Faiga Faʻapitoa o Tamaʻi Manamea i le Suʻeina o Togafitiga mo le Faʻaaogaina o Ponokalafi (2016)

Faʻaaliga: E tusa ma le 28% (n  = 359) o tamaloloa na togi i le (pe o luga atu) le fautuaina HBI aofaʻi o le tipiina o falemaʻi (≥53) e faʻailoa ai le i ai o se ono maua i feusuaʻiga.

J Behav Addict. 2016 Jun;5(2):169-78. Pule: 10.1556 / 2006.5.2016.036.

Kraus SW1,2,3, Martino S2,3, Potenza MN3,4.

LINI I LE TUSI TEXT

lē faʻatino

Faʻamatalaga ma sini

O lenei suʻesuʻega na suʻesuʻeina ai le taatele o, ma itu fesoʻotaʻi ma, tamaloloa fiafia i le sailia o togafitiga mo le faʻaaogaina o ponokalafi.

Metotia

I le faʻaaogaina o faʻamatalaga o faʻamaumauga i luga ole Initaneti, matou te faʻaaogaina ai le 1,298 male faʻataʻitaʻikalafi e faʻaaogaina fesili e iloilo ai le amiomalo ma amioga tau feusuaiga, feusuaiga, faʻaaogaina o ponokalafi, ma le fiafia i le taimi nei e saili togafitiga mo le faʻaaogaina o ponokalafi.

i'uga

E tusa ma le 14% o tamaloloa na lipotia le fiafia e saili togafitiga mo le faʻaaogaina o ponokalafi, ae naʻo le 6.4% o aliʻi na sailia muamua togafitiga mo le faʻaaogaina o ponokalafi. Togafitiga-fiafia tamaloloa na 9.5 taimi sili atu ono foliga mai lipotia taua tulaga maualuga o feusuaʻiga faʻatusatusa i togafitiga-le fiafia tagata (OR = 9.52, 95% CI = 6.72-13.49). Bivariate suʻesuʻega faʻailoa mai o le fiafia-i-sailiga-togafitiga tulaga na fesoʻotaʻi ma le nofofua / le faʻaipoipo, matamata tele ponokalafi i le vaiaso, auai i le sili atu tuʻu toatasi i le masina talu ai, talu ai ona itiiti dyadic oral feusuaiga i le masina talu ai, lipotia se talafaʻasolopito o le sailia o togafitiga mo le faʻaaogaina o ponokalafi, ma le tele o taimi ua tuanaʻi taumafai e "tipi" pe faʻamutaina le faʻaaogaina o ponokalafi. Faʻaiuga mai le suʻesuʻega o le faʻavasegaina o faʻamaoniga e uiga i le tele o taimi e toʻesea ai / faʻamutaina taumafaiga ma ponokalafi ma togi i luga o le Hypersexual behaviour Inventory - O le pulea o le vaega sa avea ma tagata taua o le naunau-i-sailiga-togafitiga tulaga.

Talanoaga ma faaiuga

O suʻesuʻega suʻesuʻega e mafai ona faʻaaogaina e faʻamaonia ai faʻataʻitaʻiga o suʻesuʻega o loʻo faʻatatau i le faʻamalamalamaina o vaega patino o le pulea lelei o feusuaiga, le mautonu, ma / poʻo le faʻamalosi e fesoʻotaʻi ma le faʻafitauli faʻaaogaina o ponokalafi i tagata sailiili togafitiga.

FUAFUAGA: feusuaʻiga; ponokalafi; amioga feusuaʻi; tagata saili togafitiga

PMID: 27348557

FAIA: 10.1556 / 2006.5.2016.036

 

faʻatomuaga

O ponokalafi e faʻasino i tusitusiga poʻo mea o loʻo atagia mai i se uiga mataga faʻafeusuaiga e faʻamoemoe e faʻaosofia ai lagona feusuaʻi i le tagata faitau poʻo le maimoa. Ina ua suʻesuʻeina, 30% –70% o tamaʻitaʻi ma tamaʻitaʻi / faʻaipoipoga tama lipotia faʻafiafia faʻaaogaina o ponokalafi, ae toalaiti fafine lipotia matamata faʻafiafiaga faʻafiafiaina (<10%) (Morgan, 2011; Ross, Mansson, & Daneback, 2012; Wright, 2013). E ui o le matamata i ponokalafi o se tafaoga maloloina lelei mo le toatele o tagata taitoatasi (Hald & Malamuth, 2008), o nisi tagata latou te lipotia le faigata ona pulea a latou amio. Mo nei tagata taʻitoʻatasi, o le faʻalavelave tele faʻaaogaina o ponokalafi e faʻaalia i le faʻanoanoa, faʻaitiitia le pulea o le tagata lava ia, faʻaletonu o le vafealoai poʻo agavaʻa, ma le faʻaaogaina o mea faʻapitoa e faʻafeusuai ai faʻafeusuaiga e taulima ai le atuatuvale poʻo le mafaufau o le dysphoric (Kor et al., 2014; Kraus, Meshberg-Cohen, Martino, Quinones, & Potenza, 2015; Kraus, Potenza, Martino, & Grant, 2015; Kraus & Rosenberg, 2014). Faʻaaogaina faʻafitauli o ponokalafi e masani lava ona lipotia e i latou o loʻo sailia togafitiga mo amioga mataga faʻafeusuaiga / faʻafeusuaiga (de Tubino Scanavino et al., 2013; Kraus, Potenza, et al., 2015; Morgenstern et al., 2011). Mo se faʻataʻitaʻiga, na maua e tagata suʻesuʻe le tele o le faʻaaogaina o ponokalafi (81%), faʻamalosi faʻamalosi (78%), ma le masani ona le masani ai / 45% (XNUMX%) faʻatasi ma amioga sili ona taatele na lipotia mai e tagata o loʻo sailia togafitiga mo feusuaʻiga (Reid et al., 2012).

O le faʻafeusuaiga e sili ona taatele i tagata (Kafka, 2010), ma i latou o loʻo sailia togafitiga o le a sili atu ona avea ma tagata Caucasian / paʻepaʻe nai lo isi ituaiga / aganuu (Farré et al., 2015; Kraus, Potenza, et al., 2015; Reid et al., 2012). O tau o le feusuaʻiga i totonu o le faitau aofaʻi o tagata e faʻatusatusa i le 3% -5%, faʻatasi ai ma tane matutua e aofia ai le toatele (80%) o tagata aafia (Kafka, 2010). O i latou e sailia togafitiga mo feusuaʻiga feusuaʻi e tele lava ono ausia le taʻiala mo faʻafitauli o le mafaufau comorbid (eg, popolevale ma le faʻanoanoa, faʻaogaina o vailaʻau, ma petipetiga) (> 50%) (de Tubino Scanavino et al., 2013; Kraus, Potenza, et al., 2015; Raymond, Coleman, & Miner, 2003) ma auai i amioga le mautinoa i le HIV (faʻataʻitaʻiga, feusuaʻiga lē tau toʻafilemu ma le tele o paʻaga feusuaʻi i taimi uma) (Coleman et al., 2010; Parsons, Grov, & Golub, 2012).

I le taimi nei, e leai se maliega autasi e uiga i le faʻamatalaga ma uiga faʻaalia o le feusuaʻiga (Kingston, 2015). O le faʻalavelave sili ona faigata ile faʻafeusuaʻiga i amioga tau feusuaʻiga ua manatu o se maʻi le mautonu (compulsive-compulsive)Grant et al., 2014), o se vaega o le faʻafitauli faʻafeusuaiga (HD) (Kafka, 2010), o se amioga e le o ni faʻataʻitaʻiga faʻafeusuaiga faatausala (Coleman, Raymond, & McBean, 2003), poʻo le avea ma vaisu (Kor, Fogel, Reid, & Potenza, 2013). O le tele o taʻiala ua faʻatulagaina mo le tutusa o faʻamatalaga a le HD ma i latou mo le faʻaaogaina o vailaʻau (SUD)Kor et al., 2013; Kraus, Voon, & Potenza, 2016). Aemaise lava, SUDs (American Psychiatric Association, 2013) ma le HD (Kafka, 2010) aofia ai ma faʻataʻitaʻiga diagnostic iloiloina faʻaletonu le faʻatonutonuina (ie, le manuia taumafaiga e faʻalelei pe taofi se amio, faigata pulea faʻataʻitaʻiga / manaʻoga) ma le faʻaaogaina lamatiaga (ie, faʻaaoga / amio e oʻo atu ai i tulaga mataʻutia, eg, soʻona inuina, punouai i le le gaoia feusuaiga). HD ma SUDs o loʻo iai foʻi ma tuʻutuʻuga na faʻaaogaina e iloilo ai le faʻaletonu o le soifuaga e fesoʻotaʻi ma le faʻaogaina o fualaʻau poʻo amioga feusuaʻi. Ae ui i lea, SUD taʻiala iloiloina faʻalagolago faʻaletino (ie, faʻapalepale ma aveʻesega), ae HD leai. I se faʻatusatusaga, HD tulaga ese aofia ai faʻatulagaina fuaina lagona faʻaleagaina lagona fesoʻotaʻi ma sili atu / faʻafitauli pipisi i feusuaʻiga amioga.

