O le mea taua, o nei eseesega o amioga e fautua mai ai o faiga e aofia ai le faʻamoemoeina o mea erotic ma non-erotic e mafai ona suia i le CSBD ma lagolagoina le manatu e faapea. taui faʻatatau faʻatatau faʻaogaina e tutusa ma i latou o loʻo i ai faʻafitauli o le faʻaaogaina o vailaʻau ma vaisu amioga e mafai ona taua tele i le CSBD, e pei ona fautuaina muamua (Chatzittofis et al., 2016; Gola et al., 2018; Jokinen et al., 2017; Kowalewska et al., 2018; Mechelmans et al., 2014; Politis et al., 2013; Schmidt et al., 2017; Sinke et al., 2020; Voon et al., 2014). O lenei mea na lagolagoina atili e le mea moni e faapea matou te leʻi vaʻaia ni eseesega i isi galuega faʻapitoa e fuaina ai le lamatiaga ma le puleaina o le faʻamalosi, e teteʻe ai i le manatu o loʻo faʻaogaina faiga faʻapitoa lautele.
O a matou suʻesuʻega o loʻo fautua mai ai o le CSBD e fesoʻotaʻi ma suiga o amio faʻatatau o le faʻamoemoe, lea e fesoʻotaʻi atili ma le VS gaioiga i le taimi o le faʻamoemoeina o faʻamalositino. O le O su'esu'ega e lagolagoina ai le manatu e fa'apea o faiga fa'atusa e pei o vaisu ma amioga e iai sona sao ile CSBD ma fautua mai o le faʻavasegaina o le CSBD o se faʻalavelave faʻamalosi e mafai ona finauina i luga o le faavae o suʻesuʻega neurobiological.
- Aso Fa'asalalau i luga ole laiga:
- 30 Me 2022
- Aso Lomiga Aso:
- 30 Me 2022
- Vaega o Mataupu:
- Suesuega Mataupu
lē faʻatino
Faʻamatalaga ma sini
O le le atoatoa o le amio fa'afeusuaiga (CSBD) o lo'o fa'aalia e ala i faiga faifai pea o le le mafai ona pulea tu'inanauga tau feusua'iga e mafua ai amioga fa'afeusuaiga toe fai, tuliloaina e ui lava i a'afiaga leaga. E ui lava i faʻamatalaga muamua o mea faʻapitoa-pei o mea ua fai ma vaisu ma le faʻavasegaina o le faʻalavelave faʻafuaseʻi i le International Classification of Diseases (ICD-11), o le neurobiological process o loʻo i lalo ole CSBD e le o iloa.
Metotia
Na matou mamanuina ma faʻaogaina se faʻataʻitaʻiga faʻataʻitaʻiga e faʻatatau i le tuʻufaʻatasia o faiga e fesoʻotaʻi ma le faʻamoemoe ma le vaʻavaʻai i mea faʻamalosi. I le 22 tane mama'i CSBD (tausaga: M = 38.7, SD = 11.7) ma le 20 fa'atonu tane soifua maloloina (HC, tausaga: M = 37.6, SD = 8.5), matou te fuaina tali o amioga ma gaioiga neural i le taimi o faʻataʻitaʻiga faʻamaneta faʻamaneta (fMRI). O taunu'uga autu o le eseesega o taimi tali i le va o fa'ata'ita'iga erotic ma non-erotic ma ventral striatum (VS) gaioiga i le taimi o le fa'atalitali o fa'aosofiaga va'aia. Na matou faʻafesoʻotaʻi nei taunuʻuga i le tasi ma le isi, i le suʻesuʻeina o le CSBD, ma faʻamaoniga faigata.
i'uga
Na matou mauaina le malosi o mataupu-pulea eseʻesega i luga o le amio, lea na faʻaalia ai e tagata maʻi CSBD le tele o taimi tali eseʻesega i le va o faʻataʻitaʻiga erotic ma non-erotic nai lo le HC. O le galuega na fa'aosofia ai fa'agaioiga autu fa'atuatuaina i totonu o vaega ta'itasi. E ui matou te leʻi matauina le tele o eseesega o vaega i le VS gaoioiga, VS gaoioiga i le taimi o le faʻamoemoe e fesoʻotaʻi faʻatasi ma eseesega taimi tali ma faʻavasegaga a le tagata lava ia mo le faʻamoemoeina o mea faʻamalosi.
Talanoaga ma Faaiuga
O a matou taunuʻuga e lagolagoina le faʻamaonia ma le faʻaogaina o le galuega atiaʻe ma fautua mai o le CSBD e fesoʻotaʻi ma suiga o amioga faʻatatau o le faʻamoemoe, lea e fesoʻotaʻi ma le faʻaogaina o le ventral striatum i le taimi o le faʻamoemoeina o mea faʻamalosi. E lagolagoina e lenei mea le manatu e fa'apea o faiga fa'a fai ma vaisu e iai sona sao ile CSBD.
faʻatomuaga
O le le atoatoa o amioga fa'afeusuaiga (CSBD) ua aofia i le International Statistical Classification of Diseases and Related Health Problems (ICD-11) (Faalapotopotoga o le Soifua Maloloina a le Lalolagi, 2019), o loʻo lisiina i totonu o le vaega o faʻalavelave faʻalavelave. E tusa ai ma le ICD-11, o le CSBD o loʻo faʻaalia i se mamanu faifaipea o le le mafai ona pulea tuʻinanauga faʻafeusuaiga poʻo faʻamalosi e mafua ai amioga faʻafeusuaiga faifaipea, lea e tuliloaina e ui lava i aʻafiaga leaga faafomaʻi, mafaufau, ma agafesootai. O le fa'ateleina o fa'ailoga CSBD e fa'atatau i le 3-10% o le faitau aofa'i lautele (Blum, Badgaiyan, & Auro, 2015; Carnes et al., 2012; Derbyshire et al., 2015; Dickenson, Gleason, Coleman, & Miner, 2018; Estelon et al., 2012; Kafka, 2010; Kingston et al., 2013; Kor, Fogel, Reid, & Potenza, 2013; Kuhn et al., 2016; Weinstein, Katz, Eberhardt, Cohen, & Lejoyeux, 2015). E ui lava o loʻo avanoa nisi togafitiga (Briken, 2020; Hallberg et al., 2019; 2020; Savard et al., 2020), o lo'o fa'amaonia pea le fa'aleleia atili e fa'amautinoa ai taunu'uga sili atu mo taimi uumi ma maualuga le aoga.
E ui lava i le aofia ai o le CSBD i le ICD-11, o le neurobiological mechanisms o loʻo i lalo ole CSBD e le o iloa pea (Derbyshire et al., 2015). O loʻo i ai felafolafoaiga faifaipea e uiga i le faʻavasegaina o le ICD-11 o le CSBD e faʻavae i luga o suʻesuʻega faʻatapulaʻa neurobiological (Fuss et al., 2019). O suʻesuʻega talu ai o loʻo fautua mai ai o faiga faʻapitoa e pei ona maua i le faʻalavelave faʻalavelave faʻalavelave, faʻafitauli o le faʻaaogaina o vailaʻau, ma amioga ua fai ma vaisu e mafai ona i ai se sao i le CSBD. O fa'aletonu o vaega o fai'ai e fa'atonutonu ai tu'inanauga tau feusua'iga ma fa'aoso ua fa'ailoa mai fo'i (Blum et al., 2015; Carnes et al., 2012; Derbyshire et al., 2015; Estelon et al., 2012; Kafka, 2010; Kingston et al., 2013; Kor et al., 2013; Kraus, Voon, & Potenza, 2016; Kuhn et al., 2016; Weinstein et al., 2015). O suʻesuʻega neuroimaging talu ai nei na faʻaalia ai o le CSBD e fesoʻotaʻi ma le suia o gaioiga o faʻafeusuaiga (Stark, Klucken, Potenza, Brand, & Strahler, 2018). O se iloiloga talu ai nei na faaiʻu ai o le CSBD e fesoʻotaʻi ma le faʻaogaina o gaioiga i vaega o faiʻai e aʻafia i le masani, faʻatonuga, ma le gaioiga o taui (Kowalewska et al., 2018). O vaega o faiʻai e aofia ai le pito i luma ma le tino, amygdala, ma le ventral striatum (VS) (Gola et al., 2018; Kowalewska et al., 2018; Voon et al., 2014). O le mea lea, o le faiga o taui o le faiʻai e foliga mai e taua tele i le CSBD (Kowalewska et al., 2018; Politis et al., 2013; Schmidt et al., 2017; Voon et al., 2014), ma o loʻo faʻateleina faʻamaoniga mo lena auala autu e faʻapipiʻi ma mea o loʻo i ai ma vaisu o amioga (Gola et al., 2018; Kowalewska et al., 2018; Mechelmans et al., 2014). O le mea lea, o lo'o finau pea pe sili atu le fa'avasegaina o le CSBD o ni amioga fa'afaisu.
