Hoʻomaopopo i ka moekolohe, compulsivity, a me ka impulsivity ma waena o kahi wahine nui o ka poʻe pākeke e hoʻohana nei i ka pūnaewele no ka wahine (2020)

KĀNOLELO: ʻO nā haʻawina o nā noi i hāʻawi ʻia i ke kākoʻo no ka hoʻohālikelike hoʻohālikelike. Hopena:

Loaʻa nā hōʻailona obsitive-compulsive i ka hoʻohui i waena o nā poʻe e hoʻohana nei i ka Pūnaewele no ka loaʻa ʻana o nā hoa pili. Ka hopena a me ka pilikia hana ma ka pūnaewele pili i ka helu ʻana o ka male ʻana. Kākoʻo kēia mau haʻawina i ka hoʻopaʻapaʻa e pili ana i ka hana kolohe i ke kāne ma ke koʻikoʻi o ka compulsive-compulsive scale a hiki ke helu ʻia he ʻano hana i hoʻohui ʻia.

---------------------------------

Ka Palapala Moʻolelo o nā'Apena'Auhavioral

Volume / Nūpepa: Helu 9: Nūpepa 1

Mea kākau: Gal Levi 1, Chen Cohen 1, Sigal Kaliche 1, Sagit Sharaabi 1, Koby Cohen 1, Dana Tzur-Bitan 1 a me Aviv Weinstein 1

DOI: https://doi.org/10.1556/2006.2020.00007

Hōʻuluʻulu Manaʻo

Ke kumu a me nā manaʻo

Hōʻike ka ʻano hoʻohaʻahaʻa kūpono i ka moekolohe holoʻokoʻa a me nā hana kū ʻole ʻole e kāohi i ka ʻano o ka moekolohe. ʻO ka pahuhopu o nā haʻawina ʻo ia ka ʻike ʻana i ka hoʻopili ʻana, ka hopohopo a me ke kaumaha a me ka impulsivity a me ka pilikia pilikia o ka hana pūnaewele ma waena o nā kāne a me nā wahine i hoʻohana i ka Pūnaewele no ka loaʻa ʻana o ka wahine a me ka hoʻohana ʻana i nā kiʻi ma ka pūnaewele.

Nā Papahana

Hoʻopili i nā helu 1- 177 e komo pū me 143 wahine M = 32.79 mau makahiki (SD = 9.52), a 32 kāne M = 30.18 mau makahiki (SD = 10.79). ʻO ka hoʻowalewale hoʻomaʻemaʻe kūpono (SAST), ka Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Spielberger Trait-State An Ministry Inventory (STAI-T STAI-S) a me Beck Depression Inventory (BDI). E aʻo iā 2- 139 mau hoa komo me 98 wahine M = 24 mau makahiki (SD = 5) a me 41 kāne M = 25 mau makahiki (SD = 4). ʻO ka nīnau nīnau impulsivity (BIS / BAS), nā pilikia kūpono i ka pūnaewele (s-IAT-sex) a me ka hoʻowalewale Pelekikena (SAST).

Results

Aʻo Helu 1 - Nā helu loiloi helu ʻana i hōʻike ʻia kahi hoʻohālike e pili ana i nā helu BDI, Y-BOCS, a me STAI i kōkua i ka ʻano o ka pili ʻana i ka male ʻana, a wehewehe i ka 33.3% o ka ʻano like. ʻO ka noiʻi 2- Ua hōʻike ʻia nā helu loiloi lehulehu e pili ana nā helu BIS / BAS a me s-IAT i ka ʻano o ka ʻano ʻē aʻe o nā piliona maleʻe, a wehewehe ʻo 33% i ka ʻano like.

Nā kūkā a me nā hopena

Loaʻa nā hōʻailona obsitive-compulsive i ka hoʻohui i waena o nā poʻe e hoʻohana nei i ka Pūnaewele no ka loaʻa ʻana o nā hoa pili. Ka hopena a me ka pilikia hana ma ka pūnaewele pili i ka helu ʻana o ka male ʻana. Kākoʻo kēia mau haʻawina i ka hoʻopaʻapaʻa e pili ana i ka hana kolohe i ke kāne ma ke koʻikoʻi o ka compulsive-compulsive scale a hiki ke helu ʻia he ʻano hana i hoʻohui ʻia.

Introduction

Hōʻaia ka hoʻohui ʻana i ka moe kolohe ke ʻike ʻia nei kahi ʻano hana hoʻomāino hoʻokūkū (CSBD) e ka ʻano o ka moekolohe a me ka holo maikaʻi ʻole e pale i ka moekolohe. He wahi kului i loaʻa i ka hoʻoikaika, cognitive a me nā hopena hopena (Karila et al., 2014; Weinstein, Zolek, Babkin, Cohen, & Lejoyeux, 2015).

Nui nā hoʻohālikelike o ka hoʻohui male ʻana. Aloha (1992) ua wehewehe i ka heleʻana i ka moekolohe ʻoiai he hiki ʻole ke pale aku i ka moʻo ʻana o ka moekolohe. ʻO ka liʻiliʻi loa kekahi o ia mau mea e like me kēlā mau hanana: ka hana maʻamau me ka hana pilikino i makemake ʻia i nā hana ʻē aʻe, ka hoʻomaha ʻole inā hiki ʻole ke hana i ka hana moekolohe a me ke kūpaʻa i kēia hana. Pono kēia mau hōʻailona no ka malama a hōʻoia paha iā lākou iho ma hope o ka lōʻihi (Zapf, Greiner, & Carroll, 2008). ʻO Mick lāua ʻo Hollander (2006) ua wehewehe i ka moekolohe ʻoiai i ka moekolohe ʻoiai he ʻano hana paʻa i ka hana kolohe Kafka (2010) ua wehewehe ka moekolohe male wahine i ka moeʻuhane a ʻo ka wahine ka moʻo ʻana ma mua o ka nui o ka ʻokoʻa e hōʻike ʻia i ka hopena ʻole e hoʻōki i ke ʻano moeʻuhane ʻoiai ʻo nā hopena weliweli a me ka hana. I ka ʻike ʻana i kekahi mau wehewehe ʻana o ka male ʻana i ka moʻo ʻana ʻo kekahi o nā pōpilikia ke hoʻoholo i ke ʻano o ka hoʻohui ʻana i ka moekolohe. He pilikia nā huaʻōlelo hypersexuality no ka mea ʻaʻole i manaʻo ka hapa nui o ka poʻe maʻi ua ʻoi aku ka nui o kā lākou hana a i ʻole koi aku ai ma mua o ka nui. ʻO ka lua, he kuhi hewa ʻia ka ʻōlelo no ka hoʻohaʻahaʻa ʻana i ke ʻano he moemoeā a hōʻeuʻeu ʻole a ʻaʻole ia he makemake pilikino i ka moekolohe a hope loa, hiki i ke ʻano hana hoʻokalakupua ke hōʻike i nā ʻano like ʻole i kūpono ʻole i kēia wehewehe ʻana.Hall, 2011).

ʻO ka lima ʻelima o ka Diagnostic and Statistical Manual of Mental Disorder (DSM-IV) ua noʻonoʻo pono i ka hoʻopili ʻana o ka maʻi pilikino i hana akā ua hōʻole ʻia iā ia (APA, 2013). I kēia manawa, he paio kūleʻa inā he hana hoʻoweliweli kaohi i ke ʻano he obs obsitive-compulsive a addiction.

E like me ka ICD-11 e ka Paikapu Ke Aloha Honua (2018) ʻike ʻia ke ʻano o ka moekolohe moekolohe e kahi ʻano hoʻomau o ka hana ʻole i ka kaohi ʻana i nā impulses moekolohe pinepine e hopena ai i ka moekolohe. No laila, ʻo nā ʻōuli o kēia maʻi pū me nā hana moekolohe repetitive e hoʻonāukiuki i ka noʻonoʻo nui a hōʻeha loa i ke olakino a me ke olakino olakino o kēlā me kēia me ka hana kūleʻa ʻole e hōʻemi i kēlā impulses a me nā lawena.