E ui lava i se faʻamanuiaga faʻapitoa i le fanua e lagolago ai le saʻo ma le faʻamaoni o taiala mo HD (Reid et al., 2012), le American Psychiatric Association (American Psychiatric Association, 2013) teena HD mai DSM-5. O le tele o atugaluga na tutupu e uiga i le le lava o suʻesuʻega e aofia ai le faʻataʻitaʻiga faʻamalositino ma le faʻatinoga, genetics, pathophysiology, epidemiology, ma neuropsychological testing (Piquet-Pessôa, Ferreira, Melca, & Fontenelle, 2014), faʻapea foʻi ma le atugaluga e mafai e le HD ona faʻaleagaina ai faʻamatalaga faʻapitoa mo le faʻataʻitaʻiina poʻo le maua o ni faʻamatalaga sese, ona o le leai o ni faʻamaʻotoga manino i le va o tulaga masani ma tulaga faʻaleagaina o tuʻinanauga ma amioga faʻafeusuaiga (Moser, 2013; Wakefield, 2012; Winters, 2010). O se iloiloga lata mai o lomiga na maua i le va o le tino ma le neurobiological tutusa i le va o HD ma SUDs; ae ui i lea, o loʻo le maua nei faʻamaumauga, o lea e faʻalavelaveina ai le faʻavasegaga, puipuiga ma togafitiga mo tagata suʻesuʻe ma fomaʻi (Kraus et al., 2016).

I le taimi nei, e itiiti se mea e iloa e uiga i mea taua e fesoʻotaʻi ma tagata taʻitoʻatasi ua manatu e manaʻomia le sailia o togafitiga mo amio feusuaʻiga e leʻi togafitiina - i lenei tulaga, faʻafitauli tele ma faʻafitauli o ponokalafi. I le taimi nei, na o le tasi le suʻesuʻega na suʻesuʻeina ai mea e aʻafia ai le fiafia o tagata i le sailia o togafitiga mo le faʻaaogaina o ponokalafi. Gola, Lewczuk, ma Skorko (2016) maua o faʻamaoniga le lelei (eg, preoccupation, aafia, ma fegasoloaʻiga faʻasoesa ona o amioga feusuaʻi ma faʻaletonu le puleaina) fesoʻotaʻi ma faʻafitauli faʻaaogaina o ponokalafi na sili atu ona malosi fesoʻotaʻi ma togafitiga-sailia nai lo le aofaʻi o ponokalafi taumafaina. E ui lava o le tele / faʻafitauli faʻaaogaina o ponokalafi e masani ona lipotia e i latou o loʻo sailia togafitiga, e itiiti se mea e iloa e uiga i uiga o nei tagata. Mo se faʻataʻitaʻiga, e le o mailoa poʻo fea vaega (eg, faʻataʻitaʻiga le faʻataʻamilomilo taumafaiga e faʻamuta, manaʻoga malosi / manaʻoga, ma faaletonu psychosocial) e fesoʻotaʻi ma manaʻoga mo togafitiga saili mo sili atu / faʻafitauli faʻaaogaina ponokalafi. E i ai ni faʻapitoa foliga e ono fesoasoani e faʻailoa ai tagata taʻitoʻatasi oe manaʻomia ma manaʻomia togafitiga mo faʻalavelave faʻafitauli o ponokalafi? I le taimi nei, o le suʻesuʻeina o faʻataʻitaʻiga ma faʻafitauli tau falemaʻi ua fuafuaina e faʻaleleia ai faʻafitauli e fesoʻotaʻi ma le tele o ponokalafi faʻaaogaina ma le le togafitia o feusuaʻiga, i se tulaga lautele, ua le maua i le Iunaite Setete ma fafo atu (Matau, Reid, Penberthy, Davis, & Jennings, 2014). O isi mea faʻapitoa e pei o le faʻalotu ma le le taliaina o le amiolelei e ono aʻafia ai le faʻamautinoaina ma le togafitiga o faʻafitauli faʻafitauli o ponokalafi. Mo se faataitaiga, o se suʻesuʻega talu ai nei na iloa ai le le taliaina e le lotu ma amioga lē lelei i ponokalafi le fuainumera o le "vaaia o mea ua fai ma vaisu" i ponokalafi i le Initaneti ae le fesootai i le tulaga o le faaaogaina e alii talavou e faaaoga ai ponokalafi (Grubbs, Exline, Pargament, Hook, & Carlisle, 2015). Malamalama pe faapefea ona le malamalama lelei ia mea e pei o le lotu / faaleagaga ma le le taliaina o le amio e aafia ai manaoga o tagata taitoatasi e saili togafitiga mo amioga feusuai talafeagai.

I le faʻaaogaina o faʻamaumauga mai le 1,298 tamaʻi ponokalafi tagata faʻaaoga, o lenei suʻesuʻega saili e faʻailoa mea moni (eg, demograpics ma feusuaiga talaʻaga uiga) fesoʻotaʻi ma tagata taʻutaʻua lava lipotia fiafia i le sailia o togafitiga mo le faʻaaogaina o ponokalafi. Muamua, na matou suʻesuʻe pe o le a le pasene o tamaloloa o le a lipotia se fiafia i le taimi nei i le sailia o togafitiga mo le faʻaaogaina o ponokalafi. Na matou manatu o le fua faatatau e fai si maualalo aua na matou faʻaputuputuina tagata auai mai se le togafiti suʻe faʻataʻitaʻi o aliʻi. Lona lua, matou suʻesuʻeina le faʻateleina o feusuaʻiga i totonu oa matou faʻataʻitaʻiga e faʻaaogaina ai le Hypersexual Behaviour Inventory (HBI) (Reid, Garos, & Kamuta, 2011). Na matou manatu o tamaloloa e fiafia i ai togafitiga o le a lipotia le maualuga o togi i luga o le HBI nai lo alii. Lona tolu, ona o le utiuti o faʻamatalaga o loʻo avanoa i tusitusiga, na matou suʻesuʻeina pe iai se vaega o le faitau aofaʻi o tagata ma tala feusuaʻiga na iloga i le va o aliʻi na fiafia pe le fiafia i togafitiga mo le faʻaaogaina o ponokalafi. Faʻapitoa lava, matou suʻesuʻeina sootaga i le va o tagata auai uiga o se gaioiga o oe lava lipotia fiafia i togafitiga mo le faʻaaogaina o ponokalafi. Na matou talitonu o tagata taʻitoʻatasi e fia saʻili togafitiga mo ponokalafi faʻaaogaina e ono lipotia mai: (a) le maualuga atu o vaiaso ma le umi ole faʻaogaina; (b) numera maualuga atu o taimi ua tuanaʻi e taumafai e tipi pe tuʻu le faʻaaogaina o ponokalafi; ma (c) faʻateleina taimi o tuʻusaʻo toʻatasi i le masina talu ai.

Metotia

taualumaga

O faamaumauga na aoina mai i le 1,298 tagata na filifilia e avea o se vaega o suʻesuʻega faʻapitoa lea e suʻeina mea taua o se fesili (Self-initiated Pornography Use-Reduction Strategies Questionnaire) ua fuafuaina e fuaina le malosi o le tagata lava ia e faʻaaogaina ai le mafaufauina o le tagata lava ia- amioga faʻatino e fuafua e faʻaitiitia ai a latou ponokalafi faʻaaogaina (Kraus, Rosenberg, & Tompsett, 2015). Taiala mo le aofia ai o tane, o le 18 tausaga le matutua, ma le matamata i ponokalafi ia le itiiti ifo i le tasi i masina talu ai 6. Matou te tuʻuina atu se faʻamatalaga puupuu o le suʻesuʻega i le va o masina o Iuni-Iulai (2013) i luga o faʻasalalauga lautele, suʻesuʻega o le mafaufau, ma le upega tafailagi e fesoʻotaʻi ma le soifua maloloina. O le tele o faʻataʻitaʻiga (88%) na faʻapitoaina e faʻaaogaina ai faʻamatalaga na tusia i le Craigslist® (ie, o se faʻavasega tulaga 'upega tafaʻilagi faʻapitoa ma vaega tuʻuina atu i galuega, tagata, ma volenitia avanoa). O faʻasilasilaga na aofia ai se faʻamatalaga puʻupuʻu o le suʻesuʻega ma se fesoʻotaʻiga i lalo o le vaega "Community Volunteer" o le Craigslist e aofia ai talosaga mo le auai i suʻesuʻega suʻesuʻega ma galuega e le o ni suʻesuʻega. O le toeititi 12% o tagata na tali mai na sau mai le lafoina o se faʻamatalaga puʻupuʻu o le suʻesuʻega ma fesoʻotaʻiga luga o nofoaga e lua o le mafaufau-faʻavae nofoaga suʻesuʻega (eg, Psych Research ma Psych Hanover) ma isi 'upega tafaʻilagi e fesoʻotaʻi ma faʻataʻitaʻiga (eg, American Sexual Health Association).

