Mazita akawanda akashandiswa kurondedzera maitiro ekuita zvepabonde, kusanganisira kuita zvebonde, Hypersexourse, kupindwa muropa nemhombwe, kushungurudzwa pabonde uye kuzvimanikidza. Kune kupfuurira kupokana pamusoro pekunyora "kusazvidzora" maitiro ebonde se "kupindwa muropa," sekumanikidza kana sechinhu chinokanganisa (Bőthe, Bartók, et al., 2018; Bőthe, Tóth-Király, et al., 2018; Zvikwata, 1983, 1991; Fuss et al., 2019; Gola & Potenza, 2018; Grant et al., 2014; Griffiths, 2016; Kraus, Voon, & Potenza, 2016; Potenza, Gola, Voon, Kor, & Kraus, 2017; Stein, 2008; Stein, Nhema, & Pienaar, 2000. Uye zvakare, kunyangwe kutsigirwa kwesainzi yekubatanidza mamiriro ezvinhu muzvinyorwa zvekuongorora, kwakavewo nekushambadzira kwakakura kupokana neizvi, zvichibva panjodzi yekuita kwepfungwa kwepanyama nekuda kwehunamato, hutsika, kana maitiro ebonde.Fuss et al., 2019; Klein, Briken, Schröder, & Fuss, muchidhinda. Chokwadi, kurudziro yekuisirwa kwe hypersexual kusagadzikana mune yechishanu edition ye Kuongororwa uye Statistical Manual yeMental Disorders (DSM-5; Kafka, 2010) yakarambwa neAmerican Psychiatric Association (APA) bhodhi revatori (Kafka, 2014. Kusanganisira kweanomanikidza maitiro ekuita zvepabonde kusagadzikana (CSBD) sekukanganisa-kudzora kusagadzikana mu 11th kudzokorora kweiyo Chikamu cheStatistical Internationals of Diseases uye Matambudziko Ehutano Akaenzana (ICD-11) inofanirwa kuitirwa zviri pamutemo mu2019 (Kraus et al., 2018).
Zvikuru nekuda kwekukakavara pamusoro pekusagadzikana, kushaikwa kwegwaro rekugamuchirwa kwehunyanzvi hwekuziva, uye kushaikwa kwegwaro rekurapa rekuziva, zvishomashoma zvidzidzo zvehutachiona pa CSBD zvakaitwa. Munyaya ino, tinotaura nezve CSBD sechimiro chinoratidzirwa neiyo inopfuurira maitiro ekutadza kudzora zvakanyanya, kudzokorora kurara kwepabonde kusimudzira kana kukurudzira, zvichikonzera kudzokorora kurara kwetsika panguva yakatambanuka iyo inokonzeresa kushushikana kana kukanganisika muvanhu, mumhuri, mumagariro, zvedzidzo, basa, kana zvimwe zvakakosha nzvimbo dzekushanda (Kraus et al., 2018. Inofungidzirwa kuti 5% -6% yehuwandu hwevanhuwo zvavo inogona kukanganiswa nedenda (Zvikwata, 1991; Coleman, 1992); zvisinei, ongororo ichangomirira yekudzidza yakawana kunyange yakakwira mibairo yekushungurudzika inosangana nekunetseka kudzora zvepabonde manzwiro, kukurudzira, uye maitiro muUS (Dickenson, Coleman, & Miner, 2018. Nekudaro, idzi fungidziro dzekuwanda dzingave dzakanyanya kuwanda nekuda kwekushayikwa kwekutsvaga vachishandisa nzira dzakavimbika uye dzakashandaKlein, Rettenberger, & Briken, 2014).
