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1.
Dermatol Surg ; 49(4): 338-342, 2023 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-36763896

RESUMO

BACKGROUND: Fractional ablative laser resurfacing has been shown to improve the final cosmetic appearance of surgical scars, but optimal timing is unknown. OBJECTIVE: To compare surgical scars treated with fractional carbon dioxide (CO 2 ) laser performed on Day 0 and Day 14. METHODS: Prospective, randomized, split-scar, physician-blinded study of 30 surgical scars on the limbs. Scars halves received fractional CO 2 laser on either Day 0 or Day 14. Scar assessment at 6 months evaluated patient preference, physician modified Manchester Scar Scale (MMSS) score, and quantitative scar analysis on histology (fractal dimension [F D ] and lacunarity [L] analysis). RESULTS: There was no significant difference in patient assessment (54% preferred Day 0 side, 46% preferred Day 14 side, p = .58) or physician assessment (mean MMSS 8.4 for Day 0 vs 8.7 for Day 14, p = .28). Fractal dimensions were similar for both interventions (mean 1.778 for Day 0 vs 1.781 for Day 14, p = .80). Lacunarity was similar for both interventions (mean 0.368 for Day 0 vs 0.345 for Day 14, p = .44). LIMITATIONS: Single-center study with wounds limited to limbs of skin Phototype I-II subjects; 4 of whom were lost to follow-up. CONCLUSION: Intraoperative CO 2 laser is noninferior to Day 14 laser resurfacing for surgical scar treatment.


Assuntos
Terapia a Laser , Lasers de Gás , Neoplasias Cutâneas , Humanos , Cicatriz/etiologia , Cicatriz/cirurgia , Cicatriz/patologia , Terapia a Laser/efeitos adversos , Terapia a Laser/métodos , Lasers de Gás/uso terapêutico , Estudos Prospectivos , Neoplasias Cutâneas/cirurgia , Resultado do Tratamento
2.
Memory ; 31(3): 328-345, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36656687

RESUMO

The Transfer-appropriate Processing (TAP) framework has demonstrated enhanced recognition memory when processing operations engaged at encoding and at test match. Our research applied TAP to study the illusory truth effect (ITE). We investigated whether the match/mismatch of evaluative goals at encoding and at test affects the ITE. At encoding, participants saw target words (Experiments 1-3; or full trivia claims Experiments 4-5) and completed an evaluative goal: imagery task or vowel-counting. At test, participants saw target words embedded in trivia claims that were old or new and completed the same (matching) or different (mismatching) evaluative goal that they completed at encoding, before making truth or memory ratings. We found a typical TAP effect for memory judgements when people saw words at encoding, but no TAP effect when people saw claims at encoding. We also found an ITE when people saw claims at encoding, but no ITE when people saw words at encoding (no evidence of TAP moderating truth judgments). Together these results extend both the TAP and ITE literatures, suggesting boundary conditions for TAP and the conditions under which the ITE emerges.


Assuntos
Ilusões , Reconhecimento Psicológico , Humanos , Julgamento , Motivação
3.
Emotion ; 23(1): 261-277, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35191719

RESUMO

People who learn the outcome to a situation or problem tend to overestimate what was known in the past-this is hindsight bias. Whereas previous research has revealed robust hindsight bias in the visual domain, little is known about how outcome information affects our memory of others' emotional expressions. The goal of the current work was to test whether participants exhibited hindsight bias for emotional faces and whether this varied as a function of emotion. Across five experiments, participants saw images of faces displaying different emotions. In the foresight phase, participants watched several emotional faces gradually clarify from blurry to clear. Once participants believed they knew what emotion the face was exhibiting, they identified the emotion from several options (e.g., angry, disgusted, happy, scared, surprised). In the hindsight phase, participants saw clear versions of each face before stopping the clarification at the point at which they previously identified the emotional expression. On average, participants exhibited hindsight bias for all emotions except happy faces (i.e., they indicated that they identified the emotional expressions at a blurrier point in hindsight than they had in foresight). A multinomial processing tree model of our data revealed that this was not due to participants' better recollection of foresight judgments for happy faces compared to the other emotions. Additionally, participants showed a smaller reconstruction bias for happy faces than the other emotions. We discuss the social implications of these findings as well as the potential for this paradigm to be used across cultures and ages. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Emoções , Medo , Humanos , Ira , Julgamento , Felicidade , Expressão Facial
4.
Front Psychol ; 14: 1215432, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38235277

