Wolemba: Hallberg, Jonas
Tsiku: 2019-10-18
Kumalo: Rehabsalen, Norrbacka S4: 01, Karolinska Universitetssjukhuset, Solna
Nthawi: 09.00
Dipatimenti: Inst för Medicin, Huddinge / Dept of Medicine, Huddinge
Onani / Tsegulani: Nkhani yolembedwa (825.0Kb) Dulani (91.57Kb)
Kudalirika
Mbiri: Khalidwe lochita zinthu mosalekeza (HB) lomwe limabweretsa zotsatirapo zoyipa ndichinthu chomwe chapangitsa kuti munthu adziwe kuti ali ndi matenda osokoneza bongo, ngakhale atakhala ndi kafukufuku wambiri. Chifukwa cha kusiyana kwa njira zakuyerezera komanso kupezerera, zidakhala zovuta kuyerekeza ndi kufotokozera kuchokera pazotsatira za maphunziro azachipatala. Hypersexual Disorder (HD) idakonzedwa kuti buku la 5 la Diagnostic and Statistical Manual (DSM-5) likhale chiphunzitso cha HB. Komabe, adakanidwa ngakhale adalandira chithandizo champhamvu pamayeso am'munda komanso maphunziro muzipatala zamankhwala komanso zamizeru. Komabe, HD ndi njira zake zidathandizira maphunziro azachipatala omwe amachokera pa yunifolomu, kuphatikiza kuzindikira koyambirira, magawidwe.
Zolinga: Cholinga cha mitu yonseyi chinali kufufuza za njira ya HD yoika m'gulu la HB ndikukhazikitsa njira yochiritsira (CBT) yozindikira potsatira zomwe zapezedwa, kenako ndikuwonetsetsa kuthekera ndi kugwiranso ntchito kwake kudzera pa intaneti. Mafunso ofunikira anali awa:
• Kodi kupezeka kwa HD ndi njira zake ndizoyenera kugawa gulu la abambo ndi amayi omwe amachita zogonana mopitilira muyeso womwe umadzetsa mavuto ndi kukhumudwa?
• Kodi protocol yothandizira yopanga ma CBT yomwe yayamba kumene ndiyothandiza kuthana ndi zizindikiritso za HD ngati zikuyendetsedwa m'magulu?
• Ngati ndondomeko ya kulowererapo kwa CBT ikuthandiza pochiza zizindikiro za HD, kodi ingathe kutumizidwa kudzera pa intaneti?
Njira: Mu Phunziro I, kutsimikizika kwa njira za HD kunayesedwa mu zitsanzo za anthu odziwika okha omwe amagwiritsa ntchito Hypersexual Disorder Screening Inventory (HDSI). Pambuyo pake mu Phunziro II, kuthekera kwa chithandizo chaposachedwa cha CBGT cha HD kunayesedwa mwa zitsanzo za abambo okakamizika omwe adawerengedwa pa Study I. Kuyeza kunapangidwa asanachitike, pakati, komanso pambuyo pa chithandizo komanso miyezi itatu ndi isanu ndi umodzi Mapeto a chithandizo.
Study III inali RCT yokulirapo, kuyerekezera magawo 7 a mankhwala a CBGT ndi mndandanda wodikira. Kuyeza kunachitidwa asanachitike, pakati komanso pambuyo pa chithandizo panthawi yofanizira. Oyembekeza omwe akudikirira adapitilira CBGT ndipo adayesedwa panthawi yomweyo. Magulu onse awiriwa adayezedwanso pakapita miyezi itatu ndi isanu ndi umodzi atatha nthawi yake ya chithandizo. Zambiri kuchokera m'magulu onsewa zidakhazikika ndikuwunika zotsatira za intragroup.
Study IV idafufuza kuthekera ndi kuyipa kwa pulogalamu ya masabata 12 ya ICBT ya HD, kapena paraphilia (s) / paraphilic disorder (s). Ophunzira adayesedwa molingana ndi njira zomwe adagwiritsa ntchito mu Phunziro II ndi III ndipo ataphatikizidwa adapatsidwa wothandizira kuti athe kuyankha, kuwathandiza, komanso kumufotokozera panthawi ya chithandizo. Zoyezetsa zinkachitika sabata iliyonse, kuyang'ana kwambiri asanachitike, pakati,, ndi chithandizo chamankhwala, komanso miyezi itatu atachira. Ophunzirawo adaperekanso zoyeserera zowunika.
