Bopaki ba Pudding boa latsoa: Litaba li Hlokahala ho Lekola Mekhoa le Litlhahiso Tse Amanang le Likhatello tsa Likamano Tsa Botona le Botšehali (2018)

Lengolo le eang ho Mohlophisi

Gola, Mateusz, le Marc N. Potenza.

Litlaleho tsa Boits'oaro ba Botona le Botšehali: 1-3.

Walton, Cantor, Bhullar, le Lykins (2017) haufinyane tjena e shebile boemo ba tsebo ho hypersexourse e nang le mathata 'me e hlahisitse mohlala oa maikutlo a boitšoaro bo hatelletseng ba thobalano (CSBs). Ehlile, lipatlisiso tsa bona tsa lingoliloeng li felisitsoe ka September 2015 mme tsoelo-pele e ngata e se e entsoe ho tloha ka nako eo. Habohlokoa, le ha mefuta e mengata ea theoretical le hypotheses li 'nile tsa fetisetsoa ka nako mabapi le CSB le boits'oaro bo amanang le eona, mehlala e mengata le litemana tse ngata li ntse li emetse tlhahlobo e hlophisitsoeng e matla. Leha ho le joalo, liphuputso tsa morao tjena li khothalelitse mehato ea nako e tlang ea ho etsa lipatlisiso ho hlahloba mehlala le litlatsetso tse reriloeng. Lengolong lena, re shebisisa tse ling tsa lipotso tse hlahisitsoeng ke Walton et al. e ipapisitse le liphumano tsa moraorao mme e bonts'a lipotso tsa bohlokoa tse sa arajoeng tse netefatsang ho nahanisisoa hoa lipatlisiso ho khothaletsa tsoelo-pele e hlakileng.

Lipotso tse sa arajoang

Ho ata ha CSB ke eng?

Walton et al., Joalo ka bangoli ba bang (Carnes, 1991), e re ho ata ha CSB ho pakeng tsa 2 le 6% ea kakaretso ea batho ba baholo. Ka bomalimabe, litlhaloso mabapi le se hlahisang CSB li lula li ngangisana, li thathamisa likhakanyo tse hlakileng tsa ho ata ha CSB. Boemo bo tšoanang bo bile teng bakeng sa bothateng ba lipapali tsa inthanete (IGD) moo ho hakanngoang keketseho e pharalletseng haholo pele ho kenyelletsoa ha litekanyetso tsa semmuso tse reriloeng khatisong ea bohlano Buka ea ho hlahloba le ea Statistical ea Mathata a kelello (DSM-5; APA, 2013; Petry le O'Brien, 2013). Ntle le moo, ha ho na data ea boemeli ba naha ho fihlela joale e phatlalalitsoeng ho fana ka likhakanyo tsa CSB, ya data e teng ka tloaelo e itšetlehileng ka disampole tse bonolo (Odlaug et al., 2013). Ho bohlokoa haholo ho bokella lintlha ho tsoa mehlaleng ea baemeli e le ho utloisisa palo (le tšusumetso e ntle) ea CSB ho bongata ka kakaretso, le hore na e ka fapana joang lipakeng tsa libaka le lihlopha tse fapaneng (mohlala, mabapi le lilemo, bong, setso ). Tlhahisoleseling e joalo e ka re thusa ho utloisisa hore na lintlha tse ikhethang (mohlala, ho fihlella litšoantšo tsa bootsoa, ​​litloaelo tsa moetlo kapa litumelo, litumelo tsa bolumeli) li ka amana joang le mefuta kapa mekhoa e meng ea CSB.