RESUMO

Introduction: People are more likely to believe repeated information-this is known as the Illusory Truth Effect (ITE). Recent research on the ITE has shown that semantic processing of statements plays a key role. In our day to day experience, we are often multi-tasking which can impact our ongoing processing of information around us. In three experiments, we investigate how asking participants to engage in an ongoing secondary task in the ITE paradigm influences the magnitude of the effect of repetition on belief. Methods: Using an adapted ITE paradigm, we embedded a secondary task into each trial of the encoding and/or test phase (e.g., having participants count the number of vowels in a target word of each trivia claim) and calculated the overall accuracy on the task. Results: We found that the overall ITE was larger when participants had no ongoing secondary task during the experiment. Further, we predicted and found that higher accuracy on the secondary task was associated with a larger ITE. Discussion: These findings provide initial evidence that engaging in an ongoing secondary task may reduce the impact of repetition. Our findings suggest that exploring the impact of secondary tasks on the ITE is a fruitful area for further research.

5.
Dev Psychol ; 58(5): 913-922, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35311302

RESUMO

When semantically-related photos appear with true-or-false trivia claims, people more often rate the claims as true compared to when photos are absent-truthiness. This occurs even when the photos lack information useful for assessing veracity. We tested whether truthiness changed in magnitude as a function of participants' age in a diverse sample using materials appropriate for all ages. We tested participants (N = 414; Age range = 3-87 years) in two culturally diverse environments: a community science center (First language: English (61.4%); Mandarin/Cantonese (11.6%); Spanish (6%), other (21%); ethnicity: unreported) and a psychology lab (First language: English (64.4%); Punjabi (9.8%); Mandarin/Cantonese (7.4%); other (18.4%); ethnicity: Caucasian (38%); South Asian (30.7%); Asian (22.7%); other/unreported (8.6%). Participants rated trivia claims as true or false. Half the claims appeared with a semantically related photo, and half appeared without a photo. Results showed that participants of all ages more often rated claims as true when claims appeared with a photo; however, this truthiness effect was stable across the lifespan. If truthiness age differences exist, they are likely negligible in the general population. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Idioma , Longevidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Humanos , Pessoa de Meia-Idade , Adulto Jovem
6.
Memory ; 30(6): 715-724, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-33847242

RESUMO

Cross-examination is detrimental to the consistency and accuracy of children's reports and a re-direct interview may rehabilitate accuracy. We compared the effects of cross-examination on reports provided by single-event and repeated-event children. Children participated in one or five magic shows. One week later they were interviewed in a supportive manner (Interview 1). Next, a different interviewer cross-examined half the children or asked the other children all questions again (Interview 2). Finally, the initial interviewer re-directed the children by re-asking questions in a supportive manner (Interview 3). When defined narrowly (the instance children were asked to describe), cross-examination was more detrimental to single-event children and the re-direct interview rehabilitated correct responses for all children. When defined broadly (experienced details), cross-examination was more detrimental to repeated-event children and the re-direct did not rehabilitate correct responses for repeated-event children. Therefore when performance was off the floor, cross-examination was more detrimental to repeated-event children. The changes that repeated-event children make under cross-examination are explained by cognitive factors and social influences Ost et al., [2016]. Recall, verbatim memory and remembered narratives. In G. Oxburgh (Ed.), Communication in investigative and legal contexts: Integrated approaches from forensic psychology, linguistics and law enforcement (pp. 39-54). Wiley Blackwell).


