J Behav Moemeli. 2018 Jun 5: 1-12. Doi: 10.1556 / 2006.7.2018.33.
Wordecha M1, Wilk M1,2, Kowalewska E1,3, Skorko M1, Łapiński A4, Gola M1,5.
inahaneloang
Ka morao le sepheo
Boitšoaro bo qobelloang ba thobalano (CSBs) ke taba ea bohlokoa ea bongaka le ea sechaba. Leha ho na le lithuto tse ntseng li eketseha, likarolo tse ling tsa CSB li ntse li sa batlisisoe. Mona, re hlahloba mofuta oa CSB, joalo ka tšebeliso ea litšoantšo tsa bootsoa le ho ipholla litho tsa botona kapa botšehali (PuM), le ho netefatsa ngollano lipakeng tsa lintho tse itlhahisang tse lebisang boitšoarong bo joalo ka mehato ea eona e fumanoeng tlhahlobisong ea bukana.
mekhoa
Lipuisano tse hlophisitsoeng ka mokhoa o hlophisitsoeng le banna ba robong ba batlang kalafo ba lilemo li 22-37 (M = 31.7, SD = 4.85) li ile tsa lateloa ke lipotso le tlhahlobo ea bukana ea libeke tse 10, e re lumellang ho fumana mekhoa ea bophelo ea letsatsi le letsatsi ea CSB .
Results
Lithuto tse tšeletseng ho tse robong li bile le ho itlopa makhetlo a mangata (lihora tse ngata kapa makhetlo a mangata ka letsatsi) PuM. Lithuto tsohle li ile tsa hlahisa boemo bo phahameng ba matšoenyeho mme ba lemoha PuM e le mokhoa oa ho laola maikutlo le khatello ea maikutlo. Tlhahiso-leseling e bokelletsoeng tlhahlobong ea diary e senola phapang e kholo mekhoeng ea boitšoaro ba thobalano (joalo ka khafetsa ea PuM ea khafetsa le e nang le phepelo) le likarolo tsa eona. Binge PuM e ne e amana le ho fokotseha ha maikutlo le / kapa ho eketsa khatello ea maikutlo kapa ho tšoenyeha. Kamano e bakoang ke lipakeng tsa lintho tsena tse lulang e le teng e lula e sa laoloe.
Puisano le liqeto
Binge PuM e bonahala e le e 'ngoe ea boitšoaro bo ikhethang har'a banna ba batlang kalafo bakeng sa CSB mme e amana le maikutlo a ho lahleheloa ke taolo ea thobalano. Batho ba CSB ba bonts'a mefuta e fapaneng ea lisosa tsa ho itlopa joala. Hape, tlhaiso-leseling ea tlhaiso-leseling e bontša hore li-correlate tse ikhethileng tsa ho itlopa joala PuM (maikutlo a fokotsehileng, khatello ea maikutlo le khatello ea maikutlo) li fapana lipakeng tsa lihlooho. E fana ka maikutlo a boteng ba phapang e kholo ea boits'oaro ba motho ha a itlopa joala, le tlhoko ea ho ithuta liphapang tsena, kaha li ka thusa ho tataisa kalafo ea motho ka mong.
LINKOTSO: boitšoaro bo qobelloang ba thobalano; tlhatlhobo ea diary; hypersexourse; ho ipholla litho; litšoantšo tsa bootsoa
PMID: 29865868
Selelekela
Bakeng sa batho ba bang, boitšoaro bo qobelloang ba thobalano (CSBs) ke lebaka la ho batla kalafo (Gola, Lewczuk, & Skorko, 2016; Lewczuk, Szmyd, Skorko, & Gola, 2017). Ka lebaka la nnete ena, palo ea lithuto tse mabapi le sehlooho sena li eketsehile haholo (Gola, Wordecha, Marchewka, & Sescousse, 2016; Kraus, Voon, & Potenza, 2016a), mme ho na le puisano e tsoelang pele mabapi le ho kenyelletsa CSB khatisong e latelang ea Classified International ea Maloetse (ICD; Gola le Potenza, 2018; Kraus et al., 2018; Potenza, Gola, Voon, Kor, & Kraus, 2017; Thapelo, Janssen, Georgiadis, Finn, & Pfaus, 2017; Mokhatlo oa Lefatše oa Bophelo [WHO], 2018). Matšoao a tlalehiloeng khafetsa a mabapi le nako e sebelisoang ho shebella litšoantšo tse litšila tse tsosang takatso (haholo inthaneteng) le ho ipholla litho ka ho feteletseng (Gola, Lewczuk, et al., 2016; Kafka, 2010; Reid, Garos, & Carpenter, 2011; Stein, Mnyama, Shapira, & Spitzer, 2001). Mefuta e meng e tlalehiloeng ea boits'oaro e kenyelletsa likamano tse kotsi tsa likamano tsa botona le botšehali, thobalano e sa tsejoeng, le ts'ebeliso ea litšebeletso tsa thobalano tse lefuoang.Kraus, Voon, & Potenza, 2016a).
Leha ho na le ngangisano e tsoelang pele mabapi le mokhoa oa ho etsa conceptualise CSB (Kor, Fogel, Reid, & Potenza, 2013; Kraus, Voon, & Potenza, 2016b; Ley, Prause, & Finn, 2014; Potenza et al., 2017), Mokhatlo oa Lefatše oa Bophelo o kenyelelitse CSB tlhahiso ea ICD-11 e tlangWHO, 2018) e le bothata ba taolo ea ho susumetsa (Kraus et al., 2018) ka matšoao a lefutso a tšoana hantle le a neng a builoe ke Kafka pele (2010). Ho ea ka litekanyetso tsena, re ka amohela CSB haeba (a) ka nako ea bonyane likhoeli tse 6, bonyane matšoao a mane ho a mahlano a latelang a bonoa:
| 1. | Nako e fetelletseng e sebelisitsoeng litabeng tsa thobalano, litakatso, kapa boits'oaro khafetsa li kena-kenana le lipheo, mesebetsi le boikarabello bo bong bo bohlokoa (ke hore, ho shebella litšoantšo tsa bootsoa e se e le ntho e ka sehloohong bophelong ba motho, e le hore mesebetsi ea lelapa kapa boikarabello ba mosebetsi li hlokomolohuoe ; |
| 2. | mookotaba o kenella khafetsa liketsong tsena tsa thobalano ho arabela maemo a maikutlo a maikutlo, ke hore, thobalano e fetohile leano le thata la taolo ea maikutlo; |
| 3. | le / kapa karabelo maemong a sithabetsang, mohlala, nakong ea liketsahalo tse sithabetsang mosebetsing; |
| 4. | leha a lekile khafetsa, taba e hloleha ho laola kapa ho fokotsa haholo liketso tsena tsa thobalano, ke hore, moetsi o etsa liteko tse ngata tse sa atleheng ho fokotsa liketsahalo tse nang le mathata, empa o lula a li laola kamora matsatsi a 'maloa; |
| 5. | taba ena e ntse e tsoela pele ka liketso tsena tsa thobalano leha e le kotsi ea ho intša kotsi 'meleng kapa maikutlong kapa ho ba bang, ke hore, ho etsa thobalano khafetsa leha ho na le litlamorao tse mpe likamanong (mohlala, ho khaohana) kapa ts'okelo ea ho lahleheloa ke mosebetsi. |
(b) Makhetlo le matla a liketso tsena tsa thobalano a baka khatello ea maikutlo le ho se sebetse hantle lintlheng tsa bohlokoa bophelong. (c) Liketso tsena tsa thobalano e ne e se ka lebaka la ts'ebeliso e mpe ea lithethefatsi (mohlala, ts'ebeliso e mpe ea lithethefatsi kapa litlhare).
Leha ho le joalo, ha Kafka's (2010) Tlhaloso ea CSB e amoheloa hangata, ha e khothale hore ho be le mochini o tsamaisang CSB. Boithuto ba morao-rao bo bonts'a hore li-CSB li amana le maikutlo a eketsehang bakeng sa meputso e makatsang (Moetso, Snagowski, Laier, & Maderwald, 2016; Kraus et al., 2016b; Voon et al., 2014) kapa lits'oants'o tse bolelang esale pele meputso e joalo (Gola, Wordecha, et al., 2017). Tse ling li bonts'a maemo a eketsehang a cue ho susumetsa ho makatsang (Klucken, Wehrum-Osinsky, Schweckendiek, Kruse, & Stark, 2016) kapa ho tšoenyeha ho eketsehileng (Gola, Miyakoshi, & Sescousse, 2015; Gola le Potenza, 2016) hara batho ba nang le CSB. Reid o boetse a hlokometse hore bakuli ba nang le khatello ea maikutlo hangata ba ba le maikutlo a nyahamisang le khatello ea maikutlo, lihlong tse tebileng le ho feta, ebile ba na le moea o fokolang oa ho itlhompha (Reid, Stein, & Carpenter, 2011; Reid, Temko, Moghaddam, & Fong, 2014).
Phapang le phapang ea lintlha tse hlalositsoeng kaholimo li hlahisa bonyane lipotso tse tharo tsa bohlokoa: (a) Batho ba batlang kalafo ba fumana lintlha tsa mantlha tse lebisang ho CSB joang? (B) Ke efe ea lintho tseo motho a iponang a hlile a lumellana le data e lekantsoeng ho maemo a bophelo a letsatsi le letsatsi?, le (c) Lintlha tsee li ngata hakae ho CSB?
Lipotso tse joalo li ka arajoa ka tlhaiso-leseling e nepahetseng (ke hore, e bokelletsoeng nakong ea lipuisano tsa bongaka tse hlophisitsoeng hantle joalo ka 'Metli oa mapolanka, Reid, Garos, & Najavits, 2013) le mokhoa o lekanyelitsoeng, u sebelisa mokhoa oa tlhahlobo ea bukari (Kashdan et al., 2013). Tlhatlhobo ea bukana e nkuoa e sebetsa hantle haholo tikolohong ho lekanya maemo a letsatsi ka leng (mohlala, boemo ba matšoenyeho, maikutlo le ho tsosa takatso ea thobalano) le mesebetsi (mohlala, boitšoaro ba thobalano). Thutong ena, re nkile qeto ea ho kopanya mekhoa ea tlhahlobo ea boleng bo phahameng le ea diary ho hlahloba lintlha tse amanang le CSB lithutong tse batlang kalafo ea CSB ka boithatelo.
Joalo ka ha ho na litekanyetso tse lekanyelitsoeng tsa boitšoaro ba thobalano (Gola, Lewczuk, et al., 2016), Li-CSB hangata li hlalosoa ke matšoao a hlalosang, a bonts'a tahlehelo e kholo ea taolo holim'a liketso tsa thobalano (Gola & Potenza, khatisong; Kafka, 2010; Kraus et al., 2018). Re kanna ra leka ho fumana lintlha tse ngata tse ipapisitseng le ketsahalo ena e ikhethileng, joalo ka nako e fetelletseng e sebelisitsoeng ho etsa thobalano (ke hore, ho ipholla litho tsa botona kapa botšehali le litšoantšo tse manyala tse hlephisang boitšoaro li kena-kenana le mosebetsi oa motho) kapa libaka tse fosahetseng moo motho a kenang thobalanong (ke hore, phatlalatsa libaka kapa matloana a phomolo). Mokhoa o mong o lekanngoang joalo oa boits'oaro ba bokhoba ke ho bala - ho pheta-pheta, boits'oaro bo matla le boits'oaro bo matla - hangata ho lebisang maikutlong a ikhethang a tahlehelo ea taolo. Li-Binges li hlalositsoe haholo ka mathata a ts'ebeliso ea lithethefatsi, joalo ka bothata ba ts'ebeliso ea joala (Rolland & Naassila, 2017).
