Comparing Outcomes of Women-Only and Mixed-Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans.


:Although most female veterans treated in specialized intensive Veterans Health Administration (VHA) posttraumatic stress disorder (PTSD) programs receive services in settings in which over 95% of participants are men, two programs include only women. Whether outcomes for women with PTSD are superior in women-only programs has not been evaluated. National program evaluation data on 1,357 women veterans from 57 sites were collected at program entry and 4 months after discharge. With adjustment for differences in baseline characteristics, outcomes of women in two women-only programs (n = 469) were compared with those from 55 mixed-gender programs (n = 888), using mixed models with random effect for site. The primary outcome was total PTSD symptom level, with supplementary information on PTSD assessment subscales, substance use, and other outcomes. At program entry, female veterans in women-only programs had lower scores on measures of total PTSD symptoms, p = .013, d = -0.24, and on several subscales. Adjusting for these differences, there were no significant differences between program types in terms of PTSD total score or scores on secondary measures. In women-only programs, veterans had longer lengths of stay and were rated by their clinicians to have a higher level of commitment to therapy at discharge. Thus, women-only programs did not show superior outcomes; however, compared to participants in mixed-gender programs, those in women-only programs had longer lengths of stay, higher levels of commitment to therapy, and were more likely to participate in posttreatment outcome assessments following discharge. :Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) La comparación entre el tratamiento intensivo del trastorno de estrés postraumático para mujeres solamente o de género mixto para mujeres veteranas PROGRAMAS TEPT PARA MUJERES SOLAMENTE O MIXTOS (Pg 1) PROGRAMAS DE TEPT SEVERO SOLO PARA MUJERES (Pg 2) Aunque la mayoría de las mujeres veteranas tratadas en programas intensivos de la Administración de Salud de los Veteranos (VHA en su sigla en inglés) para el trastorno del estrés postraumático (TEPT), reciben servicios en contextos en los cuales 95% de los participantes son hombres, dos programas incluyen solo mujeres. No se ha evaluado si los resultados para las mujeres con TEPT son superiores en los programas solamente para mujeres. Los datos de una evaluación nacional del programa en 1,357 mujeres veteranas pertenecientes a 57 lugares fueron recolectados al inicio y luego de 4 meses del alta. Al ajustar las diferencias en las características de la línea base, los resultados de las mujeres en dos programas solo para mujeres (n = 469) fueron comparados con aquellos de los 55 programas con género mixtos (n = 888), usando modelos mixtos con efecto aleatorio por sitio. El resultado principal fue el nivel total de la sintomatología TEPT, con información suplementaria en las subescalas de evaluación del TEPT, uso de sustancias, y otros resultados. Al inicio del programa, las veteranas mujeres tenían puntajes más bajos en las medidas del total de los síntomas del TEPT, p = .013, d = -0.24, y en varias subescalas. Al ajustar estas diferencias, no hubo diferencias significativas entre los tipos de programas en términos del puntaje total del TEPT o los puntajes en las medidas secundarias. En los programas solo para mujeres, las veteranas permanecieron por más tiempo y fueron evaluadas por sus terapeutas como teniendo un más alto nivel de compromiso con la terapia al momento del alta. Así, los programas con solo mujeres no mostraron resultados superiores; sin embargo, comparados a los participantes en los programas con género mixtos, aquellos programas con mujeres solamente tuvieron mayor permanencia, más altos niveles de compromiso con la terapia, y fueron más propensas a participar en las evaluaciones de los resultados posterior al tratamiento luego del alta. :Traditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS) 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯 Comparison between Women-Only and Mixed-Gender Intensive Posttraumatic Stress Disorder (PTSD) Treatment for Female Veterans Traditional Chinese 標題: 比較退役女軍人接受專屬女性或男女混合的創傷後壓力症(PTSD)密集式治療計劃的效果 撮要: 大多數於美國退伍軍人健康管理局(VHA)接受創傷後壓力症(PTSD)專科密集式治療計劃的退役女軍人, 都於有超過95%男性參與者的環境下進行療程。不過, 當局有兩項計劃專屬女性參與。過往未有研究檢視在專屬女性參與的計劃接受治療的PTSD女患者, 是否會取得較好療效。我們於57個地點收集全國性計劃評核數據, 樣本為1,357名退役女軍人。我們分別於患者加入計劃時及完成療程4個月後收集數據。因應基線特徵差異作調整;採用混合模型、隨機地點, 比較參與兩個專屬女性的治療計劃的樣本療效(n = 469), 及參與55個男女混合治療計劃的樣本療效(n = 888)。研究主要檢視的結果為整體PTSD症狀水平, 其他檢視的補充資料為PTSD評估子量表、藥物使用和其他療效。在樣本初加入計劃時, 於專屬女性計劃的樣本的整體PTSD症狀分數(p = .013, d = -0.24)及數個子量表分數都較低。我們對此差異作調整後, 發現不同的計劃類型其所得的整體PTSD症狀分數或子測量的分數並無顯著差異。專屬女性計劃的樣本留院治療的時間較長, 並在出院時獲治療師評價為較投入治療。因此, 參與專屬女性的治療計劃並無反映會取得更好療效。然而, 與參與男女混合治療計劃的樣本相比, 專屬女性計劃裡的樣本留院治療的時間較長、較投入治療, 並較大機會在完成療程後接受療效評估。 Simplified Chinese 标题: 比较退役女军人接受专属女性或男女混合的创伤后压力症(PTSD)密集式治疗计划的效果 撮要: 大多数于美国退伍军人健康管理局(VHA)接受创伤后压力症(PTSD)专科密集式治疗计划的退役女军人, 都于有超过95%男性参与者的环境下进行疗程。不过, 当局有两项计划专属女性参与。过往未有研究检视在专属女性参与的计划接受治疗的PTSD女患者, 是否会取得较好疗效。我们于57个地点收集全国性计划评核数据, 样本为1,357名退役女军人。我们分别于患者加入计划时及完成疗程4个月后收集数据。因应基线特征差异作调整;采用混合模型、随机地点, 比较参与两个专属女性的治疗计划的样本疗效(n = 469), 及参与55个男女混合治疗计划的样本疗效(n = 888)。研究主要检视的结果为整体PTSD症状水平, 其他检视的补充数据为PTSD评估子量表、药物使用和其他疗效。在样本初加入计划时, 于专属女性计划的样本的整体PTSD症状分数(p = .013, d = -0.24)及数个子量表分数都较低。我们对此差异作调整后, 发现不同的计划类型其所得的整体PTSD症状分数或子测量的分数并无显著差异。专属女性计划的样本留院治疗的时间较长, 并在出院时获治疗师评价为较投入治疗。因此, 参与专属女性的治疗计划并无反映会取得更好疗效。然而, 与参与男女混合治疗计划的样本相比, 专属女性计划里的样本留院治疗的时间较长、较投入治疗, 并较大机会在完成疗程后接受疗效评估。.


