inahaneloang
Semelo le Sepheo
Ho sebetsana le likheo tsa hajoale mabapi le ho lekola ts'ebeliso e nang le mathata a litšoantšo tsa bootsoa (PPU), qalong re ile ra qala le ho lekola Screen Brief Pornography Screen (BPS) e botsitseng ka PPU likhoeling tse tšeletseng tse fetileng.
Mekhoa le Barupeluoa
Re ile ra fumana mehlala e mehlano e ikemetseng e tsoang Amerika le Poland ho lekola likarolo tsa psychometric tsa BPS. Thutong ea 1, re hlahlobile sebopeho, ho ts'epahala, le likarolo tsa bonnete ka ho sebelisa sampole ea bahlabani ba 224 ba US. Ntho e le 'ngoe e tsoang BPS e ile ea lahleloa Thutong ea 1 ka lebaka la tumello ea thepa e tlase. Thutong ea 2 le ea 3, re ile ra tsoela pele ho fuputsa lintho tse hlano sebopeho sa BPS mme ra lekola ho tšepahala le ho nepahala ha eona mehlala e 'meli ea baemeli ba US (N = 1,466, N = 1,063, ka ho latellana). Thutong ea 4, re netefalitse sebopeho sa lintlha mme ra lekola bonnete ba sona le ho ts'epahala ha sona re sebelisa sampole ea batho ba baholo ba 703 ba Poland. Thutong ea 5, re balile lintlha tse hlahisitsoeng tsa ho khaola skrineng re sebelisa sampole ea bakuli ba banna ba 105 ba batlang kalafo ea khatello ea boitšoaro bo hlephileng ba thobalano (CSBD).
Results
Liphuputso tse tsoang ho tlhahlobo ea likarolo tsa mantlha le tlhahlobo ea lintlha tse netefatsang li tšehelitse tharollo ea ntlha e le 'ngoe e hlahisitseng botsitso bo phahameng ba kahare (α = 0.89-0.90), mme e sekaseka likarolo tse ling tse tšehelitsoeng tsa kaho, khokahano, litekanyetso, le bonnete ba khethollo ea skrine e sa tsoa ntlafatsoa. Liphetho tse tsoang ho mothinya oa Receiver Operating Characteristic (ROC) li khothalelitse lintlha tse khaotsoeng tsa tse 'ne kapa tse holimo ho fumana PPU e ka bang teng.
Nahanisisa
BPS e bonahala e na le kelello e utloahalang, e khuts'oane ebile e bonolo ho e sebelisa maemong a fapaneng a nang le monyetla o moholo oa ho sebelisoa ho baahi libakeng tsohle tsa machabeng.
Selelekela
Hajoale, ho na le ngangisano e kholo har'a baoki le bafuputsi mabapi le mokhoa o motle oa ho arola ho kenella ka mokhoa o fetelletseng / o nang le mathata litabeng tsa thobalano (Kraus, Voon, & Potenza, 2016b), 'Me litsebi li hlahisitse likarolo ho kenyeletsoa lefu la hypersexual (Kafka, 2010), Bothata ba ho laola maikutlo (Grant et al., 2014; Kraus et al., 2018), Boloetse ba boitšoaro bo hlephileng ba ho kopanela liphate (CSBD) (Coleman, Raymond, & McBean, 2003), kapa ho lemalla boitšoaro (Kor, Fogel, Reid, & Potenza, 2013). Mathata a sebelisang litšoantšo tse manyala tse hlephisang boitšoaro (PPU) a ka hlophisoa ka mekhoa e meng ea boits'oaro ba thobalano ho fihlela mekhoa ea tlhahlobo ea CSBD joalo ka ha e hlalositsoe ho ICD-11 (Kraus et al., 2018). CSBD e hlalosoa e le mokhoa o phehellang oa ho hloleha ho laola litabatabelo tse matla, tse pheta-phetoang tsa thobalano kapa litakatso, tse hlahisang boits'oaro bo pheta-phetoang ba thobalano ka nako e telele (mohlala, likhoeli tse 6 kapa ho feta) tse bakang khatello kapa ho senyeha ho tšoaeang sechabeng, mosebetsing kapa tse ling tsa bohlokoa. likarolo tsa tšebetso (Kraus et al., 2018; Mokhatlo oa Lefatše oa Bophelo, 2018). Phuputso ea hajoale e hlahlobile likarolo tsa psychometric tsa skrini e sa tsoa nts'oa pele ea boits'oaro e etselitsoeng ho lekola PPU e ka bang teng ka mehlala e mehlano e nang le batho ba baholo ba sa sebetseng.
Likhakanyo tse atileng tsa CSBD har'a batho ba litleleniki le bao e seng ba bongaka li lula li le thata (Gola le Potenza, 2018; Kraus, Voon, et al., 2016b). Phuputso ea haufinyane ea batho ba baholo ba 2,325 ba US e fumane hore 8.6% ea sampole ea baemeli (7.0% ea basali le 10.3% ea banna) e khothalelitse maemo a bohloka le / kapa ho holofala ho amanang le mathata a laolang maikutlo a thobalano, litakatso le boits'oaro (Dickenson, Gleason, Coleman, & Miner, 2018). E ikhethang mabapi le ts'ebeliso ea litšoantšo tsa bootsoa, data e tsoang ho sampole e emelang naha ka bophara ea basebelisi ba inthanete ba 2,075 e fumane hore halofon = 1,056) ba tlalehile ts'ebeliso ea litšoantšo tse manyala tse hlephisang boitšoaro selemong se fetileng, mme banna ba 11% le basali ba 3% ba tlalehile "ba ikutloa ba lemaletse litšoantšo tsa bootsoa" (Grubbs, Kraus, le Perry, 2019b). Bopaki ba pele bo bokelletsoeng ho tsoa ho bahlabani ba sesole sa US bo hlahisitse sekhahla se phahameng sa boitšoaro bo qobelloang ba thobalano (Smith le al., 2014); leha ho le joalo, liphuputso ha lia ka tsa hlahloba PPU har'a bahlabani ba Amerika, sehlopha se hlokometsoeng ka maemo a phahameng a kliniki le ho se ts'oenyehe (James, Strom, & Leskela, 2014).
Ho feta moo, har'a batho ba batlang kalafo bakeng sa CSBD, ba bangata (> 80%) ba tlaleha mathata ka ts'ebeliso ea litšoantšo tsa bootsoa (Gola et al., 2018; Kraus, Potenza, Martino, & Grant, 2015b; Reid et al., 2012; Scanavino et al., 2013). Bakeng sa batho bana, PPU hangata e tšoauoa ka ho lakatsa, boitšoaro bo fokotsehileng, ho senyeha ha tšebetso, le ts'ebeliso ea litšoantšo tsa bootsoa ho sebetsana ka katleho le matšoenyeho kapa maikutlo a nyahamisang (Kraus, Martino, & Potenza, 2016a; Wordecha et al., 2018). Batho ba batlang kalafo bakeng sa PPU le boits'oaro bo bong ba thobalano hangata ba tlaleha matšoenyeho a kelello ho kenyelletsa, khatello ea maikutlo, matšoenyeho le mathata a ts'ebeliso ea lithethefatsi (Kraus, Potenza et al., 2015b).
Ho khetholla PPU, litekanyo tse ngata tsa ho itlaleha li se li entsoe le ho lekoa ho kenyeletsoa Bothata ba Litšoantšo Tsa Bootsoa Sebelisa Scale (PPUS) (Kor et al., 2014), Compulsive Pornography Consumption Scale (CPC) (Noor, Rosser, & Erickson, 2014), Litšoantšo tse manyala tse hlephisang boitšoaro tsa Cyber Sebelisa Inventory (CPUI / CPUI-9) (Grubbs, Sessoms, Wheeler, & Volk, 2010; Grubbs, Volk, Exline, & Pargament, 2015), Inventory Consumption Inventory (PCI) (Reid, Li, Gilliland, Stein, & Fong, 2011b), Lenaneo la Lipotso la Litšoantšo Tsa Bootsoa (PCQ) (Kraus & Rosenberg, 2014), le Bothata ba Ts'ebeliso ea Litšoantšo Tsa Bootsoa (PPCS) (Bothe et al., 2018), le Bothata ba Ts'ebeliso ea Litšoantšo Tsa Bootsoa (PPCS-6) (Bőthe, Tóth-Király, Demetrovics, & Orosz, 2020). Le ha e 'ngoe le e' ngoe e na le matla, lipotso tse ngata tsa lipotso tse itlalehang li na le meeli 'me hangata ha li a etsoa liteko tse matla tsa kelello. Selemo le selemo Fernandez le Griffiths bakeng sa puisano ka mehato ea litšoantšo tsa bootsoa). Mohlala, hangata li ntlafalitsoe le ho lekoa mefuteng e seng ea bongaka, e bonolo linaheng tsa Bophirimela, hangata ha e na moralo o kopaneng oa thuto kapa tlhahlobo, e lekola libaka tse ngata le tse sa bonahaleng tsa matšoao, hape ha ba na lintlha tsa tlhahiso ea bongaka ea ho khetholla ke mang ea lokelang ho hlahlojoa hape ke litsebi tsa bophelo bo botle ba kelello. Leha mathata ana a le teng ka bo bona, a amehile le ho feta ka lebaka la tlhahlobo ea CSBD. Ka Phuptjane 2019, CSBD e ile ea eketsoa ka molao ho ICD-11 (Mokhatlo oa Lefatše oa Bophelo, 2018) 'Me ka ketsahalo e phahameng ea PPU, nts'etsopele ea lisebelisoa tse khuts'oane tse matla, tse matla le tsa kelello ea ho lekola PPU e hlokahala haholo ho sebetsana le likheo tse teng lebaleng.