Na matou faia ma le loto i ai e le ofoina atu se tasi po o le sili atu foi o taui e avea o se faʻamalosia ona matou te manaʻo e faʻaitiitia le ono mafai e tagata e le faʻaaogaina ponokalafi ona auai i le suʻesuʻega ma le faʻamoemoe o le manumalo i le taui. O le mea lea, o se faʻamalosi, matou te logoina tagata e $ 2.00 o le a foai atu i le American Cancer Society mo suʻesuʻega uma, ma le maualuga o le $ 150 foaʻi. Ina ua uma le maliega, na faʻamaonia e tane se faasologa o fesili na faʻaaogaina ina ia faʻaitiitia ai le faʻatonuga o le faʻatonuga. O se meafaigaluega i luga o le initaneti na faʻaaogaina le faasologa o fesili uma mo tagata auai taitasi sei vagana ai le numera o le numera o tagata, na oʻo mai mulimuli.

Tagata e Auai

Tagata auai uiga tausaga 34.4 tausaga (SD  = 13.1). E tusa ma le 81% o tamaloloa e mai Amerika, 8% e omai mai Kanata, ma le 11% e mai isi atunuʻu e tautatala ile Igilisi (eg, United Kingdom ma Ausetalia). E tusa ma le 80% o aliʻi na lipotia le maimoaina o ponokalafi a itiiti mai e tasi i le vaiaso pe sili atu.

Fua

Pepa o fesili mo tagata

O lenei fesili na iloiloina ai le faitau aofai o tagata auai (faʻataʻitaʻiga, tausaga, tulaga o le faʻamaonia, ma le maualuga o aʻoaʻoga).

Fefaatauaiga feusuaiga

Sa matou faʻaaogaina se fesili na faʻaaogaina i suʻesuʻega talu ai e faʻatusatusa ai le talaaga o feusuaiga a le au faipisinisi (faʻataʻitaʻiga, numera o paaga feusuaʻiga, taimi o faʻamalolo, ma le tala faasolopito o faʻamaʻi pipisi)Kraus & Rosenberg, 2016; Kraus, Rosenberg, et al., 2015; Rosenberg & Kraus, 2014).

Tusi tafaoga talafaasolopito o talakalame

Matou te faʻaaogaina se fesili na faʻaaogaina i suʻesuʻega talu ai e faʻataʻitaʻi ai ata o ponokalafi o faʻataʻitaʻiga (faʻataʻitaʻiga, taimi o ponokalafi matamata, taimi faʻaalu e matamata ai ponokalafi i le vaiaso, numera o taumafaiga e "vavae ese" faʻaaoga ponokalafi, ma le toe taumafai e faʻaaoga ponokalafi)Kraus & Rosenberg, 2016; Kraus, Rosenberg, et al., 2015; Rosenberg & Kraus, 2014).

Suesueina o amioga faʻafaitauafafine (HBI)

O le HBI o se 19-mea faʻatau oloa lea e fuaina ai uiga o le feusuaʻiga - o lona uiga o le faia o amioga tau feusuaʻiga e tali atu ai i le atuatuvale poʻo le mafaufau o le mafaufau, toe faʻasolosolo taumafaiga e le puleaina manatu tau feusuaʻiga, uunaiga, amioga, ma le amio feusuaʻi e mafua ai le faʻaletonu i le galue (Reid et al., 2011). Tali e faʻatatau i le tele o taimi na latou iloa ai amioga faʻafeusuaiga taʻitasi (1 = leai; 5 = tele taimi). O togi i le HBI e amata mai le 19 i le 95 ma le togi e 53 (pe maualuga atu) o loʻo faʻailoa mai ai le iai o se faʻamaʻi "feusuaʻiga i feusuaʻiga." HBI aofaʻi ma ana vaega sa i ai sili lelei faʻatuatuaina i totonu (aofaʻi = α = 0.95; taulimaina α = 0.91; iʻuga α = 0.86; faʻatonutonu α = 0.93).

Le fiafia i le taimi nei i le sailia o togafitiga mo ponokalafi faʻaaogaina

Na matou suʻesuʻeina le manaʻo o tagata i le sailia o togafitiga mo faʻataʻitaʻiga e faʻaaoga e ala i le fai atu ia i latou e taʻu mai le "ioe" poʻo le "leai" i le fesili lenei: "E te manaʻo e sailia fesoasoani faʻapitoa mo au faʻaoga ponokalafi, ae leʻi faia ona o eseesega mafuaaga (faʻataʻitaʻiga, faʻalumaina, maasiasi, ma le mautinoa pe o fea e alu i ai). "

Tauliga ua mavae mo ponokalafi faʻaaogaina

Sa matou iloiloina le talafaasolopito o le au auai i le sailia o togafitiga mo ponokalafi e faaaoga e ala i le fai atu ia i latou e taʻu mai le "ioe" po o le "leai" i fesili nei: "Ua e sailia se fesoasoani faapolofesa ona o lou faaaogaina o ponokalafi (e ala i tomai faapitoa tatou te iloa o le a fesoasoani tele le togafitiga faʻapitoa na e maua? ") i luga o le lima tausaga, ("e le fesoasoani i taimi uma," "fesoasoani itiiti," "fesoasoani tele," "fesoasoani tele," ma "matua fesoasoani").

Suʻesuʻega faʻamaumauga

Na matou faʻaaogaina le SPSS-22 (IBM Corp. Faʻasaoina 2012. IBM SPSS Statistics mo Windows, 23.0 Version) mo fuainumera faʻamatalaga, Mann-Whitney U suega, suesuega a le Pearson chi-sikuea, ma se suʻesuʻega ole faʻatonuga o le faʻatinoga o le logistic. O tatou manatu autu e aofia ai le faʻatusatusaga i le va o togafitiga-e fiafia i ai ma togafitiga-tagata le lelei. Suʻega e lua itu ma le aotelega α maualuga o le 0.05 mo faʻaaogaga autu uma sa faʻafaigaluegaina.

Amio Taualoa

O taualumaga uma i lenei suʻesuʻega sa faia e tusa ai ma le Tautinoga o Helsinki. Na faamaonia e le Komiti Faatonu o Iloiloga a le Faalapotopotoga o Bowling Green State le suʻesuʻega. Na logoina tagata auai uma e uiga i le lautele o le suʻesuʻega ma faʻamaonia uma faʻamaonia tusitusia.

i'uga

O le faʻafeusuaiga ma ponokalafi e faʻaaoga ai uiga i tagata e faʻamalosia e ala i le sailia o togafitiga mo le faʻaaogaina o ponokalafi

Mai i 1,298 tagata taʻitasi na suʻesuʻeina, 14.3% (n = 186) lipotia se fiafia i le taimi nei i le sailia o togafitiga mo le faʻaaogaina o ponokalafi. Itiiti tamaloloa (6.4%, n  = 83) lipotia na muamua sailia togafitiga mo le faʻaaogaina o ponokalafi, ma i le averesi, oi latou na mauaina togafitiga faʻamasaniina na o sina fesoasoani tele (M = 2.7, SD = 1.2). I le 83 tamaloloa na muamua sailia togafitiga mo le faʻaaogaina o ponokalafi, 48.2% (n = 40) faʻailoa mai sa latou naunau i le taimi nei e saili togafitiga mo le faʻaaogaina o ponokalafi.

I le faʻaaogaina o le faʻataʻitaʻiga atoa, na matou iloa ai o le tele o togi mo le tele o faʻataʻitaʻiga o faʻataʻitaʻiga o 5.1 (SD = 1.8, faʻasolosolo = −0.46, kurtosis = −0.34) ma le 1.9 (SD = 1.4, skewness = 0.86, kurtosis = 0.34) mo le aofaʻi o taimi faʻaalu i vaiaso taʻitasi matamata ponokalafi. Faʻatusa 1 ma 2 faaali pasene mo le faʻaaogaina e tagata o ponokalafi ma le tele o le taimi sa latou faʻaaluina i vaiaso taʻitasi e matamata ai i ponokalafi e ala i le fiafia o tagata i le sailia o togafitiga mo le faʻaaogaina o ponokalafi.

ata  

Ata 1. Pasene o alii e fiafia i le sailia o togafitiga mo le faʻaaogaina o ponokalafi e faʻafia ona faʻaaogaina ponokalafi

ata  

Ata 2. Pasene o alii e fiafia i le sailia o togafitiga mo le faʻaaogaina o ponokalafi e ala i le tele o taimi faʻaalu e matamata ai i ata mataga

ata  

Ata 3. Pasene o alii e fiafia i togafitiga mo le faʻaaogaina o ponokalafi e le HBI clinical cutoff score (≥53)

Na fuafuaina foi numera HBI. O siʻosiʻomaga e pei ona taua i lalo: HBI atoa (M = 43.2, SD = 17.9, skewness = 0.74, kurtosis = −0.13), fofoina (M = 17.6, SD = 7.4, skewness = 0.41, kurtosis = −0.61), iʻuga (M = 7.8, SD = 4.0, skewness = 1.2, kurtosis = 0.74), ma le faʻatonutonuina (M = 17.8, SD = 8.7, faʻasolosolo = −0.46, kurtosis = −0.24). E tusa ma le 28% (n  = 359) o aliʻi na sikoa i le (pe o luga atu) le tuʻufaʻatasiga o le HBI ile aofaʻi o le falemaʻi (≥53) e faʻailoa mai ai le iai o le HD. Pei o le Ata 3 o faʻaaliga, o le fiafia o tagata i le sailia o togafitiga mo le faʻaaogaina o ponokalafi e fesoʻotaʻi lelei ma le fonotaga poʻo le sili atu i le HBI le aofaʻiga atoa o le falemai [χ2 (1) = 203.27, p <0.001, Cramer's V = 0.40, PO = 9.52, 95% CI = 6.72–13.49].

