Karolo ea Lits'oants'o tse Mpe tsa Botona le Botšehali har'a Banna ba Thobalanoang ka ho Kopanela Liphate le Banna ba Thobalano (2014)

Arch Ho Ho Behav. 2014 Mots'eanong; 43 (4): 669-683.

E phatlalalitsoe marang-rang 2014 Feb 21. doi: 10.1007 / s10508-014-0261-y

PMCID: PMC4011938

NIHMSID: NIHMS569370

John E. Pachankis,^1,² H. Jonathon Rendina,^2,³ Ana Ventuneac,² Christian Grov,^2,^4,⁵ 'me Jeffrey T. Parsons^2,^3,^5,^6,⁷

inahaneloang

Litšebeliso tse hlakileng mabapi le thobalano li ka bonts'a karolo ea bohlokoa ea ho hlokomela le ho phekola khatello ea maikutlo, empa ha e so hlahisoe ka mehlala e hlakileng ea hypersexourse. Ka hona, re netefalitse kutloisiso e mpe ea thobalano ka thobalano mme ra lekola bokhoni ba eona bo ikhethang ba ho bolela bokhelohi. Puisano e nang le tlhaiso-leseling e nang le sampuli ea sefofane sa 60 sa botona le botšehali se nepahetseng le tlhahlobo ea litsebi tsa lintho li hlahisitse letamo la lintho tsa 17 mabapi le maikutlo a fosahetseng ka thobalano. Mehlala e arohaneng ea 202 e ratanang le ba bong bo tšoanang le ba batona le ba batšehali ba phethetse mehato ea thibelo ea thobalano le maikutlo a pepesahetseng, ho se tsitse, maikutlo a maikutlo, khatello ea maikutlo le matšoenyeho, khatello ea thobalano, Hypersexual Disorder Screening Inventory e khothalletsoang ke Mokhatlo oa American Psychiatric Association's DSM-5 Workgroup mabapi le Mathata a amanang le thobalano le botona le botšehali (2010). Tlhahlobo ea lintlha e netefalitse ho ba teng ha litlatsetso tse tharo: litlhoko tsa thobalano, litšenyehelo tsa thobalano le katleho ea taolo ea thobalano. Liphetho tsa mohlala oa sebopeho li ne li tsamaisana le mohlala oa bosholu ba kelello moo ho neng ho phahamisa tlhokahalo ea thobalano le ho se natefise melemo ea thobalano e boletsoeng esale pele e nyenyefatsa ts'ebetso ea ho laola boitšoaro ba motho ba thobalano, tseo kaofela li boletseng esale pele hore ho na le khatello ea maikutlo. Boemong bo bongata ba ho rarolla lintho ka bongata, ho hlakola melemo ea thobalano e boletsoeng esale pele ka phapang e makatsang ho hypersexuality, le kamora ho fetoha bakeng sa karolo ea karolo ea mantlha ea lipatlisiso tse seng li ntse li le teng ka hypersexuality, AOR = 1.78, 95% CI 1.02, 3.10. Liphetho li bontša ts'ebeliso ea mokhoa o hlokolosi oa kutloisiso e matla ea kutloisiso le bohlokoa ba ho ntlafatsa mekhoa ea kalafo e khothalletsang litekanyetso tse lumellanang mabapi le liphetho tsa thobalano le bokhoni ba motho ba ho laola boitšoaro ba hae ba thobalano.

Keywords: Hypersexourse, likotsi tsa mala, banna ba ratanang le ba bong bo fapaneng, bophelo bo botle ba kelello

Eya ho:

SELELEKELA

Hypersexourse e nang le bothata ke bokuli bo hlalosoang ke maemo a pheta-phetoang, ho thata ho laola mehopolo ea thobalano, likhothaletso, kapa boits'oaro bo amanang le khatello e kholo ea motho le litlamorao tse mpe (Kafka, 2010). Ho eketsa thahasello ea ho utloisisa le ho phekola khatello e matla ea mathata ho hloka hore ho khetholloe boitsebi ba eona ba mantlha le lipheo tse loketseng tsa kalafo. Kutloisiso e teng ka 'nete ea khatello e matla ea kelello e hohela ho ts'oarella, taolo ea tšusumetso, molao oa maikutlo, le mefuta ea bokhoba ba boitšoaro bo feteletseng (Kafka, 2010; Kingston le Firestone, 2008). Phapang e kholo ea sengoloa sena e kenyelletsa likhopolo tse fosahetseng mabapi le thobalano, eo ka eona re bolelang menahano e thehiloeng ntlafatsong le e bonts'ang maikutlo a motho a leeme kapa a sa sebetseng, litumelo, le litebello ka thobalano, moelelo oa eona, le litlamorao tsa eona.

Le ha ho ba le likotsi tse mpe li bapala karolo ea bohlokoa ho utloisiseng etiology, tlhokomelo le kalafo ea mafu a mangata a bophelo bo botle ba kelello, ho kenyelletsa le tse hlabang haholo ka hypersexuality (Raymond, Coleman, & Miner, 2003), karolo ea menahano e joalo ho bonohe bo bonoang e ntse e ka hlahlojoa. Likhopolo tse ngata tsa mathata a bophelo bo botle ba kelello, joalo ka khatello ea maikutlo le dysthymia (Beck, Rush, Shaw, & Emery, 1987), matšoenyeho a sechaba (Clark & Wells, 1995), khatello ea maikutlo e akaretsang (Wells, 1999, tšebeliso ea lithethefatsi (Witkiewitz le Marlatt, 2004), le mathata a taolo a susumetsang, ho kenyelletsoa le papali ea chelete (Sharpe & Tarrier, 1993) le kleptomania (Kohn, 2006), hlalosa litlhatlhobo tse sa nepahalang tsa se boleloang ke maemo, litlamorao tsa boitšoaro ba hae, kapa bokhoni ba motho ba ho laola maemo a bophelo kapa boits'oaro ba hae (Beck et al., 1987). Ho nka litšoantšo tsa mathata ana a mang a bophelo bo botle ba kelello (mohlala, Sharpe & Tarrier, 1993), re fane ka maikutlo a hore likhopolo tse fosahetseng tsa thobalano li ka ba le mohlala, likhakanyo tse sa nepahalang mabapi le moelelo kapa sephetho sa thobalano kapa bokhoni ba motho ba ho laola boitšoaro ba hae ba thobalano.

Re ile ra lekola mehlala e teng ea "hypersexourse" e nang le mathata mme ra fumana hore, le ha li ntse li sa bue ka ho hlaka ka likhopolo tse mpe, leha ho le joalo li lumella karolo e bohlokoa bakeng sa ho utloisisa kutloisiso ea kutloisiso, tlhokomelo le kalafo ea hypersexuality. Mohlala, mehlala ea khatello ea matla a boitšoaroColeman, 1987, 1990) hatella tšebeliso ea thobalano ho nyenyefatsa kapa ho qoba ho sokisa maemo a maikutlo, joalo ka matšoenyeho. Lits'ebetso tse bohlale tse sebetsang mohlaleng ona li ka kenyelletsa tšitiso e mpe ea likhopolo le litlhahiso tsa tlhokahalo ea thobalano (mohlala, ho rarolla maikutlo a seng monate). Ho feta moo, mehlala e laoloang ea boitšoaro bo nang le mathata ho tloha papaling ea papali ea chelete ho isa ho tšebeliso ea lithethefatsi e amohela maikutlo a khethiloeng a boholo ba moputso, likotsi tsa moputso, le ho lieha ha moputso e le ho khanna boitšoaro bo sa tsitsang (Sharpe & Tarrier, 1993; Witkiewitz le Marlatt, 2004). Mehlala ea taolo ea tšusumetso ea khatello e matla ea maikutlo (mohlala, Raymond et al., 2003) ka hona, e kanna ea u tsoela molemo ha o nka karolo e bapaloang ke maikutlo a khethollo a boitšoaro le kotsi ea motho (Logue, 1988; Mischel & Baker, 1975). Mehlala ea melaoana ea khatello ea maikutloBancroft le Vukadinovic, 2004; Kingston le Firestone, 2008) lumella likhopolo tse fosahetseng, tse joalo ka litlhaloso tse sa nepahalang tsa liketsahalo tse matlafatsang maikutlo (mohlala, Joormann le Siemer, 2011). Kamora nako, litekanyetso tsa bokhoba ba khatello ea kelello (Metsoana, 1983; Goodman, 1997), eo ho eona mathata a tebileng a boitšoaro a emelang tšebeliso e mpe ea boitšoaro ba thobalano bakeng sa ho laola maikutlo a mabe, e ka lumellang litlolo tsa kelello mabapi le litlamorao tse ntle kapa tse mpe tsa thobalano, litumelo tse sa nepahalang mabapi le bokhoni ba thobalano ho etsa mesebetsi e laoloang, kapa maikutlo a fosahetseng bokhoni ba ho laola boitšoaro ba hae ba thobalano.

Ha kalafo ea hajoale e ntse e atamela bakeng sa khatello ea maikutlo e atisang ho tsepamisa mohopolo molemong oa mohato oa 12 (mohlala, Metsoana, 1983; Pincu, 1989), litlhare (mohlala, Kafka & Prentky, 1992), le mekhoa ea boitšoaro (mohlala, Khauta le Heffner, 1998), Litsela tse 'maloa tse eketsang li fana ka maikutlo a bohlokoa ba ho lebisa likhopolo tse fosahetseng tseleng ea ho fokotsa boitšoaro bo feteletseng. Le ha litlhahiso tsa kalafo li tsepamisitsoe ke kelello ho tsoa lithutong tsa linyeoe le tataiso ea bongaka, ho fapana le liteko tse laoloang ka mokhoa o sa reroang, li lumellana le karolo e ka bang teng lipuisanong tse mpe lithutong tse hlakileng tse hlahliloeng ka holimo. Mohlala, lithuto tsa linyeoe le tataiso ea tliliniki bakeng sa ho phekola khatello ea maikutlo li bua ka mokhoa oa phekolo o rarolla melemo ea thobalano le maemo a nyenyefatsang a bokhoni ba ho laola boitšoaro ba motho ba thobalano, mmoho le ho ntlafatsa bokhoni ba ho sebetsana ka katleho le ho sebetsana le maikutlo le motho ka mong. Molisa, 2010; Weiss, 2004). Tsepamiso ea maikutlo mabapi le ho fokotsa litlatsetso tse amanang le thobalano tse amanang le thobalano e boetse e lumellana le mekhoa ea kalafo e thehiloeng ho thobalano e nang le mathata ntle le hypersexourse (mohlala, ponts'oa, fetishism) (Murphy le Leqephe, 2008; Wincze, 2000).

