MAFUNSO: DSM-5 yomwe ikubwera ikuyesa kusankha ngati matenda okhudza kugonana ndi abambo ayenera kuphatikizidwa. Chotsatira ndi chakuti kusokoneza chiwerewere kumakhalapo ngati iwo omwe ali ndi maphunziro odzichepetsa akhoza kuzindikira molondola mkhalidwewo. Onani nkhani yomwe ili pansipayiyi ikufotokoza zomwe zapeza.

J Sex Med. 2012 Oct 4. onetsani: 10.1111 / j.1743-6109.2012.02936.x.

Bweretsani RC, Mmisiri wamatabwa BN, Nkhumba JN, Garos S, Manning JC, Gilliland R, Cooper EB, McKittrick H, Davtian M, Fong T.

gwero

UCLA Dipatimenti ya Psychiatry ndi Sciences Biobehavioral, University of California, Los Angeles, Los Angeles, CA, USA Dipatimenti ya Psychology, Brigham Young University, Provo, UT, USA Dipatimenti ya Psychology, University of North Texas, Denton, TX, USA Psychology, University of Texas Tech, Lubbock, TX, USA Kuchita zapadera, Denver, CO, USA Dipatimenti ya Psychology, University University, Philadelphia, PA, USA.

Kudalirika

Chiyambi.

Buku Lophatikiza ndi Kuwerenga kwa Mavuto a Mitsempha, Fikisano Yachigawo (DSM-5) yothetsera matenda a hypersexual (HD) akufunsidwa kulandira zizindikiro za odwala omwe akufuna kuthandizira kuti azigonana. Zokakamizidwa zomwe zimapangidwa ndi DSM-5 Work Group pa zovuta zogonana ndi zokhudzana ndi amuna ndi akazi zimayenera kuyesedwa pamayesero omanga.

Cholinga.

Mayeso a DSM-5 Field Field adapangidwa kuti awonetsetse kuti zowonjezereka zowonjezereka za HD zimakhala zogwirizana ndi odwala omwe akufuna chithandizo cha khalidwe la hypersexual, chikhalidwe cha matenda a maganizo, kapena matenda okhudzana ndi mankhwala. Njira. Odwala (N = 207) adayesedwa kuti agwiritse ntchito matenda a psychopathology ndi HD ndi anthu omwe amachititsa khungu kuti azindikire momwe angagwiritsire ntchito kachilombo ka HD ndikutsatira nthawi ya 2 ndi gulu lachitatu kuti awonetsetse kuti nthawi ya HD imakhala yodalirika. Odwala nawonso adatha kulemba ziwerengero zodzipangitsa kuti adziwe momwe HD imakhalira.

Njira Zazikulu Zotsatira.

HD ndi psychopathology zinayesedwa ndi zoyankhulana zokambirana, machitidwe a Hypersexual Inventory, Sexual Compulsivity Scale, ndi Hypersexual Khalidwe la Zotsatira Zake. Kusokonezeka maganizo ndi kupsinjika maganizo kunayesedwa ndi zigawo pa NEO Makhalidwe Abwino-Okonzedwanso. Zotsatira. Kukhazikika pakati pazinthu kunali kochuluka ndipo njira ya HD inasonyeza kukhazikika kwabwino pa nthawi. Zizindikiro zodziwika bwino komanso zodziwika bwino zimasonyeza kuti chiwerengero cha HD chikuwonetsa molondola vuto lomwe likupereka pakati pa odwala. Zomwe zizindikiro za HD zimagwiritsidwa ntchito zimasonyeza kuti ndizogwirizana ndi zochitika zokhudzana ndi kugonana, kukhudzidwa, kusokonezeka maganizo, ndi kupsinjika maganizo, komanso kugwirizana kwabwino. Odwala omwe amawonetsedwa kwa HD adanenanso kuti pali zotsatira zambiri zokhudzana ndi khalidwe lachiwerewere lomwe linali lalikulu kwambiri kuposa omwe anapeza kuti ali ndi vuto la matenda a maganizo kapena matenda okhudza mankhwala.

Zotsatira.

