Sex-specific Longitudinal Comparison of CES-D and PHQ-9 Depression Scales. A Concordance Analysis using data from the population-based Heinz Nixdorf Recall Study

Sex-specific Longitudinal Comparison of CES-D and PHQ-9 Depression Scales. 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A Concordance Analysis using data from the population-based Heinz Nixdorf Recall Study Miriam Engel, Markus Peternel, Karl-Heinz Jöckel, Sara Schramm, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.2.18099/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background: To measure depressive symptoms (DS) in population-based studies, there are two the well-established questionnaires: the Center for Epidemiologic Studies Depression Scale (CES-D) and the Patient Health Questionnaire-9 (PHQ-9). So far, comparisons between both instruments have only been performed using cross-sectional data, and in specific patient groups. Furthermore, comparisons for population-based studies are missing as well as sex-specific analyses. The aim is to evaluate the psychometric properties and concordance of the longitudinal results of CES-D and PHQ-9 in the German population-based Heinz Nixdorf Recall (HNR) study. Methods: We used data of n=3,084 participants (48.8% men, mean age: 66.8 years). CES-D and PHQ-9 were assessed in the 8th (t8) and 9th (t9) annual postal follow up within two years via questionnaires. DS were defined as CES-D score ≥ 17 and PHQ-9 score ≥ 10. Internal consistency reliability, convergent validity, and agreement between PHQ-9 and CES-D were assessed using respectively Cronbach’s alpha, Pearson’s correlation, and Cohen’s kappa. To analyse DS differences between t8 and t9 we used McNemar’s test. Sex-stratified results are presented. Results: The prevalence of DS at t8 was higher for CES-D (7.8%) than for PHQ-9 (4.4%). The prevalence slightly increased for CES-D (8.1%), as well as for PHQ-9 to 4.5% at t9. Internal consistency of the PHQ-9 and CES-D was good at both times (Cronbach’s alpha: CES-D t8 & t9: 0.89, PHQ-9 t8: 0.84; t9: 0.85). Cohen’s kappa of agreement between CES-D and PHQ-9 was moderate at both time points (t8: k=0.57; 95% CI: 0.51, 0.63; t9; k=0.58; 95% CI: 0.52, 0.64). For both instruments, the McNemar’s test revealed no differences in the proportion of depressives between t8 and t9. We could not observe sex-specific differences of psychometric characteristics, whereas the agreement between the CES-D and PHQ-9 performed slightly higher in men than in women (t8: k=0.61, resp. k=0.55). Conclusion: The results do not support the superiority of one of the scales. Both scales perform well in this population-based cohort in both sexes and longitudinal approach. The decision, which scale to use may depend on characteristics other than the accuracy of the scale, including feasibility and clinical usability. Psychiatry Depression Center for Epidemiologic Studies Depression Scale Patient Health Questionnaire Concordance Analysis Comparison Figures Figure 1 Figure 2 Introduction The mental disorder depression is one of the most common mental illnesses in the world and more than 300 million people suffer from depression worldwide (1, 2). Symptoms include feelings of sadness, hopelessness, loss of pleasure, appetite, weight, self-esteem or self-confidence as well as sleep and concentration disorders that exceed a certain duration, persistence, and intensity. Often depression is associated with co-morbidity. Due to the high prevalence of depression and its comorbidity, the assessment of depressive symptoms is part of the standard program of many epidemiological studies (3, 4). For an individual medical diagnosis of depressive disorders, a structured and standardized diagnostic interview such as the internationally recognized Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-V) is usually used (5). These interviews are characterized by a comprehensive and time-consuming question structure and therefore generally unfeasible in large population-based studies (6). In epidemiological studies, a large number of self-administrative instruments in the form of psychometric personality tests are used to detect Major Depressive Disorders (MDD). MDD are determined by the presence of relevant multiple depressive symptoms within a defined time. Self-administered questionnaires are easy to use and cost-effective. Of the many instruments available, the “Center for Epidemiologic Studies Depression Scale (CES-D Scale)" (7) and the “Patient Health Questionnaire (PHQ)" are the most widely used ones in epidemiological studies (8). It has been shown that these questionnaires performed well as a screening instrument in comparison with the reference standards, a clinical interview (9). However, to make an evidence-based decision for one of the instruments for measuring depressive symptoms in epidemiological studies, it is necessary to precisely analyse the differences and similarities of the instruments as well as to evaluate the psychometric strengths and weaknesses. To compare results between studies, it is also important to know whether these instruments are interchangeably or to what extent the results differ systematically. The psychometric performance of the CES-D and the PHQ–9 has already been compared in specific patient groups like people with diabetes type 2, multiple sclerosis or systemic sclerosis (10–13). Taken together, the literature shows no relevant differences between the two instruments in terms of reliability, validity as well as differences in specific subpopulations. It is only noted that PHQ–9 is more specific in indicating depression (14), while CES-D detects various parts of depression and some of the other emotions associated with serious illness (15). However, to best to our knowledge, there are no comparisons between these instruments within the general population. In addition, there are no comparisons with longitudinal data measuring the development of depressive symptoms. Moreover, as it is known that there are large differences in the prevalence and development of depressive symptoms between women and men (16–19) it is useful to examine the psychometric characteristics separately by sex. We have chosen the CES-D and the PHQ–9 because they are commonly used instruments to assess depression symptomatology in epidemiological studies and they measure different aspects of depression. The PHQ–9 corresponds to major depression and was designed for clinical use. The CES-D has been developed for large epidemiological studies and investigates a variety of aspects of depression. This study aims to compare the psychometric properties and the concordance of the CES-D and the PHQ–9 in an elderly population using the data set of the German longitudinal, population-based Heinz Nixdorf Recall (HNR) Study. Methods Study population The design of the HNR Study has been described in detail elsewhere (20, 21). Briefly, for baseline examination, 4,814 women and men (49.8% men) aged 45 to 75 years were recruited between 2000 and 2003 from mandatory citizen registries of three large cities (Bochum, Essen, and Mülheim an der Ruhr, Germany). For follow up, participants were invited further two times to the study centre in Essen every five years. In addition, a yearly questionnaire-based postal follow-up was conducted between these examinations. To perform a longitudinal comparison between the CES-D and the PHQ–9 we used the 8 th (hereafter t8) and 9 th (t9) follow up year in which both instruments were applied concurrently. For our analysis, we included 3,084 participants (1,580 women, 1,504 men) who completed both the PHQ–9 and CES-D questionnaires at both time points. The HNR study is confirmed by the local ethics committees and all participants gave written informed consent before participation. Assessment of depressive symptoms We assessed depressive symptoms using the validated tools “Center for Epidemiologic Studies Depression Scale” (CES-D) (7) and the PHQ–9, a sub-module of the “Patient Health Questionnaire (PHQ) “. Both instruments are structured self-administrative scales, in which the participants answer predetermined answer options. The CES-D was always measured immediately before the PHQ–9. The participants were also asked if they are currently in therapy for depression or are taking medication against it. These variables are only used for sensitivity analysis. Center for Epidemiologic Studies Depression Scale (CES-D) The CES-D is often used in epidemiological studies in the general population. The CES-D asks for the presence and frequency of symptoms and emotional states in the week before the interview including depressive mood, feelings of guilt or worthlessness, sleep disorders and self-doubt (22, 23). The CES-D is considered as an indicator of depression and is highly correlated with a clinical diagnosis of depression (24). In the HNR Study, a short version of the CES-D with 15 questions was applied. Answers are given on a 4-point Likert-scale ranging from '‘less than one day’' (0 point) to '’5–7 days’' (3 points). We calculated a sum score ranged from 0 to 45 points with a higher score indicating more and/or more frequent depressive symptoms. Positively formulated items were coded backward and an average value was calculated over all 15 items. For up to three missing answers, the item value was replaced by the mean value of the answered questions. In the HNR Study, a cutoff point of ≥17 was defined as depression (25, 26). Patient Health Questionnaire (PHQ) The Patient Health Questionnaire developed by Spitzer, Kroenke, and Williams (27) is used to screen for MDD with items corresponding to the symptoms identified in the Diagnostic and Statistical Manual (5). In the HNR Study, we used the nine items subscale PHQ–9 which consists of the actual nine criteria of the DSM-V diagnosis for depressive disorders. The PHQ–9 is widely applied in medical settings (8). Participants were asked about the frequency of the emergence of nine different problems or depression criteria over the last two weeks. There are four possible answers: not at all (0 point), several days (1 point), more than half the days (2 points), and nearly every day (3 points). Total PHQ–9 score ranges from 0 to 27 and are categorized as “none or minimum” (0–4), “mild” (5–9), “moderate” (10–14), “moderately severe” (15–19), and “severe” (20–27) for depression severity. For up to two missing answers, the item value was replaced by the mean value of the answered questions. We defined a PHQ–9 score ≥ 10 as depression (28). Basic similarities and differences The CES-D and PHQ–9 are used to detect depression and depressive symptoms. Both scales are designed as self-administrative questionnaires, brief and easy to assess as well as available in the public domain. Nevertheless, there are differences. The PHQ–9 indicates major depression based on the DSM-IV diagnostic criteria and was developed for clinical use. The CES-D, on the other hand, was developed for large epidemiological studies and measures depressive symptoms with emphasis on the affective component and depressed mood. The CES-D consists of 15 items, whereas the PHQ–9 contains only nine items. Although there is a basic frequency questioning in both scales, the retrospective period differs. The CES-D refers to the last seven days, the PHQ–9 to the last 14 days. The response options are quite similar for both instruments. A four-step scale with increasing frequencies is given. Demographic Variables The socio-economic status was assessed in a standardized computer-assisted interview (CAPI) carried out by trained personnel at baseline examination. Education was classified according to the International Standard Classification of Education (ISCED–97) as total years of formal education, combining school and vocational training and was categorized into four groups (≤10 y, 11–13 y, 14–17 y, ≥18 y). Economic activity was categorized into four groups [employed, inactive (e.g. homemaker, but not unemployed), pensioner, and unemployed]. We also recorded if participants were cohabiting with a partner or not. For the classification by subgroups, age was divided into <67 and ≥ 67, as this corresponds to the mean age of the participants. Statistical Analyses Cronbach’s alpha was calculated for CES-D and PHQ–9 to evaluate the internal consistency based on the correlations between different items on the total scale. It describes the extent to which all the items in a test measure the same concept or construct. Convergent validity of CES-D and PHQ–9 was assessed using Pearson’s correlation coefficient to explore the magnitude of the associations between the scales. Agreement probability is calculated by using the sum of the number of the same classification for both scales, as well as the disagreement probability as the sum of the number of a different classification. The response agreement between PHQ–9 and CES-D with dichotomous cutoffs was evaluated with Cohen’s kappa. Cohen’s kappa is used to assess the reliability of different measurement methods by quantifying their consistency in placing individuals or items in two or more mutually exclusive categories. We calculated kappa values including 95% confidence intervals (CI) by subtracting/adding the kappa from the value of the 95% CI level (1.96) times the standard error of kappa (29). We interpreted the strength of the agreement as slight (0–0.20), fair (0.21–0.40), moderate (0.41–0.60), substantial (0.61–0.80), and almost perfect (0.81–1) (30). McNemar’s test of marginal homogeneity is conducted for the CES-D and PHQ–9, respectively, to test the hypothesis that the proportion of participants with depressive symptoms above the corresponding cutoff is the same at both times. Temporal changes in PHQ–9 and CES-D are represented by the percentage difference from t8 to t9. A change in the depression score is rated 10% or more on the given scale. Temporal changes were classified as an increase, decrease and no change. To assess the conformity of a temporal trend, the proportions of the concordantly and discordantly identified changes are