J Trauma Stress


Stefanovics EA,Rosenheck RA




Has Abstract


2019-08-01 00:00:00












  • Using a Delphi process to develop an effective train-the-trainers program to train health and social care professionals throughout Europe.

    abstract::Research has shown that developing a Train-the-Trainers (TTT) program is important if agencies are to implement guidelines, but the most effective way to deliver a TTT program remains unanswered. This article presents data from a 3-round Internet-based Delphi process, which was used to help develop consensus-based gui...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Pearce J,Jones C,Morrison S,Olff M,van Buschbach S,Witteveen AB,Williams R,Orengo-García F,Ajdukovic D,Aker AT,Nordanger D,Lueger-Schuster B,Bisson JI

    更新日期:2012-06-01 00:00:00

  • Consistency of self-reports of traumatic events in a population of Dutch peacekeepers: reason for optimism?

    abstract::Doubts have been raised concerning the reliability and the validity of self-reports of traumatic events. A correlation between the number of inconsistencies in self-reports and the level of PTSD symptoms has been found. We examine whether these results can be generalized to a population of 137 Dutch peacekeepers who t...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Bramsen I,Dirkzwager AJ,van Esch SC,van der Ploeg HM

    更新日期:2001-10-01 00:00:00

  • Prediction of numbing and effortful avoidance in female rape survivors with chronic PTSD.

    abstract::The purpose of the present study was to investigate the relationships among numbing, arousal, intrusion, and avoidance in a sample of 272 female rape survivors. Multiple regression analyses were conducted to test a theoretical model, which posits that hyperarousal and numbing are functionally related mechanisms and in...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Feuer CA,Nishith P,Resick P

    更新日期:2005-04-01 00:00:00

  • Posttraumatic stress disorder and service utilization among urban mental health center clients.

    abstract::Although the urban poor are at high risk for exposure to trauma, community mental health clinics rarely diagnose clients with PTSD. Failure to diagnose PTSD may undermine the effectiveness of services provided. Our objectives were to (1) assess prevalence of traumatic experiences and PTSD, and (2) examine differences ...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Switzer GE,Dew MA,Thompson K,Goycoolea JM,Derricott T,Mullins SD

