Isifundo Esilawulwe Ngokungahleliwe Sokwelapha Ukuziphatha Kokuqondisa Ngokweqenjini Yeqembu-I-Disney Sexual Disorder in Men (2019)

I-J Med Med. 2019 May;16(5):733-745. doi: 10.1016/j.jsxm.2019.03.005.

IHholoberg J¹, Kaldo V², I-Arver S¹, Dhejne C³, Jokinen J⁴, Öberg KG⁵.

abstract

UMLANDO:

I-hypersexual disorder (i-HD) ichazwa njengesimo lapho umuntu elahlekelwa khona ukulawulwa kokubandakanyeka ekuziphatheni ngokobulili, okuholela ekucindezelekeni nemiphumela emibi ezindaweni zokuphila eziyinhloko. Ukwelashwa kokuziphatha kwengqondo (CBT) kuye kwafakazelwa ukunciphisa izimpawu zokuziphatha okungezansi ngokocansi; Kodwa-ke, akukho ukuhlolwa okulawulwa ngokungahleliwe kokungenelela kwe-CBT kwe-HD kuye kwabikwa ngaphambilini.

AIM:

Ukuphenya ukusebenza kwe-CBT ephethwe yiqembu nge-HD.

IZINDLELA:

Ababambiqhaza besilisa (n = 137) abatholwe bene-HD, babekwa ngokungahleliwe phakathi kwamasonto e-7 we-CBT ephethwe yiqembu (n = 70) kanye nokulawulwa kohlu lokulinda oluthola ukungenelela ngemuva kwamasonto e-8 (n = 67). Izilinganiso zenziwa ngaphambi-, maphakathi-, nasekwelashweni ngemuva, kulandelwa ngemuva kwezinyanga ezi-3 no-6.

IMIPHUMELA:

Umphumela wokuqala kwakuyi-Hypersexual Disorder: Isilinganiso Sokuhlola Sokusobala (i-HD: CAS), kanye nemiphumela yesibili kwakuyi-Sexual Compulsivity Scale (SCS) nezinyathelo zokucindezelwa (Montgomery-Åsberg Depression Rating Scale (MADRS-S), ukucindezeleka kwengqondo (Imiphumela YezeMitholampilo) ku-Routine Evaluation Outcome Measure (CORE-OM), kanye nokweneliseka kokwelashwa (CSQ-8).

IZIPHUMA:

Ukwehla okukhulu kakhulu kwezimpawu ze-HD nokuphoqelelwa kwezocansi, kanye nentuthuko enkulu kakhulu enhlalakahleni yezengqondo, kutholakele ngesimo sokwelashwa kuqhathaniswa nohlu lokulinda. Le miphumela ihlale iqinile ku-3 nasezinyangeni ze-6 ngemuva kokwelashwa.

IMIBUZO YOKUKHULULEKILE:

I-CBT inokulungisa izimpawu ze-HD nokucindezeleka kwengqondo, iphakamisa ukuthi uhlelo lwe-CBT lungasebenza njengokwelashwa komugqa wokuqala kuzilungiselelo zomtholampilo.

Amandla kanye nemikhawulo:

Lesi isifundo sokuqala esilawulwa ngokungahleliwe esihlola ukusebenza kohlelo lwe-CBT kusampula enkulu yamadoda atholakala ngokuqondile nge-HD. Imiphumela yokwelashwa yesikhathi eside ayicacanga ngenxa yesilinganiso sokuphendula esiphansi kuzilinganiso zokulandela, futhi ukusebenza kwalolu hlelo kwabesifazane abanohlonze kuhlala kungaziwa.

ISIPHUMELELO:

Lolu cwaningo lweseka ukusebenza kwehlelo le-CBT elilawulwa yiqembu njengendlela yokwelashwa ye-HD; noma kunjalo, izifundo zesikhathi esizayo kufanele zifake abesifazane, zibandakanye ukuhlaziya okubandayo kokungenelela okwenziwe, futhi kuhlolwe ezinye izindlela zokwelapha, ngokwesibonelo, ukuphatha nge-Intanethi.

KEYWORDS: Ukuziphatha kwesayensi okuyisisekelo kokuziphatha kwabesilisa; Izinkinga Zesifiso Sobulili Sabesilisa; Impilo Yengqondo Nobulili Besilisa

I-PMID: 30956109

I-DOI: 10.1016 / j.jsxm.2019.03.005

Ekubukezweni kokungenelela kokwelapha, lokhu kwasekelwa isiphetho sokuthi "indlela eguquguqukayo" yokwelashwa kwamaconsi ahlukene okuziphatha okuphathelene nokucansi kungaba "ethembisayo." 54 Ekubuyekezweni kabusha kwe-ICD-11,3 isigaba sokuxilonga sokuziphatha kobulili okuphoqelelwa sifakiwe engxenyeni yokuphazamiseka kokulawula okufakwayo. Izindlela zinokufana okuningi nalezo ze-HD futhi ucwaningo olungaqondakali olwengeziwe lwezimbangela zezenhlalo, ezengqondo, kanye nezendalo manje lungenziwa. Lokhu kungavumela ukucwaninga kwezindlela zokwelashwa ezakhiwe kahle nezisebenza ngempumelelo.