Ha lipatlisiso mabapi le mofuta le tlhahlobo ea khatello ea maikutlo li bokellana (Kafka, 2010), ka hona, ho khothaletsa keketseho ea mekhoa ea kalafo bakeng sa lefu lena, ho bohlokoa ho tseba lintlha tsohle tse ka lokisoang le kalafong ea eona, ho kenyelletsa karolo e ka bang teng lipuisanong tse mpe. Ho bohlokoa ho hlokomela hore ka likhopolo tse fosahetseng tsa thobalano, re bolela mehopolo e sa khaotseng kapa e fosahetseng e thehiloeng nts'etsopele le e bonts'ang maikutlo, litumelo le litebello tsa hae mabapi le thobalano, maemo, litlamorao le litlamorao. Ka tsela ena, kaho ea rona e hokahana le moelelo le karolo ea ts'ebeliso e mpe ea kelello ka likhathatso tse ling tsa bophelo bo botle ba kelello, tse joalo ka tšebeliso ea lithethefatsi, papali ea chelete ea kelello le khatello e kholo ea maikutlo (mohlala, Beck et al., 1987). Tlhaloso ena ea menahano e fosahetseng ha e kenyeletse litoro, litšoantšo, kapa menahano e nahanoang. Mefuta e teng mona ea hypersexeness ho fapana le ho nahana ka liketsahalo tsena e le lintho tse khothalletsoang pele, ho fapana le lits'ebetso tse hlokolosi tse bolokang hypersexourse e ka ananeloang ka mekhoa e tloaelehileng e amanang le kalafo.

Bothata ba botona kapa botšehali ke bothata bo khethehileng ba batho ba bong bo fapaneng, ba bong bo fapaneng le ba bang ba nang le MSM ba fanang ka lintlha tse ikhethang tsa kelello tse tsamaisang bothata bona har'a sehlopha sena,Parsons, Grov, & Golub, 2012; Parsons et al., 2008) le kamano pakeng tsa bosodoma le mathata a HIV (Dodge et al., 2008; Grov, Parsons, & Bimbi, 2010). Ntle le ho ba le mathata a se nang boikemelo le bosodoma ho bapisoa le banna ba ratanang le batho ba bong bo fapaneng (Baum le Fishman, 1994; Missildine, Feldstein, Punzalan, & Parsons, 2005), banna ba bong bo fapaneng le ba bong bo fapaneng ba loantšana le litekanyetso tse phahameng tsa lisosa tse ling tse bontšitsoeng hore li amahanngoa le bosodoma le mekhoa ea ho lemoha maladaptive,Purcell le al., 2007) le likhatello tse amanang le khethollo ea sechaba le khethollo (Muench le Parsons, 2004; Pincu, 1989). Likhatello tsena li kopantsoe le mathata a bophelo ba kelello, joalo ka bothata ba ho kopanela liphate ka bothata ba botona kapa botšehali, ho theha likarolo tse kotsi tsa likotsi, kapa bothata, bo ts'oenyang bophelo ba sehlopha sena sa batho ka nako e le 'ngoe (Parsons et al., 2012; Stall et al., 2003). Ka hona, ho khetholla likarolo tse ka phekolehang tsa kotsi leha e le efe ea bophelo bo botle ho na le monyetla oa ho senya bophelo ba ho senya likotsi tse amanang le batho ba bangata.

Thuto ea Hona joale

Re ipapisitse le mohopolo oa hore likhopolo tse fosahetseng ka thobalano li nka karolo e kholo ho boloka mathata a amanang le mathata, re batlile ho theha mohato oa ho qopitsa moaho ona le ho leka bokhoni ba ho bolela esale pele bo fapaneng bo neng bo sa khetholloe ka ho fapana kamora ho fetoloa bakeng sa senotlolo. litlatsetso tsa hypersexourse tse khethiloeng lipatlisiso ho fihlela joale. Patlisiso ena ea pele mabapi le karolo ea likhopolo tse sa lokang mabapi le thobalano mabapi le thobalano e nang le mathata e emela phetoho e kholo ea sepheo se fuoeng monyetla oa hore mekhoa e meng ea kalafo ea boemo bona e ka hloleha ho sebetsana le karolo ea bohlokoa ea mehopolo mabapi le thobalano kapa ka boomo e khothaletsa likhopolo tse bolokang likelello hypersexuality (mohlala, tumelo ea hore motho ha a laole boitšoaro ba hae ba thobalano). Ka ho theha tekanyo e ntle ea kelello ea likelello tse fosahetseng mabapi le thobalano le ho lekola bokhoni ba eona ba ho khetholla phapang e fapaneng le e sa hlalosoang nakong ea mathata a mofuta oa mathata, re ne re ts'epa ho nts'etsapele setšoantšo se felletseng sa bothata bona le ho fana ka sepheo sa kalafo se senotsoeng se sebetsang ho ba bangata ba kelello mathata a bophelo bo botle.

Sepheo le maikutlo a thuto ena a kenyelelitse tse latelang:

Sepheo sa 1. Etsa lisebelisoa bakeng sa ho kenyeletsoa tekanyetsong ea maikutlo a fosahetseng ka thobalano ho banna ba ratanang le ba bong bo fapaneng.
Sepheo sa 2. Theha sebopeho sa lintlha tsa lintho, khetholla lits'oants'o tse senotsoeng, 'me u bonts'ane kamano ea meralo lipakeng tsa subscales.
Sepheo sa 3. Theha bokhoni ba menahano e fosahetseng mabapi le thobalano ho bolela ho fapana ho tlatseng ha mathata a phetoho e matla bakeng sa bolebelli ba mantlha bo seng bo thehiloe lipatlisiso tse fetileng. Re ile ra nahana hore likhopolo tse fosahetseng mabapi le thobalano li ka bolela tšenyo e kholo mabapi le bong, joalo ka ha e hlalosoa ke Buka ea ho hlahloba le ea Statistical ea Mathata a kelello (DSM-5) Sethala sa Boitsebiso mabapi le Mathata a amanang le thobalano le bong.Mokhatlo oa Mahlale oa Amerika, 2010), ho lokisoa ha matšoao a (1) a khatello ea maikutlo le matšoenyeho, (2) impulsivity (Schwartz le Abramowitz, 2003), (3) mathata a maikutlo, (4) mathata a nang le thobalano le thobalano (Bancroft le Vukadinovic, 2004), le (5) thobello ea thobalano (Kalichman le Rompa, 1995, 2001).

Eya ho:

METHODA

Patlisiso ea sengoloa sena e entsoe ka tlhaiso-leseling e tsoang ho boithuto bo tsoelang pele ba banna ba ratanang le ba bong bo tummeng ka ho fetesisa le ba New York City ba shebileng litaba tsa khatello ea maikutlo. Morero oa mantlha oa thuto e ne e le ho ngolisa banna ba ratanang le ba bong bo tšoanang ba neng ba ts'oana le boitšoaro ba thobalano empa ba neng ba fapane hole le moo menahano le boitšoaro ba bona ba thobalano bo neng bo baka mathata maphelong a bona - tšobotsi e hlalosang khatello ea maikutlo. Ho sekaseka sengoloa sena ho tsepamisitse maikutlo ho sehlopha sa pele sa banna ba 202 ba ngolisitsoeng morerong ona.

Barupeluoa le Tsamaiso

Ho qala ka Pherekhong 2011, re ile ra qala ho ngolisa barupeluoa re sebelisa mokhoa oa ho kopanya: (1) sampling e tsamaisoang ke ba arabelang; (2) lipapatso tse thehiloeng marang-rang marang-rang a marang-rang a marang-rang; (3) li-imeile li phatloha ka lenane la mokha oa thobalano oa New York City; le (4), ho hira batho ba mafolofolo libakeng tsa New York City, joalo ka li-bar / lihlopha tsa batho ba ratanang le ba bong bo fapaneng. Barupeluoa ba hapiloeng marang-rang kapa libakeng tsa ho hira batho ba sebetsang sebakeng seo ba ile ba hlahlojoa pele ba sebelisa tlhahlobo e khuts'oane ka ho sebelisa saete ea inthanete ea Qualtrics (www.qualtric.com) kapa phuputso e entsoeng ka mobile ka iPod Touch, ka ho latellana. Palo ena e lekiloeng ea balekane ba thobalano le tlatsetso mabapi le lithuto tse ling tseo re neng re li hlahloba. Barupeluoa bohle ba qetile tlhahlobo e khutšoane e shebiloeng ka fono ho netefatsa ho tšoaneleha, e neng e hlalosoa e le: (1) bonyane lilemo tsa 18; (2) monna ka tlhaho le ea ipitsitseng e le monna; (3) bonyane ba banna ba robong ba fapaneng balekane ba botona le botšehali matsatsing a 90 a fetileng, bonyane habeli matsatsing a 30 a fetileng; (4) ho itlhahisa e le ngoanana, bisexual, kapa boitsebahatso bo bong bo se nang bong (mohlala, queer); le (5) phihlello ea marang-rang ea marang-rang letsatsi le leng le le leng e le ho phethela liteko tse thehiloeng marang-rang (ke hore, lipatlisiso tsa lapeng, dayari ea letsatsi le letsatsi).

Barupeluoa ba ile ba behelletsoe ka thoko morerong haeba ba ne ba bonts'a bopaki ba ho senyeha ho tebileng kelellong kapa kelello e ka ba sitisang ho nka karolo kapa ho fokotsa bokhoni ba bona ba ho fana ka tumello e nang le tsebo, joalo ka ha ho bonts'itsoe ke lintlha tsa 23 kapa tlase ho Mini-Mental Status Examination (MMSE) (Folstein, Folstein, & McHugh, 1975) kapa bopaki ba matšoao a sebetsang le a sa laoloang matšoao a psychotic kapa likarolo tsa ho ipolaea tsa Puisano e Ntle ea Clinical bakeng sa DSM-IV-IR (SCID) (Pele, Spitzer, Gibbon, & Williams, 2002).

Re sebelitse ka thobalano haholo joalo ka ho ba le bonyane borobong balekane ba ho kopanela liphate matsatsing a 90 pele ho ngoliso, bonyane ba babeli ba balekane bona ba neng ba le matsatsing a 30 a fetileng. Li-cutoffs tsena li ne li ipapisitse le lipatlisiso tsa pele (Grov et al., 2010; Parsons, Bimbi, & Halkitis, 2001; Parsons et al., 2008), ho kenyelletsa sampole e thehiloeng ho khoneha ea MSM ea litoropo (Stall et al., 2002, 2003) e fumane hore balekane ba 9 e ne e feta 2-3 makhetlo a karolelano ea balekane ba ho kopanela liphate har'a banna ba bong bo tona le ba batona le ba bong bo fapaneng. Molemong oa thuto ena, balekane ba thobalano ba hlalositsoe e le ho ikopanya le monna ofe kapa ofe eo monna a etsang thobalano le eena ea neng a ka ba le bokhoni ba ho lebisa ho orgasm, e neng e kenyelletsa, empa e ne e sa fuoe feela, ho amohela / ho amohela insaltive anal, ho amohela / Ho ipholla litho tsa botona kapa tsa botšehali ka molomo, ho amohela kapa ho etsa anal ho khothatsa ka letsoho kapa ka molomo, le ho ipholla litho tsa botona kapa tsa botšehali. Litekanyetso tsohle tsa ho tšoaneleha li ile tsa netefatsoa motheong oa motheo, litekanyetso tsa thobalano li netefalitsoe ho latela tlhahlobo e latelang ea morao-rao eo ho eona ho sebelisoang khalendara ho hopola boitšoaro ba motho ba letsatsi le leng le le leng la thobalano (Sobell le Sobell, 1992).

