IZIMVO: Uninzi lwezifundo zibonakala ngathi zikhoboka lezesondo, hayi "iziyobisi ezingamanyala": Emdala, eyindoda, bonke abakunyango, ipesenti ephezulu yabantu abathandana besini esifana nesinye, njl. njl. kwakhona Nangona Kwiinyanga ezi-6 kamva, kanye emva kokuba izifundo zibukele ifilimu engamanyala abazikhethele yona. Iziphumo: Kwisiseko, ulawulo kunye namakhoboka okwabelana ngesondo amanqaku afanayo ekusebenzeni kokulawula. Kanye emva kokubukela iphonografi, ulawulo lwenze ngcono kakhulu kunamanqaku ovavanyo lwangaphambili (ngenxa yokufunda). Amakhoboka ngokwesondo awazange aphucule amanqaku awo. Abaphandi batolika oku njengezalathisi/iziphembeleli eziphazamisana nokusebenza kwesigqeba kunye nokufunda. Oku kungenxa yokuba amakhoboka okwabelana ngesondo kufanele (kwakhona) afumane amanqaku angcono kunomjikelo wawo wokuqala ukuba umsebenzi wawo wolawulo ungonakele. Ndicinga ukuba amagama ebefanele ukuba angqale ngakumbi kwesi sifundo. Ngamafutshane, esi sifundo bubungqina bo ukungazenzisi kumakhoboka esini.
Kuyathakazelisa ukuba, abahleli bejenali apho oku kubonakala ngathi benze konke okusemandleni abo ukufihla eyona nto iphambili yokufunyaniswa malunga nokubaluleka kwecandelo lomlutha wesondo, kubandakanya nokuqaqambisa iziphumo malunga noku. lawulo endaweni ye zifundo. Eyona nto ingaqhelekanga.
Umbhalo Wezobisi Zosondo, Ifumaneka kwi-intanethi nge-20 kaJanuwari 2017.
UBruna Messina, NKSK, , UDaniel Fuentes, MD, PhD, Hermano Tavares, MD, PhD, UCarmita HN Abdo, MD, PhD, UMarco de T. Scanavino, MD, PhD
ISebe kunye neZiko leNgqondo, iSibhedlele seKlinikhi, iYunivesithi yaseSão Paulo Medical School (FMUSP), eSão Paulo, eBrazil
http://dx.doi.org/10.1016/j.jsxm.2016.12.235
Abstract
intshayelelo
Ngaphandle kweziphumo ezibi zokuziphatha abajongene nazo abantu abanyanzelekileyo ngokwesondo, izifundo ezinxulumene ne-neuropsychological zinqabile.
injongo
Ukuthelekisa ukwenza izigqibo kunye nokuguquguquka kwengqondo kwisiseko nasemva kokuvezwa kwividiyo evuselelayo kubathathi-nxaxheba abanyanzelekileyo ngokwesondo kunye nolawulo olungasinyanzeli ngokwesondo.
tindlela
Isampuli yayiquka amadoda angama-30 anyanzelekileyo ngokwesondo kunye nolawulo lwe-30. Ukuguquguquka kwengqondo kwaphandwa nge-Wisconsin Card Sorting Test kunye nokwenza izigqibo kwavavanywa nge-Iowa Gambling Task.
Iziphumo eziPhambili
Iindidi zovavanyo lwe-Wisconsin Card Sorting, iimpendulo ezichanekileyo, kunye neempazamo ezizingisayo kunye ne-Iowa Gambling Task jikelele kunye neebhloko.
iziphumo
Izifundo ezinyanzelekileyo ngokwesondo kunye nolawulo lwenziwe ngokufanayo ekuqaleni. Emva kokubukela ividiyo evuselela inkanuko, ulawulo lwenze ngcono kwibhloko ye-1 ye-Iowa Gambling Task (P = .01) kwaye yaba neempendulo ezichanekileyo kwi-Wisconsin Card Sorting Test (P = .01).
izigqibo
Ulawulo lubonise ukhetho lokuqala olungxamisekileyo olumbalwa kunye nokuguquguquka okungcono kwengqondo emva kokuvezwa kuvuselelo oluvuselela inkanuko.
Amagama abalulekileyo: Iziphazamiso zoLawulo lwe-Impulse; Ukwenza isigqibo; uMsebenzi weSigqeba; Ukuziphatha ngokwesondo
Iimbambano zenzalo: Ababhali babika ingxabano yomdla.
Inkxaso: Isiseko soPhando lweNkxaso yeSão Paulo (FAPESP; inombolo yenkqubo 2010/15921-6).
UMbhali ongqinelanayo: UBruna Messina, MS, Rua Dr, Ovódio Pires de Campos, 785, Cerqueira Cesar, São Paulo, SP, CEP 05403-010 Brazil. Umnxeba: 55-11-97189-4059; Ifeksi: 55 11 26803750
Izicatshulwa zengxoxo:
Siye sacinga ukuba abathathi-nxaxheba abanyanzelekileyo ngokwesondo banokubonisa ukuguquguquka okubi ngakumbi kunye nokwenza izigqibo kwimisebenzi ye-neuropsychological emva kokuvezwa kuvuselelo lwezesondo kunesiseko kwaye emva kokuvuselela ukusebenza kwabo kwe-neuropsychological kuya kuba kubi ngakumbi kunolawulo.