Bakuli ba batlang kalafo ea CSB le bona ba tlaleha ho itlopa lijo tse ngata tsa thobalano (Gola, Wordecha, et al., 2017), khafetsa u bolela hore ona ke mofuta o feteletseng oa tahlehelo ea taolo ea boitšoaro ba motho (Lewczuk et al., 2017). Hangata, ho itlopa joala ho kenyelletsa ho nka lihora tse ngata tsa ho sheba litšoantšo tsa bootsoa (khafetsa kapa makhetlo a mangata ka letsatsi), ho tsamaisana le ho ipholla litho tse ngata. Tšebeliso ea litšoantšo tsa bootsoa ha e hlalosoe ka botlalo ka har'a lingoliloeng tsa mahlale. Ka hona, re khothaletsa ho hlahlobisisa karolo ena ea CSB le ho bona hore na ho na le matšoao a atileng hakae har'a batho ba batlang kalafo ea CSB. Kahoo re ikemiselitse ho (a) ho hlahloba hore na lithuto tse batlang kalafo bakeng sa CSB li hlalosa lintlha tse amanang le li-CSB tsa bona joang, (b) ho lekola hore na e tsamaisana joang le tlhaiso-leseling e bokelletsoeng tlhahlobong ea diary, mme (c) re fuputse hore na lintlha tseo ha li na thuso ho batho bohle ba nang le CSB le hore na ke efe ea eona e amanang le liketso tsa ho itlopa litho tsa botona kapa tsa botšehali.
mekhoa
barupeluoa ba
Sehlopha sa rona se ne se na le banna ba robong ba CSB ba lilemo tse 22-37 (M = 31.7, SD = 4.85; Tafole 1). Bakuli bohle ba na le litoro / boits'oaro bo khahlisang ba thobalano mme ba amohetse hore boitšoaro ba bona ba thobalano bo fella ka ho songoa ha mesebetsi ea bohlokoa bophelong. Bakuli bohle ba hlokometse hore bothata bona bo tsoela pele butle butle 'me ba lumela ho sebelisa boitšoaro ba thobalano (hangata bo shebang litšoantšo tse litšila tse ts'oanang le ho ipholla litho tsa botona le botšehali) ho sebetsana le liketsahalo tse sithabetsang tsa bophelo. E mong le e mong oa bakuli o tlalehile liteko tse ngata tsa ho fokotsa kapa ho emisa CSB. Ka tloaelo, litlamorao li ne li le mpe ebile li le nakoana, empa ba bang ba tlaleha nako e telele ea thobalano (likhoeli tse 'maloa ho fihlela 1 selemo) e lateloa ke ho khutla hape. Hoo e batlang e le lithuto tsohle li ne li na le nalane ea kalafo ea CSB e fetileng. Nakong ea thuto, sehlooho se le seng (Sehlooho sa B) se ne se lula se ila thipa ho tsoa ho PuM (o ne a batla a robala le molekane ka letsatsi le letsatsi).
|
Tafole 1. Lintlha tsa palo ea bakuli bohle ba nkang karolo thutong
mokuli a ikutloe | Age | Boikutlo ba thobalano | Boemo ba kamano | mosebetsi | Ho phela le | Boitšoaro bo matla ba thobalano (CSBs) | Tsamaiso ea tšebeliso ea litšoantšo tsa bootsoa (selemo se le seng) | Lilemo tsa tšebeliso ea litšoantšo tsa bootsoa khafetsa | Lilemo tsa ho itlopa ka pele | Nalane ea kalafo e fetileng |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 36 | Heterosexual | Single | Mosebeletsi oa ofising | Friends | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 16 | 12 | 26 | Hajoale sehlopheng sa mehato ea 12 sa CSB |
| B | 37 | Heterosexual | O nyetse lilemo tsa 18 | Mosebetsi oa fektheri | Lelapa (mosali le bana) | Ts'ebeliso ea litšoantšo tsa bootsoa (hajoale ke ho thibela boitšoaro) le ho ipholla litho tsa botona kapa botšehali | 11 | 10 | - | Hajoale ho psychotherapy ea motho ka mong ea tšebeliso e mpe ea joala |
| C | 33 | Heterosexual | Kamanong ea lilemo tse 4 | Mokhanni oa tekesi | kharebe ea | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 13 | 13 | - | Pejana sehlopheng sa mehato ea 12 sa CSB, hajoale sehlopheng sa kalafo sa CSB |
| D | 33 | Heterosexual | O nyetse lilemo tsa 4 | Moqapi oa lisebelisoa | Lelapa (mosali le bana) | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 12 | 15 | ∼13 | None |
| E | 36 | Heterosexual | Single | Ha ba sebetse | Alone | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso, ho ipholla litho tsa botona kapa botšehali ka thobalano le batho ba sa tsebeng letho ka thobalano | - | 9 | 27 | Pejana ho psychotherapy ea motho ka mong le sehlopha ea CSB |
| F | 25 | Heterosexual | Kamanong ea 1 khoeli | seithuti se | Friends | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 10 | 1 | 24 | Hajoale ho psychotherapy ea motho ka mong ea CSB |
| G | 30 | Heterosexual | Single | mokoetlisi | Lelapa (batsoali) | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 10 | 14 | 20 | Hajoale ho psychotherapy ea motho ka mong ea CSB |
| H | 22 | Ho ratana le ba bong bo tšoanang | Single | Maretha | Lelapa (batsoali) | Ts'ebeliso ea litšoantšo tsa bootsoa le ho ipholla litho tsa botona kapa botšehali | 15 | 5 | 18 | Hajoale ho psychotherapy ea motho ka mong bakeng sa mathata a mang |
| I | 33 | Heterosexual | nyetse | Sales | Mosali | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso, ho ipholla litho tsa botona kapa botšehali le thobalano e sa tsejoeng | 8 | 13 | ∼13 | Pejana ho ho pata bophelo bo botle ba thobalano, hajoale e le pheko ea motho e mong le e mong bakeng sa bana ba baholo ba Alcoholics (ACoA) |
Ts'ebetso ea ho hira
Lithuto tsohle li ile tsa qaptjoa har'a bakuli ba batlang kalafo ea CSB litsing tsa kalafo ea bophelo ba thobalano Warsaw (Poland). Lithuto tsohle li fihletse bonyane lintlha tse 'ne ho tse hlano tsa CSB ho latela Kafka (e hlalositsoeng karolong ea "Selelekela"). Hape kaofela ha bona ba ile ba nka karolo bonyane ho linako tse tšeletseng tsa kalafo bakeng sa CSB kamora ho ngolisoa thutong ena, e bonts'ang boikemisetso ba bona ba nnete ba ho fokotsa ts'ebeliso ea litšoantšo tse litšila tse tsosang takatso.
Mehato
Re entse tlhahlobo e nkileng hora e nkileng sebopeho (Supplementary Table S1) ho hlahloba matšoao a tsebahalang haholo a CSB (ho kenyelletsa le ho itlopa lihlong), mekhoa eo re ithutileng eona ea kelello le mabaka a amanang le CSB. Kamora puisano ena, lithuto li ile tsa nka karolo thutong ea diary e nkang libeke tsa 10 (matsatsi a 70), ba sebelisa sesebelisoa se thehiloeng marang-rang se fumanehang ka li-smartphones kapa likhomphutha tsa motho ka mong (Setšoantšo. 1). Tlhatlhobo ea diary e koahetsoe ke karolo e 'ngoe ea kalafo, ka hona lintlha tse tlalehiloeng ho diary li kanna tsa susumetsoa ke kalafo. Re sebelisa sekala sa lintlha tse 10, re ile ra lekola mehato ea letsatsi le letsatsi ea ho tsosa takatso ea thobalano, matšoenyeho, khatello ea maikutlo le maikutlo. Re boetse re hlahlobile boits'oaro ba thobalano, joalo ka nako ea letsatsi le letsatsi eo re e qetileng re shebelletse litšoantšo tsa bootsoa, palo ea linako tsa ho ipholla litho tsa botona kapa palo ea likamano tsa botona le botšehali. Baithuti ba ile ba kopuoa ho tlatsa bukana hang ka letsatsi, hangata e neng e nka metsotso e 3-5. Leha ho le joalo, ke barupeluoa ba supileng feela ho ba robong ba faneng ka tlhaiso-leseling e kopiloeng, 'me karolelano ea nako ea likhaolo ha ho ne ho sa ngolisoe diary e ne e le matsatsi a 2.75 le min = 1 letsatsi le max = matsatsi a 32. Tlhahisoleseling e felletseng e fanoa ho Lethathamo la Tlatsetso S2. Lirekoto tse nang le tlhaiso-leseling ha li kenyelelitsoe lipalong tsa litekanyetso tse tloaelehileng le liphapang tse tloaelehileng tsa lintlha tse ithutoang. Ho hakanngoa hore nako ea ho itšepa e sebelisoa ka mokhoa oa blockstrap oa block block o nang le block size = 3, o sebelisitsoeng ho li-data tse felletseng (ho kenyeletsoa le data e haellang).
Setšoantšo sa 1. Tlhahiso ea mekhoa ea lipatlisiso. Lintlha tsohle li ile tsa botsoa lipotso pele ka tlhahlobo e hlophisitsoeng e hlophisitsoeng (Supplementary Tafole S1), 'me ea nka karolo ho etsa tlhahlobo ea lipotso (Supplementary Table S3) le 10 ea beke e telele ea web-based
Re boetse re bokelletse likhakanyo tsa lipotso. Bosholu ba li-CSB bo ile ba hlahlojoa ka Teko ea Tlhahlobo ea Tlhekefetso ea Thobalano - E ntlafalitsoe (SAST-R; Makala, Green, & Carnes, 2010; Gola, Skorko, et al., 2017) le Screener ea Litšoantšo tsa Bootsoa bo Hare (BPS; Kraus et al., 2017). Potso ea lipotso tsa BPS ke sekaelo sa lintho tse hlano, se lekang botebo ba tšebeliso ea litšoantšo tse litšila tse tsosang takatso. Bosholu ba matšoao a ho se sebetse hantle kapa a qobellang (OCD) bo ile ba hlahlojoa le Obsessive-Compulsive Inventory - Revised (OCI-R; Foa et al., 2002). Boemo ba ho tšoenyeha bo ile ba lekanngoa le State-Trait Anxiety Inventory - State (STAI-S; Sosnowski le Wrześniewski, 1983), e re lumelletseng ho lekanya matšoenyeho joalo ka naha (STAI-S) le tšobotsi (STAI-T). Re boetse re sebelisitse ho tšoenyeha ka sepetlele le ho sithabela maikutlo ha Sepetlele (Zigmond & Snaith, 1983) bakeng sa ho hlahloba matšoao a ho tšoenyeha le khatello ea maikutlo. Impulsivity e ile ea hlahlojoa ka Potso ea Monate oa Likhetho (Kirby & Maraković, 1996), likhetho tsa 27, tseo barupeluoa ba lokelang ho supa haeba ba ka khetha moputso o monyane oa chelete kajeno kapa o moholo nakong e tlang (kamora matsatsi a itseng).
Ethics
Boithuto bona bo amohetsoe ke Komiti ea Boitšoaro ea Setsi sa Psychology, Setsi sa Mahlale sa Poland (ho latela Phatlalatso ea Helsinki) mme bohle ba neng ba nkile karolo ba ile ba fana ka tumello e ngotsoeng.