Potso e amanang le eona e kenyelletsa phapang e ka bang teng lipakeng tsa baahi ba kliniki le ba subclinical. Mohlala o mong o ka amana le puisano ea Walton et al. Ea karolo ea borapeli ho CSB. Lithuto tse peli (Grubbs, Exline, Pargament, Hook, & Carlisle, 2015a; Grubbs, Volk, Exline, & Pargament, 2015b) fana ka ts'ehetso ea hore tumelo le ho se lumellane le ts'ebeliso ea litšoantšo tse litšila tse tsosang takatso li ka tlatsetsa boitekong ba ho lemalla bokhoba ba porno. Ka lehlakoreng le leng, Reid, Carpenter, le Hook (2016) e fumane hore bolumeli bo ne bo sa amanngoe le boits'oaro bo itlalehileng ba hypersexourse. Tlhaloso e ka bang teng bakeng sa ho bonahala e le liphapang e ka kenyeletsa likarolo tsa mokhoa (mohlala, tse amanang le kamoo CSB e hlalosoang le ho hlahlojoa), phapang lipapaling tse ithutoang, kapa lintlha tse ling. Mabapi le lithuto tsa baahi, Grubbs et al. tsepamisitse maikutlo ho batho bao e seng ba bongaka (ba sa batleng kalafo) ha Reid et al. tekolo ea tlhahlobo ea lithuto tse amanang le lefu la hypersexual (Kafka, 2010). Thutong ea rona ea haufinyane (Gola, Lewczuk, & Skorko, 2016a), re ile ra hlahloba hore na tumelo e ka kenya letsoho ka tsela e fapaneng lithutong tsena tse peli tsa Poland. Re sebelisa mohlala oa equation, re ile ra hlahloba likamano lipakeng tsa boholo ba tšebeliso ea litšoantšo tsa bootsoa, ​​litekanyetso tse mpe tsa bophelo bo botle ba tšebeliso ea litšoantšo tsa bootsoa, ​​tumelo le maemo a batlang kalafo bakeng sa CSB. Re ile ra bokella lintlha ho tsoa ho banna ba 132 ba batlang kalafo bakeng sa tšebeliso e mpe ea litšoantšo tsa bootsoa, ​​ba fetisitsoeng ke litsebi tsa mafu a kelello (le litekanyetso tsa kopano ea HD), le banna ba 437 ba sebelisang litšoantšo tsa bootsoa khafetsa empa ba sa batle kalafo. Re fumane hore bolumeli bo ne bo amahanngoa le matšoao a fosahetseng a ts'ebeliso ea litšoantšo tsa bootsoa ho banna ba sa batleng kalafo empa eseng ho banna ba batlang kalafo. Hape re hlokometse hore le ha tšebeliso ea litšoantšo tse litšila tse tsosang takatso e sa ka ea bolela esale pele boemo ba ho batla kalafo, ho ba le matšoao a mabe a amanang le litšoantšo tsa bootsoa ho ile ha etsa joalo. Liphumano tsena li ile tsa bonoa ntle le litekanyetso tse tšoanang tsa tumelo pakeng tsa batho ba batlang kalafo le ba sa batleng kalafo (Gola et al., 2016a). Ho feta moo, liphetho li ka fapana bakeng sa basali, joalo ka ha re sa tsoa bona hore tumelo le bongata ba litšoantšo tse manyala tse hlephisang boitšoaro li sebelisoa tse amanang le ho batla kalafo ea CSB har'a basali (Lewczuk, Szmyd, Skorko, & Gola, 2017). Liphumano tsena li totobatsa bohlokoa ba ho ithuta lihlooho tsa CSB ka mokhoa o nang le tsebo ea bong ka lintlha tse ling tse atolositsoeng ho batho ba khehileng le ba bong bo fapaneng, bosodoma, bisexual, polyamorous, le lihlopha tse ling.

Ho hlokahala lintlha life ho tsebisa conceptualizations ea CSB?

Joalokaha ho hlalositsoe libakeng tse ling (Kraus, Voon, & Potenza, 2016a), ho na le palo e ntseng e eketseha ea lingoliloeng ho CSB, e fihletseng ho feta 11,400 ka 2015. Leha ho le joalo, lipotso tsa mantlha mabapi le mohopolo oa CSB li lula li sa arajoa (Potenza, Gola, Voon, Kor, & Kraus, 2017). E ka ba hoa bohlokoa ho hlahloba hore na DSM le Kemiso ea Machaba ea Maloetse (ICD) e sebetsa mabapi le litlhaloso le lits'ebetso tsa tlhahlobo. Ka ho etsa joalo, re nahana hore ho bohlokoa ho shebana le bothata ba ho becha (hape bo tsejoang ka hore ke papali ea papali ea chelete) le hore na ho ne ho nkuoe joang ho DSM-IV le DSM-5 (hammoho le ho ICD-10 le ICD-11). Ho DSM-IV, papali ea papali ea methapo ea methapo e ile ea aroloa e le "Phokotso ea Taolo ea Ts'usumetso e sa Ts'oaneng Hantle." Ho DSM-5, e ile ea hlophisoa bocha e le "Disistance e Amanang le Diritibatsi." Taba ea phetisetso ena e ne e ipapisitse le tlhaiso-leseling e teng. e ts'ehetsa ho ts'oana ho libaka tse ngata, ho kenyelletsa phenomenological, kliniki, liphatsa tsa lefutso, neurobiological, kalafo, le setso (Petry, 2006; Potenza, 2006), hammoho le phapang lipapaling tsena mabapi le mehlala ea tlholisano joaloka sehlopha sa bohlophisi (Potenza, 2009). Mokhoa o ts'oanang o lokela ho sebelisoa ho CSB, eo hajoale ho ntseng ho nahanoa ho kenyelletsoa e le bothata ba taolo ea tšusumetso ho ICD-11 (Grant et al., 2014;; Kraus et al., 2018). Leha ho le joalo, ho na le lipotso mabapi le hore na CSB e batla e tšoana le mathata a ho lemalla ho feta mathata a mang a taolo ea tšusumetso (ho phatloha ho phatloha ho hongata, kleptomania, le pyromania) e khothalletsoang ICD-11 (Potenza et al., 2017).

