Ke hoʻomohala ʻana i kahi pae no ka moekolohe pili wahine i hōʻoia ʻia i loko o nā Haumāna Kula Haole Haina (2020)

ʻO ka moekolohe, i kapa ʻia hoʻi ma ke ʻano he moekolohe, ka moekolohe a me ka impulsivity moekolohe, kahi hanana i hōʻike pinepine ʻia e ka nui a me ka ikaika o ka hoʻokele moekolohe, ka moekolohe, ka moekolohe a me nā hana moekolohe. Pili loa ia i ka ʻeha a me ka hana ʻole o ka hana i nā wahi ola o kēlā me kēia kanaka e like me ka nohona, ka noiʻi, ka hana, ke kino, a me ka naʻau [1, 2]. Ua noi ʻo Kafka i nā pae hoʻohālikelike no ka maʻi hypersexual [3], akā ʻaʻole ia i hoʻokomo ʻia i loko o nā ʻōnaehana koho diagnostical nui e like me ka Diagnostic and Statistics Manual of Mental Disorder, 5th edition (DSM-5) pae hoʻohālikelike [4].

Ua hoʻopili ʻia nā hana moekolohe me ka masturbation koi (56%), ka hoʻohana ʻana i nā kiʻi ʻoniʻoni (51%) a me ka moekolohe extramarital (21%) i hoʻokahi noi [5]. Ua helu ʻia ʻo ka laha o ka moekolohe ma kahi o 2% ma waena o nā haumāna o ke kula nui [6], 5% ma waena o nā mākua ʻAmelika (kahi kuhi kūpono) [7], 3.3% ma waena o nā poʻe maʻi kūpale makua [8], a me 4.4% ma waena o nā poʻe maʻi maʻi psychiatric makua [9]. Ma kekahi ʻaoʻao, aia kahi kāne mua (ma mua o 60%) i ka poʻe me ka moekolohe.6, 8, 10]. I kēia manawa, hōʻike nā kāne i ka nui o ka masturbation, nā hoa moekolohe, a me ka cybersex pilikia ma mua o nā wahine [11], ʻoiai e pili ana nā wahine moekolohe i ka nui o nā ʻano pilikia o ka moekolohe, a me nā hopohopo e pili ana i ka ʻeha o ke kino a me ka ʻeha.12].

ʻAʻole ʻike maopopo ʻia ka etiology kikoʻī o ka moekolohe a hiki i kēia manawa. ʻO kekahi o nā kumu hoʻohālikelike e like me ka neurobiological etiology [13, 14], hoʻohālikelike hōʻalo [15], manaʻo psychodynamic [16], a laila, ua noi ʻia, akā ʻaʻohe o lākou e hōʻike i kahi wehewehe moakaka no ka moekolohe. ʻO ka hypersexuality kahi maʻi maʻamau i nā maʻi noʻonoʻo ʻē aʻe e like me ka maʻi bipolar [17, 18], a me nā mea maʻi hypersexual i ʻoi aku ka nui o ka maʻi psychiatric, e like me ka hopohopo, hoʻohana ʻana i nā mea, nā ʻano a me nā ʻano pilikino [19, 20]. Ua hōʻike ʻia kahi noiʻi hou e hoʻohālikelike ʻia i nā kānaka olakino, ʻoi aku ka nui o ka impulsivity o nā kāne hypersexual, nā pilikia pili, nā maʻi ʻino, a me nā hoʻolālā hoʻokalakupua manaʻo maladaptive [21]. Eia kekahi, ua hoʻonui ka moekolohe i ka pilikia o nā maʻi kūpikipiki, e like me nā maʻi i loaʻa i ka moekolohe a me ka maʻi i loaʻa i ka maʻi immunodeficiency [22, 23].

Nui nā nīnau e nānā ana i ke ana o ka moekolohe mai nā ʻaoʻao like ʻole [24]. Eia nō naʻe, i kēia mau nīnau nīnau, koe wale no ka nīnau nīnau Mood Disorder [25] a me ka nīnau hou a Mood a me ka nīnau nīnau moekolohe.26], ka helu o nā mea e ana ana i ka moekolohe e pane ana i ka naʻau disphoric a me ke koʻikoʻi hoʻokahi a i ʻole ʻole. ʻO ka hoʻāʻo loiloi i ka moekolohe ma ka pūnaewele.27] He loea kiʻekiʻe loa ia akā hoʻohana wale ʻia ia e loiloi i ka moekolohe pilikia ma ka Pūnaewele. ʻO ka nīnau hou a me ka nīnau nīnau moekolohe.26] ʻo ia kekahi mea kikoʻī nui loa, kahi e manaʻo ai e loiloi i nā ʻano e pili ana i ka moekolohe a me ke ʻano o ka naʻau. Ma nā ʻaoʻao ʻē aʻe, ka hōʻike loiloi loiloi wahine hoʻoweliweli.28, 29] kaupalena ʻia i kahi kikoʻī kikoʻī i nā kāne heterosexual, a he haʻahaʻa haʻahaʻa kūloko ko loko o nā wahine.24]. Ma ka laulā, ʻaʻohe nīnau nīnau e hāʻawi i kahi ana ākea o ka moekolohe.