Ho nka karolo lipatlisisong ho kenyelletsa liteko tsa lapeng (inthaneteng) le litlhahlobo tsa ofising. Kamora hore setho sa basebetsi ba lipatlisiso se netefatse ho nka karolo ha barupeluoa mabapi le mohala, barupeluoa ba ile ba romelloa khokahano ea ho phethela tlhahlobo e thehiloeng marang-rang lapeng pele ho kopano ea bona ea pele ofising e nkileng nako e ka etsang hora. Tumello ea pele ea ho qeta tlhahlobo ea lapeng e fumanoe e le karolo ea tlhahlobo ea inthanete. Barupeluoa ba ile ba qeta ho etsa lethathamo la likarolo tse peli setsing sa lipatlisiso sebakeng sa lipatlisiso mme ba fana ka tumello e nang le tsebo ea ho nka karolo ho bona ka botlalo ho projeke ea selemo qalong ea kopano ea bona ea sefahleho ea pele. Ts'ebetso tsohle li ile tsa hlahlojoa le ho amoheloa ke Boto ea Institutional Review Board ea City University ea New York. Sengoloa sena se shebisisa feela lintlha tsa motheo tsa tlhahlobo ea lapeng ho hlahloba thepa ea psychometric ea sesebelisoa se sa tsoa etsoa se etselitsoeng ho lekanya likhopolo tse fosahetseng mabapi le thobalano.

Mehato

Likhopolo tse ngata ka Khahlano le Tekano ea Thobalano

Pele ho nts'etsopele ea Maladaptive Cognitions mabapi le Sekala sa Thobalano ka bong ka thobalano bakeng sa ts'ebeliso ea eona ka har'a thuto ea hona joale, ho ile ha etsoa thuto ea sefofane, e nang le lipuisano tsa boleng le banna ba 60. Lipuisano tse entsoeng ka boleng li ile tsa hatisoa ka mor'a mantsoe a ngotsoeng. Ntle le ho lekola likarolo tse akaretsang tsa thobalano tsa baratani, boitšoaro ba thobalano, le moelelo oa boitšoaro ba motho ba thobalano, tlhahlobo e boetse e na le lipotso tse ikhethang mabapi le litaba tsa maikutlo a tloaelehileng tsa barupeluoa pele le ka mor'a thobalano. Sengoli sa pele se bala sengoloa se seng le se seng e le ho nts'etsapele tlhahlobo ea lintlha le boits'oaro tseo barupeluoa ba nang le boits'oaro bo tlalehileng e le mathata. Ka lebaka la ts'ebetso ena, mongoli oa pele o thehile lethathamo la litakatso tse fosahetseng tse neng li bonahala li amana le tšebeliso ea maikutlo.

Hamorao re ile ra sebelisa likhopolo tsena tse sa sebetseng hantle le mokhoa oa ho etsa lethathamo la litekanyetso tse sa reroang ho lekola boholo ba batho ba nang le menahano e mebe e fosahetseng. Re buisane le litsebi tsa mafu a kelello le tsa bongaka ba litsebi tikolohong ea boitšoaro ba thobalano le kotsi ea thobalano har'a banna ba ratanang le ba bong bo botle ba fanang ka maikutlo mabapi le litaba tsa lintho tseo 'me ba fana ka tlhahiso ea tlhahlobo.

Ka lebaka la ts'ebetso ena e nyarosang, re hlahisitse likarolo tse tharo tsa tlhahlobo e fosahetseng eo re neng re ts'epile ho e hapa: (1) ho phahamisa tlhokahalo ea thobalano (ke hore, Tlatsetso ea Magnified), (2) ho hlakola melemo ea thobalano. Melemo ea subscale), le (3) e nyenyefatsa ts'ebetso ea motho bakeng sa ho laola menahano ea boitšoaro ba thobalano le boits'oaro (ke hore, Subimari ea Boitšoaro bo fokolang). Re hlahisitse kakaretso ea lintho tsa 17: lintho tse supileng tse amanang le ho holisa tlhoko ea thobalano (mohlala, "Ke hloka thobalano e le hore ke natefeloe ke tsela eo ke shebahalang ka eona"), lintho tse supileng tse amanang le ho hlakola melemo ea thobalano (mohlala, ho senya ho feta botle ”), le lintho tse tharo tse mabapi le ho fokotsa ts'ebetso ea thobalano (mohlala," Ho nahana feela ka thobalano hangata ho etsa hore ke e batle "). Likhopolo tse hapiloeng sekhethong li kanna tsa ba kotsi ho isa tekanyong ea hore ke tsona mokhoa o ka sehloohong oa ho nahana ka thobalano. Kahoo, re sebelisitse likhetho tsa likarabo tse ileng tsa eketseha ka matla ho tloha 1 (Le ka mohla) ho 5 (Ka linako tsohle) ho hapa boholo ba menahano e neng e ntse e thatafala le ho feta ka mokhoa o tloaelehileng oa menahano e fosahetseng.

Mehato eohle ea lipalo e sebelisitsoeng bakeng sa litlhahlobo tsena e phethetsoe e le karolo ea tlhahlobo ea lapeng. Kamora ho fana ka tumello ea ho tsoela pele le phuputso, barupeluoa ba ile ba tlatsa liteko tsa thobalano le boitšoaro bo matla ba botona le botšehali le lipotso tsa demographic, ba lateloa ke mehato e meng e tlatselletsang. Mehato eohle e ne e arotsoe ka likarolo tsa sehlooho (mohlala, sekhobo, thobalano, bophelo bo botle ba kelello) le tatellano ea lithibelo ka har'a lipatlisiso le mehato kahara li-block li ne li sa sebetsoa ka mokhoa o tšoanang e le hore le tsona li ka hasana ka litlamorao tse ka hlahisoang ke ho beoa ka tatellano ea maemo le lipalo.

Boemo ba palo ea batho

Barupeluoa ba ile ba botsoa ho tlaleha litšobotsi tse 'maloa tsa palo ea batho, ho kenyeletsa le lilemo, morabe / morabe, maikutlo a amanang le thobalano, semelo sa thuto, boemo ba likamano le boemo ba HIV. Ntle le lilemo, tse ileng tsa hlahlojoa li sebelisa sebopeho sa karabelo ea mahala, litšobotsi tsa palo ea batho li ile tsa hlahlojoa ho sebelisoa mekhoa e tloahelehileng ea karabelo mme ha ho hlokahala, li ile tsa kenngoa ka mekhahlelo e nang le moelelo (Lethathamo 1).

Lethathamo 1

Litšobotsi tsa Palo ea Batho Mohlala

E ka fetoha	n	%
Race / Morabe
Black	33	16.3
Latino	30	14.9
White	114	56.4
Asia / Native Haw./Pac. Sehlekehleke	4	2.0
Bongata / Tse ding	16	7.9
Tse ding / Tse sa tsejoeng	5	2.5
Boemo ba HIV
a fosahetseng	121	59.9
Positive	81	40.1
Boikutlo ba ho kopanela liphate
Moshemane, moshemane, kapa mosodoma	172	85.6
dikamano tsa	24	11.9
Tse ling tsa boitsebiso bo sa amaneng le batho ba bong bo fapaneng	6	2.5
Boemo ba Mosebetsi
Nako eohle	70	34.7
Nako ea nakoana	50	24.8
Ho holofala	23	11.4
Moithuti (ea sa sebetseng)	18	8.9
Ha ba sebetse	41	20.3
Phihlelo e phahameng ka ho fetisisa ea thuto
Diploma ea sekolo se phahameng / GED kapa ka tlase	23	11.4
Tse ling tsa koleche kapa Associate's degree	61	30.2
Bachelor's kapa degree e ngoe ea lilemo tse 4	66	32.7
Khale ea mangolo	52	25.7
Boemo ba Kamano
Single	159	78.7
E kopanetsoe	43	21.3
	M	SD

Age (ka lilemo)	37.03	11.35

Bula ka fensetere e fapaneng

Hypersexourse ea mathata

Barupeluoa ba qetile Hypersexual Disorder Screening Inventory (HDSI), e leng sesebelisoa se khothalletsoang ke Mokhatlo oa American Psychiatric Association's DSM-5 Workgroup mabapi le Mathata a amanang le thobalano le botona le botšehali (2010). Sekala se na le kakaretso ea lintho tse supileng tse arotsoeng likarolo tse peli (likarolo A le B) mekhoa ea ho lekanya e fihletsoeng likhoeling tse tšeletseng tse fetileng. Karolo ea A e ne e na le lintho tse hlano tse lekanyang likhopolo tsa khafetsa tsa thobalano, litakatso le boits'oaro (mohlala, "Likhoeling tse fetileng tsa 6, ke sebelisitse mehopolo ea thobalano le boitšoaro ba thobalano ho sebetsana le maikutlo a thata, mohlala, ho tšoenyeha, ho hlonama, ho hlonama, pherekano, letsoalo, kapa lihlong ”) le Karolo ea B e ne e na le lintho tse peli tse lekang khatello ea maikutlo le lits'oenyeho ka lebaka la litoro tsena, litakatso le boits'oaro (mohlala," Likhoeling tse fetileng tsa 6, litoro le boits'oaro bo matla ba thobalano, litakatso le boits'oaro li na le e bakile mathata a bohlokoa ho nna, bathong, mosebetsing kapa likarolong tse ling tsa bohlokoa tsa bophelo ba ka ”). Likarabo li ile tsa fumaneha lintlha tse tsoang ho 0 (Ha ho na 'nete) ho 4 (Hoo e batlang e le 'nete), tse neng li bitselitsoe ho fana ka lintlha tse tebileng tsa ho tloha ho 0 ho isa 28. Lintho li bonts'itse bopaki ba botsitso bo matla ba kahare mohlaleng ona (α = 0.90). Litekanyetso tsa tlhahlobo ea polythetic li se li hlahisitsoe tse hlokang karabelo ea ho khutlisetsa ho li-dichotomies moo litekanyetso tsa 3 kapa 4 wee li ngotsoe ka 1 mme tse ling kaofela li ngotsoe joalo ka 0. Kamora ho nchafatsoa, ho hlahlobisisoa lintlha tse ntle bakeng sa khatello ea maikutlo ka ho ba teng ha bonyane 4 ea 5 hantle li-key tse fetohileng Karolong ea A le bonyane 1 ea 2 Karolong ea A. Patlo e fetileng e fumane hore sekala le sepheo sa eona se ts'epahala (Parsons et al., 2013).

