Maikutlo a YBOP: Thuto e entseng phuputso ho basali ba Poland ba 674 ba batlang phekolo bakeng sa Boitšoaro bo Qobellang ho Kopanela Liphate.
Barekisi ba Boitšoaro bo Tlameletseng ba Thobalano Har'a Basali ba Batlang Kalafo
inahaneloang
Background
Compulsive Sexual Behavior Disorder ha joale e kenyelelitsoe tlhahlobisong e tlang ea leshome le motso o mong ea Kemiso ea Machaba ea Maloetse (ICD-11); leha ho le joalo, liphuputso tsa pele li entsoe haholo-holo ho batho ba bong bo fapaneng, ba Makhooa / ba Europe ba banna.
Sepheo sa
Ho hlahloba li-correlates of compulsive sexual behaviors (CSB) tse nang le litšoaneleho tsa histori ea sechaba le tsa thobalano, hammoho le li-predictors tsa CSB ka mohlala oa basali ba Poland ba batlang phekolo.
mekhoa
Basali ba makholo a tšeletseng le mashome a supileng a metso e mene (674) ba Mapolishe ba lilemo tse 18-66 ba phethile phuputso e entsoeng inthaneteng.
Liphello
Polish ikamahanya le maemo a Tlhekefetso ea thobalano Tlhahlobo ea Tlhahlobo-E phethiloe (SAST-PL) e ne e sebelisetsoa ho lekola ho teba ha matšoao a CSB. Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa e ne e sebelisetsoa ho lekanya tšebeliso ea litšoantšo tsa bootsoa e nang le bothata. Likamano tse fapaneng lipakeng tsa lintlha tsa SAST-PL le litšobotsi tsa nalane ea batho le tsa thobalano le tsona li ile tsa hlahlojoa. A tlhahlobisiso ea ho fokotseha ha mola e ne e etsoa ho khetholla mefuta e fapaneng e amanang le ho teba ha matšoao a CSB.
Results
Liphesente tse mashome a mararo a motso o mong (31.8%) tsa basali ba sampoleng e ithutoang ba tlalehile ho batla kalafo ea CSB nakong e fetileng. Tšebeliso ea litšoantšo tsa bootsoa e nang le bothata e ne e le selelekela se matla ka ho fetisisa sa matšoao a CSB. Bohloko bo phahameng ba matšoao a CSB bo ile ba hlokomeloa har'a basali ba hlalaneng / ba arohaneng le ba masoha ha ba bapisoa le ba nyetsoeng kapa ba kamanong e sa reroang. Bohloko ba CSB bo ne bo amana hantle le palo ea balekane ba thobalano nakong ea selemo se fetileng, palo ea ho kopanela liphate ka mokhoa o feteletseng matsatsing a ho qetela a 7, le ho amahanngoa hampe le lilemo tsa thobalano ea pele.
Litlhahiso tsa meriana
Liphello tsa rona li fana ka maikutlo a hore CSB ke ntho e amehang haholo har'a basali 'me ho hlokahala lipatlisiso tse eketsehileng ho fumana tšireletso (mohlala, boemo ba kamano) le kotsi (mohlala, tšebeliso ea litšoantšo tse manyala tse hlephisang boitšoaro, palo ea balekane ba thobalano ba selemo se fetileng, makhetlo a beke e fetileng ho ipholla litho tsa botona kapa botšehali) lintlha tse amanang le Bohloko ba matšoao a CSB har'a basali ba batlang kalafo.
Matla le Mefokolo
Boithuto ba rona ke e 'ngoe ea tse fokolang haholo tse etsang lipatlisiso tsa CSB har'a basali. Ka lebaka la khaello ea likhakanyo tse nepahetseng tsa ho ata, hammoho le khaello ea lisebelisoa tse tiisitsoeng tsa psychometrically tse lekanyang CSB ho basali, liphuputso tsa hona joale ha lia lokela ho nkoa e le pontšo ea ho ata ha CSB har'a basali ba Poland.
fihlela qeto e
Khaello ea lintlha tsa bongaka mabapi le litaba tsa basali ba tlalehang ka CSB e ntse e le sepheo sa bohlokoa bakeng sa tlhahlobo ea lipatlisiso tsa bongaka nakong e tlang.
Kowalewska E, Gola M, Lew-Starowicz M, et al. Barekisi ba Boitšoaro bo Tlameletseng ba Thobalano Har'a Basali ba Batlang Kalafo. Sex Med 2022;XX:XXXXXX.