Maikemisetso a thuto ea hajoale
Ka lebaka la meeli e hlalositsoeng kaholimo, mosebetsi oa hajoale o hlalosa nts'etsopele ea sesebelisoa se khuts'oane sa ho lekola Brief Pornography Screen (BPS) ho khetholla PPU lithutong tse hlano tse ikemetseng. Thutong ea 1, re hlahlobile litekanyo tsa tumellano ea maano a sesole sa US tse 283 le lintho tse reriloeng, ra etsa tlhahlobo ea likarolo tsa mantlha, mme ra lekola ho ts'epahala hoa kahare le bonnete ba BPS. Thutong ea 2, re sebelisitse ts'ebeletso ea Omnibus e fanoang ke Qualtrics Survey Software ho hira batho ba baholo ba US ba 2,075 ba tšoanang le melao ea boemeli ba US ho netefatsa sebopeho sa ntho e le 'ngoe ea skrineng, ho lekola ho ts'epahala ha eona kahare, le ho lekola likamano lipakeng tsa BPS le Mehato ea psychopathology. Thutong ea 3, re sebelisitse ts'ebeletso ea phanele ea Turkprime ho lekola sebopeho sa BPS ho batho ba baholo ba 1,063 ba US hape ba ts'oanang le litloaelo tsa baemeli mme ba lekola likamano le mehato ea psychopathology. Thutong ea 4, re ile ra hira batho ba baholo ba Poland ba 703 ho netefatsa sebopeho sa sebopeho ho feta sampole eo e seng ea US le ho lekola botsitso ba kahare le bonnete. Mohlala oa 5, re hlahlobile litšobotsi tsa bongaka tsa bakuli ba banna ba 105 ba Poland ba batlang kalafo bakeng sa PPU ho theha lintlha tse khothalelitsoeng tsa ho khaola kliniki. Ho hira lithuto tsohle ho tšohloa ka botlalo ho Lisebelisoa tse tlatselletsang.
Liphuputso tsa lipalo-palo tsa lithuto tsa 1-5
Lithutong tsa 1 le 4, re sebelisitse SPSS-19 bakeng sa lipalo-palo tse hlalosang, li-squares, tlhahlobo ea likarolo tsa mantlha, likamano tsa Pearson Product-moment, li-ANCOVA le boikemelo tLiteko.
Ho Study 2 le 3, re tsamaisitse mefuta ea rona ea CFA re sebelisa lavaan (Rosseel, 2011) sephutheloana sa R, ho sebelisoa likhakanyo tse nang le boima bo tlase ba likarolo, tse sa nkeng ho ba maemong a tloaelehileng kapa a maiketsetso a masalla ebile ho ka ba molemo bakeng sa data ea ordinal (Liphoofolo le Curran, 2004). Bakeng sa Thuto ea 5, re sebelisitse SPSS-19 bakeng sa ho etsa liteko tsa kamohelo ea Receiver Operating Characteristic (ROC).
Ithute 1
Method
Tsamaiso le barupeluoa
Boithuto ba 1 bo ile ba etsoa ka data e tsoang ho Morero oa Phihlelo ea Boiphihlelo ba Ma-Veterans a Khutlang (SERV), e ileng ea hira bahlabani ba sesole ho pholletsa le US (Kraus et al., 2017; Smith le al., 2014). Mekhoa e akaretsang e sebelisetsoang ho hira bankakarolo le ho tsamaisa morero oa SERV e hlalositsoe kae kapa kae (Kraus et al., 2017). Litlhoko tsa ho tšoaneleha tsa ho ithuta li ne li le ka tsela e latelang: (a) arotsoe (ho lokolloa) sesoleng sa US; (b) lesole la mehleng la Iraq, Afghanistan, kapa linako tse haufi; (c) bonyane lilemo tse 18; (d) sebui sa Senyesemane; 'me, (e) ho lula Likarolong tsa database tsa Amerika ho se ho phatlalalitsoe pejana lipampiring tse latelang (Decker et al., 2019; Moisson et al., 2019; Scoglio et al., 2017; Turban, Potenza, Hoff, Martino, & Kraus, 2017, Turban, Shirk, Potenza, Hoff, & Kraus, 2020), empa ha ho le e 'ngoe ea lipampiri tsena e shebaneng le sebopeho le bonnete ba BPS.
Mehlala ea Mehlala
Ho barupeluoa ba 283 ba hlahlobiloeng, boholo e ne e le banna (70.6%, n = 197) ea lilemo tse bolelang 35.1 (SD = 9.2) lilemo. Litšobotsi tsa mehlala li thathamisitsoe ho Lethathamo la Tlatsetso 1.
Mehato
Sengoli sa pele se hlahisitse lintho tsa pele tse tšeletseng ho BPS e le mohato o ka bang teng oa PPU ho mehlala ea khale ea Amerika. Lintho tsena li ile tsa hlahisoa qalong ha sengoli sa pele se ne se phethela botsoalle ba postdoctoral ho psychology. Lintho li hlahisitsoe ho latela litšebelisano tsa bongaka le bakuli le ts'ebetso e tsoelang pele ho tsoa liphuputsong tse fetileng tsa lipatlisiso tsa likamano tsa bongaka tsa PPU Kraus, Martino et al., 2016a; Kraus & Rosenberg, 2014). Ka mor'a moo, lintho tse reriloeng li ile tsa tšeloa li hlahlojoa ke litho tse ling tsa sehlopha pele li hlahlojoa Thutong ea 1.
Thutong ea 1, barupeluoa ba fuoe BPS, e neng e etselitsoe ho khetholla batho ba tlalehang mathata a ho laola tšebeliso ea bona ea litšoantšo tsa bootsoa. Sekala sa pele se ne se na le lintho tse tšeletseng. Barupeluoa ba ile ba botsoa, "Likhoeling tse 6 tse fetileng, na ho na le le leng la maemo ana a u etsahalletseng mabapi le ts'ebeliso ea hau ea litšoantšo tsa bootsoa?" Likarabo tsa lintlha e ne e le 0 (ha ho mohla), 1 (ka linako tse ling), le 2 (khafetsa), ka palo ea lintlha ho tloha ho 0 ho isa ho 12. Bona Lethathamo 1 bakeng sa mantsoe a nepahetseng a BPS.
Tafole 1.Thuto 1, Palo ea khafetsa ea tumellano bakeng sa lintho tse tšeletseng tsa Screen ea Brief Pornography (BPS) hara maqhubu a USN = 222)
| Items | Le ka mohla (%) | Ka linako tse ling (%) | Hangata (%) | M (SD) | Matrix ea motsoako |
| U iphumana u sebelisa litšoantšo tsa bootsoa ho feta kamoo u batlang. | 60.5 | 29.6 | 9.9 | 1.49 (0.67) | 0.80 ∗ |
| U lekile ho "fokotsa" kapa ho khaotsa ho sebelisa litšoantšo tsa bootsoa, empa ha ua atleha. | 73.5 | 18.8 | 7.2 | 1.33 (0.61) | 0.82 ∗ |
| U fumana ho le thata ho hanela litakatso tse matla tsa ho sebelisa litšoantšo tsa bootsoa. | 61.9 | 28.7 | 9.0 | 1.47 (0.66) | 0.84 ∗ |
| U iphumana u sebelisa litšoantšo tse manyala tse hlephisang boitšoaro ho sebetsana ka katleho le maikutlo a matla (mohlala, ho hlonama, khalefo, bolutu, jj.). | 68.6 | 20.2 | 10.8 | 1.42 (0.68) | 0.73 ∗ |
| O ntse o tsoela pele ho sebelisa litšoantšo tsa bootsoa leha o ikutloa o le molato ka hona. | 61.4 | 25.6 | 12.6 | 1.51 (0.71) | 0.76 ∗ |
| Batho ba bontšitse ho tšoenyeha ka ts'ebeliso ea hau ea litšoantšo tsa bootsoa. | 90.6 | 5.8 | 3.1 | 1.12 (0.41) | 0.49 |
Hlokomela. Ho jarisoa ha likarolo ka mongolo o motenya ho bontša lits'oants'o tse phahameng ho karolo eo. Lintlha tse sieo ho bankakarolo ba babeli.
Karolo ea 1 = 3.75; Liphesente tsa phapang = 62.5%.
*Lintho tse matlafalitsoeng li bolokiloe phetolelong ea hoqetela.
M = bolela; SD = ho kheloha ho tloaelehileng.