Assuntos
Comunicação , Rememoração Mental , Criança , Humanos
8.
Front Psychol ; 12: 718818, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34925128

RESUMO

The Deese/Roediger-McDermott (DRM) paradigm has been used extensively to examine false memory. During the study session, participants learn lists of semantically related items (e.g., pillow, blanket, tired, bed), referred to as targets. Critical lures are items which are also associated with the lists but are intentionally omitted from study (e.g., sleep). At test, when asked to remember targets, participants often report false memories for critical lures. Findings from experiments using the DRM show the ease with which false memories develop in the absence of suggestion or misinformation. Given this, it is important to examine factors which influence the generalizability of the findings. One important factor is the persistence of false memory, or how long false memories last. Therefore, we conducted a systemic review to answer this research question: What is the persistence of false memory for specific items in the DRM paradigm? To help answer this question our review had two research objectives: (1) to examine the trajectory of target memory and false memory for critical lures and (2) to examine whether memory for targets exceeded false memory for critical lures. We included empirical articles which tested memory for the same DRM lists with at least two testing sessions. We discuss the results with respect to single-session delays, long-term memory recall and recognition, remember and know judgments for memory, and the effect of development, valence, warning, and connectivity on the trajectory of memory. Overall, the trajectory of targets showed a relatively consistent pattern of decrease across delay. The trajectory of critical lures was inconsistent. The proportion of targets versus critical lures across delay was also inconsistent. Despite the inconsistencies, we conclude that targets and critical lures have a dissimilar trajectory across delay and that critical lures are more persistent than targets. The findings with respect to long-term recall and recognition are consistent with both Fuzzy Trace Theory and Associative-Activation Theory of the DRM effect. The generation of false memory with brief delays (3-4 s) is better explained by Associative-Activation Theory. Examining the connectivity between target items, and critical lures, and the effect that has during study and retrieval, can provide insight into the persistence of false memory for critical lures.

9.
Dev Psychol ; 57(8): 1387-1402, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34591580

RESUMO

Participants ranging in age from 3 to 98 years (N = 708; approximately 60% female; 49% Caucasian, 38% Asian; 12% Other ethnicities, 1% Indigenous; modal household income > $80,000) completed a battery of tasks involving verbal ability, executive function, and perspective-taking. Wherever possible, all participants completed the same version of a task. The current study tested hindsight bias and false-belief reasoning to determine how these constructs relate to each other across the child-to-adult life span. Participants of all ages showed robust hindsight bias and false-belief reasoning errors. Hindsight bias followed a U-shaped function, wherein preschoolers and older adults showed more hindsight bias than older children and younger adults. False-belief reasoning, conversely, was relatively constant from preschool to older adulthood. Hindsight bias did not correlate with false-belief reasoning. We conclude that hindsight bias and false-belief reasoning errors are robust but unrelated cognitive biases across the life span. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Julgamento , Resolução de Problemas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Viés , Criança , Pré-Escolar , Cultura , Escolaridade , Função Executiva , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
10.
Mem Cognit ; 49(3): 544-556, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33169344

RESUMO

The sunk-cost effect (SCE) is the tendency to continue investing in something that is not working out because of previous investments that cannot be recovered. In three experiments, we examine the SCE when continued investment violates the ethic of care by harming others. In Experiment 1, the SCE was smaller if the sunk-cost decision resulted in harmful consequences towards others (an interaction between sunk cost and the ethic of care). In Experiment 2, participants considered vignettes from their own or another person's perspective. We observed an interpersonal SCE - people showed the SCE when taking the perspective of others. We did not replicate the interaction found in Experiment 1. In Experiment 3, we used statistically more powerful analyses - Bayesian sequential hypothesis testing - to examine the interaction between sunk cost and the ethic of care. We found evidence in favor of the interaction; the SCE was smaller if the sunk-cost decision harmed others. We suggest that violating one's ethic of care de-biases decision-making by overshadowing sunk costs. These findings may help explain decision-making in real-world situations involving large investments.