compared. For a sensitivity analysis, various cutoffs (CES-D score ≥16 to 22) were selected for the CES-D to demonstrate how the agreement and kappa values change. Participants were also stratified according to whether they are currently in therapy for depression. Based on this stratification, the observed agreement and the kappa value were calculated. Descriptive results are expressed as mean ± SD, percentage (%) or number (n), as appropriate. Results are presented separately by sex. All analysis was performed using SAS 9.4. Results The sex-stratified characteristics of the analysed population at t8 (n = 3,084) are shown in table 1, for the entire population as well as for women (n = 1,580) and men (n = 1,504) separately. The average age was 66.8 years at t8. Of the participants, 85.8% lived with a partner and 34.9% completed post-secondary education (≥14 years of education); 45.5% were employed. The mean score for PHQ–9 and CES-D score was 3.5 resp. 7.1. Women showed a higher score on both scales than men. Figure 1 presents the distribution of CES-D and PHQ–9 at t8 and t9. Both scores were strongly skewed to the right. The mode of PHQ–9 was even 0. For men, the distribution of the PHQ–9 scale was even more right-skewed, than for women. No differences according to the distribution were observable between both time points. Table 2 shows the prevalence rates. The prevalence of depression at t8 was higher for CES-D (7.8%) than for PHQ–9 (4.4%) The prevalence slightly increased for CES-D (8.1%), as well as for PHQ–9 to 4.5% at t9. The sex-specific analyses admittedly show the well-known observation of higher prevalence in women than in men. However it also reveals (i) an even greater difference between sexes measured by CES-D (men 6.0%, women 9.6%) than by PHQ–9 ( 3.6%, 5.3%), and (ii) a decreasing prevalence rate in women measured by PHQ–9 (5.3% to 4.9%) whereas it increased when measured by CES-D (9.6% to 10.4%). Cronbach’s alpha showed high reliability for the CES-D (a = 0.89) at both time points (Table 3). Inter-item correlations ranged from 0.16 to 0.67. Similar results were found for PHQ–9 (t8: a = 0.85, t9: a = 0.84). Inter-item correlations ranged from 0.20 to 0.54. No sex-specific differences could be identified. Table 4 depicts a high correlation between CES-D and PHQ–9 (t8: r = 0.84, t9: r = 0.85). The long-term approach between t8 und t9 achieved a correlation of r = 0.71 for both CES-D and PHQ–9. Table 5 shows the agreement of the two scales at t8 as well as at t9. At t8 both scales classified 113 participants as depressed and 2,818 as non-depressed, resulting in a 92.2% agreement. Kappa coefficient (k = 0.57; 95% CI: 0.51, 0.63) indicated a moderate agreement. Cohen’s kappa at t8 was for men slightly higher (k = 0.61; 95% CI: 0.51, 0.70) than for women (k = 0.54; 95% CI: 0.47, 0.63). At t9 the agreement amounted 95.0% and kappa coefficient of k = 0.58 (95% CI: 0.52, 0.64) for all participants. The agreement, considered separately by sex at t8, did not differ from t9. Figure 2 illustrates the results for the agreement of the two scales showing the kappa coefficient and the 95% confidence interval, divided into different subgroups for both time points. The kappa coefficients for the subgroups ranged between 0.51 and 0.68. The agreement between the CES-D and PHQ–9 can be considered as moderate to substantial within the different subgroups. At both times, the kappa coefficient was greater for men than for women, suggesting that there are more concordant cases for men. It can also be seen that the agreement between the two scales was greater among the younger participants (< 67 years) than among the older participants. Similarly, the agreement among participants with post-secondary education was lower than among participants with less than 14 years of education. To answer the question of whether there was a higher proportion of participants who were above the cutoff for depression at t9 than at t8, the McNemar’s test was performed for each scales. The results (Table 6) show that the proportion of being depressed did not differ significantly (p = 0. 539) according to the CES-D scale. The marginal percentages for being depressed at t8 were 7.8% and 8.1% at t9. For the PHQ–9, this result can be seen even more clearly. At t8 4.4% were depressed and at t9 4.5%. According to the McNemar’s test, this leads to a p-value of 0.931, assuming that the proportions did not differ significantly from each other, too. The McNemar’s test conducted separately by sex indicates that the proportions of being depressed did not differ between t8 and t9 on both scales. As described, a relative change of more than 10% between the two time points on one of the scales was regarded as an increase or decrease in the depression score. Table 7 shows the results for analysing these development trends of both scales over time. In total, 75.8% of the participants on both scales identified similar trends (increasing, no change or decreasing) from t8 to t9. A similar pattern was observed among men for 77.1% of participants and 74.5% among women. A proportion of 24.2% of all participants, in contrast, shows a different development trend. Nevertheless, for 0.5% of the participants opposite developments are identified by the two scales. Sensitivity analysis By increasing the cutoff for the CES-D, the proportion of depressives decreased accordingly (Table 8). The agreement between the CES-D and PHQ–9 improved with a higher cutoff. The Kappa coefficient improved, too. Table 9 shows the results stratified by current therapy for depression. The proportion of depressives currently in therapy turn out to be distinctively higher (t8: CES-D 45.2%, PHQ–9 33.3%; t9: 39.8%, 28.5%). Nevertheless, even among the group being not currently in therapy, 3 to 6% were depressed according to CES-D or PHQ–9 (t8: CES-D 5.7%, PHQ–9 2.8%; t9 6.1%; 2.9%). The agreement between the scales was higher among those who were not in therapy. Despite this, the Kappa coefficient at both time points was lower compared to those who were in therapy. Discussion This is the first study to compare systematically the psychometric properties of the CES-D and PHQ–9 in the general population in a longitudinal and sex-specific approach. The analyses carried out have shown that both scales achieved concordant results in detecting depression, but also differed from each other in some aspects. In this study, 4.4% of the participants were identified as depressed with the PHQ–9, slightly lower than the latest WHO prevalence data for depressive disorders in Germany (5.2%) (1). The CES-D, in contrast, classified 8% as depressed in our sample. Women were more likely than men to suffer from depression. This difference was more noticeable in CES-D than in PHQ–9. Each scale performed well and proved to be highly reliable instruments with high Cronbach’s alpha values for the total score from 0.84 - 0.89. Concerning internal consistency and convergent validity, our findings match those observed in other studies (10, 11). The degree of concordance of the results regarding a binary classification of participants as depressed or not depressed ranged in a moderate to a substantial level. These results are in line with other studies examining specific patient groups. Zhang et al. (13) compared the CES-D and PHQ–9 in type 2 diabetes patients in China, whereas Milette et al. (12) in patients with systemic sclerosis (SSc) in Canada showing both a moderate agreement between the instruments (k = 0.45; resp. k = 0.49). Their agreement was slightly weaker than in our study. However, a proportion of the participants were also classified differently from the two scales. It has been shown that the CES-D assesses a participant as depressed rather than PHQ–9. This result is also consistent with other studies in which a higher sensitivity of the CES-D to PHQ–9 was found (31). Nevertheless, in our study some subgroups were more consistent in the agreement between the two scales, for example, men compared to women or participants younger than 67 years compared to even older participants. If the threshold for the cutoff of the CES-D is raised further, as the sensitivity analysis shows, the agreement between CES-D and PHQ–9 improved and the CES-D did not classify as many participants as depressed. In addition, our study reveals that both scales detected identical tendencies observed with regard to changes in depression over time. Only 0.5% of participants were completely opposed to the development of depressive symptoms identified by the two scales. According to the McNemar’s test, the proportions to be depressed did not differ between the two time points on both scales. There were no sex-specific differences in psychometric characteristics. Cronbach’s alpha and Pearson’s correlation coefficients were similarly high for men and women. Merely the agreement between the CES-D and the PHQ–9 and the corresponding kappa values show differences between men and women. Men had a higher agreement than women. This may be due to the slightly different domains (e.g. mood, cognition, somatic symptoms) that the two scales are measured. The CES-D measures rather depressed mood and also positive affects, whereas the PHQ–9 measures the criteria of major depression. Furthermore, the CES-D asks about the frequency of depressive symptoms in the last week, while PHQ–9 asks about the frequency in the last two weeks. The shorter time interval captured by the CES-D may detect rather short-term symptoms, including acute problems and stressors that may not indicate major depression. It can be assumed that women are more likely to be in a depressed mood and do not yet meet the criteria for major depression. Therefore, they had an elevated score for the CES-D, but not for the PHQ–9. This may explain the discrepancy between the prevalence determined by CES-D and the PHQ–9 and finally the poorer agreement. Strengths There are serval characteristics that are strengths of this study. First, HNR Study is a large representative sample of the general middle and older population followed annually. There were multiple measurements of depressive symptoms available with the widely utilized and well-established scales CES-D and PHQ–9, so the longitudinal analysis was possible. The sample size allowed the psychometric characteristics of CES-D and PHQ–9 to be properly investigated in the general population. We also stratified by gender to observe gender-specific differences in scales. Limitations The study also has a few limitations. The basis for concordance analysis is the dichotomization of the initial continuous scores. This results in a loss of information as it is not possible to determine how close the actual score lies to the cutoff. Another limitation is the lack of clinical confirmation of depression, so we were not able to evaluate our results with a valid diagnosis of depression. This would have allowed testing of CES-D and PHQ–9 sensitivity and specificity. Future research A comparison against a gold standard in the form of a structured clinical interview on depressive symptoms can provide information on the diagnostic accuracy of the two instruments. Conclusion In summary, we want to highlight the overall good performance of the CES-D and PHQ–9 in assessing depressive symptomatology in the general population. The results do not support the superiority of one scale over the other in terms of psychometric properties. Both scales perform well and their correlations were high, so the decision, which scale to use for a particular purpose may depend on characteristics other than the accuracy of the scale, including feasibility and clinical usability, for example, the PHQ–9 includes fewer items than the CES-D, is shorter and take less time. The PHQ–9 focuses more on the criteria of major depression in clinical practice, whereas the CES-D measures rather different aspects of depression such as depressive mood as well as positive affect, and was not designed for clinical diagnoses. Declarations Ethics approval and consent to participate The HNR Study was approved by the local ethics committees of the Medical Faculty of the University of Duisburg-Essen, and all participants gave written, informed consent prior to participation. Consent for publication Not applicable. Availability of data and materials The corresponding author has full access to all data in the study and final responsibility for the submission of the article for publication. Due to data security reasons (i.e., data contain potentially participant identifying information), the HNR Study does not allow sharing data as a public use file. Data requests can also be addressed to [email protected] . Competing interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The authors thank the Heinz Nixdorf Foundation [Chairman: Martin Nixdorf; Past Chairman: Dr jur. Gerhard Schmidt (†)], for their generous support of this study. Parts of the study were also supported by the German Research Council (DFG) [DFG project: EI 969/2–3, ER 155/6–1;6–2, HO 3314/2–1;2–2;2–3;4–3, INST 58219/32–1, JO 170/8–1, KN 885/3–1, PE 2309/2–1, SI 236/8–1;9–1;10–1,], the German Ministry of Education and Science [BMBF project: 01EG0401, 01GI0856, 01GI0860, 01GS0820_WB2-C, 01ER1001D, 01GI0205], the Ministry of Innovation, Science, Research and Technology, North Rhine-Westphalia (MIWFT-NRW). Furthermore, the study was supported by the deanship of the University Hospital and IFORES of the University Duisburg-Essen, the European Union, the German Competence Network Heart Failure and the Kulturstiftung Essen. Authors’ contributions Conceptualization: ME, MP, SM; Methodology: ME, SM; KHJ; Formal analysis and investigation: ME, MP; Writing - original draft preparation: ME; Writing - review and editing: ME, MP, KJH, SS, US; SM; Funding acquisition: KHJ, SM; Supervision: SM Acknowledgements The authors express their gratitude to all study participants of the Heinz Nixdorf Recall (HNR) Study, the personnel of the HNR study center, the investigative group and all former employees of the HNR study. The authors also thank the Advisory Board of the HNR Study: T. Meinertz, Hamburg, Germany (Chair); C. Bode, Freiburg, Germany; P. J. de Feyter, Rotterdam, Netherlands; B. Güntert, Hall i.T., Austria; F. Gutzwiller, Bern, Switzerland; H. Heinen, Bonn, Germany; O. Hess (†), Bern, Switzerland; B. Klein (†), Essen, Germany; H. Löwel, Neuherberg, Germany; M. Reiser, Munich, Germany; G. Schmidt (†), Essen, Germany; M. Schwaiger, Munich, Germany; C. Steinmüller, Bonn, Germany; T. 