Seasonal Affective Disorder Insights for the UK

Seasonal Affective Disorder Insights for the UK

In-Depth Understanding of Seasonal Affective Disorder (SAD) in the UK

Exploring Seasonal Affective Disorder: Definition and Effects on Daily Life

Understanding Seasonal Affective Disorder: A person in a dimly lit room gazes at a cloudy sky, clock showing late afternoon, illustrating Seasonal Affective Disorder.

Seasonal Affective Disorder, frequently abbreviated as SAD, is a distinctive type of depression that emerges during certain times of the year, primarily during the winter months when there is a significant decrease in natural sunlight. The primary cause of this mental health condition is thought to be the lack of sunlight, which disrupts the body’s internal biological clock and affects serotonin levels—key neurotransmitters responsible for mood stabilization. Generally, individuals begin to experience symptoms of SAD in late autumn, and these symptoms can linger throughout the winter, manifesting in emotional and psychological challenges that profoundly impact their day-to-day existence.

For many individuals, the ramifications of SAD extend beyond temporary mood fluctuations, as this disorder can severely impair daily routines, social interactions, and overall life enjoyment. In regions such as the UK, characterized by shorter winter days, the occurrence of SAD is particularly pronounced, affecting various age groups and demographics in distinct ways. As understanding of SAD continues to expand, it is increasingly vital to acknowledge and address this condition within the larger framework of mental health discussions and initiatives.

Understanding the Prevalence and Scope of SAD Across the UK

Recent studies indicate that nearly 2 million individuals in the UK are impacted by some form of SAD, with the severity of symptoms varying significantly from mild to severe. This condition has a profound impact on millions during the winter season, especially in northern regions like Scotland and parts of Northern England, where variations in sunlight availability are more marked and pronounced.

Research has demonstrated that women are more frequently affected by SAD, with studies suggesting that they are at a greater risk of developing this disorder compared to men. Notably, while women typically report higher incidence rates, men often experience more severe symptoms. Young adults are also identified as a demographic at increased risk, potentially due to lifestyle choices and reduced exposure to natural light, particularly in urban settings. Understanding the extent of SAD in the UK is essential for developing effective support systems and treatment strategies tailored to diverse populations.

A Historical Perspective on Recognition and Research of SAD in the UK

The formal acknowledgment of SAD in the UK began in the 1980s, when researchers started to uncover links between seasonal changes and mental health outcomes. Early investigations primarily concentrated on the physiological effects of light exposure on mood, paving the way for increased awareness and comprehension of this disorder. As insights into SAD grew, healthcare professionals enhanced their capabilities in recognizing symptoms and applying effective diagnostic criteria.

Over the years, the awareness of SAD among the public and medical community has significantly increased, leading to improved treatment alternatives. The advent of light therapy and various therapeutic approaches has marked notable advancements in the management of SAD. Today, discussions surrounding SAD are evolving, emphasizing the need for early detection and the creation of supportive environments for individuals affected by this condition.

Expert Insights on Managing Seasonal Affective Disorder

A person by a window contemplating a snowy winter scene, reflecting Seasonal Affective Disorder.

Diagnosing Seasonal Affective Disorder: A Comprehensive Overview

The diagnostic process for SAD is intricate and carried out by healthcare professionals in the UK. This evaluation takes into account the patient’s symptoms and medical history. Key diagnostic criteria for SAD include:

  • Presence of depressive symptoms during specific seasons
  • History of recurring seasonal episodes
  • Impact of symptoms on daily life activities
  • Exclusion of other potential mental health disorders

Healthcare practitioners often employ structured questionnaires to assess the presence of depressive symptoms and their seasonal patterns, alongside engaging in thorough discussions regarding the patient’s medical history and lifestyle. For example, a general practitioner (GP) might inquire about the timing of symptoms, sleep patterns, and any family history of depression. This meticulous approach is critical for accurate evaluations, facilitating the provision of appropriate care and support for affected individuals.