    更新日期:1999-01-01 00:00:00

  • Posttraumatic Stress Disorder Following Myocardial Infarction: A Systematic Review.

    abstract::The objective of the present review is to provide an overview of existing research that has reported on the association between posttraumatic stress disorder (PTSD) and ischemic heart disease. Specific focus is given to the incidence of PTSD following myocardial infarction (MI). A systematic review using Preferred Rep...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Jacquet-Smailovic M,Tarquinio C,Alla F,Denis I,Kirche A,Tarquinio C,Brennstuhl MJ

    更新日期:2020-10-02 00:00:00

  • Smoking in Vietnam combat veterans with post-traumatic stress disorder.

    abstract::The present study investigated smoking prevalence, smoking motives, demographic variables and psychological symptoms in 124 help-seeking, male Vietnam combat veterans with post-traumatic stress disorder (PTSD). A high percentage of these veterans smoked (60%). Vietnam veterans with PTSD who smoked were more likely tha...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Beckham JC,Roodman AA,Shipley RH,Hertzberg MA,Cunha GH,Kudler HS,Levin ED,Rose JE,Fairbank JA

    更新日期:1995-07-01 00:00:00

  • A comparison of ICD10 and DSM-IV criteria for posttraumatic stress disorder.

    abstract::The assumption that participants receiving an ICD10 diagnosis of posttraumatic stress disorder (PTSD) will also receive a DSM-IV diagnosis of PTSD was tested. Data were gathered for 1,364 participants using the Composite International Diagnostic Interview (CIDI). The 12-month prevalence of PTSD was 3% for DSM-IV and 7...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Peters L,Slade T,Andrews G

    更新日期:1999-04-01 00:00:00

  • A qualitative analysis of the experience and impact of killing in hand-to-hand combat.

    abstract::A growing body of research suggests that killing during military combat is closely associated with posttraumatic stress disorder (PTSD), as well as a number of other adverse mental health related conditions (e.g., dissociative experiences, violent behavior, functional impairment). This article provides first-person pe...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Jensen PR,Simpson D

    更新日期:2014-08-01 00:00:00

  • Posttraumatic stress hyperarousal symptoms mediate the relationship between childhood exposure to violence and subsequent alcohol misuse in Mi'kmaq youth.

    abstract::This study was part of a school-based collaborative research project with a Canadian Mi'kmaq community that examined the potential role of posttraumatic stress (PTS) symptom clusters in mediating the relationship between childhood exposure to violence (EV) and alcohol misuse in a sample of Mi'kmaq adolescents (N = 166...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Zahradnik M,Stewart SH,Sherry SB,Stevens D,Wekerle C

    更新日期:2011-10-01 00:00:00

  • Development and validation of a new instrument to assess lifetime trauma and victimization history.

    abstract::This article describes a new easy-to-administer and understand, interview-based instrument that systematically and comprehensively assesses a person's Lifetime Trauma and Victimization History (LTVH). The LTVH inquires about 30 traumas and victimization experiences (including general traumas, physical assault/abuse, s...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Widom CS,Dutton MA,Czaja SJ,DuMont KA

    更新日期:2005-10-01 00:00:00

  • Adaptation and psychometric properties of the German version of the Dissociative Experience Scale.

    abstract::We introduce the 'Fragebogen zu Dissoziativen Symptomen' (FDS), a German adaptation of the Dissociative Experience Scale (DES) which was developed to screen for dissociation within an ICD-10 framework. In addition to the original 28 DES items, the FDS contains 16 items covering dissociative phenomena included in the I...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Spitzer C,Freyberger HJ,Stieglitz RD,Carlson EB,Kuhn G,Magdeburg N,Kessler C

    更新日期:1998-10-01 00:00:00

  • Dissociative processes and symptoms of posttraumatic stress in Vietnam veterans.

    abstract::The diagnostic taxonomy of posttraumatic stress disorder (PTSD) is a contentious issue. Commentators are divided as to whether PTSD should remain grouped with the anxiety disorders or conceptualized as a dissociative disorder. This study sought to clarify the issue by investigating the extent to which anxiety and diss...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Tampke AK,Irwin HJ

    更新日期:1999-10-01 00:00:00

  • Pathways to Help-Seeking Among Black Male Trauma Survivors: A Fuzzy Set Qualitative Comparative Analysis.

    abstract::Many Black men suffer symptoms of traumatic stress in the aftermath of traumatic injury, and they also often carry social concerns, including experiences of discrimination and stigma, and a lack of financial resources. The objective of the present study was to understand how traumatic symptoms and social factors combi...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Rich JA,Corbin TJ,Jacoby SF,Webster JL,Richmond TS