Re boetse re sebelisitse Lipotso tsa nalane ea litaba tsa thobalano le litšoantšo tsa bootsoa (Rosenberg & Kraus, 2014ho lekola nalane ea bankakarolo le litšoantšo tsa bootsoa li sebelisa litšobotsi, PCQ (Kraus & Rosenberg, 2014) ho lekola takatso ea litšoantšo tsa bootsoa (α = 0.83), le PPUS (Kor et al., 2014ho lekola likarolo tse amanang le PPU (α = 0.83). Tekanyo ea Boitšoaro bo Ikemetseng ba UPPS-P (Li-Cyders, Littlefield, Coffey, & Karyadi, 2014; Lynam, Smith, Whiteside, le Cyders, 2006) ke lenane la lipotso la lintlha tse 45 le hlahlobileng ho se ts'oanehe (α = 0.80) le Premeditation (ho hloka) (α = 0.84), Potlako e Ntle (α = 0.81), Potlako e Ntle (α = 0.81), Ho Batla Boikutlo (α = 0.84), le Mamello (khaello ea) likarolo (α = 0.83), le Hypersexual Behaeve Inventory (HBI) (Reid, Garos, & Carpenter, 2011aho lekanya litšobotsi tsa bosodoma (α = 0.82). Potso e 'ngoe e ile ea hlahloba thahasello ea ma-veteran ea ho fumana kalafo bakeng sa boits'oaro bo itseng ba CSBD (mohlala, litšoantšo tse manyala tse hlephisang boitšoaro, thobalano e sa reroang / thobalano, jj.
Ethics
Boto ea Tlhatlhobo ea Setheo ea Lefapha la Litaba tsa Veterans e amohetse thuto. Barupeluoa bohle ba fane ka tumello e ngotsoeng e nang le tsebo pele ba kenella thutong.
Results
Ts'ebeliso ea litšoantšo tsa bootsoa le litloaelo tsa thobalano har'a ma-veteran
Liphesente tse mashome a mabeli a motso o mong (n = 59) ea barupeluoa ba tlalehile hore ha ho mohla ba kileng ba sheba litšoantšo tsa bootsoa. Hoo e ka bang 51% (n = 42) ea basali ba bontšitse hore ha ho mohla ba kileng ba sebelisa litšoantšo tsa bootsoa ha ba bapisoa le banna ba 8.6% (n = 17), ka ho2 (5) = 96.15, P <0.001, Cramer V = 0.59. Hobane thuto ea hajoale e shebile tlhahlobo ea psychometric ea BPS ho lekola PPU, re tlositse litšoantšo tsena tsa bootsoa tse 59 bao e seng basebelisi thutong, ra siea batho ba 220 bakeng sa litlhahlobo tse latelang.
Phokotso ea lintlha le sebopeho sa sebopeho sa Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa (BPS)
Re qalile ka ho etsa phokotso ea thepa ka ho lekola likamano tse felletseng tsa lintho tsa pele tse tšeletseng (Lethathamo 1). Lintho tsohle li ne li hokahane ka mokhoa o itekanetseng (rs = 0.31-0.70, P <0.001), ho fana ka maikutlo a hore ha ho motho ea ka tlosoang motheong ona. Taba ea bobeli, re ile ra lekola lipalo tsa maqhubu a boemo bo bong le bo bong ba tumellano bakeng sa lintho tse tšeletseng ho BPS ho khetholla lintho tse neng li sa `` lekane '' (Clark & Watson, 1995). Ho sebelisa molao ona oa qeto, ntho e le 'ngoe ("Batho ba bontšitse matšoenyeho") e ne e loketse ho felisoa; leha ho le joalo, re behile lintho tsohle tse tšeletseng tlhahlobisong ea likarolo tsa sehlooho (e sa potolohuoe) molemong oa ho fokotsa lintho.
Tlhatlhobo ea likarolo tsa sehlooho (PCA) e sebelisoa khafetsa bakeng sa phokotso ea lintho ho nts'etsopele ea sekala, mme PCA le tlhahlobo ea lintlha tse hlahlobang (EFA) hangata li hlahisa litholoana tse tšoanangSchneeweiss & Mathes, 1995). Ka lebaka la bonolo ba BPS (lintho tsa mantlha tsa 6) le lebaka la eona le le leng, sepheo sa rona e ne e le feela ho fokotsa palo ea lintho ha re ntse re boloka phapano ea mantlha kamoo ho ka khonehang (Conway le Huffcutt, 2003). Leha ho le joalo, haeba BPS e ne e kenyelletsa lintlha tse ngata, mme re ne re thahasella kamano lipakeng tsa lintlha tseo, EFA kapa sebopeho sa equation modeling (SEM) se ka be se nahannoe. Ka tlase re tlaleha liphetho tsa PCA.
Liphetho li hlahisitse karolo e le 'ngoe feela e nang le eigenvalue ea 3.75, e ikarabellang ho 62.5% ea phapang eohle (Lethathamo 1). Ke feela ntho e neng e sa tsejoe e neng e sa lekanyetsoa pele e neng e sena lits'oants'o tse phahameng (-0.50) le sechaba (> 0.40); ho sebelisa molao ona oa qeto (Costello le Osborne, 2005), ntho eo e ile ea lahloa. Lintho tse hlano tse setseng li ne li lekana hantle ka hare ka hare (α = 0.89), ts'epahalo e nang le likarolo tse ngata (0.92), le khokahano e leka-lekaneng ea lipakeng tsa lintho (r = 0.62), e ts'ehetsa bonngoe ba BPS (Clark & Watson, 1995).
Ho theha, ho fetolela, ho beha mabaka, le bonnete ba khethollo ea BPS
Ho lekola ntlha e le 'ngoe ea boits'oaro, re ile ra qala ka ho hlahloba hore na lintlha tsa BPS li fapane e le ts'ebetso ea palo ea litšoantšo tse manyala tse hlephisang boitšoaro tse shebiloeng, kamora ho ikamahanya le bong. Liphetho tsa ANCOVA li bonts'itse phello e kholo ea litšoantšo tsa bootsoa li sebelisa khafetsa, F (3, 216) = 14.32, P <0.001, karolo η2 = 0.12. Re sebelisa papiso ea post-hoc (Bonferroni-e lokisitsoeng) re fumane hore basebelisi ba litšoantšo tsa bootsoa tsa letsatsi le letsatsi (M = 4.39, SD = 2.10, SE = 0.48) e ne e na le lintlha tse phahameng haholo tsa BPS ho feta basebelisi ba beke le beke (M = 2.53, SD = 0.73, SE = 0.29), eo le eena a bileng le lintlha tse phahameng tsa BPS ho feta tsa basebelisi ba khoeli le khoeli (M = 1.45, SD = 0.36, SE = 0.25). Hape re balile likamano tsa motsotsoana oa Sehlahisoa sa Pearson ho lekola likamano lipakeng tsa mefuta ea thuto, le ho ts'ehetsa bonnete ba ho fetoha, re fumane khokahano e ntle le e matla lipakeng tsa lintlha tsa PPUS le BPS (bona Lethathamo 2 bakeng sa likamano tse fapaneng tsa bong). E le ho tšehetsa bonnete ba litekanyetso, re fumane likamano tse ntle empa tse itekanetseng lipakeng tsa lintlha tsa BPS, HBI le PCQ. Ho ts'ehetsa bonnete ba khethollo, BPS e ne e sa amane haholo le ho qhekella, leha e le bakeng sa banna, eseng basali, ho potlaka ho fosahetseng le ho nepahetseng ho ne ho amahanngoa hantle, leha ho ne ho fokola, le lintlha tsa BPS.
Tafole 2.Thuto 1, Likamano le mekhoa le liphapang tse tloaelehileng bakeng sa mefuta e fapaneng ea ho ithuta e khahlisang bahlabani ba Amerika
| E ka fetoha | Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa | Range | |||
| Basali (n = 40) | Banna (n = 180) | ||||
| r | M (SD) | r | M (SD) | ||
| Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa | - | 0.80 (1.73) | - | 2.55 (2.87) | 0-10 |
| Potso ea lipotso tse manyala tse hlephisang boitšoaro | 0.32 ∗ | 2.03 (0.95) | 0.45 ∗∗ | 2.95 (1.34) | 1-7 |
| Bothata ba ho sheba litšoantšo tse manyala tse hlephisang boitšoaro Sebelisa lebelo | 0.77 ∗∗ | 1.27 (0.50) | 0.75 ∗∗ | 1.92 (0.98) | 1-5.7 |
| Hypersexual Behaeve Inventory | 0.66 ∗∗ | 27.1 (9.0) | 0.60 ∗∗ | 34.8 (15.4) | 18-95 |
| UPPS-P Phoso e Potlakileng | 0.29 | 2.27 (0.51) | 0.30 ∗∗ | 2.36 (0.52) | 1.3-3.9 |
| UPPS-P Ho hloka moralo | 0.11 | 2.07 (0.44) | -0.03 | 2.08 (0.40) | 1.2-3.3 |
| UPPS-P Ho hloka mamello | 0.18 | 1.79 (0.42) | 0.11 | 1.94 (0.48) | 1.0-3.4 |
| UPPS-P Boikutlo bo Batlang | -0.02 | 2.61 (0.48) | 0.05 | 2.87 (0.37) | 1.2-4.0 |
| UPPS-P Positive Positive | 0.22 | 1.94 (0.44) | 0.22 ∗∗ | 2.23 (0.48) | 1.1-3.6 |
Hlokomela. ∗P <0.05, ∗∗P <0.01.
M = bolela; SD = ho kheloha ho tloaelehileng.
Kalafo ea boits'oaro ba thobalano
Ho bahlabani ba 220 ba ileng ba etsoa lipatlisiso mabapi le ho shebella litšoantšo tsa bootsoa (bona Lethathamo la Tlatsetso 1), ba robong ba bontšitse hore ba thahasella kalafo ea PPU. Batho bohle e ne e le banna (9 ho banna ba 180, 5%). BPS e bolela lintlha linthong tse hlano tse setseng bakeng sa banna ba robong e ne e le 6.67 (SD = 2.95). Liphuputso tsohle tse latelang (2-5) li sebelisitse BPS ea lintho tse hlano bakeng sa litlhahlobo tsa bona ho tloha ha li ne li etsoa kamora thuto ea 1.