Recommended Treatment Strategies for Effective Management of SAD

Healthcare experts in the UK advocate for a multifaceted treatment approach for SAD, ensuring that interventions are tailored to meet the individual needs of each patient. Commonly recommended treatment options include:

  • Light therapy, utilizing specialized light boxes
  • Antidepressant medications, particularly selective serotonin reuptake inhibitors (SSRIs)
  • Cognitive Behavioral Therapy (CBT) focusing on cognitive restructuring techniques
  • Regular physical activity and lifestyle adjustments

Light therapy is often the first-line treatment, especially for individuals with pronounced symptoms. By exposing patients to bright light that mimics natural sunlight, this therapy helps regulate mood and alleviate symptoms associated with SAD. If light therapy alone is inadequate, antidepressant medications may be prescribed to restore balance among brain neurotransmitters. Additionally, psychotherapeutic interventions such as CBT aim to address negative thought patterns while promoting healthier coping strategies, equipping individuals with a comprehensive toolkit for managing symptoms effectively.

Current Research Focus Areas for Understanding SAD in the UK

UK lab scene with scientists researching SAD using light therapy and genetic tools, surrounded by data charts.

Current research initiatives in the UK are concentrated on enhancing the understanding of SAD and refining treatment methodologies. A significant focus area involves investigating the biological mechanisms underlying this disorder, particularly how variations in light exposure can affect hormonal levels and neurotransmitter functionality. Recent studies are also delving into genetic predispositions, aiming to pinpoint individuals who may be more susceptible to developing SAD.

Additionally, innovative treatment approaches, including digital interventions and new psychotherapeutic techniques, are under examination. Researchers are exploring the effectiveness of mobile applications designed to support individuals with SAD, providing real-time feedback about mood changes and light exposure. This evolving research landscape reflects a commitment to enhancing the quality of life for those affected by SAD through ongoing innovation and exploration.

Identifying Symptoms and Diagnosing SAD in the UK

Recognizing the Common Symptoms of SAD

The symptoms commonly associated with SAD include a persistent low mood, feelings of fatigue, and alterations in sleep patterns. Individuals may find themselves feeling unmotivated and socially withdrawn, losing interest in activities that once brought them joy and fulfillment. Additional symptoms can encompass irritability, difficulties in concentrating, and fluctuations in appetite, which may lead to noticeable weight changes.

Typically, these symptoms begin to appear in the autumn months, intensifying as winter progresses. For many, the arrival of spring signals a gradual alleviation of symptoms, which constitutes a hallmark characteristic of SAD. Recognizing these symptoms is vital for effective intervention and management, as heightened awareness empowers individuals to seek help before the condition significantly disrupts their quality of life and well-being.

The Comprehensive Diagnostic Process for SAD in the UK

Diagnosing SAD in the UK necessitates a thorough evaluation of the patient’s symptoms and their seasonal patterns. General practitioners utilize a combination of clinical interviews, standardized questionnaires, and consultations with mental health professionals to arrive at accurate diagnoses.

Typically, GPs will seek evidence of a history of depressive episodes coinciding with specific seasons, particularly during the winter months. Screening tools may be employed to gauge the severity of symptoms and assess their impact on daily living. By considering potential alternative mental health conditions, healthcare professionals aim to ensure precise diagnoses, paving the way for personalized treatment strategies that effectively address the unique needs of patients.

Differentiating SAD from Other Forms of Depression

SAD is distinctly characterized by its seasonal pattern, setting it apart from other types of depression. While general depression can manifest at any time of year, individuals suffering from SAD predominantly experience depressive episodes during particular seasons, usually winter. Unlike typical depressive disorders, the symptoms of SAD often improve significantly as daylight hours lengthen in spring and summer.

This seasonal variability can create a deceptive sense of normalcy during warmer months, as individuals may feel revitalized, only to encounter a resurgence of symptoms as winter approaches. Understanding these differences is crucial for both patients and healthcare providers, facilitating the provision of appropriate treatment and support mechanisms tailored to the unique characteristics of SAD.

Identifying Vulnerable Demographics for Developing SAD in the UK

Certain demographics within the UK exhibit a heightened susceptibility to developing SAD. Individuals residing in northern latitudes, where winter daylight is significantly scarce, face an increased risk. Additional risk factors include a family history of depression, suggesting a potential genetic predisposition, alongside critical life stages such as young adulthood when emotional and social pressures may peak.

Furthermore, those with pre-existing mental health conditions may experience exacerbated symptoms during the winter months. By identifying at-risk populations, healthcare systems can implement targeted outreach and preventative strategies, aiming to mitigate the adverse effects of SAD on vulnerable individuals.