Magulu a HD omwe akufunsidwa ndi DSM-5 Work Group pa zochitika zogonana ndi kugonana zizindikiro zimasonyeza kuti ndizodalirika komanso zogwiritsidwa ntchito kwa odwala m'magulu a anthu omwe ali ndi ngongole ndi maphunziro apamwamba pa kuyesa HD.

Reid RC, Carpenter BN, Hook JN, Garos S, Manning JC, Gilliland R, Cooper EB, McKittrick H, Davtian M, ndi Fong T. Lipoti la zofukulidwa mu DSM-5 Mlandu woyambitsa matenda a hypersexual. J Sex Med **; **: ** - **.

Media imati 'chizolowezi chogonana' ndi chenicheni

“Chizoloŵezi chogonana NDI vuto lenileni,” inatero Daily Mail Nkhani ya nyuzipepalayo idakhazikitsidwa ndi kafukufuku wofufuza kulondola kwachipatala chatsopano, chotchedwa hypersexual disorder.

Matenda opatsirana pogonana (HD) ndi mawu omwe amagwiritsidwa ntchito pofotokoza zizindikiro zofanana. Izi zimaphatikizapo kugwiritsa ntchito nthawi yochuluka yogonana poganizira ndi kuganizira kapena kukonzekera ndikuchita zogonana. Kusamalidwa kumeneku kumabweretsa mavuto aakulu kapena kuwonongeka kwa moyo wa anthu kapena ntchito.

Ngakhale kuti chitsanzochi chinalandiridwa bwino, sichinayambe kukhazikitsidwa monga matenda a maganizo. Mwapadera, matenda okhudzana ndi kugonana omwe sagwiritsidwa ntchito mwachisawawa sanagwiritsidwepo ku zolembedwa zomwe zafotokozedwa za Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Iyi ndi ntchito yeniyeni yolemba zonse zomwe zimazindikirika za thanzi labwino. DSM-5 iyenera kusindikizidwa mu 2013.

Phunziroli, ofufuza adafunsa oposa odwala 200 omwe adatumizidwa kuzipatala zamaganizo pazinthu zosiyanasiyana monga HD. Ofunsana nawo sankadziwa chifukwa chake odwala adatumizidwira, koma zoyankhulana zawo zidapangidwa kuti ziwonetsere zatsopano zotsatizana za HD. Kafukufukuyu anapeza kuti ofunsana nawo amavomereza kuti odwala ali ndi HD, ndi kuti njira zatsopano zomwe zatsatiridwazi zikuwonetsa bwino zomwe odwala adanena. Phunziroli likusonyeza kuti "zizindikiro zosonyeza" za HD ndi chida chothandiza.

Zofufuza za mtundu umenewu ndizofunikira kwambiri pa kafukufuku wokhudza zochitika zogonana, zomwe, ngakhale zovuta zina m'magulu ena, zimawavutitsa kwambiri anthu omwe akukhudzidwa.

Kodi nkhaniyi inachokera kuti?

Phunzirolo linapangidwa ndi ofufuza ochokera ku yunivesite ya California, Brigham Young University, University of North Texas, University of Texas Tech ndi University University. Palibe chidziwitso chokhudza ndalama zakunja.

Phunzirolo linasindikizidwa mu zowonongeka ndi anzako Journal of Medicine Medicine.

Momwemo, Mail inagwiritsira ntchito chithunzi chake pogwiritsa ntchito chithunzi cha "chizoloŵezi chogonana" Russell Brand ndi kufotokozera za kugonana ndi chizoloŵezi chogonana monga chinthu "cholembedwa kuti chikhale 'chifukwa cha" anthu otchuka ".

Pepalalo silinayenere kutchula matenda a hypersexual mowa. Sizinasankhidwe monga choncho. Tsatanetsatane wa chizolowezi choledzera nthawi zambiri chimaphatikizapo chikhalidwe cha kudalira thupi.

Zingakhale zolondola kwambiri kufotokoza matenda a hypersexual monga mtundu wa chisokonezo cha umunthu. Matenda aumunthu ndiwo zinthu zomwe zimapotoza njira za kuganiza zingayambitse zachilendo, ndipo nthawi zambiri zimadzivulaza, khalidwe.

