Manaʻo YBOP: E aʻo i ka nānā ʻana i nā wahine Polani 674 e ʻimi nei i ka mālama ʻana no ka ʻano moe kolohe.
Nā Mākaʻikaʻi o ka hana moe kolohe ma waena o nā wāhine ʻimi lapaʻau
Hōʻuluʻulu Manaʻo
kāʻei kua
Hoʻokomo ʻia ka Compulsive Sexual Behavior Disorder i ka loiloi ʻumikūmākahi e hiki mai ana o ka ʻO ka hoʻolālāʻana o nā maʻi (ICD-11); akā naʻe, ua hana nui ʻia nā haʻawina mua ma ka heterosexual, White/European male samples.
AIM
No ka nānā ʻana i ka pilina o nā ʻano moe kolohe (CSB) me nā hiʻohiʻona sociodemographic a me ka moʻolelo moʻokalaleo, a me nā mea wānana o CSB i kahi laʻana o nā wahine Polani e ʻimi ana i ka lapaʻau.
Nā Papahana
ʻEono haneri kanahikukūmāhā (674) wahine Polani i piha i ka makahiki 18-66 i hoʻopau i kahi noiʻi ma ka pūnaewele.
Nā hopena
Hoʻololi Polani o ka Ka Hana HanaʻAi Ho'āʻo Kānāwai-Hoʻoponopono ʻia (SAST-PL) i hoʻohana ʻia e loiloi i ke koʻikoʻi o nā hōʻailona CSB. Pākuʻi pōkole kiʻi pōkole ua hoʻohana ʻia e ana i ka hoʻohana ponokala kiʻi pilikia. Ua nānā pū ʻia nā hui bivariate ma waena o nā helu SAST-PL a me nā hiʻohiʻona demographic a me ka mōʻaukala. A hōʻike hoʻihoʻi laina ua hanaʻia eʻike i nā mea hoʻololi e pili ana i ka paʻakikī o nā hōʻailona CSB.
Results
He kanakolukūmākahi pākēneka (31.8%) o nā wāhine i ka laʻana i aʻo ʻia i hōʻike ʻia e ʻimi ana i ka CSB i ka wā ma mua. ʻO ka hoʻohana ʻana i nā kiʻi ponoʻī pilikia ka mea wānana ikaika loa o nā hōʻailona CSB. Uaʻikeʻia kaʻoi aku o ke koʻikoʻi o nā hōʻailona CSB ma waena o nā wāhine hemo / kaʻawale a me ka wahine hoʻokahi i hoʻohālikelikeʻia me ka poʻe i male a iʻole ka pilina piliʻole. Ua pili maikaʻi ke koʻikoʻi o ka CSB i ka helu o nā hoa pili i ka makahiki i hala, ka helu o ka moe dyadic i nā lā 7 i hala, a pili ʻole i ka makahiki o ka moe mua.
Nā hopena hōʻailona
Hōʻike kā mākou mau hopena i ka hopohopo nui o ka CSB i waena o nā wahine a ʻoi aku ka nui o ka noiʻi ʻana e ʻike i ka pale (e laʻa, ke kūlana pili) a me ka pilikia (e laʻa, ka hoʻohana ʻana i nā kiʻi ponokala pilikia, ka helu o nā hoa pili i ka makahiki i hala, ka pinepine o ka masturbation o ka pule i hala) nā mea pili me ʻO ka hōʻailona hōʻailona CSB ma waena o nā wāhine eʻimi ana i ka lāʻau.
Nā ikaika & palena
ʻO kā mākou noiʻi kekahi o nā mea noiʻi liʻiliʻi loa o CSB ma waena o nā wahine. Ma muli o ka nele o nā kuhi pololei o ka prevalence, a me ka nele o nā mea hana psychometrically validated e ana ana i ka CSB i nā wahine, ʻaʻole pono e manaʻo ʻia nā ʻike i kēia manawa e hōʻike ana i ka prevalence CSB ma waena o nā wahine Polani.
Panina
ʻO ka nele o ka ʻikepili lapaʻau e pili ana i nā wahine e hōʻike ana i nā pilikia me CSB he mea koʻikoʻi ia no ka ʻimi noiʻi noiʻi e hiki mai ana.
Kowalewska E, Gola M, Lew-Starowicz M, et al. Nā Mākaʻikaʻi o ka hana moe kolohe ma waena o nā wāhine ʻimi lapaʻau. Sex Med 2022;XX:XXXXXX.