Mantsoe a bohlokoa
Selelekela
Haufinyane tjena, bo-ramahlale le lingaka ba bontšitse matšoenyeho mabapi le khaello ea boemeli ba bong lithutong tse hlahlobang semelo sa boits'oaro bo bobe ba thobalano.1 Lilemong tse 20 tse fetileng, lingoliloeng tse ngata li fetohile tse fanang ka maikutlo a mekhoa e joalo ka boitšoaro bo qobelloang ba thobalano,2, 3, 4, 5 hypersexuality,6, 7, 8 boitšoaro ba thobalano bo tsoileng taolong,9 ho lemalla thobalano kapa ho itšetleha ka thobalano,10, 11, 12 le thobalano ho se tsotelle.13, 14, 15 Ho theosa le makholo a liphuputso tse phatlalalitsoeng lilemong tse 20 tse fetileng tse neng li hlahloba boits'oaro bo bobe ba thobalano lichabeng tse fapaneng, boholo ba lisampole tse thaopetsoeng li entsoe ke banna ba Makhooa / Europe, banna ba bong bo fapaneng.1
Ka 2019, Compulsive Sexual Behavior Disorder (CSBD) e kenyelelitsoe ka molao khatisong e tlang ea bo11 ea Kemiso ea Machaba ea Maloetse (ICD-11; 6C72), le ho latela Mokhatlo oa Lefatše oa Bophelo16 Tlhaloso e tšoauoa ka mokhoa o phehellang oa ho hloleha ho laola maikutlo a matla, a ho kopanela liphate kapa litakatso tse matla, tse bakang boitšoaro bo pheta-phetoang ba thobalano ka nako e telele (mohlala, likhoeli tsa 6 kapa ho feta) e bakang mahlomola kapa ho senyeha ha motho ka mong, lelapa, sechaba, thuto, mosebetsi, kapa dibaka tse ding tsa bohlokwa tsa tshebetso.17 Qeto ea WHO ha ho pelaelo hore ke mohato o moholo oa ho utloisisa CSBD e le lefu le ikhethileng,1 leha ho le joalo lipotso li ntse li le teng mabapi le sehlopha sa CSBD e le bothata ba taolo ea tšusumetso e fanoeng lintlha tsa pele tse totobatsang ho tšoana ha mekhoa ea neuronal ea CSBD ho lithethefatsi tse ling,3,5,18 menahano e reriloeng,17,19,20 le mekhoa ea phekolo e ka bang teng.21, 22, 23, 24
Ha a ntse a hlahloba liphetho tsa lipatlisiso tsa saense ho fihlela joale, Kowalewska le basebetsi-'moho25 o hlokometse hore lithuto tse ngata (tse fetang 99%) tse hlahlobang CSBD litleliniking le sechabeng li ne li entsoe ka banna ba bong bo fapaneng. Kamora ho hlahloba liphuputso tse 58 tse entsoeng ka basali, liphetho li ile tsa fana ka maikutlo a hore boima ba matšoao a boitšoaro bo bobe ba thobalano (CSB) hangata bo tlase ho basali ba amanang le banna. Ho feta moo, basali ba tlalehile ho ja litšoantšo tse manyala tse hlephisang boitšoaro hangata ho feta banna mme ba bonts'a litekanyetso tse tlase tsa maikutlo a ho batla lisebelisoa tsena. Matšoao a CSB (ho kenyeletsoa tšebeliso ea litšoantšo tse manyala tse hlephisang boitšoaro) le tsona li fumanoe li amana hantle le tšobotsi ho ba le kelello, ho ba le tšusumetso e matla, ho batla maikutlo, matšoao a ho hloka tlhokomelo / khatello ea maikutlo, bothata ba ho qobella ho feteletseng, ho reka pathological, mathata a thobalanopsychopathology e akaretsang, tlhekefetso ea bana ka thobalano, ha e ntse e amana hampe le maikutlo ho ba le kelello.25
Ka lebaka la likheo tsa tekano tse teng ho utloisisa semelo sa boits'oaro bo bobe ba thobalano (ho kenyeletsoa le CSBD) ho basali, thuto ea hajoale e batla ho rarolla mathata ana ka ho hlahlobisisa likamano tsa CSB le litšoaneleho tsa nalane ea sechaba le tsa thobalano sampoleng ea Sepolishe e batlang kalafo. basadi. Haholo-holo, hobane re sebelisitse lethathamo la lipotso tsa ho itlhahloba le sa ipapisang le mekhoa ea tlhahlobo ea CSBD e hlahisitsoeng ke WHO ka 2019, ka hona, re lekile ho lekola bonohe ba "compulsive sex behaviour (CSB)" har'a basali.
Ha re le sethaleng sa ho hira, ha rea ka ra hlahloba ho lumellana le mekhoa ea ICD-11, re sebelisitse lethathamo la lipotso ho lekanya matšoao a CSB. Re elelloa moedi oa ho sebelisa mokhoa oa ho itlhalosa o hlahisoang ke ho hlahloba matšoao a bokhoba ba thobalano.10, 11, 12 empa lumela hore liphetho tsa hona joale li ka sebelisoa ho khetholla litšobotsi tse hlahisoang ke matšoao a CSB. Ka hona, re tla sebelisa lentsoe CSB sebakeng sa CSBD sehloohong sena, le hoja re sa tsebe hore na ke basali ba bakae ba ileng ba kopana le mekhoa ea ICD-11. Ho latela mofuta oa boithuto ba phuputso ena, ho ile ha etsoa litlhahlobo ho hlahisa likhakanyo bakeng sa lithuto tsa lipatlisiso tsa kamoso.
