Ho lemalla Behav Rep. 2018 Oct 18; 8: 164-169. Doi: 10.1016 / j.abrep.2018.10.003.
Blum AW1, Chamberlain SR2,3, Grant JE1.
inahaneloang
Selelekela:
Bacha ba bangata ba baholo ba sitoa ho laola boitsoaro ba bona ba thobalano le ha ba na le khatello ea maikutlo kapa litlamorao tse mpe tse hlahisoang ke ts'ebetso tsena - ketsahalo e hlalositsoeng e le mokhoa o seng kotsi oa ho etsa thobalano (PSB). Hanyane ha ho tsejoe mabapi le likarolo tsa kliniki tse amanang le boleng ba bophelo ho PSB.
Mekhoa:
Barupeluoa ba 54 ba anngoeng ke PSB (lilemo tsa 18-29 lilemo) ba ile ba ngolloa thupelong ea ho ts'oenyeha ho batho ba baholo ba banyenyane. PSB e hlalositsoe e le boiphihlelo ba takatso ea thobalano, litoro, kapa boits'oaro bo ikutloang bo le boima kapa bo sa laolehe. Barupeluoa ba ile ba hlahlojoa ba sebelisa boleng ba Life Inventory (QOLI), lisebelisoa tse ling tse netefalitsoeng, le lipotso tse hlahlobang likarolo tsa bophelo bo botle le bophelo bo botle. Mehato ea tleliniki e amanang le ho fetoha hoa maemo a bophelo e fumanoe ho sebelisoa mokhoa oa lipalo oa likhetla tse sa reng letho (PLS).
Results:
Boleng bo tlase ba bophelo ho PSB bo ne bo amahanngoa le mehato e meholo ea boits'oaro le ea ho itlaleha ea litaba (ka ho khetheha, ho tsepamisa mohopolo ho Barratt, lilemo tse tlase qalong ts'ebeliso ea joala), khatello ea maikutlo, ts'ebeliso e mpe ea marang-rang, ho ipolaea ha hona joale, boemo bo phahameng ba ho tšoenyeha le khatello ea maikutlo , le boitšepo bo tlase.
Qeto:
Mathata a ho potlaka le ho ameha a kopantsoe le bophelo bo tlase ho PSB. Mekhatlo ena e ka fana ka mokhoa oa ho khetholla PSB ho tsoa boits'oarong bo botle ba thobalano.
LITLHAKU TSE KHABO: Ho qobelloa; Hypersexourse; Ho susumetsa; Boitšoaro ba thobalano; Motho e moholo ea monyane
PMID: 30386816
PMCID: PMC6205335
DOI: 10.1016 / j.abrep.2018.10.003
Puisano
Ho tsebo ea rona, ena ke thuto e qaqileng haholoanyane ea bophelo ba batho ba baholo ba anngoeng ke PSB. Re sebelisa mokhoa oa lipalo oa PLS, re fumane hore covariance lipakeng tsa boleng ba bophelo le likarolo tse ling tsa kliniki mohlaleng oa rona li hlalositsoe hantle ke ntlha e le 'ngoe ea morao-rao. Boleng bo tlase ba bophelo ho PSB bo ne bo amahanngoa haholo le ts'ebeliso e ntle ea maikutlo a maikutlo, ho ipolaea, ts'ebeliso e mpe ea marang-rang, ho itšepa ho tlase le boemo bo phahameng (ke hore, maemo) a matšoao a ho tšoenyeha le khatello ea maikutlo. Mekha ea ho susumetsa (haholo-holo ho tsepamisa mohopolo ho BIS-11 le lilemo tse tlase ts'ebeliso ea joala pele) le tsona li ne li amana le boleng bo tlase ba bophelo. Liphumano tsena li kanna tsa ama bophelo le boiketlo ba batho ba nang le PSB.
Ka ho hlakileng, re fumane hore boleng bo tlase ba bophelo bo ne bo amahanngoa le sekhahla se itseng sa ho se ts'oenyehe: ho tsepamisa mohopolo ho BIS-11. Ho qholotsa maikutlo ho hlalosoa e le ho se khone ho tsepamisa mohopolo kapa ho tsepamisa mohopolo mosebetsing o fanoeng (mohlala, “Ha ke 'ele hloko'” [Stanford et al., 2009]). Bopaki bo bong bo fanang ka tlhokomelo e sa senyeheng ho PSB bo tsoa lithutong tsa boitšoaro bo qobelloang ba thobalano (hypersexourse). Hoo e ka bang 23% -27% ea banna ba nang le khatello ea maikutlo ba kopana le litekanyetso tsa tlhahlobo ea tlhokomeliso ea khatello ea kelello / khatello ea kelello (ADHD) - ka mokhoa o hlakileng bothata ba ho se tsotelle — ka litekanyetso tse ngata tse kopanetseng tsa seboka se sa tsotelleng (Reid, 2007; Reid, 'Metli oa mapolanka, Gilliland, & Karim, 2011). Boitšoaro ba Hypersexual (ho banna) bo boetse bo hokahantsoe le ho bua ka ho hlonepha (Chaney & Blalock, 2006), tšobotsi e amanang haufi-ufi le ho susumetsoa ke tlhokomelo. Ntle le moo, ho tsepamisa mohopolo ho tebileng ho ka amahanngoa le khatello ea maikutlo ho PSB, ho bonahatsoang ke liteko tsa ho sebelisa thobalano ho sebetsana le khatello ea maikutlo kapa ho ama hampe. Khopolo-taba e joalo e lumellana le lithuto tsa kelello tse bontšang hore hangata batho ba thatafalloa ho itaola linakong tsa khatello ea maikutlo, ha melaoana e ama lipheo hang-hang mabapi le lipheo tsa nako e telele (Teko, Bratslavsky, & Baumeister, 2001). Kahoo, sephetho sa rona se fana ka maikutlo a hore ho susumetsoa habonolo ho ka baka mathata a mangata a amang bophelo ba batho ba nang le PSB.