Ithute 21
Method
Mekhoa le Barupeluoa
Re sebelisa ts'ebeletso ea Omnibus e fanoeng ke Qualtrics Survey Software, re ile ra hira moemeli oa naha ea Amerika (sampole e sa khonehang e ipapisitse le melao ea palo ea sechaba ea 2010 bakeng sa lilemo, bong, morabe, morabe, lekeno le sebaka sa Census sa US) bakeng sa boithuto ba batho ba baholo. (N = 2,075; Basali ba 51% [n = 1,059], banna ba 49% [n = 1,016]; Mdilemo = 44.8, SD = 16.7).
Likarolo tsa dataset ena li hlalositsoe libakeng tse ling lipampiring tse latelang, empa ha ho lipampiri tse lebisitseng ho sebopeho kapa bonnete ba BPS (bona Grubbs, Kraus et al., 2019b; Grubbs, Kraus, Perry, Lewczuk, & Gola, 2020).
Mehato
Liphuputso li ne li lekanyelitsoe ho batho ba baholo ba lumelang ho shebella litšoantšo tse manyala tse hlephisang boitšoaro selemong se fetileng (N = 1,058, banna ba 66%). Boitšoaro ba tšebeliso ea litšoantšo tsa bootsoa bo ile ba hlahlojoa ka lintho tse tharo. Ka ho khetheha, re ile ra botsa barupeluoa hore na ba shebile litšoantšo tse manyala tse hlephisang boitšoaro hakae selemong se fetileng. Re ile ra boela ra botsa barupeluoa hore na ba kile ba ipholla litho tsa botona kapa botšehali ka makhetlo a makae selemong se fetileng. Bakeng sa lipotso tsena ka bobeli, likarabo li ne li tloha ho 1 (ho hang) ho 8 (hang ka letsatsi kapa ho feta). Ntho e le 'ngoe e kopile barupeluoa ho tlaleha, ka metsotso e seng mekae, hore na ba qetile nako e kae letsatsi le letsatsi ba shebile litšoantšo tsa bootsoa.
Haholo-holo ho sampole ena mme ho kenyelletsa le BPS, re boetse re hlahlobile khatello ea maikutlo ka ho kenyelletsa lintho tse tharo tse amanang le khatello ea maikutlo le lintho tse peli tse amanang le matšoenyeho tse tsoang ho Cross-Cutting Syndromeom Measure bakeng sa DSM-5 (E khutsitseng et al., 2013). Re tsamaisitse lintho tse tharo tsa CPUI-9 (Grubbs et al., 2015) ho lekola likarabo tse tobileng kapa litumelo mabapi le ts'ebeliso ea litšoantšo tsa bootsoa. Ntho e 'ngoe le e' ngoe e fumanoe sekaleng sa 1 (ha e lumellane ka matla) ho 7 (ka matla lumela). Lintho tsena tse nang le sefahleho li nkuoe ho li-subscales tsa CPUI-9: Ho lemoha ho qobelloa (mohlala, "Ke lumela hore ke lemaletse litšoantšo tse manyala tse hlephisang boitšoaro"), Boiteko ba ho Fumana (mohlala, "Ke lahlile lintho tseo ke neng ke hloka ho li etsa ho shebella litšoantšo tsa bootsoa") , le khatello ea maikutlo (mohlala, "Ke ikutloa ke sithabetse maikutlo kamora ho shebella litšoantšo tsa bootsoa"). Lintho tsohle tse tharo li amana haholo le boits'oaro bo sebelisang boits'oaro (Grubbs, Wilt, Exline, & Pargament, 2018a; Grubbs, Wilt, Exline, Pargament, & Kraus, 2018b).
Ethics
Boto ea Tlhatlhobo ea Setheo ea Lefapha la Bowling Green State University e amohetse Thuto ea 2 e sa lokolloe. Barupeluoa bohle ba fane ka tumello e nang le tsebo ea elektroniki pele ba nka karolo thutong.
Results
Re tsamaisitse Confirmatory Factor Analysis (CFA) re sebelisa khakanyo e nang le boima ba likala tse nyane (DWLS) ka phapano e matla, kaha tekanyetso ea DWLS ha e nahane ka mokhoa o tloaelehileng kapa o ts'oanang le masala ebile e khetha data ea ordinal (Liphoofolo le Curran, 2004). Ts'ebetso ena e senotse BPS e ntle haholo bakeng sa sebopeho sa ntho e le 'ngoe (Robust χ2 (5) = 3.06, P = 0.69; CFI = 1.00, TLI = 1.00, RMSEA <0.001, SRMR = 0.01). Karolelano ea lintlha tsa BPS li ne li le tlase (M = 1.56, SD = 2.53), le tlhahlobo ea ts'epahalo ea kahare e senotse botsitso bo phahameng ba kahare (α = 0.90). Banna ba fumane lintlha tse phahameng tsa BPS (M = 2.24, SD = 2.81) ho feta basali (M = 1.70, SD = 2.60); t (2, 1,056) = 3.05, P <0.001, ea Cohen d = 0.20).
Lintlha tsa BPS li ne li amahanngoa hantle le mehato e mengata ka tsela e lebelletsoeng. Lintlha tsa BPS li ne li amahanngoa hantle le lipolelo tsa, "Ke lemaletse litšoantšo tsa bootsoa" (r = 0.620, P <0.001), "Ke ikutloa ke sithabetse maikutlo kamora ho shebella litšoantšo tsa bootsoa" (r = 0.47, P <0.001), hape "Ke lahlile lintho tseo ke neng ke hloka ho li etsa ho sheba litšoantšo tsa bootsoa" (r = 0.59, P <0.001). Lintlha tsa BPS li ne li amahanngoa hantle le makhetlo a ho sheba litšoantšo tse manyala tse hlephisang boitšoaro selemong se fetileng (r = 0.39, P <0.001), ho ipholla litho tsa botona kapa botšehali lilemong tse fetileng (r = 0.40, P <0.001), karolelano metsotso ea letsatsi le letsatsi e sebelisitsoeng ho shebella litšoantšo tsa bootsoar = 0.23, P <0.001), le maikutlo a akaretsang a khatello ea maikutlo (r = 0.34, P <0.001).
Ithute 32
Method
Mekhoa le Barupeluoa
Lintlha tse tsoang ho batho ba baholo ba sebelisang marang-rang ba 470 ba sebelisang litšoantšo tse manyala tse hlephisang boitšoaro selemong se fetileng li ile tsa hlahlojoa ho tsoa sampoleng e kholo ea batho ba baholo ba US ba 1,063 ba tšoanang le melao e emeloang ke naha ea Amerika e ipapisitseng le melaoana ea bochaba ea 2010 US (e ipapisitse le tlhaiso-leseling ea Census ea US) bakeng sa lilemo, bong, morabe, morabe, sebaka sa Census sa US, le lekeno. Sampole ena eo e seng ea monyetla e ile ea hiroa mme ea lefelloa ke ts'ebeletso ea phanele ea Turkprime (Litman, Robinson, & Abberbock, 2017).
Likarolo tsa database ena li phatlalalitsoe pejana lipampiring tse latelang (Grubbs et al., 2020; Grubbs & Gola, 2019; Grubbs, Grant; Engelman, 2019a; Grubbs, Mofuthu, Tosi, James, & Campbell, 2019d); leha ho le joalo, ha ho le e 'ngoe ea lithuto tse shebaneng le sebopeho kapa bonnete ba BPS.
Mehato
Tumellanong le Thuto ea 2, re thibelitse litlhahlobo ho ba tlalehileng tšebeliso ea litšoantšo tsa bootsoa selemong se fetileng (N = 470; Mdilemo = 44.9; SD = 15.9; 72% banna). Litšoantšo tse manyala tse hlephisang boitšoaro li ile tsa hlahlojoa, joalo ka Thutong ea 2, ho sebelisoa BPS le methati ea makhetlo a ts'ebeliso ea motho a le mong, litšoantšo tsa bootsoa, le tšebeliso e tloaelehileng ea litšoantšo tsa bootsoa ka metsotsoana. Matšoenyeho a akaretsang a lekantsoe ka mokhoa o ts'oanang oa DSM-5 Cross-Cutting o hlalositsoeng ho Study 2. Boikutlo ba boithati ba ho lemalla litšoantšo tsa bootsoa bo ile ba lekoa le CPUI-9 (α = 0.91; Grubbs et al., 2010; Grubbs et al., 2015) le likaroloana tsa eona tsa karolo e lekolang khatello ea maikutlo ()α = 0.93), Matšoenyeho a Maikutlo (α = 0.92), le Boiteko ba ho Finyella (α = 0.87).
Ethics
Boto ea Tlhatlhobo ea Setheo ea Lefapha la Bowling Green State University e amohetse Thuto ea 3 e sa lokolloe. Barupeluoa bohle ba fane ka tumello e nang le tsebo ea elektroniki pele ba nka karolo thutong.
Results
CFA e sebelisang tekanyetso ea Robust DWLS e senotse BPS e ntle haholo bakeng sa unidimensionality (χ2 (5) = 8.64, P = 0.12; CFI = 0.99, TLI = 0.98, RMSEA = 0.03, SRMR = 0.02). Palo ea BPS e bolelang e ne e le tlase (M = 1.92, SD = 2.69) mme ts'epahalo ea kahare e ne e phahame (α = 0.91). Banna (M = 2.25, SD = 2.75) o ile a fumana lintlha tse phahameng ho feta basali (M = 1.12, SD = 2.39; t [1,48] = 4.04, P <0.001, ea Cohen d = 0.40).