O uiga tau amio ma uiga tau feusuaʻiga i tane e faʻamalosia i le naunau e saili togafitiga mo le faʻaaogaina o ponokalafi

E ui lava o le skewness ma le kurtosis sikuea sa i totonu o le mafuaaga (± 1.5) mo faʻaauau suiga faifaipea (lipotia i luga), na matou filifili e faia se suʻega Kolmogorov-Smirnov (K-S) e fuafua ai pe i ai sa matou faʻasoa masani mo le faʻataʻitaʻiga. O faʻamatalaga mo le suʻega K-S sa taua (uma ps <0.001), faʻailoa mai ai o le manatu o le tufatufa masani na le ausiaina mo le HBI aofaʻi, HBI subscales, taimi o ponokalafi faʻaaogaina, ma le aofaʻi o taimi faʻaalu i vaiaso taʻitasi matamata ponokalafi. O le mea lea, na matou faʻaaogaina suʻega e leʻo faʻataʻitaʻi (Mann – Whitney U suega) mo fesuiaiga faifai pea, ma faʻaaogaina Pearson sik-square suega mo fesuiaiga eseese.

O suʻesuʻega na faʻailoa mai, pe a faʻatusatusa i aliʻi e le fiafia i togafitiga, o aliʻi e fiafia ile faʻamalositino e foliga mai e nofofua ma e laititi le feusuaʻiga na faia i le tuugamau (30 aso ua tuanaʻi), o le tele o faʻataʻitaʻiga "tipi" ma ponokalafi, ma le tele o taumafaiga faʻamuta ma ponokalafi. E foliga mai na latou sailia muamua togafitiga mo le faʻaaogaina o ponokalafi, faia i le sili atu toʻatasi toʻatasi (30 aso ua tuanaʻi), ma sili atu togi i luga o le HBI aofaʻi ma tolu vaega. Matou te leʻi mauaina ni eseesega taua i le va o togafitiga-fiafia ma tamaloloa le fiafia i aʻoaʻoga, tulaga o le olaga, feusuaʻiga, feusuaiga lata mai o le dyadic (fusi, anal, poʻo le feusuaiga faʻatasi), talaʻaga o faʻamaʻi pipisi mai feusuaiga, ma le numera o feusuaiga i le olaga atoa. paʻaga (tagai Lisi 1 mo faʻamatalaga auiliili).

 

  

laulau

Laulau 1. Taʻitaʻifaleli ma le faʻafeusuaiga tulaga taua e fesootaʻi ma le fiafia o tagata taitoatasi i le sailia o togafitiga mo le faʻaaogaina o ponokalafi

 

 

 

Laulau 1. Taʻitaʻifaleli ma le faʻafeusuaiga tulaga taua e fesootaʻi ma le fiafia o tagata taitoatasi i le sailia o togafitiga mo le faʻaaogaina o ponokalafi

 Tului i togafitiga mo le faʻaaogaina o ponokalafi
 Ioe (n = 186)Leai (n = 1,111)  
Suesue uiga% / M (SD)% / M (SD)χ2 / ZpFaʻafetai
tausaga32.8 (11.6)34.6 (13.3)1.370.17
tulaga o le faaipoipoga    
  Nofofua, e le o tafao faamasani i le taimi nei37.129.39.27
  Nisi tafaoga faamasani ae le faapitoa21.016.7  
  Faʻaipoipo / faʻaipoipo41.954.0  
Aʻoaʻoga    
 Maualuga faauu22.215.94.720.19
 Nisi kolisi28.632.5  
 Faʻailoga tikeri13.012.7  
 Faʻailoga tikeri pe maualuga atu36.238.8  
Tulaga ola    
 toʻatasi21.621.50.010.99
 Ma uo potu17.317.6  
 Ma paʻaga / aiga tagata61.160.8  
Faʻasalalauga feusuaʻi    
 Faʻafeusuaiga70.371.80.250.88
 Gay11.611.7  
 Bisexual18.016.5  
Atunuu na afua mai    
 ISA78.081.71.760.41
 Kanata10.88.1  
 Isi atunuʻu Igilisi e tautatala11.310.3  
Faʻamatalaga i le uepisaite    
 Craigslist®91.987.43.100.08
 Isi 'upega tafaʻilagi8.112.6  
Faʻafitauli faʻafeusuaiga    
 ioe11.315.21.950.18
 leai88.784.8  
Ulugalii faigaaiga feusuai    
 10 pe paʻu paaga58.153.33.750.15
 11-20 paʻaga18.324.6  
 30 + paaga23.721.9  
Fesoʻotaʻiga faʻafefe (masina talu ai)    
 ioe48.155.23.210.08
 leai51.944.8  
Fesootaiga mataga (masina talu ai)    
 ioe25.320.81.890.17
 leai74.779.2  
Gagana tautalaga (masina talu ai)    
 ioe54.663.55.29
 leai45.536.5  
Masturbation Mutuale (masina talu ai)    
 ioe46.754.03.350.08
 leai53.346.0  
O le masina ua tuanaʻi o le masturbation    
 10 taimi pe itiiti31.036.8  
 11-20 taimi25.530.37.88
 21 + taimi43.532.9  
Faʻataʻitaʻiga o le Amio Taufaʻatasi    
 HBI aofaʻi togia62.4 (17.8)40.0 (15.8)14.16
 HBI kopiina o le lafogab22.7 (7.5)16.8 (7.1)9.50
 HBI taunuuga maualaloc11.6 (4.5)7.1 (3.5)12.43
 HBI puleaina puleainad28.1 (8.4)16.1 (7.5)15.23
Sa sailia pea togafitiga mo le porn    
 ioe21.53.982.83
 leai78.596.1  
E tele taimi e faaaoga ai ponokalafi faalevaiaso5.5 (1.9)5.1 (1.8)3.68
Le tele o le taimi na faʻaaluina e matamata ai i porn i vaiaso taitasi2.4 (1.6)1.9 (1.3)4.95
Oti ese taumafaiga i le porn    
 0 o taumafai ("leai")12.965.5216.04
 1-to-3 taumafaiga ua mavae40.923.4  
 4 + taumafaiga ua tuanai46.211.2  
Faʻasolo taumafaiga i le porn    
 0 o taumafai ("leai")25.375.0251.05
 1-to-3 taumafaiga ua mavae34.419.2  
 4 + taumafaiga ua tuanai40.35.8  

tusi. Pearson chi-sikuea suega na faʻaaogaina mo fesuiaiga eseese. Mann-Whitney U suega (Z score) na faʻaaogaina mo faʻaauau pea. O faʻamaoni faʻamaoni e fai ma sui o fuainumera taua p <0.05.

aLautele, 19-95.

bLautele, 7-35.

cLautele, 4-20.

dLautele, 8-40.

Fuaitau o fuainumera o le fiafia o tagata i le sailia o togafitiga mo le faaaogaina o ponokalafi

Na sosoo ai, sa matou faia se suʻesuʻega o le faʻatonutonuina o le faʻaogaina o le logistic e iloa ai faʻafitauli e fesoʻotaʻi ma le tului-togafitiga-togafitiga. Ina ia faʻaitiitia faʻafitauli o le ituaiga I sese, matou te ulu atu i le ata na o fuainumera taua i p <0.001. O le faʻataʻitaʻiga sa taua tele, ist2 = 394.0, p <0.001, ma le df = 10, ma faʻamatalaina 46.7% (Nagelkerke's R2) ole aofaiga ole feteʻenaʻi. O le faʻavasegaga o le 43.5% oi latou e fiafia i togafitiga; 96.6% mo i latou ua le lelei i togafitiga; ma le aofaʻiga atoa o 89.0%. E pei o le Laulau 2 e faʻaalia ai le taua o le 1-to-3 ma le 4 + "faʻasolosolo" faʻataʻitaʻiga ma ponokalafi, o le 4 + ua le toe taumafai e matamata i ponokalafi, ma ua tele naua i luga o le puleaina o le HBI.