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Comparison of depressive indices: Reliability, validity, relationship to anxiety and personality and the role of age and life events. J Affect Disord. 2007;97(1):187–95. 24.Lewinsohn PM, Seeley JR, Roberts RE, Allen NB. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and aging. 1997;12(2):277–87. 25.Icks A, Albers B, Haastert B, Pechlivanis S, Pundt N, Slomiany U, et al. Risk for high depressive symptoms in diagnosed and previously undetected diabetes: 5-year follow-up results of the Heinz Nixdorf Recall study. PLoS One. 2013;8(2):e56300. 26.Hautzinger M, Bailer M. Allgemeine Depressions Skala. Manual. Göttingen: Beltz-Test-GmbH; 1993. 27.Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. Jama. 1999;282(18):1737–44. 28.Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ–9): a meta-analysis. CMAJ: Canadian Medical Association journal = journal de l’Association medicale canadienne. 2012;184(3):E191–6. 29.McHugh ML. Interrater reliability: the kappa statistic. Biochemia medica. 2012;22(3):276–82. 30.Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977;33(1):159–74. 31.Beekman AT, Deeg DJ, Van Limbeek J, Braam AW, De Vries MZ, Van Tilburg W. Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): results from a community-based sample of older subjects in The Netherlands. Psychological medicine. 1997;27(1):231–5. Tables Table 1 Demographic Characteristics Characteristics all men women mean SD n % mean SD n % mean SD n % 3084 100.0 1504 48.8 1580 51.2 PHQ-9 (missings n=0) 3.5 3.5 3.0 3.4 3.9 3.5 CES-D (missings n=0) 7.1 6.5 6.4 6.1 7.7 6.8 Age in years (missings n=0) 66.8 7.3 67.0 7.3 66.7 7.4 Age group (missings n=0) 45-54 35 1.1 14 0.9 21 1.3 55-64 1207 39.1 560 37.2 647 41.0 65-75 1419 46.0 727 48.3 692 43.8 75-85 423 13.7 203 13.5 220 13.9 Partnership (missings n=2) 2645 85.8 1409 93.8 1236 78.3 Education in years (missings n=3) ≤10 270 8.8 58 3.9 212 13.4 11-13 1735 56.3 690 45.9 1045 66.2 14-17 710 23.0 527 35.1 183 11.6 ≥18 366 11.9 228 15.2 138 8.8 Employed (missings n=2) employed 1403 45.5 813 54.1 590 37.4 inactive o housewife 444 14.4 7 0.5 437 27.7 pensioner 1049 34.0 606 40.3 443 28.1 unemployed 186 6.0 77 5.1 109 6.9 Table 2 Prevalence of Depression Scores all men women n % n % n % PHQ-9 t8 137 4.4 54 3.6 83 5.3 PHQ-9 t9 138 4.5 60 4.0 78 4.9 CES-D t8 242 7.8 90 6.0 152 9.6 CES-D t9 251 8.1 88 5.9 163 10.4 Table 3 Cronbach's alpha Coefficient of Internal Consistency all (n=3084) men (n=1504) women (n=1580) n 1 % Cronbach's alpha n % Cronbach's alpha n % Cronbach's alpha PHQ-9 t8 3011 97.6 0.85 1476 98.1 0.85 1535 97.2 0.84 PHQ-9 t9 2992 97.0 0.84 1467 97.5 0.84 1525 96.5 0.84 CES-D t8 2852 92.5 0.89 1411 93.8 0.88 1441 91.2 0.89 CES-D t9 2823 91.5 0.89 1381 91.8 0.89 1442 91.3 0.90 1 n is slightly different for each scale because not all questionnaires were filled out completely Table 4 Pearson's Correlation Coefficient between Depression Scales all Scale PHQ-9 t8 PHQ-9 t9 CES-D t8 CES-D t9 PHQ-9 t8 PHQ-9 t9 0.71 CES-D t8 0.84 0.67 CES-D t9 0.65 0.85 0.71 men Scale PHQ-9 t8 PHQ-9 t9 CES-D t8 CES-D t9 PHQ-9 t8 PHQ-9 t9 0.71 CES-D t8 0.83 0.68 CES-D t9 0.65 0.84 0.71 women Scale PHQ-9 t8 PHQ-9 t9 CES-D t8 CES-D t9 PHQ-9 t8 PHQ-9 t9 0.71 CES-D t8 0.84 0.66 CES-D t9 0.65 0.86 0.70 All correlations are significant at p < 0.0001 Table 5 Agreement of depression scores PHQ-9 and CES-D with Cohen's kappa and 95% confidence interval CES-D & PHQ-9 both classify participants as non-depressed depressed observed Agreement expected Agreement Cohen's kappa 95% lower CI 95% Upper CI t8 all 2818 113 95.0% 88.4% 0.57 0.51 0.63 t9 all 2812 117 95.0% 88.1% 0.58 0.52 0.64 t8 men 1405 45 96.4% 90.9% 0.61 0.51 0.70 t8 women 1413 68 93.7% 86.1% 0.55 0.47 0.63 t9 men 1404 48 96.5% 90.6% 0.63 0.54 0.72 t9 women 1408 69 93.5% 85.8% 0.54 0.47 0.69 Table 6 Contingency tables for McNemar's test of marginal homogeneity for being depressed in t8 vs. t9 t9 CES-D PHQ-9 - + total - + total t8 CES-D - 2730 112 2842 (92.2%) + 103 139 242 (7.8%) total 2833 251 3084 (91.9%) (8.1%) PHQ-9 - 2880 67 2947 (95.6%) + 66 71 137 (4.4%) total 2946 138 3084 (95.5%) (4.5%) Table 7 Temporal changes over time CES-D PHQ-9 all men women n % n % n % ↗ ↗ 184 6.0 79 5.3 105 6.6 → → 2002 64.9 1028 68.4 974 61.6 ↘ ↘ 151 4.9 53 3.5 98 6.2 ↗ → 237 7.7 103 6.8 134 8.5 ↗ ↘ 6 0.2 2 0.1 4 0.3 → ↗ 146 4.7 77 5.1 69 4.4 → ↘ 148 4.8 69 4.6 79 5.0 ↘ ↗ 8 0.3 4 0.3 4 0.3 ↘ → 202 6.5 89 5.9 113 7.2 3084 100 1504 100.0 1580 100.0 ↗ Increase ↘ Decrease → No change Table 8: Sensitivity Analysis: Different Cutoffs for CES-D: Proportion of being depressed and Agreement of PHQ-9 and CES-D with Cohen's kappa and 95% confidence interval CES-D Cutoff ≥ depressed observed Agreement expected Agreement Cohen's kappa 95% lower CI 95% Upper CI 16 t8 9.4% 93.8% 87.0% 0.53 0.47 0.58 t9 9.5% 94.0% 86.9% 0.54 0.49 0.60 17 t8 7.9% 95.0% 88.4% 0.57 0.51 0.63 t9 8.1% 95.0% 88.1% 0.58 0.52 0.64 18 t8 7.1% 95.7% 89.1% 0.60 0.54 0.66 t9 7.0% 95.7% 89.1% 0.61 0.54 0.67 19 t8 6.1% 96.2% 90.0% 0.62 0.56 0.69 t9 6.0% 96.5% 90.1% 0.64 0.58 0.71 20 t8 5.3% 96.8% 90.7% 0.65 0.59 0.72 t9 5.1% 96.7% 90.9% 0.64 0.58 0.71 21 t8 4.7% 97.2% 91.3% 0.68 0.62 0.74 t9 4.6% 96.9% 91.4% 0.64 0.58 0.71 22 t8 4.1% 97.5% 91.8% 0.69 0.63 0.76 t9 4.0% 97.1% 91.9% 0.64 0.57 0.71 Table 9: Sensitivity Analysis: Proportion of being depressed and Agreement of PHQ-9 and CES-D with Cohen's kappa and 95% confidence interval by intake of antidepressants or current therapy for depression Time point Intake of antidepressants or current therapy for depression n depressed CES-D depressed PHQ-9 observed Agreement expected Agreement Cohen's kappa 95% lower CI 95% Upper CI t8 yes 168 45.2% 33.3% 0.83 0.52 0.66 0.54 0.77 t8 no 2916 5.7% 2.8% 0.94 0.90 0.47 0.40 0.55 t9 yes 186 39.8% 28.5% 0.84 0.54 0.66 0.55 0.77 t9 no 2898 6.1% 2.9% 0.96 0.91 0.50 0.42 0.57 List of abbreviations List of abbreviations CES-D Center for Epidemiologic Studies Depression Scale DS Depressive symptoms DSM-V Diagnostic and Statistical Manual of Mental Disorders, 5th ed HNR Heinz Nixdorf Recall MDD Major Depressive Disorders PHQ-9 Patient Health Questionnaire-9 SD Standard Deviation Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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A Concordance Analysis using data from the population-based Heinz Nixdorf Recall Study","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe mental disorder depression is one of the most common mental illnesses in the world and more than 300 million people suffer from depression worldwide (1, 2). Symptoms include feelings of sadness, hopelessness, loss of pleasure, appetite, weight, self-esteem or self-confidence as well as sleep and concentration disorders that exceed a certain duration, persistence, and intensity. Often depression is associated with co-morbidity. Due to the high prevalence of depression and its comorbidity, the assessment of depressive symptoms is part of the standard program of many epidemiological studies (3, 4).\u003c/p\u003e\n\u003cp\u003eFor an individual medical diagnosis of depressive disorders, a structured and standardized diagnostic interview such as the internationally recognized Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-V) is usually used (5). These interviews are characterized by a comprehensive and time-consuming question structure and therefore generally unfeasible in large population-based studies (6). In epidemiological studies, a large number of self-administrative instruments in the form of psychometric personality tests are used to detect Major Depressive Disorders (MDD). MDD are determined by the presence of relevant multiple depressive symptoms within a defined time. Self-administered questionnaires are easy to use and cost-effective. Of the many instruments available, the “Center for Epidemiologic Studies Depression Scale (CES-D Scale)\" (7) and the “Patient Health Questionnaire (PHQ)\" are the most widely used ones in epidemiological studies (8).\u003c/p\u003e\n\u003cp\u003eIt has been shown that these questionnaires performed well as a screening instrument in comparison with the reference standards, a clinical interview (9). However, to make an evidence-based decision for one of the instruments for measuring depressive symptoms in epidemiological studies, it is necessary to precisely analyse the differences and similarities of the instruments as well as to evaluate the psychometric strengths and weaknesses. To compare results between studies, it is also important to know whether these instruments are interchangeably or to what extent the results differ systematically.\u003c/p\u003e\n\n\u003cp\u003eThe psychometric performance of the CES-D and the PHQ–9 has already been compared in specific patient groups like people with diabetes type 2, multiple sclerosis or systemic sclerosis (10–13). Taken together, the literature shows no relevant differences between the two instruments in terms of reliability, validity as well as differences in specific subpopulations. It is only noted that PHQ–9 is more specific in indicating depression (14), while CES-D detects various parts of depression and some of the other emotions associated with serious illness (15).\u003c/p\u003e\n\u003cp\u003eHowever, to best to our knowledge, there are no comparisons between these instruments within the general population. In addition, there are no comparisons with longitudinal data measuring the development of depressive symptoms. Moreover, as it is known that there are large differences in the prevalence and development of depressive symptoms between women and men (16–19) it is useful to examine the psychometric characteristics separately by sex.\u003c/p\u003e\n\u003cp\u003eWe have chosen the CES-D and the PHQ–9 because they are commonly used instruments to assess depression symptomatology in epidemiological studies and they measure different aspects of depression. The PHQ–9 corresponds to major depression and was designed for clinical use. The CES-D has been developed for large epidemiological studies and investigates a variety of aspects of depression.\u003c/p\u003e\n\u003cp\u003eThis study aims to compare the psychometric properties and the concordance of the CES-D and the PHQ–9 in an elderly population using the data set of the German longitudinal, population-based Heinz Nixdorf Recall (HNR) Study.\u003c/p\u003e"},{"header":"Methods","content":"\u003ch3\u003eStudy population\u003c/h3\u003e\n\u003cp\u003eThe design of the HNR Study has been described in detail elsewhere (20, 21). Briefly, for baseline examination, 4,814 women and men (49.8% men) aged 45 to 75 years were recruited between 2000 and 2003 from mandatory citizen registries of three large cities (Bochum, Essen, and Mülheim an der Ruhr, Germany). For follow up, participants were invited further two times to the study centre in Essen every five years. In addition, a yearly questionnaire-based postal follow-up was conducted between these examinations. To perform a longitudinal comparison between the CES-D and the PHQ–9 we used the 8\u003csup\u003eth\u003c/sup\u003e (hereafter t8) and 9\u003csup\u003eth\u003c/sup\u003e (t9) follow up year in which both instruments were applied concurrently.\u003c/p\u003e\n\u003cp\u003eFor our analysis, we included 3,084 participants (1,580 women, 1,504 men) who completed both the PHQ–9 and CES-D questionnaires at both time points.\u003c/p\u003e\n\u003cp\u003eThe HNR study is confirmed by the local ethics committees and all participants gave written informed consent before participation.\u003c/p\u003e\n\u003ch3\u003eAssessment of depressive symptoms\u003c/h3\u003e\n\u003cp\u003eWe assessed depressive symptoms using the validated tools “Center for Epidemiologic Studies Depression Scale” (CES-D) (7) and the PHQ–9, a sub-module of the “Patient Health Questionnaire (PHQ) “. Both instruments are structured self-administrative scales, in which the participants answer predetermined answer options. The CES-D was always measured immediately before the PHQ–9. The participants were also asked if they are currently in therapy for depression or are taking medication against it. These variables are only used for sensitivity analysis.\u003c/p\u003e\n\u003ch3\u003eCenter for Epidemiologic Studies Depression Scale (CES-D)\u003c/h3\u003e\n\u003cp\u003eThe CES-D is often used in epidemiological studies in the general population. The CES-D asks for the presence and frequency of symptoms and emotional states in the week before the interview including depressive mood, feelings of guilt or worthlessness, sleep disorders and self-doubt (22, 23). The CES-D is considered as an indicator of depression and is highly correlated with a clinical diagnosis of depression (24).\u003c/p\u003e\n\u003cp\u003eIn the HNR Study, a short version of the CES-D with 15 questions was applied. Answers are given on a 4-point Likert-scale ranging from '‘less than one day’' (0 point) to '’5–7 days’' (3 points). We calculated a sum score ranged from 0 to 45 points with a higher score indicating more and/or more frequent depressive symptoms. Positively formulated items were coded backward and an average value was calculated over all 15 items. For up to three missing answers, the item value was replaced by the mean value of the answered questions. In the HNR Study, a cutoff point of ≥17 was defined as depression (25, 26).