously identified and unsuspected language impairments were similar with respect to receptive and expressive language and on measures of cognitive processing. Although both groups of children with language impairments exhibited poorer academic achievement than children with normal language, children with previously identified language impairments had the lowest achievement. The milder achievement problems of children with unsuspected language impairment may explain why their problems had not been suspected. Both the clinical and theoretical implications of the findings are discussed. Heightened awareness concerning the high frequency of language impairment and other cognitive processing problems in children referred for psychiatric assessment and treatment should lead to more systematic examination of language functioning and evaluation of the impact of language and communication functioning on therapeutic outcomes.</description><identifier>ISSN: 0021-9630</identifier><identifier>EISSN: 1469-7610</identifier><identifier>DOI: 10.1111/1469-7610.00387</identifier><identifier>PMID: 9758195</identifier><identifier>CODEN: JPPDAI</identifier><language>eng</language><publisher>Oxford, UK and Boston, USA: Cambridge University Press</publisher><subject>Academic achievement ; Achievement ; Adolescent ; Biological and medical sciences ; Child ; Child clinical studies ; Child psychology ; Cognition &amp; reasoning ; Cognition Disorders - complications ; Cognition Disorders - diagnosis ; Cognitive processing ; educational attainment ; Female ; Humans ; information processing ; Language ; Language and communication disorders ; language disorder ; Language disordered children ; Language Disorders - complications ; Language Disorders - diagnosis ; Language Tests ; Male ; Medical sciences ; Mental disorders ; Mental Disorders - complications ; Mental Disorders - diagnosis ; Mental Disorders - psychology ; Psychiatric disorder ; Psychiatric disorders ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Reading ; reading disorder ; Underachievement</subject><ispartof>Journal of child psychology and psychiatry, 1998-09, Vol.39 (6), p.865-877</ispartof><rights>1998 Association for Child Psychology and Psychiatry</rights><rights>1998 INIST-CNRS</rights><rights>Copyright Cambridge University Press, Publishing Division Sep 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4107-b6f986d975617f680338bbf3fb1a00352b0ddbdf431edd7a9269edc2c5de08113</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1469-7610.00387$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1469-7610.00387$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27869,27924,27925,30999,31000,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2366331$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9758195$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cohen, Nancy J.</creatorcontrib><creatorcontrib>Barwick, Melanie A.</creatorcontrib><creatorcontrib>Horodezky, Naomi B.</creatorcontrib><creatorcontrib>Vallance, Denise D.</creatorcontrib><creatorcontrib>Im, Nancie</creatorcontrib><title>Language, Achievement, and Cognitive Processing in Psychiatrically Disturbed Children with Previously Identified and Unsuspected Language Impairments</title><title>Journal of child psychology and psychiatry</title><addtitle>J Child Psychol Psychiatry</addtitle><description>This study examined the language, achievement, and cognitive characteristics of 380 children, aged 7 to 14 years, consecutively referred to child psychiatric services. Among those children referred solely for psychiatric problems, 40% had a language impairment that had never been suspected. Children with previously identified and unsuspected language impairments were similar with respect to receptive and expressive language and on measures of cognitive processing. Although both groups of children with language impairments exhibited poorer academic achievement than children with normal language, children with previously identified language impairments had the lowest achievement. The milder achievement problems of children with unsuspected language impairment may explain why their problems had not been suspected. Both the clinical and theoretical implications of the findings are discussed. Heightened awareness concerning the high frequency of language impairment and other cognitive processing problems in children referred for psychiatric assessment and treatment should lead to more systematic examination of language functioning and evaluation of the impact of language and communication functioning on therapeutic outcomes.