Varwere vane CSBD vanowanzo taurira maitiro ekumanikidza, kusimbisa-kunetseka kwekutambudzika, uye kushandiswa kwezvinodhaka (Derbyshire & Grant, 2015. Kutarisa kune izvi comorbidities kunogona kupedzisira kwabatsira mune conceptualization yekunze-yekudzora tsika dzebonde sekumanikidzwa, kushinha, kana kuita sekupindwa muropa. Ongororo ichangoburwa yakawana kuti zvese kushurikidzwa uye kushungurudzika zvine chekuita ne "kunze-kwe-kudzivirira" tsika dzepabonde, nepo hukama nehukama hwaive hwakasimba (Bőthe, Tóth-Király, et al., 2018. Zvakangodaro, hukama pakati pe "kunze-kwe-kwekudzora" maitiro ekuita zvepabonde uye kumanikidzwa kwagara kuchikurudzirwa (Zvikwata, 1983, 1991; Coleman, 1991; Stein, 2008) nekuti zviitiko zvese izvi zvinoratidzirwa nekudzokorora uye kusimuka kwekunetseka pamberi pemaitiro, zvichiteverwa nepfungwa yekusunungurwa panguva yekuurayiwa. Naizvozvo, izwi racho kubvumira dambudziko rekusangana pabonde rakatsanangurwa kwe "kunze-kwe-simba" maitiro epabonde anoenda pamwe nekushushikana nematambudziko mukushandira ICD-11 (Kraus et al., 2018. Nekudaro, pakave nekushoma kuongororwa kurongeka kwekuongororwa kweCBBD mukuwoneka -kumanikidza kusagadzikana (OCD), iyo paradigmatic inomanikidza kusagadzikana. Muchidzidzo ichi, takatarisana nezve comorbidity ye CSBD uye OCD. Kunyangwe hazvo kuwanda kweOCD kwakamboongororwa mumakiriniki uye asiri emakiriniki shuwa kwevanhu vane humanikidza hwepabonde maitiro ane huwandu hwehutachiona kubva ku2.3% kusvika 14% (Nhema, Kehrberg, Flumerfelt, & Schlosser, 1997; de Tubino Scanavino et al., 2013; Morgenstern et al., 2011; Raymond, Coleman, & Miner, 2003), uku ndiko kuongorora kwekutanga kuongorora kuwanda kweCBBD muvarwere veOCDZ uye zvehukama hwayo hunobatana. Ruzivo rwakadaro runogona kubatsira nekiriniki uye runogona kubatsira mukubvumirana kweCBBD.
Vakuru vanoburitswa neOCD yazvino yakaunganidzwa pakati paNdira 2000 naDecember 2017 vakatora chikamu mune chino chidzidzo. Kuti uve unokodzera, varwere vaifanira kusangana yechina edition yeDMM (DSM-IV; APA, 2000) maitiro ekuongororwa kwekutanga kweOCD pane Yakagadziridzwa Kliniki Kubvunzurudza kweDiagnostic uye Statistical Manual yeMepfungwa Kusina kunaka, Chikamu chechina, Axis I Kusagadzikana-Patience Shanduro. (SCID-I / P; Kutanga, Spitzer, Gobbon, & Williams, 1998). Nhoroondo ye psychosis yaive yekuregererwa. Nyanzvi yezvepfungwa kana mumwe chiremba wehutano hwepfungwa ane OCD hunyanzvi akabvunzurudza varwere vanobva kunzvimbo dzakasiyana siyana (semuenzaniso, iyo OCD Association yeSouth Africa uye vemunharaunda-based primary care practitioners).