Hoʻopilikia ka mea pili i ke kahe kanaka no ka mea he nui i nā hoaaloha a ʻae i ke aloha, nā ʻohana a me ka hauʻoli o ke ola (Zapf, Greiner, & Carroll, 2008). ʻO ka poʻe pilikino me ka puʻupuʻu hoʻopilapiha manuahi (CSBD) e hoʻohana i kahi ʻano ʻano moeʻuhane kūwaho me ka hoʻohana nui ʻana i nā kiʻi porno, nā kamaʻilio kūkākūkā a me nā cybersex ma ka Pūnaewele (ʻO Rosenberg, Carnes & O'Connor, 2014; Weinstein, et al., 2015). He ʻano kikowaena CSBD me ka hoʻomau, cognitive a me nā ʻanoʻuhane.Fattore, Melis, Fadda, & Fratta, 2014). Ke koi nei ka hana pono i ka ʻimi ʻana i nā kaanalima, ʻoi loa ka ʻike o ka hālāwai kolohe, ka ʻāwili ʻana puʻuwai, hoʻohana maʻamau i ka nānā ʻana i nā kiʻi. ʻO ka pūnaehana noʻonoʻo-ka naʻau e pili i nā manaʻo noʻonoʻo e pili ana i ka moekolohe, nā hewa hewa, pono e pale i nā manaʻo leʻaleʻa, ka noho wale ʻana, ka haʻahaʻa haʻahaʻa ʻana, ka hilahila a me ka huna ʻole e pili ana i ka hana moekolohe, nā manaʻo e pili ana i ka hoʻomau i ka hana moekolohe, makemake nui no ka moe kuhi hewa, a me ka nele o ka. kāohi ma luna o kekahi mau ʻano o ke ola (Weinstein, et al., 2015).

ʻO ka hui pū ʻana o CSBD a me nā mea ʻē aʻe e pili ana i kēia mau pilikia e kaʻana like i nā hana etiological, e like me nā neurobiological a me nā pona ʻona kūwili (e like me nā ʻano, ʻano ʻona, nā kūpaʻa cognitive, a i ʻole bias) ()Goodman, 2008). Carnes, Murray, a me Charpentier (2005) ua hōʻike ʻo ka hapa nui o kahi hoʻohālike o ka 1,603 me CSBD i hōʻike i ka hala o nā ola ʻē aʻe o nā ʻano hana hoʻohālikelike a me nā hōʻino maikaʻi e like me ka hōʻino kino ʻana, ka palaka, a i ʻole nā ​​meaʻai ʻole. Ua ʻike ʻia kahi hoʻokolohua o nā mea pīpī pili i ka 19.6% o kā lākou kiʻi hoʻohālike i ʻike i nā koina no ka hana hoʻohaʻahaʻa (CSB).Grant & Steinberg, 2005). ʻO ka hapa nui o ka poʻe i hoʻokō i nā kūlike no nā maʻi ʻelua ua hōʻike mai ka mua o CSBD i kā lākou mau pilikia pili pāʻani.

E like me CSBD e like me nā hana hoʻohui ʻē aʻe e hāʻule ma luna o ka kiko o ke ʻano he obsitive-compulsive a me ka hana hoʻomāhuā (Grant, Potenza, Weinstein, & Gorelick, 2010; Raymond ma. 2003) ua hōʻike i ka manaʻo o ke ʻano o ka hana hoʻokūkū (CSB) a ua manaʻo lākou ua like ia me ka OCD. ʻO Mick lāua ʻo Hollander (2006) ua hōʻike nui i ka mea nui o ka co-morbidity ma waena o CSBD a me OCD a ua hoʻolālā aku i ka mālama ʻana me Selective Serotonin Reuptake Inhibitors (SSRIs) me ka cognitive-behavior no kēia maʻi. Aia hou he mau manaʻo e pili ana ka CSBD me ka hopohopo a me ke kaumaha (ʻO Bancroft & Vukadinovic, 2004; Klontz, Garos, & Klontz, 2005; Weiss, 2004). Ua noiʻi ʻia kahi noiʻi hou i nā kuleana o ka impulsivity a me ka compulsivity ma CSBD i kahi nui kaiāulu nui (ʻO Bőthe, Koós, Tóth-Király, Orosz, & Demetrovics 2019a, b). ʻIke lākou he pili ʻole ka impulsivity a me ka hoʻopili ʻana e pili ana i ka pilikia kiʻi kino i waena o nā kāne a me nā wahine, kēlā. Eia kekahi, ʻoi aku ka ikaika o ka impulsivity me ka hypersexuality ma mua o ka hana paʻakikī i waena o nā kāne a me nā wahine, kēlā. Ua paio nā mea kākau e pili ana i kā lākou hopena no ka impulsivity a me ka hoʻokauʻana ʻaʻole paha i hāʻawi i ka nui o ka hoʻohana ʻana i nā kiʻi i kiʻi ʻia i ka porn, akā hiki i ka lawehala ke kuleana nui i ka hypersexuality ma mua o ka hoʻohana ʻana i ka porno pilikia. Ua ʻike hou ʻia kahi haʻawina hou a pākuʻi ʻia o ka CSBD i kahi nui nui o nā mea maʻi me OCD (ʻO Fuss, Briken, Stein, & Lochner, 2019). Ua hōʻike ʻia kēia haʻawina ʻo ka lōʻihi o ke ola o CSBD he 5.6% i nā mea maʻi me ka OCD o kēia manawa a ʻoi aku ka kiʻekiʻe o nā kāne ma mua o nā wahine. ʻO CSBD ma OCD ʻoi aku ka maikaʻi o ka comorbid me nā manaʻo ʻē aʻe, nānā-compulsive, a me nā pilikia impulse-control, akā ʻaʻole me ka maʻi maʻi ma muli o ka hoʻohana lāʻau a me nā mea hoʻohālike. Loaʻa kēia loaʻa ʻike i ka noʻonoʻo ʻana o CSBD ma kahi o ka mea hoʻokūkū compulsive-impulsive.

I ka ʻike ʻana i ka hoʻopaʻapaʻa ʻana ma luna o ka papa helu CSBD he mea hōʻiliʻili pili maoli a i ʻole kahi hanana obsitive-compulsive ua lilo ia i mea nui e aʻo i ka comorbidity of CSBD me OCD, ʻeha a me ka hopohopo i loko o ka poʻe me CSBD ka mea e hoʻohana nei i ka punaewele kaulana o ka Pūnaewele e loaʻa ai. pili pilikino. ʻO ka mea hou nei, aia ke hoʻonui nei ka hoʻohana ʻana o nā noi pūnaewele ma ka pūnaewele kelepona i nā kelepona paʻa ʻana no ka moe kolohe, ʻo ia hoʻi he kahua no ka kiʻi ʻana i nā kāne moekolohe (Zlot, Goldstein, Cohen, & Weinstein, 2018). Ua hōʻike mākou ma kahi noiʻi mua i waena o ka poʻe e hoʻohana ana i nā noi pāʻani e kiʻi i nā hoa moe, i ka hopohopo ʻana ma mua o ka ʻimi ʻana a ʻimi ʻana paha i ka wahine he mea nui ia e pili ana i ka hoʻohana ʻana i nā noi pili pūnaewele no ka loaʻa ʻana o nā hoa moe (Zlot et al., 2018). Eia kekahi, ua noiʻi i ka impulsivity a me ka pilikia e pili ana i ka pūnaewele-kiʻi pūnaewele i ʻike ʻia i ke ʻano o ka lawena puʻuwai, ma waena o kēia heluna e loiloi ai i hiki iā CSBD ke manaʻo ʻia i kahi hui hoʻomohala.

ʻO ka pahuhopu o ke aʻo mua ʻana e nānā inā he compulsivity, kaumaha a me ke hopohopo nui (aupuni a i ʻole trait) e hāʻawi i ka ʻano o ka pae CSBD i waena o ka poʻe e hoʻohana i ka Pūnaewele no ka loaʻa ʻana o nā hoa pili. Koho ʻia ma nā noiʻi mua (ʻO Bancroft & Vukadinovic, 2004; Bőthe et al., 2019a, b; Mick & Hollander, 2006; Klontz, Garos, & Klontz, 2005; Weiss, 2004) ua hypothesized kēlā me ka hopohopo compulsivity a me ke kaumaha, e hoʻomaikaʻi maikaʻi ʻia me nā ana o CSBD a ʻo ka nui o ka hopena. ʻO ka pahuhopu o ka lua aʻoi aku ʻo ia ke nānā aku inā he impulsivity, Hoʻopilikia ka pilikia o ka hoʻohana ʻana i nā kiʻi i nā kiʻi e pili ana i ka ʻano o ka CSBD. Koho ʻia ma nā noiʻi mua (Bőthe et al., 2019a, b; Fattore, Melis, Fadda, & Fratta, 2014; ʻO Kraus, Martino, & Potenza 2016; ʻO Rosenberg, Carnes, & O'Connor, 2014; Weinstein et al., 2015) ua hypothesized ia ka impulsivity a me ka pilikia pilikia o ka hana pūnaewele pili pono e hoʻoponopono maikaʻi ʻia me nā ana o CSBD a ʻo ka nui o ka hopena. ʻO ka mea hope loa, kahi hōʻike hypothesis i ʻimi ʻia e ʻO Stack, Wasserman, a me Kern (2004) ʻo ia ka poʻe me nā ikaika ikaika loa i ka ʻenehana hui maʻamau e ʻoi aku ka liʻiliʻi ma mua o ka poʻe e hoʻohana i ka pilikia kūpono ma ka pūnaewele. No laila ua manaʻo ʻia he mea ʻoi aku ka pili o ka mea hoʻopili pūnaewele ma ka pilikia o ka hana a me ka moekolohe. No laila ua hypothesized e hōʻea i nā mea hoʻohana i ʻoi aku ʻoi aʻe ma mua o ka poʻe i mare i ka helu ʻana o nā hana pili i ka pilikia ma ka pūnaewele a me CSBD.