Ma muli o nā puke ma mua, manaʻoʻiʻo mākou i ke ana o ka moekolohe pili pū me nā ʻano aʻe, a ua hoʻomohala mākou i kahi item-matrix e ana ana i ka moekolohe o kēia mau ʻano. ʻO ka mea mua, ka hopena maikaʻi ʻole o ka moekolohe ma ka ʻāina o kēlā me kēia kanaka, e laʻa me ka mea i "hopena ʻia koʻu manaʻo ponoʻī e kaʻu mau hana moekolohe" kahi maʻalahi o ka huahana "Koʻu mahalo iā ʻoe iho, manaʻo pilikino, a i ʻole iho. hilinaʻi, ua hopena maikaʻi ʻole ʻia e kaʻu mau hana moekolohe ”i ka Hypersexual Behaviour Consequences Scale [30]. ʻO ka lua, ke kamaʻilio e pili ana i ka moekolohe, e laʻa me "Ua hoʻohana wau i nā mea hoʻomākeʻaka a i ʻole nā ​​hopena i ke kamaʻilio pū ʻana me nā poʻe ʻē aʻe", e like me ka mea "hoʻohana wau i ka hoʻomākeʻaka moekolohe a me ka hoʻowahāwahā me nā poʻe ʻē aʻe ma ka pūnaewele" i ka Internet Sex Screening Test [27]. ʻO ke kolu, ka hana moekolohe ʻole, e laʻa me "ua kuʻikuʻi a kiki wau, a i ʻole kaohi ʻia kaʻu mau hoa moe kolohe", i hoʻokomo ʻia i loko o ka Compulsive Sexual Behaviour Inventory31]. ʻO ka hā, ʻo ka hoʻonui ʻia o ka hoihoi wahine a me nā kiʻi ponokala kiʻi, e laʻa me "ʻoi aku koʻu makemake i ka moekolohe ma mua o ka maʻamau", i hoʻopili ʻia i ka nīnau nīnau Mood Disorder [25]. Fifthly, the hypersexual behaviour in response to stress and mood, for example "Hoʻohana pinepine wau i ka moekolohe e kūʻē i nā manaʻo paʻakikī (e laʻa, hopohopo, kaumaha, luuluu, hoʻonāukiuki, hewa, a hilahila paha)", ʻo ia pū kekahi i loko o ka Hypersexual Disorder ʻImi ʻImi Kiʻi [32]. ʻO ke ono, ka hoʻomaopopo ʻana i ka moekolohe, no ka laʻana "Manaʻo wau ʻaʻole maʻamau kaʻu mau moekolohe", kahi e like me ka huahana "Manaʻo ʻoe ʻaʻole maʻamau kāu moekolohe?" i ka hōʻike loiloi loiloi kolohe.28, 29]. ʻO ka hiku, ka minamina ma hope o ke ʻano moekolohe impulsive, e laʻa me "Ke hopohopo a hopohopo paha wau, e hana paha wau i kahi mea moekolohe aʻu e mihi ai ma hope", i hoʻopili pū ʻia i loko o ka loiloi hou Mood a me ka nīnau nīnau moekolohe.26].

No ka hoʻomohala ʻana i kahi ana o ka moekolohe ma kā mākou noi ʻana, makemake mākou e hoʻohana i ka ʻikepili exploratory factor a me nā kaʻina hana hoʻohālikelike hoʻohālikelike exploratory (ESEM). ʻO ka ESEM, ma ke ʻano he mea hōʻoia e hoʻohui i nā hiʻohiʻona ʻoi loa o ka exploratory a me ka hōʻoia ʻana i nā mea i hoʻopaʻa ʻia, ʻoi aku ka maikaʻi ma mua o ke anamanaʻo hōʻoia, me ka loli kupaianaha, ka maikaʻi maikaʻi o ke kūpono, a me ka hoʻopili pono ʻana o nā mea, a he hiki ke hoʻohana ākea i ka noiʻi ana i ka lāʻau lapaʻau [33]. Hoʻohui ʻia, ua manaʻo ʻia ʻo ESEM ma ke ʻano he mea hiki ke ola no nā mea he nui me ka nui o ke ana hoʻohālikelike.33]. I ke aʻo ʻana o kēia manawa, ua kuhi mākou: 1) ʻo ka moekolohe ka hoʻopili ʻana i kekahi mau ʻano: ʻike i ka hana moekolohe, hoʻonui i ka hoihoi wahine, hoʻonui i nā kiʻi ponokala kiʻi, hoʻomāhuahua i ka naʻau me ka wahine, ka moekolohe maʻamau, nā hopena maikaʻi ʻole o ka hana moekolohe, a me ka minamina. ma hope o ka moekolohe impulsive, a me 2) kāne komo (haumāna kula nui) hōʻike i nā kiʻekiʻe kiʻekiʻe o ka moekolohe ma mua o kā lākou mau hoa wahine.