O se itu taua i vaisu o le faʻaleagaina lea o le faiga o taui o le faiʻai e taʻitaʻia ai le "tele faʻaosofia faʻamalosi", pe i se isi faaupuga o se "manaʻo" tele poʻo le manaʻo mo se taui. O lenei mea e taitai atu ai i se naunautaiga malosi e saili le taui, faʻataʻitaʻiga, 'ai se vailaʻau. E tusa ai ma lenei mea, o tagata taʻitoʻatasi e iai faʻafitauli o le faʻaaogaina o vailaʻau e faʻaalia ai le gaioiga o le faiʻai i le tulaga o le faʻamoemoeina o taui (Balodis et al., 2015), sili atu i taimi uma i le VS, o se vaega autu ua leva ona faʻamautuina i faiga faʻamoemoe taui (Jauhar et al., 2021; Oldham et al., 2018). Ae ui i lea, o suʻesuʻega faʻataʻitaʻiga maneta (fMRI) e faʻatatau i faiga faʻamoemoe i le CSBD e le lava (Gola et al., 2018), ma le tele o faʻaiuga e uiga i faiga faʻapitoa na maua mai i suʻesuʻega na suʻesuʻeina le tali atu i le neural i le vaʻaiga faigofie o faʻafeusuaiga faʻafeusuaiga, faʻateʻaina le suʻesuʻega o faʻamoemoega faʻaosofia.
O isi tapula'a o su'esu'ega a le fMRI talu ai e aofia ai e le lava le pulea o ata fa'atonutonu mo le fa'agaioiina o vaega o le tino o le tagata ma fegalegaleaiga fa'aagafesootai. E le gata i lea, o le gaioiga o le faiʻai na matauina i le taimi o le gaioiga o feusuaiga e mafai ona faʻafememeaʻi e ala i lagona faʻalagona lautele pe a le pulea mo (Walter et al., 2008). O lagona o le maasiasi ma le tausalaina poʻo le taumafai e pulea le faʻafeusuaiga i le taimi o le suʻega e mafai ona faʻalavelave. O le umi o le fa'aosofiaga ma le fa'aogaina o poloka poloka po'o vitio e faigata ai ona iloa po'o fea vaega o le fa'afeusuaiga fa'ata'amilosaga e fuaina (Georgiadis et al., 2012; Markert, Klein, Strahler, Kruse, & Stark, 2021), fa'alavelaveina fa'amatalaga fa'amatalaga. O le mea pito sili ona taua, o suʻesuʻega talu ai e leʻi mafai ona vaʻaia le va o le faiʻai gaioiga e fesoʻotaʻi ma le faʻamoemoe ma le vaʻavaʻai i faʻafeusuaiga. O lenei eseesega e ui i lea e taua tele i le faia o faʻamatalaga e uiga i mea faʻapitoa e pei o vaisu i le CSBD (Gola, Wordecha, Marchewka, & Sescousse, 2016).
O se galuega e masani ona faʻaaogaina e fuaina ai le faʻamoemoega faʻatatau i le faiʻai, o le faʻamaonia lelei o le faʻatuai o tupe, lea e faʻateʻaina ai le faʻamoemoe o taui mai faʻagasologa o le mauaina o taui (Balodis et al., 2015; Knutson, Westdorp, Kaiser, & Hommer, 2000; Lutz et al., 2014). E faia lenei mea e ala i faʻaaliga vaaia e vaʻai ai le natura o se taui i le lumanaʻi. O se suʻesuʻega e tasi na faʻaaogaina se galuega faʻatuai faʻatuai faʻatasi ma faʻaosofiaga faʻafeusuaiga vaaia (Sescousse, Redouté, & Dreher, 2010), ma le faʻaaogaina o lenei galuega ua faʻaalia ai e le au suʻesuʻe o faʻafitauli faʻafitauli ponokalafi e fesoʻotaʻi ma le suiga o le gaioiga o le VS i le tali atu i faʻamatalaga e vavalo ai ata mataga, ae le o faʻamatalaga e valoia ai taui tau tupe (Gola et al., 2017). I le mea sili o lo matou iloa, o le suʻesuʻega muamua lea na faʻatatauina le gaioiga o faiʻai e fesoʻotaʻi ma le faʻamoemoeina o faʻamaʻi faʻafeusuaiga i mataupu ma faʻamaoniga e fesoʻotaʻi ma le CSBD. Ae ui i lea, o taui tau tupe na faʻaaogaina e fai ma faʻataʻitaʻiga faʻataʻitaʻiga, nai lo ata e le faʻafeusuaiga tino (lagona). O faʻamatalaga faʻamoemoe na faʻaalia ma o loʻo i ai - e ui lava na tusia - mea tau feusuaʻiga, lea atonu ua uma ona faʻagaoioia fesoʻotaʻiga o loʻo aʻafia i le gaioiga o faʻafeusuaiga (Gola et al., 2017). E iloga, so'o se eseesega fa'atusa i fa'ailoga fa'atalitali, e aofia ai lanu ma foliga, e mafai ona fa'afememea'i. E le gata i lea, o le fuaina o ata e faia pe a uma ona tuʻuina atu faʻamalosiga taʻitasi e avea o se vaega o le galuega e mafai ona faʻaosofia ai le faʻamasinoga e fesoʻotaʻi ma gaioiga o le mafaufau ma aʻafia ai le gaioiga i le taimi o le faʻaalia o faʻamalosi (Walter et al., 2008).
O le fa'amoemoega o le su'esu'ega nei e fa'alua. Muamua, matou te faʻamoemoe e faʻatoʻilaloina tapulaʻa mamanu galuega o faʻataʻitaʻiga muamua. O le mea lea, na matou atiina ae ai se galuega faʻatuai faʻamalosi, lea na faʻafetaui lelei ai faʻataʻitaʻiga faʻafeusuaiga vaʻaia ma ata pulea o le tino i uiga eseese o ata. O galuega ma fa'asologa o le aoina o fa'amaumauga na mamanuina e aloese ai mai a'afiaga o le fa'atonuga, fa'atulagaina, ma fa'ailoga fa'ailoga fa'atalitali. Lona lua, matou te faʻamoemoe i le faʻaaogaina o le galuega i se suʻega fMRI e suʻe ai pe o fesoʻotaʻi le CSBD ma le tali atu o amioga ma le suiga o le ventral striatum (VS) gaioiga e fesoʻotaʻi ma le faʻamoemoeina o faʻamaʻi feusuaʻiga.
Na matou faʻaogaina le fMRI faʻataʻitaʻiga i 22 CSBD maʻi ma 20 soifua maloloina (HC) ma faʻataʻitaʻiina ni manatu se lua: 1) matou te faʻamoemoe e faʻaalia e tagata maʻi CSBD le maualuga o le faʻamoemoe e matamata i ata faʻataʻitaʻi nai lo ata e le o ni faʻataʻitaʻiga, e atagia mai i eseesega taimi tali tutusa. , pe a uma ona faasaʻoina mo le matua. 2): A o matou faʻamoemoeina le maualuga o le VS i le taimi o le faʻamoemoeina o ata faʻataʻitaʻi pe a faʻatusatusa i ata e le o ni faʻataʻitaʻiga (erotic> non-erotic) i vaega uma e lua, na matou faʻataʻitaʻiina foi pe na faʻaalia e tagata maʻi CSBD se tali VS sili atu nai lo le HC. I lenei tulaga, matou te faʻamoemoeina foi se fesoʻotaʻiga feteʻenaʻi i le va o amioga ma gaioiga VS i le taimi o le faʻamoemoe.