Results
Litekanyo tsa lipotso
Bakuli bohle ba fumane lintlha tse phahameng ho SAST-R le BPS. Boholo ba bakuli ba boetse ba fumane lintlha tse phahameng mekokotlong ea khatello ea maikutlo le matšoenyeho a Ngaka ea Sepetlele le Matšoenyeho a Sepetlele (Zigmond & Snaith, 1983) le STAI (Sosnowski le Wrześniewski, 1983), joalo ka ha ho hlahisitsoe ho Tšehetso ea Lethathamo la S3. Ke lithuto tse peli feela tse fetang monyako oa bosholu ba likhakanyo, tse lekantsoeng le OCI-R (Foa et al., 2002). Liphetho tse qaqileng li hlahisitsoe ho Tafole ea Tlatsetso S3.
Litlhahlobo tse ikhethileng le tse hlahlobang tsaidayari tsa CSB
Lithuto tsohle li phatlalalitse PuM e qobelloang e le lebaka la bohlokoahali la ho batla kalafo. Ke batho ba babeli feela ba tlalehileng likamano tsa botona le botšehali e le boitšoaro bo eketsehileng bo eketsang. Mokuli a le mong o batlile kalafo, leha ho sa na le likhoeli tsa 6.5 tsa ho ila thobalano pele ho thuto. Bakeng sa bakuli ba robeli ho ba robong, ena e ne e se lekhetlo la pele le leka ho phekola CSB (Lethathamo 1).
Leha ho na le boiteko bo bongata ba ho fokotsa tšebeliso ea litšoantšo tsa bootsoa, nako e tloaelehileng e nehetsoeng ho shebella litšoantšo tse manyala tse hlephisang boitšoaro ka beke e ne e le 2.96 hr, joalo ka ha ho phatlalalitsoe ke bafo ba lipotso tse fanoeng kamora lipuisano. Ho latela tlhaiso-leseling e bokelitsoeng ho feta libeke tse 10 tsa tekolo ea bukana, e ne e le 1.57 hr (SD = 2.05 hr). Re bone phapano e kholo ea tšebeliso ea litšoantšo tsa bootsoa (ho tloha 0.5 ho isa ho 8 hr ka beke, joalo ka ha ho phatlalalitsoe lipuisanong le ho tloha 0 ho isa 6.01 hr ka beke, joalo ka ha ho phatlalalitsoe tlhahlobisong ea diary; Lethathamo 2).
|
Tafole 2. Mehato e ipatileng le e telele ea boits'oaro bo matla ba thobalano (CSB)
mokuli a ikutloe | CSB | Boitsebiso bo iphatisitse nakong ea lipotso | E lekantsoe le tlhahlobo ea nako e telele ea beke ea 10 | |||||
|---|---|---|---|---|---|---|---|---|
Ts'ebeliso ea litšoantšo tsa bootsoa ka beke (hr) | Khafetsa ts'ebeliso ea litšoantšo tsa bootsoa | Palo ea liphoso tsa botona le botšehali ka beke | Khafetsa tšebeliso ea litšoantšo tse litšila tse tsosang takatso | Ts'ebeliso ea litšoantšo tsa bootsoa ka beke (hr) [bolela (bolela (SD)] | Palo ea liphoso tsa litho tsa botona le botšehali ka beke [ho bolela (SD)] | Khafetsa ho loana ha methapo e bolelang [ho bolela (SD)] | ||
| A | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | Pakeng tsa 4 le 8 | Hoo e ka bang letsatsi le leng le le leng | Pakeng tsa 4 le 8 | Hajoale hang ka beke, pele ho letsatsi le leng le le leng | 6.01 (7.11) | 7.43 (7.62) | 0.43 (0.50) |
| B | Ts'ebeliso ea litšoantšo tsa bootsoa (hona joale ke ho ithiba) le ho ipholla litho tsa botona kapa botšehali | 0.5 | 1-2 makhetlo a beke | 1-2 makhetlo a beke | None | 0.00 (0.00) | 0.00 (0.00) | 0.00 (0.00) |
| C | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 1-1.5 | 1-2 makhetlo a beke | Linako tsa 2 kapa ho feta | None | - | - | - |
| D | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 1-1.5 | Hoo e ka bang letsatsi le leng le le leng | Hoo e ka bang letsatsi le leng le le leng | Hajoale ha e eo (pele ho 1-2 makhetlo a selemo) | 0.73 (0.86) | 4.67 (4.63) | 0.10 (0.31) |
| E | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso, ho ipholla litho tsa botona kapa botšehali ka thobalano | 3 | Linako tsa 2 ka beke | Linako tsa 4 ka beke | Hajoale ha ho na (pele ho makhetlo a 'maloa ka selemo) | 0.81 (1.46) | 3.68 (4.19) | 0.05 (0.22) |
| F | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | Pakeng tsa 4 le 6 | Letsatsi le letsatsi | Hoo e ka bang letsatsi le leng le le leng | Hajoale 1-2 makhetlo a beke, pele ho letsatsi le letsatsi | 1.70 (2.98) | 3.02 (5.29) | 0.16 (0.37) |
| G | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 1-1.5 | Pakeng tsa 2 le linako tsa 5 | 5 kapa ho feta | Hajoale ha se hangata, pele ho makhetlo a 'maloa ka beke | 0.21 (0.48) | 4.67 (5.72) | 0.18 (0.39) |
| H | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso le ho ipholla litho tsa botona kapa botšehali | 3.5-4 | Letsatsi le letsatsi | 3 kapa ho feta | Banyalani ba linako tse ling ka khoeli | 1.54 (2.17) | 9.44 (11.32) | 0.33 (0.47) |
| I | Tšebeliso ea litšoantšo tse litšila tse tsosang takatso, ho ipholla litho tsa botona kapa botšehali ka thobalano | 1.5-3 | Hoo e ka bang letsatsi le leng le le leng | Hoo e ka bang letsatsi le leng le le leng | Hang kapa habeli bophelong ba hae | - | - | - |
Hlokomela. SD: ho kheloha ho tloaelehileng.
Lintlha tse bokelletsoeng tlhahlobong ea diary li senotse hore ho shebella litšoantšo tsa bootsoa hangata ho tsamaisana le ho ipholla litho tsa botona kapa botšehali (Setšoantšo 2), e neng e tsamaellana le tlhaiso-leseling ea data. Nakong ea lipuisano, lithuto tse tšeletseng li tlaleha hore ho shebella litšoantšo tsa bootsoa kamehla ho tsamaisana le ho ipholla litho, 'me lithuto tse tharo li tlaleha hore ho ipholla litho hangata (empa eseng kamehla) ho tsamaisana le ho shebella litšoantšo tsa bootsoa. Leha ho le joalo, ho ipholla litho ntle le ho sheba litšoantšo tsa bootsoa hangata ho tsamaisana le ho hopola litšoantšo tsa thobalano tsa batho ba neng ba shebelletse litšoantšo tsa bootsoa kapa litoro ka batho ba nnete. Mokuli e mong o ile a re ho ipholla litho tsa botona kapa botšehali ntle le litšoantšo tsa bootsoa ha ho lebise sehlohlolong sa hae.
Setšoantšo sa 2. Ho tsamaisoa ha motsoako oa letsatsi le letsatsi oa ho shebella litšoantšo tsa bootsoa le ho ipholla lifaele tsa data tse bokelletsoeng tlhahlobong ea diary - datha e tsoang tekanyetsong ea bukaneng (100% e lekana le matsatsi ohle a tlhahlobo ea diary kamora ho kenyelletsoa ha data e sieo)
Nakong ea lipuisano, bakuli ba supileng ho ba robong ba tlalehile bonyane boiphihlelo bo le bong ba ho itlopa joala ha ba shebelletse. Binges o ne a e-na le mokhoa oa ho shebella litšoantšo tse manyala tse hlephisang boitšoaro o tsamaeang le ho ipholla litho tsa botona kapa botšehali ka lihora tse 'maloa ka tatellano (hangata> 6 hr e nang le khefu e ka tlase ho 30 min) kapa likarolo tse ngata (> 4 ka letsatsi, tse tšoarellang bakeng sa 0.5-1 hr) ea litšoantšo tsa bootsoa ho sheba letsatsi le tsamaeang le ho ipholla litho tsa botona kapa botšehali. Taba e le 'ngoe (Sehlooho B), ea tlalehileng likhoeli tse 6.5 tsa thobalano, ha a ka a tlaleha boiphihlelo ba ho shebella litšoantšo tse manyala tse hlephisang boitšoaro, athe Sehlooho C se tlaleha likarolo tse peli tsa ho shebella litšoantšo tsa bootsoa le ho ipholla litho tsa botona kapa botšehali ka letsatsi, tseo a neng a sa li nke e le ho itlopa joala.
Bakeng sa tlhahlobo ea data, re amohetse litlhaloso tsa "ho itlopa", tse ipapisitseng le lintlha tse tsoang lithutong tsa rona tse fetileng (Gola, Kowalewska, Wierzba, Wordecha, & Marchewka, 2015; Gola, Lewczuk, et al., 2016; Gola, Skorko, et al., 2017; Gola, Wordecha, et al., 2017; Lewczuk et al., 2017) e bonts'a hore sehlopheng sa taolo (bao e seng kalafo ba batlang banna ba Poland), palo e tloaelehileng ea ho ipholla litho tsa botona kapa botšehali ka beke ke 2.3-2.5 mme nako e tloaelehileng e sebelisitsoeng ho shebella litšoantšo tsa bootsoa ke 50 min / beke. Ho laola lihlooho lithutong tsa rona tse fetileng e le palo e phahameng ka ho fetisisa ea ho ipholla litho tsa botona kapa botšehali le ho shebella litšoantšo tsa bootsoa ka letsatsi ho tlalehiloe karolelano ea 3.1 le 70 min. Ka bobeli (likarolo tse kholo tsa ho ipholla litho tsa botona kapa botšehali le ho shebella litšoantšo tse manyala tse hlephisang boitšoaro) li ne li nkuoa ke batho ba laoloang e le likamano tsa botona le botšehali. Bakeng sa thuto ena ho ipapisitse le seo re se boneng pejana, re ile ra ipehela moeli, re nka hore ho ipholla litho tsa botona kapa botšehali ho feta tse peli ka letsatsi le setlhopha se le seng sa litšoantšo tse manyala tse hlephisang boitšoaro se tšoarellang nako e telele ho feta 1 hr se tšoaneleha ho ba ho itlopa joala. Le ha menyako ena e ne e bonahala e ts'oana le tlhaiso-leseling e itlhahisang nakong ea tlhahlobo le tlhaiso-leseling e fumanoeng ka mekhoa ea diary (Tafole 2), li lokela ho netefatsoa ka hloko har'a palo e fapaneng ea baahi. Mona, re ithuta ka batho ba seng ba ikemiselitse ho khaotsa ho shebella litšoantšo tsa bootsoa le ho eketsa boikitlaetso ba bona morerong ona.
Lintlha tse amanang le PuM
E mong le e mong oa bakuli o tlalehile liteko tse ngata tsa ho fokotsa kapa ho khaotsa ho sebelisa litšoantšo tsa bootsoa. Maemong a mangata, liphetho li ne li le mpe ebile e le tsa nakoana, empa tse ling tsa tlaleha linako tsa ho tlohela litšoantšo tse litšila tse tsosang takatso ho nka libeke tse 'maloa ho fihlela 1 selemo, li lula li lateloa ke ho khutla hape. Bakeng sa mokuli a le mong, nako e se nang litšoantšo tsa bootsoa e nkile libeke tse 'maloa e ne e amana le mojaro o mongata oa mosebetsi; e mong ke hore e eketsa mesebetsi ea sechaba. E mong oa bakuli o tlaetse ho thuisa ho thusa ka nakoana ho fokotsa tšebeliso ea litšoantšo tsa bootsoa.