 

 

  

laulau

Laulau 2. Fuainumera faamaumauina o le fiafia i le sailia o togafitiga mo le faaaogaina o ponokalafi

 

 

 

Laulau 2. Fuainumera faamaumauina o le fiafia i le sailia o togafitiga mo le faaaogaina o ponokalafi

Suesue uigaBSE BFaʻaluina OR (95% CI)
E tele taimi e faʻaaoga ai ponokalafi0.040.071.04 (0.91, 1.19)
Le tele o le taimi i vaiaso taʻitasi e matamata ai porn0.120.081.12 (0.96, 1.32)
Sa sailia pea togafitiga mo le porn0.430.301.54 (0.86, 2.77)
Toe taumafai taumafaiga   
0 taumafai1.610.301.00
1-to-3 taumafaiga ua mavae1.430.364.98 (2.76, 8.99)*
4 + taumafaiga ua tuanai  4.18 (2.05, 8.55)*
Faʻasolo taumafaiga   
0 taumafai0.480.271.00
1-to-3 taumafaiga ua mavae1.170.351.61 (0.95, 2.73)
4 + taumafaiga ua tuanai  3.23 (1.63, 6.38)*
HBI kopiina o le lafoga-0.020.020.98 (0.95, 1.02)
HBI taunuuga maualalo0.010.041.01 (0.94, 1.09)
HBI puleaina puleaina0.130.021.14 (1.10, 1.18)*

tusi. Polokalame logistic e vavalo ai le ono mafai ona fiafia tagata i le sailia o fesoasoani faʻapolofesa mo faʻataʻitaʻiga. Faʻataʻitaʻiga faʻapitoa: χ2 = 394.0, p <0.001 ma df = 10. Nagelkerke's R2  = 46.7%. Faavasegaina: 43.5% o i latou manaʻomia polofesa fesoasoani; 96.6% i latou e le manaʻomia se fesoasoani faʻapolofesa; ma le aofai e 89.0%. Taua faʻamalosi tino faʻatusatusaina taua taua i p <0.05.

*p <0.01.

Faʻatasiga o filifiliga filifilia o feusuaʻiga tau talafesootai e le fiafia o tagata i le sailia o togafitiga mo le faʻaaogaina o ponokalafi e ala i le feusuaʻi

Ina ia mafai ona suʻesuʻe fegalegaleaiga i le va o kulupu eseese i feusuaʻiga ma le sailia o togafitiga tulaga, na vaevaeina alii i le fa vaega: (a) togafitiga-fiafia tamaloloa ma feusuaʻiga (n = 132); (b) tamaloloa le fiafia i togafitiga ma feusuaʻiga (n = 227); (c) tamaloloa fiafia i togafitiga e aunoa ma le feusuaʻi ma fafine (n = 54); ma le mea mulimuli, (d) togafitiga-tamaloa le fiafia e aunoa ma feusuaʻiga (n  = 884). I le taumafaiga e faʻailoa le faʻailoaina o uiga faʻafomaʻi i totonu o nei vaega e fa, sa matou faia suʻesuʻega suʻesuʻega ma filifiliga filifilia o feusuaiga-talaʻaga. Pei ona faʻaalia i le Laulau 3, na matou iloa ai o tagata togafitiga-faʻafeiloaʻi ma le faʻafeusuaiga faʻafeusuaiga e masani ona faʻateleina ma faʻasalalauina nisi taumafaiga i le taimi ua mavae, pe o le faʻaaogaina poʻo le faʻaaogaina o ponokalafi e faʻatusatusa i isi vaega.

 

 

  

laulau

Laulau 3. Filifili tulaga taua o talafesootai e fesootaʻi ma le fiafia o tagata taitoatasi i le sailia o togafitiga mo le faʻaaogaina o ponokalafi e ala ile tulaga feusuaʻi

 


  

Laulau 3. Filifili tulaga taua o talafesootai e fesootaʻi ma le fiafia o tagata taitoatasi i le sailia o togafitiga mo le faʻaaogaina o ponokalafi e ala ile tulaga feusuaʻi

Suesue uigaTx-fiafia i feusuaʻiga (n = 132)Tusa feusuaʻiga e le masani ai (n = 227)Tx-e fiafia i le le faʻafeusuaiga (n = 54)Tx-le fiafia i le le faʻafeusuaiga (n = 884)χ2/FpFaʻafetai
% / M (SD)% / M (SD)% / M (SD)% / M (SD)
Feusuaʻiga tau feusuaiga    10.930.09
10 pe paʻu paaga53.848.068.554.6  
11-20 paʻaga20.526.013.024.5  
30 + paaga25.826.018.520.8  
Masina faalemasina    15.89
10 taimi pe itiiti28.232.437.138.0  
11-20 taimi26.027.524.531.0  
21 + taimi45.840.137.731.1  
Taimi masani o le faaaogaina o porn5.7 (1.8)a5.6 (1.7)a4.9 (2.0)b4.9 (1.7)b14.12
Le tele o taimi e matamata ai i ata mataga2.4 (1.2)d2.2 (1.2)d, i1.9 (1.2)i, e1.7 (1.2)e20.64
Oti ese taumafaiga    299.8
0 o taumafai ("leai")10.647.618.570.0  
1-to-3 taumafaiga ua mavae32.631.361.121.4  
4 + taumafaiga ua tuanai56.821.120.48.6  
Faʻasolo taumafaiga    323.1
0 o taumafai ("leai")22.056.833.379.6  
1-to-3 taumafaiga ua mavae30.329.144.416.6  
4 + taumafaiga ua tuanai47.714.122.23.7  

tusi. Pearson chi-sikuea suega na faʻaaogaina mo fesuiaiga eseese. E tasi le auala ANOVA na faʻaaogaina mo faʻaauau pea.

Faʻatalanoaina o faʻamatalaga iloga (eseʻese le taua tele) na faʻataʻitaʻiina pe o le a le uiga e matua ese lava (p <0.05). Na matou faʻaaogaina tusitusiga e faʻailoa ai le mea e le taua tele (p <0.05). Taua faʻamalolosi faʻailoa taua i p <0.05.

Talanoaga

O lenei suʻesuʻega na suʻesuʻeina ai le faʻaogaina o, ma mea e fesoʻotaʻi ma le fiafia o tagata i le sailia o togafitiga mo le faʻaaogaina o ponokalafi. O le suʻesuʻega na maua e tusa ma le tasi o alii e toafitu na lipotia mai se manaʻoga lata mai i le sailia o togafitiga mo le faʻaaogaina o ponokalafi, ae leʻi faia, atonu ona o le maasiasi, maasiasi, poʻo le leai o se malamalama e uiga i le mea e alu i ai mo se fesoasoani. E toaitiiti alii i le suʻesuʻega (6.4%) na lipotia muamua le sailia o togafitiga mo le faʻaaogaina o ponokalafi. Na matou iloa e tusa ma le afa o na alii sa sailia muamua le togafitiga o loʻo faʻaalia pea se manaʻoga mo se fesoasoani faʻapitoa, e ui lava o le tele na taʻu mai o le togafitiga e na o le fesoasoani tele.

O le isi, matou te suʻeina lipoti o le feusuaiga e pei ona fuaina i le HBI (Reid et al., 2011). E pei ona taua, na matou iloa ai na lipotia mai e le au togafitiga e sili atu le maualuga i luga o le HBI atoa ma o siʻitaga pe a faatusatusa i tamaʻi togafiti. Aʻo faʻaaoga le falemaʻi ua fautuaina - faʻaitiitia le togi o le 53 poʻo le maualuga i luga o le HBI, matou iloa ai e tusa o 28% (n  = 359) o tamaloloa uma na suʻesuʻe lelei mo le mafai HD. O lenei fua faatatau e matua maualuga atu nai lo fua faatatau o feusuaʻiga i le lautele o tagata, lea e amata mai i le 3% i le 5% mo tagata e le o sailia togafitiga.Kafka, 2010). Matou te talitonu o la matou fua faatatau e sili atu le maualuga ona o la matou auala e faʻafaigaluegaina ai (e pei o le initaneti luga o le upega tafaʻilagi lea e faʻatatau i tamaloloa faʻafeusuaiga) ma e le tatau ona faʻamatalaina e pei o le faʻaalia o tagata masani faʻataʻitaʻi ponokalafi i le lautele. O nei suʻesuʻega e le tatau ona faʻamatalaina ao fautuaina e 28% o faʻataʻitaʻiga uma o ponokalafi ia faʻafitauli i le feusuaʻi; nai lo lena, oa tatou sailiga e na o le vavalalata i le va o le vavalalata ma le faʻafitauli o le faʻaaogaina o ponokalafi e tupu i nisi tagata. I le avea ai o se tasi o faʻataʻitaʻiga, na matou iloa ai o le 71% o alii na faʻaalia le naunau i le sailia o togafitiga mo le faʻaaogaina o ponokalafi na feiloai pe sili atu i le HBI clinical cutoff score. O lenei sailiga e taʻu mai ai, i se tulaga masani, o alii e lipotia se naunau i le sailia o togafitiga mo le faʻaaogaina o ponokalafi o loʻo faʻamaonia lipoti tonu e fesootaʻi ma feusuaiga.