I suʻega lona lua, faʻaaogaina suʻega neurocognitive, matou suʻesuʻeina fua faʻatatau o le faʻalavelave faʻalavelave, faʻalavelave faʻalavelave, ma le le tautala tautala, lea e fesoʻotaʻi ma suʻesuʻega CSBD, amio, ma taunuʻuga fMRI. Sa matou fa'ata'ita'i fo'i mo a'afiaga fa'afememea'i fa'aletonu e ala i le faitau aofa'i, fesuiaiga o falema'i, ma fa'avasegaga o lagona i le taimi o le galuega. Mulimuli ane, na matou suʻesuʻeina pe faʻafefea ona fesoʻotaʻi le manaʻo, fiafia, ma le faʻaosofia faʻatatau i taunuʻuga o suʻesuʻega.
Metotia
Tagata e Auai
O le suʻesuʻega na faia i Karolinska Institutet ma i ANOVA, Karolinska University Hospital, Stockholm, Suetena. O tagata gasegase CSBD na fa'afaigaluegaina e ala i le telefoni fesoasoani a Suetena PuipuiTa'u (Adebahr, Söderström, Arver, Jokinen, & Öberg, 2021). E tele fa'amatalaga fa'afaigaluega, i totonu ma le fa'aesea o lo'o tu'uina atu ile Mea Fa'aopoopo ma isi mea (Hallberg et al., 2020; Savard et al., 2020). I se faapuupuuga, o alii maʻi na ausia tulaga mo le CSBD e tusa ai ma le ICD-11 na valaʻaulia e auai. O le soifua maloloina o le matua-ma le itupa-ma faʻatatau faʻatonuga mai le eria o Stockholm na faʻafaigaluegaina e ala i faʻasalalauga lautele ma faʻasalalauga tele. O pulega e leai se fa'ailoga o le CSBD.
Na matou lesitalaina 20 HC ma 23 CSBD maʻi, lea na maua ai e 22 tagata gasegase faʻamatalaga MRI. O fa'amaumauga uma na aoina i le va o Me 2018 ma Tesema 2020.
Uiga fa'afoma'i ma su'esu'ega
E ala i fesili i luga ole laiga, na matou iloiloina ai le maualuga o faʻamaoniga o le atuatuvale (Montgomery Asberg Depression Rating Scale (MADRS-S) (Montgomery et al., 1979; Svanborg et al., 2001)), tulaga faaletonu o le mafaufau (Ault ADHD Self-Report Scale (ASRS) (Kessler et al., 2005), 'ava malosi ma fualaau fa'asaina (Alcohol Use Disorders Identification Test (AUDIT) (Bergman et al., 2002); Fa'aaogā Fualaau Fa'aleaga Su'ega Fa'amatalaga (DUDIT) (Berman, Bergman, Palmstierna, & Schlyter, 2005)), fa'ailoga fa'afeusuaiga (Hypersexual Disorder Screening Inventory (HDSI) (Parsons et al., 2013), Su'esu'ega o Amioga Fa'afeusuaiga (HBI) (Reid, Garos, & Kamuta, 2011)), fa'amalosi fa'afeusuaiga (Sexual Compulsivity Scale (SCS) (Kalichman et al., 1995)), fua fa'afeusuaiga / fa'afiafiaga (SIS/SES) (Kamuta, Janssen, Graham, Vorst, & Wicherts, 2008), tulaga popole (State-Trait Anxiety Inventory – State (STAI-S) (Tluczek, Henriques, & Brown, 2009)), fa'ailoga fa'aletonu o alaleo autism (Ritvo Autism Asperger Diagnostic Scale (RAADS-14) (Eriksson, Andersen, & Bejerot, 2013)), manaʻoga tau feusuaʻiga (Sexual Desire Inventory (SDI) (Spector, Carey, & Steinberg, 1996)), fa'atosina lautele (Barratt Impulsiveness Scale (BIS-11) (Stanford et al., 2009)), ma le taofiofia o amioga (Behavioral Inhibition/Activation System (BIS/BAS) (Carver et al., 1994)). Na matou iloiloina le tele o taimi o le faʻaogaina o ponokalafi i luga ole laiga ma feusuaiga i totonu ole 6 masina talu ai, faʻapea foʻi ma le faʻafeusuaiga (7-point Kinsey scale) (Kinsey, Pomeroy, & Martin, 1948). O le vaega mulimuli na amata mai i le 0-6 ma le 0 o lo'o fa'amatalaina 'fa'apitoa fa'afeusuaiga' ma le 6 'fa'afeusuaiga fa'afeusuaiga'.
Su'ega Neurocognitive
Na matou faʻatautaia suʻega neuropsychological e maua ai faʻatusatusaga faʻatatau o le impulsivity / lamatiaga (Balloon Analogue Risk Task, BART (Lejuez et al., 2002)), fa'alavelave/pulea fa'amalosi (Stop Signal Task, STOP-IT (Verbruggen, Logan, & Stevens, 2008)), ma le poto e le tautala (Ravens Standard Progressive Matrices, SPM (Raven et al., 2000)). O le SPM e fa'avasega le fa'atinoga o le tagata i le vasega I (maulalo) i le V (maualuga). Higher Stop-Signal Reaction Time (SSRT) maua mai le STOP-IT o loʻo faʻaalia ai le faʻaogaina o le taofiofia maualalo. Fuafuaga mo tulaga lamatia na maua mai le BART o le fetuutuunai numera o paluni ma numera o pa (Lejuez et al., 2002), pe a maualuga togi e faʻaalia ai le tele o amioga e lamatia ai.
fMRI faʻataʻitaʻiga ma faʻamalosi
O se fa'amatalaga auiliili o le fMRI paradigm o lo'o tu'uina atu ile Mea Fa'aopoopo. Ata 1 fa'aalia se faiga o le fa'ata'ita'iga. I se faapuupuuga, o le mamanu o galuega na faʻavae i luga o le faʻaaogaina masani o le faʻatuai o tupe (MID) galuega (Knutson et al., 2000) ma le galuega fa'atuai fa'atuai na fa'aogaina e Gola ma ana pa'aga (Gola et al., 2017). Ole aofa'iga ole su'ega ole n = 80 (40 leaga ma 40 e le fa'atauva'a tofotofoga). O ata faʻaosofia na maua mai le International Affective Picture System (IAPS) (Lang, Bradley, & Cuthbert, 2008) ma le Nencki Affective Picture System (NAPS) (Marchewka, Zurawski, Jednorog, & Grabowska, 2014; Wierzba et al., 2015). O faʻamalosi mai faʻamaumauga uma e lua ua faʻamaonia ma faʻaalia e faʻaosofia ai le tele o tulaga faʻafeusuaiga i suʻesuʻega muamua (Gola et al., 2016; Marchewka et al., 2014; Politis et al., 2013; Walter et al., 2008; Wierzba et al., 2015). Na fa'afetaui lelei fa'atupu fa'atama'ita'i ma fa'aoso fa'aoso e fa'atatau ile valence ma le fa'aoso, ma isi fa'aaliga ata. Talu ai na aofia ai tagata auai e tusa lava po o le a le latou faʻafeusuaiga, na matou faia ni faʻataʻitaʻiga se lua o le faʻataʻitaʻiga e mafai ona faʻatusalia faʻamalositino i mea e fiafia i ai tagata auai. O nisi fa'amatalaga i uiga fa'aosofia o lo'o tu'uina atu ile Mea Fa'aopoopo.
fMRI-fa'ata'ita'iga fa'atatau fesili
Aʻo leʻi maeʻa ma maeʻa le MRI, na talosagaina tagata auai e faʻatatau o latou manaʻoga / manaʻoga mo mea eseese (e aofia ai manaʻoga feusuaʻiga). Aʻo leʻi faia le faʻataʻitaʻiga, na fesiligia tagata auai pe o le a le tele o loʻo latou tulimatai atu i le matamataina o ata e le o ni erotic ma erotic. O le fua muamua lea o le tului, ona e fa'atatau tonu i le fa'amoemoe. Ina ua maeʻa le suʻega, na talosagaina tagata auai e tuʻuina atu faʻataʻitaʻiga o valence ma faʻaoso faʻaosoina e faʻaosofia vaaia. O fesili fa'aopoopo e fa'atatau i mea e ono i ai ni a'afiaga fa'afememea'i i gaioiga fai'ai i le taimi o le fa'ata'ita'iga, e pei o lagona o le maasiasi, ta'usalaina, ma le tele o le taumafai o se tagata auai e pulea le fa'afeusuaiga. Va'ai Mea Fa'aopoopo mo nisi fa'amatalaga ile fMRI fesili.