Thibelo ea Thobalano le Boithati

Barupeluoa ba phethile karolo e khuts'oane ea 14 ea sekhahla sa thobalano le thobalano ea thobalano.Bancroft, Graham, Janssen, & Sanders, 2009; Bancroft le Janssen, 2000), e lekanyang lits'ebetso tse peli tse thathamisitsoeng ho fana ka karabelo ea thobalano (ke hore, boikakaso le tšitiso). Tekanyo e ne e le lintho tse tšeletseng tse ileng tsa hlahloba ho ts'oaroa ho bakoang ke maemo a bophelo (mohlala, "Ha motho ea sa tsebeng letho ka thobalano a nkopa ka phoso, ke tsosoa habonolo"), lintho tse 'ne tse lekotseng thibelo e bakoang ke ho se khone ho etsa thobalano (mohlala, "Ha ke na le mohopolo o khelosang, ke lahleheloa habonolo ke tloaelo"), le lintho tse 'ne tse lekotseng thibelo e hlahisoang ke litlamorao tse mpe tsa ts'ebetso ea thobalano (mohlala, "Haeba ke ipholla litho ka bonna mme ke lemoha hore ho na le motho ea tla tla. ka kamoreng nako efe kapa efe, ke tla lahleheloa ke sebopeho sa ka ” Likhetho tsa karabo li tsoa ho 1 (Ha ke lumellane hantle) ho 4 (Lumellana ka matla). Molemong oa tlhahlobo ea rona, likarabo ho lintho tse tsoang sekhechaneng se seng le se seng li ile tsa emisoa ho etsa index e le 'ngoe ea li-excation le lintlha tse peli tsa thibelo (ke hore, "thibelo ea thobalano I" e tsamaellanang le matšoenyeho a mabapi le ho se khone ho etsa thobalano le "Thibelo ea Thobalano II" e tsamaellanang le thibelo e hlahang ka lebaka la boiphihlelo bo bobe). Karolelano ea kahare ea lithuso tse tharo tsena e qalile ho 0.70 ho isa 0.81.

Ho se tsitsisehe

Barupeluoa ba qetile mofuta oa 30-element Barratt Impulsiveness Scale 11 (BIS-11) (Patton, Stanford, & Barratt, 1995). Sekala se na le lintho tse lekanyang mefuta e ts'eletseng ea ho se mamellehe e kenang libakeng tse tharo tse akaretsang: ho tsepamisa maikutlo (mohlala, "Ke na le mehopolo ea maikutlo"), ho khannoa ke sephethe-phethe (mohlala, "Ke sebelisa kapa ke lefisa ho feta seo ke se fumanang"), -planning impulsnessness (mohlala, "Ke khahloa haholo ke hona joale ho feta nakong e tlang"). Likhetho tsa karabo li tsoa ho 1 (Khafetsa / ha ho mohla) ho 4 (Hoo e ka bang kamehla / Kamehla) tse ileng tsa kopitsoa ka bophara ho fumana lintlha ka botlalo bakeng sa ho qhekella tse ka tlohang ho 30 ho isa 120. Ts'ebetso ea kahare bakeng sa sekala sena e ne e le ntle (α = 0.84).

Mathata le Molao oa Emotion

Barupeluoa ba phethile bothata ba thepa ea 36 le Emotion Regulation Scale (DERS) (Gratz le Roemer, 2004) e lekanyang mathata ka kakaretso a laolang maikutlo le likarolo tse tšeletseng tse thata tsa ho laola maikutlo. Barupeluoa ba arabile ka bongata ho tloha 1 (Hoo e ka bang ha ho mohla [0-10%]) ho 5 (Hoo e batlang e le [91-100%]) nthong e 'ngoe le e' ngoe, molemong oa sengoloa sena, re sebelisitse lintlha tse felletseng, tse lekantsoeng e le karabelo e nang le phello ho lintho tsa 36. Sekhahla sa ka hare bakeng sa mohato ona se ne se le matla (α = 0.94)

Matšoenyeho le khatello ea maikutlo

Barupeluoa ba qetile tlatsetso ea 12-ntho ea ho tšoenyeha le ho sithabela ha maikutlo le Brief Syndromeom Inventory (BSI) (Derogatis, 1975), e nang le kakaretso ea lintho tsa 53 le boholo ba matšoao a robong. E 'ngoe le e' ngoe ea lithuso tse peli e na le lintho tse tšeletseng tse reretsoeng ho lekanya matšoao a khatello ea maikutlo (mohlala, "Ho felloa ke tšepo ka bokamoso") kapa matšoenyeho (mohlala, "Ho ikutloa o sa phomole o ne o sa khone ho lula hantle") bekeng e fetileng. Likhetho tsa likarabo li tsoa ho 0 (Che ha ho joalo) ho 4 (Ka ho fetisisa). Karolo e 'ngoe le e' ngoe ea subscale e ne e baloa ka ho akaretsa lintho tse tšeletseng, 'me lipalo tsa liphallelo tsena ka bobeli li ne li kopantsoe ho theha palo ea matšoao a amanang le maikutlo le matšoenyeho ka kakaretso. Li-subscales tse peli li ne li kopantsoe ho index e le 'ngoe e nang le botsitso bo matla ba ka hare (α = 0.93).

Boiphetetso ba thobalano

Barupeluoa ba ile ba phethela Scale Compulsivity Scale (SCS) ea thobalano.Kalichman et al., 1994; Kalichman le Rompa, 2001). SCS ke mohato o sebelisoang haholo ho feta boits'oaro bo khothalletsang thobalano, litakatso tsa thobalano, le menahano e tsosang takatso ea thobalano le banna ba ratanang le ba bong bo fapaneng (Hook, Hook, Davis, Worthington, & Penberthy, 2010). E na le lintho tsa 10 (mohlala, "Litakatso tsa ka tsa thobalano li sentse bophelo ba ka ba letsatsi le letsatsi") tse lekantsoeng ka sekala sa mofuta oa Likert ho tloha 1 (ho hang ha a nthate) ho 4 (haholo joalo ka nna). Likarabo tsa ntho e ngoe le e ngoe li ne li bitselitsoe ho fumana lintlha kaofela (mofuta oa 10-40). SCS e bontšitsoe hore e na le ts'epahalo e phahameng le ho nepahala ho lithuto tsohle tse ngata. Sekala sena se ne se e-na le botsitso bo matla ba kahare (α = 0.89).

Morero oa tlhahlobo

Re ile ra qala ka ho lekola hore na lihlapiso tse tharo tseo re li fumaneng ho tsoa ho 'malo oa rona oa lingoliloeng le maikutlo a litsebi – Magnified Nentiality, Disqualified Benefits, le Minimized Self-Efficacy – li ne li emela sebopeho sa sekala sa MCAS hantle. Re boetse re batlile ho hlahloba hore na lithuso tsa Magnified Nentiality and Disqualified Benefits li ne li hlophiselitsoe ka kotloloho. Re sebelisa Mplus Version 6.12, re lekola netefatso ea lintlha tsa netefatso (CFA) ho data e nang le Lintho 1-7 tse kenang ho Magnified Necessity subscale, Lintho 8-14 ho Disqualified Benefits subscale, le Items 15-17 ho The Minimized Self- Ts'ebetso e tlase. Ka har'a CFA, re hlahlobile lits'oants'o tse tloaelehileng tsa ho lekana hoa mofuta (Amtmann et al., 2010, 2012; Bentler, 1990; Hu & Bentler, 1999; Kline, 2010; Reise & Haviland, 2005; Bophirimela, Finch, le Curran, 1995), e kenyellelitseng index ea ho bapisa index (CFI) e kholo ho feta 0.95, phoso e bolelang phoso ea skwere (RMSEA) e tlase ho 0.06, Tucker Lewis index (TLI) e kholo ho feta 0.95, le motso o emeng o bolela masala a sekwere (SRMR) ka tlase ho 0.08. Re boetse re ile ra hlahloba li-indices tsa phetisetso ho bona lintho tse nang le litšebelisano tse ka bang masala le likarolo tse ling tsa misfit ea mohlala.

Re sebelisa mabaka a CFA, re ile ra etsa mohlala oa SEM) o ileng oa re lumella ho lekola likamano tsa mekhatlo e meraro ho tlatsana likamanong tsa bona ka ho hlahlobisisa sepheo sa 'mele. Re lekile mofuta oa mokhoa oo liphallelo tsa Magnified Nentiality and Disqualified Faits li sa amaneng. Re ngolisa karolo ea morao-rao ea ho itlhokofatsa ho lintho tsa morao-rao tsa Tlhokahalo e Ntle le tse sa Tšoanelehang (ke hore, re ile ra hlahloba hore na liphallelo tsena tse peli li ile tsa bolela subscale ea Minimised Self-ufanisi). Re hlakisitse ponahalo ea tlhahlobo ea (hypersexuality screening) ho tsoa lintlheng tsohle tse tharo tsa morao-rao tsa MCAS (ke hore, re ile ra hlahloba hore na li-subscales tse tharo tse boletsoeng esale pele li hlahella bakeng sa hypersexourse) 'me ra etsa liteko ka bobeli bo tobileng le bo sa tobang Mahlohonolo a Hlokahalang le a sa Tšoanelehang a fana ka likeletso mabapi le tlhahlobo ea hypersexourse (ke hore, re ile ra hlahloba hore na tšusumetso ea likhakanyo tsena tse peli mabapi le boits'oaro ba hypersexourse e ne e le karolo e bohareng ba kamano ea bona le Minimised Self-ufanisi.

Ka mor'a moo re ile ra etsa tlhahlobo ea tlhahlobo kantle ho sebopeho sa mofuta oa morao-rao re sebelisa mofuta oa SPSS 20. Ho ipapisitse le liphetho tsa CFA, re balile lintlha tsa subscale e le karabelo e tloaelehileng bakeng sa lintho tsohle tse kahara subscale. Re sebelisitse li-coefficients tsa pearson tsa tlhahlobo le tlhahlobo ea phapang (ANOVA) ho hlahloba kamano pakeng tsa lintlha tsa subscale tsa MCAS le litsobotsi tsa palo ea batho. Ka mor'a moo re ile ra hlahloba mekhatlo e meraro ea li-subscales tse tharo tse nang le li-psychicocial tse boletsoeng esale pele ka sepheo sa khatello ea maikutlo (ke hore, takatso ea thobalano, thibelo ea thobalano, tšusumetso, ho hloka maikutlo, khatello ea maikutlo le khatello ea thobalano) ka tšebelisano ea Pearson. Kamora nako, re sebelisitse maemo a ho lekola ts'ebetso ea lipalo tsa subsidale tsa MCAS litekanyetsong tsa tlhahlobo ea sepheo sa phetoho bakeng sa tšusumetso ea ba bang ba boletsoeng esale pele ba kelello le boemo ba HIV, ponts'o e makatsang e lekantsoeng litekanyetsong tsa hypersexourse tse amanang le (hypersexourse) ( mohlala, Grov et al., 2010; Parsons et al., 2012, 2013).

Eya ho:

LIPOTSO

Joalokaha re ka bona ho Lethathamo 1, mohlala o ne o fapane haholo mabapi le lilemo, morabe / morabe, boemo ba HIV le mosebetsi. Boholo ba sampole e ne e le bonyane koleche kapa thuto ea morao-rao ea banna ba bangata ba neng ba sa nyaloa ka nako ea ha ba ne ba beoa. Ntle le hore ha re a ka ra leka ho fetisa litšobotsi tse ikhethang tsa palo ea batho, mohlala oa rona o ne o fapane haholo ho feta palo ea batho ka kakaretso ea MSM mabapi le lintlha tse ngata, haholo boemo ba HIV (Smith le al., 2010).