Har'a libaka tse ka 'nang tsa fana ka maikutlo a ho tšoana pakeng tsa CSB le mathata a ho lemalla ke lithuto tsa mahlaseli, ka lipatlisiso tse' maloa tsa morao-rao tse sa lumelloeng ke Walton et al. (2017). Liphuputso tsa mantlha li ne li hlahloba CSB mabapi le mefuta ea bokhoba ba tahi (e hlahlojoang Gola, Wordecha, Marchewka, & Sescousse, 2016b; Kraus, Voon, & Potenza, 2016b). Moetso o hlahelletseng-khopolo ea khothatso ea botsitso (Robinson & Berridge, 1993) -E bolela hore ho batho ba nang le lithethefatsi, maikutlo a amanang le lintho tse mpe tsa tlhekefetso a ka ba le litekanyetso tse matla tsa khothatso mme a tsosa takatso. Liketso tse joalo li kanna tsa amana le ts'ebetso ea libaka tsa boko tse amehang ho sebetsaneng le moputso, ho kenyeletsoa le ventral striatum. Mesebetsi e lekolang ho ts'oaroa ha cue le ts'ebetso ea meputso e ka fetoloa ho batlisisa lintlha tse ikhethang (mohlala, chelete khahlanong le maikutlo) ho lihlopha tse itseng (Sescousse, Barbalat, Domenech, & Dreher, 2013), 'me re sa tsoa sebelisa kopo ena ho ithuta sampula ea bongaka (Gola et al., 2017). Re fumane hore batho ba batlang phekolo ea litšoantšo tse manyala tse hlephisang boitšoaro ba sebelisa le ho ipholla litho tsa botona kapa botšehali, ha ba bapisoa le lilemong tsa bona (ka lilemo, tekano, chelete, bolumeli, bongata ba ho kopanela liphate le balekane ba bona, ho tsosoa ha thobalano) lihlooho tsa ho laola bophelo bo botle, meputso, empa eseng bakeng sa meputso e amanang le eseng bakeng sa lichelete tsa chelete le meputso. Mokhoa ona oa ho reactivity o lumellana le khopolo-taba e ts'oanelang maikutlo le ho fana ka maikutlo a hore karolo e ka sehloohong ea CSB e ka kenyelletsa maqheka a ho ts'oara kapa ho lakatsa ho bakoang ke maqheka a qalang a sa nke lehlakore a amanang le thobalano le tšusumetso ea thobalano. Lintlha tse ling li fana ka maikutlo a hore li-circuits tse ling tsa boko li ka ameha ho CSB, 'me tsena li ka kenyeletsa li-anterior cingulate, hippocampus le amygdala (Banca et al., 2016; Klucken, Wehrum-Osinsky, Schweckendiek, Kruse, & Stark, 2016;; Voon et al., 2014). Har'a tsena, re nahanne hore potoloho e atolositsoeng ea amygdala e amanang le ts'ebetso e phahameng ea ts'ebeliso ea lits'oso le matšoenyeho e ka sebetsa haholo litabeng tsa bongaka (Gola, Miyakoshi, & Sescousse, 2015; Gola le Potenza, 2016) ho itšetlehile ka tlhaloso ea hore batho ba bang ba CSB ba na le matšoenyeho a phahameng (Gola et al., 2017) 'Me matšoao a CSB a ka fokotsoa hammoho le phokotso ea meriana ea matšoenyeho (Gola & Potenza, 2016). Leha ho le joalo, lithuto tsena hajoale li kenyelletsa sampole e nyane mme lipatlisiso tse eketsehileng lia hlokahala.

fihlela qeto e

Ka kakaretso, re hlakisa bohlokoa ba netefatso ea matla a mefuta ea CSB. Consensus e ea hlokahala mabapi le litlhaloso tsa CSBs le CSB disc. Haeba bofokoli ba CSB bo kenyelletsoe ho ICD-11 joalo ka ha ho reriloe hona joale, sena se ka fana ka motheo oa lipatlisiso tse hlophisitsoeng libakeng tse ngata. Ho etselitsoe hantle le ho khanna lithuto tsa mahlale tse telele tsa mahlale tsa CSB le lihlopha tseo e seng tsa CSB, ho kenyelletsa le lipatlisiso tse lumellang tekanyo ea ts'ebetso ea boko nakong ea thobalano ea nnete, e kanna ea re ruta haholo. Re lumela hore tlhahisoleseling e joalo e ka sebelisoa ho leka le ho ntlafatsa mefuta e teng le ho lumella mefuta ea mecha ea theory e ntlafalitsoeng ka mokhoa o tsamaisoang ke data.

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