E aʻo i ka 1

Nā Papahana

i komo

A hoʻokahi haneri a me kanahikukūmālima mau poʻe hui ke ola i ka makahiki 33.3 mau makahiki (SD = 9.78) i hoʻopaʻa ʻia i ka hoʻopaʻa ʻana. ʻO nā paipai no ka hoʻohui ʻana i nā makahiki 20 nā kāne a me nā wahine e hoʻohana mau pinepine i ka Pūnaewele no ka loaʻa ʻana o nā hoa moe. He 65 mau wahine (143%) a he 82 kāne (32%) i ka laʻana. ʻO ka manaʻo nui o ka wahine ʻo 18 mau makahiki (SD = 33.89) a ʻo nā kāne he 9.52 mau makahiki (SD = 30.52). ʻO kahi hapa nui o ka laʻana o kēia manawa he haʻawina hoʻonaʻauao a i ʻole like paha kahi (10.79%) a ʻo ke koena o ka pākuhi he 70.2 mau makahiki aʻoi aku paha. Eia kekahi, ʻo kahi hapa liʻiliʻi o nā poʻe i nele ʻole i ka ʻoihana (12%), ʻo ka hapa nui o nā poʻe i hana i nā hana hana (9%) a i loko o nā hana holoʻokoʻa (65%). ʻO ka hapa nui o nā hoʻohālike ua male ʻia (26%), ʻo kekahi kekahi i helu (45%) a i ʻole a i kahi pilina (25%). ʻO ka hapa nui o nā hoʻohālike e noho ana ma ke kūlanakauhale (20%) a me ka hapa liʻiliʻi e noho ma ke kua'āina (82%). ʻAʻole loaʻa nā poʻe komo i ka uku kālā no ko lākou komo ʻana i ka hoʻopaʻa ʻana.

Pākuhi

Nā nīnau nīnau noiʻi

Ua hoʻopili ʻia ka noiʻi demographic i nā mea e pili ana i ka wahine, nā makahiki, ke kūlana male, ka ʻano o ke ola, ka hoʻomana, ka hoʻonaʻauao, nā hana.

ʻO ka hoʻokaʻaʻike Spielberger a me ka'āina hopohopo mokuʻāina (STAI)

ʻO AIʻO Spielberger, Gorsuch, Lushene, Vagg, & Jacobs 1983) he 40 mau mea, 20 mau mea hopohopo, a me nā mea hopohopo 20. Nā ʻokoʻa ma nā Likert scale mai 1 “ʻaʻole loa” a 4 i ʻae "ʻae nui loa." Ua loaʻa ka ʻōlelo nīnau me ke ʻano nui o Cronbach ma loko α = 0.83 no Spielberger State a α = 0.88 no Spielberger Trait (Spielberger et al., 1983). I kā mākou papa noiʻi ʻana i nā nīnau nīnau STAI-s i loaʻa i kahi ʻano Cronbach internal o ka α = 0.95 a me ka nīnau nīnau STAI-t i kahi hilinaʻi kūloko o Cronbach's α = 0.93.

ʻO ke kumukūʻai ʻo Beck Depression Inventory (BDI)

ʻO ka BDI (Beck et al., 1988) kahi mea hōʻike pilikino e hōʻike ana i ke ʻano o ka ʻona a me nā hōʻailona o ke kaumaha (Beck, Ward, & Mendelson, 1961). Hoʻokomo ʻia ka mea noiʻi he 21 mau mea, ua helu ʻia kēlā me kēia helu ma ke ana mai ka 0 a hiki i ka 4 a he helu helu ʻia i ka helu ʻana i nā mea. Hōʻike ka BDI i nā kūloko kūloko kūloko kiʻekiʻe, me ke kūlike o Cronbach i loko α = 0.86 a me 0.81 no nā psychiatric a me nā non-psychiatric populasyonBeck et al., 1988). I kēia noiʻi ʻana, loaʻa ka BDI i kahi mākau kūloko kūloko o ka α = 0.87.

ʻO Yale-Brown Obsessive Compulsive Scale (YBOCS-)

ʻO YBOCS (Goodman et al., 1989) he 10 mau mea ma ka pae o Likert pae mai ka 1 "piha piha" i 5 "ʻaʻohe mana." Ua loaʻa ka ʻōlelo nīnau me ke ʻano nui o Cronbach ma loko α = 0.89 (Goodman et al., 1989). I kā mākou papa noiʻi ʻana i loaʻa ka nīnau nui o Cronbach i loko α = 0.9.

Ka Hoʻoweliweli Ma Ka Hoʻohui Pale (SAST)Carnes, 1991)

ALOHACarnes, 1991) he 25 mau mea e hoʻopaʻa ai i ka moekolohe. ʻO nā mea ma ka SAST he dichotomous me ka hōʻoia ʻana o kahi mea e loaʻa ana i ka hoʻonui ʻia e kekahi ma ka helu holoʻokoʻa. Hōʻike i ka helu ma mua o ʻeono ma ke ʻano hypersexual, a me ka helu huakaʻi o 13 a i ʻole ma luna o nā hopena SAST ma kahi 95% maoli maikaʻi maoli no ka hoʻohui i ka wahine (ʻo ia hoʻi, he 5% a emi aʻe paha ka loaʻa ʻole o ka ʻike pololei ʻana i kahi kanaka me he mea laikini male kolohe) (Carnes, 1991). Ua kāla ʻia ka nīnau noi e ʻO Hook, Hook, Davis, Worthington, and Penberthy (2010) e hōʻike ana iā Cronbach's α kūlike ʻole o 0.85-0.95. I kā mākou noi ʻana aia ʻo Cronbach's α o 0.80. ʻAʻole ʻae ʻia ka SAST e hōʻike i kahi ikepili helu, a ua hoʻohana ʻia ma ka ʻano mau ka hoʻololi ʻana akā ʻaʻole no ka helu ʻana i nā kāne i lawehala. Ua nīnau ʻia ka nīnau i ka ʻōlelo Hebera a ua hōʻoia ʻia lākou i nā haʻawina mua.

Ke Kaʻina hana

Ua hoʻolaha ʻia nā nīnau noiʻi ma ka pūnaewele me nā ʻoihana pūnaewele a me nā hui kūkala i hoʻolaʻa ʻia no nā kiʻi pāʻani a me nā kāne ("Tinder," "okcupid," "gdate," "gflix," a me kekahi). Ua pane nā wahi e pili ana i nā nīnau nīnau ma ka Pūnaewele. Ua hoʻomaopopo ʻia nā mea komo e noiʻi ana ka noiʻi i ka pili ʻana i ka moekolohe a ʻo nā nīnau nīnau noho mau no ka mea noiʻi no ke kumu noiʻi.

Ka helu ʻikepili a me ka helu kālā

Ua hana ʻia ka huli ʻana o nā hualoaʻa ma Statistical Package for Social Science (SPSS) (IBM Corp. Armonk, NY, USA).

No ka huli ʻana i nā hiʻohiʻona kikoʻī ua hana ʻia kahi hōʻike mua o ka pili ʻana i ka moekolohe. ʻAʻole hoʻoili iki ka neʻe ʻana o nā moekolohe male i loko o ka lehulehu no laila ua hoʻohālikelike ʻia kahi hoʻololi o ka LAN i nā ʻano hoʻohālikelike o ka moekolohe, ʻona o ke ʻano manuahi (S = 0.04, SE = 0.18) me ka kurtosis (K = −0.41, SE = 0.37) hōʻike i ka mahele maʻamau. Ma muli o ka like o nā hopena i nā ana a i ʻole nā ​​ʻano kumu i hoʻololi ʻia, ua hōʻike ʻia nā hopena o ka ʻike kumu. Ma hope iho, ua kālailai hou ʻia nā hoʻopili maʻalahi ʻana i waena o ka obsessive-compulsive, depress, a me nā hana hopohopo i ka laʻana āpau a me nā kāne a me nā wahine ʻokoʻa. ʻO ka mea hope loa, ua ana ʻia ka makana o obsessive-compulsive, depress, a me nā ʻano hopohopo i ka ʻokoʻa o nā helu kuhi wahine i ka hoʻohana ʻana i ka loiloi regression multivariate. Hōʻike ʻia nā hopena nui o nā hoʻohālikelike regression ma hope o ka hoʻoponopono ʻana a Bonferroni (P <0.0125). Ua helu ʻia nā hoʻoponopono Bonneferoni e hoʻohana ana i ka haʻilula αkoʻikoʻi = 1 - (1 - αloli)k. ^ E Ha yM. Nui ʻokoʻa F ua helu ʻia me ka hoʻohana i ka haʻilula Cohen's F ʻehā like o ka nui o ka hopena = R ku ʻaka / 1−R ʻehā.

nā mea pono

Ua apono ʻia ka aʻo ʻana e ka Papa Hoʻolālā Institution (IRB, ke komite Helsinki) o ke Kula Nui. Ua hoʻopaʻa inoa nā mea āpau i kahi palapala i ʻae ʻia ma ka ʻike.