Leveraging Lifestyle Changes to Alleviate SAD Symptoms

Implementing lifestyle modifications can be pivotal in effectively managing symptoms of SAD. Increasing exposure to natural sunlight—whether through outdoor activities or adjusting workspaces for optimal light access—can significantly alleviate depressive symptoms. Regular physical exercise is also beneficial, as it stimulates the release of endorphins, enhancing mood and energy levels.

Moreover, maintaining a balanced diet rich in essential nutrients, particularly those that support brain health, can provide additional relief from symptoms. Foods abundant in omega-3 fatty acids, vitamin D, and B vitamins are particularly advantageous. Simple adjustments, like scheduling outdoor walks during daylight hours and fostering social connections, can provide critical support and improve overall well-being, making lifestyle changes an integral part of managing SAD.

Exploring Effective Treatment Strategies for SAD in the UK

Understanding How Light Therapy Works in the Treatment of SAD

Light therapy has emerged as a cornerstone treatment for SAD, particularly in the UK. This therapeutic approach involves exposure to a light box that simulates natural outdoor light, typically requiring sessions of about 20 to 30 minutes each morning during the winter months. The brightness of these light boxes generally reaches around 10,000 lux, significantly exceeding standard indoor lighting levels.

The principle behind light therapy is its ability to influence the body’s circadian rhythm and serotonin production, both of which are often disrupted in individuals suffering from SAD. By imitating the spectrum of natural sunlight, light therapy can effectively help regulate mood and alleviate depressive symptoms. Many patients report notable improvements within days or weeks of consistent application, establishing this treatment as a popular and effective option for managing SAD.

Available Medications for Treating SAD

In instances where light therapy alone proves insufficient, healthcare professionals may recommend antidepressant medications, particularly selective serotonin reuptake inhibitors (SSRIs). These medications function by restoring balance among vital neurotransmitters in the brain, primarily serotonin, which is frequently found to be deficient in individuals diagnosed with SAD.

The selection of medication is typically personalized, considering the individual’s medical history, symptom severity, and any prior reactions to antidepressants. Close monitoring during the initial treatment phases is crucial, as adjustments may be necessary to ensure optimal effectiveness while minimizing potential side effects for the patient.

Common Psychotherapeutic Techniques Used for Managing SAD

Psychotherapy, especially through the framework of Cognitive Behavioral Therapy (CBT), is a widely endorsed approach for addressing SAD. CBT focuses on identifying and modifying negative thought processes and behaviors that contribute to depressive symptoms. Through structured sessions, patients learn to develop effective coping strategies and challenge unhelpful cognitive patterns.

Therapists may also introduce behavioral activation techniques, encouraging patients to engage in activities that promote positive emotions. By fostering a proactive approach to symptom management, CBT can empower individuals to take control of their mental health, establishing it as a vital aspect of a comprehensive treatment plan for SAD.

Implementing Lifestyle Changes to Effectively Manage SAD in the UK

The Impact of Diet and Exercise on Managing SAD Symptoms

Diet and exercise are essential factors in effectively managing symptoms associated with SAD. A well-balanced diet, rich in omega-3 fatty acids, vitamin D, and complex carbohydrates, can significantly enhance overall mental health and stabilize mood. Foods such as fatty fish, nuts, seeds, and whole grains are particularly beneficial in this context.

Regular physical activity provides numerous benefits, including the release of endorphins, which elevate mood and boost energy levels. Exercise can also serve as a natural remedy for stress and anxiety, which are common companions of SAD. Establishing a consistent exercise routine, even if it consists of simple daily walks, can markedly reduce the burden of symptoms, positively contributing to overall mental health and well-being.

Understanding the Importance of Sunlight Exposure in Managing SAD

Maximizing access to natural sunlight is crucial for individuals managing SAD. Even on overcast days, exposure to daylight can provide essential psychological benefits. Engaging in outdoor activities such as walking or gardening can uplift mood and foster a sense of connection with the environment.

Incorporating short breaks throughout the day to step outside, particularly around midday when natural light is most abundant, can significantly enhance mental well-being. For individuals unable to access sufficient natural light, light therapy can serve as a valuable supplement, ensuring adequate light exposure essential for effective mood regulation.