Nā'Ōlelo Nui
Introduction
I kēia mau lā, ua hōʻike ka poʻe ʻepekema a me nā kauka lapaʻau i nā hopohopo e pili ana i ka nele o ka hōʻike ʻana i ke kāne i nā haʻawina e nānā ana i ka etiology o ka pilikia moe kolohe.1 I loko o nā makahiki he 20 i hala iho nei, ua ulu ka nui o nā puke moʻokalaleo e hoʻopuka ana i nā ʻano manaʻo e like me ka hoʻopaʻapaʻa moe kolohe,2, 3, 4, 5 hypersexuality,6, 7, 8 ka moe kolohe,9 pili i ka wahine a i ʻole pili i ka moekolohe,10, 11, 12 a me ka wahine ka pulunaele.13, 14, 15 Ma waena o nā haneli o nā haʻawina i paʻi ʻia i nā makahiki 20 i hala iho nei e nānā ana i nā ʻano moe kolohe pilikia i nā lāhui like ʻole, ʻo ka hapa nui o nā laʻana i hoʻopaʻa ʻia ʻo ka hapa nui o nā kāne White/Europa, heterosexual.1
I ka makahiki 2019, ua hoʻokomo pū ʻia ka Compulsive Sexual Behavior Disorder (CSBD) i ka paʻi 11th e hiki mai ana. ʻO ka hoʻolālāʻana o nā maʻi (ICD-11; 6C72), a e like me ka World Health Organization16 Hōʻike ʻia ka wehewehe ʻana e kahi ʻano hoʻomau o ka hiki ʻole ke hoʻomalu i ka manaʻo o ka moekolohe a i ʻole ke koi ʻana, e hopena i ka hana hoʻopailua hou ʻana i kahi manawa lōʻihi (e laʻa, 6 mau mahina a ʻoi aku paha) e hoʻoulu ai i ka pilikia a i ʻole ka hōʻino ʻana i ka pilikino, ʻohana, pilikanaka, hoʻonaʻauao, ʻoihana, a i ʻole nā wahi koʻikoʻi o ka hana.17 ʻO ka hoʻoholo a WHO he mea kānalua ia he hana nui i ka hoʻomaopopo ʻana i ka CSBD ma ke ʻano he maʻi ʻokoʻa,1 ʻoiai e mau ana nā nīnau e pili ana i ka hoʻohālikelike ʻana o CSBD ma ke ʻano he maʻi hoʻokele impulse i hāʻawi ʻia i ka ʻikepili mua e hōʻike ana i nā mea like o nā mīkini neuronal o CSBD i nā mea hoʻohui ʻē aʻe,3,5,18 nā manaʻo manaʻo i manaʻo ʻia,17,19,20 a me nā hana lapaʻau kūpono.21, 22, 23, 24
ʻOiai ke kālailai ʻana i nā hopena o ka noiʻi ʻepekema a hiki i kēia lā, ʻo Kowalewska a me nā hoa hana25 ua ʻike ʻia ʻo ka hapa nui o nā haʻawina (ma luna o 99%) e nānā ana i ka CSBD i ke kauka a me ke kaiāulu he mau kāne heterosexual. Ma hope o ka nānā ʻana i nā haʻawina 58 e pili ana i nā wahine, ua ʻōlelo ʻia nā hopena he haʻahaʻa haʻahaʻa ka hōʻailona koʻikoʻi (CSB) i nā wahine pili i nā kāne. Eia kekahi, ua hōʻike nā wahine i ka ʻai ʻana i nā kiʻi ponoʻī ma mua o nā kāne a hōʻike i nā haʻahaʻa haʻahaʻa o ka manaʻo koi i kēia mau mea. Ua ʻike pū ʻia nā hōʻailona CSB (me ka hoʻohana ʻana i nā kiʻi ponokala pilikia) i pili maikaʻi i ke ʻano noʻonoʻo noʻonoʻo, impulsivity, ʻimi naʻau, nā hōʻailona maʻi ʻole ka nānā ʻana/hyperactivity, maʻi obsessive-compulsive, kūʻai pathological, nā moe kolohe, psychopathology maʻamau, ka hoʻomau ʻana o ke keiki, oiai pili ino i ka dispositional manaʻo.25
Hāʻawi ʻia i nā ʻokoʻa kāne i loaʻa i ka hoʻomaopopo ʻana i ka etiology o nā ʻano moe kolohe pilikia (me ka CSBD) i nā wahine, ʻimi ka noiʻi o kēia manawa e hoʻoponopono i kēia mau pilikia ma o ka nānā ākea ʻana i nā correlates o CSB me nā hiʻohiʻona sociodemographic a me ka mōʻaukala wahine i kahi laʻana o ka ʻimi lapaʻau Polani. wahine. ʻO ka mea kikoʻī, no ka mea, ua hoʻohana mākou i kahi nīnau nīnau pilikino ʻaʻole i hoʻokumu ʻia ma ka CSBD diagnostic criteria i manaʻo ʻia e WHO ma 2019, no laila, ua hoʻāʻo mākou e nānā i nā mea wānana o ka 'compulsive sexual behaviors (CSB)' i waena o nā wahine.
Ma ke kahua hoʻolālā, ʻaʻole mākou i nānā no ka hoʻokō ʻana i nā koina ICD-11, ua hoʻohana mākou i kahi nīnau nīnau e ana i ka paʻakikī o nā hōʻailona CSB. Hoʻomaopopo mākou i ka palena o ka hoʻohana ʻana i kahi ana hōʻike pilikino e pili ana i ka loiloi ʻana i ka hōʻailona addiction symptomology10, 11, 12 akā manaʻoʻiʻo hiki ke hoʻohana ʻia nā hopena o kēia manawa e ʻike i nā ʻano i pili i nā hōʻailona CSB. No laila, e hoʻohana mākou i ka huaʻōlelo CSB ma kahi o CSBD ma kēia ʻatikala, ʻoiai ʻaʻole mākou i ʻike i ka nui o nā wahine i hālāwai me nā pae hoʻohālike ICD-11. Ma muli o ke ʻano ʻimi noiʻi o kēia haʻawina, ua hana ʻia nā loiloi e hana i nā kuhiakau no nā noiʻi noiʻi e hiki mai ana.
