Tusitala: Hallberg, Jonas
Aso: 2019-10-18
Nofoaga: Rehabsalen, Norrbacka S4: 01, Karolinska Universitetssjukhuset, Solna
Taimi: 09.00
Matagaluega: Inst för Medicin, Huddinge / Dept of Medicine, Huddinge
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lē faʻatino
Vaʻaiga i tua atu: O le faʻaauau pea o amioga soʻose tamaʻitaʻi (HB) e oʻo atu ai i ni faʻafitauli leaga, o se faʻataʻitaʻiga e leai se iloa lelei i faʻaiuga ole mafaufau. Ona o feeseeseaiga i auala o iloiloga ma malamalamaaga o le mea na tupu, ua faigata ona faatusatusa ma lautele mai i taunuuga o togafitiga togafitiga. O le Hypersexual Disorder (HD) na fuafuaina mo le 5th lomiga o le Diagnostic and Statistics Manual (DSM-5) o se atheoretical formulation o HB. Peitai, na teʻena ae na maua mai ai le lagolago faʻapitoa i se suʻesuʻega i le fanua ma suʻesuʻega i tagata ma faʻataʻitaʻiga. Peitaʻi, o le HD ma ona tulaga faʻataʻitaʻi na mafai ai ona faʻamaonia suʻesuʻega togafitiga e faʻavae i luga o toniga, e ui lava i faʻaiuga muamua, faʻavasegaina.
Sini: O le aotelega o le autu o le suʻesuʻega o le suʻesuʻeina o le aoga o tulaga faʻatautaia o le HD mo le faʻavasegaina o le HB ma atiaʻe se agavaʻa o togafitiga (CBT) e ala i le Initaneti. O fesili faʻapitoa o suʻesuʻega o:
• Pe talafeagai le faʻailoaina o le HD ma ona tulaga faʻapitoa e faʻavasega se vaega o aliʻi ma fafine o loʻo faia ni uiga mataga faʻafeusuaiga i se tulaga e oʻo atu ai i faʻalavelave ma le atoatoa o le tagata?
• E aoga tele le faʻafoeina o le CBT mo le faʻaleleia o faʻailoga e fesootaʻi ma le HD pe a fai o loʻo faia i le faʻatulagaina o vaega?
• Afai e aoga le faʻafeiloaʻiga o le CBT i le togafitia o faʻailoga HD, e mafai ona faʻatautaia i le Initaneti?
Metotia: I le suʻesuʻega I, sa faʻamaonia ai le moni o itu mama i se faʻataʻitaʻiga o tagata lava e faʻaalia o latou lava tagata o loʻo faʻaogaina le Hypersexual Disorder Screening Inventory (HDSI). Mulimuli ane i Suʻesuʻega II, o le mafai ona faia o se CBGT fou faʻataʻitaʻiina mo HD sa suʻesuʻeina i se faʻataʻitaʻiga o tamaloloa feusuaʻi faʻatagaina e ala i Suʻesuʻega I. O suʻega na faia muamua, ma ogatotonu, ma faʻataʻitaʻiga ma 3 ma 6 masina ina ua maeʻa le faʻaiuga o togafitiga.
Suesue III o se lapoʻa RCT, faʻatusatusa 7 sauniga o CBGT togafitiga ma faʻatali. O mea na faia na faia muamua, i le ogatotonu ma le faʻamalologa i le taimi o faʻatusatusa taimi suesue. O le tagata lisi faatalitali mulimuli ane faagasolo CBGT ma fuaina i tutusa tutusa taimi taimi. Na fuaina uma vaega ia i le 3 ma le 6 masina ina ua maeʻa a latou togafitiga. Faʻamaumauga mai vaega uma e lua na tuʻufaʻatasia ma iloiloina mo aʻafiaga i totonu o vaega.
Suesue IV suʻesuʻe le talafeagai ma aafiaga o vaega o le 12-vaiaso ICBT polokalame mo HD, ma pe e aunoa ma paraphilia (s) / paraphilic faaletonu (s). O tagata sa auai na iloiloina e tusa ai ma taualumaga o lo o faʻaaogaina i le Suʻesuʻega II ma le III ma ina ua maeʻa aofia ai sa tofia se fofo e tali ai manatu, lagolago, ma faʻamatalaga i le taimi o togafitiga O faʻataʻitaʻiga na faia i vaiaso taʻitasi, ma le faʻataʻitaʻiga aʻo leʻi maeʻa, ogatotonu ma faʻaiuga o togafitiga, faʻapea foʻi ma le 3 masina talu ona maeʻa le togafitiga. Sa ofo atu foi i tagata auai suʻesuʻega mulimuli ane mo le iloiloga.