Results

Nā hiʻohiʻona hiʻona

Ua hōʻike ʻia nā helu ma nā nīnau no ka pili ʻana i ka wahine, he 49 mau poʻe (11 kāne a me 38 mau wahine) hiki ke ʻokaʻane i ka hoʻohui ʻana i ka moekolohe a me 126 ka poʻe i hōʻahewa ʻia e ka moekolohe. Nane (1991) (Ka helu SAST> 6). Ua ʻoi aku ka nui o ka nui o nā kāne i ka wahine ma mua o ka wahine [t (1,171) = 2.71, P = 0.007, Cohen's d = 0.53; e hōʻike ana i kahi hopena nui o ke kāne a me ka wahine i ka wahine. e hōʻike ana i nā ana a Cohen (liʻiliʻi, ʻano, nui)]. Eia kekahi, ua hōʻike nā kāne i nā ʻōuli OCD ma mua o nā wahine [t (1,171) = 4.49, P <0.001, ʻo Cohen's d = 0.85; e hōʻike ana i kahi hopena nui o ke kāne a me nā ʻōuli OCD e like me nā ana a Cohen]. ʻAʻole i hōʻike nā kāne i nā ana hopohopo kūlana kiʻekiʻe ma mua o nā wahine t(1, 171) = 1.26, P = 0.22. ʻAʻole hōʻike ʻia nā kāne i nā hana hoʻokaumaha kiʻekiʻe i mua o nā wahine t(1, 171) = −0.79, P = 0.43 a ʻaʻoheʻokoʻa ʻē aʻe i loko o ke kaumaha i waena o nā kāne a me nā wahine t(1, 171) = 1.12, P = 0.26 (ʻike 1 Pūnaewele).

1 Pūnaewele.Heluhelu 1-Nā hoʻokō nīnau nīnau ʻana ma nā kāne male M (SD)

Males (n = 30)Wahine wahinen = 145)Hōʻuluʻulu (n = 175)
PAPA31.53 (5.64)29.45 (3.4)4.93 (3.94)
YBOCS20.6 (10)14.69 (5.55)15.70 (6.87)
BDI33.8 (13.68)31.56 (9.24)31.76 (10.39)
STAI-S35.2 (12.93)37.36 (14.93)36.18 (13.36)
STAI-T35.8 (15.21)38.53 (14)36.63 (14.56)

ʻO nā helu pōkole: SAST- ʻo ka hōʻike hoʻoweliweli hakakā maoli; YBOCS-Yale-Brown Obsessive-Compulsive Scale; Hoʻololi Inventory ʻO BDI- Beck; STAI-S / T- Spielberger Trait a me ka Hoʻohui kaumaha o ka mokuʻāina.

ʻO ka hui ma waena o ke kaumaha, hopohopo a me nā hōʻailona koʻikoʻi-compulsive, a me ka hoʻohui kiʻi kāne

Ua hōʻike kahi hōʻike hoʻokolohua mua a Pearson i kahi pilina maikaʻi ma waena o ke kaumaha, ke ʻano a me ka hopohopo o ka mokuʻāina, nā ʻōuli obsessive-compulsive a me nā helu ʻai hoʻowai wahine. 2 Pūnaewele) a ua nānā pono ʻia kēia mau hoʻoponopono i nā kāne a me nā wahine paha.

2 Pūnaewele.ʻĀlelo 1-Pearson r nā hoʻoponopono i nā nīnau no nā ʻae āpau (n = 175)

Nā kumuM (SD)PAPAYBOCSBDISTAI-SSTAI-T
1. HUI4.93 (3.94)
2. YBOCS15.70 (6.87)0.54 ***
3. BDI31.76 (10.39)0.39 ***0.52 ***
4. STAI-S36.18 (13.36)0.45 ***0.57 ***0.83 ***
5. STAI-T36.63 (14.56)0.42 ***0.52 ***0.80 ***0.88 ***

ʻO nā helu pōkole: SAST- ʻo ka hōʻike hoʻoweliweli hakakā maoli; YBOCS- Yale-Brown Obsessive-Compulsive Scale; Hoʻololi Inventory ʻO BDI- Beck; STAI-S / T- Spielberger Trait a me ka Hoʻohui kaumaha o ka mokuʻāina.

***P <0.01.

Ua hōʻike ʻia ka nui o ka loiloi regression i kekahi ʻano hoʻohālikelike i ka wahine.β = -0.06, P = 0.34), Y-BOCS (β = 0.42, P <0.001), BDI (β = -0.06; P = 0.7), a me ke ʻano o STAI (β = 0.18, P = 0.22) a me kā STAI mokuʻāina (β = 0.07, P = 0.6) ua loaʻa ka nui o nā helu i ka nui o ka helu ʻana i nā helu kolohe wahine.F (4,174) = 21.43, P <0.001, R2 = 0.33, Cohen's f = 0.42] a ua wehewehe pono ia i ka 33.3% o ka nui o kēia mau helu. Eia nō naʻe, ʻo Y-BOCS wale nō i ʻike i ka hoʻohui i ka moekolohe. Ua helu ʻia ka helu helu helu hoʻohālikelike ma waena o 0.3 a me 0.89, a ʻo ka VID measretsena i helu ʻia ma waena o 1.1 a me 3 a ua hōʻike lākou i ka kū maikaʻi kūpono. See 3 Pūnaewele no ka loiloi kauā. Ua hana ʻia ka loiloi hou ʻana i ka hopena o ka wahine e pili ana i ka hui ʻana ma waena o ka OCD a me nā loiloi moena.β = 0.12, P = 0.41; β = 0.17, P = 0.25).

3 Pūnaewele.Hōʻailona 1-Linear regression o nā hopena o ka nānā-compulsive, hōʻeha a me ke kaumaha hopohopo i nā hōʻemi pili i ka moʻo ʻana i ka moekolohe i nā poʻe āpau (n = 175)

NānāBSENā ʻāpana hapaβ
YBOCS0.240.040.360.42 ***
BDI-0.230.04-0.03-0.06
STAI-S0.050.040.040.194
STAI-T0.020.030.10.08
F(4,174) = 21.43 ***; R2 = 0.33

ʻO nā helu pōkole: SAST- ʻo ka hōʻike hoʻoweliweli hakakā maoli; YBOCS- Yale-Brown Obsessive-Compulsive Scale; Hoʻololi Inventory ʻO BDI- Beck; STAI-S / T- Spielberger Trait a me ka Hoʻohui kaumaha o ka mokuʻāina.

P <0.001 ***.

I ka hopena, ua hōʻike nā hopena i ka hopena maikaʻi ma waena o ke kaumaha, ke ʻano a me ka hopohopo ʻana i nā pilikia, nā hōʻailona obsitive-compulsive a me nā hōʻiliʻili wahine-i hoʻohui ʻia i nā kāne a me nā wahine. ʻO ka lua, ua hōʻike ka loiloi regression ua loaʻa nā helu compulsivity i nā ʻano like ʻole o nā kumukūʻai i moekolohe a ua wehewehe lākou iā 33.3% o ka ʻano like.

E aʻo i ka 2

Nā Papahana

i komo

A hoʻokahi haneri me kanakolukumamāiwa mau mea i komo i ka makahiki 24.75 mau makahiki (SD = 0.33) i lawe ʻia i ka hoʻopaʻa ʻana. Hoʻokomo nā paila hoʻohui iā 20 mau kāne a me nā wahine e hoʻohana pinepine ʻana i ka Pūnaewele no ka hana moekolohe. He 65 wahine (98%) a 71 kāne (41%). ʻO ka manaʻo nui o ka wahine he 29 mau makahiki (SD = 24) a ʻo nā kāne he 5 mau makahiki (SD = 25). ʻO kahi hapa nui o ka laʻana o kēia manawa he haʻawina hoʻonaʻauao a i ʻole like paha kahi (4%) a me ke koena o ka hoʻohālike (29%) he 71 mau makahiki aʻoi aku paha. Eia kekahi, ʻo kahi hapa liʻiliʻi o nā poʻe i nele ʻole i ka ʻoihana (12%), nā haumāna (2%) a ʻo ka hapa nui o nā mea hana i hana ma nā kūlana hana (11%) a i loko o nā hana holoʻokoʻa (16%). ʻO ka hapa nui ka hapa hoʻohālike (71%) a i ʻole a i ʻole ma kahi pilina (73.7%).