Assuntos
Tomada de Decisões , Teorema de Bayes , Humanos , Investimentos em Saúde , Projetos de Pesquisa
11.
Mem Cognit ; 48(5): 731-744, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31989482

RESUMO

Hindsight bias (HB) is the tendency to see known information as obvious. We studied metacognitive hindsight bias (MC-HB)-a shift away from one's original confidence regarding answers provided before learning the actual facts. In two experiments, participants answered general-knowledge questions in social scenarios and provided their confidence in each answer. Subsequently, they learned answers to half the questions and then recalled their initial answers and confidence. Finally, they reanswered, as a learning check. We measured confidence accuracy by calibration (over/underconfidence) and resolution (discrimination between incorrect and correct answers), expecting them to improve in hindsight. In both experiments, participants displayed robust HB and MC-HB for resolution despite attempts to recall the initial confidence in one's answer. In Experiment 2, promising anonymity to participants eliminated MC-HB, while social scenarios produced MC-HB for both resolution and calibration-indicative of overconfidence. Overall, our findings highlight that in social contexts, recall of confidence in hindsight is more consistent with answers' accuracy than confidence initially was. Social scenarios differently affect HB and MC-HB, thus dissociating these two biases.


Assuntos
Metacognição , Viés , Humanos , Julgamento , Conhecimento , Aprendizagem , Rememoração Mental
12.
Behav Brain Sci ; 42: e284, 2020 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-31896358

RESUMO

The integrative memory model combines five core memory systems with an attributional system. We agree with Bastin et al. that this melding is the most novel aspect of the model. But we await further evidence that the model's substantial complexity informs our understanding of false memories or of the development of recollection and familiarity.


Assuntos
Rememoração Mental , Reconhecimento Psicológico , Humanos , Memória , Transtornos da Memória
13.
Mem Cognit ; 46(8): 1331-1343, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-29978343

RESUMO

We conducted three experiments to test the fluency-misattribution account of auditory hindsight bias. According to this account, prior exposure to a clearly presented auditory stimulus produces fluent (improved) processing of a distorted version of that stimulus, which results in participants mistakenly rating that item as easy to identify. In all experiments, participants in an exposure phase heard clearly spoken words zero, one, three, or six times. In the test phase, we examined auditory hindsight bias by manipulating whether participants heard a clear version of a target word just prior to hearing the distorted version of that word. Participants then estimated the ability of naïve peers to identify the distorted word. Auditory hindsight bias and the number of priming presentations during the exposure phase interacted underadditively in their prediction of participants' estimates: When no clear version of the target word appeared prior to the distorted version of that word in the test phase, participants identified target words more often the more frequently they heard the clear word in the exposure phase. Conversely, hearing a clear version of the target word at test produced similar estimates, regardless of the number of times participants heard clear versions of those words during the exposure phase. As per Roberts and Sternberg's (Attention and Performance XIV, pp. 611-653, 1993) additive factors logic, this finding suggests that both auditory hindsight bias and repetition priming contribute to a common process, which we propose involves a misattribution of processing fluency. We conclude that misattribution of fluency accounts for auditory hindsight bias.


Assuntos
Julgamento/fisiologia , Priming de Repetição/fisiologia , Percepção da Fala/fisiologia , Adulto , Humanos , Inteligibilidade da Fala/fisiologia , Adulto Jovem
14.
PLoS One ; 12(9): e0185345, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28957366

RESUMO

False-belief reasoning, defined as the ability to reason about another person's beliefs and appreciate that beliefs can differ from reality, is an important aspect of perspective taking. We tested 266 individuals, at various ages ranging from 3 to 92 years, on a continuous measure of false-belief reasoning (the Sandbox task). All age groups had difficulty suppressing their own knowledge when estimating what a naïve person knew. After controlling for task-specific memory, our results showed similar false-belief reasoning abilities across the preschool years and from older childhood to younger adulthood, followed by a small reduction in this ability from younger to older adulthood. These results highlight the relative similarity in false-belief reasoning abilities at different developmental periods across the lifespan.


