Publications | Moffitt & Caspi: Genes, Environment, Health, Behavior

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data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-group" id="edit-actions"><button data-drupal-selector="edit-submit-publications" type="submit" id="edit-submit-publications" value="Apply" class="button js-form-submit form-submit btn btn-primary">Apply</button> </div> </fieldset> </div> </form> </div> <div class="view-content row"> <div class="views-row row-0 first odd"> <div class="h4">New diagnosis in Psychiatry: Beyond Heuristics</div><div>McGorry PD, Hickier IB, Kotov R, Schmaal L, Wood SJ, Allan SM, Altinbas K, Boyce N, Fringmann LF, Caspi A, Cuthbert B, Gaweda L, Groen RN, Guloksuz S, Hartmann JA, Krueger RF, Mei C, Nieman D, Ongur D, Raballo A, Scheffer M, Schreuder MJ, Shah JL, Wigman JTW, Yuen HP, Nelson B.</div><span class="publication-year">In Press. </span><span class="journal">Psychological Medicine. </span><div></div> </div> <div class="views-row row-1 even"> <div class="h4">Adult physical function has roots in early childhood brain function: A five-decade cohort study</div><div>Xie JK, Caspi A, Harrington H, Houts RM, Pietrosimone L, Whitman ET, McKinney LW, Moffitt TE</div><span class="publication-year">In Press. </span><span class="journal">Journals of Gerontology Series B: Psychological Sciences and Social Sciences. </span><div data-badge-popover="right" data-badge-type="1" data-doi="10.1093/geronb/gbae119" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-2 odd"> <div class="h4">The causal effect of mental health on labor market outcomes: The case of stress-related mental disorders following a human-made disaster</div><div>Andersen S, Richmond-Rakerd LS, Moffitt TE, Caspi A</div><span class="publication-year">2024. </span><span class="journal">PNAS. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/andersen-et-al-2024-PNAS.pdf" type="application/pdf" title="andersen-et-al-2024-PNAS.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1073/pnas.2316423121" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-3 even"> <div class="h4">Using risk of crime detection to study change in mechanisms of decision-making</div><div>Barnes JC, Moffitt TE, Tanksley PT, Tasharrofi S, Poulton R, Caspi A</div><span class="publication-year">2024. </span><span class="journal">Journal of Personality and Social Psychology. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Barnes_et_al_2024--crime%20detection.pdf" type="application/pdf" title="Barnes_et_al_2024--crime detection.pdf">PDF of Full Article</a></span> </div><div></div> </div> <div class="views-row row-4 odd"> <div class="h4">Posttraumatic stress disorder, trauma, and accelerated biological aging among post-9/11 veterans</div><div>Bourassa KJ, Garrett ME, Caspi A, Dennis M, Hall KS, Moffitt TE, Taylor GA, VA Mid Atlantic MIRECC Workgroup, Ashley-Koch AE, Beckham JC, Kimbrel NA</div><span class="publication-year">2024. </span><span class="journal">Translational Psychiatry. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Bourassa%20et%20al.%20%282024%29%20-%20Trauma%20PTSD%20and%20biological%20aging%20in%20post%209-11%20veterans.pdf" type="application/pdf" title="Bourassa et al. (2024) - Trauma PTSD and biological aging in post 9-11 veterans.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="101038/s41398-023-02704-y" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-5 even"> <div class="h4">The continuity of adversity: Negative emotionality links early-life adversity with adult stressful life events</div><div>Brennan GM, Moffitt TE, Bourassa KJ, Harrington HL, Hogan S, Houts RM, Poulton R, Ramrakha S, Caspi A</div><span class="publication-year">2024. </span><span class="journal">Clinical Psychological Science. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Brennan2024_ContinuityOfAdversity.pdf" type="application/pdf" title="Brennan2024_ContinuityOfAdversity.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1177/21677026231220337" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-6 odd"> <div class="h4">A nationwide analysis of 350 million patient encounters reveals a high volume of mental-health conditions in primary care</div><div>Caspi A, Houts RM, Moffitt TE, Richmond-Rakerd LS, Hanna MR, Sunde HF, Torvik FA<br /> </div><span class="publication-year">2024. </span><span class="journal">Nature Mental Health . </span><div><a href="https://broadcastretirementnetwork.com/">Broadcast Retirement Nework podcast</a></div><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Caspi_et_al-2024-Nature_Mental_Health.pdf" type="application/pdf" title="Caspi_et_al-2024-Nature_Mental_Health.