Methodology
Barupeluoa le tsamaiso
Makholo a tšeletseng le mashome a supileng a metso e mene (n = 674) Basali ba basoeu, ba Poland ba lilemo li 18–66 (Mdilemo= 29.36; SDdilemo=8.13) ba hiriloe ka phuputso e thehiloeng marang-rang e bokellang tsebo mabapi le makhetlo a mefuta e fapaneng ea CSB har'a basali le setšoantšo sa bona se pharaletseng sa kliniki. Phuputso e ne e boetse e le memo ea ho kenya letsoho morerong oa longitudinal o reretsoeng ho hlahloba hore na koetliso ea kelello e lebisa ho fokotseha ha matšoao a CSB. Ha ba kena, ba arabelang ba ile ba tsebisoa ka morero oa thuto 'me ba fanoa tumello e nang le tsebo ka mokhoa oa elektronike. Mekhoa ea ho kenyelletsa e ne e le basali, ba lilemo li 18 kapa ho feta, ba kopanela liphate nakong ea selemo se fetileng (ho kenyeletsoa ho kopanela liphate ka mokhoa o feteletseng hammoho le mekhoa ea boinotšing - ke hore, ho ipholla litho tsa botona kapa botšehali), le ho ba le mathata le CSB boemong bo ikemetseng le ho batla phekolo ka lebaka la mathata ana. Lintlha li ile tsa bokelloa ho tloha ka Phupu 2019 ho fihlela Pherekhong 2020. Ho basali ba 1241 ba ileng ba bula phuputso eo, ba 936 ba ile ba e tlatsa ka mokhoa o sa fellang, mme ba 674 ba qetile tlhahlobo eohle ba fana ka lintlha tse lekaneng bakeng sa tlhahlobo.
Mehato
Boemo ba palo ea batho
Lintlha tsa palo ea barupeluoa tse kang lilemo, boemo ba lenyalo, boemo ba thuto le mosebetsi li ile tsa fumanoa.
Ketso ya thobalano
Barupeluoa ba ile ba kopuoa ho fana ka tlhahisoleseling mabapi le liketso tsa thobalano tse hlalosoang e le ketso efe kapa efe ea thobalano - boinotšing (mohlala, ho pholla litho tsa botona kapa botšehali ho li sebelisa) kapa dyadic (mohlala, thobalano e kopanetsoeng, ho tsosa takatso ea thobalano ho kenyelletsa ho bapala pele / ho phollana, thobalano ea molomo, setho sa botšehali kapa ka morao) e tsosa takatso ya thobalano. Ka ho khetheha, litaba tsa lipotso tse amehang: ho qala ha thobalano ea pele, palo ea balekane ba thobalano ba selemo se fetileng, ho qala (ke hore, lilemo) tsa ho shebella litšoantšo tse manyala tse hlephisang boitšoaro, le palo ea ho kopanela liphate ka mokhoa o feteletseng, ho shebella litšoantšo tse manyala tse hlephisang boitšoaro, le makhetlo a ho ipholla litho tsa botona kapa botšehali nakong e fetileng 7. matsatsi.
Ho batla thuso pele ho CSB
Re ile ra lekola boits'oaro ba basali ba ho batla thuso ea CSB ka ho ba kopa ho bontša 'E' kapa 'Che' potsong e latelang: 'Na u kile ua batla thuso ea litsebi bakeng sa boitšoaro ba hau bo qobelloang ba thobalano?'.
Phetolelo ea Sepolishe ea Sexual Addiction Screening Test-Revised (SAST-PL)
SAST-PL26 ke sesebelisoa se netefalitsoeng ke psychometrically se lekanyang CSB ho latela mohopolo oa bokhoba ba thobalano.10 Potso ea lintlha tsa 20 e na le li-subscales tsa 5: Tšitiso e Amang, Tšitiso ea Likamano, Ho phathahana, Tahlehelo ea Taolo, Likarolo Tse Amanang. Ba arabelang ba botsoa ho araba ntlha ka 'ngoe ka ho araba 'E' kapa 'Che.' Lintlha tse phahameng li amana le ho teba ha matšoao a CSB. SAST-PL e tšoauoa ka ts'epo e phahameng (α = 0.90).
Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa (BPS)
BPS ke sesebelisoa sa ho hlahloba lintho tsa 5 tse lekanyang tšebeliso e mpe ea litšoantšo tsa bootsoa (PPU).27 Ba arabelang ba lekanya polelo ka 'ngoe ka ho araba potso ea hore na likhoeling tse 6 tse fetileng li etsahetse hangata hakae ka tekanyo ea lintlha tse 3 (0 = Ha ho mohla; 1 = Ka linako tse ling; 3 = Hangata haholo). BPS e qalile e netefalitsoe lithutong tse hlano tse ikemetseng ho batho ba baholo ba Amerika le Mapolishe (α ho tloha ho 0.90 ho isa ho 0.92). Lintlha ho BPS li tloha ho 0 ho isa ho 10 ka boleng bo khaotsoeng ba 4 sesupo sa PPU e ka bang teng.