ʻO nā pane i nā mea 72 e ana ana i ka ʻike hypersexual i waiho ʻia i kahi loiloi kumu nui ma mua. Ua ʻae ʻia nā hopena o ka hōʻoia mua (KMO = 0.86; ka hōʻike Bartlett o sphericity = 9525.26; p = 0.00). He ʻumikūmāhiku mau eigenvalues ​​i ʻoi aku ma mua o 1.0 i ʻike ʻia, a ua hōʻike ka papa scree i kahi pae mai ka ʻeono mea ma. ʻO nā mea ʻelima mua he 14.59, 5.19, 3.99, 2.34 a me 2.18 pakahi, kahi i helu ʻia no 39.28% o ka huina like ʻole (ʻo ka ʻehā mua i helu ʻia no 36.25%, a ʻo nāʻeono mua 42.03%). No laila, ua kāʻili mākou i nā hiʻohiʻona ʻehā, ʻelima, a ʻeono no ka loiloi hou aku.

Ma o ka ESEM, ua kūkulu ʻia kekahi mau hiʻohiʻona (ie, ʻehā, ʻelima, a ʻeono mau helu) me nā mea like ʻole, a ua helu ʻia ko lākou kaha hoʻohālikelike Mplus (Papa. 1). Ma ke ʻano holoʻokoʻa, ʻelima mau kumu hoʻohālikelike a me kāna hāʻawi ʻana i nā mea i ʻoi aku ka maikaʻi ma waena o nā mamana. Ua hoʻomohala mākou i kahi Scale Hypersexual (HYPS, Papa 2) me nā mea 20 (ʻehā mau mea i kēlā me kēia mea), a laila kapa ʻia kāna ʻelima mau kumu.

Ua kapa ʻia ka Factor 1 ʻo "Negative Impact", ka mea i wehewehe i nā hopena maikaʻi ʻole i ke olakino noʻonoʻo a me kekahi mau kikowaena ola, e like me ke aʻo ʻana, ka hana, a i ʻole ka wahi kaiaulu. Ua kapa ʻia ʻo Factor 2 ʻo "Emotional Coping", kahi i hōʻike ai i ka hoʻohana ʻana o kēlā me kēia kanaka i ka moekolohe e kūpale i ka manaʻo pilikino a me ke koʻikoʻi, a me kekahi mau manaʻo ke loaʻa ka moekolohe. Ua kapa ʻia ʻo Factor 3 ʻo "Uncontrolled Behaviour", kahi i wehewehe ai i ka poʻe i ʻike i ka hana kolohe a me nā hana koʻikoʻi, a ua moekolohe me nā hoa moekolohe he nui a me nā mea pāʻani keu. Ua kapa ʻia ʻo Factor 4 ʻo "Post-sex Regret", kahi i hōʻike ai ua hōʻike ka poʻe i komo ma hope o ka hana ʻana i nā hana moekolohe ma muli o ke ʻano maikaʻi a maikaʻi ʻole paha. Ua kapa ʻia ʻo Factor 5 ʻo "Hoʻonui i ka hoihoi", kahi i wehewehe ai i ka poʻe i komo i ka ʻike i ka hoihoi moekolohe, nā manaʻo moekolohe, a me nā kiʻi ponokala kiʻi.