Na matou suʻesuʻeina foi pe i ai se faitauga ma se talaaga o feusuaiga-eseesega eseesega i le va o tamaloloa e fiafia pe le fiafia i togafitiga mo ponokalafi faʻaaoga. O matou faʻataʻitaʻiga sa lagolagoina. Faʻapitoa lava, na matou mauaina e faʻatusatusa i aliʻi e le fiafia i togafitiga, o aliʻi e fiafia i togafitiga e faʻaaoga tele ponokalafi (i taimi uma ma le umi), e tele taumafaiga faʻasolosolo ma ponokalafi, na sili atu le faʻamutaina o taumafaiga ma ponokalafi, ma auai i maualuga maualuga o tuʻusaʻo toʻatasi. i le masina ua teʻa. Na matou mauaina foi le fiafia o tamaloloa i togafitiga na fesoʻotaʻi ma le tulaga o le soʻotaga (nofofua), taimi masani o feusuaiga i totonu o le 30 aso ua tuanaʻi, ma le talafaʻasolopito o le sailia o togafitiga mo le faʻaaogaina o ponokalafi. O le isi, o se binary logistic regression analysis na maua ai o le 1-to-3 ma le 4+ "faʻaititia" taumafaiga ma ponokalafi, lipotia 4+ faʻamuta taumafaiga ma ponokalafi, ma togi i luga o le HBI pulea subscale o taua taua o le fiafia i-saili- tulaga togafitiga. O le mea mulimuli lava, na matou suʻesuʻeina pe i ai ni eseʻesega i uiga faʻapitoa o aliʻi ma e aunoa ma le feusuaʻi e ala i togafitiga-sailia-tului tulaga. Faʻapitoa lava, na matou iloa ai o aliʻi e fiafia i togafitiga e masani ona mimisa ma lipotia le tele o taimi ua tuanaʻi taumafai e tipi i tua pe faʻamutaina le faʻaaogaina o ata mataga faʻatusatusa i isi vaega uma.

I le aotelega, o suʻesuʻega o loʻo iai i le taimi nei o loʻo faʻamaonia ai o le fiafia i togafitiga e mafai ona faʻamatalaina, i se vaega, e uiga i le ponokalafi o le aufaasālalau o le "le toe puleaina" ia latou feusuaiga ma amio e fesootaʻi ma ponokalafi. E le gata i lea, e fiafia tagata e togafitia togafitiga faʻataʻitaʻiina (faʻataʻitaʻiga, toe faʻaaogaina taumafaiga e faʻaaogaina pe faʻaaoga le faʻaaogaina o ponokalafi) ma faʻafeusuaʻiga faʻafeusuaiga (faʻataʻitaʻiga, manaʻoga malosi ma manaʻoga faʻafeusuaiga) e fesootaʻi ma le faigata ona faʻatonutonuina le faʻaaogaina o ponokalafi. Both SUD (American Psychiatric Association, 2013) ma le HD (Kafka, 2010) o tulaga faʻamaonia e aofia ai le pulea lelei o le tagata lava ia, ma fai mai o le faʻaaogaina faʻafitauli o ponokalafi e mafai ona tutusa faʻatasi ma isi amioga ua fai ma vaisu. O le le lelei o le puleaina o le mafaufau o se vaega tutotonu lea o le HD, lea e fuafua ai oi latou e aafia i le tulaga o le poto masani o le tele o taumafaiga le faamanuiaina e faatapulaa le taimi e faaaluina i le faia o feusuaiga, tuinanau, ma amioga e tali atu i lagona o le mafaufau po o mea faigata (Kafka, 2010). E talitutusa ma se isi suʻesuʻega (Gola et al., 2016), na matou iloa o le pulea lelei o le pulea e le tagata lava ia o amioga feusuai e mafai ona avea ma se taua taua mo tagata e fiafia i togafitiga mo le faaaogaina o ponokalafi ma atonu e taua le faailoaina o tagata faaaoga atonu e manaomia le fesoasoani faapolofesa. E le gata i lea, o le maualuga o le lagona o le "le pulea" i amioga tau feusuaʻiga e faʻamalosia ai faʻataʻitaʻiga o amioga faʻataʻitaʻiga o amioga e tumau pea e le o faʻamatalaina i tusitusiga. O a matou sailiga e fautua mai ai amioga e pei o le toe taumafai e le faʻaaoga pe faʻaaoga le faʻaaogaina o ponokalafi e fai ma faʻataʻitaʻiga mo tagata taʻitoʻatasi o loʻo fuaina le lelei o le sailia o togafitiga mo le faʻaaogaina o ponokalafi po o isi amioga faʻafeusuaiga.

O suʻesuʻega faaopoopo e manaʻomia ina ia malamalama pe aisea na le fetaui (po o le sili atu foi) le 29% o tane oe na lipotia mai se fiafia i togafitiga mo le faʻaaogaina o ponokalafi. Aemaise lava, e taua le malamalama pe o nisi mea taua (eg, tulaga o le va fealofani, tulaga o le faʻalelotu, ma tulaga taua / talitonuga a le tagata lava ia) e ono aʻafia i le fiafia o le tagata lava ia i le sailia o togafitiga mo le faʻaaogaina o ponokalafi. E tusa ai ma nei tulaga, o le faʻalotu ma le amio le taliaina o ponokalafi na faʻataʻitaʻiina fuainumera faʻamaonia i ponokalafi i le Initaneti ae le fesoʻotaʻi ma le faʻaaogaina o tama talavou e faʻaaoga ponokalafi (Grubbs et al., 2015). Malamalama i mea taua, e le gata i le faamoemoe ma le taua, e fesoasoani i le filifiliga a se tasi e saili le fesoasoani mo le faʻaaogaina o ponokalafi po o isi faafitauli faʻafeusuaiga e faatalitali mo suʻesuʻega i le lumanaʻi.

O suʻesuʻega nei ei ai aʻafiaga mo togafitiga faʻapitoa. Tuʻuina masani faʻafitauli o le mafaufau o le mafaufau i tagata maʻi o loʻo sailia togafitiga mo faʻafitauli faʻaaogaina o ponokalafi (Kraus, Potenza, et al., 2015; Reid et al., 2012), o le atinaʻeina o faiga mataʻituina lelei e iloagofie ai amioga ma mafaufauga o aʻafiaga e fesoʻotaʻi ma le le lava o le pulea e mafai ona aoga mo le faʻamalamalamaina o tagata e leai ni togafitiga faʻafeusuaiga e faʻaaogaina ponokalafi. O faalauiloa faalauiloa faalauaitele o le soifua maloloina e mafai ona taulai atu i le faailogaina o faailoilo / faailoga e fesootai ma le feusuaiga po o le faafitauli o ponokalafi matamata, talu ai o foliga patino e fesootai ma manaoga-mo-togafitiga. E le gata i lea, o le mamanuina o mea e siakiina ai iloiloga mo vaega patino o le pulea lelei o feusuaiga, le mautonu, ma / poʻo le faʻamalosia e mafai ona sili atu le logoina o auala mo le faia o togafitiga e sailia togafitiga,Reid, 2007).