Nakong ea lipuisano, bakuli ba robeli ho ba robong ba ile ba khona ho tseba mekhoa ea bona ea PuM, ba supa libaka tse itseng, maemo, maikutlo, le / kapa menahano. Sebaka se tloaelehileng haholo sa tšebeliso ea litšoantšo tsa bootsoa e ne e le lehae la mokuli. 'Me boemo bo atileng haholo e ne e le ho ba mong. Lithuto tse 'ne li boetse li tlaleha ho shebella litšoantšo tsa bootsoa khafetsa libakeng tsa sechaba, haholo mosebetsing. Bakuli ba bang ba bane ba boletse hore ba tloaetse ho sebelisa litšoantšo tsa bootsoa pele kapa ka mor'a lihora tsa ho sebetsa.
Boholo ba bakuli ba tlalehile maikutlo a fosahetseng kamora ho shebella litšoantšo tsa bootsoa: khatello ea maikutlo (lithuto tse hlano), khalefo (tse tharo), ho tšoenyeha le tsitsipano (tharo), ho jeoa ke bolutu (tse peli), boitšepo bo tlase (e le 'ngoe), maikutlo a ho hloleha (boraro) , le mokhathala (tse peli).
Boholo ba bakuli ba ne ba thatafalloa ke ho tseba sesosa sa ho shebella litšoantšo tsa bootsoa. Mokuli e mong o supile khatello ea maikutlo le menahano ea ho ba le monyetla oa ho se atlehe e le ntho e itlhommeng pele ka ho fetisisa e lebisang liketsong tsa thobalano. Mokuli e mong o hlokometse khalefo e matla e le sesosa sa PuM. Taba e ngoe e ne e khetholla mefuta e 'meli ea thobalano eo a kileng a e etsa: (a) e amanang le takatso ea thobalano le (b) ea ho fokotsa khatello ea maikutlo. O ile a boela a hlokomela hore mokhoa ona oa ho qetela o ne o atile haholo ho eena. Ke mokuli a le mong feela ea hlalosang ho shebella litšoantšo tsa bootsoa e le “moputso” o monate oo a ipehetseng oona bakeng sa seo a se finyeletseng.
Ho etsa lipatlisiso hore na ke lintlha life tse amanang le PuM, re hlahlobiseng tlhaiso-leseling e fumanoeng litlhahlobong tsa diary, re bapisa litlaleho ho tloha matsatsing ka ho ipholla litho le tšebeliso ea litšoantšo tsa bootsoa le litlaleho tsa matsatsing a se nang mesebetsi e joalo. Re ile ra hlahloba phapang lipakeng tsa maemo a mahareng a lintlha tse 'maloa, tse lekiloeng ka diary, e leng moea, mokhathala, khatello ea maikutlo le matšoenyeho (datha e lekantsoeng ka matsatsi ohle e ka fumaneha Lethathamong 3).
|
Tafole 3. Lintlha tse akaretsang tse tsoang tlhahlobong ea nako e telele ea beke ea 10 (boholo: 1-10)
mokuli a ikutloe | Mood [bolela (SD)] | Ho khathala [bolela (ho bolela (ho bolelaSD)] | Boemo ba khatello ea maikutlo [e bolela (SD)] | Boemo ba ho tšoenyeha [bolela (ho bolela (ho bolela.SD)] | Motho ea tsosang takatso ea botona kapa ea botšehali [e bolela (SD)] |
|---|---|---|---|---|---|
| A | 4.92 (1.56) | 6.23 (1.63) | 5.86 (1.63) | 5.54 (1.91) | 2.42 (1.43) |
| B | 5.52 (1.99) | 6.43 (1.57) | 4.43 (2.06) | 4.14 (2.08) | 4.71 (1.82) |
| D | 5.3 (1.58) | 5.23 (1.74) | 4.5 (2.01) | 3.07 (2.26) | 3.7 (1.21) |
| E | 7.2 (0.69) | 4.9 (1.55) | 4.45 (1.08) | 3.35 (1.23) | 4.0 (0.88) |
| F | 6.35 (1.43) | 4.8 (1.81) | 3.1 (1.5) | 2.2 (1.04) | 5.1 (1.79) |
| G | 6.0 (1.6) | 6.47 (1.77) | 5.51 (1.87) | 4.76 (2.17) | 4.9 (2.04) |
| H | 4.3 (2.18) | 6.23 (1.76) | 4.74 (1.98) | 4.88 (2.2) | 3.88 (1.99) |
| Group | 5.66 (0.96) | 5.76 (0.75) | 4.66 (0.89) | 3.99 (1.17) | 4.10 (0.92) |
Hlokomela. SD: ho kheloha ho tloaelehileng.
Re fumane phapang ea lipalo lipakeng tsa matsatsi le ntle le ho ipholla litho tsa botona kapa botšehali ho sebelisoa ha bakuli ba bararo feela (D, F, le G; Tafole 4). Tsena kaofela li ne li fokotseha haholo ka matsatsi ka ho ipholla litho tsa botona kapa botšehali le tšebeliso ea litšoantšo tsa bootsoa. Ho feta moo, mokuli D ka karolelano o ne a ikutloa a khathetse, a sithabetse le ho feta, mme a e-na le matšoenyeho a phahameng ka matsatsi a ho ipholla litho le tšebeliso ea litšoantšo tsa bootsoa ha a bapisoa le matsatsi a se nang litšoantšo tsa bootsoa le ho ipholla litho.
|
Tafole 4. Phapang lipakeng tsa maemo a phapang a maikutlo, mokhathala, khatello ea maikutlo le ho tšoenyeha (tse lekiloeng tlhahlobong ea beke ea 10 ea beke le beke), ea matsatsi a nang le "ho ipholla litho tsa botona kapa tsa botšehali" khahlanong le matsatsi a "ho se iphora kapa ho sheba litšoantšo tse litšila tse tsosang takatso"
mokuli a ikutloe | Matsatsi a ho ipholla litho tsa botona kapa botšehali kapa litšoantšo tsa bootsoa | Matsatsi ntle le ho ipholla litho kapa litšoantšo tsa bootsoa | Phapang lipakeng tsa litekanyetso | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | Mood [bolela (SD)] | Ho khathala [bolela (ho bolela (ho bolelaSD)] | Matšoenyeho [bolela (ho bolelaSD)] | Matšoenyeho [a bolela (SD)] | N | Mood [bolela (SD)] | Ho khathala [bolela (ho bolela (ho bolelaSD)] | Matšoenyeho [bolela (ho bolelaSD)] | Matšoenyeho [a bolela (SD)] | feto-fetoha | Ho khathala | Khatello ea Kelello | ho Tšoenyeha | |
| A | 45 | 4.87 (1.52) | 6.31 (1.43) | 5.98 (1.69) | 5.62 (1.89) | 20 | 5.05 (1.70) | 6.05 (2.04) | 5.60 (1.50) | 5.35 (2.01) | −0.18, 95% CI = [−0.99, 0.67] | 0.26, 95% CI = [−0.67, 1.27] | 0.38, 95% CI = [−0.56, 1.35] | 0.27, 95% CI = [−0.76, 1.19] |
| D | 17 | 4.88 (1.69) | 6.06 (1.56) | 5.53 (1.94) | 3.76 (2.56) | 13 | 5.85 (1.28) | 4.15 (1.34) | 3.15 (1.14) | 2.15 (1.41) | −0.96, 95% CI = [−1.79, −0.25] | 1.90, 95% CI = [1.26, 2.42] | 2.38, 95% CI = [1.46, 3.04] | 1.61, 95% CI = [0.00, 2.42] |
| E | 22 | 7.09 (0.75) | 5.18 (1.82) | 4.55 (1.22) | 3.45 (1.26) | 18 | 7.33 (0.59) | 4.56 (1.10) | 4.33 (0.91) | 3.22 (1.22) | −0.24, 95% CI = [−0.56, 0.18] | 0.63, 95% CI = [−0.27, 1.50] | 0.21, 95% CI = [−0.42, 0.59] | 0.23, 95% CI = [−0.51, 0.59] |
| F | 15 | 5.47 (0.99) | 5.47 (1.81) | 3.53 (1.55) | 2.40 (1.06) | 36 | 6.72 (1.43) | 4.53 (1.76) | 2.92 (1.46) | 2.11 (1.04) | −1.26, 95% CI = [−2.02, −0.58] | 0.94, 95% CI = [−0.33, 1.77] | 0.62, 95% CI = [−0.06, 1.42] | 0.29, 95% CI = [−0.13, 0.93] |
| G | 24 | 5.83 (1.71) | 6.17 (1.66) | 5.54 (1.91) | 4.79 (2.11) | 27 | 6.15 (1.51) | 6.74 (1.85) | 5.48 (1.87) | 4.74 (2.26) | −0.31, 95% CI = [−0.98, 0.39] | −0.57, 95% CI = [−1.54, 0.34] | 0.06, 95% CI = [−0.91, 0.82] | 0.05, 95% CI = [−1.13, 0.96] |
| H | 27 | 3.59 (1.89) | 6.15 (1.73) | 4.74 (2.01) | 5.07 (2.20) | 16 | 5.50 (2.16) | 6.38 (1.86) | 4.75 (1.98) | 4.56 (2.22) | −1.91, 95% CI = [−3.11, −0.66] | −0.23, 95% CI = [−0.79, 1.22] | −0.01, 95% CI = [−0.71, 1.54] | 0.51, 95% CI = [−0.35, 2.29] |
Hlokomela. SD: ho kheloha ho tloaelehileng; CI: nako ea ho itšepa.
Lintlha tse amanang le ho loana
Ho fapana le ts'ebeliso ea litšoantšo tsa bootsoa khafetsa, moo bakuli ba bangata ba neng ba thatafalloa ke ho tseba maemo a tsosang ha ba botsoa (nakong ea lipuisano tsa bongaka) bakeng sa maemo a ileng a baka tšebeliso e litšila ea bootsoa, bongata ba bakuli bo tlalehile khatello, mathata bophelong ba motho, le tšabo ea ho hloleha ha o kopana le litebello tse phahameng tsa ba bang ba bohlokoa joalo ka lintho tse tloaelehileng. Motho a le mong o ile a amahanya ho itlopa lijo le khatello ea kelello e amanang le mosebetsi. Lithuto tse tharo li hlokometse hore ho itlopa joala ho ne ho amana le maikutlo a khalefo kapa bolutu le ho khesoa.
Bakuli bohle ba phatlalalitse hore nakong ea li-binges tsa bootsoa qalong ba ile ba ba le maikutlo a matle (mohlala, thabo le monyaka). Joale, nakong ea ho itlopa joala, lithuto tse ngata ha li na mehopolo e ikhethang ("li khaotsoe ho nahana") ebile li ikarola maikutlong a tsona. Nakoana kamora ho itlopa joala, hangata ba ikoahlaela nako e sentsoeng kapa ho se tsotelle mesebetsi ea bona. Mehopolo e joalo e tsamaea le maikutlo a mabe, joalo ka lihlong, ho jeoa ke bolutu, ho nyonya, ho ikutloa u le molato, ho halefa, ho hlonama, ho tšoenyeha, ho felloa ke tšepo, ho hloka boitlhompho le khatello ea maikutlo. Bakuli le bona ba utloa ho teneha le khalefo. Banna ba bahlano ba tlalehile hore ba na le maikutlo a mabe ka bona, mohlala, "Ke fokola," "Nka qeta nako ena ke etsa lintho tse ngata tsa ho itlosa bolutu, mehopolo, ho kopana le batho ho fapana le ho shebella litšoantšo tsa bootsoa," hape "Ke hlotsoe hape." Lihlooho tse tharo ha lia ka tsa tlaleha menahano e ikhethileng ka mor'a li-binges (Setšoantšo 3).