The Benefits of Social Activities in Managing SAD

Engaging in social activities can significantly mitigate the effects of SAD. Interacting with friends, family, or community groups provides emotional support and fosters a sense of belonging, which can counteract the isolation often felt by individuals affected by the disorder.

Participating in activities such as joining clubs, attending local events, or simply organizing regular gatherings with friends can offer valuable distractions from negative thoughts. During winter months, when symptoms may intensify, maintaining these social connections becomes particularly essential. Establishing a supportive social network can enhance resilience and foster a more positive outlook, ultimately benefiting those managing SAD.

  • Joining a local walking group
  • Participating in community projects
  • Engaging in team sports or classes
  • Volunteering for charitable organizations
  • Organizing game nights with friends
  • Taking art or cooking classes
  • Attending book clubs or discussion groups
  • Exploring local museums or galleries

Research-Driven Insights into Seasonal Affective Disorder

The Importance of Early Diagnosis in Improving SAD Outcomes

Early diagnosis of SAD is vital for enhancing treatment outcomes and the overall management of the condition. Timely recognition of symptoms enables healthcare providers to initiate interventions before the disorder significantly disrupts daily functioning and mental health.

Prompt treatment can prevent symptoms from escalating, reducing the likelihood of more severe depressive episodes in subsequent years. Moreover, early intervention encourages a proactive approach, allowing individuals to cultivate coping strategies and resilience against future seasonal challenges they may encounter.

The Long-Term Benefits of Consistent Treatment for SAD

Engaging in consistent treatment for SAD can lead to significant improvements in the frequency and intensity of depressive episodes. By committing to regular therapeutic practices—whether through light therapy, medication, or psychotherapy—individuals may experience a reduction in the severity of their symptoms over time.

In addition, long-term treatment can assist in managing co-occurring mental health conditions, such as anxiety disorders, which often accompany SAD. Addressing these interconnected issues enables individuals to achieve a more stable mental state, enhancing their overall quality of life and well-being.

The Benefits of Understanding SAD for Improved Quality of Life

Acquiring a thorough understanding of SAD empowers individuals to take proactive steps in managing their condition. Increased education surrounding the disorder fosters awareness, diminishes stigma, and encourages affected individuals to seek help. By comprehending the nature of SAD, individuals can identify symptoms early, adhere to treatment plans, and implement lifestyle changes that positively affect their overall well-being.

Furthermore, those well-informed about SAD often report enhanced mood and energy levels as they develop effective coping mechanisms. This empowerment can lead to a more fulfilling life, enabling individuals to engage fully with their personal and professional commitments, regardless of the seasonal challenges they face.

Implementing Practical Coping Strategies for Managing SAD in the UK

Identifying Effective Coping Mechanisms for SAD Management

Implementing effective coping mechanisms for SAD is crucial for individuals striving to manage their symptoms successfully. Establishing and maintaining a consistent sleep schedule is paramount, as sleep disruptions can exacerbate depressive symptoms and negatively impact overall mental health.

Incorporating mindfulness and relaxation techniques, such as meditation or yoga, can significantly enhance emotional regulation. Engaging in enjoyable hobbies, including reading, crafting, or playing music, provides a therapeutic outlet and distracts from negative thoughts. Collectively, these coping strategies form a robust framework for managing SAD symptoms and bolstering emotional resilience.

The Role of Family and Friends in Supporting Those with SAD

Family and friends play a crucial role in supporting individuals dealing with SAD. Their understanding and compassion can substantially alleviate feelings of isolation and despair that often accompany this disorder. Encouraging loved ones to engage in social activities, offering emotional support, and being empathetic listeners can profoundly impact their recovery journey.

Creating a nurturing environment free from judgment allows those affected to express their feelings and seek help without fear. Family members can also assist in recognizing symptoms and motivating adherence to treatment. By fostering open communication, loved ones can enhance treatment effectiveness and support the overall recovery process.

Available Resources for Individuals with SAD in the UK

In the UK, numerous resources are available for individuals grappling with SAD. The National Health Service (NHS) offers access to mental health services, including assessments and treatment options tailored to individual requirements. Additionally, many charitable organizations, such as Mind and Samaritans, provide invaluable support, helplines, and informative materials to assist those affected by SAD.

Support groups, both in-person and online, offer spaces for individuals to connect, share experiences, and gain insights into managing SAD. These resources are instrumental in fostering a sense of community and understanding, especially during challenging winter months.