O le tasi o mea e ono mafai ona faia i le suʻesuʻega nei o loʻo aofia ai le faʻaaogaina o fua faatatau o le lipoti a le tagata lava ia e aoina ai faʻamatalaga i luga o faʻamalamalamaga o tagata lautele ma uiga tau feusuaiga ma le feusuaiga. O faʻamaumauga a le tagata lava ia e faʻalagolago i mafaufauga o tagata taitoatasi ma le naunau e faʻaalia a latou amio feusuaʻi. Ae ui i lea, o le faʻaaogaina o le Initaneti atonu na fesoasoani i le faateleina o le le amanaiaina ma le faʻaitiitia o le faʻaaogaina e tagata suʻesuʻe; ae ui i lea, o lenei avanoa e tumau pea le taumatemate. O le faʻaaogaina o faʻamatalaga faʻasalalauga e le mafai ona tautala i le mafuaʻaga poʻo le faʻamalosiaga o faʻalapotopotoga ua matauina. O faʻamaoniga e le mafai foi ona faʻamalamalamaina i tagata taʻitoʻatasi e mananao e togafitiga mo isi ituaiga o amioga feusuaʻiga (eg, masaniga le masani ai, e le masani ona faʻaipoipoina, faʻasalaga mataga, ma feusuaʻi). E le gata i lea, o lenei suesuega e le aofia ai tamaitai. E ui o le HD e sili atu ona lipotia i alii, o tamaitai feusuaʻi e lipotia le maualuga o le masturbation frequency, numera o paaga feusuaiga, ma le faʻaaogaina o ponokalafi (Klein, Rettenberger, & Briken, 2014). I le taimi nei, e manaʻomia suʻesuʻega faʻapitoa e suʻesuʻe ai le faʻaogaina o, ma mea e fesootaʻi ma, le fiafia o tamaitai i le sailia o togafitiga mo le faʻaaogaina o ponokalafi poʻo isi amioga faʻafeusuaiga. O le tapulaʻa mulimuli o le suʻesuʻega o loʻo i ai nei, tatou te leʻi fuaina le tuuga / ituaiga o tagata auai, ae nai lo lena, fesili e uiga i lo latou atunuu o nofo ai. O faʻamaumauga e le faʻamaonia e faʻamaonia ai o tagata taitoatasi e sailia togafitiga mo feusuaʻiga e ono sili atu i tagata paʻepaʻe / Caucasian faʻatusatusa i isi vaega (Farré et al., 2015; Kraus, Potenza, et al., 2015; Reid et al., 2012); Ae ui i lea, o le lapataiga e fautuaina ona o le le lava o faʻamatalaga o le epidemiological faʻatasi ma talu ai ona o faʻasalalauga sosaiete poʻo faʻalapotopotoga / eseʻesega faʻalapotopotoga o loʻo lipotia i isi nofoaga e mafai ona faʻamatalaina, i se isi vaega, e isi itu e pei o le mauaina o tagata e tuʻuina atu togafitiga (Kraus et al., 2016). O le suʻesuʻega i le lumanaʻi e tatau ona aofia ai vailaau fuafuaina o le ituaiga / ituaiga ona oa latou fegalegaleaiga ma le fiafia i togafitiga mo faafitauli faʻaaogaina o ponokalafi poʻo feusuaiga e le manino.

faaiuga

O lenei suʻesuʻega na faʻaalia ai uiga i alii e fesoʻotai ma manaʻoga na lipotia e le tagata lava ia i le sailia o togafitiga mo le faʻaaogaina o ponokalafi. O suʻesuʻega faʻapitoa e manaʻomia e suʻesuʻeina ai nei uiga i fafine ma tagata o loʻo lipotia faafitauli i nisi ituaiga o amioga faʻafeusuaiga (eg, feusuaiga ma le leai o se igoa). O suʻesuʻega i le lumanaʻi e manaʻomia e faʻamaonia ai mea e mafai ona puipuia mai le tausiga (faʻataʻitaʻiga, togafitiga o togafitiga, mea tau tupe, mea faʻapitoa o le mafaufau e uiga i le faʻamaasiasi ma le maasiasi, ma le faʻamaonia) ma le faʻamalosia mo le togafiti togafitiga mo i latou e naunau e mauaina le fesoasoani e faʻaaoga ai le ponokalafi.

Fesoasoani a le au tusitala
 

SWK (Principal Investigator) na fesoasoani i le uluai suʻesuʻega suʻesuʻe, faʻamaumauga o faʻamaumauga, faʻamatalaina o taunuʻuga, ma tusia le tusitusiga. SM ma MNP na tuʻufaʻatasia le faʻamatalaina o taunuʻuga, faʻasologa o tusitusiga, ma le faʻataʻitaʻiga mulimuli. SWK ei ai le matafaioi mulimuli mo le filifiliga e tuʻuina atu mo le lolomiina. O tusitala uma sa i ai le avanoa atoa i faʻamaumauga uma i totonu o le suʻesuʻega ma ave matafaioi mo le faʻamaoni o faʻamaumauga ma le sao o le auiliiliga o faʻamaumauga.

Feeseeseaiga o tului

Ua lipotia mai e tusitala le leai o ni feteenaiga e tusa ai ma le anotusi o lenei tusitusiga. SWK ma SM e leai ni mafutaga e faʻaalia. Na fesiligia e le MNP ma fautuaina Ironwood, Lundbeck, INSYS, Shire, ma le RiverMend Health, ma ua maua le fesoasoani mai le Mohegan Sun Casino, le Nofoaga Tutotonu a le National Fun Responsible Gaming, ma Pfizer, ae leai se tasi o nei faalapotopotoga na lagolagoina le sailiga o loo i ai nei.