Faʻaauau foliga faʻapitoa
mauaina
O suʻesuʻega MRI na faia i luga o le 3T GE scanner (Discovery MR750) faʻapipiʻiina i le valu-auala ulu ulu. O faʻamatalaga fMRI na maua i le 2D gradient-echo EPI sequence ma le T1-weighted sequence na maua e faʻaaoga ai le 3D-BRAVO sequence. I le faaopoopo atu i le fMRI scan, sa faia se suʻesuʻega T1-mamafa ma faʻaaogaina mo le resitalaina faʻatasi o faʻamatalaga fMRI. Fa'ata'ita'iga fa'ata'ita'iga o lo'o tu'uina atu ile Mea Fa'aopoopo.
lotelotega
O fa'amatalaga ile fa'agaioiga ma au'ili'ili ole fMRI o lo'o tu'uina atu ile Mea Fa'aopoopo. I se faapuupuuga, o le faʻaaogaina o le FSL 6.0.1 software suite, o le faiʻai atoa o lona uiga o faʻasologa o faʻafanua (Contrast Of Parameter Estimates: COPE) mo le aʻafiaga o tului (erotic> non-erotic events) na faʻatusatusaina mo le faʻamoemoeina (faʻatusatusaga autu 1, Ata 1) ma le va'aiga va'aiga (fa'atusatusaga 2). O nei mea na faʻaaogaina e suʻesuʻe ai galuega faʻatatau i le faʻagaoioia i totonu-vaega ma va-vaega eseesega (faʻatusatusaga o le fiafia: CSBD> HC).
A'o su'esu'e fa'atusatusaga o le fai'ai atoa, o la matou fa'amoemoega muamua o le su'eina lea o eseesega o vaega i le gaioiga VS i le taimi o le fa'amoemoe. O le mea lea, na matou maua mai ai le uiga o le COPE i le taimi o le faʻamoemoe o le vaega (ma le vaʻavaʻai vaega o le pulea) mai le VS (Ata S7) (Tziortzi et al., 2011). O nei fua na suʻesuʻeina i le SPSS e faʻatatau i eseesega o mataupu, suʻesuʻega maaleale mo le faʻalavelave faʻalavelave, ma faʻamaopoopoina ma taunuʻuga o amioga (ΔRT) ma faʻamaoniga CSBD (silasila i lalo).
Suʻesuʻega faʻamaumauga
Uiga fa'avae (fa'amatalaga o le faitau aofa'i, falema'i, ma le mafaufau)
Uiga fa'avae i le faitau aofa'i ma le falema'i o lo'o lisiina i totonu Laulau 1 fa'atusatusaina fa'aoga t-su'ega po'o le sa'o a Fisher/Chi2. Fa'atusatusaga fa'avae i tulaga lamatia ma le SSRT na fa'atinoina i le fa'aaogaina o se su'ega univariate o le covariance (ANCOVA), a'o fa'asa'o mo tausaga, ile SPSS v26.
Demokalafi ma uiga faʻapitoa
Fua | HC (n = 20) | CSBD (n = 23) | HC vs. CSBD (P-value) |
Tausaga, uiga (SD) | 37.6 (8.5) | 38.7 (11.7) | 0.741 |
BMI, uiga (SD) | 23.1 (2.8) | 25.8 (4.5) | 0.026 |
fa'aoga nicotine (ioe/leai/o nisi taimi), n | |||
Susū susu | 3/16/0* | 7/13/0* | 0.157 |
ulaula | 0/16/4 | 0/21/0* | 0.048 |
Tu'ulima (R/L/M), n | 16/4/0 | 16/1/1* | 0.822 |
Faʻasalalauga feusuaʻi | |||
Fa'ailoa e le tagata lava ia fa'afeusuaiga, n | 1 | 1 | 0.919 |
Kinsey fua, uiga (SD) | 0.6 (1.1) | 0.71 (1.3) | 0.778 |
HDSI, lona uiga (SD) | 1.9 (2.2) | 20.2 (3.8) | |
HBI, uiga (SD) | 22.5 (4.1) | 69.4 (13.4) | |
SDI, uiga (SD) | 55.2 (12.6) | 80.6 (17.1) | |
SCS, uiga (SD) | 11.2 (0.9) | 29.4 (6.3) | |
Taumafa ponokalafi | |||
taimi i le vaiaso, lona uiga (SD) | 2.2 (2.3) | 13.0 (20.7) | 0.033 |
itula i le vaiaso, lona uiga (SD) | 0.7 (0.7) | 9.2 (8.0) | |
tausaga i le taimi muamua na taumafaina, lona uiga (SD) | 14.2 (3.4) | 13.2 (4.9) | 0.424 |
MADRS, uiga (SD) | 3.9 (4.9) | 18.3 (7.8) | |
AUDIT, fua (SD) | 4.1 (3.8) | 6.3 (3.8) | 0.059 |
DUDIT, uiga (SD) | 2.7 (4.5) | 2.1 (3.0) | 0.582 |
RAADS, uiga (SD) | 6.1 (6.0) | 11.1 (7.7) | 0.025 |
ASRS, lona uiga (SD) | 14.7 (10.6) | 34.2 (11.7) | |
BIS-11, uiga (SD) | 53.1 (7.3) | 66.7 (10.8) | |
BIS / BAS | |||
ta'avale BAS, lona uiga (SD) | 7.4 (2.3) | 9.0 (2.7) | 0.048 |
BAS su'e malie, uiga (SD) | 10.5 (2.5) | 11.9 (1.7) | 0.037 |
BAS taui tali, uiga (SD) | 16.3 (2.1) | 16.5 (1.6) | 0.726 |
BIS, uiga (SD) | 17.9 (5.1) | 20.7 (3.1) | 0.033 |
STAI-S, uiga (SD) | 9.3 (2.0) | 12.6 (2.5) |
Fa'asologa o tagata ma falema'i (mean (SD) po'o numera o tagata auai n) o vaega uma e lua ma tali tutusa (P-taua) o fa'atusatusaga vaega o lo'o tu'uina atu. Manatua, fa'amaumauga na lipotia mo gasegase uma na lesitala. O le fa'afeusuaiga na fuaina e ala i le fa'ailoaina e le tagata lava ia ma luga ole fua ole 7-point Kinsey. * fa'aalia suiga ma fa'amatalaga misi.
