Structured Clinical Interviews uye Clinical Diagnostic Interviews
Inobvunzurudzo yezvechipatara chinhu chinobatsira vanachiremba, vanoongorora nezvepfungwa uye vanotsvakurudza vanoita zvakanyatsoongorora zvirwere zvakasiyana-siyana zvepfungwa, zvakadai sekusagadzikana-kusagadzikana kwepfungwa (OCD). Kune miviri miviri yakajairika: Yakagadziriswa mumakiriniki ekubvunzurudzwa uye kuchipatara kuongororwa kwevanokurukura.
Structured Clinical Interviews
Nheyo yegoridhe yehurukuro yekugadziriswa kwekliniki ndiyo Structured Clinical Hurukuro ye DSM-5, inonziwo SCID.
Icho chinhu chakanyatsogadziriswa mubvunzurudzo inoshandiswa nemunhu wepfungwa kana mumwe unyanzvi hwehutano hwepfungwa uyo anoziva zvirongwa zvekuongorora zvirwere zvehutano hwepfungwa.
Chinangwa cheThe Structured Clinical Interview
Yakagadziriswa makiriniki ekubvunzurudzwa ane kushandiswa kwakasiyana-siyana, kusanganisira kuongorora varwere kuitira kuti vaongororwe zvichienderana neKutsvaga uye Statistical Manual yeMental Health Disorders , 5th Edition (DSM-5); kune tsvakurudzo yekudzidza mamwe mapoka evanhu avo vose vane zviratidzo zvakafanana; nokuda kwekliniki yekuedzwa; kana kuti kune vadzidzi vari kupinda munharaunda yehutano hwepfungwa kuti vashande kuitira kuti vanyatsobvunzurudza. SCIDs inogonawo kubatsira kuziva kana iwe une zvirwere zvinopfuura kamwe. Iine mibvunzo yakagadziriswa kuve nechokwadi chokuti murwere mumwe nomumwe anobvunzurudzwa nenzira imwecheteyo.
Sezvo vazhinji vemibvunzo ine chokuita nekuongororongedza ndeyezvipenzi (mukuenzanisa, somuenzaniso, kune nhamba iri kuongororwa ropa iro rinogona kushandiswa kuongororodza chirwere chepanyama), mutungamiri wakarongeka zvakadai seyi zvinobatsira kuongorora zvese zviri kutarisa vanhu pamwe chete nezviratidzo zvakafanana.
Mune mamwe mazwi, zvinobatsira kuita zvakanyanya kugadziriswa kwepfungwa zvishoma chinangwa.
Mhando dzeMibvunzo paStructured Clinical Interview
Mibvunzo ye SCID inowanzobva pakubvunza nezvemhuri yako uye nhoroondo yezvokurapa kune zvirwere zvako uye zvichemo zvemazuva ano, uyewo mararamiro, kuoma, uye nguva yezviratidzo zvawakaona.
Mibvunzo iyi inonyatsotsanangurwa uye yakananga, asi kwete mibvunzo yose inoda mhinduro sezvo SCID inotakura huwandu hwezvirwere, zvizhinji zvingangodaro iwe hauna.
A SCID inogona kutora chero ipi zvayo kubva pamaminitsi gumi nemashanu kusvika maawa akawanda kuti apedze, zvichienderana nekuoma uye marudzi ezviratidzo zvako.
Mibvunzo iyo iwe unogona kubvunzwa munguva yehurukuro yakagadziriswa yekliniki inonyanya kutaura nezveOCD inosanganisira:
- Ndezvipi zvakanyatsojeka zvekunzwa kwako uye kumanikidza ?
- Wakave uine nguva yakareba sei izvozvi uye kumanikidzira?
- Izvozvo zvakakanganiswa sei nekukamanikidzwa zvakakanganisa hupenyu hwako?
- Zviratidzo zvako zvakatanga mushure mechirwere chitsva kana kutora mushonga mutsva here?
- Wakanga uri kurwara mumuviri usati watanga kuva nekutadza uye / kana kumanikidzira?
- Wakanga uri kushandisa zvinodhaka usati watanga kuva nekunetseka uye / kana kumanikidzwa?
- Waiva nemakore mangani apo zviratidzo izvi zvakatanga?