</description><subject>Academic achievement</subject><subject>Achievement</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Child psychology</subject><subject>Cognition &amp; reasoning</subject><subject>Cognition Disorders - complications</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognitive processing</subject><subject>educational attainment</subject><subject>Female</subject><subject>Humans</subject><subject>information processing</subject><subject>Language</subject><subject>Language and communication disorders</subject><subject>language disorder</subject><subject>Language disordered children</subject><subject>Language Disorders - complications</subject><subject>Language Disorders - diagnosis</subject><subject>Language Tests</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - psychology</subject><subject>Psychiatric disorder</subject><subject>Psychiatric disorders</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Reading</subject><subject>reading disorder</subject><subject>Underachievement</subject><issn>0021-9630</issn><issn>1469-7610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkkGP0zAQhSMEWsrCmRNSBIjThrXjxHaOq8KWQoGCWHG0nHiSejdxip106Q_h_-KQUCGkVXOJHH_zZt7kBcFTjF5j_5zjhGYRo_6IEOHsXjA7fLkfzBCKcZRRgh4Gj5y7RghRkvKT4CRjKcdZOgt-raSpelnBWXhRbDTsoAHTnYXSqHDeVkZ3egfh2rYFOKdNFWoTrt3eo7KzupB1vQ_faNf1NgdfsdG1smDCW91tfBXsdNs7jyyVV9Wl9sygfGVc77ZQdP78d4Bw2WyltkN79zh4UMrawZPpfRpcXb79Nn8XrT4vlvOLVVQkGLEop2XGqfJmKGYl5YgQnuclKXMs_TrSOEdK5apMCAalmMximoEq4iJVgDjG5DR4NepubfujB9eJRrsC6loa8IMLnlLOYsSPgoxkqd95fBRMWYLjGCMPPv8PvG57a7xbEROGME2SQe3FXRDmjGHuZxtcnI9UYVvnLJRia3Uj7V5gJIaUiCETYsiE-JMSX_Fs0u3zBtSBn2Lh719O99L5f1xaaQrtDlhMKCVkaJyM2K2uYX-sq3g_X6_H7tFY5nMDPw9l0t4IyghLxfdPC7HIPnz9kny8FMOq8ORPNrnVqoJ_1nCHw9-cjfI8</recordid><startdate>199809</startdate><enddate>199809</enddate><creator>Cohen, Nancy J.</creator><creator>Barwick, Melanie A.</creator><creator>Horodezky, Naomi B.</creator><creator>Vallance, Denise D.</creator><creator>Im, Nancie</creator><general>Cambridge University Press</general><general>Blackwell Publishers Ltd</general><general>Blackwell</general><general>Pergamon Press</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HJHVS</scope><scope>IZSXY</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7QJ</scope><scope>7X8</scope><scope>7T9</scope></search><sort><creationdate>199809</creationdate><title>Language, Achievement, and Cognitive Processing in Psychiatrically Disturbed Children with Previously Identified and Unsuspected Language Impairments</title><author>Cohen, Nancy J. ; Barwick, Melanie A. ; Horodezky, Naomi B. ; Vallance, Denise D. ; Im, Nancie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4107-b6f986d975617f680338bbf3fb1a00352b0ddbdf431edd7a9269edc2c5de08113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Academic achievement</topic><topic>Achievement</topic><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Child psychology</topic><topic>Cognition &amp; reasoning</topic><topic>Cognition Disorders - complications</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognitive processing</topic><topic>educational attainment</topic><topic>Female</topic><topic>Humans</topic><topic>information processing</topic><topic>Language</topic><topic>Language and communication disorders</topic><topic>language disorder</topic><topic>Language disordered children</topic><topic>Language Disorders - complications</topic><topic>Language Disorders - diagnosis</topic><topic>Language Tests</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Mental Disorders - complications</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - psychology</topic><topic>Psychiatric disorder</topic><topic>Psychiatric disorders</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Reading</topic><topic>reading disorder</topic><topic>Underachievement</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cohen, Nancy J.</creatorcontrib><creatorcontrib>Barwick, Melanie A.</creatorcontrib><creatorcontrib>Horodezky, Naomi B.</creatorcontrib><creatorcontrib>Vallance, Denise D.