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1038/s44220-024-00310-5" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-7 even"> <div class="h4">Educational mobility, pace of aging, and lifespan among participants in the Framingham Heart Study</div><div>Graf GH, Aiello AE, Caspi A, Kothari M, Liu H, Moffitt TE, Muennig P, Ryan CP, Sugden K, Belsky DW</div><span class="publication-year">2024. </span><span class="journal">JAMA Network Open. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Educational%20Mobility%20paper.pdf" type="application/pdf" title="Educational Mobility paper.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1001/jamanetworkopen.2024.0655" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-8 odd"> <div class="h4">Co-occurrence between mental disorders and physical diseases: A study of nationwide primary-care medical records</div><div>Hanna MR, Caspi A, Houts RM, Moffitt TE, Torvik FA</div><span class="publication-year">2024. </span><span class="journal">Psychological Medicine. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Psychological%20Medicine%20Mental-Physical%20Co-occurrence.pdf" type="application/pdf" title="Psychological Medicine Mental-Physical Co-occurrence.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1017/S0033291724002575" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-9 even"> <div class="h4">Characterizing midlife-onset alcohol dependence: Implications for etiology, prevention, and healthy aging</div><div>Khalifeh L, Caspi A, Harrington HL, Meier MH, Poulton R, Ramrakha S, Moffitt TE, Richmond-Rakerd LS</div><span class="publication-year">2024. </span><span class="journal">Clinical Psychological Science. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/KhalifehEtAl_CPSInPress.pdf" type="application/pdf" title="KhalifehEtAl_CPSInPress.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1177/21677026241260249" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-10 odd"> <div class="h4">Childhood blood-lead level predicts lower general, non-selective hippocampal subfield volumes in midlife</div><div>Reuben A, Knodt AR, Ireland A, Ramrakha, Specht AJ, Caspi A, Moffitt TE, Hariri A</div><span class="publication-year">2024. </span><span class="journal">Ecotoxicology and Environmental Safety. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/1-s2.0-S0147651324007346-main.pdf" type="application/pdf" title="1-s2.0-S0147651324007346-main.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1016/j.ecoenv.2024.116658" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-11 even"> <div class="h4">Dementia, dementia’s risk factors and premorbid brain structure are concentrated in disadvantaged areas: national register and birth-cohort geographic analyses</div><div>Reuben A, Richmond-Rakerd L, Milne B, Shah D, Pearson A, Hariri AR, Hogan S, Ireland D, Keenan R, Knodt AR, Melzer T, Poulton R, Ramrakha S, Whitman E, Moffitt TE, Caspi A</div><span class="publication-year">2024. </span><span class="journal">Alzheimers and Dementia . </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/2024%20%20-%20AD%20-%20ADI%20and%20ADRD.pdf" type="application/pdf" title="2024 - AD - ADI and ADRD.pdf">PDF of Full Article</a></span> , <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/NeighborhoodBrainHealth.pdf" type="application/pdf" title="NeighborhoodBrainHealth.pdf">Press Release</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1002/alz.13727" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-12 odd"> <div class="h4">Associations of hospital-treated infections with subsequent dementia: Nationwide 30-year analysis</div><div>Richmond-Rakerd LS, Iyer M, D'Souza S, Khalifeh L, Caspi A, Moffitt TE, Milne BJ</div><span class="publication-year">2024. </span><span class="journal">Nature Aging. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Richmond-RakerdEtAl_NatureAging2024.pdf" type="application/pdf" title="Richmond-RakerdEtAl_NatureAging2024.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1038/s43587-024-00621-3" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-13 even"> <div class="h4">Faster DunedinPACE, an epigenetic clock for pace of biological aging, is associated with accelerated cognitive aging among older adults in the Framingham Heart Study</div><div>Savin MJ, Wang H, Pei H, Aiello AE, Assuras S, Caspi A, Moffitt TE, Muenning CP, Ryan CP, Shi B, Stern Y, Sugden K, Valeri L, Belsky DW. </div><span class="publication-year">2024. </span><span class="journal">Alzheimer’s & Dementia: Diagnosis, Assessment and Disease Monitoring. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/ASSOCI~1_0.PDF" type="application/pdf" title="ASSOCI~1_0.PDF">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1002/dad2.70038" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-14 odd"> <div class="h4">Can a warm and supportive adult protect against mental health problems amongst children with experience of adversity? A twin-differences study</div><div>Stock SE, Lacey RE, Arseneault L, Caspi A, Crush E, Danese A, Latham RM, Moffitt TE, Newbury JB, Schaefer JD, Fisher HL, Baldwin JR</div><span class="publication-year">2024. </span><span class="journal">Journal of Child Psychology and Psychiatry. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Stock%20et%20al%20%282024%29%20Can%20a%20warm%20and%20supportive%20adult%20protect%20against%20mental%20health%20problems%20amongst%20children%20with%20experience%20of%20adversity%20-%20A%20twin-differences%20study.pdf" type="application/pdf" title="Stock et al (2024) Can a warm and supportive adult protect against mental health problems amongst children with experience of adversity - A twin-differences study.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1111/jcpp.14070" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-15 even"> <div class="h4">Do polygenic indices capture “direct” effects on child externalizing behavior problems? Within-family analyses in two longitudinal birth cohorts</div><div>Tanksley PT, Brislin SJ, Wertz J, de Vlaming R, Courchesne-Krak NS, Mallard TT, Raffington LL, Linner RK, Koellinger P, Palmer AA, Sanchez-Roige S, Waldman I, Dick D, Moffitt TE, Caspi A, Harden KP</div><span class="publication-year">2024. </span><span class="journal">Clinical Psychological Science. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/tanksley-et-al-2024-do-polygenic-indices-capture-direct-effects-on-child-externalizing-behavior-problems-within-family.pdf" type="application/pdf" title="tanksley-et-al-2024-do-polygenic-indices-capture-direct-effects-on-child-externalizing-behavior-problems-within-family.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1177/21677026241260260" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-16 odd"> <div class="h4">Diet, pace of biological aging, and risk of dementia in the Framingham Heart Study</div><div>Thomas A, Ryan CP, Caspi A, Moffitt TE, Sugden K, Zhou J, Belsky DW, Gu Y</div><span class="publication-year">2024. </span><span class="journal">Annals of Neurology. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Annals%20of%20Neurology%20-%202024%20-%20Thomas%20-%20Diet%20Pace%20of%20Biological%20Aging%20and%20Risk%20of%20Dementia%20in%20the%20Framingham%20Heart%20Study.pdf" type="application/pdf" title="Annals of Neurology - 2024 - Thomas - Diet Pace of Biological Aging and Risk of Dementia in the Framingham Heart Study.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1002/ana.26900" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-17 even"> <div class="h4">A blood biomarker of the pace of aging is associated with brain structure: Replication across three cohorts</div><div>Whitman ET, Ryan CP, Abraham WC, Addae A, Corcoran DL, Elliott ML, Hogan S, Ireland D, Keenan R, Knodt AR, Melzer TR, Poulton R, Ramrakha S, Sugden K, Williams BS, Zhou J, Hariri AR, Belsky DW, Moffitt TE, Caspi A</div><span class="publication-year">2024. </span><span class="journal">Neurobiology of Aging. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/whitman_dunedinpace_published.pdf" type="application/pdf" title="whitman_dunedinpace_published.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1016/j.neurobiolaging.2024.01.008" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-18 odd"> <div class="h4">Who Australasians trusted during COVID-19: lessons from the pandemic response</div><div>August R, Barrett-Young A, Guiney H, Hogan S, Ramrakha S, Poulton R</div><span class="publication-year">2023. </span><span class="journal">ProQuest. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/out.pdf" type="application/pdf" title="out.pdf">PDF of Full Article</a></span> </div><div></div> </div> <div class="views-row row-19 even"> <div class="h4">Which types of stress are associated with accelerated biological aging? Comparing perceived stress, stressful life events, childhood adversity, and posttraumatic stress disorder</div><div>Bourassa KJ, Caspi A, Brennan GM, Hall KS, Harrington HL, Houts R, Kimbrel NA, Poulton P, Ramrakha S, Taylor GA, Moffitt TE</div><span class="publication-year">2023. </span><span class="journal">Psychosomatic Medicine. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Bourassa%20et%20al.