This is a multi-answer question. There may be more than one correct response to this question.  这是一个多选题。对于这个问题，可能有不止一个正确的回答。   Barriers for effective communication noted in the literature include:   文献中指出的有效沟通障碍包括：多项选择题

A

work overload   工作超负荷

B

knowledge deficits   知识缺陷

C

pain   疼痛

D

noisy environments   嘈杂的环境

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