Iyo yekumberi-yakarongeka kubvunzurudza kwaisanganisira mibvunzo pane chaiwo huwandu hwehuwandu uye yekiriniki data kusanganisira zera razvino, dzinza, uye zera rekutanga kweOCD. Kuongororwa kwekiriniki, kusanganisira kushungurudzika, kushushikana, kushandiswa kwezvinodhaka, yakasarudzwa somatoform, uye dambudziko rekudya, zvakavakirwa pane data rakawanikwa neSCID-I / P. Mukuwedzera, iyo Yakagadziridzwa Kliniki Kubvunzurudza kweObsessive-Inomanikidzwa Spectrum Disorder (OCSDs) (SCID-OCSD; du Toit, van Kradenburg, Niehaus, & Stein, 2001) yaishandiswa kuongorora putative OCSDs, yaisanganisira kusagadzikana kwaTourette uye DSM-IV kusagadzikana-kudzora kusagadzikana [kureva., Tourette's syndrome, kumanikidza kutenga, kubhejera kwepatological, kleptomania, pyromania, kupaza kuputika kusagadzikana (IED), kuzvikuvadza maitiro, uye CSBD ]. Ikozvino CSBD yakaonekwa apo vatori vechikamu panguva ino vakasangana neese anotevera maitiro - hupenyu hwese CSBD yakaonekwa apo vatori vechikamu vakasangana neese anotevera maitiro munguva yakapfuura uye / kana kuvapo:
| - | Kwenguva yakati yemwedzi yakati wandei ye6, maitiro ekutadza kudzora zvinoitika, zvepabonde zvakanyanya zvinonakidza fungidziro, zvishuwo zvepabonde, kana maitiro asiri anowira pasi petsananguro yeparazilia. | ||||
| - | Iko kufungidzira, zvishuwo zvepabonde, kana maitiro ane kukonzera kwakanyanya kushushikana kushushikana kana kukanganisa mune zvemagariro, basa, kana zvimwe zvakakosha nzvimbo zvekushanda. | ||||
| - | Zviratidzo hazvina kuverengerwa zvirinani nechimwe hosha (semuenzaniso, manic episode, kunyengera kusagadzikana: erotomanic subtype). | ||||
| - | Zviratidzo hazvikonzerwi nekukanganisika kwemuviri zvechinhu (semuenzaniso, chinodhaka chekushungurudzwa kana mushonga) kana hutano hwakawanda. | ||||
The Yale-Brown Obsessive-Anodzvinyirira Scale (YBOCS) chiratidzo chekutarisa uye kuomesa zviyero chiyero chakashandiswa kuyedza typology uye kuomarara kwezviratidzo zvinoomesera- zvinomanikidza (Goodman, Mutengo, Rasmussen, Mazure, Delgado, et al., 1989; Goodman, Mutengo, Rasmussen, Mazure, Fleischmann, et al., 1989).
Univariate ongororo dzakaitwa uchishandisa IBM SPSS Statistics 22.0 (IBM Corp., Armonk, NY, USA). χ2 uye bvunzo chaidzo dzaFisher, sezvakakodzera, dzakaitwa kuenzanisa huwandu hwehuwandu hweOCSDs, kusanganisira CSBD, pakati pevarwere vechikadzi nevakadzi vane OCD uye kuenzanisa zviyero zvezvinhu zvese zvakaongororwa panguva yekubvunzurudzwa (kureva., Tourette's syndrome, hypochondriasis, kutsamira kwezvinhu, kushandisa zvinodhaka, kunwa doro, kushandisa doro zvisina kufanira, kushungurudzika kukuru, kurwara nedysthymic, bipolar kusagadzikana, kutenga zvekumanikidza, kubhejera kwepathological, kleptomania, pyromania, IED, kusagadzikana kwekutya neagoraphobia, kuvhunduka kusagadzikana pasina agoraphobia, agoraphobia isina nhoroondo yekutya, kushamwaridzana kwevanhu, chaicho phobia, post-traumatic stress disorder, anorexia nervosa, bulimia amanosa, uye hunhu hwekuzvikuvadza) pakati pevarwere veOCD vane uye vasina CSBD. Mudzidzi t-yedzo dzakaitwa kuenzanisa zera, zera rekutanga kweOCD, uye YBOCS mamaki pakati pevarwere veOCD vane uye vasina CSBD. Kukosheswa kwenhoroondo kwakaiswa pa p <.05.
Maitiro ekudzidza akaitwa zvichienderana neChirevo cheHelsinki. Sangano rekuongorororwa kwesangano reYunivhesiti yeStellenbosch (Stellenbosch University Health Research Ethics Committee Reference 99 / 013) rakabvumidza kudzidza uku. Zvidzidzo zvese zvakaziviswa nezve chidzidzo uye zvese zvakapihwa mvumo yekuziva.