Lipatlisiso tsa sethathamo
Taba ea pele, re sebelisitse likamano tsa Pearson Product, Welch t-liteko le li-ANOVA tsa tsela e le 'ngoe ho hlahloba likamano lipakeng tsa kakaretso ea SAST-PL le palo ea batho le litšobotsi tsa thobalano. Ka mor'a moo, re ile ra tsamaisa a tlhahlobisiso ea ho fokotseha ha mola ho khetholla mefuta e fapaneng e amanang le ho teba ha matšoao a CSB (e hlahlobiloeng ke SAST-PL). Litlhahlobo tsohle li entsoe ho sebelisoa SPSS-23 (IBM SPSS Statistics for Windows, Version 23.0).
Ethics
Mekhoa eohle thutong ena e entsoe ho latela Phatlalatso ea Helsinki. Komiti ea Boitšoaro ba Lipatlisiso ea Univesithi ea SWPS e Warsaw e amohetse thuto. Barupeluoa bohle ba ile ba tsebisoa ka bophara ba thuto, 'me bohle ba fane ka tumello e nang le tsebo le ea boithaopo ka mokhoa oa elektronike.
Results
Ho basali ba 674, 57.4% (n = 387) e fumane lintlha tse 6 kapa ho feta ho SAST-PL,26 sesupo sa CSB, le 73.3% (n = 494) ea sampole e fumane lintlha tsa 4 kapa ho feta ho BPS ho lekanya matšoao a bothata ba tšebeliso ea litšoantšo tsa bootsoa.27
Lethathamo 1 e bonts'a likamano tse fapaneng lipakeng tsa lintlha tse felletseng tsa SAST-PL le litšobotsi tsa nalane ea sechaba le tsa thobalano. Ka ho khetheha, re fumane likamano tse ntle lipakeng tsa kakaretso ea SAST-PL le kakaretso ea BPS (r = 0.59, P < .001), palo ea balekane ba thobalano ba selemo se fetileng (r = 0.34, P < .001), le palo ea beke e fetileng (matsatsi a 7) thobalano e matla ea thobalano (r = 0.15, P <.01). Likamano tse mpe li etsahetse lipakeng tsa kakaretso ea SAST-PL le lilemo tsa barupeluoa (r = -0.08, P <.05), ho qala ha thobalano ea pele (r = -0.24, P <.001), le ho qala ho pepeseha ha litšoantšo tsa bootsoa pele (r = -0.23, P <.001]. Ho feta moo, basali ba neng ba le nakong ea tlhalo, karohano kapa masoha ba ile ba fumana lintlha tse phahameng haholo ho SAST-PL (M = 7.67, SD = 4.79) ha e bapisoa le ba neng ba le lenyalong kapa kamanong e sa reroang (M = 6.48, SD = 4.37), [t(672) = 3.26, P <.001, Cohen's d = 0.26].
Lethathamo 1. Lintlha tsa nalane ea palo ea batho le tsa thobalano tse amanang le lintlha tsa SAST-R tsa basali (n = 674)
| Seleng e Hloekileng | Seleng e Hloekileng | Lintlha tsa SAST-R |
|---|---|---|
| Litšobotsi tsa ho ithuta | %/M (SD) | r or t/F |
| Teko ea Tlhahlobo ea ho Lemalla ho Kopanela Liphate - E ntlafalitsoe (SAST-R)† Ha e kopane le khaello Kopana le khaello | 6.91 (4.55) 42.6% 57.4% | - |
| Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa (BPS)† Ha e kopane le khaello Kopana le khaello | 2.75 (2.96) 26.7% 73.3% | r = 0.59⁎⁎⁎ |
| Age | 29.36 (8.13) | r = -0.08* |
| Boemo ba kamano Kamano ya lenyalo kapa e sa reroang Nakong ea tlhalo, karohano, kapa lesoha | 64.1% 35.9% | t = 3.26⁎⁎⁎ (Cohen's d = 0.26) |
| Boemo ba thuto Sekolo se phahameng kapa ka tlase College (e ntse e le sekolong) Setifikeiti sa mangolo kapa postgraduate | 25.7% 18.5% 53.0% | F = 6.82⁎⁎⁎ (Cohen's f = 0.13) |
| mosebetsi Nako e felletseng kapa nakoana Moithuti/Ha a sebetse | 73.0% 27.0% | t = -0.90 |
| Ho batla thuso pele ka lebaka la CSB E Che | 31.8% 68.2% | t = -5.38⁎⁎⁎ (Cohen's d = 0.45) |
| Ho qala thobalano ea pele | N = 652 17.83 (3.02) | r = -0.24⁎⁎⁎ |
| Palo ea balekane ba thobalano selemong se fetileng | N = 558 3.28 (5.45) | r = 0.34⁎⁎⁎ |
| Palo ea thobalano e mpe bekeng e fetileng (matsatsi a 7) | N = 430 3.21 (3.45) | r = 0.15⁎⁎ |
| Ho qala ho pepesehela litšoantšo tsa bootsoa pele | N = 649 12.75 (4.37) | r = -0.23⁎⁎⁎ |
| Nako e sebelisitsoeng litšoantšong tsa bootsoa bekeng e fetileng (matsatsi a 7) None Metsotso e 59 kapa tlase Metsotso ea 60-119 Metsotso e 120 le ho feta | 50.0% 24.0% 11.6% 14.1% | F = 33.69⁎⁎⁎ (Cohen's f = 0.38) |
| Palo ea ho ipholla litho tsa botona kapa botšehali bekeng e fetileng (matsatsi a 7) | N = 516 3.89 (3.82) | r = 0.35⁎⁎⁎ |
- ⁎
P <.05.