Setšoantšo sa 3. Ho itlaleha ha maikutlo le menahano pele le nakong ea ha o ne a itlopa ho sheba litšoantšo tsa bootsoa
Ho ile ha hlahlojoa lintlha tsa tlhahlobo ea buka ea maikutlo mabapi le phapang lipakeng tsa maemo a ho feto-fetoha ha maikutlo, mokhathala, khatello ea maikutlo le matšoenyeho matsatsing ana ka ho loana le matsatsi a se nang ho itlopa. Papiso ena e senotse liphapang tse ngata tsa bohlokoa ho feta tsa pele, tse amanang le ho shebella litšoantšo tsa bootsoa le ho ipholla litho 4). Bakeng sa thuto e le 'ngoe ntle le e le' ngoe (G), ho itlopaola ka litšoantšo tsa bootsoa ho lebisitse ho fokotseheng ha maikutlo (bakuli D, E, F, le H) kapa khatello (bakuli A, D, le E). Kamora ho itlopa, hangata ba nahana ka ho senya nako kapa ho etsa mesebetsi e sa tsotelloeng. Mehopolo e joalo e tsamaea le maikutlo a fosahetseng, a kang ho hlabisoa lihlong, ho jeoa ke bolutu, ho nyahama, letsoalo, khalefo, masoabi, ho tšoenyeha, ho ikutloa u felloa ke tšepo, ho hloka boitlhompho le ho sithabela maikutlong. ”
Kamora nako, re ile ra hlahloba monyetla oa kamano ea causal pakeng tsa lintho tse fapaneng tse hlahlojoang ka diary (mohatsela, mokhathala, khatello ea maikutlo le matšoenyeho) le ho itlopa lijo ka PuM (Tafole 5). Bakeng sa sepheo sena, se ts'oanang le tlhahlobo e fetileng (e hlahisitsoeng ho Lethathamo 4), re khethile matsatsi ka ho itlopa lijo tsa mofuta oa binge PuM (joalo ka ha ho hlalositsoe karolong ea "Mekhoa") le matsatsi a se nang ho tlangoa ke letho. Ebe re bala ho se tšoane ka maikutlo, mokhathala, khatello ea maikutlo le ho tšoenyeha lipakeng tsa matsatsi a pele ho "letsatsi le tsitsitseng" le matsatsi "a se nang ho itlopa lijo" (Supplementary Tafole S4) le matsatsi hang kamora "letsatsi le thata" le matsatsi "ntle le ho itlopa. ”(Tafole ea tlatsetso ea S5). Setšoantšo 4 e hlahisa liphapang tse ngata tsa bohlokoa lipapisong tsena tse peli. Palo e kholo ea phapang e kholo matsatsing a fetileng a ho itlopa ha eona e ne e tla fana ka bopaki bakeng sa phepelo e fokotsehileng ea maikutlo, mokhathala o phahameng, khatello ea maikutlo le matšoenyeho li ka bapala karolo ea ho baka ho itlopa lijo tsa PuMs, ha palo e kholo ea matsatsi a latelang a loants'ang ho otla e ka supa hore ho fokotseha ha maikutlo, ho khathala ho eketsehileng, khatello ea maikutlo le ho tšoenyeha e ka ba litlamorao tsa ho ruruha PuM.
|
Tafole 5. Ho bapisoa le maemo a phapang a maikutlo, mokhathala, khatello ea maikutlo le ho tšoenyeha lipakeng tsa "matsatsi a nang le ho loana" le "ntle le ho itlama", ho hlahlojoe nakong ea thuto ea diary ea beke ea 10
mokuli a ikutloe | Matsatsi a nang le ho itlopa | Matsatsi a se nang likotsi | Phapang lipakeng tsa litekanyetso | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | Mood [bolela (SD)] | Ho khathala [bolela (ho bolela (ho bolelaSD)] | Matšoenyeho [bolela (ho bolelaSD)] | Matšoenyeho [a bolela (SD)] | N | Mood [bolela (SD)] | Ho khathala [bolela (ho bolela (ho bolelaSD)] | Matšoenyeho [bolela (ho bolelaSD)] | Matšoenyeho [a bolela (SD)] | feto-fetoha | Ho khathala | Khatello ea Kelello | ho Tšoenyeha | |
| A | 28 | 4.64 (1.37) | 6.25 (1.58) | 6.32 (1.56) | 5.54 (1.93) | 37 | 5.14 (1.69) | 6.22 (1.69) | 5.51 (1.61) | 5.54 (1.92) | −0.49, 95% CI = [−1.13, 0.15] | 0.03, 95% CI = [−0.79, 0.86] | 0.80, 95% CI = [0.04, 1.64] | 0.00, 95% CI = [−0.81, 0.60] |
| D | 3 | 2.67 (1.53) | 6.33 (1.15) | 7.67 (1.53) | 7.33 (1.53) | 27 | 5.59 (1.31) | 5.11 (1.76) | 4.15 (1.75) | 2.59 (1.78) | −2.93, 95% CI = [−3.34, −1.44] | 1.22, 95% CI = [−0.27, 2.05] | 3.52, 95% CI = [1.61, 4.00] | 4.74, 95% CI = [3.03, 5.15] |
| E | 2 | 6.50 (0.71) | 4.50 (0.71) | 5.00 (0.00) | 3.50 (2.12) | 38 | 7.24 (0.68) | 4.92 (1.58) | 4.42 (1.11) | 3.34 (1.21) | −0.74, 95% CI = [−1.28, −0.06] | −0.42, 95% CI = [−1.34, 0.28] | 0.58, 95% CI = [0.20, 0.85] | 0.16, 95% CI = [−1.70, 1.76] |
| F | 8 | 5.00 (0.93) | 5.38 (1.77) | 3.50 (1.69) | 2.50 (1.2) | 43 | 6.60 (1.37) | 4.70 (1.82) | 3.02 (1.47) | 2.14 (1.01) | −1.6, 95% CI = [−2.35, −0.74] | 0.68, 95% CI = [−0.51, 1.60] | 0.48, 95% CI = [−0.39, 1.39] | 0.36, 95% CI = [−0.24, 1.04] |
| G | 9 | 5.22 (2.44) | 6.44 (2.24) | 5.78 (2.17) | 5.11 (2.42) | 42 | 6.17 (1.34) | 6.48 (1.69) | 5.45 (1.82) | 4.69 (2.14) | −0.94, 95% CI = [−2.56, 0.37] | −0.03, 95% CI = [−1.40, 1.28] | 0.33, 95% CI = [−1.07, 1.76] | 0.42, 95% CI = [−0.95, 1.98] |
| H | 14 | 2.71 (1.38) | 5.79 (1.58) | 5.29 (1.94) | 5.71 (2.2) | 29 | 5.07 (2.09) | 6.45 (1.82) | 4.48 (1.98) | 4.48 (2.11) | −2.35, 95% CI = [−3.59, −1.27] | −0.66, 95% CI = [−1.95, 0.60] | 0.80, 95% CI = [−0.58, 2.39] | 1.23, 95% CI = [0.08, 2.50] |
Hlokomela. SD: ho kheloha ho tloaelehileng; CI: nako ea ho itšepa.
Setšoantšo sa 4. Palo ea lithuto tseo re li boneng phapang e kholo mekhoeng, mokhathala, khatello ea maikutlo le matšoenyeho (e hlahlojoang ka diary) lipakeng tsa matsatsi a pele ho letsatsi ka ho itlopa kapa ka letsatsi le se nang litšoantšo tsa bootsoa le ho ipholla litho (lehlakoreng le letšehali la setšoantšo; bakeng sa liphapang tse hlakileng tse tlatsetsang Tafole S4). Ka lehlakoreng le letona, re hlahisa palo ea lithuto tseo likhaohano pakeng tsa matsatsi a latelang ho itlama ka letsatsi le fapaneng ntle le PuM li ne li le bohlokoa (bakeng sa liphapang tse hlakileng, bona Tafole ea S5)
Ho ne ho se na phapang ea bohlokoa [χ2 = 2.64, p = .104; e lekantsoeng bakeng sa likarolo tsa phapang e kholo / e seng ea bohlokoa bakeng sa matsatsi a fetileng a li-binges (Letlapa la Tlatsetso S4) le li-binges tse latelang (Letlapa la Tlatsetso S5)] lipakeng tsa palo ea liphetho tsa bohlokoa ho tloha tlhahlobisong ea matsatsi kamora ho itlopa joala le tlhahlobo e joalo ea matsatsi a lateloang ka ho itlopa joala (Setšoantšo 4).
Puisano le liqeto
Thutong ena, re buisane le bakuli ba robong ba batlang kalafo bakeng sa PuM e nang le mathata. Re ntan'o bokella tlhaiso ea lipotso ebe re sebelisa tlhahlobo ea nako e telele ea beke ea 10 ho hlahloba hore na lithuto li hlalosa lintlha tse amanang le ts'ebetso ea bona ea thobalano joang le hore na e tsamaisana joang le tlhaiso-leseling e bokelletsoeng tlhahlobong ea diary.
Lintlha ka bobeli tse ikarabellang le tsa diary li bontša hore leha ho le joalo kalafo e fetileng, batho bohle ba ile ba fihlela mekhoa ea CSB (Kafka, 2010), le hore bothata bo atileng haholo ba thobalano e ne e le PuM (ka mokhoa o ts'oanang le boithuto ke Reid, Li, Gilliland, Stein, & Fong, 2011). Bongata ba bona bo fumana ho le thata ho tseba lisosa tse itseng tsa ts'ebeliso ea litšoantšo tsa bootsoa; leha ho le joalo, ba khona ho khetholla mekhoa e pheta-phetoang ea ts'ebeliso ea litšoantšo tsa bootsoa - joalo ka libaka tse ikhethileng (mohlala, lapeng le mosebetsing), linako le maemo (mohlala, ho ba mong). Ho ipapisitsoe le tlhaiso-leseling ea diary (maikutlo, mokhathala, khatello ea maikutlo le matšoenyeho), lithuto tse ngata li fumane ho le thata haholo ho fumana likamano tsa thobalano tse joalo. Mohlomong likarolo tse ikhethileng tsa PuM li bapala karolo ea boits'oaro bo lebisitsoeng ho fokotsa tsoso ea tlhaho ea thobalano kapa karolo ea mochini oa ho sebetsana le maikutlo a mabe, khatello ea maikutlo le matšoenyeho. Ho etsahala ha tsona ka bobeli nakong ea matsatsi a 70 a tlhahlobo e kanna ea ba sesosa se ka etsahalang sa kamano e seng ea bohlokoa ho mefuta-futa ea tekanyetso ea diary.
Ho khahlisang ke hore lithuto tse supileng ho tse robong li tlalehile hore, nakong ea bophelo ba bona, ba ile ba ba le boikhohomoso ba PuM bo tšoarellang lihora tse ngata mme ba etsahala makhetlo a mangata ka letsatsi. Maemong a li-binges tse joalo, lithuto tse ngata li ile tsa khona ho bonts'a lisosa tse 'maloa. Har'a tse boletsoeng hangata e ne e le khatello ea maikutlo, mathata bophelong ba motho ka mong, ho tšaba ho hloleha ho fihlela litebello tse phahameng tsa ba bang ba bohlokoa, bohale, le boikutlo ba bolutu le ho lahloa. Liphuputso tse tšoanang li tlalehiloe pejana ke Reid, Li, et al. (2011) ea bonts'itseng hore ts'ebeliso ea litšoantšo tsa bootsoa e ne e amana le liphetho tse 'maloa tse mpe, joalo ka bolutu le matšoenyeho. Mebuso ena e rarahaneng ea maikutlo le ea maikutlo e ka amana le mefuta e bonolo e lekantsoeng ea diaries. Re ile ra hlahloba khopolo-taba ena, 'me ehlile, tlhaiso-leseling ea diary e bonts'itse kamano e bohlokoa lipakeng tsa ho loana le ho fokotseha ha moea le khatello ea maikutlo le matšoenyeho ho batho bohle sehlopheng sa rona, ntle le a le mong.