Fa'aoso fa'atuai taimi tali mai galuega fMRI
Eseesega i le va o taimi e tali atu ai i le taimi o le erotic (RTE) ma fa'ata'ita'iga e le fa'aleagaina (RTN) - o le amio tutusa o faʻatusatusaga o le fMRI - na faʻamoemoe e ese i le va o tagata maʻi CSBD ma faʻatonuga, e pei ona matou manatu faʻavave RTE i gasegase CSBD. I le faʻaaogaina o faʻataʻitaʻiga ANCOVA, matou te faʻataʻitaʻiina aʻafiaga o faʻataʻitaʻiga ituaiga (erotic vs. non-erotic), vaega (CSBD vs HC), ma faʻataʻitaʻiga faʻataʻitaʻiga faʻataʻitaʻiga i luga ole RT, aʻo faʻasaʻo mo le matua. Fa'asa'oga tausaga na fa'atino e fa'amaonia ai le eseesega o tausaga e ono fa'atatau i fa'amaumauga ona o le telegese o taimi tali a tagata matutua ma le matua. Matou te tulitatao e ala i le faʻatulagaina o le ΔRT = RTE–RTN mo tagata auai taʻitasi ma faʻatusatusa le ΔRT i le va o vaega e faʻaaoga ai le ANCOVA, aʻo faʻasaʻo mo le matua. Na matou suʻesuʻeina atili pe faʻatasi le ΔRT ma faʻailoga CSBD, e aofia ai faiga faʻaoga ponokalafi. Ona o le la'ititi la'ititi o fa'ata'ita'iga ma le mea moni o fa'ailoga fa'ailoga e masani ona fa'ase'e, na matou fa'atatauina le fa'avasegaina ole tulaga ole parametric Spearman.
VS activation auiliiliga
VS o lona uiga o le faʻagaoioia i le taimi o le faʻamoemoe na faʻatusatusa i le va o vaega e faʻaaoga ai le ANCOVA, aʻo faʻasaʻo mo tausaga (SPSS). Na matou toe suʻesuʻeina pe o le gaioiga a le VS i le taimi o le faʻamoemoe e fesoʻotaʻi ma lana amio tutusa ΔRT, ma suʻesuʻeina lona sootaga ma le CSBD faʻamaʻi faʻamaʻi ma fua faʻatatau o ponokalafi (Spearman correlations) i le tuʻufaʻatasiga tuʻufaʻatasia. O le mafuaaga o le faailoaina lea o sootaga moni i le va o le VS ma le ΔRT / CSBD faailoga e tusa lava po o le a le faʻailoga faʻailoga faʻapitoa ma faʻateleina le eseesega o togi ma le malosi faʻafuainumera. VS activation mo faʻatusatusaga 2 sa suʻesuʻeina tutusa mo le faʻamatalaga faʻamoemoe. I isi suʻesuʻega lona lua, na matou suʻesuʻeina le sootaga i le va o le faʻagaioiina o le VS i le taimi o le faʻamoemoe ma le faʻasologa muamua o le fMRI o tului. 'fa'atalitali i le matamata i ata fa'afeusuaiga' togi fa'ailoga (Mea Fa'aopoopo).
Iloiloga maaleale
Mo mea uma e lua, VS gaioiga ma le ΔRT matou te toe faia faʻatusatusaga vaega e faʻataʻitaʻi ai le faʻalavelave faʻalavelave e ala i le faitau aofaʻi, falemaʻi, manaʻoga / ata fua, ma fesuiaiga o le neurocognitive. Fa'amatalaga au'ili'ili, lisi o fesuiaiga na fa'ata'ita'iina, ma fa'ai'uga o nei su'ega o lo'o tu'uina atu ile Mea Fa'aopoopo (Laulau S8).
Amio Taualoa
O suʻesuʻega faʻataʻitaʻiga na faia e tusa ai ma le Tautinoga a Helsinki. O le suʻesuʻega na faʻamaonia e le Komiti Faʻatonu a le Ethical Review Board, Stockholm, Suetena. O tagata uma na auai na tu'uina atu le fa'atagaga tusitusia.
i'uga
Tagata e Auai
O lo'o fa'aalia uiga fa'aopoopo i totonu Laulau 1. Vaega e fetaui ile matua (CSBD: M = 38.7, SD = 11.7, HC: M = 37.6, SD = 8.5) ma le fa'afeusuaiga (tasi le tagata fa'afeusuaiga fa'afeusuaiga i vaega ta'itasi). O tagata gasegase CSBD e maualuga atu le BMI nai lo le HC (CSBD: M = 25.8, SD = 4.5, HC: M = 23.1, SD = 2.8), e ui lava i le tulaga masani. O le HC e toafa tagata ulaula mai lea taimi i lea taimi. E leai se eseesega o kulupu i le fa'aogaina o vaila'au po'o fa'ama'i fa'apitoa ole mafaufau (Table S1). Pe a faatusatusa i le HC, o tagata maʻi CSBD e sili atu le maualuga o togi i luga o fua e iloilo ai faailoga o le hypersexuality, faʻamalosi feusuaʻiga ma manaʻoga (HDSI, HBI, SDI, SCS), tulaga faʻavaivai (MADRS), faʻaletonu le mafaufau (ASRS), faʻamaʻi autism (RAADS), popole (STAI). -S), faʻalavelave faʻalavelave ma amio faʻalavelave (BIS-11, BIS), ae le o le tali atu i le taui (BAS). O tagata maʻi CSBD na faʻaaogaina ponokalafi nai lo le HC. E leai se eseesega o vaega i le taumafaina o fualaau faasaina ma le ava malosi poo le numera o feusuaiga po o paaga (Laulau S2).
Taimi fa'atuai fa'atuai maua mai galuega fMRI
Fua fai fai ANCOVA na fa'aalia ai se aafiaga taua ole ituaiga fa'ata'ita'iga (P = 0.005, F 1, 39 = 9.0) ma fa'ata'ita'iga-fa'a-vaega fegalegaleai (P = 0.009, F 1, 39 = 7.5). O aʻafiaga autu o le matua ma le vaega e leʻi taua, (P = 0.737 ma P = 0.867). O suʻesuʻega tulitatao o le aʻafiaga autu o le ituaiga faʻataʻitaʻiga na faʻaalia ai i totonu o le kulupu tuʻufaʻatasia na faʻaalia e tagata auai e sili atu le vave faʻaalia i le taimi o le erotic pe a faʻatusatusa i faʻataʻitaʻiga e le o ni faʻataʻitaʻiga (RT).E < RTN). Faʻasalaina t-su'ega fa'atusatusa RTE ma le RTN i totonu o vaega taʻitasi na faʻaalia ai o le tulaga lea i gasegase (P <0.001) ma pulega (P = 0.004). ΔRT (RTE–RTN) e le lelei i vaega uma e lua ma e matua ese le eseesega i le va o le CSDB ma le HC (P = 0.009, d= 0.84), lea na faʻaalia ai e tagata maʻi CSBD le tele o le ΔRT, faʻamaonia le vaʻavaʻai faʻataʻitaʻiga faʻataʻitaʻiga (faʻaalia i totonu Ata 2). O lenei eseesega atonu na faʻaosoina e le RT laʻititi laʻititiE ma tele RTN lona uiga ile CSBD fa'atusatusa ile HC (Ata 2, Laulau 2).
I'uga su'ega Neurocognitive
Su'ega Mafaufau | HC (n = 20) | CSBD (n = 23) | HC vs. CSBD; P |
Galuega fa'atuai fa'afeusuaiga (fMRI) ile ms* | |||
RTE, uiga (SD) | 281 (65) | 270 (46) | 0.544 |
RTN, uiga (SD) | 297 (72) | 314 (68) | 0.434 |
ΔRT, uiga (SD) | -15 (22) | -43 (42) | 0.009 |
SSRT ile ms, uiga (SD) | 285 (30) | 300 (59) | 0.324 |
BART | |||
Adj. pamu, uiga (SD) | 10.1 (5) | 11.1 (4.8) | 0.486 |
Nu. pa, lona uiga (SD) | 13.6 (4.8) | 14.3 (4.4) | 0.664 |
Raven SPM | |||
Mean (SD) | 2.3 (1.0) | 2.9 (0.8) | 0.041 |
Vasega I, n | 4 | 1 | 0.042 |
Vasega II, n | 9 | 6 | |
Vasega III (aveve), n | 4 | 11 | |
Vasega IV, n | 1 | 5 | |
Vasega V, n | 1 | 0 |
O fa'ai'uga na maua mai su'ega o le mafaufau o lo'o fa'aalia. O lo'o fa'amauina ai fa'asologa ma fa'asologa masani (SD) o vaega ta'itasi. I'uga o fa'atusatusaga vaega (P-taua) ua saunia. BART: Balloon Analogue Risk Task, SSRT: Stop-Signal Reaction Time (inhibitory/impulse control), Raven SPM: Raven standard progressive matrices (non-verbal intelligence). O fua fa'atatau mai le galuega fa'atuai fa'afeusuaiga na faia i le taimi o le fMRI o lo'o lisiina fo'i: RTE: averesi taimi tali i le taimi o faʻataʻitaʻiga erotic, RTN: averesi le taimi e tali atu ai i le taimi o su'ega e le o ni fa'alavelave. ΔRT = RTE−RTN. *e tasi le ma'i CSBD e le'i faia le galuega fMRI.
