Ho batlisisa ho hlaka ho metsi a nang le seretse: ho nahanisisa nakong e tlang bakeng sa ho khetholla boitšoaro bo bobe ba ho kopanela liphate e le ho lemalla (2016)

lemalla ntho e. 2016 Dec; 111 (12): 2113-2114. doi: 10.1111 / add.13499. Epub 2016 Jul 28.

Kraus SW1, Voon V2, Kor A3, Potenza MN4,5.

1VISN 1 MIRECC e ncha ea Engelane, Sepetlele sa Edith Nourse Rogers Memorial Veterans, Massachusetts, USA.

2Lefapha la Psychiatry, Univesithi ea Cambridge, Cambridge, UK.

3Lefapha la Psychology, Koleji ea Tichere, Univesithi ea Columbia, New York, USA.

4Lefapha la Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.

5Lefapha la Neurobiology, Setsi sa Thupelo ea Bana, Setsi sa Naha sa lemalla ntho e le Tlhekefetso ea Lithethefatsi le Setsi sa bophelo bo botle ba kelello sa Yuniti, Sekolo sa Bongaka sa Yale University, New Haven, Connecticut, USA.

PMID: 27470127

DOI: 10.1111 / eketsa.13499

Phehisano ea hore na ho khetholloe boits'oaro bo matla ba thobalano e le temallo e ntse e tsoela pele ho hlaha. Patlisiso e eketsehileng ea hlokahala ho hlakisa polelo le mekhoa ea tlhahlobo e sebelisetsoang merero ea sehlopha. Teko ea tlhahlobo ea data le li-comorbidities tse ling li hlokahala ho ntšetsa pele leano, thibelo, tlhahlobo le liteko tsa kalafo.

Haufinyane re shebile bopaki ba ho khetholla boitšoaro bo qobelloang ba thobalano (CSB) jwaloka lekhoba la tlhekefetso leo e seng la tlholeho [1]. Tlhahlobo ea rona e fumane hore CSB e arolelana likarolo tsa kliniki, tsa neurobiological le phenomenological le mathata a ts'ebeliso ea lithethefatsi; leha ho le joalo, re ile ra fihlela qeto ea hore lipatlisiso tse ling lia hlokahala bakeng sa ho sebetsana le mefokolo ea hona joale.

Bahlahlobi ba arabelang ba totobatsa litaba tsa bohlokoa mabapi le boiteko ba ho khetholla ho kenyelletsa ho haella ha tlhaloso ea tumellano bakeng sa CSB le ho se lumellane ka mekhoa e reriloeng e bohareng ba ho hlalosa CSB [2]. Patlisiso e eketsehileng e lokela ho hlahloba hore na ke lintlha life tse khothalelitsoeng - hore na li amana haufi le tlhekefetso ea thobalano [3] kapa khatello ea maikutlo [4] - bontša ka nepo CSB maemong a kliniki. Leha mekhahlelo e 'meli ea tlhahlobo e ka khetholla lipakeng tsa bokhoba ba tahi le ho khanna ho fetelletseng, litekanyetso li aulutsana le khatello ea maikutlo le maikutlo a mabe ha lisosa li sebetsa ka bobeli [5]. Ho hlokahala lipatlisiso tse ling ho utloisisa haholoanyane ho CSB hore na likarolo tsa mantlha tsa ho lemalla (mohlala, ho mamella, ho khaola) li amana joang le CSB le kalafo ea eona. Matšoenyeho a mang a kenyelletsa ho ntlafatsa mekhoa ea ho etsa lipatlisiso le ho fokotsa likhohlano tse ka fokotsang kakaretso ea lithuto [2]. Leha data e fana ka maikutlo a hore litlatsetso tse ling tsa boitsoaro li kopane le mathata a mang a kelello [6, 7], lipatlisiso tse eketsehileng lia hlokahala ho tseba ho ata ha mathata a hlahang le CSB [8]. Litla-morao tsa boitšoaro bo kopanetsoeng le CSB li lokela ho tsotelloa, haholo-holo haeba boitšoaro bo kopane (mohlala, ho etela libaka tsa boikoetliso ho ea etsa thobalano le ho becha). Ho ea pele, lipatlisiso tse eketsehileng lia hlokahala ho utloisisa hamolemo ho ata ha CSB har'a bongata ka kakaretso.