Zotsatira: Mu Kafukufuku Woyamba, 50% ya zitsanzo adakumana ndi njira ya HD. Kusiyana kwina pakati pa amuna ndi akazi kunadziwika pa kukula kwa chizindikirocho komanso mitundu yamachitidwe akugonana. Njira za HD zinapezeka kuti ndizovomerezeka kwa amuna ndi akazi, ngakhale kutanthauzira kwa HDSI kumawoneka ngati koletsa. Phunziro II adapeza kuti chithandizo cha CBGT cha HD ndicotheka. Kuchepetsa kwakukulu mu zizindikiro za HD kunazindikiridwa kumapeto kwa chithandizo ndipo adasungidwa pakutsatira kwa miyezi 3 ndi 6.
Zotsatira zazikuluzikulu kuchokera ku Phunziro III zinalimbikitsa zotsatira zoyenera pambuyo pa chithandizo pam zotsatira zoyambirira. Zotsatira zomwezi zidapezeka pazotsatira zachiwiri. Zotsatira zochokera paziwonetserozo zomwe zawonetsedwa zawonetsa kuchepa kwamphamvu kwa ziwonetserozo pambuyo poyeserera ndikutsatira. Kupitiliza bwino kwa ophunzira onse mwazonse kumachititsanso chidwi, ngakhale kuli kochepa kwambiri.
Mu Phunziro IV, zotsatira zazikulu zinaonedwa chifukwa cha chithandizo cha ICBT cha HD, kapena paraphilia (s) / paraphilic disorder (s). Zotsatira zapang'onopang'ono zidadziwika chifukwa cha paraphilia (s) / paraphilic disorder (s). Kuchita bwino zamaganizidwe kwandithandizanso, koma pang'ono pang'ono.
Mapeto: Njira za HD zidapezeka kuti ndizothandiza kugawa odwala omwe ali ndi vuto lochita zolakwika ngakhale kuti njira yodziwika yaposachedwa kwambiri yodziwira kugonana (CSBD) ikugwiranso ntchito lero. Kafukufuku Wachiwiri ndi III adawonetsa kuti CBGT ndi chithandizo choyenera chomwe chimathandizanso kuonetsa HD. Zotsatira za Study IV zikusonyeza kuti mankhwalawa amatha kuthandizidwa kudzera pa intaneti ndikuchepetsa HD ndi zizindikiro zake. Kupitiliza kwina kuchitapo kanthu kukhoza kukhala ndi mwayi wopewa kugonana kosafunikira, kuphatikizapo kuchita zachiwerewere.
Mndandanda wamapepala:
I. Öberg, KG, Hallberg, J., Kaldo, V., Dhejne, C., & Arver, S. (2017). Hypersexual Disorder Malinga ndi Hypersexual Disorder Screening Inventory mu Thandizo-Kufunafuna Amuna ndi Akazi aku Sweden Omwe Amadziwika Ndi Hypersexual. Mankhwala Ogonana. 5 (4), e229-e236.
Nkhani yonse (DOI)
II. Hallberg, J., Kaldo, V., Arver, S., Dhejne, C., & Öberg, KG (2017). Njira Yodziwitsira-Kuzindikira Gulu Lothandizira Pakati pa Hypersexual Disorder: Phunziro Lotheka. J Kugonana Med. Zotsatira (14), 7-950.
Nkhani yonse (DOI)
III. Hallberg, J., Kaldo, V., Jokinen, J., Arver, S., Dhejne, C., & Öberg, KG (2019). Kafukufuku Wosasinthika wa Gulu Loyendetsedwa ndi Maganizo Othandizira Kuzindikira Matenda A Hypersexual Amuna. J Kugonana Med. 2019; 16 (5): 733-745.
Nkhani yonse (DOI)
IV. Hallberg, J., Kaldo, V., Arver, S., Dhejne, C., Jokinen, J., Piwowar, M., & Öberg, KG Internet-Administered Cognitive Behaeveal Therapy for Hypersexual Disorder, kapena wopanda Paraphilia (s ) kapena Paraphilic Disorder (s) mwa Amuna: Phunziro Loyendetsa Ndege. [Zolemba pamanja]
URI: http://hdl.handle.net/10616/46842
Sukulu: Karolinska Institutet
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