</creatorcontrib><creatorcontrib>Im, Nancie</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 19</collection><collection>Periodicals Index Online Segment 30</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access &amp; Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access &amp; Build (Plan A) - APAC</collection><collection>Primary Sources Access &amp; Build (Plan A) - Canada</collection><collection>Primary Sources Access &amp; Build (Plan A) - West</collection><collection>Primary Sources Access &amp; Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access &amp; Build (Plan A) - Midwest</collection><collection>Primary Sources Access &amp; Build (Plan A) - North Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - Northeast</collection><collection>Primary Sources Access &amp; Build (Plan A) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><jtitle>Journal of child psychology and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cohen, Nancy J.</au><au>Barwick, Melanie A.</au><au>Horodezky, Naomi B.</au><au>Vallance, Denise D.</au><au>Im, Nancie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Language, Achievement, and Cognitive Processing in Psychiatrically Disturbed Children with Previously Identified and Unsuspected Language Impairments</atitle><jtitle>Journal of child psychology and psychiatry</jtitle><addtitle>J Child Psychol Psychiatry</addtitle><date>1998-09</date><risdate>1998</risdate><volume>39</volume><issue>6</issue><spage>865</spage><epage>877</epage><pages>865-877</pages><issn>0021-9630</issn><eissn>1469-7610</eissn><coden>JPPDAI</coden><abstract>This study examined the language, achievement, and cognitive characteristics of 380 children, aged 7 to 14 years, consecutively referred to child psychiatric services. Among those children referred solely for psychiatric problems, 40% had a language impairment that had never been suspected. Children with previously identified and unsuspected language impairments were similar with respect to receptive and expressive language and on measures of cognitive processing. Although both groups of children with language impairments exhibited poorer academic achievement than children with normal language, children with previously identified language impairments had the lowest achievement. The milder achievement problems of children with unsuspected language impairment may explain why their problems had not been suspected. Both the clinical and theoretical implications of the findings are discussed. Heightened awareness concerning the high frequency of language impairment and other cognitive processing problems in children referred for psychiatric assessment and treatment should lead to more systematic examination of language functioning and evaluation of the impact of language and communication functioning on therapeutic outcomes.</abstract><cop>Oxford, UK and Boston, USA</cop><pub>Cambridge University Press</pub><pmid>9758195</pmid><doi>10.1111/1469-7610.00387</doi><tpages>13</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0021-9630
ispartof Journal of child psychology and psychiatry, 1998-09, Vol.39 (6), p.865-877
issn 0021-9630
1469-7610
language eng
recordid cdi_proquest_miscellaneous_85687208
source MEDLINE; Wiley Online Library Journals Frontfile Complete; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Academic achievement
Achievement
Adolescent
Biological and medical sciences
Child
Child clinical studies
Child psychology
Cognition & reasoning
Cognition Disorders - complications
Cognition Disorders - diagnosis
Cognitive processing
educational attainment
Female
Humans
information processing
Language
Language and communication disorders
language disorder
Language disordered children
Language Disorders - complications
Language Disorders - diagnosis
Language Tests
Male
Medical sciences
Mental disorders
Mental Disorders - complications
Mental Disorders - diagnosis
Mental Disorders - psychology
Psychiatric disorder
Psychiatric disorders
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reading
reading disorder
Underachievement
title Language, Achievement, and Cognitive Processing in Psychiatrically Disturbed Children with Previously Identified and Unsuspected Language Impairments
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T20%3A41%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Language,%20Achievement,%20and%20Cognitive%20Processing%20in%20Psychiatrically%20Disturbed%20Children%20with%20Previously%20Identified%20and%20Unsuspected%20Language%20Impairments&rft.jtitle=Journal%20of%20child%20psychology%20and%20psychiatry&rft.au=Cohen,%20Nancy%20J.&rft.date=1998-09&rft.volume=39&rft.issue=6&rft.spage=865&rft.epage=877&rft.pages=865-877&rft.issn=0021-9630&rft.eissn=1469-7610&rft.coden=JPPDAI&rft_id=info:doi/10.1111/1469-7610.00387&rft_dat=%3Cproquest_cross%3E85687208%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1877182081&rft_id=info:pmid/9758195&rft_cupid=10_1111_1469_7610_00387&rfr_iscdi=true