O le ΔRT e fesoʻotaʻi le lelei ma faʻamaʻi faʻafeusuaiga ma faʻamaʻi faʻafeusuaiga (HDSI, HBI, SCS) (Laulau S9), ma faʻatasi ai ma ave ma taui tali mea ole BIS/BAS (Laulau S14).
O suʻesuʻega suʻesuʻe na faʻaalia ai o le vaega CSBD na faʻaalia le tele o suiga o le RT (tulaga masani) i taimi o suʻega e le o ni faʻataʻitaʻiga (SD.N) nai lo tofotofoga erotic (SDE), lea e leʻi matauina i le HC (Supplemental Materials; Table S3), o loʻo faʻaalia ai o le eseesega o kulupu i le ΔRT e foliga mai na aʻafia e tagata maʻi CSBD e sili atu le leaga (pe itiiti ifo le tumau) i taimi e le o ni faʻataʻitaʻiga faʻataʻitaʻiga nai lo le HC, nai lo le sili atu ona lelei i le taimi o le erotic. tofotofoga.
Su'ega Neurocognitive
E leai se eseesega o vaega i le faʻatinoga i luga ole BART (tulaga lamatia) poʻo STOP-IT (SSRT, faʻalavelave / faʻamalosi malosi). Na sili atu le lelei o le HC ile suʻega a le Raven SPM (le poto faʻamatalaga) nai lo maʻi CSBD. Ae ui i lea, o tagata gasegase CSBD na faʻaalia se faʻatinoga masani, aʻo HC na faia i luga aʻe o le averesi (Laulau 2).
Gaoioiga e fa'atatau i galuega (fMRI)
O lo'o fa'aalia i totonu ole fa'agaioiga fa'atatau ile galuega ile taimi ole fa'amoemoe Ata 3. O fa'ai'uga mo le va'aiga o lo'o fa'aalia i Mea Fa'aopoopo (Ata S4–S5). O faʻagaioiga tutusa e aofia ai itulagi na lipotia muamua i le taimi o le faʻamoemoeina ma le faʻagaioiina o faʻamaʻi faʻafeusuaiga vaaia, e aofia ai le VS, pito i luma cingulate cortex, orbitofrontal cortex, insula, (mua) afi, vaʻaia, ma occipitotemporal itulagi (Georgiadis et al., 2012; Jauhar et al., 2021; Oldham et al., 2018). I luga ole laiga ole fai'ai atoa (su'esu'e), e leai se eseesega o vaega na matauina ina ua uma ona faasa'o. Va'ai le Ata S3 ma le S6 mo fa'ai'uga e le'i fa'asa'oina.
VS fa'agaoioia ma fa'amaopoopo fa'atasi ma fa'ailoga ΔRT ma CSBD
E leai ni eseesega taua o vaega i le VS o lona uiga o le faʻagaoioia i le taimi o le faʻamoemoe (poʻo le vaʻavaʻai vaega, Laulau 3). Ae ui i lea, o le gaioiga VS i le taimi o le faʻamoemoe e fesoʻotaʻi le lelei ma le ΔRT (r = -0.33, P = 0.031), ae o le ΔRT e leʻi fesoʻotaʻi ma le faʻamalosia o le VS i le taimi o le vaʻaiga (r = 0.18, P = 0.250). E tasi le va'aiga va'aia ma le maualalo o le ΔRT ma le maualuga VS gaioiga i le taimi o le fa'amoemoe (Ata 4). O fesoʻotaʻiga i le va o le ΔRT ma le VS gaioiga i le taimi o le faʻamoemoe sa faʻaalia pea (P = 0.072) ina ua uma ona aveese lenei mea (Ata S2, Laulau S10), ma tumau pea le faʻatonuga ma le malosi malosi (r = −0.28). Manatua e le mafai ona matou iloa mafuaʻaga e tauamiotonuina ai le aveesea o le outlier mai suʻesuʻega (leai ni faʻamatalaga sese). I totonu o tagata auai uma, o lenei mataupu na maua le maualuga i luga o togi uma o fa'ailoga CSBD (fa'ailoa e multivariate outlier analyses; Mea Fa'aopoopo). E le gata i lea, sa fa'aogaina se fa'amaopoopo tulaga le fa'aparametric Spearman, o lona uiga, fa'atusatusa i se fa'atasiga masani a Pearson, e itiiti le maaleale i fafo. O le mea lea, o su'ega uma na faia e manatu o fa'ai'uga e aofia ai ma le fa'atuatuaina.
Fa'atusatusaga vaega i le VS o lona uiga o le fa'agaoioia
HC (n = 20) | CSBD (n = 22) | HC vs. CSBD; P | Cohen's o | |
Gaoioiga VS (fa'atusatusaga 1: fa'atalitali) | 173 (471) | 329 (819) | 0.457 | 0.20 |
Gaoioiga VS (fa'atusatusaga 2: va'aiga) | 181 (481) | 69 (700) | 0.54 | 0.19 |
Mean (SD) o le COPE activation na maua mai mo le VS i le taimi fa'atusatusa 1 (fa'atalitali) ma le 2 (vaega va'ai) o lo'o lisiina mo vaega ta'itasi. I'uga (P-taua) ma le tele o le aafiaga (Cohen's d) o faʻatusatusaga vaega o loʻo tuʻuina atu (HC vs. CSBD).
Ma le mea mulimuli, VS faʻamalosia i le taimi o le faʻamoemoe, ae le o le faʻamalosia o le VS i le taimi o le matamataina o vaega, faʻatasi ma fua faʻatatau o ponokalafi (Table S9), ae le o isi faʻailoga CSBD.
Mana'o, fiafia, ma isi tali fa'alagona i le taimi ole galuega fMRI
O fa'ai'uga au'ili'ili ole su'esu'ega a le fMRI e mafai ona maua ile Mea Fa'aopoopo (Table S4-S6). I se faapuupuuga, o tagata maʻi CSBD na manaʻo e auai i feusuaiga e sili atu nai lo le HC, ma o lenei manaʻoga na faʻateleina pe a uma le faʻataʻitaʻiga i vaega uma e lua. E ui lava e leai se eseesega o vaega ma le faʻaaloalo i le tele o tagata auai e fiafia i faʻamalosi, o tagata CSBD na sili atu le vaʻavaʻai i luma i le matamataina o ata mataga nai lo ata e le o ni ata. E leʻi matauina lenei mea i le HC. I tagata gasegase CSBD, e le o le HC, VS gaoioiga i le taimi o le faʻamoemoe e fetaui lelei ma le 'fa'atalitali atu i ata leaga' fa'ailoga (r = 0.61, P = 0.002; Ata 4). O ia fesoʻotaʻiga faʻatasi ma le ΔRT sa faʻamaonia (Mea Faʻaopoopo).
Iloiloga maaleale
O taunuʻuga na tumau pea le malosi pe a faʻatonutonuina mo faʻalavelave faʻalavelave (Laulau S8) faʻatasi ai ma le eseʻesega o vaega i le ΔRT e le taua pe a pulea mo faʻafitauli faʻafitauli (MDRS). O lenei taunuuga e tatau, peitaʻi, e faʻamatalaina ma le faʻaeteete, ona o le atuatuvale e fesoʻotaʻi ma le CSBD, o le uiga o le tului (Ballester-Arnal, Castro-Calvo, Giménez-García, Gil-Juliá, & Gil-Llario, 2020; Hyatt et al., 2020).