Factor Hlahloba Tsebo ea Maladaptive mabapi le Sekala sa Thobalano

Liphetho tsa CFA li bonts'itsoe Lethathamo 2. Re ile ra etsa tlhahlobo ea pele ka lintho tsohle, 'me ra etsa liphetoho tse akaretsang ho latela methati ea mohlala le li-indices tsa phetoho ho tlosa mathata a psychometric a joalo ka ho its'etleha kahare (ke hore, likhokahano tse setseng lipakeng tsa lintho) le ho kenya lintho ka bongata linthong tse ngata. Leha mathata ana a ka sebetsanoa habonolo le lipalo-palo a sebelisa li-varient tsa morao-rao, li hlahisa mathata ha a leka ho sebelisa mohlala o seng oa morao-rao joalo ka ho khutla ha mohala ka mehala e nang le lintlha tse fumanehang tsa subscale tse ipapisitseng le karabelo ea thepa e tloaelehileng ho fapana le sephetho sa bohlahlobo. Kahoo, liqeto tsena li entsoe molemong oa ho theha sekala se ka sebelisoang ka katleho kahare le ka ntle ho sebopeho sa mofuta oa morao-rao.

Lethathamo 2

Mehlala ea mantlha le ea ho qetela ea 'nete ea li-Factor tsa Li-subscales tse tharo tsa MCAS

Item	Litaba tsa Pele tsa Ntlha				Mekhahlelo ea ho qetela ea lintlha
Item	E sa tsebeng.	SE	Std.	SE	E sa tsebeng.	SE	Std.	SE
Ho Hlokahala
1. Ke hloka thobalano hore ke robale betere	1.00	^a	0.76	0.04	^c	^c	^c	^c
2. Ke hloka thobalano e le hore ke kokobetse maikutlo ha ke sithabetse	1.01	0.09	0.80	0.03	1.00	^a	0.75	0.04
3. Ke hloka thobalano ho thusa ho sebetsana le ho sithabela	0.87	0.09	0.71	0.04	0.92	0.10	0.70	0.04
4. Ke hloka thobalano e le hore ke ikutloe hantle ka tsela eo ke shebahalang ka eona	0.82	0.10	0.61	0.05	^c	^c	^c	^c
5. Ke hloka thobalano ho nthusa ho tsepamisa mohopolo	0.90	0.09	0.72	0.04	0.95	0.10	0.71	0.04
6. Ke hloka thobalano ho tebisa kamano ea ka le batho ba bang	0.84	0.11	0.59	0.05	0.90	0.11	0.60	0.05
7. Ke hloka thobalano hore ke phomole	0.86	0.09	0.72	0.04	0.96	0.10	0.76	0.04
Khakanyo ea Lintho	0.84	0.14	^b	^b	0.75	0.13	^b	^b
Melemo e sa Felloang
8. Ha kea lokela ho ipholla litho	1.00	^a	0.44	0.06	^c	^c	^c	^c
9. Thobalano ke tšenyo ea nako	1.27	0.22	0.72	0.04	1.00	^a	0.78	0.04
10. Thobalano e baka kotsi e fetang e ntle	1.56	0.25	0.86	0.03	1.07	0.11	0.82	0.04
11. Ho etsa thobalano ha ho na thuso	1.34	0.23	0.73	0.04	0.99	0.10	0.75	0.04
12. Ho etsa thobalano ho baka mathata	1.23	0.21	0.72	0.04	^c	^c	^c	^c
13. Haeba nka nka pilisi ea ho fokotsa thobalano, ke tla	1.02	0.21	0.48	0.06	^c	^c	^c	^c
14. Thobalano ha se ntho e fetang batho ba babeli ba sebelisanang ho fihlela litlhoko tsa bona	0.84	0.19	0.41	0.06	^c	^c	^c	^c
Khakanyo ea Lintho	0.30	0.10	^b	^b	0.57	0.10	^b	^b
Ho Iketsetsa Boikoetliso
15. Ha setšoantšo sa botona kapa botšehali se kena kelellong ea ka, ke ba le nako e thata ea ho e tlohela	1.00	^a	0.87	0.02	1.00	^a	0.87	0.02
16. Hang ha ke qala ho nahana ka thobalano, ke ba le nako e thata ea ho khaotsa	1.10	0.06	0.93	0.02	1.10	0.06	0.94	0.02
17. Ho nahana feela ka thobalano hangata ho etsa hore ke e batle	0.89	0.06	0.79	0.03	0.89	0.06	0.79	0.03
Khakanyo ea Lintho	0.83	0.11	^b	^b	0.84	0.11	^b	^b

	Khakanyo ea Covariances				Khakanyo ea Covariances
Ho Hlokahala ho Hlompheha ka Boiketsetso bo Nyenyefalitsoeng	0.44	0.08	0.52	0.06	0.45	0.08	0.57	0.06
Melemo e sa Tšoanelehang ka Boiketsetso bo Fokotsitsoeng	0.13	0.04	0.26	0.07	0.12	0.05	0.17	0.07

	Fit ea Model				Fit ea Model

CFI / TLI	0.90/0.88				0.98/0.97
AIC / Adj. BIC	9067.68/9075.10				5714.57/5719.47
Mohlala χ2 (df)	278.49 (117), p <.001				66.48 (42), p <.01
RMSEA, 95% CI	0.08 [0.07, 0.10]				0.05 [0.03, 0.08]
SMSR	0.10				0.05

Bula ka fensetere e fapaneng

Hlokomela. E sa tsebeng. = Ha u elelloe. SE = Phoso e tloaelehileng. Std. = E lekantsoe.

^aLiphoso tse tloaelehileng ha lia ka tsa baloa bakeng sa letšoao la pele ka lebaka le leng le sa mameloang hobane ntlha ea lona e jarollotsoe ho 1 bakeng sa ho theha sekhahla sa ntlha.

^bFactor phapang e ne e behiselitsoe ho 1 kahare ho mohlala o emeng mme o ne o sa lebelloa.

^cLintho tsena li ile tsa tlosoa mofuteng oa ho qetela oa sekala.

Karolo ea mantlha ea mojaro oa thepa Lethathamo 2 e bonts'a sephetho se sa tsotelleng le se tšoanang sa CFA e nang le lintho tsohle tsa 17 tse kentsoeng linthong tsa bona. Joalokaha re ka bona ho Lethathamo 2, mohlala oa pele o ne o sa tšoanele data hantle - CFI le TLI ka bobeli li ne li le tlase ho 0.95 mme RMSEA e ne e le kaholimo ho 0.06. Ho bile le mehloli e mengata ea phoso e fosahetseng bakeng sa mohlala oa mantlha. Lintho 8, 13, le 14 li laetsehile hampe ho Disqualified Benefits subscale tse amanang le lintho tse ling 'me ka hona li tlositsoe litsing tsa nako e tlang. Item 1 e tlositsoe ka lebaka la khokahano e phahameng ea masalela le Item 2 mme Item 4 e tlositsoe ka lebaka la khokahano ea masala le lintho tse ling tse 'maloa ho subsource ea Magnified Nentiality. Ho ba teng ha likhokahanyo tsa masalla ho fana ka maikutlo a hore, ho tlatselletsa molemong oa khahleho, lintho li arolelitsoe moaho o mong o sa lekanang o ileng oa etsa hore covariation e sa hlalosoang ke mohlala o ka khethang tšebeliso e seng ea morao-rao ea sekala e sa nkeng covariation ka lebaka. Item 12 e tlositsoe ka lebaka la ho kenya thepa sefesheneng sa Minimised Self-Efficacy subscale le likhokahanyo tse ka bang masala tse nang le lintho tse 'maloa ho subscale eo.

Moetso oa ho qetela oa CFA o ntlafalitse haholo, ka litšenyehelo tsohle ntle le tlhaiso ea tlhahlobo ea chi-mraba e bonts'a ho ts'oaneleha ha data ho latela metha e thehiloeng. Subscale ea Magnified Nentiality e na le Lintho 2, 3, 5, 6, le 7; subscale ea Disqualified faida e na le Lintho tsa 9-11; subscale ea Minimised Self-ufanisi e na le Lintho 15-17. Mabaka a sephetho a boetse a ntlafatsoa ke ho tlosoa ha lintho — ka mohlala, phapano ea Melemo ea Melemo e sa Kopaneng ho feta makhetlo a mabeli. Ho khahlisang ke hore, likhokahano tsa Melemo ea Magnified Nentiality le Disqualified faida tse fanoang ke subsiti ea Minimised Self-ufanisi ha ea ka ea fetoha ka mokhoa o ananelang lipakeng tsa mefuta ea mantlha le ea ho qetela. Ho haella ha khokahano pakeng tsa likhakanyo tsa mahlohonolo le melemo ho ile ha tšehetsoa ke mohlala. Ha a lumelloa ho fapana ka bolokolohi 'me a hakantsoe ke mohlala, khokahano e ne e hakantsoe hore ke 0.07, e ne e se bohlokoa, hape e le mpe le ho feta mohlala oohle.

Ho fetola Mokhatlo lipakeng tsa Li-subscales tsa MCAS le Hypersexourse

Ha re se re tiisitse sebopeho se loketseng hantle licheleteng tse tharo tsa MCAS, ka mor'a moo re ile ra batla ho leka likamano tsa sebopeho har'a bona le sephetho sa tlhahlobo ea maikutlo. Liphetho tsa tlhahlobo ea SEM li bonts'itsoe Feie. 1. Tlhahlobo ea SEM e netefalitse mohlala o hlakileng oa boits'oaro bo lumellanang le melao ea boits'oaro e sebetsang, joalo ka ha ho hlalositsoe ho Puisano. Model fit e ne e ntle haholo, 'me matšoao ohle a feta tekanyetso e tlase ea ho lekana hantle. Lithuso tse fumanehang ka bobeli ba Magnified Nentiality and Disqualified Benefits li bile le litlamorao tse totileng morerong o fokolitsoeng oa Boitšoaro bo Ntle, o fana ka maikutlo a hore maemo a holimo lintlheng tsena tse peli a ne a amana le ho nyenyefatsa ts'ebetso ea motho e mong ka thobalano; subscale ea Magnified Nentiality e ne e le ponelopele e matla ho feta ea Boiteko bo Ntle ho feta kamoo subsidale ea Melemo e sa Tlatsoang. Li-subscales tsohle tse tharo li boletse esale pele haholo ho hlahlojoa ha hypersexuality mme e hlalositse 45% ea phapang litlamorao tsa tlhahlobo. Tšusumetso ea Lisebelisoa tsa Magnified Nentiality and Disqualified faida mabapi le tlhaiso-leseling bakeng sa hypersexourse e ne e arotsoe ka tsela e itseng ke Minimised Boitšoaro ba Bobeli-ka bobeli e bile le litlamorao tse totileng ka ho fokotsoa ke Boits'ebetso. Ka kakaretso, Tlhokahalo ea Magnified e ne e le moetapele ea matla oa ho hlahlobisisa phepo e ntle ka sephetho sa 0.55 ha a bapisoa le 0.32 ea Melemo e sa Tšoanelehang le 0.26 bakeng sa Boitšoaro bo Ntle.

