Umbhali: IHallberg, uJonas
Idethi: 2019-10-18
Indawo: Rehabsalen, Norrbacka S4: 01, Karolinska Universitetssjukhuset, Solna
Isikhathi: 09.00
Umnyango: Inst för Medicin, Huddinge / Dept of Medicine, Huddinge
Buka / Vula: I-Thesis (825.0Kb) I-Spikblad (91.57Kb)
abstract
Isendlalelo: Ukuziphatha okuphikelelayo kwe-hypersexual (HB) okuholela emiphumeleni emibi yinto eye yantula ukutholakala kokuhlonishwa kwegama lesifo sokusebenza kwengqondo, yize kwenziwe ucwaningo olunzulu. Ngenxa yokuhluka ngezindlela zokuhlola nokwenza umcabango ngale ndaba, bekunzima ukuqhathanisa nokwenza okujwayelekile kumiphumela yezifundo zokwelashwa. I-Hypersexual Disorder (HD) yaphakanyiselwa uhlelo lwe-5 lwe-Diagnostic and Statistical Manual (DSM-5) njengendlela yokwakheka kokungakholelwa ebukhoneni bukaHB. Kodwa-ke, yenqatshiwe yize ithole ukwesekwa okuyisimanga ekuqulweni kwensimu kanye nezifundo kubantu abaningi beyisampula. Kodwa-ke, i-HD nezindlela zayo ezihlongozwayo zinike amandla izifundo ezihlosiwe zokwelashwa ngokusekelwe ekuhlolweni okufanayo, ngaphandle kokuthola, ukuhlukaniswa ngezigaba.
Izinhloso: Inhloso ephelele ye-thesis kwakuwukuphenya ubuqiniso bezinqubo ze-HD zokuhlukaniswa kwe-HB futhi kuthuthukise umthetho olandelwayo wokulashwa kokuziphatha (i-CBT) ngokususelwa kokutholakele, bese kuthi ngemuva kwalokho kuhlolwe ukuthi kungenzeka yini lokho kusebenza kwephrothokholi nokusebenza kwayo nge-Intanethi. Imibuzo ecacisiwe yocwaningo yayi:
• Ngabe ukuxilongwa kwe-HD nezindlela zayo kufanelekile yini ukubeka izigaba kweqembu labesilisa nabesifazane abaziphatha ngokweqile ngokobulili kuze kube sezingeni elithile eliholela ekucindezelekeni nasekulimazelweni komuntu?
• Ingabe umthetho olandelwayo wokungenelela we-CBT osanda kwenziwa usebenza kahle ekuzibonakaliseni kwezimpawu ezihambisana ne-HD uma zilawulwa ezilungiselelweni zeqembu?
• Uma inqubo yokungenelela ye-CBT isebenza ngempumelelo ekwelashweni kwezimpawu ze-HD, ingabe ingahanjiswa nge-Intanethi?
Izindlela: Esifundweni sokuqala I, ubuqiniso bezinqubo ze-HD zahlolwa kusampula yabantu abazihlonza ngokwabo abasebenzisa i-Hypersexual Disorder Screening Inventory (HDSI). Kamuva eSifundweni II, ukuthi kungenzeka ukuthi ukwelashwa kwe-CBGT okusha okwenziwe okusha kwe-HD kwahlolwa kusampula yamadoda angama-hypersexual aqashwa nge-Study I. Izilinganiso zenziwa ngaphambi, phakathi, nangemuva kokulashwa kanye nangezinyanga ezi-3 nezingu-6 ngemuva ukuphela kokwelashwa.
I-Study III yayiyi-RCT enkulu, iqhathanisa izikhathi eziyi-7 zokwelashwa kwe-CBGT nohlu lokulinda. Izilinganiso zenziwa ngaphambi, phakathi nangemuva kokulashwa ngesikhathi sokufunda sokuqhathanisa. Abahlanganyeli bohlu lokulinda babhekana ne-CBGT futhi bakalwa ngamaphoyinti wesikhathi esifanayo. Womabili la maqembu ayekalwa futhi ezinyangeni ezi-3 nezingu-6 ngemuva kwesikhathi sawo sokwelashwa. Imininingwane evela kuwo womabili amaqembu yafakwa futhi yahlaziywa ngemiphumela ye-intragroup.
Ucwaningo IV luhlolisise ukuthi kungenzeka yini imiphumela yemiphumela ye-ICBT yamasonto ayi-12 ye-HD, noma i-paraphilia (s) / paraphilic disorder (s). Ababambiqhaza bahlolwa ngokuya ngezinqubo ezisetshenziswe ku-Study II no-III kwathi ngemuva kokufakwa kwabekwa udokotela wezokwelapha ukuze abhekane nempendulo, ukusekelwa, kanye nokucaciswa ngesikhathi sokwelashwa. Izilinganiso zenziwa masonto onke, kugxilwe ekwelashweni kwangaphambi, maphakathi-, kanye nangemva kokulashwa, kanye nezinyanga ezi-3 ngemuva kokuqedwa kokwelashwa. Abahlanganyeli baphinde banikezwa inhlolokhono yokuhlolwa kokulandelela.