Lintlha tsa BPS li ne li tsamaisana le lintlha tse ngata ho CPUI-9 (r = 0.72, P <0.001) le ho lemoha ho qobelloa ()r = 0.75, P <0.001), Boiteko ba ho Finyella (r = 0.64, P <0.001), le khatello ea maikutlo (r = 0.47, P <0.001) liphallelo. Lintlha tsa BPS li ne li amahanngoa hantle le makhetlo a ts'ebeliso ea litšoantšo tsa bootsoa selemong se fetileng (r = 0.47, P <0.001), makhetlo a ho ipholla litho tsa botona kapa botšehali litšoantšong tse manyala tse hlephisang boitšoaro selemong se fetileng (r = 0.43, P <0.001), karolelano ts'ebeliso ea letsatsi le letsatsi ea litšoantšo tsa bootsoa ka metsotso (r = 0.33, P <0.001), le maikutlo a akaretsang a khatello ea maikutlo (r = 0.33, P <0.001).
Ithute 4
Method
Tsamaiso le barupeluoa
Mohlala (Lethathamo la Tlatsetso 4e ne e entsoe ka batho ba baholo ba 703 ba Poland (basali ba 512, 72.8%) ba lilemo li 18-54 (M = 26.04, SD = 6.07). Setsi sa database sena (banna ba 191) se tsoa ho dataset e hlalositsoeng ho Kowalewska, Kraus, Lew-Starowicz, Gustavsson, le Gola (2019).
Batho bohle ba baholo ba ile ba hiroa ho tsoa ho baahi ba Poland ka papatso e thehiloeng marang-rang ho gumtree.pl (mofuta oa Sepolishe oa Craigslist) le hiperseksualnosc.pl (sebaka sa marang-rang sa sehlopha sa lipatlisiso). Barupeluoa ba phethileng patlisiso e fumanehang marang-rang 'me ba siile aterese ea bona ea lengolo tsoibila ba ne ba tšoaneleha ho hapa e' ngoe ea likhau tse latelang, li-voucher tse hlano tsa lebenkele la libuka tsa 30, 15, kapa 5 USD le litekete tse 30 lebaleng la libaesekopo. Liaterese tsohle tsa lengolo-tsoibila li bolokiloe polokelongtshedimosetso e arohileng 'me ha li amane le lintlha tsa lipotso ho thusa ho netefatsa ho se tsejoe.
Mehato
Ntle le ho sebelisa BPS, re ile ra lekola ho se ts'oenyehe ho sebelisa phetoho ea Poland ea UPPS-P (Poprawa, 2014). Re ile ra lekanya likarolo tse feteletseng tse qobelloang re sebelisa phetoho ea Poland ea Obsessive Compulsive Inventory - Revised (OCI-R) (Foa et al., 2002; lintlha tse mabapi le phetolelo e fanoeng ka; Gola et al., 2017a) le phetoho ea Poland ea Teko ea Tlhatlhobo ea Thobalano ea Thobalano - E Hlahlobisitsoe (SAST-R) (Gola et al., 2017a) ho lekola (1) ho ameha haholo ka thobalano, (2) ho ama, (3) pherekano ea kamano ka boitšoaro ba thobalano, le (4) maikutlo a ho lahleheloa ke taolo ea boits'oaro ba thobalano (kakaretso ea SAST-R α = 0.80).
Ethics
Mekhoa eohle e ile ea amoheloa ke Komiti ea Boitšoaro ea Setsi sa Psychology, Sekolo sa Saense sa Poland. Barupeluoa bohle ba fuoe tumello e ngotsoeng e nang le tsebo pele ba kenella thutong.
Results
Lisebelisoa tsa Psychometric tsa BPS e fetotsoeng ke Poland
CFA e eketsehileng e sebelisang tekanyetso ea Robust DWLS e hlahisitse tharollo e ntle haholo bakeng sa tharollo ea ntlha e le 'ngoe (Robust χ2 (5) = 2.12, P = 0.83; CFI = 1.00, TLI = 1.00, RMSEA = 0.00, SRMR = 0.02). Joalo ka lithuto tsa pejana, phetoho ea BPS ea Poland e ne e na le botsitso bo phahameng kahare (α = 0.89) le kamano e leka-lekaneng ea lipakeng tsa lintho (r = 0.62). Ka bobeli, botsitso ba kahare le kamano e amanang le lintho tse ling li ne li phahame ho banna (α = 0.88; r = 0.61) ho feta basali (α = 0.85; r = 0.54).
Joalokaha ho bontšitsoe ho Lethathamo 3Bakeng sa sampole e felletseng, lintlha tsa BPS e ne e le 1.92 (SD = 2.65). Banna (M = 3.56, SD = 3.11) e ne e na le lintlha tse phahameng tsa BPS ha li bapisoa le basali (M = 1.12, SD = 1.92), t (701) = 10.12, P <0.001, ea Cohen d = 0.76). Palo ea metsotso e sebelisitsoeng ho shebella litšoantšo tse manyala tse hlephisang boitšoaro e ne e sa tsamaisane hantle le lintlha tsa BPS empa e ne e le tsa banna feela. Ho ts'ehetsa bonnete ba litekanyetso, lipalo tsa BPS li ne li hokahane hantle le ho tiea ha matšoao joalo ka ha ho lekantsoe ke SAST-R. Ho ts'ehetsa bonnete ba khethollo le e ts'oanang le Thuto ea 1, ha rea fumana likamano lipakeng tsa lintlha tsa BPS le ho batla maikutlo a UPPS-P le ho haelloa ke maikemisetso le likamano tse fokolang tse ntle lipakeng tsa lintlha tsa BPS le ho potlaka ho fosahetseng, ho potlaka le tiisetso. Lintlha tsa BPS li ne li hokahane hanyane ka hanyane le likarolo tse qobelloang tsa ho qobella (bona Lethathamo 3 bakeng sa likamano tsohle).
Tafole 3.Khokahano ea lintlha tsa BPS le mehato e meng ho sampole ea batho ba baholo ba sechaba sa Poland (N = 703)
| E ka fetoha | Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa | Range | |||
| Basali (n = 512) | Banna (n = 191) | ||||
| r | M (SD) | r | M (SD) | ||
| Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa | - | 1.12 (1.92) | - | 3.56 (3.11) | 0-10 |
| Palo ea litšoantšo tse manyala tse hlephisang boitšoaro e sebelisitsoe bekeng e fetileng (mets.) | 0.07 | 60.46 (108.93) | 0.17 ∗ | 124.66 (179.12) | 1-1,200 |
| Teko ea Tlhatlhobo ea Thobalano ka Thobalano - E ntlafalitsoe | 0.43 ∗∗ | 3.81 (2.99) | 0.61 ∗∗ | 5.51 (4.23) | 0-18 |
| Inventory ea Compulsive Compulsive - E ntlafalitsoe | 0.17 ∗∗ | 18.03 (10.38) | 0.25 ∗∗ | 19.21 (9.72) | 0-58 |
| UPPS-P Phoso e Potlakileng | 0.22 ∗∗ | 29.26 (7.16) | 0.29 ∗∗ | 27.02 (7.79) | 2-48 |
| UPPS-P Ho hloka moralo | 0.06 | 22.28 (5.26) | 0.14 | 21.83 (5.86) | 2-41 |
| UPPS-P Ho hloka mamello | 0.14 ∗∗ | 20.25 (5.18) | 0.15 ∗ | 20.24 (4.92) | 2-37 |
| UPPS-P Boikutlo bo Batlang | -0.06 | 31.22 (7.75) | -0.004 | 34.39 (7.99) | 4-48 |
| UPPS-P Positive Positive | 0.12 ∗∗ | 28.02 (9.54) | 0.27 ∗∗ | 28.90 (10.03) | 9-56 |
Hlokomela. *P <0.05, ∗∗P <0.01.
M = bolela; SD = ho kheloha ho tloaelehileng.
Ithute 5
Method
Mekhoa le bankakarolo
Ho hlahloba lintlha tse khaotsoeng tsa BPS, re hlahlobile banna ba bang ba 105 ba Poland ba lilemo li 18-55 (M = 32.94; SD = 7.45) ba neng ba batla kalafo bakeng sa CSBD, boholo ba bona ba tlaleha PPU (bona Litafole tse tlatsetsang 5 le 6). Sehlopha se batlang kalafo se kenyelletsa li-database tsa lithuto tse latelang: Wordecha et al. (2018) (Banna ba 9); Gola, Lew-Starowicz, Draps, le Kowalewska (2019) (Banna ba 57); Draps et al. (2020) (Banna ba 26); Holas, Draps, Kowalewska, Lewczuk, & Gola (2020) (Banna ba 13). Sehlopha sa taolo se ne se na le batho ba baholo ba banna ba 191 ba lilemo li 18-54 (M = 26.04; SD = 6.07) ho tsoa Thutong ea 4.
Bakuli ba batlang kalafo ba ile ba hiroa har'a banna ba batlang kalafo ea PPU litleliniking tse peli tsa thobalano e Warsaw lipakeng tsa Phuptjane 2014 le Pulungoana 2017. Bakuli bohle ba batlang kalafo ea PPU ba fihletse litekanyetso tse 'ne ho tse hlano tsa tlhahlobo ea ts'oaetso ea hypersexual joalo ka ha ho hlahisitsoe ke Khafetsa (2010) bakeng sa DSM-5.