Ke Koʻikoʻo
Nā mea komo a me ka hana
ʻEono haneri kanahikukūmāhā (n = 674) Keʻokeʻo, wahine Polani makahiki 18–66 (Mmakahiki= 29.36; SDmakahiki= 8.13) ua kiʻi ʻia ma o kahi noiʻi ʻikepili e pili ana i ka ʻike e pili ana i ka pinepine o nā ʻano like ʻole o CSB ma waena o nā wahine a me kā lākou kiʻi lapaʻau ākea. He kono hoʻi ka anamanaʻo e komo i ka papahana longitudinal i manaʻo ʻia e nānā inā ke alakaʻi nei ka hoʻomaʻamaʻa noʻonoʻo i ka hōʻemi ʻana i nā hōʻailona CSB. Ma ke komo ʻana, ua hoʻomaopopo ʻia nā mea pane e pili ana i ke kumu o ke aʻo ʻana a hāʻawi ʻia ʻae ʻae i ka ʻae ma ka uila. ʻO nā pae hoʻohālikelike he wahine, he 18 makahiki a ʻoi paha, e moe kolohe ana i ka makahiki i hala (e like me ka hana dyadic a me nā hana kaʻawale - ʻo ia hoʻi, masturbation), a loaʻa i nā pilikia me CSB ma kahi pae kumuhana a ke ʻimi nei i ka mālama ʻana ma muli o kēia mau pilikia. Ua hōʻiliʻili ʻia ka ʻikepili mai Iulai 2019 a Ianuali 2020. Mai loko mai o 1241 wahine nāna i wehe i ka noiʻi, 936 i hoʻopiha i ka hapa, a ʻo 674 i hoʻopau i ka noiʻi holoʻokoʻa e hāʻawi ana i ka ʻikepili i lawa no ka loiloi.
Pākuhi
Nā wehewehe
Loaʻa ka ʻike demographic o ka poʻe i komo e like me ka makahiki, ke kūlana male, ka pae hoʻonaʻauao a me ka hana.
ʻO ka hana kāne
Ua noi ʻia nā mea komo e hāʻawi i ka ʻike e pili ana i ka hana moekolohe i wehewehe ʻia e like me kekahi hana moe kolohe - hoʻokahi (e laʻa, masturbation, hoʻohana ponokalakala) a i ʻole dyadic (e laʻa, ka male ʻana, ka hoʻoulu ʻana i ka moekolohe me ka foreplay/fondling, oral sex, vaginal, or anal penetrative intercourse) hoʻoulu i ka moekolohe. ʻO ka mea kikoʻī, ka ʻike o nā nīnau e pili ana: ka hoʻomaka ʻana o ka moekolohe mua, ka helu o nā hoa pili i ka makahiki i hala, ka hoʻomaka ʻana (ʻo ia hoʻi, nā makahiki) o ka nānā ʻana i nā kiʻi kiʻi, a me ka helu o ka moekolohe dyadic, ka nānā ʻana i nā ponokala, a me ka pinepine o ka masturbation i ka 7 i hala. lā.
Ma mua o ka ʻimi ʻana i ke kōkua no CSB
Ua loiloi mākou i ka ʻimi kōkua o nā wāhine no ka ʻike CSB ma ke noi ʻana iā lākou e hōʻike 'ʻAe' a i ʻole 'ʻAʻole' i kēia nīnau penei: 'Ua ʻimi anei ʻoe i ke kōkua ʻoihana no kāu hana hoʻokamakama?'
ʻO ka mana Polani o ka hoʻāʻo ʻana i ka hoʻāʻo ʻana i nā mea hoʻohui i ka moekolohe (SAST-PL)
SAST-PL26 he mea hana psychometrically validated e ana i ka CSB e pili ana i ka manaʻo o ka hoʻohui wahine.10 ʻO ka nīnau nīnau 20-ikamu he 5 subscales: Affect Disurbance, Relationship Disurbance, Preoccupation, Loss of Control, Associated Features. Noi ʻia nā mea pane e pane i kēlā me kēia mea ma ka pane ʻana iā 'Ae' a i ʻole 'Aʻole.' ʻO nā helu kiʻekiʻe e pili ana i nā hōʻailona CSB kiʻekiʻe. Hōʻike ʻia ʻo SAST-PL e kahi hilinaʻi kiʻekiʻe (α = 0.90).
ʻO ka pakuhi kiʻi pōkole pōkole (BPS)
ʻO ka BPS kahi mea hana 5-item e ana i ka hoʻohana ponokala kiʻi pilikia (PPU).27 Hoʻonui ka poʻe pane i kēlā me kēia ʻōlelo ma ka pane ʻana i ka nīnau no ka nui o ka hana ʻana i nā mahina 6 i hala ma ka pālākiō 3-point (0 = ʻAʻole loa; 1 = ʻO kekahi manawa; 3 = Loa pinepine). Ua hōʻoia mua ʻia ka BPS ma nā haʻawina kūʻokoʻa ʻelima e pili ana i nā pākeke ʻAmelika a me Polani (α mai 0.90 a 0.92). Loaʻa nā helu ma BPS mai ka 0 a i ka 10 me kahi waiwai ʻoki ʻia o 4 e hōʻike ana i ka PPU hiki.