\u003c/p\u003e\n\u003ch3\u003ePatient Health Questionnaire (PHQ)\u003c/h3\u003e\n\u003cp\u003eThe Patient Health Questionnaire developed by Spitzer, Kroenke, and Williams (27) is used to screen for MDD with items corresponding to the symptoms identified in the Diagnostic and Statistical Manual (5). In the HNR Study, we used the nine items subscale PHQ–9 which consists of the actual nine criteria of the DSM-V diagnosis for depressive disorders. The PHQ–9 is widely applied in medical settings (8). Participants were asked about the frequency of the emergence of nine different problems or depression criteria over the last two weeks.\u003c/p\u003e\n\u003cp\u003eThere are four possible answers: not at all (0 point), several days (1 point), more than half the days (2 points), and nearly every day (3 points). Total PHQ–9 score ranges from 0 to 27 and are categorized as “none or minimum” (0–4), “mild” (5–9), “moderate” (10–14), “moderately severe” (15–19), and “severe” (20–27) for depression severity. For up to two missing answers, the item value was replaced by the mean value of the answered questions. We defined a PHQ–9 score ≥ 10 as depression (28).\u003c/p\u003e\n\u003ch3\u003eBasic similarities and differences\u003c/h3\u003e\n\u003cp\u003eThe CES-D and PHQ–9 are used to detect depression and depressive symptoms. Both scales are designed as self-administrative questionnaires, brief and easy to assess as well as available in the public domain. Nevertheless, there are differences. The PHQ–9 indicates major depression based on the DSM-IV diagnostic criteria and was developed for clinical use. The CES-D, on the other hand, was developed for large epidemiological studies and measures depressive symptoms with emphasis on the affective component and depressed mood. The CES-D consists of 15 items, whereas the PHQ–9 contains only nine items. Although there is a basic frequency questioning in both scales, the retrospective period differs. The CES-D refers to the last seven days, the PHQ–9 to the last 14 days. The response options are quite similar for both instruments. A four-step scale with increasing frequencies is given.\u003c/p\u003e\n\u003ch3\u003eDemographic Variables\u003c/h3\u003e\n\u003cp\u003eThe socio-economic status was assessed in a standardized computer-assisted interview (CAPI) carried out by trained personnel at baseline examination. Education was classified according to the International Standard Classification of Education (ISCED–97) as total years of formal education, combining school and vocational training and was categorized into four groups (≤10 y, 11–13 y, 14–17 y, ≥18 y). Economic activity was categorized into four groups [employed, inactive (e.g. homemaker, but not unemployed), pensioner, and unemployed]. We also recorded if participants were cohabiting with a partner or not. For the classification by subgroups, age was divided into \u0026lt;67 and ≥ 67, as this corresponds to the mean age of the participants.\u003c/p\u003e\n\u003ch3\u003eStatistical Analyses\u003c/h3\u003e\n\u003cp\u003eCronbach’s alpha was calculated for CES-D and PHQ–9 to evaluate the internal consistency based on the correlations between different items on the total scale. It describes the extent to which all the items in a test measure the same concept or construct. Convergent validity of CES-D and PHQ–9 was assessed using Pearson’s correlation coefficient to explore the magnitude of the associations between the scales.\u003c/p\u003e\n\u003cp\u003eAgreement probability is calculated by using the sum of the number of the same classification for both scales, as well as the disagreement probability as the sum of the number of a different classification. The response agreement between PHQ–9 and CES-D with dichotomous cutoffs was evaluated with Cohen’s kappa. Cohen’s kappa is used to assess the reliability of different measurement methods by quantifying their consistency in placing individuals or items in two or more mutually exclusive categories. We calculated kappa values including 95% confidence intervals (CI) by subtracting/adding the kappa from the value of the 95% CI level (1.96) times the standard error of kappa (29). We interpreted the strength of the agreement as slight (0–0.20), fair (0.21–0.40), moderate (0.41–0.60), substantial (0.61–0.80), and almost perfect (0.81–1) (30).\u003c/p\u003e\n\u003cp\u003eMcNemar’s test of marginal homogeneity is conducted for the CES-D and PHQ–9, respectively, to test the hypothesis that the proportion of participants with depressive symptoms above the corresponding cutoff is the same at both times. Temporal changes in PHQ–9 and CES-D are represented by the percentage difference from t8 to t9. A change in the depression score is rated 10% or more on the given scale. Temporal changes were classified as an increase, decrease and no change. To assess the conformity of a temporal trend, the proportions of the concordantly and discordantly identified changes are compared.\u003c/p\u003e\n\n\u003cp\u003eFor a sensitivity analysis, various cutoffs (CES-D score ≥16 to 22) were selected for the CES-D to demonstrate how the agreement and kappa values change. Participants were also stratified according to whether they are currently in therapy for depression. Based on this stratification, the observed agreement and the kappa value were calculated.\u003c/p\u003e\n\u003cp\u003eDescriptive results are expressed as mean ± SD, percentage (%) or number (n), as appropriate. Results are presented separately by sex. All analysis was performed using SAS 9.4.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eThe sex-stratified characteristics of the analysed population at t8 (n = 3,084) are shown in table 1, for the entire population as well as for women (n = 1,580) and men (n = 1,504) separately. The average age was 66.8 years at t8. Of the participants, 85.8% lived with a partner and 34.9% completed post-secondary education (≥14 years of education); 45.5% were employed.\u003c/p\u003e\n\u003cp\u003eThe mean score for PHQ–9 and CES-D score was 3.5 resp. 7.1. Women showed a higher score on both scales than men. Figure 1 presents the distribution of CES-D and PHQ–9 at t8 and t9. Both scores were strongly skewed to the right. The mode of PHQ–9 was even 0. For men, the distribution of the PHQ–9 scale was even more right-skewed, than for women. No differences according to the distribution were observable between both time points.\u003c/p\u003e\n\u003cp\u003eTable 2 shows the prevalence rates. The prevalence of depression at t8 was higher for CES-D (7.8%) than for PHQ–9 (4.4%) The prevalence slightly increased for CES-D (8.1%), as well as for PHQ–9 to 4.5% at t9. The sex-specific analyses admittedly show the well-known observation of higher prevalence in women than in men. However it also reveals (i) an even greater difference between sexes measured by CES-D (men 6.0%, women 9.6%) than by PHQ–9 ( 3.6%, 5.3%), and (ii) a decreasing prevalence rate in women measured by PHQ–9 (5.3% to 4.9%) whereas it increased when measured by CES-D (9.6% to 10.4%).\u003c/p\u003e\n\u003cp\u003eCronbach’s alpha showed high reliability for the CES-D (a = 0.89) at both time points (Table 3). Inter-item correlations ranged from 0.16 to 0.67. Similar results were found for PHQ–9 (t8: a = 0.85, t9: a = 0.84). Inter-item correlations ranged from 0.20 to 0.54. No sex-specific differences could be identified. Table 4 depicts a high correlation between CES-D and PHQ–9 (t8: r = 0.84, t9: r = 0.85). The long-term approach between t8 und t9 achieved a correlation of r = 0.71 for both CES-D and PHQ–9.\u003c/p\u003e\n\u003cp\u003eTable 5 shows the agreement of the two scales at t8 as well as at t9. At t8 both scales classified 113 participants as depressed and 2,818 as non-depressed, resulting in a 92.2% agreement. Kappa coefficient (k = 0.57; 95% CI: 0.51, 0.63) indicated a moderate agreement. Cohen’s kappa at t8 was for men slightly higher (k = 0.61; 95% CI: 0.51, 0.70) than for women (k = 0.54; 95% CI: 0.47, 0.63). At t9 the agreement amounted 95.0% and kappa coefficient of k = 0.58 (95% CI: 0.52, 0.64) for all participants. The agreement, considered separately by sex at t8, did not differ from t9. Figure 2 illustrates the results for the agreement of the two scales showing the kappa coefficient and the 95% confidence interval, divided into different subgroups for both time points. The kappa coefficients for the subgroups ranged between 0.51 and 0.68. The agreement between the CES-D and PHQ–9 can be considered as moderate to substantial within the different subgroups. At both times, the kappa coefficient was greater for men than for women, suggesting that there are more concordant cases for men. It can also be seen that the agreement between the two scales was greater among the younger participants (\u0026lt; 67 years) than among the older participants. Similarly, the agreement among participants with post-secondary education was lower than among participants with less than 14 years of education.\u003c/p\u003e\n\u003cp\u003eTo answer the question of whether there was a higher proportion of participants who were above the cutoff for depression at t9 than at t8, the McNemar’s test was performed for each scales. The results (Table 6) show that the proportion of being depressed did not differ significantly (p = 0. 539) according to the CES-D scale. The marginal percentages for being depressed at t8 were 7.8% and 8.1% at t9. For the PHQ–9, this result can be seen even more clearly. At t8 4.4% were depressed and at t9 4.5%. According to the McNemar’s test, this leads to a p-value of 0.931, assuming that the proportions did not differ significantly from each other, too. The McNemar’s test conducted separately by sex indicates that the proportions of being depressed did not differ between t8 and t9 on both scales.\u003c/p\u003e\n\n\u003cp\u003eAs described, a relative change of more than 10% between the two time points on one of the scales was regarded as an increase or decrease in the depression score. Table 7 shows the results for analysing these development trends of both scales over time. In total, 75.8% of the participants on both scales identified similar trends (increasing, no change or decreasing) from t8 to t9. A similar pattern was observed among men for 77.1% of participants and 74.5% among women. A proportion of 24.2% of all participants, in contrast, shows a different development trend. Nevertheless, for 0.5% of the participants opposite developments are identified by the two scales.\u003c/p\u003e\n\u003ch3\u003eSensitivity analysis\u003c/h3\u003e\n\u003cp\u003eBy increasing the cutoff for the CES-D, the proportion of depressives decreased accordingly (Table 8). The agreement between the CES-D and PHQ–9 improved with a higher cutoff. The Kappa coefficient improved, too.\u003c/p\u003e\n\u003cp\u003eTable 9 shows the results stratified by current therapy for depression. The proportion of depressives currently in therapy turn out to be distinctively higher (t8: CES-D 45.2%, PHQ–9 33.3%; t9: 39.8%, 28.5%). Nevertheless, even among the group being not currently in therapy, 3 to 6% were depressed according to CES-D or PHQ–9 (t8: CES-D 5.7%, PHQ–9 2.8%; t9 6.1%; 2.9%). The agreement between the scales was higher among those who were not in therapy. Despite this, the Kappa coefficient at both time points was lower compared to those who were in therapy.\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis is the first study to compare systematically the psychometric properties of the CES-D and PHQ–9 in the general population in a longitudinal and sex-specific approach. The analyses carried out have shown that both scales achieved concordant results in detecting depression, but also differed from each other in some aspects. In this study, 4.4% of the participants were identified as depressed with the PHQ–9, slightly lower than the latest WHO prevalence data for depressive disorders in Germany (5.2%) (1). The CES-D, in contrast, classified 8% as depressed in our sample. Women were more likely than men to suffer from depression. This difference was more noticeable in CES-D than in PHQ–9. Each scale performed well and proved to be highly reliable instruments with high Cronbach’s alpha values for the total score from 0.84 - 0.89. Concerning internal consistency and convergent validity, our findings match those observed in other studies (10, 11). The degree of concordance of the results regarding a binary classification of participants as depressed or not depressed ranged in a moderate to a substantial level. These results are in line with other studies examining specific patient groups. Zhang et al. (13) compared the CES-D and PHQ–9 in type 2 diabetes patients in China, whereas Milette et al. (12) in patients with systemic sclerosis (SSc) in Canada showing both a moderate agreement between the instruments (k = 0.45; resp. k = 0.49). Their agreement was slightly weaker than in our study.\u003c/p\u003e\n\u003cp\u003eHowever, a proportion of the participants were also classified differently from the two scales. It has been shown that the CES-D assesses a participant as depressed rather than PHQ–9. This result is also consistent with other studies in which a higher sensitivity of the CES-D to PHQ–9 was found (31). Nevertheless, in our study some subgroups were more consistent in the agreement between the two scales, for example, men compared to women or participants younger than 67 years compared to even older participants. If the threshold for the cutoff of the CES-D is raised further, as the sensitivity analysis shows, the agreement between CES-D and PHQ–9 improved and the CES-D did not classify as many participants as depressed.\u003c/p\u003e\n\u003cp\u003eIn addition, our study reveals that both scales detected identical tendencies observed with regard to changes in depression over time. Only 0.5% of participants were completely opposed to the development of depressive symptoms identified by the two scales. According to the McNemar’s test, the proportions to be depressed did not differ between the two time points on both scales.