%20%282023%29%20-%20Which%20types%20of%20stress%20are%20associated%20with%20accelerated%20aging.pdf" type="application/pdf" title="Bourassa et al. (2023) - Which types of stress are associated with accelerated aging.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1097/PSY.0000000000001197" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-20 odd"> <div class="h4">Tracing the origins of midlife despair: Association of psychopathology during adolescence with a syndrome of despair-related maladies at midlife</div><div>Brennan GM, Moffitt TE, Ambler A. Harrington HL, Hogan S, Houts RM, Mani R, Poulton R, Ramrakha S, Caspi A</div><span class="publication-year">2023. </span><span class="journal">Psychological Medicine. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Brennan2023_TracingOriginsMidlifeDespair.pdf" type="application/pdf" title="Brennan2023_TracingOriginsMidlifeDespair.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1017/s0033291723001320" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-21 even"> <div class="h4">The general factor of psychopathology (p): Choosing among competing models and interpreting p</div><div>Caspi A, Houts RM, Fisher HL, Danese A, Moffitt TE</div><span class="publication-year">2023. </span><span class="journal">Clinical Psychological Science . </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/caspi%20paper.pdf" type="application/pdf" title="caspi paper.pdf">PDF of Full Article</a></span> </div><div><a href="https://urldefense.com/v3/__https://www.scientificamerican.com/article/why-do-so-many-mental-illnesses-overlap/__;!!OToaGQ!opKS9IvPPJMvrtYYNrPR5h4COZrPWFUvVhcmL9UsagM89NiFA_3bTmZaUBZBSM5DfXJKMfHLX66awuxQ6dQ-FEpj-XIX$">Ingrid Wickelgren writing in Scientific American</a>, <a href="https://www.pnas.org/doi/10.1073/pnas.2316297120">David Adam writing in PNAS</a></div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1177/21677026221147872" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-22 odd"> <div class="h4">Accelerated pace of aging in schizophrenia: Five case-control studies</div><div>Caspi A, Shireby G, Mill J, Moffitt TE, Sugden K, Hannon E</div><span class="publication-year">2023. </span><span class="journal">Biological Psychiatry. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Kochunov%20and%20Hong%20Commentary.pdf" type="application/pdf" title="Kochunov and Hong Commentary.pdf">Editorial by Kochunov and Hong</a></span> , <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/Accelerated%20Pace%20of%20Aging%20in%20Schizophrenia%20Five%20Case-Control%20Studies%20-%20PIIS0006322323016931.pdf" type="application/pdf" title="Accelerated Pace of Aging in Schizophrenia Five Case-Control Studies - PIIS0006322323016931.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1016/j.biopsych.2023.10.023" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-23 even"> <div class="h4">Translating the hierarchical taxonomy of psychopathology (HiTOP) from potential to practice: Ten research questions</div><div>Conway C, Kotov R, Krueger RF, Caspi A</div><span class="publication-year">2023. </span><span class="journal">American Psychologist. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/2023-09265-001.pdf" type="application/pdf" title="2023-09265-001.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1037/amp0001046" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> <div class="views-row row-24 last odd"> <div class="h4">A comparison of feature selection methodologies and learning algorithms in the development of a DNA methylation-based telomere length estimator</div><div>Doherty T, Dempster E, Hannon E, Mill J, Poulton R, Cocoran D, Sugden K, Williams B, Caspi A, Moffitt TE, Delany SJ, Murphy TM</div><span class="publication-year">2023. </span><span class="journal">BMC Bioinformatics. </span><div> <span class="file file--mime-application-pdf file--application-pdf"> <a href="/sites/moffittcaspi.trinity.duke.edu/files/publication-uploads/s12859-023-05282-4.pdf" type="application/pdf" title="s12859-023-05282-4.pdf">PDF of Full Article</a></span> </div><div data-badge-popover="right" data-badge-type="1" data-doi="10.1186/s12859-023-05252-4" data-hide-no-mentions="true" data-hide-less-than="5" class="altmetric-embed"></div><div></div> </div> </div> <nav aria-label="pagination-heading"> <h4 id="pagination-heading" class="sr-only">Pagination</h4> <ul class="pagination js-pager__items"> <li class="page-item active"> <span class="page-link">1</span> </li> <li class="page-item "> <a href="?page=1" title="" class="page-link">2</a> </li> <li 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