- ⁎⁎
P <.01.
- ⁎⁎⁎
P <.001.
Hlokomela. Lintho tse hatisitsoeng li ile tsa lula li le bohlokoa ka lipalo ka mor'a ho lokisa phoso ea Mofuta oa 1.
- †
Liphetho tse khaotsoeng tse ipapisitseng le lipatlisiso ho kenyeletsoa le bankakarolo ba banna.
Phapang e 'ngoe e kholo e etsahetse maemong a thuto, ha basali ba tlalehang sekolong se phahameng kapa thuto e tlase ba fumane lintlha tse phahameng ka ho fetisisa tsa SAST-PL (M = 7.60, SD = 4.41), e lateloe ke basali ba kolecheng ba fumaneng lintlha tse tlase hanyane (M = 7.54, SD = 4.37), 'me qetellong, basali ba nang le lengolo la mangolo kapa thuto ea morao-rao ba nang le lintlha tse tlase ka ho fetisisa tsa SAST-PL (M = 6.27, SD = 4.59), [F(2,652) = 6.82, P = .001, Cohen's f = 0.13]. Ho ile ha etsahala hore basali ba neng ba batla thuso ea nakong e fetileng bakeng sa CSB ba fumane lintlha tse phahameng haholo ho SAST-PL (M = 8.26, SD = 5.04) ha e bapisoa le basali ba neng ba sa batla thuso nakong e fetileng (M = 6.28, SD = 4.17), [t(672) = -5.38, P <.001, Cohen's d = 0.45]. Qetellong, nako e ngata eo basali ba e qetileng ba sheba litšoantšo tsa bootsoa bekeng e fetileng (matsatsi a 7), palo e phahameng eo ba e fumaneng ho SAST-PL [F(3,668) = 33.69, P <.001, Cohen's f = 0.38]. Haholo-holo, basali ba neng ba sa shebelle litšoantšo tsa bootsoa bekeng e fetileng ba fumane lintlha tse bolelang 5.59 (SD=4.21), e lateloa ke ba shebelletseng litšoantšo tsa bootsoa ka metsotso e 59 kapa ka tlase ho moo - 6.93 (SD = 4.27), basali ba qetileng metsotso ea 60-119 litšoantšong tsa bootsoa - 8.26 (SD = 4.07), 'me qetellong, basali ba ileng ba sebelisa metsotso ea 120 kapa ho feta ho sebelisa litšoantšo tsa bootsoa - 10.32 (SD = 4.51). Ha rea fumana kamano lipakeng tsa lintlha kaofela tsa SAST-PL le boemo ba mosebetsi.
Qetellong, e bonolo khatello e tsitsitseng e ile ea etsoa ho khetholla li-predictors tsa CSB joalo ka ha li hlahlobiloe ke SAST-PL (e le lintlha tse tsoelang pele) mohlala oa basali ba Poland ba batlang phekolo. Ho fokotsa litlamorao tsa phoso ea Mofuta oa I, ke mefuta e fapaneng feela ea bohlokoa ho P < .01 li kentsoe mohlaleng (bona Lethathamo 1). Hobane ho batla thuso pele ho CSB ho ne ho amana haholo le CSB, le ho fokotsa litlamorao tse ka bang teng tsa multicollinearity, re ile ra etsa qeto ea ho se kenyelle phapang ena tlhahlobisong ea khatello. Mohlala o ne o le bohlokoa, F(9, 273) = 31.792, P <.001, R2 ea 0.512. Haholo-holo, re fumane hore kakaretso ea BPS e ne e le selelekela se matla ka ho fetisisa sa CSB (lintlha tsa SAST-PL) ho basali (β = 0.83, P <.001). Ho feta moo, re fumane hore ho qala ha thobalano ea pele (β = -0.21, P < .01), palo ea balekane ba thobalano ba selemo se fetileng (β = 0.23, P < .001), palo ea libeke tse fetileng tsa ho ipholla litho tsa botona kapa botšehali (β = 0.22, P <.001), le boemo ba likamano (β = -0.92, P <.05) e ne e boetse e le li-predictors tsa bohlokoa tsa lintlha tsa CSB (SAST-PL) har'a sampole ena ea basali ba batlang thuso (bona Lethathamo 2).