\u003c/p\u003e\n\u003cp\u003eThere were no sex-specific differences in psychometric characteristics. Cronbach’s alpha and Pearson’s correlation coefficients were similarly high for men and women. Merely the agreement between the CES-D and the PHQ–9 and the corresponding kappa values show differences between men and women. Men had a higher agreement than women. This may be due to the slightly different domains (e.g. mood, cognition, somatic symptoms) that the two scales are measured. The CES-D measures rather depressed mood and also positive affects, whereas the PHQ–9 measures the criteria of major depression. Furthermore, the CES-D asks about the frequency of depressive symptoms in the last week, while PHQ–9 asks about the frequency in the last two weeks. The shorter time interval captured by the CES-D may detect rather short-term symptoms, including acute problems and stressors that may not indicate major depression. It can be assumed that women are more likely to be in a depressed mood and do not yet meet the criteria for major depression. Therefore, they had an elevated score for the CES-D, but not for the PHQ–9. This may explain the discrepancy between the prevalence determined by CES-D and the PHQ–9 and finally the poorer agreement.\u003c/p\u003e\n\u003ch3\u003eStrengths\u003c/h3\u003e\n\u003cp\u003eThere are serval characteristics that are strengths of this study. First, HNR Study is a large representative sample of the general middle and older population followed annually. There were multiple measurements of depressive symptoms available with the widely utilized and well-established scales CES-D and PHQ–9, so the longitudinal analysis was possible. The sample size allowed the psychometric characteristics of CES-D and PHQ–9 to be properly investigated in the general population. We also stratified by gender to observe gender-specific differences in scales.\u003c/p\u003e\n\u003ch3\u003eLimitations\u003c/h3\u003e\n\u003cp\u003eThe study also has a few limitations. The basis for concordance analysis is the dichotomization of the initial continuous scores. This results in a loss of information as it is not possible to determine how close the actual score lies to the cutoff. Another limitation is the lack of clinical confirmation of depression, so we were not able to evaluate our results with a valid diagnosis of depression. This would have allowed testing of CES-D and PHQ–9 sensitivity and specificity.\u003c/p\u003e\n\u003ch3\u003eFuture research\u003c/h3\u003e\n\u003cp\u003eA comparison against a gold standard in the form of a structured clinical interview on depressive symptoms can provide information on the diagnostic accuracy of the two instruments.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eIn summary, we want to highlight the overall good performance of the CES-D and PHQ–9 in assessing depressive symptomatology in the general population. The results do not support the superiority of one scale over the other in terms of psychometric properties. Both scales perform well and their correlations were high, so the decision, which scale to use for a particular purpose may depend on characteristics other than the accuracy of the scale, including feasibility and clinical usability, for example, the PHQ–9 includes fewer items than the CES-D, is shorter and take less time. The PHQ–9 focuses more on the criteria of major depression in clinical practice, whereas the CES-D measures rather different aspects of depression such as depressive mood as well as positive affect, and was not designed for clinical diagnoses.\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch3\u003eEthics approval and consent to participate\u003c/h3\u003e\n\u003cp\u003eThe HNR Study was approved by the local ethics committees of the Medical Faculty of the University of Duisburg-Essen, and all participants gave written, informed consent prior to participation.\u003c/p\u003e\n\n\u003ch3\u003eConsent for publication\u003c/h3\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003ch3\u003eAvailability of data and materials\u003c/h3\u003e\n\u003cp\u003eThe corresponding author has full access to all data in the study and final responsibility for the submission of the article for publication. Due to data security reasons (i.e., data contain potentially participant identifying information), the HNR Study does not allow sharing data as a public use file. Data requests can also be addressed to \u003ca href=\"mailto:[email protected]\"\u003e\u003ca href=\"http://[email protected]\"\[email protected]\u003c/a\u003e\u003c/a\u003e.\u003c/p\u003e\n\n\u003ch3\u003eCompeting interests\u003c/h3\u003e\n\u003cp\u003eThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.\u003c/p\u003e\n\n\u003ch3\u003eFunding\u003c/h3\u003e\n\u003cp\u003eThe authors thank the Heinz Nixdorf Foundation [Chairman: Martin Nixdorf; Past Chairman: Dr jur. Gerhard Schmidt (†)], for their generous support of this study. Parts of the study were also supported by the German Research Council (DFG) [DFG project: EI 969/2–3, ER 155/6–1;6–2, HO 3314/2–1;2–2;2–3;4–3, INST 58219/32–1, JO 170/8–1, KN 885/3–1, PE 2309/2–1, SI 236/8–1;9–1;10–1,], the German Ministry of Education and Science [BMBF project: 01EG0401, 01GI0856, 01GI0860, 01GS0820_WB2-C, 01ER1001D, 01GI0205], the Ministry of Innovation, Science, Research and Technology, North Rhine-Westphalia (MIWFT-NRW). Furthermore, the study was supported by the deanship of the University Hospital and IFORES of the University Duisburg-Essen, the European Union, the German Competence Network Heart Failure and the Kulturstiftung Essen.\u003c/p\u003e\n\n\u003ch3\u003eAuthors’ contributions\u003c/h3\u003e\n\u003cp\u003eConceptualization: ME, MP, SM; Methodology: ME, SM; KHJ; Formal analysis and investigation: ME, MP; Writing - original draft preparation: ME; Writing - review and editing: ME, MP, KJH, SS, US; SM; Funding acquisition: KHJ, SM; Supervision: SM\u003c/p\u003e\n\n\u003ch3\u003eAcknowledgements\u003c/h3\u003e\n\u003cp\u003eThe authors express their gratitude to all study participants of the Heinz Nixdorf Recall (HNR) Study, the personnel of the HNR study center, the investigative group and all former employees of the HNR study. The authors also thank the Advisory Board of the HNR Study: T. Meinertz, Hamburg, Germany (Chair); C. Bode, Freiburg, Germany; P. J. de Feyter, Rotterdam, Netherlands; B. Güntert, Hall i.T., Austria; F. Gutzwiller, Bern, Switzerland; H. Heinen, Bonn, Germany; O. Hess (†), Bern, Switzerland; B. Klein (†), Essen, Germany; H. Löwel, Neuherberg, Germany; M. Reiser, Munich, Germany; G. Schmidt (†), Essen, Germany; M. Schwaiger, Munich, Germany; C. Steinmüller, Bonn, Germany; T. Theorell, Stockholm, Sweden; and S.N Willich, Berlin, Germany.\u003c/p\u003e"},{"header":"References","content":"\u003cp\u003e1.World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates.; 2017.\u003c/p\u003e\n\u003cp\u003e2.Alonso J, Petukhova M, Vilagut G, Chatterji S, Heeringa S, Ustun TB, et al. Days out of role due to common physical and mental conditions: results from the WHO World Mental Health surveys. Molecular psychiatry. 2011;16(12):1234–46.\u003c/p\u003e\n\u003cp\u003e3.Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological medicine. 2002;32(6):959–76.\u003c/p\u003e\n\u003cp\u003e4.Williams JW, Jr., Noel PH, Cordes JA, Ramirez G, Pignone M. Is this patient clinically depressed? Jama. 2002;287(9):1160–70.\u003c/p\u003e\n\u003cp\u003e5.American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM–5. Washington, DC American Psychiatric Publ.; 2013.\u003c/p\u003e\n\u003cp\u003e6.Kessler RC, Ustun TB. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International journal of methods in psychiatric research. 2004;13(2):93–121.\u003c/p\u003e\n\u003cp\u003e7.Radloff LS. The CES-D Scale:A Self-Report Depression Scale for Research in the General Population. Appl Psychol Meas. 1977;1(3):385–401.\u003c/p\u003e\n\u003cp\u003e8.Kroenke K, Spitzer RL, Williams JB. The PHQ–9: validity of a brief depression severity measure. Journal of general internal medicine. 2001;16(9):606–13.\u003c/p\u003e\n\u003cp\u003e9.Levis B, Benedetti A, Thombs BD. Accuracy of Patient Health Questionnaire–9 (PHQ–9) for screening to detect major depression: individual participant data meta-analysis. Bmj. 2019;365:l1476.\u003c/p\u003e\n\u003cp\u003e10.Amtmann D, Kim J, Chung H, Bamer AM, Askew RL, Wu S, et al. Comparing CESD–10, PHQ–9, and PROMIS depression instruments in individuals with multiple sclerosis. Rehabilitation psychology. 2014;59(2):220–9.\u003c/p\u003e\n\u003cp\u003e11.Khamseh ME, Baradaran HR, Javanbakht A, Mirghorbani M, Yadollahi Z, Malek M. Comparison of the CES-D and PHQ–9 depression scales in people with type 2 diabetes in Tehran, Iran. BMC psychiatry. 2011;11:61.\u003c/p\u003e\n\u003cp\u003e12.Milette K, Hudson M, Baron M, Thombs BD. Comparison of the PHQ–9 and CES-D depression scales in systemic sclerosis: internal consistency reliability, convergent validity and clinical correlates. Rheumatology (Oxford, England). 2010;49(4):789–96.\u003c/p\u003e\n\u003cp\u003e13.Zhang Y, Ting RZ, Lam MH, Lam SP, Yeung RO, Nan H, et al. Measuring depression with CES-D in Chinese patients with type 2 diabetes: the validity and its comparison to PHQ–9. BMC psychiatry. 2015;15:198.\u003c/p\u003e\n\u003cp\u003e14.Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. Journal of general internal medicine. 2007;22(11):1596–602.\u003c/p\u003e\n\u003cp\u003e15.Vilagut G, Forero CG, Barbaglia G, Alonso J. Screening for Depression in the General Population with the Center for Epidemiologic Studies Depression (CES-D): A Systematic Review with Meta-Analysis. 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Comparison of depressive indices: Reliability, validity, relationship to anxiety and personality and the role of age and life events. J Affect Disord. 2007;97(1):187–95.\u003c/p\u003e\n\u003cp\u003e24.Lewinsohn PM, Seeley JR, Roberts RE, Allen NB. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and aging. 1997;12(2):277–87.\u003c/p\u003e\n\u003cp\u003e25.Icks A, Albers B, Haastert B, Pechlivanis S, Pundt N, Slomiany U, et al. Risk for high depressive symptoms in diagnosed and previously undetected diabetes: 5-year follow-up results of the Heinz Nixdorf Recall study. PLoS One. 2013;8(2):e56300.\u003c/p\u003e\n\u003cp\u003e26.Hautzinger M, Bailer M. Allgemeine Depressions Skala. Manual. Göttingen: Beltz-Test-GmbH; 1993.\u003c/p\u003e\n\u003cp\u003e27.Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. Jama. 1999;282(18):1737–44.\u003c/p\u003e\n\u003cp\u003e28.Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ–9): a meta-analysis. CMAJ: Canadian Medical Association journal = journal de l’Association medicale canadienne. 2012;184(3):E191–6.\u003c/p\u003e\n\u003cp\u003e29.McHugh ML. Interrater reliability: the kappa statistic. Biochemia medica. 2012;22(3):276–82.\u003c/p\u003e\n\u003cp\u003e30.Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977;33(1):159–74.\u003c/p\u003e\n\u003cp\u003e31.Beekman AT, Deeg DJ, Van Limbeek J, Braam AW, De Vries MZ, Van Tilburg W. Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): results from a community-based sample of older subjects in The Netherlands. Psychological medicine. 1997;27(1):231–5.\u003c/p\u003e\n"},{"header":"Tables","content":"\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003eTable 1 Demographic Characteristics\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border-collapse:collapse;\" width=\"612\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.568627450980394%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCharacteristics\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"4\" style=\"width: 120.05pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"26.143790849673202%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eall\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"4\" 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normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(missings n=0)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(missings n=0)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.1\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.1\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.7\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eAge in years (missings n=0)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e66.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e67.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e66.7\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eAge group (missings n=0)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"6.362153344208809%\"\u003e\n 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e45-54\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan 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width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e203\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e13.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n 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Roman\u0026quot;,serif;color:black;\"\u003e13.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePartnership (missings n=2)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2645\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e85.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1409\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e93.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1236\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e78.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eEducation in years (missings n=3)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:45.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e≤10\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e270\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e8.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e58\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e212\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e13.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e11-13\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1735\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e56.