Talanoaga
I lenei suʻesuʻega, matou te faʻaogaina se faʻataʻitaʻiga fou fMRI faʻataʻitaʻiga e faʻatatau i le tuʻueseeseina o faiga e fesoʻotaʻi ma le faʻamoemoe mai i latou e fesoʻotaʻi ma le faʻaogaina o lagona faʻafeusuaiga. O le galuega na faʻaaogaina e suʻesuʻe ai amioga ma neural correlates o le CSBD faʻatasi ai ma le taulaʻi i le gaioiga VS i le taimi o le faʻamoemoe. Na matou toe su'esu'eina pe fa'apefea ona feso'ota'i fa'ailoga o le CSBD ma fua fa'atatau o le fa'alavelave, pulea fa'alavelave, ma le atamai e le o tautala ma a matou taunu'uga.
Eseesega o amioga ile va ole HC ma le CSBD
E tusa ai ma o matou manatu, o tagata maʻi CSDB na faʻaalia le tele o eseesega i le va o taimi faʻaalia na fuaina i le taimi o faʻataʻitaʻiga erotic ma non-erotic (ΔRT) nai lo le HC. O le tele o le aafiaga na telē (d = 0.84). Na tumau pea le malosi o taunuuga pe a faʻasaʻo mo suiga faʻalavelave faʻalavelave ma faʻaalia ai le eseesega o le faʻamalosi faʻamalosi - ma le manaʻo - e matamata i ata mataga pe leai. O eseesega na foliga mai na faʻaosoina e tagata maʻi CSBD o loʻo faʻaalia ai le faʻagesegese o taimi faʻaalia ma le tele o suiga o le faʻatinoga i taimi o faʻataʻitaʻiga e le o ni faʻataʻitaʻiga, e faʻaalia ai le faʻaitiitia o le faʻaosofia / manaʻo e matamata i ata e le o ni ata faʻatusatusa i le HC. Manatua o lenei mea e le o aofia ai le avanoa mo le maualuga o le faʻaosofia o le taʻavale poʻo le manaʻo i tagata CSBD e matamata i ata mataga (faʻaalia e le maualalo o le RT.E) faʻatusatusa i le HC, ona o loʻo i ai tapulaʻa faʻaletino i le saoasaoa o tali afi. O le mea taua, o nei eseesega o amioga e fautua mai ai o gaioiga e aofia ai le faʻamoemoeina o faʻalavelave faʻaleagaina ma le le faʻaleagaina e mafai ona suia i le CSBD ma lagolagoina le manatu o le tauia o faiga faʻatatau e tutusa ma le faʻaogaina o vailaʻau ma vaisu o amioga e mafai ona taua tele i le CSBD. , e pei ona fautuaina muamua (Chatzittofis et al., 2016; Gola et al., 2018; Jokinen et al., 2017; Kowalewska et al., 2018; Mechelmans et al., 2014; Politis et al., 2013; Schmidt et al., 2017; Sinke et al., 2020; Voon et al., 2014). O lenei mea na lagolagoina atili e le mea moni e faapea matou te leʻi vaʻaia ni eseesega i isi galuega faʻapitoa e fuaina ai le lamatiaga ma le puleaina o le faʻamalosi, e tetee atu i le manatu o loʻo faʻaogaina faiga faʻapitoa (compulsivity-related mechanisms).Norman et al., 2019; Mati, Townes, Pechlivanoglou, Arnold, & Schachar, 2022). O le mea e mataʻina ai, o le fua faʻatatau o le ΔRT e fesoʻotaʻi le lelei ma faʻamaoniga o le hypersexuality ma le faʻamalosia o feusuaiga, e faʻaalia ai o suiga o amioga faʻatatau i le faʻamoemoe e faʻateleina faʻatasi ai ma le faʻamaʻi o le CSBD.
Fa'atupu fa'afeusuaiga fa'atuai galuega fai'ai fai'ai
I totonu o vaega taʻitasi, o le galuega na faʻaosoina faʻamatalaga faʻapitoa faʻapitonuʻu i taimi uma o le faʻamoemoe ma le vaʻavaʻai vaega (Ata 3). O faʻagaioiga faʻapitoa e aofia ai itulagi na lipotia muamua i le taimi o le faʻamoemoe ma le faʻagaioiina o faʻamaʻi faʻafeusuaiga vaaia, e aofia ai faʻagaioiga i le VS, pito i luma o le cingulate cortex, orbitofrontal cortex, insula, (mua) afi, vaʻaia, ma occipitotemporal itulagi (Georgiadis et al., 2012; Jauhar et al., 2021; Oldham et al., 2018), lagolagoina le faʻapitoa, faʻamaonia, ma le faʻaogaina o le galuega. O lenei mea na lagolagoina atili e le mea moni o le faʻatinoina o le galuega na faʻateleina ai tuʻinanauga tau feusuaʻiga, ae o manaʻoga mo isi mea suʻesuʻe e leʻi faʻateleina pe a uma le faʻataʻitaʻiga, e faʻaalia ai o le galuega na faʻatatau tonu i tuʻinanauga tau feusuaiga.
E ui lava o eseesega faʻaitulagi faʻaagaga manino na matauina i HC ma CSBD maʻi i le taimi o le faʻamoemoe (Ata 3), lea, pe a faʻatusatusa i le HC, o tagata maʻi CSBD na faʻaalia le tele o faʻagaioiga i le pito i luma o le cortex ma le subcortical regions, e aofia ai le VS, matou te leʻi mauaina ni eseesega taua o vaega i luga o le faiʻai atoa. Manatua o su'esu'ega ole fai'ai atoa sa su'esu'e, ma e ono mana'omia ni fa'ata'ita'iga tetele e iloa ai ni a'afiaga laiti. O le mea lea, mai nei suʻesuʻega e le tatau ona faʻaiʻuina e le o fesoʻotaʻi le CSBD ma faʻalavelave faʻaletonu o le faiʻai i le taimi o le faʻamoemoe, aemaise lava, talu ai o suʻesuʻega faʻatasi e pei ona talanoaina i lalo e faasino i le faʻafeagai.
Auiliiliga autu ile VS gaioiga ile taimi ole faʻamoemoe
E ui lava o eseesega numera e pei ona faʻamoemoeina (CSBD> HC), o le aʻafiaga o le laʻititi na laʻititi ma e leai se eseesega tele o vaega i le VS o lona uiga o le faʻagaioiina i le taimi o le faʻamoemoe. E le gata i lea, o faʻataʻitaʻiga tetele e ono manaʻomia e puʻeina ai galuega-faʻavae mataupu-pulea eseʻesega i le VS activation. Ae ui i lea, o le gaioiga a le VS i le taimi o le faʻamoemoe e fesoʻotaʻi le lelei ma le ΔRT (fesoʻotaʻiga lelei), ae o le ΔRT e leʻi faʻatasi ma le faʻamalosia o le VS i le taimi o le vaʻaiga. O le mea lea, o le tele o le eseesega o amioga i le va o faʻataʻitaʻiga erotic ma non-erotic, o le tele o le VS o lona uiga o le gaioiga i le taimi o le faʻamoemoe (ia maitauina foi o iinei erotic vs non-erotic trials na faʻatusatusa). Talu ai e mafai ona fesoʻotaʻi saʻo le tali atu i le VS i le taimi o le faʻamoemoe, ae le o le vaʻavaʻai, o ata, matou te fautua atu o tali eseese o le neural e fesoʻotaʻi ma le faʻamoemoe e mafai ona faʻamatalaina moni uiga le lelei o loʻo matauina i le CSBD. E tusa ai ma lenei manatu, pe a faʻatusatusa i le HC, o tagata maʻi CSBD e sili atu le vaʻavaʻai i luma i le matamataina o ata e le o ni ata, ma le gaioiga VS i le taimi o le faʻamoemoe e fesoʻotaʻi ma fua faʻatatau i le tele o tagata gasegase o loʻo tulimatai atu i le matamataina o ata faʻataʻitaʻi aʻo leʻi faia le suʻega. .