NānāʻIke Heluhelu
ʻO ka mea mua, ua hoʻohana mākou i nā hoʻoponopono huahana Pearson, Welch t-nā ho'āʻo a me nā ANOVA ala hoʻokahi e nānā i nā hui ma waena o SAST-PL ka huina helu a me nā demographics a nā moekolohe. A laila, hana mākou i kahi hōʻike hoʻihoʻi laina e hoʻomaopopo i nā loli e pili ana i ka paʻakikī o nā hōʻailona CSB (i loiloi ʻia e SAST-PL). Ua hana ʻia nā loiloi āpau me SPSS-23 (IBM SPSS Statistics for Windows, Version 23.0).
nā mea pono
Ua hoʻokō ʻia nā kaʻina hana a pau i kēia haʻawina e like me ka Hōʻike o Helsinki. Ua ʻae ke Kōmike Kūkākūkā Noiʻi o SWPS University ma Warsaw i ke aʻo ʻana. Ua hoʻomaopopo ʻia nā mea komo a pau e pili ana i ke ʻano o ke aʻo ʻana, a ua hāʻawi ʻia nā mea a pau i ka ʻae ʻike a me ka ʻae ʻana ma ka uila.
Results
Mai loko mai o 674 wahine, 57.4% (n = 387) kiʻi i nā helu 6 a ʻoi aku paha ma ka SAST-PL,26 hōʻike i ka CSB, a me 73.3% (n = 494) o ka hāpana i loaʻa i nā helu 4 a i ʻole ke kiʻekiʻe ma ka BPS ana i nā hōʻailona o ka hoʻohana ʻana i nā kiʻi ponokala pilikia.27
1 Pūnaewele hōʻike i nā hui bivariate ma waena o ka helu SAST-PL a me nā hiʻohiʻona sociodemographic a me ka mōʻaukala wahine. Ma keʻano kikoʻī, ua loaʻa iā mākou nā pilina maikaʻi ma waena o ka helu SAST-PL a me ka helu helu BPS (r = 0.59, P <.001), ka helu o nā hoa pili i ka makahiki i hala (r = 0.34, P <.001), a me ka helu o ka pule i hala aku nei (7 mau lā) moe dyadic (r = 0.15, P < .01). Ua loaʻa nā pilina maikaʻi ʻole ma waena o ka SAST-PL ka nui o ka helu a me nā makahiki o nā mea komo (r = .0.08, P <.05), ka hoʻomaka ʻana o ka moekolohe mua (r = .0.24, P <.001), a me ka hoʻomaka ʻana o ka hōʻike mua ʻana i nā kiʻi ponoʻī (r = .0.23, P < .001]. Eia kekahi, ʻoi aku ka kiʻekiʻe o nā wahine i ka wā o ka hemo ʻana, ka hoʻokaʻawale ʻana a i ʻole hoʻokahi ma SAST-PL (M = 7.67, SD = 4.79) hoʻohālikelike ʻia me ka poʻe i male a i ʻole ka pilina pili ʻole (M = 6.48, SD = 4.37), [t(672) = 3.26, P < .001, na Cohen d = 0.26].
1 Pūnaewele. Nā mea pili i ka helu helu kanaka a me ka moʻolelo pili i ka helu SAST-R wahine (n = 674)
| Pūnaehana Haʻahaʻa | Pūnaehana Haʻahaʻa | Helu SAST-R |
|---|---|---|
| ʻO nā hiʻohiʻona noiʻi | %/M (SD) | r or t/F |
| ʻO ka hoʻāʻo hoʻāʻo ʻana i ka hoʻohui ʻana i ka moe kolohe – Hoʻoponopono hou ʻia (SAST-R)† ʻAʻole hālāwai i ka ʻoki ʻoki Hui ʻoki ʻoki | 6.91 (4.55) 42.6% 57.4% | - |
| ʻO ka pakuhi kiʻi pōkole pōkole (BPS)† ʻAʻole hālāwai i ka ʻoki ʻoki Hui ʻoki ʻoki | 2.75 (2.96) 26.7% 73.3% | r = 0.59⁎⁎⁎ |
| makahiki | 29.36 (8.13) | r = −0.08* |
| Ka pilina pili Mare a pili ʻole paha I ka wā o ka hemo, kaʻawale, a i ʻole hoʻokahi | 64.1% 35.9% | t = 3.26⁎⁎⁎ (Cohen's d = 0.26) |
| Papa pae hoʻonaʻauao Kula kiʻekiʻe a ʻoi aku paha Ke kula (ke kula mau nō) Ke kēkelē laepua a postgraduate | 25.7% 18.5% 53.0% | F = 6.82⁎⁎⁎ (Cohen's f = 0.13) |
| oihana manawa piha a hapa manawa Haumāna/ ʻAʻole hana | 73.0% 27.0% | t = −0.90 |
| Ma mua o ka ʻimi ʻana i ke kōkua ma muli o CSB ʻAe ʻAʻole | 31.8% 68.2% | t = −5.38⁎⁎⁎ (Cohen's d = 0.45) |
| Hoomaka o ka moe kino mua | N = 652 17.83 (3.02) | r = −0.24⁎⁎⁎ |
| Ka helu o nā hoa pili i ka makahiki i hala | N = 558 3.28 (5.45) | r = 0.34⁎⁎⁎ |
| Ka helu o ka moe dyadic i ka pule i hala (7 lā) | N = 430 3.21 (3.45) | r = 0.15⁎⁎ |
| ʻO ka hoʻomaka ʻana o ka hoʻolaha mua ʻana i nā kiʻi ponoʻī | N = 649 12.75 (4.37) | r = −0.23⁎⁎⁎ |
| ʻO ka manawa i hoʻohana ʻia ma ka ponokalakala i ka pule hope loa (7 lā) None 59 mau minuke a ʻoi iki paha NUMNUMX-60 minuke 120 minuke a oi | 50.0% 24.0% 11.6% 14.1% | F = 33.69⁎⁎⁎ (Cohen's f = 0.38) |
| Ka helu o nā masturbations i ka pule i hala (7 lā) | N = 516 3.89 (3.82) | r = 0.35⁎⁎⁎ |
- ⁎
P <.05.