Leha ho susumetsoa ka hloko ho ne ho amahanngoa le bophelo bo tlase, lits'ebetso tse ling tsa boitšoaro li ne li kenyelletsa pele ho PSB-ho kenyelletsa thibelo ea karabo ea makoloi (Leppink et al., 2016) —Ke sa bonts'e botsoalle bo joalo. Ka hona, tlhahlobo ea rona e fana ka maikutlo a hore mathata a tlhokomelo a ka ba hantle ho feta tliliniking ho fapana le bofokoli ba lintho tse ling tse tlamang. Hangata, liphetho tsena tse fapaneng li bonts'a bohlokoa ba ho beha motsotsoana kahare ho litereke tsa teng. Ho bohlokoa hape ho ela hloko sebaka se le seng se hlokang ho ithutoa ho feta: hore na ho nkeha maikutlo ho bapala karolo ea lefats'e ka mefuta ea PSB, kapa haeba ho hlahisoa feela maemong a ikhethileng a (joalo ka karabelo ea ts'usumetso ea thobalano; Reid, Berlin, & Kingston, 2015).
Boithuto ba rona bo boetse bo fumane khokahano lipakeng tsa boleng bo tlase ba bophelo ho PSB le ts'ebeliso e thata ea inthanete. Bakeng sa batho ba bang, ts'ebeliso e fetelletseng kapa e qobelloang ea inthanete - haholoholo molemong oa ho ikhotsofatsa ka thobalano - e ka lebisa lihlong ka boitšoaro (bo baka tahlehelo ea boitlhompho), mathata a likamano, kapa mathata a mosebetsing (ho kenyeletsoa tahlehelo ea mosebetsi) hlakisa litlamorao tse mpe bakeng sa boleng ba bophelo ba motho (Griffiths, 2012). Ntle le moo, boits'oaro ba thobalano bo fumanehang marang-rang bo ka fana ka ho pholoha ha nakoana mathateng a fapaneng a bakang bophelo bo bobe (Griffiths, 2012).
E lumellana le lithuto tsa pejana, bophelo bo bobe bophelong ba PSB bo ne bo amana le mathata a mangata a maikutlo kapa a kelello. Tlhaloso e 'ngoe e hlakileng bakeng sa liphetho tsena ke hore li-PSB le mathata a maikutlo a ka arolelana mohopolo o mong o tloaelehileng: ho hloka taolo e nepahetseng ea maikutlo. Ho latela pono ena, boitšoaro bo sa nepahalang kapa bo fetelletseng ba thobalano bo ka khetholloa e le leqheka le phoso la ho sebetsana le khatello ea maikutlo kapa khatello ea maikutlo (mohlala, ho tšoenyeha, khatello ea maikutlo; bona; Ntsu et al., 1997; Coleman, 1992; Raymond et al., 2003; Reid et al., 2008). Liphetho tse 'maloa ho tsoa thutong ea rona li ts'ehetsa sebopeho sena, haholo kamano e matla, e mpe lipakeng tsa khatello ea maikutlo (joalo ka ha e lekantsoe ke DERS) le boleng ba bophelo. Monyetla o mong ke hore batho ba loanelang ho laola maikutlo a bona ba tloaetse ho imeloa kelellong le ho ruruha (Reid et al., 2008; Reid, Bramen, Anderson, & Cohen, 2014; Reid, Temko, Moghaddam, & Fong, 2014), tse ka ba etsang hore ba be kotsing e kholo ea khatello ea maikutlo kapa matšoenyeho a kena-kenanang le bophelo bo botle. Ha ba araba maikutlo ana a fosahetseng, batho ba bang ba ka sebelisa thobalano e le boitšoaro bo tlamang. Batho ba bang, ba bonts'a litakatso tsa bootsoa le boits'oaro bo makatsang ha ba sithabetse kapa ba tšoenyehile, mme mokhatlo ona o bonahala o le matla haholo ho mefuta ea boits'oaro bo hlephileng ba thobalano (Bancroft le Vukadinovic, 2004; Lykins, Janssen, & Graham, 2006). Boitšoaro bona bo fana ka phomolo ea nakoana ho maikutlo a seng monate, leha ho le joalo, le mathata a hlahang ho PSB (joalo ka lihlong [Reid, 2010; Reid, Harper, & Anderson, 2009]) e ka mema boits'oaro bo bobe ba ho kopanela likobo boitekong bo fosahetseng ba ho sebetsana le khatello ea maikutlo e ntseng e mpefala. Ha li kopantsoe hammoho, liphumano tsena li fana ka maikutlo a hore kalafo e shebaneng le maikutlo le maikutlo (ke hore, kalafo ea kelello ea kelello le / kapa kalafo ea boitšoaro) e ka ntlafatsa boiketlo ba kelello (ka hona boleng ba bophelo) ho batho ba anngoeng ke PSB.