Kodi ndi kufufuza kotani?

Uku kunali kuyesa pamunda, kutanthauza kuti kafukufuku anachitidwa mu "zenizeni" mkhalidwe, m'maganizo awa. Ofufuzawo akunena kuti odwala omwe akufuna thandizo la HD nthawi zambiri sangathe kulamulira nthawi imene amagwiritsa ntchito kugonana, akulimbikitsana ndi makhalidwe, kuphatikizapo maliseche, zithunzi zolaula, ma-cybersex, kugonana kwa pa telefoni ndi magulu otsala.

Matenda okhudza kugonana, ochita kafukufuku amati, amachititsa kuti anthu azivutika kwambiri komanso amalepheretsa anthu odwala komanso odwala. Ngakhale kuti mafotokozedwe a khalidwe lachiwerewere akhalapo kwa nthawi yayitali, asayansi a m'maganizo aposachedwapa adziwa kuti mwina ndi matenda a chipatala m'malo mosiyana kwambiri ndi kugonana.

Matenda atsopano a matenda a hypersexual afunsidwa kuti apeze matenda okhudza matenda okhudza ubongo, omwe amapezeka ndi American Psychiatric Association (Diagnostic and Statistical Manual of Mental Disorders). Kusinthidwa pafupipafupi, DSM imagwiritsidwa ntchito ndi akatswiri azaumoyo padziko lonse. Madokotala ena adanena kuti matenda opatsirana pogonana akuphatikizidwa ngati kachilombo kamene kamasulidwa m'dongosolo lotsatira (DSM-5).

Kodi kufufuzaku kunaphatikizapo chiyani?

Kafukufukuyu anaphatikiza odwala a 207 a zaka zapakati pa 18 ndi opitirira, osankhidwa mwachangu kuzipatala zosiyanasiyana zamaganizo ku US omwe amapereka chithandizo cha matenda a hypersexual, matenda a maganizo ndi mavuto okhudza mankhwala. Mwa odwala awa, 152 imatchulidwa kuti ndi matenda a hypersexual.

Ofunsana nawo anali anthu a 13 ochokera m'mitundu yosiyanasiyana kuphatikizapo matenda a maganizo, akatswiri a maganizo, ogwira nawo ntchito, ogwira ntchito zaukwati komanso achibale, komanso ophunzira omwe amapita kuchipatala. Ochita kafukufukuwa anati, "Kusiyana kwakukuluku kunapangidwa kuti ziwonetsere akatswiri osiyanasiyana omwe amagwiritsa ntchito DSM muzochita zawo. Pafupifupi theka la gululo silinagwire ntchito ndi odwala hypersexual isanafike.

Palibe gulu lomwe linadziwa zomwe odwala adatumizidwa. Onsewa adaphunzira kuchitidwa kafukufuku wa matenda a maganizo komanso amamvetsera mafunso owerengeka omwe anafunsidwa kuti awonetsere njira zatsopano zokhudzana ndi matenda a hypersexual (omwe amatchedwa HD matenda opatsirana pogonana kapena HD-DCI).

Odwala onse anayamba kuyankhulana ndi odwala matenda a maganizo ndipo aliyense anafunsidwa mwachidwi ndi gulu limodzi, pofuna kuwunikira ngati ali ndi vuto la kugonana. Mafunsowa adafufuzidwa kuti ayang'anire mwatsatanetsatane zoyenera zatsopano zogonana. Mu sabata yoyamba ya phunzirolo, odwala adalanso ziwerengero zodziwerengera zomwe zimapangidwanso kuti zisonyeze njira zatsopano, kuti zithandizire kuwunika.

Pafunso lirilonse, "okonda" awiri amakhalapo omwe anachititsidwa khungu ku ziwerengero za wina ndi mzake. Mmodzi wina woyendetsa anafunsa mafunsowo pamene wina adamuwona.

Patangotha milungu iwiri kuchokera pa zoyankhulana zoyambirira, wothandizira katatu anabwereza kuyankhulana kwa HD-DCI ndi wodwala aliyense.