Vakuru vanobuda kunze neozvino OCD (N = 539; 260 varume uye 279 vakadzi), vane makore ari pakati pemakore 18 ne75 (zvinoreva = 34.8, SD = 11.8 makore), vakapinda muchidzidzo ichi. Hupenyu hwakawanda hweCSBD yaive 5.6% (n = 30) mune varwere vane ikozvino OCD. Muvarwere vechirume, kuwanda kwehupenyu hwese kwaive kwakanyanya zvakanyanya zvichienzaniswa nevarwere vevakadzi2(1) = 10.3, p = .001; Tafura 1]. Yakazara, 3.3% (n = 18) yemuenzaniso yakataurwa yazvino CSBD. Zvakare, izvi zvaive zvakanyanya kukwirira mumurume zvichienzaniswa nevarwere vechikadzi [χ2(1) = 6.5, p = .011; Tafura 1].
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Tafura 1. Hupenyu hwekuwedzeredza uye huwandu hwazvino hwehuwandu hwe CSBD uchienzaniswa nezvimwe zvisingaiti-kudzora kushushikana mune varwere vane hupenyu hwehupenyu hweOCD.
| Hupenyu hwese unoongorora [n (%)] | Kuongorora kwazvino [n (%)] | |||||
|---|---|---|---|---|---|---|
| zvose | Men | Women | zvose | Men | Women | |
| CSBD | 30 (5.6) | 23 (8.8) | 7 (2.5) | 18 (3.3) | 14 (5.4) | 4 (1.4) |
| Pyromania | 4 (0.7) | 4 (1.5) | 0 | 1 (0.2) | 1 (0.4) | 0 |
| Kleptomania | 22 (4.1) | 8 (3.1) | 14 (5.0) | 10 (1.9) | 2 (0.8) | 8 (2.9) |
| IED | 70 (13.0) | 37 (14.2) | 33 (11.8) | 40 (7.4) | 20 (7.7) | 20 (7.2) |
| Kubhejera pabheji | 5 (0.9) | 5 (1.9) | 0 | 0 | 0 | 0 |
Cherechedza. CSBD: inomanikidza maitiro epabonde; OCD: kusagadzikana-kunomanikidza kusagadzikana; IED: inokonzeresa kuputika kusagadzikana.
CSBD ndiyo yechipiri yakanyanya kukurudzira-kudzora denda rakaongororwa mune ino cohort yevarwere vane OCD mushure meIED. Huwandu hwehuwandu hwezvimwe zvisingaiti-kudzora kusagadzikana uye pathological kubhejera (iyo inodamburwa-inonyorwa muImpulse Control Matambudziko muICD-11) inoratidzirwawo muTafura. 1. Kuenzaniswa nevarwere veOCD vasina CSBD, varwere veOCD vane CSBD vakasarudzika makore akaenzana, zera rekutanga kweOCD, ikozvino YBOCS mamaki, pamwe nekufanana kwakafanana nedzidzo uye dzinza (Tafura 2).
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Tafura 2. Demographics uye zvechipatara maitiro eOCD varwere vane uye vasina CSBD
| Varwere vane CSBD [n = 30 (5.6%)] | Varwere vasina CSBD [n = 509 (94.4%)] | χ2/t | p ukoshi | |
|---|---|---|---|---|
| Zera (kureva ± SD; makore) | 33.9 ± 9.8 | 34.8 ± 11.9 | 0.4 | .7 |
| Kutanga zera reOCD (zvinoreva ± SD; makore) | 15.5 ± 7.6 | 17.5 ± 9.9 | 1.1 | .3 |
| YBOCS mamaki (kureva ± SD) | 21.4 ± 8.0 | 20.7 ± 7.3 | -0.4 | .7 |
| Chikamu chepamusoro chedzidzo [n (%)] | ||||
| Dzidzo yechikoro chete | 15 (50%) | 212 (42%) | 0.8 | .4 |
| Post-chikoro dzidzo | 15 (50%) | 297 (58%) |
Cherechedzo. SD: kutsauka kwakawanda; CSBD: inomanikidza maitiro epabonde; OCD: kusagadzikana-kunomanikidza kusagadzikana; YBOCS: Yale-Brown Obsessive-Anodzvinyirira Scale.
