Ndezvipi zvirongwa zvinotsigirwa zvinotsigirwa?
Mishonga inotsigirwa nemishonga, kana zvisingazivikanwe sehupupuri-based-treatments kana uchapupu-based maitiro, marapirwo uye kurapwa kune uchapupu hunotsvakurudza hwehutano uye hwezvesayenzi hunoratidza kuti hunoshanda.
Vanachiremba vanoziva sei kuti zvirongwa zvinotsigirwa zvakasimba zvinoshanda? Ndiyo apo kutsvakurudza kunouya. Mishonga inotsigirwa nemagetsi yakave yakaongororwa mune zvesayenzi yakagadzirwa randomized controlled trials.
Kana iwe usingazivi kuti chirongwa chinotungamirirwa sei, hausi wega. Tsanangudzo inotevera inogona kubatsira.
Chii Chinonzi Randomised Clinical Trial?
Chokutanga, zvakakosha kunzwisisa kuti miedzo yakatarisa yakarongeka inonzi "yegoridhe" yekuedza kurapwa patsva. Mishonga yose itsva inotumirwa kuDefA inogamuchirwa inofanira kutsigirwa nemigumisiro kubva kumitambo yakarongedzwa yakasarudzwa inoratidza kuti zvose zvakachengeteka uye zvinobudirira.
Somuenzaniso, apo chiremba wako anorayira mishonga kwauri pano muUnited States, ihwo hutano hwakatsigirwa hwakatsigirwa iyo FDA yakagamuchirwa.
Mashoko okuti "randomized," "kutonga," uye "kuedza" ane zvaanoreva maererano nekuedza kurapa mishonga mutsva:
Randomized zvinoreva kuti vatori vechikamu mubhuku racho vakagoverwa nenzira ipi neipi kumapoka achazodzidza. Izvi zvakaitwa kuitira kuti migumisiro yekudzidza irege kushorwa nevatori vechikamu 'kana kuti kuongorora ruzivo rwevatsvakurudzi kuti vakasarudzwa sei.
Kurongedzwa kunoreva kuti imwe yemapoka akadzidza haagamuchiri itsva ("inoshanda") kurapwa kuri kuedzwa. Pane kudaro, vanogamuchira "placebo" kana kuti "dummy" inoratidzika semishonga yakaongororwa asi haina zvayo inoshandiswa. Iyo nzvimbo inogona kunge iri "piritsi yekutapira" kana imwe mishonga.
Ichi chigadzirwa chinobvumira vanotsvakurudza kuti vanotarisira nenzira yakanaka kuti mishonga yehutano iyo inoiona muboka "rinoshanda" ravasingaoni muboka rinodzora rinobva mukushandiswa kwehutano hutsva.
Muedzo unongoreva chete kuti kurapwa kuri kutongwa munguva yechirongwa chenguva yakatarwa. Kana mitsva yekudzidza iine chikonzero chekuchengetedzwa kwekurapa nekubudirira, uye migumisiro inoita kuti kugamuchirwe naRDA, iyo inobatsirwe kurapwa.
Empirically Supported Treatments for BPD
Ikozvino pane marapirwo matatu emiganhu yemuganhu (BPD) inonzi inotsigirwa zvakasimba: Dialectical Behavior Therapy , Schema-Focused Therapy , uye Transference-Focused Therapy .
Kwatingawana Zvimwe Zvinyorwa Pamusoro peEpricrically Supported Treatments
Sosaiti yeCliniki Psychology, kupatsanurwa kweAmerican Psychological Association, inonyora urongwa hwehutano hwehutano hwepfungwa hunoonekwa huchigadziriswa. Sosaiti inotsigirawo hurukuro inoramba iripo mumunda wepfungwa panyaya yekunyatsokwanisa kutsanangura uye kukurudzira kushandiswa kwemishonga inotsigirwa zvakasimba.
IUnited States Mishonga uye Mental Health Services Administration (SAMHSA) inotsigira Registry National yeZvirevo-Based Based Programs and Practices (NREPP), rimwe rondedzero yemishonga inotsigirwa zvakasimba.
Kunobva:
MedicalNewsToday.com. MacGill M (2016). Ndeipi kuedza kusinganzwisisiki kutongerwa muongororo yezvokurapa? http://www.medicalnewstoday.com/articles/280574.php.