- ⁎⁎
P <.01.
- ⁎⁎⁎
P <.001.
Nānā. Ua koʻikoʻi nā mea i hoʻopaʻa ʻia ma hope o ka hoʻoponopono ʻana no ka hewa Type 1.
- †
Nā helu ʻoki ʻia e pili ana i ka noiʻi me nā kāne i komo.
Ua loaʻa kekahi ʻokoʻa koʻikoʻi i ka pae hoʻonaʻauao, me nā wahine e hōʻike ana i ke kula kiʻekiʻe a i ʻole ka hoʻonaʻauao haʻahaʻa i loaʻa ka helu SAST-PL kiʻekiʻe loa (M = 7.60, SD = 4.41), i ukali ʻia e nā wahine ma ke kulanui i haʻahaʻa iki (M = 7.54, SD = 4.37), a ʻo ka mea hope loa, ʻo nā wahine me ke kēkelē puka a i ʻole ke kēkelē laepua me ka haʻahaʻa haʻahaʻa haʻahaʻa haʻahaʻa SAST-PL (M = 6.27, SD = 4.59), [F(2,652) = 6.82, P = .001, ko Cohen f = 0.13]. E like me ka mea i ʻike ʻia, loaʻa i nā wahine i ʻimi i ke kōkua mua no CSB nā helu kiʻekiʻe loa ma ka SAST-PL (M = 8.26, SD = 5.04) i hoʻohālikelike ʻia me nā wahine i ʻimi ʻole i ke kōkua i ka wā ma mua (M = 6.28, SD = 4.17), [t(672) = −5.38, P < .001, na Cohen d = 0.45]. ʻO ka mea hope loa, ʻo ka nui o ka manawa i hoʻohana ʻia e nā wahine ma ka ponokalakala i ka pule i hala (7 mau lā), ʻoi aku ka kiʻekiʻe o ka helu i loaʻa iā lākou ma SAST-PL [F(3,668) = 33.69, P < .001, na Cohen f = 0.38]. ʻO ka mea kikoʻī, ua loaʻa i nā wahine i nānā ʻole i nā kiʻi ponoʻī i ka pule i hala ka helu mean o 5.59 (SD=4.21), a ukali ʻia e ka poʻe nāna i nānā ponokalakala no 59 mau minuke a emi mai paha - 6.93 (SD = 4.27), nā wahine i hoʻohana i nā minuke 60-119 ma nā kiʻi ponokala - 8.26 (SD = 4.07), a ʻo ka hope, nā wahine i hoʻolaʻa i nā minuke 120 a ʻoi aku paha i ka ʻai ponokala - 10.32 (SD = 4.51). ʻAʻole mākou i ʻike i kahi hui ma waena o ka helu SAST-PL a me ke kūlana hana.
ʻO ka hope, he maʻalahi laina regression ua alakaʻi ʻia e ʻike i nā mea wānana o CSB e like me ka loiloi ʻia e SAST-PL (ma ke ʻano he helu hoʻomau) i kahi laʻana o nā wahine Polani e ʻimi ana i ka lapaʻau. No ka ho'ēmiʻana i nā hopena o ka hewa Type I, nā mea hoʻololi wale nō i nui ma P <.01 i komo i loko o ke kŘkohu (e nana 1 Pūnaewele). Ma muli o ka hoʻopili pono ʻana o ka ʻimi kōkua mua no CSB me CSB, a no ka hōʻemi ʻana i ka hopena o ka multicollinearity, ua hoʻoholo mākou ʻaʻole e hoʻokomo i kēia hoʻololi i ka loiloi regression. He mea nui ke kumu hoʻohālike, F(9, 273) = 31.792, P <.001, R2 o 0.512. ʻO ka mea nui, ua ʻike mākou ʻo ka helu helu BPS ka mea wānana ikaika loa o ka CSB (SAST-PL scores) i nā wahine (β = 0.83, P < .001). Eia kekahi, ua ʻike mākou i ka hoʻomaka ʻana o ka moekolohe mua (β = .0.21, P <.01), ka helu o nā hoa pili i ka makahiki i hala (β = 0.23, P < .001), ka helu o ka pule i hala aku nei i loko o ke kino (β = 0.22, P <.001), a me ke kūlana pili (β = .0.92, P <.05) he mau wānana koʻikoʻi nō hoʻi nā helu CSB (SAST-PL) ma waena o kēia laʻana o nā wāhine ʻimi kōkua (e nānā 2 Pūnaewele).