The Role of Light Therapy in Managing SAD Symptoms

Light therapy is recognized as one of the most effective treatments for SAD, particularly for individuals experiencing severe seasonal symptoms. This therapy involves using a light box that emits bright light, simulating natural daylight and aiding in the regulation of mood and alleviation of depressive symptoms.

Regular sessions of light therapy can effectively boost serotonin levels, enhance mood, and mitigate symptoms associated with SAD. Many patients report significant improvements within weeks of initiating treatment, making it a preferred choice for those seeking to manage their condition effectively during the winter months.

Lifestyle Changes That Can Help Reduce Symptoms of SAD

Adopting lifestyle modifications can have a substantial impact on alleviating SAD symptoms. Establishing a routine that incorporates regular exercise, balanced nutrition, and adequate sleep is essential for promoting overall well-being and mental health.

Engaging in outdoor activities, even on cloudy days, can increase exposure to natural light, further supporting mood regulation. Maintaining social connections and participating in social activities can also provide vital emotional support and distraction from depressive feelings. These adjustments not only assist in managing symptoms but also promote a healthier, more fulfilling lifestyle overall.

Established Strategies for Understanding Seasonal Affective Disorder

Enhancing Understanding through Education on SAD

Educating individuals about SAD can significantly elevate awareness and diminish the stigma associated with mental health issues. Greater awareness empowers those affected to seek help while fostering understanding among family and friends, ultimately creating a supportive environment.

Education also plays a critical role in improving early intervention rates. When individuals recognize symptoms linked to SAD, they are more likely to pursue effective treatment options before their condition worsens. By emphasizing the importance of mental health and available resources, education can enhance the quality of life for those living with SAD.

Best Practices for Managing SAD Effectively

Best practices for managing SAD encompass a holistic approach that includes light therapy, medication, psychotherapy, and lifestyle changes. By integrating these strategies, healthcare providers can formulate tailored treatment plans that cater to individual needs and preferences.

Regular follow-ups with healthcare professionals ensure that treatment remains effective and any necessary adjustments can be made. Consistent engagement in therapeutic practices fosters resilience, empowering individuals to navigate seasonal challenges with greater ease and confidence.

The Role of Employers in Supporting Employees with SAD

Employers play a vital role in supporting employees affected by SAD. Implementing flexible working hours can enable individuals to better manage their work-life balance, particularly during periods when symptoms may be more pronounced. Providing access to natural light in the workplace, through strategic window placements or light therapy tools, can greatly enhance employee well-being.

Moreover, fostering an open dialogue about mental health within the workplace creates an environment where employees feel comfortable seeking support. Offering employee assistance programs that include mental health resources can further enhance workplace support for those dealing with SAD, demonstrating a commitment to employee health and well-being.

The Role of Diet in Managing SAD Symptoms

Diet plays a vital role in managing symptoms associated with SAD. A balanced diet, rich in essential nutrients, is crucial for supporting overall brain health and mood regulation. Foods high in omega-3 fatty acids, such as fish and nuts, are particularly beneficial.

Incorporating vitamin D-rich foods, especially during the darker months, can also prove advantageous, as deficiencies in this vitamin are linked to mood disorders. Prioritizing nutrient-dense meals can lead to improved energy levels and emotional resilience, offering a holistic approach to managing SAD effectively.

The Impact of Social Support on Alleviating SAD Symptoms

The presence of strong social support can significantly reduce the symptoms of SAD. Friends, family, and support groups provide not only emotional comfort but also practical assistance, helping individuals feel less isolated in their struggles. Engaging with others can furnish essential distractions from negative thoughts while fostering a sense of belonging.

Participating in group activities or seeking social connections cultivates a support network that is crucial for emotional well-being. This social engagement not only mitigates feelings of loneliness but also encourages individuals to adhere to treatment plans and maintain a positive outlook, which contributes to their overall mental health.

Future Directions for Research and Treatment of SAD in the UK

Innovative Treatments Under Investigation for SAD

The landscape of treatment for SAD is continually evolving, with new therapies being explored. Current research is focused on advanced light therapy devices that offer more personalized treatment options, adapting exposure based on individual preferences and needs.

Moreover, new pharmacological interventions are being developed, concentrating on targeting the unique biological mechanisms underlying SAD. These innovations aim to enhance treatment efficacy while providing alternatives for individuals who may not respond favorably to traditional therapies.