Eia hou, ua hōʻike ʻo ANOVA ʻaoʻao ʻelua i kahi ʻokoʻa nui ma nā helu HYPS ʻelima (pālākiō) ma waena o nā hui ʻelua (hopena hui, F [1, 280] = 5.52, p <0.05, mean square square = 139. 98). Ua ʻike ʻia ka hōʻike ma hope o ka hoc Haumāna haumāna i kaha kiʻekiʻe nā kāne kāne ma mua o ka wahine ma HYPS Negative Impact (t = 2.52, p <0.05) a me ka piʻi ʻana o ka hoihoi (t = 2.69, p <0.01). Ua ʻae ʻia nā koina H o HYPS ʻelima mau unahi, a he mea nui kā lākou mau hoʻopili-pili akā ua hoʻomau ʻia i kahi pae haʻahaʻa a waena paha (Papa 3).

kūkākūkā

Ke hoʻohana nei i nā anamanaʻo exploratory factor a me ESEM ma nā mea 72 e pili ana i ka ʻike moekolohe, ua kūkulu mākou i kahi hiʻohiʻona hiʻohiʻona maikaʻi o ʻelima mau unahi me 20 mau mea (ʻehā mau mea pākahi), ʻo ia hoʻi ka Negative Impact, Emotional Coping, Uncontrolled Behaviour, Post-sex remedi, a Hoʻonui i ka hoihoi. Ua ʻae ʻia kēia mau unahi i nā hilinaʻi kūloko a me nā hoʻohaʻahaʻa haʻahaʻa a waena paha, i hōʻoia i ko mākou kuhiakau mua. Ma waho aʻe, ʻo kā mākou hopena i loaʻa i nā haumāna kāne he kiʻekiʻe kiʻekiʻe HYPS Nā hopena maikaʻi ʻole a me ka hoʻonui ʻana i ka hoihoi i kākoʻo i kā mākou kuhiakau ʻelua.

ʻO ka pālākiō HYPS mua, Nā hopena maikaʻi ʻole, e hōʻike ana i nā hopena maikaʻi ʻole ma muli o ka moekolohe, e komo pū ana me ka ʻehaʻeha psychological a me kekahi mea keakea i nā ola o kēlā me kēia kanaka, i kūlike me nā mea i loaʻa mua. Ua hoʻomaopopo ka poʻe maʻi hypersexual ua ʻike lākou i ka hopohopo hou e pili ana i ka hopena o ka hana, ke kānāwai, ka pilikanaka, a me ka psychological, a ua ʻike nui i ka psychoticism ma mua o ka poʻe olakino i hana.5, 12]. E pili ana i ka hoʻopilikia ʻana i nā wahi ola, i kahi ana pūnaewele, ma kahi o ka hapalua o ka poʻe i hoʻohana i ka moekolohe ma ka pūnaewele ma mua o 11 mau hola i ka pule, ua hōʻike aku ua hoʻopilikia kā lākou ʻano i kā lākou mau kāʻei ola e like me ka ʻike, ka hana, a me ke kaiāulu.36]. Ua ʻike ʻia kekahi noiʻi pūnaewele hou aʻe i loko o nā kāne me ka moekolohe moekolohe, ʻoi aku ma mua o ʻekolu hapahā o ka poʻe i komo i ka ʻehaʻeha pilikino a ʻehaʻeha ʻia i ka hana maikaʻi ʻole i nā kāʻei ola ma muli o nā hana moekolohe37]. Ua hōʻike ʻia kekahi mau noiʻi ʻē aʻe i ka lawehala moe kolohe i hoʻoweliweli i kā lākou aloha aloha a me nā pilina hoa [37, 38]. Eia kekahi, ʻo nā mea i loaʻa mua i loaʻa i nā kāne he ʻoi aku ka nui o ka hōʻailona hypersexual ma mua o nā wahine, a ʻo ka pae o ke koʻikoʻi e pili pinepine i nā pilikia intrapersonal a me interpersonal.11], i kulike ai me kā mākou mau hopena i loaʻa i nā haumāna kāne i ʻoi aku ke kiʻekiʻe ma ka pālākiʻino Negative Impact.

ʻO ka pālākiō ʻelua, ʻo Emotional Coping, e wehewehe nei i nā hana moekolohe i hoʻohana ʻia e kū ai i ka naʻau a me ke koʻikoʻi i loaʻa i nā mea komo, i kūlike me kēlā mau wehewehe a Kafka [3]. Ua ʻike ʻia nā naʻau maikaʻi ʻole a i ʻole ke kaumaha psychological i ke kikowaena o nā pūnaewele no ka moekolohe.39]. Ua ʻike nā kāne hypersexual i ke kaumaha hou a me ka luhi o ka moekolohe.40], a me nā mea maʻi i ʻoi aku ka hopena o ka lawehala kolohe e hōʻike paha i ka impulsivity kiʻekiʻe, kaumaha, hopohopo, proneness kaumaha a me ka dysregulation naʻau [30]. Eia kekahi, ua hoʻopili maikaʻi ʻia ka dysregulation manaʻo me ka moekolohe kolohe, ka mea e alakaʻi i ka hoʻomaka ʻana o ka moekolohe kolohe.41].