Pākuhi

Nā nīnau nīnau noiʻi

Ua loaʻa i kahi nīnau demographic nā mea e pili ana i ke kāne ʻana, nā makahiki, nā kūlana mare, ka ʻano o ka noho ʻana, ka hoʻomana, ka hoʻonaʻauao, nā hana. Ua nīnau ʻia ka nīnau i ka ʻōlelo Hebera a ua hōʻoia ʻia lākou i nā haʻawina mua.

Keahi Hoʻohālikelike (Barist Impulsiveness Scale) (BIS / BAS)

ʻO ka BIS / BAS kahi nīnau ninaninau e hāpai i nā impulsivity i hoʻomohala ʻia e Patton, Stanford, a me Baratt (1995). ^ E Ha yM. ʻO ka nīnau nīnau he 30 mau mea. Nā helu ma nā Likert scale mai 1 "ʻokoʻa" a liʻiliʻi ʻole "a hiki i 4" aneane mau loa. " Ua loaʻa ka ʻōlelo nīnau me ke ʻano nui o Cronbach ma loko α = 0.83. I kā mākou papa noiʻi ʻana i hoʻopili ka nīnau i ka Cronbach internal consistence o α = 0.83.

Pākuhi Pūnaewele Pūnaewele liʻiliʻi (s-IAT-sex)

ʻO ka s-IAT-sex ka nīnau ninaninau e ana i ka pilikia pilikia o ka hana pūnaewele i hāpai ʻia e ʻO Wéry, Burnay, Karila, a me Billieux (2015). ^ E Ha yM. Kūkulu ʻia ia e kahi hōʻike hoʻonaninani pūnaewele hoʻokumu ʻia e Pawlikowski, Altstötter-Gleich, a me Brand (2013) kahi i koho ʻia ai nā mea ma “Pūnaewele” a i “ka pūnaewele” me ka “hana pūnaewele i ka pūnaewele” a me nā “sex sites.” He 12 mau mea nīnau nīnau, ua helu ʻia kēlā me kēia helu ma ka pāuna mai ka 1 a 5 mai ka 1 "ʻaʻole" a hiki i 5 "mau" a helu ʻia nā helu helu ma ka hoʻopiʻi ʻana i nā mea. Ua kāla ʻia ka nīnau noi e ka ʻO Wéry et al. (2015) me ka manaʻo Cronbach kūlike kūloko o α = 0.90. I kā mākou papa noiʻi ʻana i hoʻopili ka nīnau i ka Cronbach internal consistence o α = 0.89.

Ka Hoʻoweliweli Ma Ka Hoʻohui Pale (SAST)Carnes, 1991) i hōʻoia ʻia ma o ʻO Hook et al. (2010) e hōʻike ana iā Cronbach's α o 0.85-0.95. I kā mākou noi ʻana aia ʻo Cronbach's α o 0.79. ʻAʻole ʻae ʻia ka SAST e hōʻike i kahi ikepili helu, a ua hoʻohana ʻia ma ka ʻano mau ka hoʻololi ʻana akā ʻaʻole no ka helu ʻana i nā kāne i lawehala.

Ke Kaʻina hana

Ua hoʻolaha ʻia nā nīnau noiʻi ma ka pūnaewele me nā ʻoihana pūnaewele a me nā ʻikepili o nā mea e hoʻohana nei i kahi hana pilikino pilikia ma ka pūnaewele. Ua pane nā mea komo i nā nīnau nīnau ma ka Pūnaewele. Ua hoʻomaopopo ʻia nā poʻe komo e noiʻi ana ka noiʻi i ka pili ʻana i ka moekolohe a ʻo ka nīnau nīnau no ka mea noi.

Ka helu ʻikepili a me ka helu kālā

Ua hana ʻia ka huli ʻana o nā hualoaʻa ma ka Pūʻepekema Pūnaewele no ka Pūnaewele ʻepekema (SPSS) no nā puka aniani v.21 (IBM Corp. Armonk, NY, USA). I mea e hoʻāʻo ai i ka hoʻoili maʻamau ʻana i hana ʻia kahi hoʻololi o ka LAN e pili ana i ka hōʻemi ʻana i ka moekolohe. Ka waiwai o ka skewness (S = −0.2, SE = 0.2) a me ka kurtosis (K = −0.81, SE = 0.41) ua hōʻike i kahi hoʻohele maʻamau. Mai ka like o nā hualoaʻa i like me nā loli a me ke kaʻina mua, hōʻike ʻia nā hopena o nā ʻike kumu.

Ua kālailai ʻia nā ʻikepili e pili ana i ka moekolohe, ka makahiki, ke kūlana male, ke ʻano o ka noho ʻana, ka naʻau, ka hana a me ka hoʻohana ʻana i ka punaewele me ka hoʻāʻo ʻana i kahi hoʻokolohua chi-square a Pearson. ʻO ke kōkua o ka impulsivity, a me nā pilikia e pili ana i ka moekolohe ma ka pūnaewele i ka ʻokoʻa o nā helu kuhi kolohe i ana ʻia me ka hoʻohana ʻana i ka loiloi regression multivariate. Hōʻike ʻia nā hopena nui o nā hoʻohālikelike regression ma hope o ka hoʻoponopono ʻana a Bonferroni (P <0.0125). Ua helu ʻia nā hoʻoponopono Bonneferoni e hoʻohana ana i ka haʻilula αkritika = 1− (1−αloli)k. ^ E Ha yM. Nui ʻokoʻa F ua helu ʻia me ka hoʻohana i ka haʻilula Cohen's F ʻehā like o ka nui o ka hopena = R ku ʻaka / 1−R ʻehā.

nā mea pono

Ua apono ʻia ka aʻo ʻana e ka Papa Hoʻolālā Institution (IRB, ke komite Helsinki) o ke Kula Nui. Ua hoʻopaʻa inoa nā poʻe āpau i kahi palapala hōʻoia i hōʻike ʻia.

Results

Nā Hōʻailona Hiʻona

Ua hōʻike ʻia nā helu ma nā nīnau no ka pili ʻana i ka wahine, he 45 mau poʻe (18 kāne a me 27 mau wahine) hiki ke ʻokaʻane i ka hoʻohui ʻana i ka moekolohe a me 92 ka poʻe i hōʻahewa ʻia e ka moekolohe. Nane (1991) (Ka helu SAST> 6). Ua ʻoi aku ka nui o ka nui o nā kāne i ka wahine ma mua o ka wahine [t (1,135) = 2.17, P = 0.01, Cohen's d = 0.41]. Loaʻa i nā helu nui aku nā kāne ma ka Short Internet Addiction Test (s-IAT-sex) ma mua o nā wahine [t (1, 58) = 2.17, P <0.001 ʻO Cohen's d = 0.95; e hōʻike ana i kahi hopena nui o ke kāne a me ka wahine ʻana ma ka Pūnaewele e like me nā kumu a Cohen]. ʻAʻole ʻokoʻa nā helu impulsivity (BIS / BAS) ma waena o nā kāne a me nā wahine t (1, 99) = -0.87; P = 0.16). See 4 Pūnaewele no ka nīnau nīnau ʻana i nā mea a pau.

4 Pūnaewele.Heluhelu 2-Nā hoʻokō nīnau nīnau ʻana ma nā kāne male M (SD)

Males (n = 41)Wahine wahinen = 98)Hōʻuluʻulu (n = 139)
PAPA5.47 (3.41)4.14 (3.2)4.53 (3.3)
s-IAT-wahine1.78 (0.67)1.25 (0.51)1.4 (0.6)
BIS / BAS2 (0.28)2.07 (0.39)2.05 (0.36)

ʻO nā ʻōlelo pōkole: "s-IAT-sex" - Pāʻani hoʻoweliweli hoʻoweliweli pūnaewele i hoʻoponopono ʻia no ke ana ʻana i nā hana moekolohe; BIS / BAS- ʻO Barratt Impulsiveness Scale; SAST- Ka Hoʻoweliweli Ma Ka Hoʻoweliwahine Hoʻoweliweli.

ʻO ka hui ma waena o s-IAT-sex, BIS / BAS a me SAST

Ua hōʻike kahi hōʻike hoʻāʻo a Pearson i kahi pilina maikaʻi ma waena o ka impulsivity (BIS / BAS), nā hana moekolohe ma ka pūnaewele (s-IAT-sex), a me nā heluʻai hōʻalo wahine (SAST) (ʻike. 5 Pūnaewele).