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1045\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e66.2\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e14-17\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e710\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e23.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e527\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e35.1\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n 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Roman\u0026quot;,serif;color:black;\"\u003e11.6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e≥18\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e366\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e11.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e228\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e15.2\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:44.15pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.624796084828711%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e138\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:26.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"5.709624796084829%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e8.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 99.25pt;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"21.533442088091356%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eEmployed \u0026nbsp;(missings n=2)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:30.0pt;\" width=\"6.362153344208809%\"\u003e\n 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eemployed\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:32.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"7.177814029363785%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"6.362153344208809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1403\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:37.25pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"8.156606851549755%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e45.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:42.95pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"9.298531810766722%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:21.1pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" width=\"4.567699836867863%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:29.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\" 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003eTable 2 Prevalence of Depression Scores\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"width:302.7pt;border-collapse:collapse;\" width=\"404\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"18.858560794044664%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 82pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"27.047146401985113%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eall\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 82pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"27.047146401985113%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003emen\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 82pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"27.047146401985113%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ewomen\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"18.7192118226601%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"18.7192118226601%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e137\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e54\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e83\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e5.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"18.7192118226601%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e138\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e60\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e78\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"18.7192118226601%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e242\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e90\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e152\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e9.6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"18.7192118226601%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e251\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e8.1\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e88\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e5.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e163\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 41pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.54679802955665%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e10.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003eTable 3 Cronbach's alpha Coefficient of Internal Consistency\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"width:460.7pt;border-collapse:collapse;\" width=\"614\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.357723577235772%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 134.7pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"29.26829268292683%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eall\u0026nbsp;\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(n=3084)\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 141.75pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"30.73170731707317%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003emen\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(n=1504)\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 127.55pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"27.642276422764226%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ewomen\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(n=1580)\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.357723577235772%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.05pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003csup\u003e1\u003c/sup\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.85pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.804878048780488%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.821138211382113%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCronbach's alpha\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"15.447154471544716%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCronbach's alpha\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 28.35pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.178861788617886%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.821138211382113%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCronbach's alpha\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.357723577235772%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.05pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3011\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.85pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.804878048780488%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e97.6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.821138211382113%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan 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none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1381\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e91.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"15.447154471544716%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.89\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.642276422764228%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1442\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 28.35pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.178861788617886%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e91.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.821138211382113%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.90\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003csup\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e1\u003c/span\u003e\u003c/sup\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003en is slightly different for each scale because not all questionnaires were filled out completely\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003eTable 4 Pearson's Correlation Coefficient between Depression Scales\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"width:300.0pt;border-collapse:collapse;\" width=\"400\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eall\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eScale\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.71\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.84\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.67\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.65\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.85\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.71\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003emen\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eScale\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n 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normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.71\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.83\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.68\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.65\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n 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width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eScale\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n 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normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9 t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.71\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.84\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.66\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.65\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.86\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.70\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"4\" style=\"width: 240pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"80%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eAll correlations are significant at p \u0026lt; 0.0001\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 60pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"20%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eTable 5 Agreement of depression scores PHQ-9 and CES-D with Cohen's kappa and 95% confidence interval\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 30.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.403880070546737%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 113.4pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 30.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"26.631393298059965%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D \u0026amp; PHQ-9 both \u003cu\u003eclassify participants as\u003c/u\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 30.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.991181657848324%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 30.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.991181657848324%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 30.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.640211640211641%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 30.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.289241622574956%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 30.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.052910052910052%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003enon-depressed\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003edepressed\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eobserved Agreement\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eexpected Agreement\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.619718309859154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCohen's kappa\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.274647887323944%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95% lower CI\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 30pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.035211267605634%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95% Upper CI\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n 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Roman\u0026quot;,serif;color:black;\"\u003e2818\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e113\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95.0%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e88.4%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.619718309859154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.57\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.274647887323944%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.51\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.035211267605634%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.63\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et9 all\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2812\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e117\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95.0%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e88.1%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.619718309859154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.58\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.274647887323944%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.52\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.035211267605634%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.64\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et8 men\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1405\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e45\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e96.4%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e90.9%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.619718309859154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.61\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.274647887323944%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.51\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.035211267605634%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.70\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et8 women\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1413\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e68\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e93.7%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e86.1%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.619718309859154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.55\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.274647887323944%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.47\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.035211267605634%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.63\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et9 men\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1404\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e48\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e96.5%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e90.6%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.619718309859154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.63\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.274647887323944%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.54\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.035211267605634%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.72\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et9 women\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1408\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"13.380281690140846%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e69\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e93.5%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 63.