Mehato
Kamora ho phethela lipuisano tsa mantlha, bakuli ba ile ba hlahlojoa litekanyetso tsa ho kenyeletsoa / ho khelosoa. Mekhoa ea ho kenyelletsa / ho qhelela ka thoko e ne e le ho ba ba bong bo ikgethang kapa ba bong bo fapaneng (joalo ka ha ho lekantsoe ho sebelisoa phetoho ea Poland ea Kinsey Scale; Kinsey, Pomeroy, & Martin, 1948) le ho se fihlelle litekanyetso tsa diganostic tsa bothata ba tšebeliso ea joalaSaunders, Aasland, Babor, De la Fuente, le Grant, 1993) kapa bothata ba papali ea chelete (lintlha tse <5 ho South Oaks Gambling Screen (SOGS α = 0.70) (Lesieur le Blume, 1987). Bakuli bohle ba batona ba ile ba hlahlojoa hape le Structured Clinical Interview ea DSM-IV (SCID) (Gibbon, Spitzer, Williams, Benjamin, & Pele, 1997) bakeng sa khatello ea kelello e tlamang, taolo ea maikutlo, ho ferekana kelellong, matšoenyeho, khatello ea kelello le ts'ebeliso ea lithethefatsi le boits'oaro ba thobalano (Lethathamo la Tlatsetso 6). Bakuli ba banna ba kopanang bonyane litekanyetso tse tharo tsa CSBD (Kraus et al., 2018) le tse 'ne bakeng sa lefu la hypersexual (Kafka, 2010) mme ha ho mathata a boletsoeng kaholimo a ileng a mengoa ho nka karolo phuputsong ena.
Ethics
Mekhoa eohle e ile ea amoheloa ke Komiti ea Boitšoaro ea Setsi sa Psychology, Sekolo sa Saense sa Poland. Barupeluoa bohle ba fuoe tumello e ngotsoeng e nang le tsebo pele ba kenella thutong.
Results
Palo e tloaelehileng ea BPS bakeng sa banna ba batlang kalafo e ne e le 7.50 (SD = 2.58) mme e ne e phahame haholo ho feta banna ba sa batleng kalafo, 3.56 (SD = 3.12), z = 14.66, P <0.001, ea Cohen d = 1.38. Re lekotse boleng ba tlhophiso ba a priori sehlopha se khethiloeng sa bakuli (n = 105) khahlanong le banna bohle ba tsoang sehlopheng sa taolo (Study 4, n = 191) (bona Feie. 1 bakeng sa mothinya oa ROC). Mothinya oa ROC o hapile sebaka sa 82.2% ea lintho tsa tlhahlobo tsa 5 (SE = 0.02; P <0.001), e khetholloang ka likarolo tsa 95% tsa ho itšepa ka meeli ea 77.5% le 86.9%. Joalokaha ho bontšitsoe ho Lethathamo 4, boleng ba ho khaola bo sisintsweng ke 4, moo kutlwisiso e leng 58.42%, ho khetheha 90.48%, boleng bo nepahetseng ba ponelopele 91.74% (95% CI 85.88% –95.30%), boleng bo sa lebelloang bo sa lebelloang 54.60% (95% CI 50.12% -59.00 %), le ho nepahala ha 69.83% (95% CI 64.24% –75.02%). Boleng bo khaotsoeng ba 5 bo khetholloa ke kutlo ea 68.42% le ho khetheha ha 83.81% (bona Lethathamo 4).
Study 5, ROC curve for the BPS-adapted BPS bakeng sa ba batlang kalafo bakeng sa bothata ba ts'ebeliso ea litšoantšo tsa bootsoa (Karolo ea 4 kapa ho feta)
Tlhaloso: Tlaleho ea Bokhoba ba Boitšoaro J Behav Addict 9, 2; 10.1556/2006.2020.00038
Tafole 4.Tlhatlhobo ea ROC bakeng sa Screen Screen e Khuts'oanyane ea Litšoantšo Tsa Bootsoa (BPS) e nang le lintlha tsa tlhahiso ea ho khaola
| lipalo-palo | Boleng ba 4 ho BPS | Boleng ba 5 ho BPS | ||
| latela boleng ba | 95% CI | latela boleng ba | 95% CI | |
| Kutloisiso | 58.4% | 51.1-65.5% | 68.4% | 61.3-75.0% |
| E tobileng | 90.5% | 83.2-95.3% | 83.8% | 75.6-90.3% |
| Karo-karolelano e Ntle | 6.13 | 3.36-11.20 | 4.23 | 2.71-6.60 |
| Tekanyo e mpe ea menyetla | 0.46 | 0.38-0.55 | 0.38 | 0.30-0.47 |
| Ho ata ha mafu | 64.4% | 58.7-69.9% | 64.4% | 58.7-69.9% |
| Boleng bo nepahetseng ba ho noha | 91.7% | 85.8-95.3% | 88.4% | 83-92.3% |
| Boleng bo fosahetseng ba ho lepa | 54.6% | 50.1-59% | 59.5% | 53.9-64.8% |
| ho nepahala ha eona | 69.8% | 64.2-75% | 73.9% | 68.5-78.8% |
Ho lekola liphetoho tsa PPU har'a bakuli ba batlang kalafo, re bapisitse BPS tse ngata tsa banna ba 57 ho tsoa sampoleng ea rona ea bongaka pele le kamora likhoeli tse peli tsa kalafo ea litlhare ka naltrexone kapa paroxetine (Gola et al., 2019) o sebelisa sampole e itšetlehileng ka eona t-teko. Lintlha tsa BPS li fapane ka mor'a kalafo (t (56) = 6.75; P <0.001, ea Cohen d = 1.80), ka lintlha tse phahameng tsa BPS pele ho kalafo (M = 8.54; SD = 1.77) ho feta kamora kalafo ea likhoeli tse peli (M = 5.75; SD = 2.97).
Puisano
Boithuto ba hajoale bo hlahlobile BPS, sesebelisoa se khuts'oane sa ho lekola, bakeng sa ho khetholla PPU e ka bang teng. Mokhoa o matla oa mehlala o sebelisitsoeng lithutong tsa rona ha o so sebelisoe pejana ha ho ne ho etsoa likala tse etselitsoeng ho lekola PPU. Ka kakaretso, BPS e na le kelello e utloahalang joalo ka ha e bontšoa ka mehato ea ho ts'epahala le ho nepahala mehlala e mengata, e fana ka ts'ehetso ea pele bakeng sa ts'ebeliso ea eona lithutong tsa bongaka, leha lipatlisiso tse ling li hlokahala ho fumana ts'ebeliso ea eona ea bongaka bakeng sa batho ba batlang kalafo ka botlalo.
Mosebetsi oa pele o bontšitse khafetsa hore banna, kamanong le basali, ba sheba le ho ipholla litho tsa botona kapa botšehali hangata.Bothe et al., 2018; Grubbs, Wilt, Exline, & Pargament, 2018a; Wright, 2013), 'Me ho fumanoe sena ho mehlala eohle e mehlano. Tumellanong le lipatlisiso tsa nakong e fetileng, re fumane hore banna, ha ba bapisoa le basali, ba tlaleha matšoenyeho a mangata ka ts'ebeliso ea litšoantšo tsa bootsoa (Bothe et al., 2018; Kor et al., 2014). Boithuto ba rona bo ikhethile ka hore re hlahlobile thepa ea "psychometric" har'a mehlala e mehlano e fapaneng (mohlala, bahlabani ba US, mehlala e 'meli ea batho ba baholo ba Amerika, batho ba baholo ba Poland le bakuli ba banna ba Poland ba alafang CSBD). Ka lebaka la mefuta-futa ea mehlala eo re e fumaneng ho lekola likarolo tsa psychometric tsa BPS, re lumela hore liphetho li na le kakaretso ea lihlopha tsa bongaka le tseo e seng tsa bongaka tse tsoang linaheng tse fapaneng. Leha ho le joalo, ka seo ho boletsoe, tlhokomeliso e ntse e eletsoa, 'me re khothaletsa lipatlisiso tse ling ho netefatsa BPS bakeng sa baahi ba bongaka, haholo-holo har'a basali le ba fokolang ka thobalano le ba batona ba batlang kalafo bakeng sa PPU.