2 Pūnaewele. ʻO nā mea wānana helu o ka hana hoʻopaʻi kolohe (CSB) i ana ʻia e SAST-R i waena o nā wahine
| ʻO nā hiʻohiʻona noiʻi | B | SE B | t | 95% CI |
|---|---|---|---|---|
| (Mau mau) | 8.25 | 1.35 | 6.13 | [5.60, 10.90]⁎⁎⁎ |
| Ka pilina pili | -0.92 | 0.47 | -1.95 | [-1.85, 0.01]* |
| Nā Kumuhana Hoʻonaʻauao | -0.08 | 0.24 | -0.33 | [-0.54, 0.38] |
| Hoomaka o ka moe kino mua | -0.21 | 0.07 | -3.13 | [-0.34, -0.08]⁎⁎ |
| Ka helu o nā hoa pili i ka makahiki i hala | 0.23 | 0.04 | 5.84 | [0.15, 0.30]⁎⁎⁎ |
| Ka helu o ka moe dyadic i nā lā 7 i hala | 0.04 | 0.06 | 0.59 | [-0.09, 0.16] |
| ʻO ka hoʻomaka ʻana o ka hoʻolaha mua ʻana i nā kiʻi ponoʻī | -0.02 | 0.05 | -0.31 | [-0.11, 0.08] |
| Hoʻohana ʻia ka manawa ma nā kiʻi ponoʻī i nā lā 7 i hala | -0.28 | 0.21 | -1.34 | [-0.70, 0.13] |
| Ka helu o nā masturbations i nā lā 7 i hala | 0.22 | 0.06 | 3.51 | [0.10, 0.34]⁎⁎⁎ |
| ʻO ka pakuhi kiʻi pōkole pōkole (BPS) | 0.83 | 0.08 | 10.27 | [0.67, 0.99]⁎⁎⁎ |
- ⁎
P <.05.
- ⁎⁎
P <.01
- ⁎⁎⁎
P <.001.
Kūlana pili: 0 = hemo / kaʻawale / hoʻokahi, 1 = male / hoa; Ko e taimi naʻe fakaʻaongaʻi ʻi he ngaahi ʻaho ʻe 7 kimuʻa: 0 = ʻe ʻikai ha miniti, 1 = 59 miniti pe kiʻiʻi mai, 2 = 60–119 miniti, 3 = 120 miniti mo e meʻa lahi ange.
'Ōlelo Aʻo. Hoʻohui laina e wānana ana i ka hiki ʻana o nā hōʻailona CSB ma waena o nā wahine.
Hōʻuluʻulu kumu hoʻohālike: F(9, 273) = 31.792, P <.001 me kahi R2 o 0.512.
kūkākūkā
Ke hoʻohana nei i ka hoʻololi Polani o ka Ka Hana HanaʻAi Ho'āʻo Kānāwai-Hoʻoponopono ʻia (SAST-PL),26 Ua ʻimi mākou e nānā i nā correlates a me nā wānana o nā hōʻailona CSB ma waena o kahi laʻana o nā wahine Polani e ʻimi ana i ka lapaʻau. ʻOiai aia nā palena me ka hoʻohana ʻana i kēia ala, ʻaʻohe mea hana psychometrically validated i hōʻoia ʻia no ka loiloi ʻana i ka CSB (a i ʻole CSBD) i nā wahine Polani. I kēia manawa, ʻo ka nele o ka ʻikepili lapaʻau e pili ana i nā wahine e hōʻike ana i nā pilikia me CSB he mea nui ia no ka noiʻi ʻana i ka wā e hiki mai ana, ʻoiai ʻo ka manaʻo o kēia manawa o ka etiology o nā ʻano moe kolohe pilikia i loaʻa mai ka hapa nui o ka White / European, heterosexual male samples.
Ma ke ʻano holoʻokoʻa, ʻike mākou ua loaʻa i kahi pūʻulu o nā wahine i ʻimi ʻole i ka mālama ʻana no CSB i ka wā ma mua (68.2% o ka hōʻailona holoʻokoʻa) i loaʻa i kahi helu SAST-PL mean i ʻoi aku ma mua o kahi kumu kūʻai ʻoki i manaʻo ʻia e Carnes.10 Kūlike kēia ʻike me ka loiloi a Kraus a me nā hoa hana29 e hōʻike ana he 29% o nā kāne i kā lākou laʻana i hālāwai a ʻoi aku paha i ka Hypersexual Behavior Inventory (HBI)30 ka huina o ka helu ʻoki ʻoki kino, e hōʻike ana i ka hiki ʻana mai o kahi Hypersexual Disorder (HD),6 ʻaʻole makemake lākou i ka ʻimi ʻana i ka mālama ʻana no ka hoʻohana ponokala. Eia naʻe, hōʻike ka ʻikepili mua i ka hiki ke ʻimi i ka mālama ʻana no ka PPU i nā wahine he 7 mau manawa haʻahaʻa ma mua o nā kāne,31 ʻoiai ʻaʻole naʻe e ʻimi ʻia nā kumu i hiki ke hoʻopili kūʻokoʻa i kēia ʻokoʻa. Ma muli o ka nui o nā wāhine i loko o ke aʻoʻana i makemakeʻole i kaʻimiʻana i ka lāʻau i ka wā i hala, a kokoke i ka 32% o ka hōʻailona i makemake i iaʻano lapaʻau, pono ka hana hou eʻike i nā pale o kēia manawa e kōkua i ka huliʻana i nā wāhine Polani. Hiki i nā wehewehe ʻana ke komo i nā kuʻuna moʻomeheu, hoʻokumu i ke kāne a me nā kuleana pilikanaka no nā wahine, ka ʻae ʻana i ka hoʻomana nui o nā kāne e hōʻike ana i ka nalowale o ka mana ma luna o ka moe kolohe, a me ka hilahila a me ka hoʻomāinoino no nā wahine e hōʻike nei i nā pilikia me CSB. ʻO Dhuffar a me Griffits32 ʻike ʻia 4 mau ʻano nui o nā mea pale no nā wahine ʻaʻole e ʻimi i ka lapaʻau no ka hoʻohui ʻana i ka moekolohe (e laʻa, ke kanaka, ka pilikanaka, ka noiʻi, a me ka mālama ʻana); akā naʻe, pono nā noiʻi e hiki mai ana e ʻike i nā kumu (e laʻa, ka makahiki, ke kūlana male, ka lāhui/ka lāhui, nā manaʻo hoʻomana, ka loaʻa ʻana o ka mālama ola kino, nā pilikia noʻonoʻo noʻonoʻo) e pale ai i nā wahine mai ka ʻimi ʻana i ka lāʻau lapaʻau no CSB.