Huwandu hwehuwandu hwekunetseka kweComorbid mune varwere vane uye vasina hupenyu CSBD hunoratidzwa muTafura 3. Kunyanya, Tourette's syndrome, hypochondriasis, kleptomania, bipolar kusagadzikana, kushingisa kwekutenga, IED, uye dysthymia yaive nehuwandu hwekusaenzana pamusoro pe3 ine chivimbo chekureba pamusoro pe1.
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Tafura 3. Hupenyu hunowanzo huwandu hwekunetseka kweComorbid mune varwere veOCD vane uye vasina CSBD
Cherechedza. CSBD: inomanikidza maitiro epabonde; IED: inokanganisa kuputika kusagadzikana; OCD: kusagadzikana-kunomanikidza kusagadzikana; CI: chivimbo chekubvumirana.
aKushaikwa apo muedzo chaiwo waFisher wakashandiswa kuenzanisa uwandu hwehuwandu.
Muchidzidzo ichi, takanga tichifarira huwandu hwehukama uye hukama hwemagariro nevanhu uye zvechipatara zve CSBD mune varwere vane OCD. Kutanga, takaona kuti 3.3% yevarwere vane OCD yaive neCBBD ikozvino uye 5.6% yaive nehupenyu hweCSBD, ine huwandu hwakanyanya hwevarume kupfuura vakadzi. Chechipiri, takawana kuti mamwe mamiriro, kunyanya kushushikana, anomanikidza, uye kukanganisa-kudzora-matambudziko, zvaiwanzoitika muvarwere veOCDCS vane CSBD pane mune avo vasina CSBD, asi kwete kusagadzikana nekuda kwekushandiswa kwezvinodhaka kana maitiro ekupindwa muropa.
Iko kwekutanga kufungidzira kwehuwandu hwehuwandu hwe CSBD hwakapihwa naCarnes (1991) and Coleman (1992) yakakurudzira kuti kusvika ku6% yevanhu vanobva kuruzhinji vanotambura nekumanikidzwa kwepabonde. Kunyangwe zvisiri pachena kuti idzi fungidziro dzakawanikwa sei (Black, 2000), yakazotevera ongororo yechirwere chechipfuva yakasimbisa kuti kugona zvepabonde, izvo zvinogona kusanganisira kuwedzera kuita bonhora, kushandisa zvinonyadzisira, huwandu hwevanhu vanoita zvepabonde, uye nyaya dzekunze, zvakajairika muhuwandu hwevanhu.Dickenson et al., 2018. Zvatinowana pamwero wekuwandisa kweCBBD muOCD zvinoita senge zvichienzaniswa neavo vari kuwanda kwevanhu.Langstrom & Hanson, 2006; Odlaug et al., 2013; Skegg, Nada-Raja, Dickson, & Paul, 2010. Nekudaro, mhedzisiro ipi neipi nezvekuwanda kweCBBD inofanira kutorwa nekungwarira nekuti huwandu hwehuwandu hwevanhu hunogona kukanganiswa nemagariro uye nekudaro hunogona kusiyana penzura. Semuenzaniso, pakati pevakadzi vehondo veterans, mwero weazvino CSBD unoratidzika kunge wakanyanya kukwirira (16.7%) uchienzaniswa nevarwere vepfungwa (4.4%) nevadzidzi veyunivhesiti (3%) muUnited States vachishandisa iyo imwecheteyo kubvunzurudza kweCBBD (Grant, Levine, Kim, & Potenza, 2005; Odlaug et al., 2013; Smith et al., 2014). Uye zvakare, huwandu hwakawanda hwezviyero zvakasiyana uye mashandiro ekuvaka akashandiswa kuongorora CSBD, nekudaro kudzikisira kuenzanisa kwemhedzisiro. Semuenzaniso, Jaisoorya et al. (2003) yakashandisa muyero wakazvigadzira wega kuti uone kusingafadzi-kuzvidzora kushushikana kubva pane DSM-IV maitiro ekuenzanisa comorbidity (kusanganisira zvepabonde kumanikidzwa) mune varwere vane OCD (n = 231) uye kutonga zvidzidzo (n = 200) muhuwandu hwevaIndia. Vakaona kuti chidzidzo chimwe chete chakarondedzera kuwanda kwehupenyu hwepabonde (izvo zvingave kana zvisingaenzaniswe neCSBD).