Ochita kafukufuku adawonekeranso momwe amitundu amodzi amavomerezana ndi momwe matendawa amagwirizanirana ndi anthu odwala matenda a hypersexual and, mu kachipatala ka odwala 32, amayang'aniranso ngati matenda ochokera ku yeseso yachiwiri, masabata awiri pambuyo pake, akufanana ndi matenda oyambirira. Anagwiritsa ntchito mayesero osiyanasiyana ofunikira kuti aone ngati zizindikirozo ndi zowona komanso zodalirika.

Kodi zotsatira zake zinali zotani?

Ofufuza amanena kuti:

Kudalirika kwapakati pafupipafupi (IRR) kunali kwakukulu, pa 93%. Izi zikutanthauza kuti ofunsa mafunso ambiri amavomereza kuti ngati odwala ali ndi vuto la matenda opatsirana pogonana (0.93, 95% nthawi yokhulupirira 0.78 ku 1).
Kukhulupilika koyesa kuyesedwa kunali kwakukulu, ndi 29 ya milandu ya 32 yomwe inagwirizana.
Chisamaliro (chiwerengero cha odwala omwe amatchulidwa kuti matendawa ndi omwe amadziwika molondola) ndi chidziwitso (chiwerengero cha odwala omwe amatchulidwa china chirichonse osati matenda osokoneza bongo omwe amadziwika bwino) anawonetsa njira yatsopano ya matenda opatsirana pogonana anawonetsera bwino momwe matenda adatchulidwira chifukwa.
Odwala omwe akuyang'anitsitsa matenda a hypersexual ananenanso kuti pali "zotsatira zochuluka" zoyipa zomwe zimakhudza khalidwe lachiwerewere lomwe linali "lalikulu kwambiri" kuposa omwe anapezeka ndi matenda aakulu a matenda a maganizo kapena matenda okhudza thupi. Izi zinaphatikizapo kutayika ntchito, kutha kwa chibwenzi, mavuto azachuma ndi azachuma.

Kodi ofufuza anatanthauzira bwanji zotsatira?

Ofufuzawo akunena kuti ili ndilo loyamba kulandira mayeso a DSM-5 chifukwa cha matenda atsopano okhudza matenda a hypersexual. Apeza kuti njira zatsopanozi zikuwonekera kuti zimakhala zodalirika komanso zogwiritsidwa ntchito kwa ogwira ntchito pazipatala, pogwiritsa ntchito gulu la olemba mapepala ophunzitsidwa bwino pofufuza matenda okhudza kugonana.

Kutsiliza

Kuphunzira za matenda a hypersexual ndi malo okhudzidwa kwambiri m'maganizo a thanzi labwino komanso mankhwala opatsirana pogonana (ndipo ndithudi adzakhala okondweretsa kwa makina osindikizira). Kafukufukuyu akuwoneka kuti zotsatilazi zimapangitsa kuti odwala azikhala nawo m'dera lino komanso kuti akugwira ntchito mwakhama. Kafufuzidwe kafukufuku amafunika kuti atsimikizidwe izi komanso momwe mungagwiritsire ntchito chithandizo cha hypersexual.

Chinthu chimodzi chofooka cha phunziroli ndi kugwiritsa ntchito njira zodzipangira yekha komanso kuyankhulana koyambitsa matenda, zomwe zingakhale zosadalirika zowonongeka. Momwemo, maphunzirowa akubwerezedwa mobwerezabwereza m'madera omwe matendawa sali achilendo kotero kuti kuchuluka kwa zinthu zabodza kapena zolakwika zitha kuyesedwa muzitsanzo zowonjezereka za malo osagwiritsidwa ntchito omwe alibe chithandizo.

Ngati mukudandaula kuti mutha kukhala ndi maganizo olakwika komanso okhudzana ndi kugonana zomwe zimakhudza moyo wanu, palinso mankhwala angapo omwe alipo, monga chithandizo chodziwitsira khalidwe labwino. Werengani zambiri za kuthana ndi chizolowezi chogonana.

Kufufuza ndi Bazian. Kusinthidwa ndi Zosankha za NHS. kutsatira Pamutu pa Nkhani pa Twitter.

Report of Findings mu DSM-5 Mlandu wa Munda wa Matenda a Hypersexual. (2012)