ʻOiai e nānā ana i kahi o nā mea hoʻololi i hiki ke wānana i nā hōʻailona CSB ma waena o nā wahine mai ka laʻana i aʻo ʻia, ua hōʻike mākou i ka hihia o nā wahine, ʻo ka mea wānana ikaika loa o nā hōʻailona CSB ʻo ia ka helu BPS. Ua hōʻike pū ʻia nā hopena i loaʻa i kēia noiʻi e pili ana kēia mau hiʻohiʻona i nā hōʻailona CSB: ka hoʻomaka ʻana o ka moekolohe mua, ka helu o nā hoa pili i ka makahiki i hala, ka nui o nā masturbations i ka pule i hala, a me ke kūlana pili. Ma muli o ka nele o ka loiloi like i hana ʻia ma luna o nā wahine a hiki i kēia manawa, ʻaʻohe o mākou wahi kuhikuhi no kā mākou hopena. I ko mākou ʻike, ʻo kā mākou noiʻi ka mea mua e ʻike i nā wānana o CSB ma waena o nā wahine Polani. Ua like kā mākou hopena me kahi noiʻi o kahi noiʻi 2017 e pili ana i nā wahine Polani e ʻimi nei i ka mālama ʻana no PPU31 ma kahi i loaʻa ai iā lākou kahi pilina koʻikoʻi ma waena o ka ʻimi ʻana i ka lāʻau lapaʻau, nā hōʻailona CSB (i loiloi ʻia e SAST-PL) a me ka hōʻailona hōʻailona PPU (i loiloi ʻia e BPS). ʻO ka mea mahalo, ua ʻike mākou ʻaʻole ia ka nui o ka manawa e hoʻohana ai i nā kiʻi ponoʻī i nā lā 7 i hala iho nei, akā ʻo ka helu helu BPS i lilo i mea wānana ikaika o CSB i nā wahine. ʻO ka wehewehe ʻana i kēia hopena, ʻo ia ka mea ʻaʻole nānā ʻo BPS i ke ana nui o nā kiʻi ponokala (ʻo ia hoʻi, ka nui a me ka pinepine), akā ke ana ʻana i nā hopena i ʻike ʻia i ka ʻai ʻana i nā kiʻi ponoʻī. Ua ʻike ʻia kekahi ʻano like ʻole ma waena o kā mākou noiʻi a me ke aʻo ʻana iā Klein a me nā hoa hana28 kahi i hōʻike ai nā loiloi i ka helu o nā hoa moe kolohe a me ka pinepine masturbation kiʻekiʻe e like me nā wānana o ka hypersexuality (i loiloi ʻia e HBI)30 i na wahine. Hōʻike pū ka noiʻi i ka hoʻomāinoino ʻana i ka wā kamaliʻi, ke kaumaha o kēia manawa, a me ka hoʻohana ʻana i ka lāʻau lapaʻau ma ke ʻano he wānana no ka hoʻohui wahine.33,34 a me ke komo ʻana i nā hana hoʻomana ma ke ʻano he wānana no ka PPU.31 ʻO kēia mau mea i koʻikoʻi i ka CSB i nā wahine, ʻaʻole i loiloi ʻia i ka noiʻi o kēia manawa a pono e noʻonoʻo hou i nā noiʻi noiʻi.
Eia kekahi, ua ʻike mākou i kekahi mau pilina koʻikoʻi o nā hōʻailona CSB e pili ana i nā hiʻohiʻona sociodemographic a me ka mōʻaukala wahine. No ka laʻana, ʻike ʻia nā hōʻailona CSB kiʻekiʻe (SAST-PL ka nui o nā helu) i nā wahine i hemo, hoʻokaʻawale a hoʻokahi paha, e hoʻohālikelike ʻia me nā wahine i mare ʻia a i ʻole ka pilina pili ʻole. Eia kekahi, pili maikaʻi nā helu SAST-PL i ka helu o nā hoa pili i ka makahiki i hala, ka helu o ka moe dyadic i nā lā 7 i hala, ʻoiai pili ʻole i ka makahiki o ka moe mua. Ke noʻonoʻo nei i ka hopena i luna a me ka ʻoiaʻiʻo o Klein a me nā hoa hana.28 Ua hōʻike ka noiʻi i ka helu o nā hoa pili i ka wahine ma ke ʻano he mea wānana i ka ʻano hypersexual, pono e noiʻi hou e nānā i ka hana moe kolohe ma waena o nā wahine e hōʻike ana i nā pilikia me CSB, no ka mea hiki ke hōʻike i kahi ʻano koʻikoʻi o ke ʻano i hoʻopaʻa ʻia i nā wahine.