mau faasino

 American Psychiatric Association. (2013). O le faʻataʻitaʻiga ma fuainumera faʻasologa o mafaufauga faaletonu: DSM 5. Arlington, VA: bookpointUS. CrossRef
 Coleman, E., Horvath, K. J., Miner, M., Ross, M. W., Oakes, M., Rosser, B. R. S., & Men's INTernet Sex (MINTS-II) Au (2010). Faʻamalosi amioga feusuaʻi ma lamatiaga mo feusuaʻiga le saogalemu i le initaneti faʻaaogaina tamaloloa e faia feusuaʻiga ma tamaloloa. Faʻamaumauga o Amioga Faʻafeusuaiga, 39 (5), 1045-1053. faia: 10.1007 / s10508-009-9507-5 CrossRef, Medline
 Coleman, E., Raymond, N., & McBean, A. (2003). Suʻesuʻega ma togafitiga o amioga mataga faʻamalosi. Minnesota Faʻafomai, 86 (7), 42-47. Medline
 de Tubino Scanavino, M., Ventuneac, A., Abdo, C. H. N., Tavares, H., do Amaral, M. L. S., Messina, B., dos Reis, S. C., Martins, JPLB, & Parsons, J. T. (2013). Faʻamalosi amioga faʻafeusuaiga ma psychopathology i togafitiga-sailia aliʻi i São Paulo, Pasila. Suesuega ole mafaufau, 209 (3), 518-524. faia: 10.1016 / j.psychres.2013.01.021 CrossRef, Medline
 Farré, JM, Fernández-Aranda, F., Granero, R., Aragay, N., Mallorquí-Bague, N., Ferrer, V., More, A., Bouman, WP, Arcelus, J., Savvidou, LG , Penelo, E., Aymamí, MN, Gómez-Peña, M., Gunnard, K., Romaguera, A., Menchón, JM, Vallès, V., & Jimenez-Murcia, S. (2015). Feusuaʻiga i feusuaʻiga ma faʻafitauli tau tupe: O mea e tutusa ma eseʻese ai. Mautinoa le mafaufau, 56, 59-68. fai: 10.1016 / j.comppsych.2014.10.002 CrossRef, Medline
 Gola, M., Lewczuk, K., & Skorko, M. (2016). O le a le mea e taua: Aofaʻiga poʻo le lelei o ponokalafi faʻaaogaina? Mafaufauga ma amioga amioga o le sailia togafitiga mo faʻafitauli ponokalafi faʻaaogaina. Le Tusi Faʻafomaʻi o Faʻafeusuaiga Faʻafeusuaiga, 13, 815-824. fai: 10.1016 / j.jsxm.2016.02.169. CrossRef, Medline
 Grant, JE, Atmaca, M., Fineberg, NA, Fontenelle, LF, Matsunaga, H., Janardhan Reddy, YC, Simpson, HB, Thomsen, PH, van den Heuvel, OA, Veale, D., Woods, DW, & Stein, DJ (2014). Faʻafitauli o le faʻatonutonu o faʻafitauli ma "amioga ua fai ma vaisu" i le ICD-11. Lalolagi Psychiatry, 13, 125–127. faia: 10.1002 / wps.20115 CrossRef, Medline
 Grubbs, J. B., Exline, J. J., Pargament, K. I, Hook, J. N., & Carlisle, R. D. (2015). Solitulafono e pei o vaisu: Religiosity ma amioga le taliaina e avea o tagata vavalo o le iloa vaisu i ponokalafi. Faʻamaumauga o Amioga Faʻafeusuaiga, 44 (1), 125–136. faia: 10.1007 / s10508-013-0257-z CrossRef, Medline
 Hald, G. M., & Malamuth, N. M. (2008). Oe lava-iloa aʻafiaga o ponokalafi taumafaina. Faʻamaumauga o Amioga Faʻafeusuaiga, 37 (4), 614-625. faia: 10.1007 / s10508-007-9212-1 CrossRef, Medline
 Hook, J. N., Reid, R. C., Penberthy, J. K., Davis, D. E., & Jennings, D. J., II. (2014). Suʻesuʻega faʻapitoa o togafitiga mo amioga faʻafitauli feusuaʻiga i fafo. Tusi o talaaga o feusuaiga & Faʻaipoipoga togafitiga, 40 (4), 294-308. faia: 10.1080 / 0092623X.2012.751075 CrossRef, Medline
 Kafka, M. P. (2010). Faʻaletonu feusuaʻiga: O se faʻamoemoe fuafuaina mo DSM-V. Archives of Feusuaiga Amioga, 39 (2), 377–400. faia: 10.1007 / s10508-009-9574-7 CrossRef, Medline
 Kingston, D. A. (2015). Felafolafoaiga o le faʻavaeina o feusuaʻiga o se maʻi ua fai ma vaisu. Lipoti o Mea ua fai nei ma Vaisu, 2, 195–201. faia: 10.1007 / s40429-015-0059-6 CrossRef
 Klein, V., Rettenberger, M., & Briken, P. (2014). O oe lava-lipotia faʻailoga o feusuaʻiga ma ona faʻamaoniga i se fafine lugalaina faʻataʻitaʻiga. Le Tusi Faʻafomaʻi o Faʻafeusuaiga Faʻafeusuaiga, 11 (8), 1974-1981. faia: 10.1111 / jsm.12602 CrossRef, Medline
 Kor, A., Fogel, Y., Reid, R. C., & Potenza, M. N. (2013). Tatau ona faʻavasegaina faʻamaʻi pipisi e fai ma vaisu? Faʻamalosiina o Faʻafeusuaiga Faʻamalosi, 20 (1-2), 27-47. fai: 10.1080 / 10720162.2013.768132
 Kor, A., Zilcha-Mano, S., Fogel, Y. A., Mikulincer, M., Reid, R. C., & Potenza, M. N. (2014). Psychometric atinaʻe o le faʻafitauli ponokalafi faʻaaogaina fua. O amioga ua fai ma vaisu, 39 (5), 861-868. fai: 10.1016 / j.addbeh.2014.01.027 CrossRef, Medline
 Kraus, S. W., Meshberg-Cohen, S., Martino, S., Quinones, L. J., & Potenza, M. N. (2015). Togafitiga o ponokalafi faamalosi faaaoga ma le naltrexone: O se lipoti lipoti. Le American Journal of Psychiatry, 172 (12), 1260–1261. fai: 10.1176 / appi.ajp.2015.15060843 CrossRef, Medline
 Kraus, S. W., Potenza, M. N., Martino, S., & Grant, J. E. (2015). Suʻesuʻeina o mea tau le mafaufau o le Yale-Brown mataʻutia - unaʻiga faʻamalosi i se faʻataʻitaʻiga o le faʻaaogaina o ponokalafi faʻamalosi. Mautinoa le mafaufau, 59, 117–122. faia: 10.1016 / j.comppsych.2015.02.007 CrossRef, Medline
 Kraus, S., & Rosenberg, H. (2014). O le ponokalafi manaʻomia fesili: Psychometric meatotino. Faʻamaumauga o Amioga Faʻafeusuaiga, 43 (3), 451-462. faia: 10.1007 / s10508-013-0229-3 CrossRef, Medline
 Kraus, S. W., & Rosenberg, H. (2016). Moli, mea puʻe ata, condoms! Iloiloina amio a aliʻi kolisi i le faʻaaoga o le condom i ponokalafi. Tusi ole tala ole soifua maloloina ole kolisi Amerika, 64 (2), 1-8. faia: 10.1080 / 07448481.2015.1085054 CrossRef, Medline
 Kraus, S. W., Rosenberg, H., & Tompsett, C. J. (2015). Suʻesuʻega o le mafai e oe lava ona faʻaaogaina ia lava-amataina ponokalafi faʻaaogaina-faʻaititia metotia. Amio Faʻatupu, 40, 115–118. fai: 10.1016 / j.addbeh.2014.09.012 CrossRef, Medline
 Kraus, S. W., Voon, V., & Potenza, M. N. (2016). Tatau ona faʻamalosia amioga mataga faʻamalosi e fai ma mausa? Togafitiga Faʻalauiloa lugalaina lomia. faia: 10.1111 / faʻaopopo.13297 Medline
 Morgan, E. M. (2011). Faʻatasiga i le va o talavou matutua 'faʻaaogaina o feusuaʻiga manino mea ma a latou mea e fiafia i ai, amioga, ma le faʻamalieina. Tusi o talaaga o feusuaiga, 48 (6), 520-530. faia: 10.1080 / 00224499.2010.543960 CrossRef, Medline
 Morgenstern, J., Muench, F., O'Leary, A., Wainberg, M., Parsons, J. T., Hollander, E., Blain, L., & Irwin, T. (2011). Le-faʻataʻitaʻiga faʻamalosia amioga feusuaʻi ma psychiatric co-morbidities i gay ma bisexual tamaloloa. Feusuaiga feusuaiga & Faamalosia, 18 (3), 114–134. faia: 10.1080 / 10720162.2011.593420 CrossRef
 Moser, C. (2013). Faʻaletonu feusuaʻi: ​​Saili mo se manino. Feusuaiga feusuaiga & Faamalosia, 20 (1-2), 48-58. faia: 10.1080 / 10720162.2013.775631
 Parsons, J. T., Grov, C., & Golub, S. A. (2012). Faʻamalosi feusuaʻiga, o loʻo tutupu faʻafitauli o le soifua maloloina o le psychosocial, ma le lamatiaga o le HIV i le itupa o aliʻi ma tamaʻitaʻi: O isi faʻamaoniga o se syndemic. American Journal of Public Health, 102 (1), 156–162. faia: 10.2105 / AJPH.2011.300284 CrossRef, Medline
 Piquet-Pessôa, M., Ferreira, G. M., Melca, I. A., & Fontenelle, L. F. (2014). DSM-5 ma le faʻaiuga e le aofia ai feusuaiga, faʻatauga pe gaoi o ni mausa. Lipoti o Vaisu i le Taimi Nei, 1 (3), 172–176. faia: 10.1007 / s40429-014-0027-6 CrossRef
 Raymond, N. C., Coleman, E., & Miner, M. H. (2003). Mafaufauga faʻapitoa ma amioga faʻamalosi / faʻamalosi i amioga mataga faʻamalosi. Mautinoa le mafaufau, 44 (5), 370-380. faia: 10.1016 / S0010-440X (03) 00110-X CrossRef, Medline
 Reid, R. C. (2007). Iloilo le sauniuni e suia i tagata o loʻo sailia le fesoasoani mo amioga faʻafeusuaiga. Feusuaiga feusuaiga & Faamalosia, 14 (3), 167-186. faia: 10.1080 / 10720160701480204 CrossRef
 Reid, R. C., Kamuta, B. N., Hook, J. N., Garos, S., Manning, J. C., Gilliland, R., Cooper, E. B., McKittrick, H., Davtian, M., & Fong, T. (2012). Lipoti o faʻamatalaga i le DSM ‐ 5 faʻataʻitaʻiga faʻafitauli mo gasegase feusuaʻiga. Le Tusi Faʻafomaʻi o Faʻafeusuaiga Faʻafomai, 9 (11), 2868–2877. fai: 10.1111 / j.1743-6109.2012.02936.x CrossRef, Medline
 Reid, R. C., Garos, S., & Kamuta, B. N. (2011). Faʻatuatuaina, faʻamaonia, ma le faʻalauteleina o le psychometric o amioga feusuaʻi faʻapitoa i se outpatient faʻataʻitaʻi o aliʻi. Feusuaiga feusuaiga & Faamalosia, 18 (1), 30-51. faia: 10.1080 / 10720162.2011.555709 CrossRef
 Rosenberg, H., & Kraus, S. (2014). Le faʻafesoʻotaʻiga o "fesoʻotaʻiga faʻaosofia" mo ponokalafi ma feusuaʻiga faamalosia, taimi masani o le faʻaaogaina, ma le naunau mo ponokalafi. O amioga ua fai ma vaisu, 39 (5), 1012–1017. fai: 10.1016 / j.addbeh.2014.02.010 CrossRef, Medline
 Ross, M. W., Mansson, S. A., & Daneback, K. (2012). Faʻatele, ogaoga, ma faʻafesoʻotaʻiga o faʻafitauli tau feusuaʻiga i luga o le Initaneti i alii ma fafine Suetena. Faʻamaumauga o Amioga Faʻafeusuaiga, 41 (2), 459-466. faia: 10.1007 / s10508-011-9762-0 CrossRef, Medline
 Wakefield, J. C. (2012). Ua fautuaina e le DSM-5 ni vaega fou o faʻafitauli taufeusuaʻiga: O le faʻafitauli o mea sese i faʻamaoniga o feusuaiga. Falemeli Galuega Lautele Tusi Faamaonia, 40 (2), 213-223. faia: 10.1007 / s10615-011-0353-2 CrossRef
 Winters, J. (2010). Tigāina o le tino: O se auala faʻaeteete. Faʻamaumauga o amioga tau feusuaiga, 39 (3), 594-596. doi: 10.1007 / s10508-010-9607-2 CrossRef, Medline
 Wright, P.J. (2013). US male ma ponokalafi, 1973–2010: Faʻatauaina, vavalo, tuʻufaʻatasia. Tusi o talaaga o feusuaiga, 50 (1), 60-71. faia: 10.1080 / 00224499.2011.628132 CrossRef, Medline