Assuntos
Cultura , Pensamento , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Viés , Criança , Pré-Escolar , Ego , Feminino , Humanos , Masculino , Memória , Pessoa de Meia-Idade , Análise de Regressão , Adulto Jovem
15.
J Exp Child Psychol ; 160: 50-66, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28426950

RESUMO

In two studies, we examined young children's performance on the paper-and-pencil version of the Sandbox task, a continuous measure of false belief, and its relations with other false belief and inhibition tasks. In Study 1, 96 children aged 3 to 7years completed three false belief tasks (Sandbox, Unexpected Contents, and Appearance/Reality) and two inhibition tasks (Head-Shoulders-Knees-Toes and Grass/Snow). Results revealed that false belief bias-a measure of egocentrism-on the Sandbox task correlated with age but not with the Unexpected Contents or Appearance/Reality task or with measures of inhibition after controlling for age. In Study 2, 90 3- to 7-year-olds completed five false belief tasks (Sandbox, Unexpected Contents, Appearance/Reality, Change of Location, and a second-order false belief task), two inhibition tasks (Simon Says and Grass/Snow), and a receptive vocabulary task (Peabody Picture Vocabulary Test). Results showed that false belief bias on the Sandbox task correlated negatively with age and with the Change of Location task but not with the other false belief or inhibition tasks after controlling for age and receptive vocabulary. The Sandbox task shows promise as an age-sensitive measure of false belief performance during early childhood and shows convergent and discriminant validity.


Assuntos
Cultura , Inibição Psicológica , Teoria da Mente , Criança , Desenvolvimento Infantil , Pré-Escolar , Feminino , Humanos , Masculino , Testes Psicológicos , Vocabulário
16.
J Exp Psychol Hum Percept Perform ; 43(6): 1144-1159, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28263633

RESUMO

We report 4 experiments investigating auditory hindsight bias-the tendency to overestimate the intelligibility of distorted auditory stimuli after learning their identity. An associative priming manipulation was used to vary the amount of processing fluency independently of prior target knowledge. For hypothetical designs, in which hindsight judgments are made for peers in foresight, we predicted that judgments would be based on processing fluency and that hindsight bias would be greater in the unrelated- compared to related-prime context (differential-fluency hypothesis). Conversely, for memory designs, in which foresight judgments are remembered in hindsight, we predicted that judgments would be based on memory reconstruction and that there would be independent effects of prime relatedness and prior target knowledge (recollection hypothesis). These predictions were confirmed. Specifically, we found support for the differential-fluency hypothesis when a hypothetical design was used in Experiments 1 and 2 (hypothetical group). Conversely, when a memory design was used in Experiments 2 (memory group), 3A, and 3B, we found support for the recollection hypothesis. Together, the results suggest that qualitatively different mechanisms create hindsight bias in the 2 designs. The results are discussed in terms of fluency misattributions, memory reconstruction, anchoring-and-adjustment, sense making, and a multicomponent model of hindsight bias. (PsycINFO Database Record


Assuntos
Associação , Julgamento/fisiologia , Rememoração Mental/fisiologia , Psicolinguística , Percepção da Fala/fisiologia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
17.
Psychon Bull Rev ; 24(6): 1718-1741, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28150123