Iʻuga: I le Suesuega I, o le 50% o le faʻataʻitaʻiga na ausia tulaga mo HD. O nisi o itupa eseese na maitauina e faatatau i le aotelega o le auga o ituaiga ma ituaiga o faaalia. O le HD itu na iloa e aoga mo aliʻi ma tamaʻitaʻi, e ui lava o le faʻamatalaga fuafuaina o le HDSI na foliga mai e faʻatapulaʻaina tele. Suesuega II na faʻamauina le mafai ona faia le togafitiga CBGT mo le HD. Tele faʻaitiitia i HD faʻailoga na matauina i le faʻaiuga o togafitiga ma sa tausia i le 3- ma 6-masina mulimuli.
O faʻamatalaga autu mai le Suʻesuʻega III na fautuaina ni fegalegaleaiga i tua atu o togafitiga i le kulupu o aʻafiaga i le tulaga muamua. E tutusa foʻi aʻafiaga na maua mo le lona lua o taunuʻuga. O faʻaiʻuga mai le faʻamaumauga o auiliiliga na faʻaalia na faʻaititia le faʻaititia o faʻailoga feusuaiga ile maeʻa togafitiga ma i le toe siakiina. Tagata auai 'lautele mafaufau mafaufau lelei foi alualu i luma taua, e ui lava i se tulaga maualalo.
I le Suʻesuʻega IV, na tele ni aʻafiaga na maitauina e mafua mai i le ICBT togafitiga o le HD, pe a aunoa foi ma le paraphilia (s) / paraphilic disorder. O feololo lelei na aʻafia mo le paraphilia (s) / paraphilic faʻalavelave (s). Lelei faʻalelei le mafaufau, ae i se tulaga maualalo.
Faʻaiʻuga: O le HD tulaga na maua e aoga tele i le faʻavasegaina o tagata maʻi o le feusuaʻiga amioga tusa lava pe faʻailoa talu ai nei iloa faʻataʻitaʻia faʻamalosia amioga tau feusuai (CSBD) ua sili ona aoga i aso nei. Suesuega II ma III na faʻaalia ai o le CBGT o se togafitiga talafeagai e malolo ai faʻailoga HD. O faʻaiuga mai le Suʻesuʻega IV fautua mai o le togafitiga e mafai ona faʻatautaia e ala i luga o le initaneti ma faʻaitiitia faʻaititia le HD ma ona faʻailoga e fesoʻotaʻi. O le faʻalauteleina o le faʻalavelaveina e ono i ai le agavaʻa e taofia ai le manaʻo i feusuaiga, e aofia ai ma le faia o feusuaiga.
Lisi o pepa:
I. Öberg, KG, Hallberg, J., Kaldo, V., Dhejne, C., & Arver, S. (2017). Faʻaletonu Feusuaʻiga E tusa ai ma le Hypersexual Disorder Screening Inventory i Fesoasoani-Saʻili Suetena Tamaloloa ma Fafine Ma Faʻailogaina Oe Lava Faʻaipoipo amioga. Vailaau Faʻafeusuaiga. 5 (4), e229-e236.
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II. Hallberg, J., Kaldo, V., Arver, S., Dhejne, C., & Öberg, KG (2017). Ose vaega e faʻaaoga mo le faʻamalosia o amioga faʻaleaganuʻu e faʻatonutonu mo le faʻaletonu o le tino: o se suʻesuʻega talafeagai J Feusuaiga Med. 14 (7), 950-958.
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III. Hallberg, J., Kaldo, V., Jokinen, J., Arver, S., Dhejne, C., & Öberg, KG (2019). Suʻesuʻega Faʻatonutonu Faʻatonutonuina o Vasega-Faʻatautaia Cognitive Amioga Faʻamalositino mo le Faʻamaʻi Feusuaʻi i Tane. J Feusuaiga Med. 2019; 16 (5): 733-745.
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IV. Hallberg, J., Kaldo, V., Arver, S., Dhejne, C., Jokinen, J., Piwowar, M., & Öberg, KG Initaneti-Faʻatautaia Cognitive Behavioural Therapy mo le Hypersexual Disorder, i ai pe leai Paraphilia (s ) poo Paraphilic Disorder (s) i Men: O se Pailate Suʻesuʻega. [Manusikulipi]
URI: http://hdl.handle.net/10616/46842
Faalapotopotoga: Karolinska Institutet
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