    更新日期:2020-08-01 00:00:00

  • A cognitive model of guilt typology in combat-related PTSD.

    abstract::Dysfunctional guilt is a prominent feature of combat-related, post-traumatic stress disorder (PTSD). The present article describes a model of combat-related guilt that distinguishes guilt types on the basis of specific false assumptions and errors of logic that are frequently associated with different kinds of traumat...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章,评审


    authors: Kubany ES

    更新日期:1994-01-01 00:00:00

  • Heart rate of motor vehicle accident survivors in the emergency department, peritraumatic psychological reactions, ASD, and PTSD severity: a 6-month prospective study.

    abstract::This small-scale study investigates the relationships between the heart rate of motor vehicle accident survivors presenting in the emergency department (ED) and acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) symptom severity. It also examines the relationships between the survivor's heart rate in...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Kuhn E,Blanchard EB,Fuse T,Hickling EJ,Broderick J

    更新日期:2006-10-01 00:00:00

  • Psychiatric morbidity following Hurricane Andrew.

    abstract::The nature of psychiatric morbidity in previously non-ill subjects from the area most affected by Hurricane Andrew was investigated at 6-12 months posthurricane. Preliminary associations of morbidity with personal and event-related risk factors were also determined. Fifty one percent (31/61) met criteria for a new-ons...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: David D,Mellman TA,Mendoza LM,Kulick-Bell R,Ironson G,Schneiderman N

    更新日期:1996-07-01 00:00:00

  • Autonomic arousal during actigraphically estimated waking and sleep in male veterans with PTSD.

    abstract::Physiological hyperarousal is manifested acutely by increased heart rate, decreased respiratory sinus arrhythmia, and increased skin conductance level and variability. Yet it is uncertain to what extent such activation occurs with the symptomatic hyperarousal of posttraumatic stress disorder (PTSD). We compared 56 mal...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Bertram F,Jamison AL,Slightam C,Kim S,Roth HL,Roth WT

    更新日期:2014-10-01 00:00:00

  • A Pilot Study of the Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Treating Posttraumatic Psychopathology: A Randomized Controlled Trial.

    abstract::The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is an intervention that targets common mechanisms that maintain symptoms across multiple disorders. The UP has been shown to be effective across many disorders, including generalized anxiety disorder, major depressive episode (MDE), and pan...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: O'Donnell ML,Lau W,Chisholm K,Agathos J,Little J,Terhaag S,Brand R,Putica A,Holmes ACN,Katona L,Felmingham KL,Murray K,Hosseiny F,Gallagher MW

    更新日期:2021-01-16 00:00:00

  • Moving Moral Injury Into the Future With Functional Contextualism: A Response to Nash's "Unpacking Two Models for Understanding Moral Injury" (2019).

    abstract::In his commentary on the Journal of Traumatic Stress special issue on moral injury (Vol. 32, Issue 3), Nash (2019) critiques both Farnsworth's (2019) descriptive-prescriptive framework for differentiating posttraumatic stress disorder (PTSD) from moral injury and Farnsworth, Drescher, Evans, and Walser's (2017) functi...

    journal_title:Journal of traumatic stress

    pub_type: 评论,杂志文章


    authors: Farnsworth JK,Borges LM,Walser RD

    更新日期:2019-08-01 00:00:00

  • Attachment narratives in refugee children: interrater reliability and qualitative analysis in pilot findings from a two-site study.

    abstract::Although forced migration research on refugee family functioning clearly points to the potential breakdown of parental availability and responsiveness in the context of cumulative migration stressors, studies exploring attachment security in refugee children are surprisingly lacking so far. The authors report their fi...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: De Haene L,Dalgaard NT,Montgomery E,Grietens H,Verschueren K

    更新日期:2013-06-01 00:00:00

  • The Moderating Effect of State Anger on Treatment Outcome in Female Adolescents With PTSD.

    abstract::Trauma experienced in childhood and adolescence negatively affects the development of adaptive regulation of emotions and is associated with greater symptoms of anger. Prior research has suggested that high levels of anger may impede the outcome of treatment in adults with posttraumatic stress disorder (PTSD). The cur...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Kaczkurkin AN,Asnaani A,Zhong J,Foa EB

    更新日期:2016-08-01 00:00:00

  • Measurement of perceived disruption during rebuilding following Hurricane Andrew.