Ho ea ka bakuli, ho itlopa joala ho ba lumella ho ikutloa ba thabile ebile ho ba thusa ho "tima menahano le maikutlo." Liphetho tse joalo li ka ba le boiphihlelo e le mokhoa o sebetsang oa ho sebetsana ka katleho le nako e khuts'oane. Ka bomalimabe hang hang kamora ho itlopa joala, lithuto tsohle li ile tsa ba le maikutlo a mabe (joalo ka ho hlajoa ke lihlong, ho jeoa ke bolutu, ho nyonya, ho ba molato, khalefo, ho hlonama, ho tšoenyeha le ho felloa ke tšepo) le maikutlo a mabe ka bona (mohlala, “Ke fokola, ”“ Ke senya nako ea ka, ”le“ ke hlotsoe hape ”); mme ho ea ka bakuli, boiphihlelo ba ho itlopa joala bo amana le maikutlo a ho lahleheloa ke taolo holim'a boitšoaro ba motho.
Liphuputso tse fetileng li bontšitse hore maikutlo ana a tahlehelo ea taolo e ka ba ntho ea bohlokoa e lebisang boits'ebetsong ba batlang kalafo ho banna (Gola, Lewczuk, et al., 2016) le basali (Lewczuk et al., 2017). Leha e le hore ho itlopa joala ka PuM ho bonahala ho atile haholo hara bakuli ba CSB, ha ho tsejoe hakaalo ka litšobotsi le mesebetsi ea li-binges tsena, hammoho le mekhoa ea tsona. Ho ba teng ha tšebeliso e mpe ea bootsoa ho boletsoe litsing tse ngata tsa bongaka mme ho tlalehiloe phuputsong ea Reid, Stein, et al. (2011), empa ho ea ka tsebo ea rona, ena ke tlaleho ea pele e lekang ho tsepamisa likhahla le ho hlahloba mofuta oa liketsahalo tsena. Leha re tseba sebopeho sa tlhaiso-leseling ea tlhaiso-leseling ea rona (eo re buileng ka eona khafetsa karolong ea "Limitations") le ka tlhoko ea lipatlisiso tse batsi, re khonne ho ithuta likarolo tse 'maloa tse khahlisang tsa ho itlopa lijo tsa PuM.
Taba ea mantlha, ho itlopa joala ka PuM ho ka ba le mefuta e fapaneng. Ho ea ka tlhaiso-leseling eo u ipehetseng eona, li-binges li ka ba le mofuta oa ho shebella litšoantšo tse manyala tse hlephisang boitšoaro tse tsamaeang le ho ipholla litho tsa botona kapa botšehali ka lihora tse 'maloa ka tatellano (hangata> 6 hr le likhefu tse tšoarellang ka tlase ho 30 min) kapa likarolo tse ngata makhetlo a letsatsi, a tšoarellang 0.5-1 hr ka ngoe) ea litšoantšo tsa bootsoa a li shebella ka letsatsi le le leng, a tsamaea le ho ipholla litho tsa botona kapa botšehali.
Taba ea bobeli, ho itlopa lijo ho bonahala ho bonahala e le karabelo maemong a sithabetsang 'me ha e na ts'ebetso ea ho fokotsa maikutlo a thobalano, empa ho e-na le hoo, ho fokotsa khatello ea maikutlo, khatello ea maikutlo kapa matšoenyeho. Ha ho hlake hore na ke hobane'ng ha ketsahalo e le 'ngoe ea PuM e sa lekana ho netefatsa phomolo e joalo ea maikutlo empa e eketseha ka ho itlopa joala. Re na le li-hypothes tse 'maloa tse sa ikhethileng le tse batlang li sa nahane, tse loketseng ho etsa lipatlisiso lithutong tse tlang.
Tlhaloso e 'ngoe e ka bang teng ke hore menahano e mebe (mohlala, "ke hlotsoe hape") le maikutlo (mohlala, bohale) kamora ketsahalo ea pele ea PuM e baka khatello, e hlokang ho fokotsoa ka ho pheta-pheta ketso e ts'oanang, ka mokhoa o ts'oanang le mochini oa boitšoaro bo qobelloang ba ho fokotsa khatello ea maikutlo bo hlahang ka lebaka la menahano e fetelletseng ho OCD (Stein, 2002).
Tlhaloso ea bobeli e amana le seo ba se fumaneng haufinyane (Gola, Wordecha, et al., 2017) hore batho ba batlang kalafo bakeng sa ts'ebeliso e mpe ea ts'ebeliso ea litšoantšo tsa bootsoa ba na le ts'ebetso e kholo ea sistimi ea moputso bokong (haholo-holo "ventral striatum") ho arabela mekhoa e amanang le ts'ebeliso ea litšoantšo tsa bootsoa. Mohlomong ketsahalo e le 'ngoe ea PuM e kanamisa ts'ebetso ena ka nakoana, e eketsa ts'ebetso ea litumelo tse latelang mme e hlahise litakatso tse matla, tse lebisang ho openg.
Tlhaloso ea boraro e nka e 'ngoe ea mekhoa ea litlolo tse lemalloang tse amanang le bolulo. Mefuta ea bokhoba ba lithethefatsi e fana ka maikutlo a fokotsehileng a thabo nakong ea ntlafatso ea bokhoba ba joala litlamorao e le phello ea ho lula ntlong bakeng sa meputso (Volkow et al., 2010). Bolulo bo joalo bo lebisa ho tekanyetso e kholo. Tabeng ea CSB, moputso oa mantlha ke sehlohlolo (Gola, Wordecha, Marchewka, et al., 2016); mme ka boits'oaro bo bongata ba thobalano, litšoantšo tsa bootsoa li fana ka ts'usumetso e hlokahalang bakeng sa ho ipholla litho ho phethela ka sehlohlolong (joalo ka ha ho bontsitsoe ho Setšoantšo. 2, likarolo tse ngata tsa ho ipholla litho li ne li tsamaea le tšebeliso ea litšoantšo tsa bootsoa). Ho ka etsahala hore ho batho ba CSB, litaba tse ngata tse nyonyehang ha li na ho lekana mme ho nka nako e eketsehileng ho fumana buka, e susumetsang ka ho lekaneng. Hape ho ka etsahala hore kamora nako e le 'ngoe ho na le monyetla o phahameng oa boiphihlelo bo latelang, mme ho shebella litšoantšo tse litšila tse tsosang takatso ho hloka ho tsosa takatso e lekaneng.
Boemo ba bone bo ka bang teng bo nka hore sehlohlolo ka boeona e kanna ea se be se khahlisang haholo liketsong tsa thobalano tse etselitsoeng batho ba bang ba nang le CSB. Joalokaha e ngotsoe (Gola, Wordecha, Marchewka, et al., 2016), lintho tse bonoang ka likamano tsa botona le botšehali ka botsona e ka ba mohloli oa thabo. Ho ba shebella, batho ba ikemiselitse ho tsetela boiteko bo ka bapisoang le bo hlokahalang ho fumana phaello ea chelete (Sescousse, Caldú, Segura, & Dreher, 2013). Ho khahlisang ke hore tšusumetso ea thobalano e bonts'ang e tsosa takatso ea thobalano e amanang le keketseho e tsoelang pele ea tšusumetso ea ho ba shebella le ho etsa thobalano, ho fihlela sehlohlolong. Kamora moo, tsoho ea thobalano le tšusumetso ea ho shebella maikutlo a thobalano a fokotseha. Re nahana hore haeba lihlooho tsa CSB li fumana sehlohlolong se sa khahlise ho feta motho ea tloaelehileng (ke hore, ka lebaka la tloaelo), ba kanna ba tsepamisa maikutlo haholo ho shebelleng litšoantšo tsa bootsoa - e leng sesosa sa thabo - mme ba leke ho liehisa sehlohlolo, se lebisang ho linako tse telele tsa litšoantšo tse manyala tse hlephisang boitšoaro li sebelisa. Re lumela hore mekhoa eohle e mene e ka kenya letsoho 'moho ho itlopa joala PuM,' me e 'ngoe le e' ngoe ea tsona e lokeloa ke lithuto tse qaqileng haholoanyane.
Kamora nako, re ile ra botsa hore na ho fokotseha ha maikutlo kapa ho khathala ho eketsehileng, khatello ea maikutlo le matšoenyeho a lekantsoeng litekong tsa tlhahlobo ea diary kapa ke litholoana tsa ts'ebeliso e litšila ea bootsoa. Kaha ha re fumane litholoana tse hlakileng, potso ena e hloka tlhahlobo e ngoe hape. Leha ho le joalo, ho latela data ea rona, re fana ka litlhahiso. Re hlokometse hore ho fokotseha hoa maikutlo le mokhathala o eketsehileng ho hlaha letsatsi le le leng pele ho letsatsi le le leng ka mor'a ho itlopa. Ka hona, ho ka etsahala hore ho fokotseha ha maikutlo le mokhathala o eketsehileng ka bobeli ke sesosa le phello. Ha ho tšoenyeha ho eketsehileng le khatello ea maikutlo li etsahala ka letsatsi le leng ka mor'a ho itlopa, mme ho ka etsahala hore ebe litlamorao (Setšoantšo 4). Habohlokoa, lithuto li ile tsa bontša ho se tšoane ho hoholo pakeng tsa motho ka mong linthong tse fetileng le ho latelang ho itlopa. Kahoo, re nahana hore ho opa li ka bapala karolo e fapaneng hofe ho e mong le e mong oa batho, ho thusa ho sebetsana le maikutlo, e mong ka ho tepella, le litlamorao tse fapaneng, ho latela tumelo ea motho ka mong. Ho fapana hona ho bonts'a bohlokoa bo khahlisang ba ho itlopa lijo bakeng sa tloaelo ea bongaka.
Bohlokoa ba tleliniki
Ho latela sephetho sa rona, re fana ka tlhahiso ea ho buisana ka liketsahalo tsa ho itlopa lijo tsa PuM mosebetsing oa bongaka le bakuli ba CSB. Ho latela data e hlahisitsoeng thutong ena, boholo ba bakuli ba CSB ba ba le mathata a joalo. Ho khahlisang ke hore, ho fapana le batho ba nang le linako tse khutšoane tsa ts'ebeliso ea litšoantšo tse litšila tse ts'oanang tsa ho ipholla litho, 'me ba na le bothata ba ho tseba menahano, maikutlo le maemo a lebisang ts'ebelisong ea litšoantšo tse litšila tse tsosang takatso, batho ba nang le likotsi tse ngata ba khona ho tseba menahano ea bona le maikutlo a amanang le ona. likoti. Ena e ka ba ankora e ntle bakeng sa kalafo ea kelello le ea boits'oaro. Hape, tlhaiso-leseling ea lintlha tsa tlhahlobo ea nako e telele e bonts'a lilakane tse ngata tsa maikutlo, mokhathala, khatello ea maikutlo le liphetoho tsa matšoenyeho, tse tšehetsang maikutlo a rona a tsoang data e bokelletsoeng nakong ea lipotso.
Karolo e 'ngoe ea bohlokoa ea ho itlopa ke e amanang le ho feto-fetoha ho hoholo ha mesebetsi e ka bang teng. Ho bonahala eka litlolo tse joalo li bapala karolo ea tloaelo ea ho sebetsana le maemo, eseng mosebetsi o fokotsang khatello ea botona le botšehali. Kahoo, tlhahlobo e qaqileng ea likhahla (ho fapana le ho hlahloba likarolo tsohle tsa ts'ebeliso ea litšoantšo tsa bootsoa) e ka fana ka tsela e potlakileng ea ho khetholla libaka tsa bophelo tse hlokang nts'etsopele ea mekhoa e meng, e sebetsang ea ho sebetsana le maemo, eo hape e ka hlokang tlhokomelo e fetang ea kalafo.