Setšoantšo sa 1

Meetso ea Sebopeho sa Mokhatlo o Lipakeng tsa Khopolo e Meholo ea Malad mabapi le Thobalano le bosholu ba mathata.

Li-coefficients li tlalehiloe ka mokhoa o ts'oanang. Hypersexourse e kentsoe joalo ka dichotomous, expression translate and Probit regression le Weighted Least squares Estimation e sebelisitsoe. Covariance pakeng tsa Tlhokahalo e Hlokahalang ea Magnified le Disqualified e ne e behiloe ho 0 mme phapang ea e 'ngoe le e' ngoe e ile ea tšoaetsoa 1 ka har'a liphetho tse lekantsoeng tse hlahisitsoeng. *p ≤ .05; **p ≤ .01; ***p ≤ .001. Model Fit: Model χ2 (df) = 51.60 (50), p = .41; CFI = 1.00; RMSEA = 0.01; Mohlomong RMSEA ≤ .05 = 0.97; WRMR = 0.53.

Phapang ea palo ea batho ka har'a li-subscales tsa MCAS

Re sebelisa ANOVA ea tsela e le 'ngoe e nang le phapang e nyane ea bohlokoa ea Fisher (ke hore, LSD) liteko tsa morao-rao, re fumane phapang e kholo lithutong tse fumanehang tsa melemo ea Disqualified subscale ka morabe / morabe. Banna ba batho ba batšo ba ne ba e-na le lintlha tse phahameng ho subscaleified Dispalale subscale ho feta Latino (p = .004) E tšoeup = .02), le banna ba semelo se sa tsejoeng (p = .01); Banna ba Latino ba ne ba e-na le lintlha tse tlase ho feta banna ba merabe e mengata (p = .04) ho kenyelletsa banna ba batšo; banna ba merabe e mengata ba ne ba e-na le lintlha tse phahameng ho feta banna ba semelo se sa tsejoeng (p = .03) ntle le banna ba Latino. Ha ho phapang e kholo ea morabe / morabe e fumanoeng mabapi le lits'ebetso tsa Magnified Nentiality kapa Minimised Boitlhatlhobo bo botle mme ha rea ka ra supa phapang lipapatsong tse tharo tsa MCAS ka boemo ba HIV, mosebetsi, phallo ea thuto, kapa boemo ba kamano.

Mokhatlo oa Bivariate oa Li-subcales tsa MCAS o nang le li-Variential tsa Psychosocial

Ka mor'a moo re ile ra hlahloba kamano lipakeng tsa subscales tse tharo tsa MCAS le lintho tse ling tse amanang le kelello le maikutlo tse reriloeng hore li ka ama bosholu ba maikutlo. Joalokaha re ka bona ho Lethathamo 3, re fumane mekhoa e ts'oanang ea likamano lipakeng tsa subscales tse tharo, 'me e' ngoe le e 'ngoe e na le khokahano e kholo le e ntle ka ho susumetsoa, ho tsitsipana maikutlong, khatello ea maikutlo / ho tšoenyeha le khatello ea thobalano. Lithuso tsa "Magnified Nentiality" le "Minimised Self-Efficacy" li ne li amana haholo le khokahano ea thobalano ha meputso ea Melemo e sa Tšoaroang e na le tšebeliso e ka bang zero. Lits'ebeletso tsohle tse tharo tsa MCAS li ne li amana haholo le ts'ehetso ea thobalano ea Inhibition e amanang le thobalano ka lebaka la ts'okelo ea ho se sebetse hantle (e leng, Inhibition ea thobalano I), ha feela subscale ea Melemo ea Disqualified e ne e amana le subscale ea Thobalano ea Thobalano e amanang le thibelo e bakiloeng ke tšokelo ea litlamorao tsa ts'ebetso (e leng, thibelo ea thobalano II). Lintho tse ngata tse fapaneng tsa kelello le tsa setso le tsona li ne li tloaelane haholo.

Lethathamo 3

Litumellano tse Ikhethileng tsa Bivariate le Lipalo-palo tse Hlalosang bakeng sa Khaello ea Hypersexual le Lintlha Tse Ntle Tsa Psychosocial

E ka fetoha	1	2	3	4	5	6	7	8	9	10	11
1. Hypersexual Disorder Screening	-
2. Ho Tsosa Thobalano	0.20^**	-
3. Thibelo ea thobalano I	0.19^**	0.12	-
4. Thibelo ea Thobalano II	0.08	0.12	0.39^***	-
5. Ho susumetsa	0.30^***	0.10	0.18^*	0.08	-
6. Tekanyo ea maikutlo	0.40^***	0.14^*	0.26^***	0.11	0.58^***	-
7. Ho Tepella Maikutlong le Matšoenyeho	0.43^***	0.17^*	0.27^***	0.13	0.43^***	0.60^***	-
8. Boiphetetso ba thobalano	0.50^***	0.22^***	0.11	0.03	0.42^***	0.41^***	0.34^***	-
9. MCAS - Ho Hlokahala ho Hlokahala	0.36^***	0.36^***	0.15^*	0.03	0.31^***	0.42^***	0.43^***	0.45^***	-
10. MCAS - Melemo e sa Tšoanelehang	0.22^**	-0.02	0.14^*	0.18^*	0.23^***	0.18^**	0.21^**	0.16^*	0.06	-
11. MCAS - Boikokobetso bo fokotsoang	0.39^***	0.51^***	0.19^**	0.13	0.34^***	0.43^***	0.42^***	0.56^***	0.51^***	0.16^*	-

% kapa M^a	20.3%	3.12	2.25	2.32	65.37	80.85	0.98	24.28	2.77	1.92	2.98
n or SD ^a	41	0.54	0.60	0.63	10.99	23.09	0.84	7.09	0.90	0.85	0.97
Cronbach's α	^b	0.81	0.74	0.70	0.84	0.94	0.93	0.89	0.83	0.83	0.90

Bula ka fensetere e fapaneng

Hlokomela.

^aBakeng sa karohano ea khatello ea kelello le boemo bo nang le tšoaetso ea HIV, liperesente le palo ea ba nkang karolo ea "ee" bakeng sa mefuta ena ea dichotomous li bontšoa. Bakeng sa mefuta e meng eohle e ntseng e tsamaisoa ka mokhoa o tsoelang pele, mekhoa le li-SD lia bontšoa.

^bLintho tsena tse peli e ne e le matšoao a dichotomous a ntho e le 'ngoe' me li ne li se na li-coefficients tse tsamaellanang.

^*p ≤ .05.

^**p ≤ .01.

^***p ≤ .001.

Logistic Regression Predicting Hypersexual Disorder Screening Incomeory Outcome

Qetellong ea tlhahlobo ea rona ea ho qetela, re ile ra batla ho hlahloba hore na li-MCAS tse nchafalitsoeng li tla sebetsa joang ha li kenngoa mohlaleng ka nako e le ngoe le likarolo tsena tsa khatello ea maikutlo. Moetso o ile oa fetoloa bakeng sa boemo ba HIV, kaha boemo ba HIV bo bontšitsoe hore bo amana ka matla le litlatse tse amanang le bosholu ba maikutlo joalo ka ho qobelloa thobalano (mohlala, Grov et al., 2010; Parsons et al., 2012, 2013).

Liphetho tsa regression registic li bontšitsoe ho Lethathamo 4. Re fumane hore, ka ho sebelisa motsoako ona oa lintho tse fetohileng joalo ka baetapele, hoo e batlang e le 87% ea bankakarolo ba ne ba khethiloe ka nepo e le hypersexual kapa che. Leha phetoho e 'ngoe le e' ngoe ntle le e le 'ngoe (ke hore, thobalano ea thobalano II) e ne e amahanngoa le karohano ea hypersexual litlhahlobisong tsa bivariate, ke tse' ne feela tse ileng tsa hlaha e le tsa bohlokoa ka boikemelo molemong oa mohlala o ka ntlafatsoang: ho ba le tšoaetso ea HIV ho ne ho amahanngoa le makhetlo a ka bang mararo a mathata a khethollo ea hypersexual , keketseho ea yuniti ea khatello ea maikutlo le matšoenyeho e ne e amahanngoa le keketseho ea linako tsa 2.3 le mathata a khethollo ea hypersexual, mme keketseho ea yuniti e ne e amahanngoa le keketseho ea linako tsa 1.2 likhethong tsa karohano ea hypersexual. Keketseho ea karolo e le 'ngoe lenaneong la subsidale la Mesebetsi ea Motsoalle e neng e sa tsoa ntlafatsoa ea MDN e ne e amahanngoa le keketseho ea linako tsa 1.8 mecheng ea tšubuhlellano ea hypersexual kamora ho feto-fetoha bakeng sa tse ling tsohle tse boletsoeng esale pele tsa psychosocial ka har'a mohlala, e bonts'a karolo ea eona e ikhethang e neng e sa ngolloa pele ka ho etsa lipatlisiso mabapi le khatello ea maikutlo.

Lethathamo 4

Logistic Regression Predicting Hypersexual Disorder Screening Inventory (HDSI) Liphetho tsa Screening le Lits'ebetso tse Ntle tsa Psychosocial

E ka fetoha	B	MOLELE	95% CI
Boemo bo Nepahetseng ba HIV ^a	1.05	2.86^*	[1.03, 7.97]
Ho Tsosa Thobalano	0.31	1.36	[0.50, 3.71]
Thibelo ea thobalano I	-0.09	0.92	[0.38, 2.19]
Thibelo ea Thobalano II	0.06	1.07	[0.48, 2.34]
Ho se tsitsisehe	-0.04	0.96	[0.91, 1.02]
Tekanyo ea maikutlo	0.02	1.02	[0.99. 1.05]
Ho tepella maikutlo le ho tšoenyeha	0.83	2.30^*	[1.16, 4.57]
Boiphetetso ba thobalano	0.21	1.23^***	[1.12, 1.35]
MCAS: Ho Hlokahala	0.20	1.23	[0.64, 2.34]
MCAS: Melemo e sa tšoaneleheng	0.57	1.77^*	[1.01, 3.10]
MCAS: Ho Ikitlaetsa Boitšoaro	0.08	1.08	[0.53, 2.18]
	Fit ea Model
ea mohlala χ²(df)	87.84^*** (11)
Nagelkerke R²	0.56
-2 Monyetla oa ho kena	115.97
% E hlophisitsoe ka nepo ho HDSI	86.1%

Bula ka fensetere e fapaneng

Hlokomela. CI = Nako ea kholiseho; AOR = Ratio e fetotsoeng.

^aBoemo ba HIV bo behiloe 1 = E ntle, 0 = E fosahetse.

^*p ≤ .05.

^***p ≤ .001.