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"14.964788732394366%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e85.8%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.619718309859154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.54\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.274647887323944%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.47\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.035211267605634%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.69\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eTable 6 Contingency tables for McNemar's test of marginal homogeneity for being depressed in t8 vs. t9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 16.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"3.6363636363636362%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 40.3pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.925619834710744%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.768595041322314%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"8\" style=\"width:361.45pt;border:none;border-bottom: solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"79.6694214876033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 16.4pt;border: none;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"3.6363636363636362%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 40.3pt;border: none;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.925619834710744%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border: none;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.768595041322314%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"4\" style=\"width:180.7pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"39.83471074380165%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"4\" style=\"width:180.75pt;border:none;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"39.83471074380165%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 16.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"3.648424543946932%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 40.3pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.955223880597014%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.794361525704809%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e-\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e+\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003etotal\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"9.950248756218905%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e-\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:15.75pt;\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e+\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.2pt;border:none;border-bottom:solid windowtext 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rowspan=\"3\" style=\"width:40.3pt;padding:0in 3.5pt 0in 3.5pt;height:20.2pt;\" width=\"9.294320137693632%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 20.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.089500860585199%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2880\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;padding: 0in 3.5pt;height: 20.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.327022375215146%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e67\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 20.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.327022375215146%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2947\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 20.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.327022375215146%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(95.6%)\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.918406072106261%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e+\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e66\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e71\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e137\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.2pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(4.4%)\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"8.918406072106261%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003etotal\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2946\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e138\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3084\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;padding: 0in 3.5pt;height: 21.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.385199240986717%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:16.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:21.1pt;\" width=\"3.648424543946932%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:40.3pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 3.5pt 0in 3.5pt;height:21.1pt;\" width=\"8.955223880597014%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.794361525704809%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(95.5%)\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e(4.5%)\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.2pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 21.1pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.950248756218905%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:70.5pt;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-indent:-70.5pt;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eTable 7 Temporal changes over time\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.740088105726873%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ePHQ-9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 77.95pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"22.90748898678414%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eall\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 77.95pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"22.90748898678414%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003emen\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 85.05pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"24.889867841409693%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:center;\"\u003e\u003cstrong\u003e\u003cu\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003ewomen\u003c/span\u003e\u003c/u\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family: \u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↗\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↗\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e184\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e79\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e5.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e105\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e→\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e→\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2002\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e64.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1028\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e68.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e974\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e61.6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↘\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↘\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e151\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e53\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e98\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.2\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↗\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e→\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e237\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.7\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e103\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e134\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e8.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↗\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↘\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.2\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.1\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e→\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↗\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e146\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.7\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e77\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e5.1\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e69\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e→\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↘\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e148\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e69\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4.6\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e79\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e5.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↘\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↗\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e8\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e4\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.3\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↘\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e→\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e202\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e6.5\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e89\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e5.9\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e113\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e7.2\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.703296703296704%\"\u003e\n \u003cbr\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e3084\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e100\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1504\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;background: white;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.32967032967033%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e100.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e1580\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.527472527472527%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e100.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"2\" style=\"width: 99.25pt;border: none;padding: 0in 3.5pt;height: 11.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"29.07488986784141%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-size:13px;font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↗ \u0026nbsp;\u003c/span\u003e\u003cspan style=\"font-size:13px;font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003eIncrease\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border: none;padding: 0in 3.5pt;height: 11.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;border: none;padding: 0in 3.5pt;height: 11.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.352422907488986%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border: none;background: white;padding: 0in 3.5pt;height: 11.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border: none;background: white;padding: 0in 3.5pt;height: 11.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.352422907488986%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border: none;padding: 0in 3.5pt;height: 11.