Lethathamo 2. Li-statistical predictors of compulsive sex behaviour (CSB) e lekantsoeng ke SAST-R har'a basali
| Litšobotsi tsa ho ithuta | B | SE B | t | 95% CI |
|---|---|---|---|---|
| (Ka mehla) | 8.25 | 1.35 | 6.13 | [5.60, 10.90]⁎⁎⁎ |
| Boemo ba kamano | -0.92 | 0.47 | -1.95 | [-1.85, 0.01]* |
| Education | -0.08 | 0.24 | -0.33 | [-0.54, 0.38] |
| Ho qala thobalano ea pele | -0.21 | 0.07 | -3.13 | [-0.34, -0.08]⁎⁎ |
| Palo ea balekane ba thobalano selemong se fetileng | 0.23 | 0.04 | 5.84 | [0.15, 0.30]⁎⁎⁎ |
| Palo ea thobalano e matla matsatsing a 7 a fetileng | 0.04 | 0.06 | 0.59 | [-0.09, 0.16] |
| Ho qala ho pepesehela litšoantšo tsa bootsoa pele | -0.02 | 0.05 | -0.31 | [-0.11, 0.08] |
| Nako e sebelisitsoeng litšoantšong tsa bootsoa matsatsing a ho qetela a 7 | -0.28 | 0.21 | -1.34 | [-0.70, 0.13] |
| Palo ea ho ipholla litho tsa botona kapa botšehali matsatsing a 7 a fetileng | 0.22 | 0.06 | 3.51 | [0.10, 0.34]⁎⁎⁎ |
| Screen e Khuts'oane ea Litšoantšo Tsa Bootsoa (BPS) | 0.83 | 0.08 | 10.27 | [0.67, 0.99]⁎⁎⁎ |
- ⁎
P <.05.
- ⁎⁎
P <.01
- ⁎⁎⁎
P <.001.
Boemo ba likamano: 0 = ba hlalane / ba arohane / ba sa nyaloa, 1 = ba nyetsoe / ba lekane; Nako e sebelisitsoeng litšoantšong tsa bootsoa matsatsing a ho qetela a 7: 0 = ha ho letho, 1 = metsotso ea 59 kapa ka tlase, 2 = 60-119 metsotso, 3 = metsotso ea 120 le ho feta.
Hlokomela. Phetoho e nyane ho bolela esale pele monyetla oa ho hlaha ha matšoao a CSB har'a basali.
Kakaretso ea mohlala: F(9, 273) = 31.792, P < .001 ka R2 ea 0.512.
Puisano
Ho sebelisa phetoho ea Sepolishe ea Tlhekefetso ea thobalano Tlhahlobo ea Tlhahlobo-E phethiloe (SAST-PL),26 re ne re batla ho hlahloba li-correlates le li-predictors tsa matšoao a CSB har'a mehlala ea basali ba Poland ba batlang phekolo. Leha ho na le meeli ea ho sebelisa mokhoa ona, hajoale ha ho na lisebelisoa tse netefalitsoeng ke psychometrically tse netefalitsoeng bakeng sa ho lekola CSB (kapa CSBD) ho basali ba Poland. Hajoale, khaello ea lintlha tsa bongaka mabapi le litaba tsa basali ba tlalehang ka CSB e ntse e le sepheo sa bohlokoa bakeng sa lipatlisiso tsa nako e tlang, haholo hobane mehopolo ea hajoale ea boits'oaro bo bobe ba thobalano e nkiloe ho boholo ba batho ba Makhooa / Europe, lisampole tsa banna ba bong bo fapaneng.
Ka kakaretso, re fumane hore sehlopha sa basali ba neng ba e-s'o batle phekolo bakeng sa CSB nakong e fetileng (68.2% ea sampole eohle) ba fumane lintlha tse bolelang SAST-PL tse fetang boleng bo khaotsoeng bo hlahisitsoeng ke Carnes.10 Tlhahiso ena e tsamaellana le tlhahlobo ea Kraus le basebetsi-'moho29 ho bontša hore 29% ea banna ba sampuling ea bona ba ileng ba kopana kapa ba feta Hypersexual Behavior Inventory (HBI)30 kakaretso ea ho fokotseha ha kliniki, e fanang ka maikutlo a ho ba teng ha Hypersexual Disorder (HD),6 ba ne ba sa thahaselle ho batla phekolo bakeng sa tšebeliso ea litšoantšo tsa bootsoa. Leha ho le joalo, lintlha tsa pele li fana ka maikutlo a hore monyetla oa ho batla phekolo ea PPU ho basali o tlase ka makhetlo a 7 ho feta ho banna,31 le hoja lintlha tse ka tlatsetsang ka mokhoa o ikhethang phapanong ena e ka bang teng li e-s'o hlahlojoe. Ho fanoe ka hore basali ba bangata ba thutong ba ne ba sa thahaselle ho batla phekolo nakong e fetileng, 'me hoo e ka bang 32% ea sampuli e ne e thahasella phekolo e joalo, ho hlokahala mosebetsi o eketsehileng ho khetholla litšitiso tsa morao-rao ho thusa ho batla basali ba Poland. Litlhaloso tse ka bang teng li ka kenyelletsa litloaelo tsa setso, likamano tsa botona le botšehali tse thehilweng bakeng sa basadi, kamohelo e kgolo ya bodumedi ya banna ba tlalehang tahlehelo ya taolo ya boitshwaro ba thobalano, le ho lemohuwa dihlong le sekhobo ho basadi ba tlalehang ditaba le CSB. Dhuffar le Griffits32 e khetholle mefuta e 4 ea litšitiso tse ka bang teng bakeng sa basali ba sa batleng kalafo ea bokhoba ba thobalano (mohlala, motho ka mong, sechabeng, lipatlisiso le kalafo); leha ho le joalo, lipatlisiso tsa nakong e tlang lia hlokahala ho tseba lintlha (mohlala, lilemo, boemo ba lenyalo, morabe / morabe, litumelo tsa bolumeli, ho fumana tlhokomelo ea bophelo bo botle, litaba tse amanang le bophelo bo botle ba kelello) tse thibelang basali ho batla phekolo bakeng sa CSB.