Kamora nako, motho o ne a ka botsa hore na PuMe ea mofuta oa binge e lokela ho kenyelletsoa ho mekhoa ea tlhahlobo ea CSB e khothalletsoang ICD-11 e tlangWHO, 2018). Leha ho le joalo, leha thuto ea rona e nyane ea mohlala e bonts'a hore boholo ba batho ba kopanang le ba Kafka (2010) Litekanyetso tsa CSB li ba le litlamorao, ha se bohle ba etsang joalo. Lithuto tse peli ho tse robong (B le C) ha li e-ba le ho hlonama PuM, mme e mong (C) o bile le eona makhetlo a mmaloa feela bophelong ba hae. Ka lebaka lena, re hanana le ho kenyelletsoa ha ho butsoa ka PuM e le sesupo sa CSB, empa hape re nahana hore tlhahlobo e qaqileng ea lets'oao lena e ka ba mohloli oa tlhaiso-leseling ea bohlokoa ho lingaka.
Tlhahlobo e 'ngoe e khahlisang le e loketseng ho tsa bongaka e amana le mokuli B, ea ileng a tlohela ho sebelisa likhoeli tsa 6 (o tlaleha ho kopanela liphate le molekane oa hae letsatsi le leng le le leng), empa leha ho le joalo o ne a batla kalafo bakeng sa CSB, a qotsa ts'ebeliso ea litšoantšo tsa bootsoa e le lona lebaka le ka sehloohong. O boetse a kopana le litekanyetso tsohle tse khothalelitsoeng ho ICD-11, tse bonts'ang hore leha ho le sieo ka nakoana mekhoa e mengata e thata, batho ba bang ba kanna ba tšoaneleha bakeng sa tlhahlobo ea lefu la CSB, kaha ha ho na phoso e hlalosang nako e kholo ho feta ho tloha sehlohlolong sa ho qetela sa CSB. Re nkile qeto ea ho kenyelletsa ntlha ea B tlalehong ena ea lipatlisiso ho bonts'a sampole e felletseng le ho bonts'a hore batho ba bang ba batla kalafo le ho fihlela maemo a tlhahlobo ea mafu le ha ba sena matšoao a hona joale.
sheba mefokolo ea
Re talima thuto ena e le lipatlisiso tsa pele tse ka khothatsang bafuputsi ba bang ho etsa tlhahlobo ea tlhaho le mekhoa ea ho itlopa lijo. E na le meeli e mengata mme liteko tsa ho e pheta li hlile li lokela ho etsoa (re tla thabela ho arolelana mekhoa eohle ea rona le mang kapa mang ea ratang ho e sebelisa). Pele, re ithutile batho ba robong feela mme ke ba supileng feela ba fanang ka lintlha tse felletseng. Taba ea bobeli ke hore batho bana ba ne ba batla kalafo ea CSB ka mafolofolo mme ba robeli ba bona ba kile ba leka kalafo ea CSB, ka hona ba ne ba khothaletse haholo ho fokotsa ts'ebeliso ea bona ea litšoantšo tsa bootsoa. Taba ea boraro, kaofela ha bona ba qalile kalafo nakong ea tlhahlobo ea rona ea matsatsi a 70 ea letsatsi le letsatsi mme ba qetile bonyane linako tse tšeletseng (hangata bekeng). Sena se ka ba le tšusumetso e kholo ea tlhaiso-leseling ea daari e bokelletsoeng, mme re belaela hore e felletse ka palo e nyane haholo ea li-CSB ho feta kamoo re ka bonang ho palo ea batho ba CSB ba neng ba so ka ba tšoaroa. Ho ka fella ka ho ba le temohisiso e phahameng ho feta ho batho ba sa kang ba fumana kalafo.
Liphetoho tse ling li amana le boleng ba data le tlhaiso. Re entse sohle se matleng a rona ho bokella data ea boleng bo holimo nakong ea litekolo tsa diary, empa ho ne ho e-na le likheo tse sa khoneheng ho data (Supplementary Table S2). Re belaela hore ebe liketsahalo tse ngata tsa thobalano li kanna tsa ba li etsahetse ka matsatsi ao ho seng lengolo la ho ngola le neng le entsoe ka teng, mme ho ka etsahala hore ebe ho khutlisa ho amanang le ts'usumetso e fokotsehile ea ho tiisetsa mabapi le lengolo leo. Ha ho na mokhoa oa hore re laole khatiso ena thutong ena. Haeba sena ke 'nete kannete, lintlha tse mabapi le thobalano li hlahisoa. Re kopile bakuli ho kenya moleng o le mong ka letsatsi la ho ngola letsatsi le letsatsi. Qeto e joalo ea nakoana e bonahala e sa lekana ho khetholla kamano ea causal lipakeng tsa lintho tse feto-fetohang, joalo ka moea, ho tšoenyeha, khatello ea maikutlo, jj, ka lehlakoreng le leng, le ho opa ka le leng. Bakeng sa lithuto tsa nako e tlang, re fana ka maikutlo a tlhahlobo ea nakoana ea tikoloho makhetlo a 'maloa ka letsatsi e le mokhoa o betere oa ho khetholla kamano ea Causal le ho qoba likheo tse teng data.
Ka lebaka la meeli e boletsoeng kaholimo (e ka bang tlase ho feta tloaelo ea thobalano e amanang le kalafo le tlhaiso-leseling), molemong oa ho sekaseka lintlha, re hlalositse linako tsa ho itlopa joala ho feta 1 hr ea litšoantšo tsa bootsoa le / kapa 2 kapa ho ipholla litho tsa botona kapa botšehali ka letsatsi. Rea tseba ho tsoa liphuputsong tse ling hore tlhaloso e joalo e ka kopana le thobalano ea batho ba sa fihlelleng litekanyetso tsa CSB (Brand et al., 2016). Kahoo, bakeng sa lithuto tsa kamoso ho baahi ba se nang kalafo le ka mekhoa e tsoetseng pele haholo (ke hore, tlhahlobo ea nakoana ea tikoloho), hammoho le sepheo sa bongaka, re fana ka maikutlo a hore ho itlopa joala ho hlalosoe e le 2+ hr ea litšoantšo tsa bootsoa le / kapa 3+ ho ipholla litho mananeo ka letsatsi. Re khothaletsa hape bafuputsi ho tseba meeli ena lithutong tse matlafatsang.
Menehelo ea bangoli
MWo o kentse letsoho thutong ea ho ithuta le mekhoa, ho hira lithuto, ho etsa lipuisano, ho sekaseka data le ho toloka, le mongolo o ngotsoeng. MWi e kentse letsoho tlhahlobisong ea datha le ho toloka le tokiso ea letsoho. EK e kentse letsoho kholisong ea lipotso. MS le AŁ li kentse letsoho nts'etsopele ea software ea tlhahlobo ea diaries le tlhahiso ea data pele. MG e boetse e kentse letsoho ho ithuteng le ho ruteng mekhoa, ho toloka data, ho ngola mongolo, ho fumana chelete, le tsamaiso ea thuto.
Khohlano ea thahasello
Bangoli ba tlaleha ho se lumellane ho teng mabapi le litaba tse ngotsoeng ka letsoho.
References
| Brand, M., Snagowski, J., Laier, C., & Maderwald, S. (2016). Ketsahalo ea Ventral striatum ha u shebile litšoantšo tse manyala tse hlephisang boitšoaro e amana le matšoao a ho lemalla litšoantšo tsa bootsoa inthaneteng Nako ea morao-rao, 129, 224-232. etsa:https://doi.org/10.1016/j.neuroimage.2016.01.033 Crossref, Medline, Google Setsebi | |
| Makala, P., Green, B., & Carnes, S. (2010). Ho ts'oana empa ho fapane: Ho shebisisa Teko ea Tlhatlhobo ea Thobalano ea Thobalano (SAST) ho bonts'a boits'oaro le bong. Ho lemalla ho kopanela liphate le ho qobella, 17 (1), 7-30. etsa:https://doi.org/10.1080/10720161003604087 Crossref, Google Setsebi | |
| 'Metli oa mapolanka, B. N., Reid, R. C., Garos, S., & Najavits, L. M. (2013). Boloetse ba botho bo senyeha ho banna ba batlang kalafo ba nang le lefu la hypersexual. Ho lemalla thobalano le ho qobella, 20, 79-90. etsa:https://doi.org/10.1080/10720162.2013.772873 Google Setsebi | |
| Foa, E., Huppert, J., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). Lenane la Obsessive-Compulsive Inventory: Nts'etsopele le netefatso ea mofuta o khuts'oane. Tekolo ea kelello, 14 (4), 485-496. E nkiloe ho http://psycnet.apa.org/journals/pas/14/4/485/ Crossref, Medline, Google Setsebi | |
| Gola, M., Kowalewska, E., Wierzba, M., Wordecha, M., & Marchewka, A. (2015). Polska adaptacja Kwestionariusza Pobudliwości Seksualnej SAI-PL i walidacja w grupie mężczyzn [Sepolishe se ikamahantse le thobalano ea Arousability Inventory SAI-PL le netefatso bakeng sa banna]. Psychiatria, 12 (4), 245-254. Google Setsebi | |
| Gola, M., Lewczuk, K., & Skorko, M. (2016). Taba ea bohlokoa: Boholo kapa boleng ba litšoantšo tse manyala tse hlephisang boitšoaro bo sebelisoa? Lisosa tsa kelello le boits'oaro ba ho batla kalafo bakeng sa ts'ebeliso e nang le bothata ba litšoantšo tsa bootsoa. Tlaleho ea Bongaka ba Thobalano, 13 (5), 815-824. etsa:https://doi.org/10.1016/j.jsxm.2016.02.169 Crossref, Medline, Google Setsebi | |
| Gola, M., Miyakoshi, M., & Sescousse, G. (2015). Ho kopanela liphate, ho se tsotelle le ho tšoenyeha: Ho bapala lipakeng tsa ventral striatum le amygdala reactivity litabeng tsa thobalano. Sengolo sa Neuroscience, 35 (46), 15227-15229. etsa:https://doi.org/10.1523/JNEUROSCI.3273-15.2015 Crossref, Medline, Google Setsebi | |
| Gola, M., & Potenza, M.N (2016). Phekolo ea Paroxetine ea litšoantšo tse manyala tse hlephisang boitšoaro e sebelisa: Letoto la linyeoe. Leqephe la Lithethefatsi tsa Boitšoaro, 5 (3), 529-532. etsa:https://doi.org/10.1556/2006.5.2016.046 Link, Google Setsebi | |
| Gola, M., & Potenza, M.N (2018). Bopaki ba pudding bo ho latsoa: Lintlha lia hlokahala ho leka mefuta le likhopolo-taba tse amanang le boits'oaro bo hlephileng ba thobalano. Litlaleho tsa Boitšoaro ba Thobalano. Pele ho phatlalatso ea inthanete. 1-3. etsa:https://doi.org/10.1007/s10508-018-1167-x. Medline, Google Setsebi | |
| Gola, M., & Potenza, M. N. (ho tobetsa). Bothata ba boitšoaro bo hlephileng ba ho kopanela liphate ho ICD-11- ho khothaletsa boithuto, tlhophiso, kalafo le maano a leano. Journal ea Lithethefatsi Tsa Boitšoaro. Google Setsebi | |