Lintlha tse ling li ile tsa phahamisoa mabapi le puo e sebelisitsoeng ho hlalosa CSB, ka poleloana ea 'kotsi' kapa 'e feteletseng' e ka ba e khelosa. Thobalano e fetelletseng ”e kanna ea se be bothata [8]. Ho fapana le moo, boitšoaro ba thobalano bo lebisang ho senyeha hoa ts'ebetso kapa khatello ea kelello bo ka supa matšoao a bohlokoa a CSB. Ho sebelisa mokhoa o nang le sepheo haholoanyane ho theha moralo oa tlhahlobo ea CSB ho ka khothaletsa tsoelo-pele. Matšoao a sepheo a khatello ea maikutlo (mohlala, ho leka khafetsa ho tlohela, ho lakatsa, joalo-joalo) ho fapana le khafetsa ea boitšoaro ba thobalano e lokela ho ba ntho e shebaneng le eona [9], haholoholo khafetsa ha boits'oaro ba thobalano e kanna ea se ke ea ba polelo e matla ea CSB [10].

Kameho ea metheo ea boitšoaro ba thobalano e oelang ka ntle ho litekanyetso kapa lits'ebetso le ts'ebetso ea boitšoaro ba thobalano le litekanyetso tsa sechaba ka nako le tsona li ile tsa tšohloa. [11]. Haholo, liphetoho ts'ebelisong ea mahlale a dijithale li fetotse boitšoaro ba thobalano, haholoholo ho bacha le batho ba baholo. Litšoantšo tsa bootsoa tsa inthanete lia atleha, libaka tsa marang-rang tse amanang le ho itlosa bolutu ka tsa thobalano li ratoa haholo, 'me mecha ea litaba e ka sebetsa e le mokhoa o ts'oanang oa thobalano ho batho ba bangata. Lintlafatso tsena li tsamaea le lipotso tse ngata tse sa arajoeng [12]. Patlisiso ea nako e telele ea bokamoso e ea hlokahala ho hlahloba hore na theknoloji ea dijithale e amana joang le nts'etsopele le tlhokomelo ea CSB ka nako eohle ea bophelo.

Le ha American Psychiatric Association e hanne hypersexual disorder [4] ho tsoa ho DSM-5, tlhahlobo ea CSB (drive e feteletseng ea thobalano) e ka etsoa ho sebelisoa ICD-10 [13]. CSB e ntse e hlahlojoa hape ke ICD-11 [14], leha ho kenyelletsoa ho kenyelletsoa ha eona ho qetela. Patlisiso ea nako e tlang e lokela ho tsoelapele ho aha tsebo le ho matlafatsa moralo oa kutloisiso e ntlafalitsoeng ea CSB le ho fetolela tlhahisoleseling ena ho leano le ntlafalitsoeng, thibelo, tlhahlobo le liteko tsa kalafo ho fokotsa litšusumetso tse mpe tsa CSB.

Mehloli ea lichelete

Boithuto bona bo tšehelitsoe ke tšehetso e tsoang ho Lefapha la Litaba tsa Bareri, VISN 1 Mental Illness Research Education le Setsi sa Tleliniki, Setsi sa Naha sa Papali e Ikarabellang, le Setsi sa Naha sa Tlhekefetso le Tlhekefetso ea Litlhare. SWK ke mosebeletsi oa nako eohle oa Lefapha la Litaba tsa Veterans. Litaba tsa buka ena e ngotsoeng ka letsoho ha li hlahise maikutlo a li-agency tsa lichelete mme li bontša maikutlo a bangoli.

