Ukuzivocavoca kwongezwa ukuSebenza kwiZikhokelo zengxaki enkulu yoxinzelelo
Ngaba usebenzisa isisombululo esisebenzayo sokulawula uxinzelelo? Ngoku sele iqulethwe kwizikhokelo zenkqubo yokunyanga kwezigulane ezineengxaki ezinkulu zokudakumba kwaye zisetyenziswe njengongenelelo lweempawu ezixinzelelekileyo . Makhe sijonge izifundo ezimbalwa eziboleke ubungqina bokuxhasa lo mkhuba.
Ukuzivocavoca noZoloft
UJames A. Blumenthal, uF.D. kunye nabalingane bakhe babamangalisile abantu abaninzi ngo-1999 xa babonisa ukuba ukusetyenziswa rhoqo kusebenza ngokufanelekileyo njengemishanguzo yokuxhatshazwa kwezigulane ezinokudakumba okukhulu.
Abaphandi bafunda abantu abadala abadala abangama-156 bafumana ingxaki yokudakumba okukhulu, bawafumana ukuba bafumane i- Zoloft (sertraline) yokuxhatshazwayo (anti serpralant ), imizuzu engama-30 yokuzivocavoca kathathu ngeveki, okanye zombini. Ngokutsho kwe-Blumenthal "Iziphumo zethu zibonisa ukuba inkqubo yokuzilolonga ngokuthobekileyo yinkqubo efanelekileyo, yokhathalela izigulane ezinokudakumba okukhulu ezizimisele ukuthatha inxaxheba kuyo. Izibonelelo zokuzivocavoca zinokunyamezela ngokukodwa kubantu abayifumanayo rhoqo, umsebenzi oqhubekayo wobomi. "
NgoSeptemba 2000, iqela lakhupha iziphumo zovavanyo olulandelayo. U-Blumenthal kunye noogxa bakhe baqhubeka nokulandela izifundo ezifanayo kwiinyanga ezongezelelweyo ezithandathu kwaye bafumanisa ukuba iqela elisebenzisa kodwa lingamkelanga likaZoloft lenza ngcono kunamanye amaqela amabini.
Ukufumana okuthakazelisa kakhulu kumqela owamkela uZoloft kunye nokuzivocavoca. Ezi zifundo zenzeka ukuba ziphinde zixinezeleke kunezifundo ezisebenzisayo kuphela.
I-Blumenthal kunye nabalingane bacaciswe ukuba kutheni iqela lokudibanisa lineengxaki eziphezulu zokuphindaphinda kwiirhafu kuneziqheliselo-iqela elilodwa. "Kucingelwa ukuba ukusetyenziswa ngokuthe rhoqo kwamayeza kunokunciphisa iingenelo zengqondo ngokubaluleka kokunye, ukuxhomekeka kokuncinci okuqinisekisiweyo kwimeko ephuculweyo," utshilo uBlinkhal.
Wayecinga ukuba izigulane zingaba zibandakanya inkolelo, "ndathatha i-anti-depressant kwaye ndcono" endaweni yokubandakanya inkolelo, "ndazinikezela kwaye ndasebenza nzima neprogram yovavanyo; kwakungelula, kodwa ndibetha le ngxaki."
Ngaba uya kusebenza ngaphandle kwebhubhoratri? Kusenokwenzeka ukuba kuxhomekeke kubemi. Izigulane ezi zifundo zibonakala zikhuthazwa kakhulu ukuba zisebenzise, kwaye abaphandi bababiza kwifowuni ukuba bawakhumbuze ukuba babenokuphosa iseshoni yabo yeseshoni. Akuyena wonke umntu oku kukhuthazwa ukuba enze utshintsho oluthile lokuphila. Ukuzivocavoca akuyi kukhulula ukudandatheka kwakho xa ungeke ukwazi ukuzivocavoca.
Kutheni i-exercise iyanciphisa uxinzelelo? Abaphandi baseDuke basenkqubo yokwenza uphando olongezelelweyo ukuphendula lo mbuzo.
Uphando olongezelelweyo
Ubungqina bokuthi umzimba wawubaluleke kakhulu kunyango kunye nokulawulwa kwengxaki enkulu yokudandatheka okwakungqinelanayo kwinto yokuba ifakwe kwi-American Psychiatric Association Practice Guideline yoNyango lwabaPhezulu abane-Major Depress Disorder (Uhlobo lwesithathu, 2010). Kwizigulane ezinexinzelelo ezincinci, isikhokelo siyavuma izigulane zizama ukuzivocavoca kuphela kwiiveki ezimbalwa njengongenelelo, emva koko ucinge ngamachiza ukuba oko kungasebenzi.
Isikhokelo sikhuthaza ukukhuthazwa komsebenzi kwisigulane kunye nemfundo yentsapho ekulawuleni ingxaki enkulu yokudandatheka.
Ukuhlaziywa okucwangcisiweyo ngo-2014 kubhekise kwizifundo ezingama-22 zokusetyenziswa njengomsebenzi wesongezelelo sokukhathazeka okukhulu kunye nokufumanisa ukuba babenobungqina bokuthi umsebenzi wokusebenza wawusebenza ngokudibanisa nabaxinzelelo .
Xoxa ngokuzivocavoca ngeqela lezonyango
Okwangoku, kubonakala kucacile ukuba umsebenzi unokunceda . Xoxa ngokuzivocavoca ngesifo sakho sengqondo, isazi sezengqondo okanye ugqirha ukuba ubone ukuba kufuneka ifakwe kwi-regimen yonyango. Njalo qhagamshelana nabo ukuba ucinga ngenguqu kwiyeza lakho.
Imithombo:
UJames A. Blumenthal, uMichael A. Babyak, kunye. al. Iimpembelelo zoQeqesho loQeqesho kwizithuba ezigugu ezinokudakumba okukhulu. IiNcwadi zoLondolozo lweMpilo zangaphakathi, Oktobha 25, 1999.
UMichael Babyak, uJames A. Blumenthal, ne.al. Ukuxilongwa kweZonyango zokudakumba okukhulu: Ukugcinwa kweNzuzo yezoPhatha kwiinyanga ezili-10. I-Psychosomatic Medicine, ngoSeptemba / Oktobha 2000.
U-Mura G, uMM MF, uPatten SB, i-Carta MG .. "Ukuzivocavoca njengesicwangciso esongeziweyo sokunyangwa kwengxaki enkulu yokudandatheka: ukuhlolwa ngokufanelekileyo." CNS Spectr. 2014 Dec; 19 (6): 496-508. i-doi: 10.1017 / S1092852913000953. Epub 2014 ngoMatshi 3.
Yenza Isikhokelo Sokunyangwa Kwezilwelisi nge-Major Depression Disorder, u-Ushicilelo Okwesithathu, ngoMeyi, 2010. UMbutho wezeMpilo waseMerika.