COV LUS QHIA: Thaum daim ntawv no tsuas yog sau luv luv xwb, nws muaj ob peb qhov tseem ceeb uas tau pom ntawm txoj kev kawm tshawb fawb tshiab. Piv txwv li, nws hais tias ob qho tib si Prause li al., 2015 thiab Kuhn & Gallinat, 2014 qhia txog qhov kev tshawb nrhiav zoo li: ntau dua kev siv porn siv nrog kev ruaj ntseg zoo dua rau porn. Ob leeg kev tshawb fawb qhia qis lub hlwb ua kom teb rau luv luv raug cov duab ntawm vanilla porn. Hauv qhov excerpt nram qab no "Txo qis zoo-muaj peev xwm" yog hais txog cov ntsiab lus ntawm EEG Prause li al.:
"Nyob rau hauv sib piv, kev tshawb fawb hauv cov neeg noj qab nyob zoo qhia txog lub luag haujlwm kom muaj kev ruaj ntseg zoo nrog rau kev siv cov duab liab qab. Nyob rau hauv cov txiv neej noj qab nyob zoo, tau siv sij hawm ntau dua saib cov duab liab qab sib txuas nrog cov kev ua si sab laug rau cov duab pornographic (Kühn thiab Gallinat, 2014). Txo cov haujlwm uas muaj txiaj ntsig zoo tuaj lig rau saib duab liab qab tau pom nyob hauv cov ncauj lus qhia txog kev saib duab liab qab. "
Vim li cas qhov no tseem ceeb? Tus kws sau phau ntawv ua haujlwm Nicole Prause tau thov tias nws qhov kev tshawb nrhiav EEG ib leeg "kev quav yeeb quav tshuaj yeeb yaj kiab". Nov yog daim ntawv thib ob tshuaj xyuas qhov tsis zoo rau Prause cov kev txhais. Ntawm no yog thawj daim ntawv.
Ceeb Toom - Ntau lwm cov ntaub ntawv tshuaj xyuas lwm tus pom zoo tias Prause li al., 2015 txhawb nqa cov qauv yees ua yeeb yam porn: Peer-ntsuam xyuas cov ntaub ntawv ntawm Prause li al., 2015
Neuropsychopharmacology 41, 385-386 (Lub Ib Hlis 2016) | ob: 10.1038 / npp.2015.300
Shane W Kraus 1, 2, Valerie Voon 3, thiab Marc N Potenza 2, 4
1 VISN 1 Cov Kev Xiam Hlwb Kev Puas Hlwb thiab Cov Chaw Kho Mob, VA Connecticut Kev Kho Mob Nkeeg, West Haven, CT, Tebchaws Asmeskas; 2 Department of Psychiatry, Yale University Lub Tsev Kawm Ntawv Tshuaj, New Haven, CT, USA;
3 Department of Psychiatry, University of Cambridge, Cambridge, UK;
4 Department of Neurobiology, Chaw Kawm Tshaj Tawm Rau Me Nyuam thiab CASA Columbia, Yale University Lub Tsev Kawm Ntawv Tshuaj, New Haven, CT, Tebchaws USA
E-mail: [email tiv thaiv]
Kev coj tus cwj pwm sib deev (CSB) yog tus cwj pwm ntawm kev xav, kev ua tsis taus, kev sib raug zoo / kev ua haujlwm tsis zoo, thiab kev puas siab puas ntsws. Prevalence ntawm CSB yog kwv yees ib ncig 3-6%, nrog ib tug txiv neej predominance. Txawm hais tias tsis muaj nyob rau hauv DSM-5, CSB tuaj yeem kuaj tau hais tias nyob hauv ICD-10 ua qhov tsis sib haum tswj hwm. Txawm li cas los xij, kev sib cav muaj xws li CSB qhov kev faib tawm (piv txwv, yog ib qho kev tsis sib haum xeeb, tsis muaj teeb meem ntawm hypersexual, kev quav yeeb quav tshuaj, los yog ua raws li kev coj tus cwj pwm coj zoo).
Cov pov thawj ua ntej yuav qhia tias dopamine yuav pab txhawb rau CSB. Nyob hauv Parkinson tus kab mob (PD), kev hloov tshuaj dopamine (Levo-dopa, dopamine agonists) tau txuam nrog CSB thiab lwm yam kev tswj tus mob plawv (Weintraub et al, 2010). Ib qho kev tshawb fawb txog kev siv nabnpawb kev siv naltrexone txhawb nws txoj kev ua haujlwm kom txo tau cov kev ywj pheej thiab kev coj cwj pwm nrog CSB (Raymond et al, 2010), raws li kev tsim kho opioidergic hloov ntawm mesolimbic dopamine hauv kev txo CSB. Tam sim no, qhov loj, tsim nyog powered, kev ntsuam xyuas neurochemical thiab cov kev siv tshuaj kho mob xav tau ntxiv kom nkag siab txog CSB.