    abstract::The purpose of this study was to develop and evaluate a measure of perceived disruption during rebuilding following a disaster. Two eight-item scales, which measured intensity of disruption during the entire repair phase (Intensity-RP) and intensity of disruption during the past month (Intensity-PM) were developed and...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Burnett K,Ironson G,Benight C,Wynings C,Greenwood D,Carver CS,Cruess D,Baum A,Schneiderman N

    更新日期:1997-10-01 00:00:00

  • Prevalence and correlates of posttrauma distorted beliefs: evaluating DSM-5 PTSD expanded cognitive symptoms in a national sample.

    abstract::The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association [APA], 2013) modified the diagnostic criteria for posttraumatic stress disorder (PTSD), including expanding the scope of dysfunctional, posttrauma changes in belief (symptoms D2-persistent negative b...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Cox KS,Resnick HS,Kilpatrick DG

    更新日期:2014-06-01 00:00:00

  • Meta-Analysis of Associations Between Hypothalamic-Pituitary-Adrenal Axis Genes and Risk of Posttraumatic Stress Disorder.

    abstract::The hypothalamic-pituitary-adrenal (HPA) axis has been of interest in attempts to identify genetic vulnerability for posttraumatic stress disorder (PTSD). Although numerous HPA-axis genes have been implicated in candidate gene studies, the findings are mixed and interpretation is limited by study design and methodolog...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Sheerin CM,Lind MJ,Bountress KE,Marraccini ME,Amstadter AB,Bacanu SA,Nugent NR

    更新日期:2020-10-01 00:00:00

  • Neurophysiological Correlates of Collective Trauma Recall in 2009 L'Aquila Earthquake Survivors.

    abstract::In the present study, we aimed to explore neural correlates of survivors of the 2009 L'Aquila, Italy earthquake in response to being shown pictures featuring their own city before and after an earthquake as well as those of an unfamiliar city. Moreover, we explored the associations among psychological variables and br...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Massaro G,Altavilla D,Aceto P,Pellicano GR,Lucarelli G,Luciani M,Lai C

    更新日期:2018-10-01 00:00:00

  • PTSD among a treatment sample of repeat DUI offenders.

    abstract::Recent studies indicate that posttraumatic stress disorder (PTSD) is one of the most common psychiatric comorbidities among driving-under-the-influence (DUI) offenders in treatment. Investigation of DUI offenders' PTSD and clinical characteristics could have important implications for prevention and treatment. This pr...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Peller AJ,Najavits LM,Nelson SE,LaBrie RA,Shaffer HJ

    更新日期:2010-08-01 00:00:00

  • Dealing with man-made trauma: the relationship between coping style, posttraumatic stress, and quality of life in resettled, traumatized refugees in the Netherlands.

    abstract::This study investigated the relationship between coping style, posttraumatic stress disorder (PTSD) symptoms, and quality of life in traumatized refugees (N = 335). Participants had resettled in the Netherlands on average 13 years prior and were referred to a Dutch clinic for the treatment of posttraumatic psychopatho...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Huijts I,Kleijn WC,van Emmerik AA,Noordhof A,Smith AJ

    更新日期:2012-02-01 00:00:00

  • Why Participate in Peer Review?

    abstract::The scholarly publishing enterprise is currently undergoing a "crisis," likely exacerbated by the global pandemic, in which peer reviewers are increasingly less available to perform reviews at the same time the flow of submitted manuscripts has not subsided. This editorial considers possible reasons why scholars might...

    journal_title:Journal of traumatic stress

    pub_type: 社论


    authors: Kerig PK

    更新日期:2021-01-13 00:00:00

  • Experiences of Sexual Harassment, Stalking, and Sexual Assault During Military Service Among LGBT and Non-LGBT Service Members.

    abstract::Sexual victimization, including sexual harassment and assault, remains a persistent problem in the U.S. military. Service members identifying as lesbian, gay, bisexual, or transgender (LGBT) may face enhanced risk, but existing research is limited. We examined experiences of sexual harassment, stalking, and sexual ass...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章


    authors: Schuyler AC,Klemmer C,Mamey MR,Schrager SM,Goldbach JT,Holloway IW,Castro CA

    更新日期:2020-06-01 00:00:00

  • Dissociation and pain perception: an experimental investigation.

    abstract::Dissociative symptoms and abnormalities in pain perception have been associated with a range of disorders. The authors tested whether experimentally induced increases in state dissociation would cause an analgesic response. Participants (N = 120) were randomized to a dissociation induction condition via audiophotic st...

    journal_title:Journal of traumatic stress

    pub_type: 杂志文章,随机对照试验


    authors: Horowitz JD,Telch MJ

    更新日期:2007-08-01 00:00:00