Kwiimvavanyo ezisisiseko, asifumananga mahluko ekuguquguqukeni kwengqondo, ngaphandle kwenani leempendulo ezichanekileyo; amadoda anyanzelekileyo ngokwesondo anike iimpendulo ezichanekileyo ngaphezu kolawulo. Kwinkqubo yokwenza izigqibo, asikhange siqwalasele umkhwa wokwenza izigqibo ngokungxamisekileyo kumadoda asinyanzelo ngokwesondo xa kuthelekiswa nolawulo.
Ke ngoko, iziphumo zethu zingqubana nezifundo zabantu abanomlutha weziyobisi kunye nokuphazamiseka okunxulumeneyo25,26 kunye nabangcakaza be-pathologic27,28 kunye nezifundo zangaphambili zabantu abane-CSB3,9 ababonise ukuchaphazeleka kwinkqubo yokwenza izigqibo, bethanda imivuzo ekhawulezileyo ngaphandle kokuthathela ingqalelo okuphakathi- kunye no. iziphumo zexesha elide.
Uvandlakanyo emva kokuvezwa kuvuselelo olubonakalayo lwezesondo (ividiyo evuselela inkanuko), phakathi kwamaxesha e-0 kunye ne-1, siye sabona ukuphuculwa kokuguquguquka kwengqondo ngexesha le-1 ngolawulo oluchanekileyo lwempendulo kuvavanyo oluvavanye ukuguquguquka kwengqondo.
Oku kufunyanisiweyo kubonisa ukuguquguquka okungcono kwengqondo emva kokuvuselela ngokwesondo ngolawulo xa kuthelekiswa nabathathi-nxaxheba abanyanzelekileyo ngokwesondo, okubonakala ngathi kuxhaswe ngokufunyaniswa komyinge omkhulu umahluko phakathi kwamadoda anyanzelekileyo ngokwesondo kwinani leziphoso ezizingisayo xa kuthelekiswa nolawulo. Amadoda angalisebenzisi ithuba lokufunda ngokusuka kumava, nto leyo enokukhokelela kuhlengahlengiso olungcono lokuziphatha. Umlinganiselo omkhulu weempazamo kwiimvavanyo zengqondo zabantu abanyanzelekileyo ngokwesondo ziye zabonwa kwaye zibangelwa ukufana ekusebenzeni kwe-obsessive-compulsion disorder, apho ubukho bokunyamezela bunokunciphisa amandla okuphendula ngexesha iimpendulo ezifunekayo3 kwaye ezinokuchaza. ukusebenza kwengqondo embi kakhulu yabathathi-nxaxheba abanyanzelekileyo ngokwesondo emva kovuselelo oluvuselela umdla kuphononongo lwethu
Izifundo eziphanda ukuthembeka kulo lonke ixesha lemisebenzi ye-neurocognitive ziye zabona isiphumo sokufunda xa ukufakwa kwakhona kusenzeka kwangoko. ” Siqaphele ukuba emva kokubukela ividiyo evuselela inkanuko, ulawulo luphucule ukusebenza kwalo kwibhlokhi yoku-18 ye-IGT, i-1 ngelixa abathathi-nxaxheba abanyanzelekileyo ngokwesondo bagcina ukusebenza okufanayo nangexesha le-16 yovavanyo. Oku kunokuqondwa njengokunqongophala kwesiphumo sokufunda liqela elisisinyanzelo ngokwesondo xa livuselelwe ngokwesondo, kufana noko kwenzekayo kumjikelo wokulutha ngokwesondo, oqala ngenani elikhulayo lokuqonda ngokwesondo, kulandelwa kukuvuselelwa ngokwesondo. imibhalo kunye ne-orgasm, ehlala ibandakanya ukuchanabeka kwiimeko ezinobungozi.0 Olona vuselelo luphezulu lwezesondo ekuqaleni komjikelo wokukhotyokiswa ngokwesondo lunokuba yenye yezinto ezinxulumene nobunzima bokufunda okanye ukuguqulwa kokuziphatha, okukhokelela ekuthathweni kwezigqibo ngokungxamisekileyo. amadoda anyanzelekileyo ngokwesondo.
Ngomnqweno, imincili, kunye nokunyanzeliswa ngokwesondo, amanqaku abathathi-nxaxheba besondo kunye nolawulo kwi-SADI17 babonise ukuba babenomdla ngokwesondo emva kokubukela ividiyo. Nangona kunjalo, abathathi-nxaxheba bezesondo babenamanqaku aphezulu aphezulu kwi-subdomain ye-SADI17, ekwabonisa ulungelelwaniso oluhle kunye ne-SCS.14 Ezi ziphumo ziqinisekisa ukungafani kwempendulo yesondo phakathi kwabantu abanyanzelekileyo ngokwesondo kunye nabangenasini, zongeza ukuqinisekiswa okukhulu kwangaphakathi. Ezi ziphumo zihambelana nophando lwakutsha nje lwe-neuroimaging lwabantu be-23 abane-CSB kunye ne-22 ehambelana nolawulo oluphilileyo oluye lwavezwa ekuvuseleleni ngokwesondo okubonakalayo.6
Iziphumo zethu zixhasa i-hypothesis yokuba ubunzima bokwenza izigqibo kunye nokuguquguquka kwengqondo yamadoda anyanzelekileyo ngokwesondo kubonakala ngakumbi kumxholo wokuvuselela ngokwesondo, ngaloo ndlela kuvula umnyango wophando lwexesha elizayo kule ndawo.
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