Eya ho:

TŠOHLOA

Re batlile ho theha sekhahla sa pele se khona ho hapa maikutlo a fosahetseng ka thobalano har'a banna ba ratanang haholo le ba bong bo fapaneng. Liphetho tsa lipuisano tsa rona tse tebileng tsa tlhaiso-leseling li khothalelitse li-subscales tse tharo, tse tšehetsoeng ke netefatso ea netefatso, ho kenyelletsa ho phahamisa tlhokahalo ea thobalano, ho sitisa melemo ea thobalano, le ho fokotsa ts'ebeliso ea motho bakeng sa ho laola menahano le boitšoaro ba thobalano. Kamano ea likarolo tsa subscales tsena e bonts'a mohlala oa tlhalohanyo ea hypersexourse e lumellanang le mehlala ea boitšoaro e sebetsang (Bandura, 1982, 1997), joalo ka ha ho hlalositsoe ka tlase. Ntle le moo, taba ea hore Melemo e sa Tšoanelehang ea thobalano e ile ea bolela esale pele lintlha tse hlokoang tsa kameho ka mora ho fetola maemo a bohlokoa a mefuta eohle a teng a maikutlo a matla a kelello (ke hore, thohako ea thobalano le thibelo, ho se ts'oanelehe, khatello ea maikutlo, khatello ea maikutlo le ho tšoenyeha, le ho qobelloa ho etsa thobalano. ) e fana ka tlhahiso ea bohlokoa ba ho etsa lipatlisiso tse tsoelang pele le tlhaiso ea bongaka ho boiqapelo ba kelello ba kelello.

Ha motho a lumela hore thobalano e amana le melemo e fokolang le kotsi e ngata, leha ho le joalo a e phehella khafetsa joalo ka banna ba mohlaleng oa rona, ho ka etsahala hore a be le litumelo tsa ho se sebetse hantle ho tlase ho laoleng boitšoaro ba hae ba thobalano. Ka tsela ena, o bona boitsoaro ba hae bo tsamaisoa, eseng ke boikhethelo ba hae, ka maemo a kantle ho taolo ea hae. Ho feta moo, ha motho a lumela hore thobalano ea hlokahala bakeng sa ts'ebetso ea letsatsi le letsatsi - ebang ke ho robala, ho phomola, ho phelisana, ho hokahanya, kapa ho tsepamisa mohopolo - o tla lumela hore litlhoko tsena tsa ka ntle, ho fapana le matla a hae a ho laola boitšoaro ba hae ba thobalano, li mo lebisa ho batla khafetsa litaba tsa thobalano. Ka tsela ena, litebello tsa litlamorao tse mpe (ke hore, melemo e se nang melemo, litlhoko tse phahamisitsoeng) li tsamaisa maikutlo a fosahetseng a hore motho o khona ho itaola ka bohlola (ka hore, motho ha a laole boitšoaro ba hae ba thobalano), eo ka tsela e 'ngoe e tsamaisang khatello ea maikutlo e bonts'itsoeng thutong ena. Liphetoho tsa morao-rao tsa Bandura's (1977) mofuta oa mantlha oa boits'oaro bo atlehileng (Williams, 2010) fana ka ts'ehetso e matla bakeng sa moralo ona oa sebopeho (litebello tsa sephetho → litumelo tsa ho itšebeletsa → boitšoaro).

Har'a batho ba ratanang haholo le ba bong bo tšoanang le ba bong bo fapaneng, ba lumelang hore thobalano ke tšenyo ea nako, e kotsi ho feta botle, 'me e sa tšoanelehe boiteko bo ne bo amahanngoa le tšebeliso ea maikutlo mabapi le likarolo tse kholo tsa mefuta eohle e teng ea khatello ea maikutlo. Sena se fana ka maikutlo a hore ho se lokise melemo ea thobalano ho emela setšoantšo sa pele sa bosholu ba maikutlo bo sa tsoaloeng mehlaleng e fetileng. Le ha matšoenyeho a motho e le e 'ngoe ea likarolo tse hlalosang bosholu ba maikutlo, mehlala e teng ea khatello ea maikutlo ha e bolele mohloli oa mahlomola ana (Kafka, 2010). Seo re se fumaneng se fana ka maikutlo a hore mohloli o mong oa khatello oa maikutlo e ka ba litumelo tse mpe mabapi le liphetho tsa thobalano, tse ntle le tse mpe, le ho se tsebe ho laola taolo ea thobalano. Ho fumana ha rona karolo ea mantlha ea ho lemoha kotsi e seng melemo, ho tsoa ho thobalano ho ne ho tsamaisana le mofuta oa boits'oaro bo matla ba boitšoaro bo bobe ba botona le botšehali bo bolokiloeng ke bokhoni ba hae bo tšoanang ba ho baka khatello ea kelello (mohlala, ho ikoahlaea, ho hlabisa lihlong) le ho sebeletsa. e le mokhoa oa ho laola, kapa ho sebetsana ka katleho le khatello ena le haeba e le ka nakoana. Patlisiso ea nako e tlang e sebelisang mehlala e setseng ea nako ea batho le liphihlelo tse mabapi le boitšoaro ba thobalano (mohlala, Hofmann, Baumeister, Förster, & Vohs, 2012; Shrier, Shih, Hacker, & de Moor, 2007) o tla tseba ho hlakisa tšebetso ea khatello e matla ea kelello, ho kenyelletsa le menyetla ea likhopolo tse fosahetseng mabapi le thobalano e le boemo ba ho hlekefetsoa ka thobalano.

Likhopolo tse ngata tse mabapi le thobalano le tlhabollo ea banna ba batona

Banna ba ratanang le ba bong bo fapaneng ba na le monyetla o moholo oa ho tlaleha likotsi tse fosahetseng, joalo ka ho itšepa le ho hloka tšepo, bophelong bohle ho feta banna ba bong bo fapaneng (mohlala, Hatzenbuehler, 2009; Hatzenbuehler, McLaughlin, & Nolen-Hoeksema, 2008; Safren & G., 1999). Banna ba ratanang le ba bong bo fapaneng ba ka ba le khethollo e fetang ea thobalano ka ho pepesetsoa tlhekefetso ea thobalano bongoaneng, khatello ea maikutlo a manyane mabapi le maikutlo a bona a thobalano, le lekunutu le lihlong tse atisang ho hlahella gay kapa boits'oaro bo khahlisang ho feta boholo ba nts'etsopele ea pele (D'Augelli, 2002; Lelutiu-Weinberger et al., 2011; Pachankis le Bernstein, 2012; Parsons et al., 2012; Stall et al., 2003). Mohlala, tlhekefetso ea bana ka thobalano e amana le khatello ea kelello le rumum (Briere le Elliott, 2003), eo ka lehlakoreng le leng e arolelanang kamano lipakeng tsa tlhekefetso ea thobalano bongoaneng le boits'oaro ba joala, joalo ka ho ja le tšebeliso ea lithethefatsi, ho sebetsana le khatello ea maikutlo (Sarin & Nolen-Hoeksema, 2010). Ho feta moo, ho patala karolo ea mantlha ea boitsebahatso ba hau, joalo ka thobalano ea motho ea ho kopanela liphate, nakong e kholo ea nts'etsopele e bonts'itsoe ka mokhoa o matla mokhoa oa motho oa boits'oaro le boitšoaro bo botle ba bophelo (Pachankis le Hatzenbuehler, 2013). Le ha e sa lekoe ka kotloloho mona, mohlala o fumanang mohloli oa menahano e fosahetseng ka thobalano kholisong ea bacha e lumellana le mehlala ea khatello ea maikutlo le boits'oaro bo bong ba bophelo bo botle. Ho kenyelletsoa ha maikutlo a fosahetseng ka thobalano lithutong tsa bong ba banna ba bong bo fapaneng le bo tsoetseng pele ho ka hlakisa karolo ea tlhalohanyo mohlaleng oa banna ba bong bo tšoanang le ba litlamorao tsa khatello ea maikutlo e fokolang.

Litlhahiso tsa meriana

Seo re se fumaneng mabapi le tlatsetso ea melemo e ntlafalitsoeng, litšitiso tse sa hlokeng letho, le ho fokotsa bokhoni ba ho sebelisa mohlala oa boikemisetso li ne li lumellana le lithuto tsa linyeoe le tataiso ea bongaka bakeng sa ho phekola ntho ena (mohlala, Molisa, 2010; Weiss, 2004) le mekhoa ea ho phekola mathata a mang a thobalano, joalo ka pontsho le fetishism (Murphy le Leqephe, 2008; Wincze, 2000). Mekhoa e hlokolosi ea litlhare tsena e thusa ho netefatsa litlamorao tse ka bang le litlamorao tsa ketso e fanoeng ka thobalano le ho khothaletsa boits'epo ba ho laola boitšoaro bo bobe ba thobalano. Ho feta moo, mekhoa ea kalafo bakeng sa mathata a mang a boitšoaro bo feteletseng (mohlala, tšebeliso e mpe ea lithethefatsi, papali ea chelete ea maiketsetso) e sebelisa mekhoa ea ho a hlophisa ho qala ka tšusumetso ea ho leka ho thefula (mohlala, Hofmann, Deutsch, Lancaster, & Banaji, 2010) ho kena-kenana le ts'ebetso e ikatisang ea liteko (mohlala, Wiers, Rinck, Kordts, Houben, & Strack, 2010). Mekhoa ena e qetella e bopa katleho ea phetoho ea boits'oaro, litumelo tse feto-fetohang mabapi le boitšoaro ba bothata, le boitšoaro (Marlatt le Gordon, 1985). Ts'ebetso e reretsoeng ho tsamaisa temohisiso mabapi le ho itokafatsa bakeng sa thobalano e sa sireletsehang ea morao-rao har'a banna ba robalang le banna e hlahisitse phokotso ea 60% ho thobalano e sa sireletsehang bathong ba e amohelang ha ho bapisoa le ha ho phetoho lipakeng tsa sehlopha se fumaneng tlhabollo e tloaelehileng ea HIV ea ho fokotsa likotsi tsa HIV.Dilley et al., 2007). Liphetho tsa lithuto tse 'maloa tsa thibelo ea ho khutlela morao tse hlahlobang mekhoa e meng e behang bophelo bo botle kotsing li bontša hore ho nka bohato bo fetolang maikutlo a mabapi le boits'oaro bo nang le mathata ho ka lebisa ho fokotseng boikutlong boo.