Isu zvakare takaona kuti akati wandei ma comorbidities aive zvakanyanya mukana mune varwere veOCDCB vane CSBD pane kune avo vasina CSBD. Matambudziko mana aine zviputi- kudzora matambudziko, anoti IED, Tourette's syndrome, kleptomania, uye nekumanikidza kwekutenga, zvaive zvakanyanya muvarwere veOCD vane CSBD zvichienzaniswa nevaya vasina CSBD. Hupenyu hwekuwedzeredza kwekushushikana uku hwaive hwakakwira kupfuura mune imwe mishumo yaidzidza huwandu hwevarwere muCBBD varwere (Nhema et al., 1997; Raymond et al., 2003), ichiratidza kusanzwisisika kwakadzika mukumanikidzira kudzora muvanhu vane matambudziko ese ari maviri, ndiyo CSBD uye OCD. Sezvo humbowo hwakakwana huchitsigira hukama pakati pemamwe mafomu eOCD neTourette's syndrome (Pauls, Leckman, Towbin, Zahner, & Cohen, 1986; Pauls, Towbin, Leckman, Zahner, & Cohen, 1986; Swain, Scahill, Lombroso, King, & Leckman, 2007), yedu data inogona zvakare kuratidza kuti yakafanana genetic kana neurobiological (Stein, Hugo, Oosthuizen, Hawkridge, & van Heerden, 2000) zvinhu zvinogona zvakare kufungidzira vanhu kune CSBD. Isu takawanawo hupenyu hunowanda hwekunetseka kwemood, kunyanya dysthymia uye bipolar kusagadzikana muOCD varwere vane CSBD inodarika mishumo yekutanga nezve comorbidities mu CSBD (Raymond et al., 2003. Izvo zvine basa kuziva kuti vamwe vanhu vanoshandisa vanomanikidza kugona maitiro ekupokana nekushushikana nemanzwiro akashata (Folkman, Chesney, Pollack, & Phillips, 1992. Nekudaro, CSBD inogona kunge isiri kungoshandisirwa manzwiro ehurwere nevamwe varwere asi inogona zvakare kuve chikonzero chekusagadzikana kwemweya nekuda kwekutambudzika kunobatana neCBBD. Kafka (2010) yakacherekedza kare kuti dzimwe hypomanic episode inoita seinopedzisira nekupfupika kupfuura mazuva 4 (Benazzi, 2001; Mutongi & Akiskal, 2003), kuitira kuti nyaya dzepazasi dzive dzinogona kuverengerwa nhema neCBBD apo hunhu hwepabonde hunoratidzwa huri chiratidzo chekuputika kwepfungwa. Yedu data inowirirana nemaonero ekuti varapi vanofanirwa kungwarira pakuongorora CSBD mune varwere vane bipolar disorder. Isu takawanawo kuti kuwanda kweimwezve kusarudzika -kumanikidza-kunetseka kusagadzikana, hypochondriasis (Coleman, 1991; Jenike, 1989), yakakwidziridzwa zvakanyanya muvarwere veOCD vane CSBD. Varwere vane hypochondriasis vanowanzovapo nekufunganya nehutano hwemuviri (Salkovskis & Warwick, 1986. Vaya vane vanogara vachiita zvepabonde kana bonhora vanorwara ne hypochondriasis vanogona kunge vari kunyanya panjodzi yekuona maitiro avo ezvepabonde seisina hutano. Vanogona kuve vakabatirira nemubvunzo wekuti kana kwavo kuda zvepabonde nemaitiro kuri "kunze-kwekutonga" kana mukati memiganhu yakajairwa.