Imiphumela: Ku-Study I, ama-50% wesampula ahlangabezana nenqubo ye-HD. Eminye umehluko wobulili yaphawuleka mayelana nobukhulu bophawu lobuciko kanye nezinhlobo zokuziphatha okuya ocansini. Izindlela ze-HD zitholwe zisebenza kubo bobabili abesilisa nabesifazane, yize-ke ukuhunyushwa okuhlongozwayo kwe-HDSI kwabonakala kunemikhawulo kakhulu. Ucwaningo II lwathola ukuthi ukwelashwa kwe-CBGT kwe-HD kungenzeka. Ukuncishiswa okukhulu kwezimpawu ze-HD kwaphawulwa ekugcineni kokwelashwa futhi kwagcinwa ekulandelweni kwezinyanga ezi-3 nezingu-6.
Ukutholwa okuyinhloko okuvela ku-Study III kuphakamise imiphumela yokulinganisa yangemuva kokulashwa emiphumeleni oyinhloko. Imiphumela efanayo yatholakala kwimiphumela yesibili. Imiphumela evela ekuhlaziyweni kwedatha esetshenzisiwe iveze ukwehla okulinganiselayo kwezimpawu ze-hypersexual ekwelashweni kwangemuva kokulandela. Ukuphila kwabahlanganyeli kwengqondo okuphelele kwabahlanganyeli nakho kuthuthuke kakhulu, ngokufika ezingeni elincane.
Ku-Study IV, imiphumela ebonakalayo yabonwa njengomphumela we-ICBT yokwelashwa kwe-HD, kanye noma ngaphandle kwe-paraphilia (s) / paraphilic disorder (s). Imiphumela emaphakathi yaphawulelwa i-paraphilia (s) / paraphilic disorder (s). Impilo yezengqondo nayo yathuthuka, kepha ngezinga elincane.
Iziphetho: Izindlela ze-HD zitholakale zilusizo ekuhlukaniseni iziguli ngokuziphatha okuphathelene ne-hypersexual yize i-CSBD) isasebenza kakhulu namuhla ekuziphatheni okubi ngokokuziphatha. Ucwaningo II no-III luveze ukuthi i-CBGT iyindlela yokwelapha ekhulula izimpawu ze-HD. Imiphumela evela ku-Study IV iveza ukuthi ukwelashwa kungalawulwa nge-inthanethi futhi kunciphise ngempumelelo i-HD nezimpawu zayo ezihambisana nayo. Ukuthuthuka okuqhubekayo kokungenelela kungahle kube namandla okuvimba ukuziphatha kocansi okungafuneki, kufaka phakathi ukoniwa kocansi.
Uhlu lwamaphepha:
I. Öberg, KG, Hallberg, J., Kaldo, V., Dhejne, C., & Arver, S. (2017). I-Hypersexual Disorder Ngokuya Nge-Hypersexual Disorder Screening Inventory Ekusizeni-Ukufuna Abesilisa nabesifazane baseSweden Ngokuziphatha Okuzibonayo kwe-Hypersexual. Imithi Yezocansi. 5 (4), e229-e236.
Okugcwele (DOI)
II. IHallberg, J., Kaldo, V., Arver, S., Dhejne, C., & Öberg, KG (2017). I-Cognitive-Behaeveal Therapy Group Intervention ye-Hypersexual Disorder: Isifundo Esibonakalayo. J Ucansi Med. 14 (7), 950-958.
Okugcwele (DOI)
III. IHallberg, J., Kaldo, V., Jokinen, J., Arver, S., Dhejne, C., & Öberg, KG (2019). Isifundo Esilawulwa Ngokungahleliwe Sokwelashwa Kweqembu Elilawulwa Ngokuziphatha Okungahambisani Ne-Hypersexual Disorder Emadodeni. J Ucansi Med. 2019; Inombolo 16 (5): 733-745.
Okugcwele (DOI)
IV. IHallberg, J., Kaldo, V., Arver, S., Dhejne, C., Jokinen, J., Piwowar, M., & Öberg, KG Therapy Cognitive Behavioral Therapy for Hypersexual Disorder, noma ngaphandle kweParaphilia (s) ) noma i-Paraphilic Disorder (s) Kumadoda: Isifundo Sezindiza. [Umbhalo wesandla]
I-URI: http://hdl.handle.net/10616/46842
Isikhungo: Karolinska Institutet
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