Hobane thuto ea rona e ne e sa khone ho hlahisa ho hloka kelello, litlamorao tsa kliniki li lokela ho huleloa ka hloko. Leha phokotso ea maikutlo a fosahetseng e ka 'na ea etella pele phokotso ea boitšoaro bo hoselehileng, re ke ke ra fana ka monyetla oa hore mehopolo e fosahetseng e ka latela boits'oaro bo bobe kapa hore karohano ea boraro e sa hlalosoang e ka hlakisa kamano lipakeng tsa kelello le boits'oaro. Le ha ho le joalo, sephetho sa thuto e teng hona joale se fana ka maikutlo a hore menahano e mebe ea likamano tse fosahetseng ka thobalano, haholo melemo e sa tšoaneloang ea thobalano, e hlaha le khatello e matla ea maikutlo. Ebile, ho ka etsahala hore ntho ea mantlha e khethollang batho ba ratanang le ba bong bo tšoanang le ba batho ba khahlapetsang ba pepesetsang maikutlo a mabe ebile e le mpe bakeng sa khatello ea maikutlo e ka ba boemo ba khatello ea kelello bo fumanoang ke banna ba basodoma ba nang le bothata bo boholo le hoja monyetla ona o emetse tlhahlobo e matla. Liphetho tsa rona li ne li boetse li lumellana le monyetla oa hore pono e phetseng hantle ea ho ba le thobalano e ka se lumellane le e etsahalang khafetsa, ho le thata ho laola menahano, litakatso le boits'oaro bo amanang le khatello e kholo ea motho le litlamorao tse mpe. Kahoo, sephetho sa rona se fana ka maikutlo a hore mekhoa ea kalafo e atamelang maikutlo a mabe mabapi le thobalano e sitoa ho totobatsa melemo ea thobalano mme e khothaletsa tumelo ea hore motho ha a laole boitšoaro ba hae ba thobalano a ka sebeletsa ho ntlafatsa, ho e-na le ho fokotsa, khatello ea maikutlo.

Liphetho tsa mokhoa ona oa ho ithuta, empa haholo li potoloha, ke taba ea bohlokoa ea semenclatural e nang le litlamorao tsa tleleniki. Haholo-holo, netefatso ea bothata bo amanang le tlhaiso-leseling e fumanehang ka tlhahlobo e tloaelehileng ea tlhahlobo le tlhahlobo ea lipatlisiso li ka hanyetsoa ho fana ka tšebeliso ea karolo e phetseng hantle ea bophelo ba motho. Khang ena e kanna ea bohlokoa haholo ho banna ba ratanang le ba bong bo fapaneng, sehlopha sa batho bao likamano tsa bona tsa botona le botšehali li fetisitsoeng ka mokhoa o fapaneng historing ea sejoale-joale, bothata ba sechaba bo ntseng bo tsoela pele kajeno (Gallup, 2012). Leha ho le joalo, boteng ba menahano e thata kapa e sa nepahalang ka thobalano ho banna ba ratanang le ba batšehali e emela bothata ba bongaka ka bo eona, mohlomong le letšoao la pathognomonic la khatello e matla ea maikutlo, ho sa tsotelehe khang efe kapa efe ea ho hanyetsa boleng ba boitšoaro bo bobe kapa ba sechaba. litoro, litakatso, kapa boits'oaro. Ka lebaka leo, tlhaiso le kalafo ea litakatso tse fosahetseng tsa tlhaiso-leseling tse amanang le thobalano ka ho sebelisa methati e nepahetseng le mehlala e hlakileng li bontša bohlokoa ba mantlha ba bophelo bo botle ba kelello ho sa tsotellehe ho ikamahanya le eona le bothata bo itseng ba bophelo ba kelello. Boithuto bona bo fana ka maikutlo a hore ho fokotsa khatello ea kelello eo banna ba nang le bothata ba khatello ea maikutlo ba nang le eona, ho fapana le ho fokotsa maemo a boitšoaro ba thobalano, le eona e ka fokotsa khatello e matla ea maikutlo.

sheba mefokolo ea

Meeli e 'meli e hlokomelehang ea thuto ena e bile mokhoa oa mehlala le sebopeho sa likarolo. Le ha re ne re khona ho fumana mehlala e fapaneng ea banna ba ratanang le ba bong bo fapaneng haholo, banna bana bohle ba neng ba lula tikolohong ea toropo ea New York City, ba ne ba lokela ho fumana marang-rang, mme ba ne ba rutehile haholo. Lithuto tsa nako e tlang lia hlokahala ho bona hore na mehlala ea banna bao e seng litoropo kapa ba sa rutehang haholo ba etsang thobalano e boloka mefuta e mengata ea maikutlo a fosahetseng a amanang le tšebeliso e mpe ea maikutlo. Mohlala o moholo, ho ekelletsa moo, o ka be o fanne matla a ho sibolla lintho tse boletsoeng esale pele mohlaleng oa rona oa ho etsa lintho tse bonolo. Ho feta mona, mokhoa o ikhethileng o sebelisitsoeng thutong ea joale o fokolitse bokhoni ba rona ba ho khetholla maikutlo a fosahetseng ka thobalano e le sesosa, sephetho, bobeli, kapa ho se be le khatello ea maikutlo. Moralo o molelele o latelang banna ba ratanang le ba bong bo fapaneng ka nako e telele pele ho nts'etsopele ea khatello e matla ea kelello o tla fana ka mokhoa o hlokahalang bakeng sa ho tseba karolo ea nakoana ea menahano e fosahetseng ka thobalano. Joalokaha ho boletsoe pejana, mekhatlo ena e ka khona ho sebetsa ka mokhoa o mong le o mong mme mosebetsi oa kamoso o lokela ho sebelisa meralo e khonang ho etsa lipatlisiso tsa liphetoho tse etsahalang boits'oarong ba botona le botšehali, tlhalohanyo e mpe. Ho feta moo, sampole ea nakoana ea tlhahlobo ea maikutlo le pele ho kamorao ho likamano tsa thobalano e ne e tla lumella ho bonts'oa maemo a feto-fetohang maikutlong a fosahetseng ka thobalano le tšusumetso ea bona ea nakoana litabeng tsa thobalano.

Kamora nako, Boto ea Bahlophisi ba American Psychiatric Association e nkile qeto khahlanong le ho kenyeletsa Hypersexual Disorder ekaba tlhahlobo e hlophisitsoeng kapa karolo ea buka bakeng sa thuto e tsoelang pele. Leha ho le joalo, lipatlisiso tse tsoelang pele lia hlokahala ho etsa lipatlisiso tsa hore na ho ka ba le mathata afe kapa afe mabapi le tlhahlobo ea kelello le sesebelisoa se reriloeng ho e lekola, Hypersexual Disorder Screening Inventory, sephetho sa rona sa mantlha sa sephetho. Bakeng sa litlhahlobo tsa hajoale re shebane le mofuta oa tlaleho ea litekanyetso eseng sekala se tsamaisoang ke lingaka. Hajoale ha ho tsejoe hore na mekhoa e fapaneng ea tlhahlobo e na le tšusumetso e matla bokhoni ba sethala ba ho khetholla hypersexourse. Patlisiso e batlang ho fumana mokhoa o nepahetseng oa ho lekanya mathata a amanang le khatello ea maikutlo e hloka ho theha hypersexourse e le taxon ea tlhahlobo e sebetsang.

fihlela qeto e

Boithuto bona bo hlahisitse setšoantšo se phethahetseng sa hypersexourse ho feta se kileng sa fanoa le ho holisa mehlala e teng ea hypersexourse ho kenyelletsa taba ea bohlokoa ba maikutlo a fosahetseng mabapi le thobalano ha a hlalosa khatello e matla ea kelello. Tsebiso ea sebopeho sa lintlha tse tharo tsa likhopolo tse fosahetseng ka thobalano e bonts'a mokhoa oo ka oona litlamorao tse mpe li hlalosang boits'oaro ba botona le botšehali, bonyane ka karolo e 'ngoe. Ts'oaetso ea mohlala ona ka ts'ebetso e pharaletseng ea psychometric, ho kenyelletsa tlhahlobo ea netefatso ea motheo, mohlala oa sebopeho sa tlhahlobo, le liteko hammoho le baphethahatsi ba netefalitsoeng ea khatello ea maikutlo li bontša ho ts'epa le ho nepahala ha moaho ona. Taba ea hore maikutlo a fosahetseng mabapi le ho sitisa melemo ea thobalano a hlalosa ho ba teng ha tlhalohanyo ea batho ba bong bo tšoanang le ba banna ba khahloang ke ba batona le ba batšehali ba kaholimo-limo ka holimo ho mefuta ea mantlha ea meetso e amanang le khatello ea maikutlo e hloka ho etsa lipatlisiso tsa nako e tlang le mekhoa ea tliliniki ho fokotsa menahano e joalo ho fokotsa khafetsa, ka thata ho laola mehopolo ea thobalano, litakatso, le boits'oaro bo amanang le mahlomola a bohlokoa a motho le litlamorao tse mpe.

Eya ho:

lumela hore baa fokola

Morero ona o tšehelitsoe ke chelete ea ho etsa lipatlisiso e tsoang ho National Institute of Mental Health (R01-MH087714; Jeffrey T. Parsons, Motsamaisi ea ka Sehloohong). H. Jonathon Rendina o ile a tšehetsoa ka karolo e 'ngoe ke Setsi sa Naha sa Bophelo ba Makhopho Ruth L. Kirchstein Individual Predoctoral Fsoci (F31-MH095622). Litaba ke eona feela boikarabello ba bangoli mme ha ho hlile ha e emetse maikutlo a semmuso a Likolo tsa Naha tsa Bophelo. Bangoli ba ka thabela ho amohela menehelo ea sehlopha sa lipatlisiso tsa Pillow Talk: Ruben Jimenez, Joshua Guthals le Brian Mustanski. Re boetse re rata ho leboha basebetsi ba CHEST ba nkileng karolo ea bohlokoa phethahatsong ea morero: Chris Cruz, Fran Ferayorni, Sitaji Gurung, le Chris Hietikko, hammoho le sehlopha sa rona sa bathusi ba lipatlisiso, ba hira le ho koetlisa basebetsi. Qetellong, re leboha Chris Ryan, Daniel Nardicio, le Stephan Adelson le barupeluoa ba ithaopetseng nako ea bona bakeng sa thuto ena.

Eya ho:

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Boikarabello ba Tlhaloso ea Tlhekefetso ea Boits'oaro le Bokooa Boemong ba ho Kopanela Liphate ho Batho ba Bong bo Tšoanang le ba Bong bo Tšoanang le ba Bong bo Fapaneng (2014)

inahaneloang

SELELEKELA

Thuto ea Hona joale

METHODA

Barupeluoa le Tsamaiso

Mehato

Likhopolo tse ngata ka Khahlano le Tekano ea Thobalano

Boemo ba palo ea batho

Lethathamo 1

Hypersexourse ea mathata

Thibelo ea Thobalano le Boithati

Ho se tsitsisehe

Mathata le Molao oa Emotion

Matšoenyeho le khatello ea maikutlo

Boiphetetso ba thobalano

Morero oa tlhahlobo

LIPOTSO

Factor Hlahloba Tsebo ea Maladaptive mabapi le Sekala sa Thobalano

Lethathamo 2

Ho fetola Mokhatlo lipakeng tsa Li-subscales tsa MCAS le Hypersexourse

Phapang ea palo ea batho ka har'a li-subscales tsa MCAS

Mokhatlo oa Bivariate oa Li-subcales tsa MCAS o nang le li-Variential tsa Psychosocial

Lethathamo 3

Logistic Regression Predicting Hypersexual Disorder Screening Incomeory Outcome

Lethathamo 4

TŠOHLOA

Likhopolo tse ngata tse mabapi le thobalano le tlhabollo ea banna ba batona

Litlhahiso tsa meriana

sheba mefokolo ea

fihlela qeto e

lumela hore baa fokola

References

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