Ha re ntse re hlahloba hore na ke mefuta efe ea mefuta e ka 'nang ea e-ba li-predictors tsa matšoao a CSB har'a basali ba tsoang sampuling e ithutoang, re bontšitse hore tabeng ea basali, kemiso e matla ka ho fetisisa ea matšoao a CSB e ne e le palo eohle ea BPS. Liphello tse fumanoeng thutong ena li boetse li bontšitse hore litšobotsi tse latelang li ka amana le matšoao a CSB: ho qala ha thobalano ea pele, palo ea balekane ba thobalano nakong ea selemo se fetileng, palo ea ho ipholla litho tsa botona kapa botšehali nakong ea beke e fetileng, le boemo ba kamano. Ka lebaka la khaello ea tlhahlobo e tšoanang e entsoeng ho basali ho fihlela joale, ha re na moo re ka supang liphetho tsa rona. Ho ea ka tsebo ea rona, thuto ea rona ke ea pele ea ho khetholla li-predictors tsa CSB har'a basali ba Poland. Liphetho tsa rona li tšoana le thuto ea 2017 mabapi le basali ba Poland ba batlang kalafo bakeng sa PPU31 moo ba ileng ba boela ba fumana kamano ea bohlokoa pakeng tsa ho batla phekolo, matšoao a CSB (a hlahlojoa ke SAST-PL) le ho teba ha matšoao a PPU (a hlahlojoa ke BPS). Hoa thahasellisa hore ebe re fumane hore e ne e se nako e sebelisoang ho senya litšoantšo tsa bootsoa nakong ea matsatsi a fetileng a 7, empa palo eohle ea BPS e neng e sebetsa e le setsebi se matla sa CSB ho basali. Tlhaloso e ka 'nang ea e-ba teng ea sephetho sena ke taba ea hore BPS ha e tsepamise maikutlo ho tekanyo ea palo ea litšoantšo tsa bootsoa (ke hore, bongata le makhetlo a mangata), empa ho e-na le hoo e lekanya liphello tsa boithati tse bakoang ke ho sebelisoa ha litšoantšo tsa bootsoa. Ho tšoana ho hong ho hlokomelehang ho ile ha hlokomeloa pakeng tsa lipatlisiso tsa rona le thuto ea Klein le basebetsi-'moho28 moo litlhahlobo li bonts'itseng palo ea balekane ba thobalano le makhetlo a mangata a ho ipholla litho tsa botona kapa botšehali ho li etsa esale pele ka hypersexuality (e hlahlobiloeng ke HBI)30 ho basali. Patlisiso e boetse e bonts'a tlhekefetso ea bongoana, khatello ea maikutlo e teng hona joale, le tšebeliso e mpe ea lithethefatsi e le selelekela sa bokhoba ba thobalano,33,34 hammoho le ho kenella litloaelong tsa bolumeli joalo ka selelekela sa PPU.31 Lintlha tsena tse lulang li le bohlokoa ho CSB ho basali, leha ho le joalo, ha lia ka tsa hlahlojoa thutong ea hajoale 'me li hloka ho hlahlojoa ho ea pele lithutong tsa lipatlisiso.
Ho feta moo, re fumane li-correlates tsa bohlokoa tsa matšoao a CSB ho latela litšobotsi tsa histori ea sechaba le tsa thobalano. Mohlala, matla a phahameng a matšoao a CSB (lintlha tsohle tsa SAST-PL) li ile tsa bonoa ho basali ba hlaliloeng, ba arohaneng kapa ba masoha, ha ba bapisoa le basali ba nyetsoeng kapa ba amanang le likamano tse sa reroang. Ho feta moo, kakaretso ea SAST-PL e ne e amana hantle le palo ea balekane ba thobalano nakong ea selemo se fetileng, palo ea ho kopanela liphate ka mokhoa o feteletseng matsatsing a ho qetela a 7, ha e ntse e amahanngoa hampe le lilemo tsa ho kopanela liphate pele. Ha re nahana ka sephetho se ka holimo le taba ea hore Klein le basebetsi-'moho28 Liphuputso li bontšitse palo ea balekane ba thobalano e le e 'ngoe ea li-presexual boitšoaro ba hypersexual, ho hlokahala lipatlisiso tse eketsehileng ho hlahloba liketso tsa thobalano tsa dyadic har'a basali ba tlaleha litaba le CSB, kaha sena se ka bontša karolo ea bohlokoa ea boemo bo ntseng bo sa ithutoe ho basali.