I se aotelega, o le vaʻaiga o le vaʻaiga o le vaʻaiga ma le mea moni o le gaioiga a le VS i le taimi o le faʻamoemoe e fesoʻotaʻi ma faʻamoemoega uma (ΔRT) ma fua faʻatatau o le faʻamoemoe na ogatasi ma lo tatou manatu o le faʻamalosia tele o le faʻamalosia ma le faʻaogaina o gaioiga faʻapitoa o le faʻamoemoeina o taui e faia se sao. i le CSBD.
tapulaa
Muamua, e le mafai ona faia ni fa'ai'uga e uiga i mafua'aga, ona o lenei su'esu'ega sa fa'alava. Lona lua, talu ai o le eseesega o vaega i gaioiga neural i le taimi o le faʻamoemoe e ono laʻititi laʻititi (i'i d = 0.2), poʻo le leai o se mea, faʻataʻitaʻiga suʻesuʻega tetele e ono manaʻomia e iloa ai lenei mea. Tolu, o lo'o iai felafolafoa'iga fa'asaienisi pe mafai ona tupu fa'ailoga o le CSBD mai faiga fa'afetauiga e tauia ai tulaga le lelei o a'afiaga (fa'ata'ita'iga, fa'anoanoa) pe a fa'apea fo'i lagona fa'anoanoa e afua mai i fa'alavelave e mafua mai i le CSBD. E ui o auala uma e lua e mafai ona saofagā, e le mafai ona faʻamavaeina i lenei suʻesuʻega. Ae ui i lea, ua lauiloa o le atuatuvale ma le CSBD e sili ona fesoʻotaʻi (Antons et al., 2021), o le mea lea, o la matou suʻesuʻega suʻesuʻe na faʻatusalia se faʻataʻitaʻiga faʻataʻitaʻiga faʻapitoa faʻapitoa o tagata mamaʻi ma le CSBD. Lona fa, o le tele o taimi o feusuaiga e le'i eseese i le va o vaega. O tagata gasegase CSBD, e ui i lea, na faʻaalia le tele o le faʻaaogaina o ponokalafi e masani ona matauina i le CSBD (Antons et al., 2021). E le gata i lea, na matou maua se faʻasalalauga i le va o le VS gaioiga i le taimi o le faʻamoemoe ma ponokalafi faʻatauga fua. A o suʻesuʻega muamua a Markert et al. e leʻi mauaina ia faʻasalalauga i tagata soifua maloloina, na taʻua e le au tusitala e mafai ona matauina ia fegalegaleaiga i faʻataʻitaʻiga ma le faʻateleina o le faʻaogaina o ponokalafi (Markert et al., 2021), e mafai ona faʻamatalaina pe aisea na mafai ai ona matou iloa nei sootaga i le suʻesuʻega nei. O le mea lea, oa matou suʻesuʻega e ogatusa ma suʻesuʻega o loʻo fautua mai ai o faʻafitauli faʻafitauli ponokalafi e fesoʻotaʻi ma suiga VS gaioiga i taimi faʻaaliga vaʻaia e vaʻai ai ata mataga (Gola et al., 2017). E ui ina atonu e ese le taunuuga o amioga tau feusuaiga pe ana le faafaigaluegaina nisi o tagata auai i le taimi o le faamaʻi o le COVID-19, o loʻo tumau pea le suʻesuʻeina pe sili atu ona faʻasalalau a matou faʻaiʻuga i vaega laiti o le CSBD o loʻo faʻaoga tele ponokalafi. E le gata i lea, o le faʻamaoniaina o vaega laiti o falemaʻi e leʻo le faʻamoemoe o le suʻesuʻega nei, ae matou te fautua atu e tatau ona mafaufau i suʻesuʻega i le lumanaʻi. Ma le mea mulimuli, ua matou faʻaogaina le maualalo ma le faʻamautu o le toilalo i le galuega fMRI e faʻateleina ai aʻafiaga faʻamoemoe ma faʻaleleia le tutusa o faʻamatalaga. E ui ina matou tuʻuina atu faʻamatalaga mo taunuʻuga faʻafuaseʻi ma e leai se faʻamatalaga na masalomia e tagata auai ua le manuia, e tumau pea le iloa pe faʻapefea ona faia e tagata auai le faʻaogaina o se faʻataʻitaʻiga faʻafetaui.
iʻuga
O le atinaʻe fMRI faʻataʻitaʻiga e faʻatoʻilaloina le tele o tapulaʻa o faʻataʻitaʻiga muamua, ma o matou taunuʻuga e lagolagoina lona faʻaogaina i le soifua maloloina ma i falemaʻi. O a matou suʻesuʻega o loʻo fautua mai ai o le CSBD e fesoʻotaʻi ma suiga o amio faʻatatau o le faʻamoemoe, lea e fesoʻotaʻi atili ma le VS gaioiga i le taimi o le faʻamoemoeina o faʻamalositino. O suʻesuʻega e lagolagoina ai le manatu o faiga tutusa e pei o vailaʻau ma amioga ua fai ma vaisu o loʻo i ai se sao i le CSBD ma fautua mai o le faʻavasegaina o le CSBD o se faʻalavelave faʻafuaseʻi e mafai ona finauina i luga o le faavae o suʻesuʻega neurobiological.
Faatupeina o punaoa
O lenei galuega na lagolagoina e Karolinska Institutet's Research Foundation Grants (2016 ma 2017; CA) ma le Swedish Research Council (Dnr: 2020-01183; JJ, CA).
Fesoasoani a le au tusitala
O CA sa avea ma tagata su'esu'e autu, fuafuaina le su'esu'ega ma atia'e le fMRI paradigm. Na aoina e CA le fMRI ma faʻamaumauga o amioga, faia suʻesuʻega o amioga ma tusia le ata muamua o le tusitusiga. BL fa'atino fMRI ma su'esu'ega fMRI. KJÖ, SA, CD, ma MI na saofagā i le suʻesuʻeina o mamanu ma faʻatasi ai ma fautuaga ile falemaʻi. BL, KJÖ, JJ, JS, ma JF na tuʻuina atu faʻamatalaga taua faʻapitoa ma saofagā i tusitusiga tusitusi. JS fa'afaigaluegaina ma su'esu'e tagata mama'i mo le agava'a ma saofagā i le aoina o fa'amaumauga. O tusitala uma na maua le avanoa atoatoa i faʻamatalaga uma i totonu o le suʻesuʻega ma ave le matafaioi mo le faʻamaoni o faʻamaumauga ma le saʻo o le auiliiliga o faʻamatalaga. O tusitala uma na toe iloiloina le tusitusiga, tuʻuina atu manatu faʻapitoa, ma faʻamaonia le tuʻuina atu o tusitusiga.
Feeseeseaiga o tului
O lo'o fa'afaigaluegaina le CA i le Quantify Research (galuega faufautua e le feso'ota'i ma le galuega o lo'o iai nei). Le lipoti a le au tusitala e leai se mea tau tupe poʻo isi soʻotaga talafeagai i le autu o lenei tusiga.
Faʻafetai
Matou te faʻafetai i tausimaʻi suʻesuʻe, fomaʻi, ma le aufaigaluega pulega i ANOVA mo la latou lagolago i le aoina o faʻamaumauga ma suʻesuʻega faʻalapotopotoga, Christoffer Rahm mo talanoaga i le taimi o le suʻesuʻega o suʻesuʻega, ma Christian Mannfolk mo lana fesoasoani i le faʻafaigaluegaina o tagata auai HC.
fMRI fa'amatalaga avanoa faigaluega
Ole galuega fMRI e mafai ona avanoa ile talosaga talafeagai.
Mea Faʻaopoopo
O faʻamatalaga faaopoopo i lenei tusiga e mafai ona maua ile initaneti i https://doi.org/10.1556/2006.2022.00035.