RESUMO

Judgments can depend on the activity directly preceding them. An example is the revelation effect whereby participants are more likely to claim that a stimulus is familiar after a preceding task, such as solving an anagram, than without a preceding task. We test conflicting predictions of four revelation-effect hypotheses in a meta-analysis of 26 years of revelation-effect research. The hypotheses' predictions refer to three subject areas: (1) the basis of judgments that are subject to the revelation effect (recollection vs. familiarity vs. fluency), (2) the degree of similarity between the task and test item, and (3) the difficulty of the preceding task. We use a hierarchical multivariate meta-analysis to account for dependent effect sizes and variance in experimental procedures. We test the revelation-effect hypotheses with a model selection procedure, where each model corresponds to a prediction of a revelation-effect hypothesis. We further quantify the amount of evidence for one model compared to another with Bayes factors. The results of this analysis suggest that none of the extant revelation-effect hypotheses can fully account for the data. The general vagueness of revelation-effect hypotheses and the scarcity of data were the major limiting factors in our analyses, emphasizing the need for formalized theories and further research into the puzzling revelation effect.


Assuntos
Julgamento/fisiologia , Memória/fisiologia , Humanos
18.
Mem Cognit ; 45(4): 664-676, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28028780

RESUMO

Tasks that precede a recognition probe induce a more liberal response criterion than do probes without tasks-the "revelation effect." For example, participants are more likely to claim that a stimulus is familiar directly after solving an anagram, relative to a condition without an anagram. Revelation effect hypotheses disagree whether hard preceding tasks should produce a larger revelation effect than easy preceding tasks. Although some studies have shown that hard tasks increase the revelation effect as compared to easy tasks, these studies suffered from a confound of task difficulty and task presence. Conversely, other studies have shown that the revelation effect is independent of task difficulty. In the present study, we used new task difficulty manipulations to test whether hard tasks produce larger revelation effects than easy tasks. Participants (N = 464) completed hard or easy preceding tasks, including anagrams (Exps. 1 and 2) and the typing of specific arrow key sequences (Exps. 3-6). With sample sizes typical of revelation effect experiments, the effect sizes of task difficulty on the revelation effect varied considerably across experiments. Despite this variability, a consistent data pattern emerged: Hard tasks produced larger revelation effects than easy tasks. Although the present study falsifies certain revelation effect hypotheses, the general vagueness of revelation effect hypotheses remains.


Assuntos
Psicolinguística , Desempenho Psicomotor/fisiologia , Reconhecimento Psicológico/fisiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
19.
J Exp Child Psychol ; 149: 134-45, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27262614

RESUMO

Egocentric bias is a core feature of autism. This phenomenon has been studied using the false belief task. However, typically developing children who pass categorical (pass or fail) false belief tasks may still show subtle egocentric bias. We examined 7- to 13-year-old children with autism spectrum disorder (ASD; n=76) or typical development (n=113) using tasks with a continuous response scale: a modified false belief task and a visual hindsight bias task. All children showed robust egocentric bias on both tasks, but no group effects were found. Our large sample size, coupled with our sensitive tasks and resoundingly null group effects, indicate that children with and without ASD possess more similar egocentric tendencies than previously reported.

20.
Can J Exp Psychol ; 70(2): 93-8, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27244351

RESUMO

Producing items (e.g., by saying them aloud or typing them) can improve recognition memory. To evaluate whether production increases item distinctiveness and/or memory strength we compared this effect as a function of the percentage of items that participants typed at encoding (i.e., 0%, 20%, 50%, 80%, and 100%). Experiment 1 revealed a strength-based pattern: The production effect was similar across pure-list (i.e., 0% vs. 100%) and mixed-list (i.e., 20%, 50%, 80%) designs, and there was no observed influence of statistical distinctiveness (i.e., 20% vs. 80%). In Experiment 2, we increased the study time for unproduced items to minimise the strength difference between produced and unproduced items. The manipulation attenuated the pure-list effect without eliminating the mixed-list effect, providing support for the inference that the mixed-list effect reflects distinctiveness. An influence of statistical distinctiveness also emerged: The mixed-list effect was larger when participants produced only 20%, rather than 80%, of the items. These findings suggest that both strength and distinctiveness contribute to the production effect in recognition. (PsycINFO Database Record


Assuntos
Aprendizagem/fisiologia , Reconhecimento Psicológico/fisiologia , Adulto , Humanos , Adulto Jovem
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