Zvinhanho zvinoverengeka zveichi fundo zvinofanirwa kusimbiswa. Kutanga, kudzidza uku kwakangobatanidza varwere veOCD vasina boka rinodzora revarwere veCBBD vasina OCD. Zvakawanikwa pa CSBD muOCD zvinogona kunge zvisingawanzo kune dzimwe nzvimbo dzekuongorora, zvichizopa kumwezve kuferefetwa. Uyezve, vatori vechikamu havana kutsvaga kurapwa kweCBBD uye nekudaro havangavewo huwandu hwevanhu vanouya kuchipatara neCBBD. Uye zvakare, nekuda kwehuwandu hushoma hwevanhu vanozadzisa maitiro eCBBD, hatina kupatsanura cohort nechero mukuwongorora, kunyangwe iyo psychopathology ye CSBD inogona kusiyana muvarume vachipesana nevakadzi. Isu hatina zvakare kururamisa kuenzanisa kwakawanda nekuda kwehuwandu hwepasi hwevanhu vanozadzisa CSBD maitiro uye maitiro ekuongorora eichi chidzidzo.
CSBD yakaonekwa ichishandisa iyo SCID-OCSD. Ichi chimbo chinoongorora hutungamiriri hwekuongorora hutungamiri hweCSBD muICD-11 inotarisa kunetseka uye kukanganisa (ona "Maitiro" chikamu); zvisinei, muClinical Descriptions uye Diagnostic Guidelines vhezheni yeICD-11, zvinetsekana nezve overpathologizing zvinotariswawo kubatsira varapi (semuenzaniso, mumiganhu kune chikamu chechimiro). Chishandiso chedu chakashaikwa chikamu chemuganhu chakadai.
Mukupedzisa, data yedu inoratidza kuti kupararira kwemaSBB kuOCD kwakaenzana nevaya vari munharaunda yevanhu uye mune dzimwe nhengo dzekuongorora. Uyezve, takaona kuti CSBD muOCD yaiwanzovhiringidza nezvimwe zvinokonzerwa nekufungidzira, kusagadzikana, uye manzwiro, asi kwete nemitemo yekuzvibata-kana yezvimwe zvinodhaka. Izvi zvinotsigira kukanganisa kweSBB semhirizhonga inomanikidzika. Kuenderera mberi, zviyero zvakarongeka nemanzwiro emapfungwa ezvepfungwa dzinodiwa kuti uongorore kuvapo nekuoma kweCSBD. Ongororo inotevera inofanira kuramba ichisimbisa kugadzirisa kwechirwere ichi uye kuunganidzazve mamwe mashoko emhando, kuitira kuti pakupedzisira igadzirise kuchengetwa kwechipatara.
CL uye DJS yakaongorora dhizaini yekudzidza, yakawana mari, uye yakarongedzwa kugadzirira kwemanyoro. JF yakaita ongororo yehuwandu. JF naPB vakanyora runyorwa rwekutanga rweanyoro. Vanyori vese vakabatsira zvakanyanya mukugadzirwa kweiyo kudzidza uye neshanduro yekupedzisira yechinyorwa. Vaive nekuwana kuzere kwese data muongororo uye kutora mutoro wekuvimbika kweiyo data uye chokwadi chekuongororwa kwedata.
Vanyori vacho vanoti hapana hukama hwemari kana humwe hukama hwakanangana nenyaya yeichi chinyorwa.
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