Kev txhawb tswv yim txhawb kev txheeb muaj feem xyuam rau kev sib deev cue reactivity. CSB vs cov txiv neej uas tsis yog CSB muaj ntau dua kev sib deev-cuerelated activation ntawm cov sab hauv tsev, lub plawv plawv, thiab amygdala (Voon li al, 2014). Hauv CSB cov ntsiab lus, kev sib txuas ntawm kev sib txuas ntawm lub network no muaj feem xyuam nrog kev sib deev nrog kev sib deev, yog li resonating nrog kev tshawb pom nyob rau hauv kev quav tshuaj yeeb (Voon li al, 2014). CSB cov txiv neej tau qhia ntxiv txog qhov kev xav phem rau cov duab cuav, qhia cov teeb meem tawm tswv yim thaum ntxov hauv kev quav yeeb quav tshuaj (Mechelmans et al, 2014). Hauv CSB cov neeg uas tsis yog CSB cov neeg mob, raug cov duab cuav pornographic ua rau lub ventral striatum, cingulate thiab orbitofrontal cortex, txuas mus rau kev sib deev muaj siab (Txoj Cai thiab lwm tus, 2013). Ib txoj kev tshawb fawb me me ntawm qhov kev sib txuam ntawm qhov sib txawv ntawm qhov kev sib piv hauv cov CSB vs non-CSB (Miner thiab al, 2009).
Los ntawm kev sib piv, kev tshawb fawb hauv cov tib neeg noj qab haus huv pom zoo lub luag haujlwm rau kev coj tus cwj pwm nrog kev siv duab liab qab ntau dhau. Hauv cov txiv neej noj qab haus huv, lub sijhawm nce ntxiv saib cov duab liab qab sib txheeb nrog cov kev ua si sab laug qis dua rau cov duab liab qab (Kühn and Gallinat, 2014). Cov kev ua tej yam duab liab qab qeeb qeeb raug pom muaj nyob rau hauv cov ncauj lus qhia txog kev siv duab liab qab. Cov kev tshawb pom no, thaum lub sij hawm sib txawv, tsis yog cov lus sib thooj. Kev ua raws li cov duab cues uas ntsig txog cov duab cues yuav raug txhawb ntxiv rau cov neeg noj qab nyob zoo nrog kev siv ntau heev; qhov twg, cov ntsiab lus CSB nrog kev siv loj / kev siv ntau dhau los muaj peev xwm muaj kev cuam tshuam loj cue.
Txawm hais tias cov kev tshawb nrhiav txog cov neuroimaging nyuam qhuav tau pom tias muaj qee cov cuab yeej ntawm cov kab mob CSB, cov ntsiab lus no yuav tsum raug kho raws li cov qauv kev txwv tsis haum (piv txwv li, cov qauv me me, qhov sib txawv ntawm cov ntoo, cov txiv neej ib leeg, thiab lwm yam). Cov kev khomob tam sim no hauv cov kev tshawb nrhiav muaj teebmeem kev txiav txim siab seb CSB zoo li kev tiv thaiv lossis tsis yog. Lwm yam kev tshawb fawb ntxiv rau kev nkag siab hais tias cov yeeb yam neurobiological muaj feem xyuam rau cov kev ntsuas los ntawm kev kho mob xws li CSB. Kev cais CSB ua tus 'coj tus cwj pwm coj' yuav muaj kev cuam tshuam rau kev cai, kev tiv thaiv thiab kev kho mob; Txawm li cas los xij, lub sij hawm no, kev tshawb fawb yog nyob hauv nws cov me nyuam mos. Muab qee qhov sib xws ntawm CSB thiab kev quav tshuaj muaj yees, kev tiv thaiv zoo rau qhov kev tiv thaiv yuav muaj kev cog lus rau CSB, yog li ua qhov kev pom zoo rau cov kev tshawb fawb yav tom ntej los tshawb xyuas qhov tseeb no.
- Kühn S, Gallinat J (2014). Hlwb pob txha thiab kev sib txuas ua haujlwm nrog cov duab liab qab siv: lub hlwb ntawm porn. JAMA Psychiatry 71: 827-834.
- Mechelmans DJ, Irvine M, Banca P, Porter L, Mitchell S, Mole TB thiab al (2014). Ua kom zoo tshaj plaws ntawm kev sib daj sib dee rau cov tib neeg muaj thiab tsis muaj kev coj tus cwj pwm sib deev. PloS Ib 9: e105476.
- Miner MH, Raymond N, Mueller BA, Lloyd M, Lim KO (2009). Ua ntej qhov kev tshawb nrhiav ntawm qhov kev xav ntawm kev xav ntawm kev xav ntawm kev sib daj sib deev thiab kev sib deev. Psychiatry Res 174: 146-151.
- Txoj cai M, Loane C, Wu K, O'Sullivan SS, Woodhead Z, Kiferle L et al (2013). Neural teb mus rau kev sib deev cues hauv dopamine kho-txuas hypersexuality nyob rau hauv Parkinson tus kab mob. Lub hlwb xNUMX: 136-400.
- Raymond NC, Grant JE, Coleman E (2010). Augmentation nrog naltrexone los kho tus cwj pwm kev sib deev compulsive: ib cov ntaub ntawv series. Ann Clin Psychiatry 22: 55-62.
- Voon V, Mole TB, Banca P, Porter L, Morris L, Mitchell S et al (2014). Neural correlates ntawm cue reactivity rau cov neeg uas muaj thiab tsis muaj compulsive kev coj cwj pwm. PloS Ib 9: e102419.
- Weintraub D, Koester J, Potenza MN, Siderowf AD, Stacy M, Voon V et al (2010). Impulse tswj kab mob hauv cov kab mob Parkinson: txoj kev tshawb nrhiav ntawm 3090 cov neeg mob. Koov Neurol 67: 589-595. Neuropsychopharmacology Xyuas (2016) 41, 385-386; doi: 10.1038 / npp.2015.300
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