Ua ʻimi pū mākou i nā ʻano o ka ʻai ponokala a me ka masturbation ma waena o kā mākou hiʻohiʻona wahine. E like me ka mea i ʻike ʻia, ua hoʻonui ʻia ka nui o ka helu SAST-PL me ka nui o ka manawa i hoʻolaʻa ʻia i ka ʻai ponokala i nā lā 7 i hala. Ua pili maikaʻi nā hōʻailona CSB i nā helu BPS, ka nui o nā masturbations i nā lā 7 i hala iho nei, a pili ʻole i ka hoʻomaka ʻana o ka ʻike ponokala mua.
hoʻokau
Pono e noʻonoʻo ʻia kekahi mau palena o ka haʻawina o kēia manawa. ʻO ka mea mua, ʻaʻohe manaʻo kūpono o ka prevalence o CSBD ma waena o nā wahine a ʻaʻole pono e noʻonoʻo ʻia ka noiʻi o kēia manawa e hōʻike ana i ka prevalence o CSBD a i ʻole CSB ma waena o nā wahine Polani. Hāʻawi ʻia i ka nele o nā mea hana e ana i ka CSBD i hoʻopaʻa ʻia i psychometrically i nā laʻana o nā wahine, ʻaʻole mākou i ʻike, inā ʻo ka unahi a mākou i hoʻokomo ai i loko o kā mākou noiʻi ʻana i hoʻonui ʻia i ka hopena o nā hopena maikaʻi ʻole i hāʻawi ʻia i ka nele o ka ʻikepili helu helu e like me ka sensitivity a me ka kikoʻī. ʻO ka lua, ua hoʻolaha ʻia ka anamanaʻo me ka hoʻohana ʻana i ke ʻano hau hau ma waena o nā poʻe hoihoi i kēia kumuhana, no laila ʻo ka nui o nā wahine e haʻi ana i ke kōkua mua me CSB ma muli paha o ka hui makemake e komo i ka haʻawina ponoʻī. ʻO ke kolu, ʻaʻole i hoʻokomo ʻia kā mākou aʻo ʻana i kekahi mau ana e loiloi ana i ka psychopathology a i ʻole ka makemake o ka nohona / hoʻokele manaʻo, ʻaʻole hoʻi i nīnau ʻia nā wahine i ke kino e kahi mea mālama olakino noʻonoʻo. Pono e noʻonoʻo ʻia ka hilinaʻi ʻana i ka ʻikepili hōʻike pilikino e wehewehe i ka ʻike wahine me CSB i ka wā e unuhi ai i nā ʻike noiʻi o kēia manawa.
hopena a
I ka hōʻuluʻuluʻana, hōʻike nā hualoaʻa i kēia manawa he nui ka pono no kaʻimi houʻana i ka CSB ma waena o nā wāhine, e pili ana i ka hana o ka hoʻohana ponokala kiʻi a me nāʻano pilina pili i ka hoʻomohalaʻana a me ka mālamaʻana i ka CSB. Pono nā haʻawina hou e hoʻoholo i ka nui o ka CSB ma waena o nā wahine e hoʻohana ana i nā ana i hōʻoia ʻia e hōʻike ana i nā koina CSBD ma ICD-11. Eia kekahi, pono no ka noiʻi ʻana e nānā i kona hui pū ʻana me ke ʻano, ka hana moe kolohe, maʻiʻaʻa pūnaewele, hoʻohana lāʻau, a/a i ʻole nā maʻi noʻonoʻo ʻē aʻe; Hiki ke hoʻohana ʻia ia ʻikepili no ka hōʻoia ʻana i nā mea like a / a i ʻole nā ʻokoʻa o nā mīkini neuronal i lalo o CSB i nā wahine a me nā kāne.35 ʻO ka hope, ka pololei diagnostic o ka mea maʻamau psychometric ʻO nā mea hana i hoʻohana ʻia e ana i nā hōʻailona o ka CSB pono pū kekahi e ʻimi hou aku, ʻoi aku ka nui ma waena o nā heluna kauka o nā wahine i aʻo nui ʻia ma nā ʻāina haʻahaʻa a kiʻekiʻe.25
nā mea pono
Ua hoʻokō ʻia nā kaʻina hana a pau i kēia haʻawina e like me ka Hōʻike o Helsinki. Ua ʻae ke Kōmike Kūkākūkā Noiʻi o SWPS University ma Warsaw i ke aʻo ʻana. Ua hoʻomaopopo ʻia nā mea komo a pau e pili ana i ke ʻano o ke aʻo ʻana a me nā mea a pau i hāʻawi ʻia i ka ʻike a me ka ʻae manawaleʻa.
'Ōlelo Kākau
Ua hāʻawi ʻo EK i ke aʻo ʻana a me ka hoʻolālā ʻana, ka ʻimi ʻana i ke kumuhana, ka hōʻiliʻili ʻana i ka ʻikepili, ka ʻikepili a me ka wehewehe ʻana, ke kākau ʻana i nā manuscript, a me ka loaʻa kālā. Ua hāʻawi ʻo MG i ke aʻo ʻana a me ka hoʻolālā ʻana i nā ʻano hana, a me ke kākau ʻana. Ua hāʻawi ʻo MLS i ka kākau ʻana. Ua kōkua ʻo SWK i ka ʻikepili a me ka wehewehe ʻana, a me ke kākau ʻana i nā manuscript. Ua hāʻawi nā mea kākau a pau i ka manaʻo, heluhelu, loiloi, a ʻae i ke kiʻi hope loa o ka manuscript.
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