Boithuto ba hona joale bo na le meeli e 'maloa. Mohlala oa rona o kenyelletsa feela batho ba baholo ba banyenyane, mme mekhatlo ea bongaka e khethiloeng mona e kanna ea se akaretse ho batho ba nang le PSB maemong ohle a pharaletseng. Re boetse re hlokomela meeli e meraro e amanang le liteko tsa rona tsa bongaka. Taba ea pele, joalo ka lithutong tse ling, tlhahlobo ea rona e ne e sa kenyeletse tekano ea ho tebela maikutlo ha tleliniki, kaha hajoale ha ho hlake hore na ho teba ha PSB ho lokela ho hlalosoa le ho lekanngoa joang (Reid, 2015). Taba ea bobeli, QOLI ke tlhahlobo ea boits'oaro, 'me ka hona, e ka tlaleha mathata le litlaleho tse fapaneng tsa bophelo. Taba ea boraro, BIS-11 ha ea ka ea fetoloa ka ho khetheha bakeng sa PSB. Joalokaha ho hlokometsoe ke thuto e fetileng, ho sebelisa sebopeho se seng sa BIS-11 ho ka lumella tlhahlobo e ikhethileng ea pherekano ho batho ba itseng ba kliniki, ho kenyelletsa le ba anngoeng ke PSB (Reid, Cyders, Moghaddam, & Fong, 2014). Leha ho le joalo, re khethile ho sebelisa sebopeho sa moetlo oa setso ka lebaka la litheko tse phahameng tsa maikutlo a kelello molemong oa rona. Mabapi le tlhaiso-leseling, ts'ebeliso ea rona ea mekhoa ea bootstrap ho khetholla mehato ea bohlokoa ea lipalo mohlaleng oa PLS e ne e le mokhoa oa ts'ebetso mme e kanna ea baka hore ho fetoloe ho hong ha tsona (litloaelo tsa bohata). Mokhoa oa rona oa ho fana, leha ho le joalo, o fana ka kholiseho e kholo ea lipalo liphetho tsa bohlokoa. Ntle le moo, thuto ena e sebelisitse tlhahlobo ea likarolo tse fapaneng, ka hona e ke ke ea theha likamano lipakeng tsa boitšoaro ba thobalano, bophelo bo botle, le tse ling tse fapaneng tsa bongaka. Leha ho na le meeli ena, tlhahlobo ea rona e fana ka mehato e matla ea mokhatlo. Kamora nako, boholo ba phapang e hlalositsoeng ke mohlala bo ne bo le bobebe, 'me mefuta e meng e sa qaptjoang e ka ba ea bohlokoa. Lithuto tsa nako e tlang li kanna tsa lakatsa ho nahana ka lintlha tse ling tsa kotsi bakeng sa boitšoaro bo feteletseng, bo kang ho jeoa ke bolutu, kutloelo-bohloko ea motho (Reid, Bramen, et al., 2014), kapa ho sithabela maikutlo (Howard, 2007). Maemo a lihormone tsa thobalano a boetse a tsejoa ho susumetsa boitšoaro ba thobalano, leha re tseba hore ha ho na lithuto tse laoloang tse hlahlobang lintlha tsa lihormone ho hypersexourse (Kaplan le Krueger, 2010). Hore na lintlha tsena li ka ama boleng ba bophelo li lokela ho etsoa patlisiso e tsoelang pele.
Ho tsebo ea rona, thuto ea hona joale ke eona feela ea ho hlahloba boleng ba bophelo ho batho ba baholo ba nang le PSB. Re fumane hore bophelo ba maemo a tlase ho PSB bo ne bo amahanngoa le bofokoli bo ikhethileng taolong-ka ho khetheha, tlhokomelong le taolong ea maikutlo. Seo re se fumaneng se ts'ehetsa maikutlo a hore tahlehelo ea taolo holim'a thobalano e kanna ea hlahisa bophelo bo botle ba kelello le bophelo, esita le har'a batho ba sa kopaneng le mekhoa eohle e khothalletsoang ea tlhahlobo ea thobalano e qobelloang. Liphumano tsena li ka ba le moelelo ho kutlwisiso ea rona le kalafo ea boitšoaro ba thobalano bo amang boleng ba bophelo.
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