5 Pūnaewele.Study 2- Nā hoʻopili a Pearson i nā nīnau nīnau āpau i nā mea komo āpau (n = 139)

Nā kumuM (SD)PAPAs-IAT-wahineBIS / BAS
PAPA4.53 (3.3)1
s-IAT-wahine1.4 (0.6)0.53 ***
BIS / BAS2.05 (0.36)0.35 **0.22 *-

ʻO nā ʻōlelo pōkole: "s-IAT-sex" - Pāʻani hoʻoweliweli hoʻoweliweli pūnaewele i hoʻoponopono ʻia no ke ana ʻana i nā hana moekolohe; "BIS / BAS" - Barratt Impulsiveness Scale; "SAST" - Hōʻike hōʻike Hōʻalo.

*P <0.05; **P <0.01.

Ua hōʻike ʻia ka nui o nā helu male ʻana no nā kāne a me nā wahine.β = -0.01, P = 0.84) s-IAT-moekolohe (β = 0.47, P <0.001), BIS / BAS (β = 0.24, P = 0.001) ua loaʻa ka nui o nā helu i ka nui o ka helu ʻana i nā helu kolohe wahine.F (2,134) = 34.16, P <0.001, R2 = 0.33, Cohen's f = 0.42] a ua wehewehe pono ia i ka 33% o ka loli ʻana o kēia mau helu. He hōʻailona o ke ahonui ma waena o 0.7 a me 0.9, a ua helu ʻia ka poʻe helu VIF i waena o 1 a 1.24 a ua hōʻike lākou i ka kuʻikahi kūpono. 6 Pūnaewele hōʻike i ka loiloi regression no nā kāne a me nā wahine o nā minamina i nā moena male. Ua hana ʻia ka huli ʻana hou e makaʻala i ka hopena o ka wahine a me nā ʻano like ʻole e pili ana i ka moʻo ʻana i ka moekolohe i nā huaʻōlelo o nā pakanā s-IAT-sex ×.β = 0.06, P = 0.77), a me BIS / BAS × male (β = 0.5, P = 0.46) ʻaʻole koʻikoʻi he wānana i ka hoʻohui wahine.

6 Pūnaewele.Hōʻailona 2- Ka hoʻopaʻa palena laina o nā hopena o nā hōʻiliʻili o ka wahine a me nā hoʻokele impulsivity ma luna o nā pilikia pili ka pili ʻana i ka pūnaewele i nā mea a pau o nā mea a pau (n = 139)

NānāBSENā ʻāpana hapaβ
hoohanau-0.110.57-0.17-0.1
s-IAT-wahine2.610.40.450.47 ***
BIS / BAS2.170.650.280.24 ***
F(3,133) = 22.64; R2 = 0.33 ***

ʻO nā ʻōlelo pōkole: "s-IAT-sex" - Pāʻani hoʻoweliweli hoʻoweliweli pūnaewele i hoʻoponopono ʻia no ke ana ʻana i nā hana moekolohe; "BIS / BAS" - Barratt Impulsiveness Scale; "SAST" - Hōʻike hōʻike Hōʻalo.

***P <0.001.

Marital kūlana

Ua helu kiʻekiʻe nā mea hoʻohana (M = 1.50, SD = 0.66) ma mua o nā hoa mare (M = 1.16, SD = 0.30) i ka nīnau nīnau s-IAT-sex (t (1,128) = 4.06, P <0.001). Hoʻokahi a ʻoi aku ka nui o nā mea i komoM = 4.97, SD = 3.38 (ma mua o nā hoa mare (M = 3.31, SD = 2.78) ma ka nīnau nīnau SAST (t (1,135) = 2.65, P <0.01). ʻO ka mea hope loa, ua ʻoi aku ka kiʻekiʻe o nā mea i komo i ka wahineM = 1.33, SD = 0.58 (ma mua o nā wahine i mare ʻia (M = 1.08, SD = 0.21) i ka nīnau nīnau s-IAT-sex (t (1, 92) = 4.06, P = 0.003).

I ka hopena, ua hōʻike nā hopena i kahi hopena maikaʻi ma waena o ka impulsivity, pilikia pilikia o ka hana pūnaewele a me nā piliona hoʻoili wahine. ʻO ka lua, ua hōʻike ka loiloi regression ua loaʻa nā impulsivity a me nā pilikia i ka hōʻiliʻili mo ka moʻo ma ka pūnaewele i kahi ʻano like ʻole o ka pae hoʻokaumaha a me ka hoʻomālamalama a 33% o ka ʻano.

kūkākūkā

Aia ka ulu nui o ka noiʻi ma ka CSBD a me kona hiki ke komo i ka Diagnostic a Statistical 5th Manual (DSM-5) (AhahuiʻApelika Psychiatric Association, 2013) a i ka ICD 11 kahi i kau ʻia ai i kēia manawa he pilikia luhi.Kraus et al., 2018). No ka mea he koʻikoʻi ke kumuhana a pili pono i ka haukapila, ʻoi aku ka nui o nā noiʻi a hiki i ka hiki ke ʻike ʻia kahi maʻi haukaʻi i ka hoʻoponopono hou ʻana o ka DSM. Ke kākoʻo nei ke aʻo nei ma mua i nā ʻike mua o ka co-morbidity o CSBD me ka obsessive-compulsive, kaumaha, a me ke kaumaha (Klontz, Garos, & Klontz, 2005) ʻoiai ma kahi liʻiliʻi o ke maʻi me ka OCD ma kēia pūʻulu o nā maʻi (15% i loko Black, 2000; a i ʻO Shapira, Goldsmith, Keck, Khosla, & McElroy, 2000). Ke noi hou ʻana ma kahi cohort nui o nā mea maʻi me OCD (Fuss et al., 2019) ke hōʻike nei i kahi pālahalaha nui o CSBD i nā mea maʻi me ka OCD o nā manawa a me ka comorbidity me kekahiʻano ʻē aʻe, obsessive-compulsive, and impulse-control disorder.

E like me CSBD e like me nā hana hoʻohui ʻē aʻe e hāʻule ma luna o ka kiko o ke ʻano he obsitive-compulsive a me ka hana hoʻomāhuā (Grant a me., 2010). I ka nui o ka lehulehu ma ka hanana nui o ka maʻi obsitive-compulsive (OCD) ma waena o 1 a 3% (Leckman et al., 2010). Hoʻopaʻa pinepine ʻia nā maʻi OCD me ka hana hoʻomanawanui.Klontz et al., 2005). Raymond ma. (2003) ʻo lākou ka mea mua i hōʻike i ke kumumanaʻo i ka hana pilikino manuahi (CSB) i ka mea fenomenologically e like me OCD. Hōʻike ʻia ka CSB e ka hana pinepine a me ka wahine, a me nā hana a me nā kāne e alakaʻi i nā hana koʻikoʻi. Hoʻokomo ʻia nā manaʻo i loko o ka manaʻo a ua pili pinepine lākou i ka luhi a i ʻole ka hopohopo, no laila ke koi ʻana i ka moekolohe. ʻO Mick lāua ʻo Hollander (2006) ua hōʻike nui i ka mea nui o ka co-morbidity ma waena o CSB a me OCD a ua hoʻolālā lākou i ka mālama ʻana me Selective Serotonin Reuptake Inhibitors (SSRIs) me ka mālama ʻana o ka cognitive-conduct no kēia maʻiʻino. Ua hōʻino ka DSM-IV i kēia ala mai ka mea nāna e launa ka hana i ka moekolohe ʻana e loaʻa pinepine ka leʻaleʻa ma kēia ʻano a e hoʻāʻo ʻo ia e pale aku i kēlā ʻano hana inā he ʻino wale nō kēlā ʻano (American Psychiatric Association, 2000, p. 422). ʻOiai nā mea maʻi me OCD manaʻo i loko o ka manaʻo noʻonoʻo me ka ʻike pilikino e aʻo pinepine ʻia e ka manaʻo maikaʻi ʻole me ka moekolohe. No laila ke manaʻo nei mākou e ʻike kēia mau mea maʻi i ka makemake o ka moekolohe i kēia manawa.

