ʻO ka maʻi Hypersexual: hōʻike hōʻike a me ka mālama ʻana (2019)

Mea kākau: Hallberg, Jonas

Lā lā: 2019-10-18

Wahi: Rehabsalen, Norrbacka S4: 01, Karolinska Universitetssjukhuset, Solna

Wā: 09.00

Keʻena: Inst för medicin, Huddinge / Dept of Medicine, Huddinge

Nānā / wehe  Manaʻo (825.0Kb)   ʻO Spikblad (91.57Kb)

Hōʻuluʻulu Manaʻo

He poʻomanaʻo: ʻO ka hoʻomau mau ʻana i ka hopena hypersexual (HB) i alakaʻi i ka hopena maikaʻi ʻole he hanana ia i ʻike ʻia ʻole i ʻike ʻia i loko o ka psychiatric nomenclature, ʻoiai ke aʻo nui ʻana. Ma muli o nā ʻokoʻa i ke ʻano o ka loiloi a me ka noʻonoʻo ʻana o ka hanana, ua paʻakikī ke hoʻohālikelike a me ka hoʻonui ʻana i nā hualoaʻa o nā noi lāʻau. Ua noi ʻia ʻo Hypersexual Disorder (HD) no ka pepa 5 o ka Diagnostic and Statistical Manual (DSM-5) ma ke ʻano he hapa atheoretical o HB. Eia nō naʻe, ua hōʻole ʻia ʻo ia e loaʻa ke kākoʻo empirical i loko o kahi pākē hoʻokolokolo a me nā hoʻopaʻa ʻana ma nā helu poloka a me ka forensic sample populasyon. Eia nō naʻe, ʻo HD a me kāna mau koi e hāpai ana i nā noi e pili ana i ka mālama ʻia e pili ana i ka lole, albeit preliminary diagnostic, kategorization.

Kuhi: ʻO ka pahuhopu nui o ka thesis ʻo ka huli ʻana i ka pono o nā paʻina HD no ka ʻāhai ʻana i ka HB a hoʻomohala i kahi hanana hoʻomohala cognitive therapy (CBT) e pili ana i nā ʻike, a ma hope iho e loiloi i ka hiki a me ka hana kūpono o ka protocol a hoʻokō i kāna hoʻoponopono ma o ka Pūnaewele. ʻO nā nīnau noiʻi kūikawā.
• 'O ka maʻi HD a me kāna mau' ōlelo kūpono e 'unuhi i ka hui' ana i nā kāne o nā kāne a me nā wahine i loaʻa i ke ʻano nui o ka moʻolelo.
• Ke hana hou nei ka ʻōnaehana lele CBT hou ia no ka hoʻomaʻamaʻa ʻana o nā hōʻailona me ka HD inā i hoʻonohonoho ʻia i nā hoʻonohonoho hoʻonohonoho?
• Inā he kūlike nā ʻōkuhi wawa o CBT i ka mālama ʻana i nā hōʻailona HD, hiki ke lawelawe ʻia ma o ka Pūnaewele?

Nā Palapala: I ke aʻo I, ua nānā ʻia ka ʻike pono o nā paʻina HD i kekahi o nā kānaka hypersexual i hōʻike ʻia me ka hoʻohana ʻana i ka Hypersexual Disorder Screening Inventory (HDSI). Ma hope iho i ke aʻo ʻana II, ʻo ka hiki o kahi ʻano CBGT hou i kūkulu ʻia no HD ua nānā ʻia i loko o kahi hoʻohālike o nā kāne hypersexual i ʻae ʻia ma ke Study I. Ua hana ʻia nā pre-, mid-, and post-treatment like me 3 a 6 mau mahina ma hope o ka ka hopena o ka mālama ʻana.

ʻO ka III III kahi hana nui o ka RCT, ke hoʻohālikelike nei i nā hui 7 o ka mālama ʻia CBGT me kahi papa inoa. Ua hana ʻia nā meʻeur ma mua, waena-a ma hope o ka mālama ʻana i ka wā o ka hana hoʻohālikelike. Ua hana hope nā mea hana e kali ma hope o CBGT a ua ana ʻia ma ka ʻike manawa like. Ua anaʻi ʻia nā hui ʻelua i 3 a 6 mau mahina ma hope o ke ʻano mālama mālama ʻia. Kuhi ʻia nā ʻikepili mai nā hui ʻelua a ua hoʻopaʻa ʻia no nā hopena intragroup.

Ua noiʻi ʻikepili IV i ka hiki a me ka hopena o ka pedagroup o kahi papahana ICBT 12 pule no HD, me ka ʻole o ka paraphilia (s) / paraphilic disorder (s). ʻImi ʻia nā mea komo e like me nā kaʻina hana i hoʻohana ʻia ma ke aʻo ʻana ʻo II a me III a ma hope o ke komo ʻana i kau ʻia ma kahi lapaʻau no ke kōkua, kākoʻo, a me nā wehewehe i nā wā mālama. Hana ʻia nā hana me ka hebedoma, me ka nānā ʻana ma mua, waena, a ma hope o ka mālama ʻana, a me 3 mau mahina ma hope o ka pau ʻana o ka mālama ʻana. Hāʻawi ʻia nā poʻe komo he kūkākūkā me ka hālāwai ninaninau e pili ana.