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border: none;padding: 0in 3.5pt;height: 11.5pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"2\" style=\"width: 99.25pt;padding: 0in 3.5pt;height: 5.6pt;vertical-align: bottom;\" valign=\"bottom\" width=\"29.07488986784141%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-size:13px;font-family:\u0026quot;Cambria Math\u0026quot;,serif;color:black;\"\u003e↘ \u0026nbsp;\u003c/span\u003e\u003cspan style=\"font-size:13px;font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003eDecrease\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 5.6pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 5.6pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.352422907488986%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 5.6pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 5.6pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.352422907488986%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 5.6pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 5.6pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"2\" style=\"width: 99.25pt;padding: 0in 3.5pt;height: 7.95pt;vertical-align: bottom;\" valign=\"bottom\" width=\"29.07488986784141%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-size:13px;font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e→\u0026nbsp;\u003c/span\u003e\u003cspan style=\"font-size:13px;font-family:\u0026quot;Times New Roman\u0026quot;,serif;\"\u003eNo change\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 7.95pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 7.95pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.352422907488986%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;background: white;padding: 0in 3.5pt;height: 7.95pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;background: white;padding: 0in 3.5pt;height: 7.95pt;vertical-align: bottom;\" valign=\"bottom\" width=\"10.352422907488986%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 3.5pt;height: 7.95pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 3.5pt;height: 7.95pt;vertical-align: bottom;\" valign=\"bottom\" width=\"12.555066079295154%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eTable 8: Sensitivity Analysis: Different Cutoffs for CES-D: Proportion of being depressed and Agreement of PHQ-9 and CES-D with Cohen's kappa and 95% confidence interval\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCES-D\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCutoff ≥\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003edepressed\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eobserved Agreement\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eexpected Agreement\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCohen's kappa\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95% lower CI\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 45pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95% Upper CI\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"padding:0in 3.5pt 0in 3.5pt;height:15.0pt;\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e16\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et8\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e9.4%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e93.8%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New 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valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e91.9%\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.64\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.57\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.71\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eTable 9: Sensitivity Analysis: Proportion of being depressed and Agreement of PHQ-9 and CES-D with Cohen's kappa and 95% confidence interval by intake of antidepressants or current therapy for depression\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"width:496.15pt;border-collapse:collapse;\" width=\"662\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 35.45pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.099697885196375%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eTime point\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 80.35pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.163141993957705%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eIntake of antidepressants or current therapy for depression\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 33.05pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.646525679758308%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003en\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.48036253776435%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003edepressed CES-D\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.48036253776435%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003edepressed PHQ-9\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 58.95pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.933534743202417%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eobserved Agreement\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 58.95pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.933534743202417%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eexpected Agreement\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.1pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.06344410876133%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eCohen's kappa\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 33.3pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.646525679758308%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95% lower CI\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 37.6pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 3.5pt;height: 60pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.552870090634441%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e95%\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eUpper CI\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.099697885196375%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 80.35pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.163141993957705%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eyes\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 33.05pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.646525679758308%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e168\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.48036253776435%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e45.2%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.48036253776435%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e33.3%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 58.95pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.933534743202417%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.83\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 58.95pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.933534743202417%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.52\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.1pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.06344410876133%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.66\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 33.3pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.646525679758308%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.54\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 37.6pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.552870090634441%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.77\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 35.45pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.099697885196375%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003et8\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 80.35pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"16.163141993957705%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height: normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003eno\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 33.05pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.646525679758308%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2916\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.48036253776435%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e5.7%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 56.7pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.48036253776435%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e2.8%\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 58.95pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.933534743202417%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.94\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 58.95pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"11.933534743202417%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.90\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 45.1pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"9.06344410876133%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.47\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 33.3pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" valign=\"bottom\" width=\"6.646525679758308%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.40\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 37.6pt;padding: 0in 3.5pt;height: 15pt;vertical-align: bottom;\" 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style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.42\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 37.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 3.5pt;height: 15.75pt;vertical-align: bottom;\" valign=\"bottom\" width=\"7.552870090634441%\"\u003e\n \u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:.0001pt;margin-left:0in;line-height:normal;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;text-align:right;\"\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e0.57\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\u0026quot;Calibri\u0026quot;,sans-serif;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-family:\u0026quot;Times New Roman\u0026quot;,serif;color:black;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e"},{"header":"List of abbreviations","content":"\u003cp\u003e\u003cstrong\u003eList of abbreviations\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eCES-D \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Center for Epidemiologic Studies Depression Scale\u003c/p\u003e\n\u003cp\u003eDS\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Depressive symptoms\u003c/p\u003e\n\u003cp\u003eDSM-V\u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;Diagnostic and Statistical Manual of Mental Disorders, 5th ed\u003c/p\u003e\n\u003cp\u003eHNR \u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Heinz Nixdorf Recall\u003c/p\u003e\n\u003cp\u003eMDD \u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Major Depressive Disorders\u003c/p\u003e\n\u003cp\u003ePHQ-9\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Patient Health Questionnaire-9\u003c/p\u003e\n\u003cp\u003eSD \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Standard Deviation\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Depression, Center for Epidemiologic Studies Depression Scale, Patient Health Questionnaire, Concordance Analysis, Comparison","lastPublishedDoi":"10.21203/rs.2.18099/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.2.18099/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eBackground: To measure depressive symptoms (DS) in population-based studies, there are two the well-established questionnaires: the Center for Epidemiologic Studies Depression Scale (CES-D) and the Patient Health Questionnaire-9 (PHQ-9). So far, comparisons between both instruments have only been performed using cross-sectional data, and in specific patient groups. Furthermore, comparisons for population-based studies are missing as well as sex-specific analyses. The aim is to evaluate the psychometric properties and concordance of the longitudinal results of CES-D and PHQ-9 in the German population-based Heinz Nixdorf Recall (HNR) study. \u003c/p\u003e\u003cp\u003eMethods: We used data of n=3,084 participants (48.8% men, mean age: 66.8 years). CES-D and PHQ-9 were assessed in the 8th (t8) and 9th (t9) annual postal follow up within two years via questionnaires. DS were defined as CES-D score ≥ 17 and PHQ-9 score ≥ 10. Internal consistency reliability, convergent validity, and agreement between PHQ-9 and CES-D were assessed using respectively Cronbach’s alpha, Pearson’s correlation, and Cohen’s kappa. To analyse DS differences between t8 and t9 we used McNemar’s test. Sex-stratified results are presented. \u003c/p\u003e\u003cp\u003eResults: The prevalence of DS at t8 was higher for CES-D (7.8%) than for PHQ-9 (4.4%). The prevalence slightly increased for CES-D (8.1%), as well as for PHQ-9 to 4.5% at t9. Internal consistency of the PHQ-9 and CES-D was good at both times (Cronbach’s alpha: CES-D t8 \u0026amp; t9: 0.89, PHQ-9 t8: 0.84; t9: 0.85). Cohen’s kappa of agreement between CES-D and PHQ-9 was moderate at both time points (t8: k=0.57; 95% CI: 0.51, 0.63; t9; k=0.58; 95% CI: 0.52, 0.64). For both instruments, the McNemar’s test revealed no differences in the proportion of depressives between t8 and t9. We could not observe sex-specific differences of psychometric characteristics, whereas the agreement between the CES-D and PHQ-9 performed slightly higher in men than in women (t8: k=0.61, resp. k=0.55). \u003c/p\u003e\u003cp\u003eConclusion: The results do not support the superiority of one of the scales. Both scales perform well in this population-based cohort in both sexes and longitudinal approach. The decision, which scale to use may depend on characteristics other than the accuracy of the scale, including feasibility and clinical usability.\u003c/p\u003e","manuscriptTitle":"Sex-specific Longitudinal Comparison of CES-D and PHQ-9 Depression Scales. A Concordance Analysis using data from the population-based Heinz Nixdorf Recall Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2019-12-04 21:36:52","doi":"10.21203/rs.2.18099/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"ffe8da1c-ca42-45d7-8f53-1adf220aa8b3","owner":[],"postedDate":"December 4th, 2019","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":39590,"name":"Psychiatry"}],"tags":[],"updatedAt":"","versionOfRecord":[],"versionCreatedAt":"2019-12-04 21:36:52","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8727","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"identity":"rs-8727","version":["v1"]},"buildId":"_2-kVJe1T_tPrBINL-cwx","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}