Utilizing Technology to Combat SAD

Technology is playing an increasingly significant role in addressing SAD. Mobile applications designed for mood tracking and symptom management are gaining traction, enabling individuals to monitor their emotional health and receive tailored support.

Wearable devices that monitor light exposure and physical activity can also provide valuable insights, assisting users in adjusting their routines to manage symptoms more effectively. As technology continues to advance, these tools have the potential to enrich the overall treatment experience, making care more accessible and effective for those affected by SAD.

The Role of Public Awareness in the Future of SAD Management

Public awareness is fundamental for the future management of SAD. Greater understanding of the disorder can facilitate earlier diagnosis, improve access to treatment, and reduce the stigma surrounding mental health issues.

Educational initiatives that inform the public about symptoms and available resources can empower individuals to seek help and support others within their communities. As awareness increases, it can catalyze further research and funding, ultimately enhancing the quality of care for those living with SAD.

Improving Care for SAD Through Policy Changes

Policy changes are crucial for enhancing care for individuals with SAD. Increasing healthcare funding specifically allocated for mental health services can improve access to treatment options and resources for those affected.

Moreover, integrating mental health care into primary care settings can facilitate more comprehensive support for individuals suffering from SAD. These policy shifts can pave the way for improved awareness and accessibility, ultimately benefiting patients and the healthcare system as a whole.

The Benefits of Multidisciplinary Approaches in Treating SAD

Multidisciplinary approaches to SAD treatment hold significant promise for enhancing outcomes. By integrating expertise from psychology, psychiatry, and nutrition, healthcare providers can formulate comprehensive care plans that address the multifaceted nature of the disorder.

Such collaborative efforts can lead to more personalized treatment strategies, thereby enhancing the effectiveness of interventions. Furthermore, this holistic approach fosters a deeper understanding of SAD, ultimately improving the well-being of affected individuals.

Frequently Asked Questions About Seasonal Affective Disorder

What Is Seasonal Affective Disorder?

Seasonal Affective Disorder (SAD) is a type of depression that occurs at specific times of the year, typically during winter months, due to reduced exposure to sunlight.

What Symptoms Are Commonly Associated with SAD?

Symptoms of SAD include persistent low mood, fatigue, changes in sleep patterns, irritability, and a reduced interest in activities that once brought joy.

How Is SAD Diagnosed by Healthcare Professionals?

Diagnosing SAD involves a thorough evaluation of a patient’s symptoms and their seasonal patterns, generally conducted through questionnaires and clinical interviews by healthcare professionals.

What Treatment Options Are Available for Managing SAD?

Treatment for SAD includes light therapy, antidepressant medications, and psychotherapy, with a particular emphasis on Cognitive Behavioral Therapy (CBT).

Can Lifestyle Changes Help in Managing SAD Symptoms?

Yes, lifestyle changes such as regular exercise, increased exposure to natural light, and maintaining a healthy diet can significantly alleviate symptoms of SAD.

Who Is Most Vulnerable to Developing SAD?

Individuals living in northern latitudes, those with a family history of depression, and young adults are often at greater risk of developing SAD.

What Role Does Light Therapy Play in Treating SAD?

Light therapy involves exposure to bright artificial light that simulates natural sunlight, helping to regulate mood and alleviate symptoms associated with SAD.

How Can Family and Friends Support Someone Struggling with SAD?

Family and friends can provide emotional support, encourage participation in social activities, and create a nurturing environment for those experiencing SAD.

What Resources Are Accessible for Individuals with SAD in the UK?

The NHS, along with various mental health charities, provides resources such as helplines, support groups, and informational materials tailored for those affected by SAD.

What Does the Future of Research and Treatment for SAD Look Like?

Future research on SAD aims to explore advanced treatments and the role of technology in managing symptoms, ultimately enhancing overall care for those impacted by this condition.

Connect with us on Facebook!

The Article Understanding Seasonal Affective Disorder: UK Insights Was First Published On https://acupuncture-frome.co.uk

The Article Seasonal Affective Disorder: Insights for the UK Was Found On https://limitsofstrategy.com

Comments

No comments yet. Why don’t you start the discussion?

Leave a Reply

Your email address will not be published. Required fields are marked *