Aia hou he mau manaʻo e pili ana ka CSBD me ka hopohopo a me ke kaumaha (Klontz, Garos, & Klontz, 2005). Ua ʻike ʻia kahi noiʻi ma waena o nā kāne me CSBD ka nui o ka 28% ʻoiai ma ka heluna lehulehu ua 12% (Weiss, 2004). Aia hou he mau manaʻo e makemake nui ana ka poʻe me CSBD i ka moe a i ke kaumaha a i ʻole ka hopohopo (ʻO Bancroft & Vukadinovic, 2004). ʻO ka hapanui o nā kāne a me nā heterosexual ka mea i hōʻike i ka emi ʻana o ke kaomi holo kino i ka wā o kaʻeha a i ʻole ka hopohopo akā he hapa ma waena (ma waena o 15 a 25%) e hōʻike nei i ka hoʻonui ʻana o ka moekolohe, ʻoi aku ka hopohopo ma mua o ke kaumaha. ʻO ke ala o ke kaomi maluhia i ka wā o ke kaumaha he hopena ia mea he pono no kahi hoʻopā pilikino a mahalo paha paha e kekahi. ʻO ka poʻe i ʻike i ka emi ʻana o ka makemake i ka wahine i ka wā kaumaha e hana i kēlā no ka hoʻohaʻahaʻa ʻana iā ʻoe iho.ʻO Bancroft & Vukadinovic, 2004). Ua hōʻike ʻia kahi noiʻi ʻē aʻe ma waena o ka poʻe me CSBD 42–46% e pilikia ana i ka hopohopo a me 33-80% mai ka maʻi ʻeha (Mick & Hollander, 2006). Hoʻokahi hui o nā mea maʻi i mālama ʻia no CSBD ma kahi hui kulana i hōʻike i ka hōʻemi o ka naʻau noʻonoʻo, ke kaumaha, nā hōʻailona obsitive-compulsive, preoccupation with sex and sexual arousal, depression and depression and the modities were have at 6 months follow-up (Klontz, Garos, & Klontz, 2005).

Ma kēia noiʻi ʻana, ʻaʻole i hāʻawi nui nā loiloi kaumaha i nā helu laʻana i ka male ʻana. ʻOiai i kekahi mau manawa, hoʻemi ka ʻōpū i ka moekolohe a i kekahi mau manawa ke hoʻonui ʻia ka ka moekolohe.ʻO Bancroft & Vukadinovic, 2004) ka pilina ma waena o ke kaumaha a me ke ʻano hana i hoʻohālikelike ʻia e hoʻokaʻawale ʻia e nā mea ʻē aʻe. No ka mea ua hāʻawi nui ka hopohopo i nā loiloi o ka male ʻana o ka moe kolohe, ua hiki ke hoʻololi i ka mea kaumaha ma waena o ka hopohopo a me CSBD.

ʻOiai kēia haʻawina he wahi kūʻokoʻa o ka wahine i ka poʻe me ka hapa nui o nā wahine, ʻo nā hopena o ka loiloi regression kaʻawale no nā kāne a me nā wahine i hōʻike i ka hāʻawi ʻana o ka OCD, ke kaumaha a me ka hopohopo i nā haʻahaʻa ʻana i ka ʻano o nā loiloi wahine. i nā kāne, a ua wehewehe pono iā ia i ka 40% o ka hoʻohālikelike ʻana i 20% i ka wahine, ʻoiai he ʻano nui, ʻaʻole i pili ka wahine i ka ulana ʻoiai ke ʻano hui ʻia nā kāne a me nā wahine, ma muli o kahi helu liʻiliʻi o nā kāne. Loaʻa kēia ʻike i nā noiʻi o mua e hōʻike ana i nā hoʻokaʻawale ʻana i nā kiʻi ma CSBD a me ka pili ʻana i ka hoʻohana ʻana i nā pūnaewele pona a me ke komo ʻana i ka cybersex (Weinstein et al., 2015). Ma ka lima ʻē aʻe, ʻo kā mākou noi mua ʻana i ka hoʻohana ʻana i nā noi pili ʻana, ʻaʻole i hōʻike i ka ʻokoʻa ʻana o nā moena.Zlot et al., 2018). No laila, ʻo ka hihia o nā kāne ka mea pili i ka wahine i hoʻohana i ka Pūnaewele no ka hana ʻikepili pūnaewele pono e nānā hou aku.

Hōʻuluʻulu ka hana kūlohelohe kekahi comorbidities psychiatric me ke hopohopo kanaka, dysthymia, nānā deficit hyperactivity maʻi (Bijlenga et al., 2018; Bőthe et al., 2019a, b; Garcia & Thibaut, 2010; Mick & Hollander, 2006; Semaille, 2009) pākuʻiʻO Samenow, 2010) a me ke kaumaha i post-traumaticCarnes, 1991). Ua ʻike kekahi mau noiʻi pili i ka pili ʻana i ka moekolohe i kāu pili a i ʻole e pane ana i ka dysphoric i pili a i ʻole ka luhi ʻana i nā hanana ola (Raymond, Coleman, & Miner, 2003; ʻO Reid, 2007; Reid & Kamana, 2009; ʻO Reid, Kamana, Spackman, & Willes, 2008).

ʻO ka hoʻohana kino ʻana i ka pili ma ka pūnaewele e wehewehe ʻia e nā kumumanaʻo o ka hana kolohe, ka wahine male ʻole a me ka CSBD (Wetterneck, Burgess, Pōkole, Smith, & Cervantes, 2012). Ua hoʻolako aʻe ka Pūnaewele i nā kiʻi i nā kiʻi a me ka nui a ua kōkua i nā pae o ka moekolohe kāne i hala ʻole ma mua.Kaumaha, 2010; Wetterneck et al., 2012). Ua manaʻo ʻia aia ke CSBD e pili ana i ka paʻikua o ka impulsive-compulsive (Grant a me., 2010). ʻO ka impulsivity, kahi e pili ana i kahi hana me ka ʻole o ka hoʻolālā ʻana a me ka noʻonoʻo mua ʻana, ua pili pū me ka leʻaleʻa, ka leʻaleʻa a me ka hauʻoli a hoʻomaka ʻo ia ka pōʻai haʻahaʻa akā ʻo ka ʻikepili ka mālama i ka CSBD mau loa (Karila et al., 2014; Wetterneck et al., 2012).

ʻO ke kumu o ka noiʻi lua ʻo ia ka ʻike ʻana i ka pilina ma waena o ka impulsivity, pilikia pilikia o ka pūnaewele pūnaewele no ka hana moekolohe a me ka CSBD. Hiki i ke kolohe a me ka pilikia ke hoʻohana ʻana i ka hana moekolohe a hiki i nā mākaʻikaʻi i ka moekolohe. No laila he mea nui ke loiloi iā lākou i ka heluna kanaka e hoʻohana nei i ka Pūnaewele e loaʻa i nā hoa hana. Ua hoʻonohonoho pū ʻia me ka impulsivity e pili ana me ka pilikia pilikia o ka hoʻohana ʻana i nā kiʻi ma ka pūnaewele (Wetterneck et al., 2012) a me CSBD ()Karila et al., 2014; Weinstein, 2014; Weinstein, et al., 2015). ʻOiai ke piʻi ʻana o ka hoʻohana ʻana i nā kiʻi pūnaewele pūnaewele (Carroll a me., 2008; Kingston et al., 2009; Kaumaha, 2010; ʻO Stack et al., 2004; Wetterneck et al., 2012) nui nā noiʻi ua noiʻi i kēia hui (Wetterneck et al., 2012). Hōʻike nā hualoaʻa ma kēia noiʻi e pili ana i ka impulsivity a me ka pilikia ʻana o nā kiʻi kiʻi pūnaewele ma ka CSBD i kahi hōʻike hoʻohālike i ka wahine. No ka mea ʻo ka hapa nui o nā haʻawina ma CSBD he hapa nui o nā kāne kāne e hana nei i ka loaʻa ʻana o ka moʻolelo no ka mea ʻo ia ka manaʻo o ka wahine wahine me CSBD Kuhi ʻia ia e nā ʻenekahana evolusion e ulu i nā wahine i hiki i ke kaha ke kāohi i ka hopena e hoʻonā a maikaʻi ʻole paha. Aia nā mea kākoʻo e hōʻike ana i ka maikaʻi o nā wahine i hana maikaʻi ʻia ma nā hana cognitive me ke ana i ka impulsivity e like me ka lohi i ka hōʻoluʻolu a hoʻolilo i ka hoʻemi ma ka nui o ka wā kamaliʻi. Weinstein & Dannon, 2015 no ka loiloi). He hiki paha ke hoʻohana nei nā mea he nui i ka wikiō pūnaewele ma ke ʻano o ka pale ʻana i ka ʻike pilikino a me nā pale ʻole e mālama i kēia ʻano hoʻokūkū a me ka hoʻohui.Wetterneck et al., 2012). Eia nō naʻe kekahi mau kūʻē kue i hōʻike ʻia e ka Bőthe et al. (2019a, b) ke hōʻike nei i ka lawaiʻa a me ka koi ʻana e pili pono ana i ka hoʻopilikia ʻana i ka porn me nā kāne a me nā wahine. Ua ʻoi aku ka ikaika o ka impulsivity me ka hypersexuality ma mua o ka hana paʻakikī i waena o nā kāne a me nā wahine, kēlā. ʻO ka hopena, ua ʻōlelo ka poʻe kākau mea ʻaʻole hiki ke hāʻawi i ka impulsivity a i ka koi ʻana i ka hoʻohālikelike ʻana me ka hoʻohana ʻana i nā kiʻi kiʻi porn e like me ka noi ʻana o kekahi mau loea. Ma kahi ʻē aʻe, loaʻa paha ka impulsivity i kahi kūlana koʻikoʻi ma hypersexuality ma mua o ka hoʻohana ʻana i ka porn e hoʻohālikelike ana.