Clinical Diagnostic Interviews
Imwe nzira yakakodzera yekuongorora uye / kana kuongorora chirwere chepfungwa ndeyokushandisa kliniki yekuongorora inongororwa (CDI). MaCDI akasiyana mune izvo zvinosanganisira kukurukurirana, kana nhoroondo, pakati pehutano hwemapfungwa uye murwere pane runyora rwemibvunzo yakagadziriswa yakafanana neSIDID ine. Iyi kubvunzurudza inotora maawa maviri nehafu uye nyanzvi yehutano hwepfungwa achiita hurukuro iyi inogona kunyora manotsi sezvaunotaura.
Chiongedzo chechiratidzo chinogona kushandiswa pamwe chete neCDI kubatsira mubvunzurudzo kuti aongororwe.
Mhando dzeMibvunzo paKliniki Diagnostic Hurukuro
Mibvunzo iri paCDI yakawanda kwazvo uye inokusiya iwe mukana kupa zvinhu. Mienzaniso yemibvunzo ndeyi:
- Chii chaiva huduku hwako?
- Ukama hwako hupi naamai vako / baba / vakoma venyu vakaita sai?
- Chikoro chakaita sei kwauri?
- Unhu hupi hwehukama hwakanga uine mwana?
- Chii chave chiine ukama hwenyu hwepabonde?
- Basa rako nderei uye wakaita kwenguva yakareba sei?
Icho Chimwe Chirongwa Chekugombedzurudza Hurukuro Zvimwe Zvakakodzera Kupfuura Mumwe?
Aiwa. Ongororo yemazuva ano yakaratidza kuti nzira mbiri dzekubvunzurudza dzakabatana uye dzinobatsira.
Nzira ipi iyo chiremba anoshandisa ingangodaro inobva pane zvinoenderana nesangano ravo uye / kana kuti zvaunoda iwe pachako.
Pasi Pepamusoro paKliniki Evhangeri
Pasinei nokuti inobvunzurudza nzira ipi iyo mushonga wako anorayira kuti aone kana uri kurwisana nechirwere chinokonzera kusagadzikana kana chimwe chirwere chepfungwa, zvinokosha zvikuru kuti nzira yakakwana yekuongororwa yakadai seyi inoshandiswa.
Kazhinji kacho, hutano hwehutano hunoitwa huripo pasina rubatsiro rwezvinhu izvi. Nezvenhau iripo paInternet, vanhu vari kuwedzera kuzviona maonero ehutano hwepfungwa. Uye nekushaiwa kwevashandi vehutano hwepfungwa (pamwe nematambudziko panguva uye nemhosva dzinowanikwa ne 3td party payers), danho iri dzimwe nguva harina kujekeswa.
Tichifunga nezvekukanganisa kwakanyanya kwekuti OCD nedambudziko rehutano hwepfungwa rinogona kuva nehupenyu hwomunhu, zvakakosha kuti mabvunzurudzo aya okutanga ekuongorororongedza haasati apera. Kuita zvakanyatsozivikanwa kunobatsira pakusarudza rudzi rwemishonga nemishonga yakawana kuti inonyanya kushanda mune zvidzidzo zvechipatara nokuda kwechirwere ichi. Izvo zvakakoshawo kuti uite izvi nhaurirano kuti uwane nheyo yepamusoro pamusoro pehuwandu hwemamiriro acho ezvinhu anopindirana nehupenyu hwako. Kufambira mberi mune hutano hwepfungwa dzimwe nguva kunononoka uye inowanzova chirevo chechitatu nhanho mberi uye mbiri inodzokera kumashure. Kunzwisisa chaizvoizvo zvawakanga uchitarisana nazvo panguva yawakarongerwa kuti unogona kubatsira mushandi wako kuti aone kana chirongwa chenyu chezvino chinoshanda, kana kana nzira yakasiyana inoda.
Sources:
Drill, R., Nakash, O., DeFife, J., uye D. Westen. Kuongororwa kweMakiriniki Information: Kufananidza kweKutendeseka kweKwakarongwa Kwechirongwa cheKliniki Inobvunzurudzwa (SCID) uye Chirongwa Chekuongorora Chipatara. Zvinyorwa zveNharo uye Matambudziko Epfungwa . 2015. 203 (6): 459-62.
Rapp, A., Bergman, L., Piacentini, J., uye J. McGuire. Uchapupu-Hwakagadzirirwa Kuongorora kweEngessive-Compulsive Disorder. Nhoroondo yeCent Nervous System Disease . 2016. 8: 13-29.