Tlhahlobo ea rona ea pele ea skrini sa lintho tse tšeletseng se hlahisitsoeng ho Study 1 se senotse hore ntho e le 'ngoe e ne e sa leka-lekana, mme tlhahlobo e ngoe e fana ka maikutlo a hore e tlosoe. Ho pholletsa le lithuto, skrine ea lintho tse hlano e bonts'itse botsitso bo kahare ba kahare le ho aha, ho fetolela, khethollo le boits'oaro ba litekanyetso. Joalokaha ho lebelletsoe, lintlha tsa BPS li hokahane ka matla le likala tse ling tse seng li ntse li le teng tse lekang PPU (mohlala, CPUI-9 (Grubbs et al., 2015) le PPUS (Kor et al., 2014)) ha a ntse a hokahana ka mokhoa o itekanetseng le mehato e matla ea ho lekola bosodoma (Reid, Garos et al., 2011a; Reid, Li et al., 2011bkapa bokhoba ba thobalano (Gola et al., 2017b). Kahoo, skrine e amana haufi-ufi le mehato e lekanyang boholo ba PPU empa e ntse e amahanngoa le mehato e akaretsang e amanang le CSBD (mohlala, taolo e senyehileng, boiteko bo hlōlehileng ba ho tlohela). Re ne re sa ikemisetsa hore BPS e sebetse e le moemeli oa CSBD. Patlisiso e fana ka maikutlo a hore PPU ke e 'ngoe ea mathata a tlalehiloeng hangata har'a batho ba batlang kalafo ea bophelo bo botle ba kelello bakeng sa CSBD (Kraus, Meshberg-Cohen, Martino, Quinones, & Potenza, 2015a; Kraus, Potenza et al., 2015b; Reid et al., 2012). Ka hona, BPS e kanna ea ba sesebelisoa sa bohlokoa sa ho fumana PPU e ka bang teng har'a batho ba batlang kalafo ea CSBD. Lipuisano tse ling tsa bongaka li hlokahala ho tseba boteng ba CSBD, e ka bonahatsoang e le PPU har'a batho ba batlang kalafo ba nang le lipuo tse fapaneng tsa bongaka (Kraus le Sweeney, 2019).
Hape re fumane hore, ka kakaretso, lintlha tsa BPS li ne li amana hanyane le ho se ts'oenyehe (Cyders et al., 2014; Lynam et al., 2006le likarolo tse qobelloang tsa maikutlo (Foa et al., 2002). Ho ts'ehetsa mosebetsi oa pele (Bőthe et al., 2018, 2019), Lintlha tsa BPS li ne li tsamaisana hantle le mehato ea maikutlo a akaretsang a khatello ea maikutlo le khatello ea maikutlo; Re boetse re fumane likamano tse leka-lekaneng lipakeng tsa lintlha tsa BPS le mehato ea ho ikutloa u lemaletse litšoantšo tsa bootsoa le ho beha litšoantšo tsa bootsoa pele ho lintho tse ling (Grubbs, Perry, Wilt, & Reid, 2019c). Joalokaha ho boletsoe libakeng tse ling (Kor et al., 2014), Re boetse re fumane kamano e itekanetseng lipakeng tsa ho shebella litšoantšo tsa bootsoa le PPU joalo ka ha e lekantsoe ke BPS, leha kamano e bonahala e le matla le ho feta lipakeng tsa lintlha tsa BPS le makhetlo a ho ipholla litho tsa botona kapa botšehali. Re ne re lebelletse mekhatlo e joalo lipakeng tsa boits'oaro ba ho shebella boits'oaro le lintlha tsa BPS. Joalokaha ho boletsoe mesebetsing e meng (Gola, Lewczuk, & Skorko, 2016; Kraus, Martino, et al., 2016a; Bőthe et al. 2020), Hape re fumane hore khafetsa litšoantšo tsa bootsoa ha se sesupo sa PPU. Har'a mehlala ea naha ea Amerika ka bobeli, re fumane boholo bo phahameng ba batho (haholo banna) ba tšoaeang bonyane ba bane kapa ho feta ho BPS.1
Liphuputso tse ling lia hlokahala mabapi le ho theha mekhoa ea BPS ea ts'ebeliso ea litšoantšo tsa bootsoa, e ka fapana ho latela bong, lilemo, mohlomong le mabaka a mang a moruo le moruo. Ho feta moo, lipatlisiso li ntse li tsoela pele ho ithuta ka tšebeliso ea litšoantšo tsa bootsoa, mme ho hlokahala mosebetsi o mongata ho khetholla likotsi le ts'ireletso tse amanang le PPU. Ho feta moo, ho hiroa ha mehlala e meholo ea basali ho tla lumella tlhahlobo e kholo ea litlamorao tsa bong ha o ithuta PPU ka mehlala e sa sebetseng le ea bongaka. Ho na le tlhoko e khethehileng ea ho batlisisa PPU har'a basali ba tlaleha maemo a phahameng a ts'ebeliso ea litšoantšo tsa bootsoa (ke hore, letsatsi le letsatsi, makhetlo a 'maloa ka letsatsi). Sehlopha sena se ne se sa emeloe ka ho lekana mehlala ea rona le ho pholletsa le boto, basali ba sebelisang litšoantšo tse manyala tse hlephisang boitšoaro hangata ba tlaleha maemo a tlase ha a bapisoa le a banna. Liphetho tse ikhethileng ho basali, ka kakaretso, li lokela ho hlokomeloa, hobane liphetho tsa rona li kanna tsa angoa ke boholo ba mehlala, mme lipatlisiso tse ling tse hlahlobang liphapang tse amanang le tekano ho basali ba PPU lia khothaletsoa. Joalokaha ho entsoe phuputsong ea morao tjena (Bőthe et al. 2020), Re khothaletsa hape hore liteko tsa tlhatlhobo ea bong le BPS li etsoe ho fuputsa thepa ea eona ea psychometric le basali kapa lihlopha tse ling tse fapaneng.
Matla a mantlha a thuto ea rona ea hajoale ke hore re kenyellelitse mohlala oa banna ba batlang kalafo bakeng sa CSBD ho fumana kutloisiso le ho khetheha ha skrine e khuts'oane ea PPU. Haholo-holo Thutong ea 5, re ile ra hlahloba PPU ka boithaopo har'a banna ba 105 ba ngolisitseng nyeoe ea tleliniki ea CSBD. Kamora ho bapisa bakuli ba CSBD le bankakarolo ba sa amehang, re nkile qeto ea hore likhaolo tsa pele tsa kliniki tse khaotsoeng ho BPS li be nne. Ha re ntse re e toloka hajoale, lintlha tse 'ne kapa tse holimo ho BPS li lokela ho fana ka tumello ea tlhahlobo e eketsehileng ea setsebi sa tlhokomelo ea bophelo bakeng sa PPU. Leha ho le joalo, palo e ngata har'a banna ba Poland ba batlang kalafo (ba itsebahalang e le ba bong bo fapaneng) le bahlabani ba nang le tjantjello ea kalafo bakeng sa PPU ba tlalehile lintlha hantle kaholimo ho 6. Ho ka etsahala hore khaolo ea bongaka e fokotsehe hanyane ka hanyane ho tse 'ne, ka lipalo tse tšeletseng kapa ho feta , mohlomong ho bonts'a tlhoko ea lits'ebeletso tsa bongaka. Ho ntlafatsoa hape ka lisebelisoa tsa bongaka le tseo e seng tsa bongaka ho fumana lintlha tse nepahetseng tsa ho khaola BPS hoa hlokahala. Lintlha tse khaotsoeng tsa ho khaola li lokela ho tolokoa ka hloko hajoale.
Le ha e ts'episa, thuto e na le meeli e mengata. Taba ea mantlha, leha e le hore mehlala e mene ho e mehlano e ne e kenyelletsa basali, lipatlisiso tse ling tsa PPU hara basali le baahi ba fapaneng lia hlokahala ho sebetsana le maikutlo a amanang le bong le phapang Lintlha tsa pele li bontša hore basali ba na le menyetla e fokolang ea banna ho batla kalafo ea PPU ka makhetlo a supileng.Lewczuk, Szmyd, Skorko, & Gola, 2017). Taba e 'ngoe hape ke hore re ile ra hira banna ba tsoang Poland ba bong bo fapaneng bakeng sa ho fumana lintlha tsa ho khaola bongaka bakeng sa BPS, mme ho hlokahala mosebetsi oa bokamoso ho tseba moeli oa basali le batho ba litleliniki ba tsoang linaheng tse ling le batho ba bong bo fapaneng. litloaelo. Ka nako ena, ha re na bopaki ba ho fana ka maikutlo a hore ho lokela ho ba le lintlha tse fapaneng tsa ho khaola banna le basali kapa lihlopha tse ling tse ikhethileng. Re belaela hore thuto e tsoelang pele ea PPU har'a mehlala e meholo, e fapaneng ea banna le basali, palo ea batho ba fokolang ka thobalano le bong, le lihlopha tse ling, ho kenyeletsoa le mehlala e sa sebetseng, e tla thusa ho khetholla lintlha tse khaotsoeng bakeng sa ho khetholla batho ba nang le PPU e ka bang teng.
Ho feta moo, re amohela hore lipatlisiso tse ling hape lia hlokahala ho netefatsa mehato ea BPS le tse ling tsa PPU linaheng tseo e seng tsa Bophirima le ka mehlala e nang le mefuta e fapaneng ea merabe le lihlopheng tse fokolang tsa thobalano. Tlhatlhobo e fetelletseng ea lipatlisiso tse tsoang linaheng tsa Bophirimela e fokolitse kutloisiso ea rona ea PPU har'a litso le merabe e fapaneng. Ho ka etsahala hore lintlha tse boletsoeng tsa ho khaola BPS li ka fapana ho latela bong kapa litloaelo tsa setso, mme ho hlokahala mosebetsi o eketsehileng ho fumana meeli e loketseng bakeng sa lihlopha tsa bongaka le tse seng tsa bongaka. Ho aha hodima sena, ho hlokahala lithuto tsa kamoso tsa setso le mehlala e mengata e lekolang ts'ebeliso le litekanyo tsa BPS. Moeli o mong hape ke hore ha rea ka ra sebelisa lipuisano tsa bongaka bakeng sa lithuto tse 'ne ho tse hlano ho tloha ha re ne re ts'epa meralo e thehiloeng marang-rang ho latela litšenyehelo le mathata a ho thaotha lihlopha tse kholo tsa banna le basali ba tsoang maemong a fapaneng. Lintlha le likarabo li ka fapana ho isa tekanyong e itseng ha sekala se tsamaisoa sefahleho sefahleho ke ngaka. Ntle le moo, lithutong tsa nako e tlang tse nang le mehlala e meholo e fapaneng, e nang le netefatso ea bongaka ka lipuisano, khopolo ea karabo ea lintho (IRT) e ka sebelisoa ho tseba hantle hore na batho ba maemong afe a holimo ho PPU, 'me litšoantšo tsa bootsoa li sebelisa haholo, li sebelisa BPS le ho fana ka tlhakiso le ntlafatso ea lintlha tse ka khaotsoeng. Ntle le moo, hobane thuto ea 5 e ne e na le banna ba hiriloeng feela ba itsebahatsang e le batho ba bong bo fapaneng, re khothaletsa lipatlisiso tse ling le BPS ho kenyelletsa banna ba ratanang le ba bong bo fapaneng le batho ba bang ba fokolang ka thobalano ha ho etsoa qeto ea ho khaola PPU.