Hōʻike ka puke o kēia mau puke i ka ʻokoʻa o ka moe ʻana i ka hoʻohana ʻana i nā kiʻi ma ka pūnaewele, impulsivity a me CSBD (Carroll a me., 2008; Poulsen et al., 2013; Weinstein et al., 2015; Zlot et al., 2018). Ua hōʻike ʻia kēia noiʻi like ʻole i nā ʻano like ʻole i ka hoʻohana ʻia ʻana o ka pūnaewele kiʻi pūnaewele a me ka helu CSBD akā ʻaʻole ia ma ka impulsivity (ʻaʻole like me nā hopena i wehewehe ʻia. Wetterneck ma. (2012)) i loaʻa i nā puʻupuʻu kiʻekiʻe i nā kāne. Hiki ke hiki i ka honua ākea a me ka ulu ikaika o ka neʻe o ka wahine wahine, hāpai nā wahine i nā hoʻolālā i hana ʻia ma ke ʻano he ʻano ʻano pilalike e like me ka hoʻohālikelike, ka lawe ʻana i ka hopohopo a me ka impulsivity.

E like me ka mea i manaʻo ʻia ʻoi aku ka kiʻekiʻe o ka hoʻohana ʻana i nā kiʻi ma ka pūnaewele a me nā kiʻekiʻe o CSBD i nā wahine hoʻokahi i hoʻohālikelike ʻia me nā wahine i mare. I nā makahiki i hala aku nei, he mahuahua ka hoʻohana ʻana o nā kiʻi kiʻi pūnaewele ma waena o nā wahine i ke ʻano o ka loaʻa ʻana o nā ʻae kanaka me kēia pūnaewele. Ma kahi haʻawina nui, ʻo ka hoʻohana kino ʻana i ka male me ka wahine a me ka wahine, ʻoiai ka pili wahine me ka wahine.Poulsen et al., 2013). ʻIke ʻia nā wahine e pili ana i ka hoʻohana ʻana o kēia pāhana i ka maikaʻi inā pili ia me ka maikaʻi o ka hoʻoikaika kino o kekahi.Tokunaga et al., 2017; Vaillancourt-Morel et al., 2019).

ʻO ka mea hope loa, hana pinepine ʻia nā hana lono wahine i ka mea huna a ma kahi hana kūʻokoʻa e hūnā ʻia e nā lālā o ka ʻohana. Nā nāwaliwali i nā ʻohana, nā hoaaloha a me ke kaiāulu i ka laulā no laila e alakaʻi ʻia i nā hana pilikino i loko o ka pūnaewele i waena o nā kāne a me nā wahine. Eia kekahi, aia kekahi hōʻike hōʻike haukapila e hōʻike ana ka poʻe i ka pilikia o nā hana moʻo pūnaewele ma ke ʻano o ka hōʻeha ʻana i kā lākou pilina aloha ma muli o kēia pilikia pilikia, no laila, e loaʻa i nā mea pākahi i nā helu kiʻekiʻe ma ka pae CSBD.

hoʻokau

Ua hoʻohana ʻia nā haʻawina ʻelua i nā nīnau nīnau lula hoʻohuʻina ma ka Pūnaewele a no laila aia kahi hiki ʻole ke pane mai i nā pane. Mai ka loaʻa ʻana o ka ʻikepili no nā noiʻi ʻoi aku ka maikaʻi o nā ʻāpana.Montgomery-Graham, 2017). ʻO ka lua, ua komo lākou i nā liʻiliʻi liʻiliʻi a aia paha he mau molikaʻuʻike o nā ʻike. Ma nā noiʻi ʻelua ua nui nā wahine ma mua o nā kāne. Ma ka papa aʻo 1, ʻoi aku ka male a i ʻole i kahi pilina ma mua o ke kū hoʻokahi ʻo ke aʻo ʻana ʻo ka hapa ka nui (2%) a ʻo ka mea liʻiliʻi he male a i ʻole kahi pilina (73.7%). Aia nō kekahi ʻokoʻa i ka hoʻohālikelike ʻana o nā hana hana hapa i ʻOi aku 26.3 ka hapa nui o ka ʻāpana he hapa hana (he hapa 1%) ʻoiai ʻo Study 65 wale nō 2%. ʻO ke kolu, he mau huina pale lākou ma laila no laila ʻaʻole hiki ke kumu kumu. I ka hopena, ma nā haʻawina ʻelua he nui ka wahine i pili i ka helu o ka impulsivity.

ka hopena

Ua hōʻike ʻia ka hōʻike mua ʻana i nā hōʻailona e koi ai i ka helu ʻana i nā helu CSB ma waena o ka poʻe e hoʻohana i ka Pūnaewele no ka loaʻa ʻana o nā hoa pili. Ua hōʻike ʻia ma ka noiʻi ʻelua ʻo ka impulsivity a me ka pilikia ke hoʻohana ʻana i ka hana moʻo pūnaewele pūnaewele i kōkua ʻia i nā helu CSB i waena o ka poʻe e hoʻohana i ka Pūnaewele no ka hana moekolohe. Hoʻohana nui ʻia ka hoʻohana ʻana o ka Pūnaewele a me kāna palapala noi no ke kiʻi ʻana i nā hoa pili no ka wahine a no ke nānā ʻana i nā kiʻi hoʻohālike i waena o nā kāne akā ke hōʻike nei mākou i kēia mea kaulana loa i waena o nā wahine. Pono e nānā nā haʻawina o ka wā e pili ana i nā mea i loko o ka lehulehu a me nā wahi e pili ana i ka hoʻohana ʻana o ka Pūnaewele e ʻike i nā hoa pili. Eia kekahi, e nānā lākou i ka hana a me ka impulsivity e pili ana i ka orient male ma o ka hoʻokolokolo ʻana i nā kāne a me nā wahine. Hiki iā lākou ke hoʻohālikelike i nā nui o nā lehulehu me ka hana moekolohe i ke ʻano hoʻohālike no ka poʻe e hoʻohana i nā hana moekolohe online me ka poʻe e ʻimi nei i ka hana hoʻomāinoino.

ʻO nā kumuwaiwai kālā

Ua aʻo ʻia ke aʻo ʻana ma ke ʻano he papa hoʻonaʻauao i ka pili ʻana i nā ʻano ma ke Kulanui o Ariel, Ariel, ʻIseraʻela.

ʻO ka hāʻawiʻana o nā mea hoʻohana

ʻO nā mea āpau i hoʻoili ʻia e like me nā mea kākau o ka pepa ua hāʻawi nui i ka kaʻina ʻepekema e alakaʻi ana i ka palapala. Ua hāʻawi ka mea kākau i ka noʻonoʻo a me ka hoʻolālā o ka papahana, ka hana ʻana i nā hoʻokolohua, hoʻopaʻa ʻana a me ka wehewehe ʻana i nā hopena a me ka hoʻomākaukau ʻana i ka kākau ʻana no ka paʻi.

Kōkua hihia

ʻAʻole manaʻo a nā mea kākau e ʻike ʻia nei i ka hoʻowalewale ʻana i ka noiʻi (e like me, nā manaʻo kālā i loko o kahi hōʻike a i ʻole kaʻina hana, nā kālā kālā e nā ʻoihana lapaʻau e noiʻi ai i ka noiʻi).

mau hoomaikai anaʻO nā mea āpau i hoʻoili ʻia e like me nā mea kākau pepa e hāʻawi i mea nui i ka kaʻina ʻepekema e alakaʻi ana i ka palapala. Ua hāʻawi ka mea kākau i ka noʻonoʻo a me ka hoʻolālā o ka papahana, ka hana ʻana i nā hoʻokolohua, hoʻopaʻa ʻana a me ka wehewehe ʻana i nā hopena a me ka hoʻomākaukau ʻana i ka kākau ʻana no ka paʻi. ʻAʻole kākau nā mea kākau a pau i ka hakakā o ka makemake e pili ana i kēia noi ʻana. ʻO ke aʻo mua ua hōʻike ʻia i ka hālāwai me ka 5th 2018th ICBA ma Geneva Switzerland ma ʻApelila XNUMX.

E hoʻomaopopo '