Hape re ile ra hlahloba likarolo tsa tšebeliso ea litšoantšo tse manyala tse hlephisang boitšoaro le ho ipholla litho tsa botona kapa botšehali har'a mehlala ea rona ea basali. Ha e le hantle, kakaretso ea kakaretso ea SAST-PL e eketsehile ka nako e sebelisoang ho sebelisoa litšoantšo tsa bootsoa matsatsing a fetileng a 7. Matšoao a CSB a ne a amana hantle le lintlha tsa BPS, palo ea ho ipholla litho tsa botona kapa botšehali nakong ea matsatsi a fetileng a 7, 'me a amahanngoa hampe le ho qala ha litšoantšo tsa bootsoa tsa pele.
sheba mefokolo ea
Ho tlameha ho nahanoa ka mefokolo e mengata ea thuto ea hajoale. Ntlha ea pele, hona joale ha ho na likhakanyo tse nepahetseng tsa ho ata ha CSBD har'a basali 'me thuto ea morao-rao ha ea lokela ho nkoa e le pontšo ea ho ata ha CSBD kapa CSB har'a basali ba Poland. Ka lebaka la khaello ea lisebelisoa tse lekanyang CSBD tse netefalitsoeng ke psychometrically ka lisampole tsa basali, ha re tsebe, hore na sekala seo re se kenyelletseng thutong ea rona se ekelitse kotsi ea ho ba le maikutlo a fosahetseng ka lebaka la khaello ea lintlha tsa tlhahlobo ea data joalo ka kutloisiso le boits'oaro. Ea bobeli, phuputso e ile ea phatlalatsoa ho sebelisoa mokhoa oa snowball har'a batho ba thahasellang taba ena, kahoo palo e kholo ea basali ba phatlalatsang thuso ea pele ka CSB e ka 'na ea bakoa ke sehlopha se thahasellang ho kenya letsoho thutong ka boeona. Ntlha ea boraro, thuto ea rona ha ea ka ea kenyelletsa mehato leha e le efe ea ho hlahloba psychopathology kapa takatso ea sechaba / tsamaiso ea maikutlo, leha e le hore basali ha baa ka ba buisana le bona ka seqo ke mofani oa bophelo bo botle ba kelello ea koetlisitsoeng. Ho itšetleha ka data ea ho itlhalosa ho hlalosa boiphihlelo ba basali ka CSB ho lokela ho eloa hloko ha ho hlalosoa liphuputso tsa hajoale.
Nahanisisa
Ka bokhutšoanyane, liphetho tsa hona joale li bontša hore ho na le tlhokahalo e kholo ea tlhahlobo e eketsehileng ea CSB har'a basali, haholo-holo mabapi le karolo ea tšebeliso ea litšoantšo tsa bootsoa le mekhoa ea likamano tsa thobalano ho nts'etsopele le tlhokomelo ea CSB. Lithuto tse ling lia hlokahala ho fumana ho ata ha CSB har'a basali ba sebelisang mehato e netefalitsoeng e bonts'ang mekhoa ea CSBD ho ICD-11. Ho feta moo, lipatlisiso lia hlokahala ho hlahloba tšebelisano-'moho ea eona le botho, ts'ebetso ea thobalano, bothata ba ho becha, tšebeliso ea lithethefatsi, le/kapa mathata a mang a kelello; lintlha tse joalo li ka sebelisoa ho netefatsa ho tšoana le / kapa liphapang tsa mekhoa ea neuronal e thehiloeng ho CSB ho basali le banna.35 Qetellong, ho nepahala ha tlhahlobo ea mafu a sebelisoang hangata psychometric lisebelisoa tse sebelisetsoang ho lekanya matšoao a CSB li boetse li hloka tlhahlobo e eketsehileng, haholo-holo har'a palo ea basali ba sa rutehang haholo linaheng tse nang le chelete e tlaase le e phahameng.25
Ethics
Mekhoa eohle thutong ena e entsoe ho latela Phatlalatso ea Helsinki. Komiti ea Boitšoaro ba Lipatlisiso ea Univesithi ea SWPS e Warsaw e amohetse thuto. Barupeluoa bohle ba ile ba tsebisoa ka bophara ba phuputso mme bohle ba fana ka tumello e nang le tsebo le ea boithaopo.
Tlhaloso ea Botho
EK e kentse letsoho moralong oa ho ithuta le oa mekhoa, ho hira barupeluoa, pokello ea lintlha, tlhahlobo ea data le tlhaloso, ho ngola libuka tse ngotsoeng ka letsoho, le ho fumana chelete. MG o kentse letsoho thutong le moralong oa mekhoa, le ho ngola libuka tse ngotsoeng ka letsoho. MLS e kentse letsoho ho ngoleng ha libuka tse ngotsoeng ka letsoho. SWK e kentse letsoho tlhahlobisong ea data le ho toloka, le ho ngola libuka tse ngotsoeng ka letsoho. Bangoli bohle ba fane ka maikutlo, ba bala, ba hlahloba le ho amohela moralo oa ho qetela oa buka e ngotsoeng ka letsoho.
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