ʻO ke kolu o ka pālākiō, Uncontrolled behaviour, komo pū kekahi moʻo moekolohe i haʻalele i nā pae maʻamau a me nā loina o ka nohona, e like me nā mea i hōʻike ʻia ma mua: nā hana moekolohe e like me ka masturbation, ponokala, cybersex, ke kamaʻilio kelepona, nā hui ʻāpana, ʻae ʻia nā mākua [10]. I nā wahine, hoʻohana ka ponokala kiʻi, ka pinepine ʻana o ka masturbation, a me ka helu o nā kāne moekolohe i nā wānana maikaʻi loa o ka moekolohe.42]. Eia nō naʻe, i loko o 97 mau maʻi me ka hoʻāo moekolohe, aia he 40.2% e hōʻike nei i ka pili pono o nā kiʻi pono ʻole, 30.9% hoʻokūkū koʻikoʻi, a me 23.7% moekolohe lōʻihi [43].

ʻO ka pāhāhā, ʻo Post-sex Regret, hōʻike i kahi minamina ma hope o ka hana ʻana i kekahi ʻano moekolohe, me ka nānā ʻole i ko lākou ola waiwai a i ʻole nā ​​kūlana ʻike naʻau, i kūlike me kahi noiʻi e hōʻike ana i ka makemake moekolohe i hoʻokumu ʻia e ka hopohopo a me ke kaumaha ua pili pono me ka likelike o ka minamina ma hope o ka moekolohe [26]. Ua ʻike ʻia kekahi noiʻi ʻē aʻe i waena o nā kāne heterosexual, ka hoʻonui ʻana i ka likelika o nā ʻano moekolohe minamina i nā kūlana maikaʻi ʻole i wānana nui i ka moe kolohe ʻole [44]. Eia kekahi, ʻo ka poʻe me ka moekolohe wahine e ʻike paha i ka hilahila [45-47].

ʻO ka pae ʻelima, Hoʻonui i ka hoihoi, wehewehe i ka nui o ka hoihoi wahine, nā manaʻo moekolohe, a me nā ponokala kiʻi i hoʻohana ʻia e kekahi kanaka, i kūlike me kahi noiʻi e hōʻike ana ua pili maikaʻi ka moekolohe me ka hauʻoli a me ka hoʻonāukiuki.48]. Ua hōʻike ʻia ka noho ʻana o nā kiʻi ponokala kiʻi i kahi kūlana peripheral i loko o nā pūnaewele moekolohe.39], aʻo ia kekahi o nā wānana maikaʻi loa o ka moekolohe ma ka wahine [42]. Ma waena o nā haumāna heterosexual o ke kula nui, ʻike pinepine nā kāne i nā manaʻo moekolohe ma mua o ka makemake o nā wahine e kamaʻilio, a ʻoi aku ka pololei o nā kāne e pili ana i ka hōʻike ʻana i ka hoihoi o ka wahine ma mua o ka hana a nā wahine.49], ka mea e kākoʻo ana i nā haumāna kāne i loaʻa nā kiʻekiʻe kiʻekiʻe Hoʻonui i ka hoihoi i ka noi o kēia manawa. I kēia manawa, i waena o nā kāne ʻelua, pili maikaʻi ka ʻai ʻana o nā kiʻi ponokala kiʻi me ka moekolohe.50]. ʻO ka mea nui, e pili ana i ka ʻai ʻana o nā ponokala kiʻi, ʻo nā kāne me ka makemake nui i ka moekolohe e paʻa i nā ʻano maikaʻi, ʻoiai ʻo ka poʻe me ka moekolohe e mālama i nā ʻano maikaʻi ʻole.40].

Eia naʻe, ua ʻeha ka noiʻi ʻana i kēia manawa mai nā palena. ʻO ka mea mua, hiki i ka pilikino ke hoʻohuli i nā hōʻike hypersexual, akā ʻaʻole mākou i hoʻopaʻa i nā ʻano pilikino i loko o kā mākou poʻe i komo. ʻO ka lua, he haumāna haumāna kulanui heterosexual kā mākou poʻe i komo, inā paha e hoʻonui ʻia nā hopena i nā poʻe o nā makahiki ʻē aʻe a i ʻole nā ​​kāne a me nā kāne a me nā keke paha i maopopo ʻole. ʻO ke kolu, he hōʻike pilikino kā mākou ana, a e ʻeha paha mai ka hoʻowahāwahā ʻana a me ka bias ʻike mai ka hilahila o ka hōʻike ʻana i ka moekolohe.46, 51].