Ingqondo ye-Psychotherapy ayifumanekanga kuphela, kodwa inokuvelisa utshintsho lwezinto eziphilayo
Ngokunyuka kwamaqela omkhosi wezilwanyana ezithintekayo kwiimpembelelo zemfazwe kunye neyona nto ibuhlungu yimiba yobomi bemihla ngemihla, I-Post Traumatic Stress Disorder (PTSD) yinto engavamile. Nangona ukusabalalisa kwe-PTSD kunokuhluka, kuqikelelwa ukuba malunga nama-7.8% wabantu nangaliphi na iphuzu elinikezelweyo kwi-PTSD. I-Psychotherapy , eyaziwa nangokuthi "ukuthetha unyango," yindlela eyaziwayo yonyango kule ngxaki.
Ubungqina besifundo esisodwa lubonisa ukuba unyango lwentetho lungabonakalisa utshintsho lwezinto eziphilayo kwizigulane ezinePTSD.
Uxinzelelo lweNgxaki yokuPhathwa kwengxaki
I-PTSD yintlupheko yengqondo eyenzekayo emva kokuchasana nokuxinzelela ubomi okanye ukuxhalabisa. Imimiselo eqhelekileyo yoxinzelelo olunjalo iquka imfazwe, udlwengulo kunye neengozi ezinzima. Akuyena wonke umntu ovelele kwintlungu ehlaselwa yiPTSD. Abantu abachaphazelekayo yi-PTSD bafumana amava, ama- flashbacks of event event, ubunzima bokulala, kunye nombono oqhelekileyo wokungafihli kunye nokunyaniseka , phakathi kwezinye iimpawu.
Isifundo esisodwa kwiprogram yokuthetha kunye ne-PTSD
Incwadi ka-Disemba 2013 epapashwe kwi- Biological Psychiatry ichaza uphando oluhlolisise imiphumo yeChnitive Behavior Treatment (CBT) kwizigulane ezinePTSD. Abaphengululi beSizwe soPhando lweZengqondo kunye noTywala kunye neYunivesithi yaseSzeged eHungary bafunde iqela lezigulane ezingama-39 ezidibana ne-PTSD kwaye zithelekisa kunye nabantu abangama-31 abaye bafumana ingcinezelo kodwa babengenayo i-PTSD.
Izigulane ezine-PTSD zifumene iiveki ezili-12 ze-CBT, ngelixa iqela elifanisa ngaphandle kwe-PTSD alitholanga nonyango.
Abaphandi balinganisela imilinganiselo yeengingqi ezithile zeengqondo usebenzisa i-imagination magontic resonance imaging kwaye bathatha iisampuli zegazi ukulinganisa utshintsho kwi-geni, i- FKBP5 , efunyenwe ukuba ihlobene nokuphuhliswa kwe-PTSD kwaye ichazwe kumiselo ye-hormone yokuxinwa .
Le milinganiselo ithathwe kubo bonke abathathi-nxaxheba ngaphambi nangemva kweveki ezili-12.
Iziphumo zesifundo
Ngokuhambelana nophando olwangaphambili, ekuqaleni kwesi sifundo izigulane ezinePTSD zifunyenwe ukuba zineengcambu zezantsi zeFKBP5 kunye nemimandla encinci yengqondo echaphazelekayo ngokulawulwa kwemimiselo, ukufunda, kunye nenkumbulo, njenge- hippocampus , xa kuthelekiswa nokulawula iqela. Emva kweeveki ezili-12 ze-CBT, nangona kunjalo, imbonakalo yegulane ye- FKBP5 yegulane yayingaphezulu kwaye ivolumu ye-hippocampal yanda. Enyanisweni, ubungakanani bebhendi yabo ye- FKBP5 bephezulu kwaye i-hippocampal ivolumu yenyuka yinto eqikelelweyo yokuphucula kwabo ekunciphiseni iimpawu zabo ze- PTSD ngokubanzi.
Impembelelo yokufunda
Iimpembelelo zalolu cwaningo lubonisa amandla okungenelela kwengqondo njenge-psychotherapy kwaye ngokukodwa, i-CBT, ngenxa yengxaki ekhubazayo ye-PTSD. I-Psychotherapy ayinceda kuphela abantu ukuba bazive bebhetele, kodwa lo bungqina bubonisa ukuba inokuyilungisa inkqubo ebalulekileyo yezinto eziphilayo kwi-PTSD. Olu phando lunomdla kwiqela elinyukayo loncwadi olubonisa ngokubanzi malunga nokuba khona kwe- neuroplasticity , oko kukukwazi kwengqondo ukutshintsha ngamava.
Ezi ziphumo zibonisa ukuba umonakalo wengqondo ehambelana ne-PTSD inokwenene ibuyiswe kwakhona.
Olu phando lunika ithemba elikhulu kunye nezikhokelo zexesha elizayo ekufundeni nasekunyangeni kwe-PTSD.
Imithombo
Kessler, RC, Sonnega, A., Bromet, E., Hughes, M., & Nelson, CB (1995). I-Posttraumatic stress disorder kwi-National Comorbidity Survey. IiNqoloba zoLwazi lweZengqondo , 52 , 1048-1060.
Levy-Gigi, E., Szabó, C., uKelemen, O., & Kéri, S. (2013). Umbutho Phakathi Kwempendulo Yemitholampilo, Umqulu We-Hippocampal, kunye ne-FKBP5 ye-Gene Expression kuBantu ngabanye abane-Posttraumatic Stress Disorder Ukufumana unyango loBuchule beCognitive. Biological Psychiatry, 74, 793-800.