Nā hopena: I ka papa noi I, 50% o ka laʻana ʻike i nā kūlike no HD. Ua ʻike ʻia kekahi mau ʻokoʻa wahine e pili ana i ka nui o ka hōʻailona mau a me nā ʻano ʻano hoʻohālike i hōʻike ʻia. ʻIke ʻia nā koina HD i kūpono i ke kāne a me nā wahine, ʻoiai ʻo ka wehewehe ʻana o HDSI i manaʻo ʻia he mea palena ʻole loa. Ua loaʻa ka noiʻi II i ka mālama ʻia ʻana o CBGT no HD. ʻO nā hoʻemi nui ʻana i nā hōʻailona HD i ʻike ʻia i ka hopena o ka mālama ʻana a mālama ʻia i nā hana he 3 a me 6-malama.

ʻO nā manaʻo nui mai ka Study III i hōʻike ʻia i ka hopena o ka hui o ka hui ma waena o ka hopena ma ka hopena mua. Loaʻa nā hopena like no nā hopena hope. Hōʻike nā hualoaʻa mai ka ʻikepili wai i hoʻohaʻahaʻa ʻia i ka hoʻemi ʻana i nā maʻi hypersexual ma ka hana ma hope o ka mālama ʻana a me ka nānā ʻana. Ua hoʻomaikaʻi maikaʻi ʻia ka maikaʻi psychiatric wellbeing maikaʻi, ʻoiai naʻe i ka pae haʻahaʻa.

I ke aʻo ʻana IV, ʻike ʻia nā hopena koʻikoʻi ma muli o ka hoʻomaʻamaʻa ʻana o ka ICBT i ka HD, me ka ʻole o ka paraphilia (s) / paraphilic disorder (s). Ua ʻike ʻia nā hopena maʻalahi no ka paraphilia (s) / paraphilic disorder (s). Ua hoʻomaikaʻi maikaʻi ka naʻau psychiatric, akā i ka liʻiliʻi.

Nā hopena: Ua loaʻa i nā pono HD ke hiki ʻana i nā mea maʻi me ka ʻano hypersexual ʻoiai ʻo ka mea i ʻike ʻia ka mea i ʻike ʻia i ka maʻi hoʻokalakupua. Ua hōʻike ka haʻawina II a me III ʻo CBGT kahi mālama kūpono hiki ke hōʻeha i nā hōʻailona HD. Hōʻike nā hopena mai ka Study IV hiki i ka mālama ʻia ke mālama ʻia ma o ka pūnaewele a me ka hoʻohaʻahaʻa maikaʻi ʻana i ka HD a me nā hōʻailona pili i pili pū ʻia. ʻO ka ulu hou ʻana o ka wawao paha i ke kuleana e pale i ka moe kolohe makemake ʻole, ʻo ia hoʻi ka hewa kolohe.

Papa inoa o nā pepa:

I. Öberg, KG, Hallberg, J., Kaldo, V., Dhejne, C., & Arver, S. (2017). Hypersexual Disorder Wahi a ka Hypersexual Disorder Screening Inventory ma ke kōkua ʻana i nā kāne a me nā wahine Kuekene e ʻike pono iā lākou iho i ka hana moekolohe. Lapaʻau moekolohe. 5 (4), e229-e236.
Keila (DOI)

II. Hallberg, J., Kaldo, V., Arver, S., Dhejne, C., & Öberg, KG (2017). ʻO kahi hana hoʻoweliweli Cognitive-Behavioural Group no ka maʻi Hypersexual: kahi aʻo kūpono. ʻO J Sex Med. 14 (7), 950-958.
Keila (DOI)

III. Hallberg, J., Kaldo, V., Jokinen, J., Arver, S., Dhejne, C., & Öberg, KG (2019). ʻO kahi loiloi kaulike kaulike ʻia o ka Group-Adminied Cognitive Behavioural Therapy no ka Hypersexual Disorder i nā kāne. ʻO J Sex Med. 2019; 16 (5): 733-745.
Keila (DOI)

IV. Hallberg, J., Kaldo, V., Arver, S., Dhejne, C., Jokinen, J., Piwowar, M., & Öberg, KG Pūnaewele Kognitive Behavioural Behavioural KG Pūnaewele no ka Hypersexual Disorder, me ka ʻole o Paraphilia (s ) a i ʻole nā ​​Paraphilic Disorder (s) i loko o nā kāne: ʻO kahi Pilot Study. [Manuscript]

URI: http://hdl.handle.net/10616/46842

Hoʻoponopono: Karolinska Institutet