Ts'ebeliso ea BPS joalo ka sesebelisoa sa bongaka e lokela ho nkuoa e arohane le ts'ebeliso ea eona e le sesebelisoa sa ho utloisisa PPU lithutong tsa baahi. Ho fihlela ntlheng ena, mosebetsi oa nako e tlang o lokela ho lekola le ho hlalosa ts'ebeliso e nepahetseng le botoloki ba lintlha tsa BPS litekong tsa kliniki le tseo e seng tsa bongaka. Joalokaha ho boletsoe libakeng tse ling (Kraus le Sweeney, 2019), ho bohlokoa ho fuputsa PPU har'a batho ba batlang kalafo le ho utloisisa sepheo sa boits'oaro ba ho batla kalafo. Litšusumetso le litšitiso ho hlokomela PPU ha li so hlahlojoe ka botlalo mme li hloka tlhokomelo e eketsehileng. Hajoale, re etsa tlhahiso ea hore skrini se nepahetseng ho BPS se se ke sa hlalosoa e le ho hlahloba lefu la motheo la bophelo bo botle ba kelello. Kaha BPS ha e botse mabapi le ho kena-kenana le likarolo tse kholo tsa ts'ebetso ea bophelo joalo ka ha ho qaqisitsoe ho litekanyetso tsa tlhahlobo ea CSBD, tlhahlobo e joalo e lokela ho etsoa tleleniking bakeng sa batho ba hlahlobang hantle ho BPS. Patlisiso ea nako e tlang e ea hlokahala ho leka le ho netefatsa BPS har'a batho ba fapaneng ba sebelisang meralo ea marang-rang le ea motho ka mong. Mabaka a mang, joalo ka boits'oaro ba boits'oaro le mafu a kelello (ts'ebeliso ea lithethefatsi, ho ferekana kelellong) le maemo a bongaka ('dementia', Parkinson), a lokela ho tsotelloa ha ho hlahlojoa PPU le ho nahana ka likhothaletso tsa kalafo (Moetso, Antons, Wegmann, & Potenza, 2019; Li-Grubbs le Perry, 2019; Grubbs, Perry, Wilt, & Reid, 2019c; Grubbs, Wilt, Exline, Pargament, & Kraus, 2018b; Kraus le Sweeney, 2019). Bafuputsi (Štulhofer, Bergeron, & Jurin, 2016a; Štulhofer, Jurin, le Briken, 2016bHape ba hlokometse hore lintlha tse kang takatso e phahameng ea thobalano li ntse li le thata ho qhekella kantle le bosodoma, e leng se hlahisang matšoenyeho mabapi le hore na PPU e nahanoa joang. Liphuputso tse ling tse hlahlobang takatso e phahameng ea thobalano le / kapa boits'oaro har'a lihlopha tse fapaneng lia hlokahala ha bafuputsi le lingaka ba hlahisa lisebelisoa tsa ho lekola PPU ka nepo. Mehopolo e ts'oanang e teng bakeng sa ho lekola boits'oaro ba boits'oaro joalo ka ha ho hlalositsoe maemong a CSBD.
Haholo-holo, lipatlisiso tse ling li hlokahala ho lekola tlhahlobo ea liteko le kutloisiso le lintlha tse ikhethang har'a mehlala ea bongaka le eo e seng ea bongaka e sebelisang BPS. Ka lebaka la bokhutšoane ba BPS (metsotso e 1-2 ho e phethela), lipatlisiso tse ling li lokela ho leka ts'ebeliso ea eona maemong a bongaka le bophelo bo botle ho khetholla batho ba nang le PPU ba tla una molemo kalafong. Qetellong, tlhahlobo ea rona ea pele ea BPS e fana ka maikutlo a hore e na le kelello e utloahalang, e khuts'oane ebile e bonolo ho e sebelisa maemong a kliniki le ao e seng a bongaka a nang le monyetla o moholo oa ho sebelisoa ho baahi ho pholletsa le linaha tse ling.
Mehloli ea lichelete
Bangoli ba phatlalalitse hore ba fumane tšehetso e latelang ea lichelete bakeng sa lipatlisiso, bongoli le phatlalatso ea sengoloa sena. Study 1 e ne e tsheheditswe ka thuso ya Lefapha la Veterans Affairs Office ya Patlisiso le Ntshetsopele, Patlisiso le Ntshetsopele ya Saense ya Bongaka (ZDA1, PI Rani A. Hoff) le VISN 1 New England MIRECC (PI Shane W. Kraus). Boithuto 2 le 3 li ne li tšehelitsoe ke lichelete tsa setheo tse fanoeng ke Bowling Green State University (PI Joshua Grubbs). Boithuto 4 le 5 li ne li tšehelitsoe ke Setsi sa Naha sa Saense sa Poland (2014/15 / B / HS6 / 03792; PI M. Gola).
Steven D. Shirk, Steve Martino, le Rani A. Hoff ke basebeletsi ba nako eohle ba Lefapha la Litaba tsa Veterans. Dr. Potenza o fumane tšehetso ho Lefapha la Naha la Connecticut la Bophelo bo Botle ba kelello le Litšebeletso tsa Lithethefatsi, Setsi sa Bophelo sa Kelello sa Connecticut, le Lekhotla la Connecticut mabapi le Bothata ba Ho becha. Dr. Kraus, Potenza le Shirk ba fumane ts'ehetso ho tsoa Setsing sa Naha sa Lipapali Tse Ikarabellang. Mekhatlo ea lichelete ha ea ka ea fana ka maikutlo kapa ho fana ka maikutlo ka litaba tse ngotsoeng ka letsoho, 'me litaba tse ngotsoeng ka letsoho li bonts'a menehelo le menahano ea bangoli mme ha se hakaalo hore li bonts'a maikutlo a mekhatlo ea lichelete.
Menehelo ea bangoli
SWK e ile ea nahana 'me ea ngola moralo oa pele. SWK, RAH, MNP, le SM li kentse letsoho pokellong ea litaba le tlhahlobisong ea lintlha tsa Study 1. JBG e kentse letsoho pokellong le tlhahlobisong ea lintlha tsa lithuto tsa 2 le 3. MG, EK, le ML li kentse letsoho pokellong le tlhahlobisong ea lintlha tsa lithuto tsa 4 le 5. SDS e fane ka tlhokomelo ea lipalo bakeng sa Thuto 1 le tataiso bakeng sa lithuto tse ling. Bangoli bohle ba fane ka litlatsetso, ba bala le ho lekola sengoloa pele se hlahisoa. SWK le bangoli ba bang ba amohetse moralo oa hoqetela oa sengoloa sena.
Khohlano ea lithahasello
Bangoli ba phatlalalitse hore ha ho na likhohlano tsa lithahasello mabapi le lipatlisiso, bongoli le phatlalatso ea sengoloa sena.
| Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa (BPS) | letsatsi: | ||
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| directions: Na likhoeling tse 6 tse fetileng, na ho na le le leng la maemo a u etsahalletseng mabapi le ts'ebeliso ea hau ea litšoantšo tsa bootsoa? | Le ka mohla | Ka linako tse ling | Hangata haholo |
| 0 | 1 | 2 |
| 0 | 1 | 2 |
| 0 | 1 | 2 |
| 0 | 1 | 2 |
| 0 | 1 | 2 |
Ho reka. Lintlha tsa 4 ≥ li nkuoa e le skrini se nepahetseng bakeng sa ts'ebeliso e nang le mathata ea litšoantšo tsa bootsoa. Ho khothaletsoa tlhahlobo e eketsehileng bakeng sa ts'ebeliso e nang le mathata a litšoantšo tsa bootsoa
1Har'a basebelisi ba litšoantšo tsa bootsoa ba selemo se fetileng, 25% (20.6% ea basali, 28.6% ea banna) ba fumane tse 'ne kapa kaholimo ho BPS (13.8% ka kakaretso; 7.6% ea basali; 20.2% ea banna).
2Har'a basebelisi ba litšoantšo tsa bootsoa ba selemo se fetileng, 30.1% (11.6% ea basali; 32.8% ea banna) ba fumane tse 'ne kapa kaholimo (11.6% ka kakaretso; 1.9% ea basali; 10.1% ea banna).
Lintlha tse tlatselletsang
Lintlha tse tlatselletsang sengoloeng sena li ka fumanoa marang-rang ho https://doi.org/10.1515/jba.2020.00038.
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