| Gola, M., Skorko, M., Kowalewska, E., Kołodziej, A., Sikora, M., Wodyk, M., Wodyk, Z., & Dobrowolski, P. (2017). Teko ea Tlhatlhobo ea Thobalano ea Thobalano – polska adaptacja. [Phetoho ea Poland ea Teko ea Tlhatlhobo ea Thobalano ea Thobalano]. Psychiatria Polska, 51 (1), 95-115. etsa:https://doi.org/10.12740/PP/OnlineFirst/61414 Crossref, Medline, Google Setsebi | |
| Gola, M., Wordecha, M., Marchewka, A., & Sescousse, G. (2016). Tšusumetso ea thobalano kapa moputso? Pono ea ho toloka se fumanoeng ke litšoantšo tsa boko ka boits'oaro ba batho ba thobalano. Meeli ea Neuroscience ea Batho, 10, 402. doi:https://doi.org/10.3389/fnhum.2016.00402 Crossref, Medline, Google Setsebi | |
| Gola, M., Wordecha, M., Sescousse, G., Lew-Starowicz, M., Kossowski, B., Wypych, M., Makeig, S., Potenza, M.N, & Marchewka, A. (2017). Na litšoantšo tse manyala tse hlephisang boitšoaro li ka lemalla? Phuputso ea fMRI ea banna ba batlang kalafo bakeng sa ts'ebeliso e nang le bothata ba litšoantšo tsa bootsoa. Neuropsychopharmacology, 42 (10), 2021-2031. etsa:https://doi.org/10.1038/npp.2017.78. Crossref, Medline, Google Setsebi | |
| Kafka, M. P. (2010). Boloetse ba Hypersexual: Tlhatlhobo e reriloeng bakeng sa DSM-V. Litlaleho tsa Boitšoaro ba Thobalano, 39 (2), 377-400. etsa:https://doi.org/10.1007/s10508-009-9574-7 Crossref, Medline, Google Setsebi | |
| Kashdan, T. B., Adams, L. M., Molemi, A. S., Ferssizidis, P., McKnight, P. E., & Nezlek, J. B. (2013). Pholiso ea thobalano: Patlisiso ea letsatsi le letsatsi ea melemo ea thobalano e haufi le e khahlisang ho batho ba baholo ba tšoenyehileng sechabeng. Litlaleho tsa Boitšoaro ba Thobalano, 43 (7), 1417-1429. etsa:https://doi.org/10.1007/s10508-013-0171-4 Crossref, Medline, Google Setsebi | |
| Kirby, K. N., & Maraković, N. N. (1996). Ho putsoa ha litheko ho ka etsahalang: Litefiso lia fokotseha ha bongata bo ntse bo eketseha. Bulletin le Tlhatlhobo ea Psychonomic, 3 (1), 100-104. etsa:https://doi.org/10.3758/BF03210748 Crossref, Medline, Google Setsebi | |
| Klucken, T., Wehrum-Osinsky, S., Schweckendiek, J., Kruse, O., & Stark, R. (2016). Boemo bo fetotsoeng ba takatso ea maikutlo le khokahano ea methapo ea kutlo litabeng tse nang le boitšoaro bo hlephileng ba thobalano Tlaleho ea Bongaka ba Thobalano, 13 (4), 627-636. etsa:https://doi.org/10.1016/j.jsxm.2016.01.013 Crossref, Medline, Google Setsebi | |
| Kor, A., Fogel, Y. A., Reid, R. C., & Potenza, M. N. (2013). Na lefu la hypersexual le lokela ho khetholloa e le tahi? Ho lemalla thobalano le ho qobella, 20 (1-2), 27-47. etsa:https://doi.org/10.1080/10720162.2013.768132 Google Setsebi | |
| Kraus, S. W., Gola, M., Kowalewska, E., Lew-Starowicz, M., Hoff, R. A., Porter, E., & Potenza, M.N (2017). Setšoantšo se khuts'oane sa ho sheba litšoantšo tse manyala tse hlephisang boitšoaro: Papiso ea basebelisi ba litšoantšo tsa bootsoa ba Amerika le ba Poland. Leqephe la Lithethefatsi tsa Boitšoaro, 6 (S1), 27-28. Google Setsebi | |
| Kraus, SW, Krueger, RB, Briken, P., Pele, MB, Stein, DJ, Kaplan, MS, Voon, V., Abdo, CH, Grant, JE, Atalla, E., & Reed, GM (2018) . Bothata ba boitšoaro bo hlephileng ba ho kopanela liphate ho ICD-11. Psychiatry ea Lefatše, 17 (1), 109-110. etsa:https://doi.org/10.1002/wps.20499 Crossref, Medline, Google Setsebi | |
| Kraus, S. W., Voon, V., & Potenza, M.N (2016a). Neurobiology ea boitšoaro bo qobelloang ba thobalano: Saense e hlahang. Neuropsychopharmacology, 41 (1), 385-386. etsa:https://doi.org/10.1038/npp.2015.300 Crossref, Medline, Google Setsebi | |
| Kraus, S. W., Voon, V., & Potenza, M.N (2016b). Na boitšoaro bo hlephileng ba thobalano bo lokela ho nkuoa e le bokhoba? Bokhoba, 111 (12), 2097-2106. etsa:https://doi.org/10.1111/add.13297 Crossref, Medline, Google Setsebi | |
| Lewczuk, K., Szmyd, J., Skorko, M., & Gola, M. (2017). Kalafo e batlang bothata ba tšebeliso ea litšoantšo tsa bootsoa har'a basali. Leqephe la Litlhare tsa Boitšoaro, 6 (4), 445-456. etsa:https://doi.org/10.1556/2006.6.2017.063 Link, Google Setsebi | |
| Ley, D., Prause, N., & Finn, P. (2014). Moemphera ha a na liaparo: Tlhahlobo ea mofuta oa 'ho lemalla litšoantšo tsa bootsoa'. Litlaleho tsa hajoale tsa bophelo bo botle ba thobalano, 6 (2), 94-105. etsa:https://doi.org/10.1007/s11930-014-0016-8 Crossref, Google Setsebi | |
| Potenza, M.N, Gola, M., Voon, V., Kor, A., & Kraus, S. W. (2017). Na boitšoaro bo feteletseng ba thobalano ke lefu le lemalloang? Lancet Psychiatry, 4 (9), 663-664. etsa:https://doi.org/10.1016/S2215-0366(17)30316-4 Crossref, Medline, Google Setsebi | |
| Prause, N., Janssen, E., Georgiadis, J., Finn, P., & Pfaus, J. (2017). Lintlha ha li tšehetse thobalano e le ho lemalla. Lancet Psychiatry, 4 (12), 899.https://doi.org/10.1016/S2215-0366(17)30441-8 Crossref, Medline, Google Setsebi | |
| Reid, R. C., Garos, S., & Carpenter, B. N. (2011). Ho tšepahala, ho nepahala, le nts'etsopele ea psychometric ea Hypersexual Behaeve Inventory ho sampuli ea bakuli ba kantle. Ho lemalla thobalano le ho qobella, 18 (1), 30-51. etsa:https://doi.org/10.1080/10720162.2011.555709 Crossref, Google Setsebi | |
| Reid, R. C., Li, D. S., Gilliland, R., Stein, J. A., & Fong, T. (2011). Ho tšepahala, ho nepahala, le nts'etsopele ea psychometric ea Litšoantšo tsa Litšoantšo Tsa Litšoantšo Tsa Bootsoa ka mohlala oa banna ba hypersexual. Tlaleho ea Phekolo ea thobalano le ea lenyalo, 37 (5), 359-385. etsa:https://doi.org/10.1080/0092623X.2011.607047 Crossref, Medline, Google Setsebi | |
| Reid, R. C., Stein, J. A., & Carpenter, B. N. (2011). Ho utloisisa likarolo tsa lihlong le neuroticism ho sampole ea mokuli ea banna ba hypersexual. Leqephe la Boloetse ba Matšoenyeho le Kelello, 199 (4), 263-267. etsa:https://doi.org/10.1097/NMD.0b013e3182125b96 Crossref, Medline, Google Setsebi | |
| Reid, R. C., Temko, J., Moghaddam, J. F., & Fong, T. W. (2014). Ho hlajoa ke lihlong, ho ruruha le kutloelo-bohloko ho banna ba lekiloeng bakeng sa lefu la hypersexual. Tlaleho ea Tloaelo ea Psychiatric, 20 (4), 260-268. etsa:https://doi.org/10.1097/01.pra.0000452562.98286.c5 Crossref, Medline, Google Setsebi | |
| Rolland, B., & Naassila, M. (2017). Ho itlopa joala: Litaba tsa hajoale tsa tlhahlobo le kalafo. Lithethefatsi tsa CNS, 31 (3), 181-186. etsa:https://doi.org/10.1007/s40263-017-0413-4 Crossref, Medline, Google Setsebi | |
| Sescousse, G., Caldú, X., Segura, B., & Dreher, J.-C. (2013). Ts'ebetso ea meputso ea mantlha le ea bobeli: Tlhatlhobo ea meta e ngata le tlhahlobo ea lithuto tsa batho tse sebetsang ka neuroimaging. Litlhahlobo tsa Neuroscience le Biobehaisheral, 37 (4), 681-696. etsa:https://doi.org/10.1016/j.neubiorev.2013.02.002 Crossref, Medline, Google Setsebi | |
| Stein, D. J. (2002). Boloetse bo feteletseng bo qobelloang. Lancet, 360 (9330), 397-405. etsa:https://doi.org/10.1016/S0140-6736(02)09620-4 Crossref, Medline, Google Setsebi | |
| Stein, D. J., Mnyama, D. W., Shapira, N. A., & Spitzer, R. L. (2001). Boloetse ba Hypersexual le ho ameha haholo ka litšoantšo tse manyala tse hlephisang boitšoaro tsa inthanete. Journal ea Amerika ea Psychiatry, 158 (10), 1590-1594. etsa:https://doi.org/10.1176/appi.ajp.158.10.1590 Crossref, Medline, Google Setsebi | |
| Sosnowski, T., & Wrześniewski, K. (1983). Polska adaptacja inwentarza STAI do badania stanu i cechy lęku [Poland ikamahanya le STAI Inventory bakeng sa tlhahlobo ea naha le litšoenyeho]. Przegląd Psychologiczny, 26, 393-412. Google Setsebi | |
| Volkow, N. D., Wang, G.-J., Fowler, J. S., Tomasi, D., Telang, F., & Baler, R. (2010). Tlhekefetso: Ho fokotsa kutloisiso ea moputso le ho eketseha ha tebello ea maikutlo ho rera ho sithabetsa potoloho ea taolo ea boko. Litlhahlobo, 32 (9), 748-755. etsa:https://doi.org/10.1002/bies.201000042 Crossref, Medline, Google Setsebi | |
| Voon, V., Mole, TB, Banca, P., Porter, L., Morris, L., Mitchell, S., Lapa, TR, Karr, J., Harrison, NA, Potenza, MN, & Irvine, M (2014). Li-Neural correlates tsa thobalano e etsahalang ho batho ba nang le boits'oaro bo bobe ba thobalano. PLoS One, 9 (7), e102419. etsa:https://doi.org/10.1371/journal.pone.0102419 Crossref, Medline, Google Setsebi | |
| Mokhatlo oa Lefatše oa Bophelo [WHO]. (2018). Sehlopha sa ICD-11 sa mathata a kelello le a boitšoaro: Litlhaloso tsa bongaka le tataiso ea tlhahlobo. E khutlisoa ho https://icd.who.int/dev11/l-m/en#/http://id.who.int/icd/entity/1630268048 Google Setsebi | |
| Zigmond, A. S., & Snaith, R. P. (1983). Matšoenyeho a Sepetlele le khatello ea maikutlo. Acta Psychiatrica Scandinavica, 67 (6), 361-370. etsa:https://doi.org/10.1111/j.1600-0447.1983.tb09716.x Crossref, Medline, Google Setsebi |
;