Tlhaloso ea lithahasello

Bangoli ha ba tlalehe litaba tsa litaba tse amanang le litaba tse ngotsoeng ka letsoho. Ngaka Potenza o buisane le ho eletsa Ironwood, Lundbeck, INSYS, Shire, RiverMend Health le Opiant / Lakelight Therapuetics; o amohetse tšehetso ea lipatlisiso ho tsoa Mohegan Sun Casino, Setsi sa Naha sa Lipapali Tse Ikarabellang, le Pfizer; o nkile karolo lipatlisisong, liposong tsa mangolo kapa lipuisanong tsa mehala tse amanang le tšebeliso ea lithethefatsi, mathata a taolo ea tšusumetso kapa litaba tse ling tsa bophelo bo botle; e buisane le mekhatlo ea papali ea chelete le litaba tsa molao mabapi le litaba tse amanang le taolo ea tšusumetso le likhathatso; e fana ka tlhokomelo ea bongaka Lefapheng la Connecticut la Bophelo bo Botle ba kelello le lits'ebeletso tsa tlhekefetso ea mathata a boloi; e entse tlhahlobo ea lithuso bakeng sa Setsi sa Naha sa Bophelo le mekhatlo e meng; o hlophisitse limakasine kapa likarolo tsa khatiso; e fane ka lipuo tsa thuto lithutong tse ntle, liketsahalong tsa CME le libakeng tse ling tsa bongaka kapa tsa saense; mme e hlahisitse libuka kapa likhaolo tsa buka bakeng sa baphatlalatsi ba mangolo a bophelo bo botle ba kelello

References

1 Kraus SW, Voon V., Potenza MN Na boitšoaro bo qobelloang ba thobalano bo ka nkuoa e le lemallo? Tlatsetso 2016; DoI: 10.1111 / eketsa.13297.

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2 Reid RC Mathata a mang le mathata a ho beha boits'oaro bo matla ba thobalano e le tlhekefetso. Tlatsetso 2016; DoI: 10.1111 / eketsa.13370.

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3 Carnes PJ, Hopkins TA, Tlhaho ea Tlhaho ea Green ea Clinical ea litekanyetso tsa tlhahlobo ea thobalano e amanang le thobalano: kamano e mabapi le Tlhahlobo ea Tlhabollo ea Thobalano ea Thobalano. J Addict Med 2014; 8: 450-61.

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4 Kafka MP Hypersexual Disorder: Tlhahlobo e Khethiloeng ea DSM-V. Arch Sex Behav 2010; 39: 377–400.

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5 Koob GF Neurobiology ea ho lemalla. FOCUS: Sengoloa sa Buka ea ho Ithuta Bophelong Bohle ba Psychology 2011; 9: 55-65.

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6 Farre JM, Fernandez-Aranda F., Granero R., Aragay N., Mallorqui-Bague N., Ferrer V. et al. Bokhoba ba botona le botšehali: ho ts'oana le ho se tšoane. Compr Psychiatry 2015; 56: 59-68.

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7 Kraus SW, Potenza MN, Martino S., Grant JE Ho hlahloba likarolo tsa psychometric tsa Yale-Brown Obsessive-Compaleive Scale mohlaleng oa basebelisi ba litšoantšo tsa bootsoa tse qobelloang. Compr Psychiatry 2015; 59: 117–22.

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8 Griffiths MD Boitšoaro bo matla ba thobalano e le tšebeliso ea boitšoaro: tšusumetso ea inthanete le litaba tse ling. Tlatsetso 2016; DoI: 10.1111 / eketsa.13315.

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9 Kraus SW, Martino S., Potenza MN Litšobotsi tsa banna ba ratang ho batla kalafo bakeng sa ts'ebeliso ea litšoantšo tsa bootsoa. J Behav Addic 2016; 5: 169-78.

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10 Gola M., Lewczuk K., Skorko M. Ke lintlha Life: Boholo kapa boleng ba Ts'ebeliso ea Litšoantšo tsa Bootsoa? Lintlha tsa kelello le Boitšoaro ba ho Batla Phekolo Bakeng sa Ts'ebeliso e Mpe ea Litšoantšo tsa Bootsoa. J Thobalano Med 2016; 13: 815–24.

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11 Keane H. Phetoho ea mahlale le mathata a thobalano. Tlatsetso 2016; DoI: 10.1111 / eketsa.13355.

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12 Luscombe B. Litšoantšo tsa bootsoa le tšoso ea Virtual. Nako 2016; 40-47.

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13 Krueger RB Tlhahlobo ea boitšoaro bo amanang le khatello ea maikutlo kapa khatello e matla ea thobalano e ka etsoa ho sebelisoa ICD-10 le DSM-5 leha ho sa amoheloe tlhahlobo ena ke Mokhatlo oa Amerika oa Psychiatric Association. Tlatsetso 2016; DoI: 10.1111 / eketsa.13366.

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References

14 Mokhatlo WH ICD-11 beta moralo (Joint Linearization bakeng sa Lefu la Moralo le Boitšoaro ba Morusu); 2015.