Nhoroondo, zvose zvinokonzera kushungurudzika kwepfungwa (GAD) uye kukanganisa-kusagadzikana kwepfungwa (OCD) yaifungidzirwa kushungurudzika kwekuzvidya mwoyo. Pakutanga shanduro dzeDhiagnostic uye Statistical Manual yeMental Disorders (DSM), tsanangudzo yekuongorora inoshandiswa navanachiremba kuronga mamiriro epfungwa, akabatanidza GAD neOCD muchikamu chakafanana. Zvisinei, shanduro yechishanu yeDSM yakabudiswa munaMay 2013, yakaparadzanisa izvi zvirwere muzvitsauko zvakasiyana.
Kunyange zvazvo GAD ichiri mumasangano ekuzvidya mwoyo, OCD zvino inogara mune chikamu chinonzi Obsessive-Compulsive uye Related Conditions. Izwi rokuti "Related Conditions" rinoreva zvinetso zvakadai sehoarding disorder, trichotillomania (kureva, kusuruvara-bvudzi-kubvisa) uye muviri dysmorphic disorder.
Kusiyanisa mune Maitiro
Imwe nzira yekunzwisisa musiyano pakati peGAD neOCD (pamwe chete nemamiriro ezvinhu akafanana mukati memutsara iwoyo) ndeyekufunga nezvehutano hwehutano, kana kuti huripo, kune dambudziko rimwe nerimwe. Kunyange zvazvo vanhu vane GAD vachida kunyanya kunetseka, havawanzoita mukunyengedza, tsika dzekuita kuti vararame nekuzvidya mwoyo kwavo. Vanhu vane OCD, zvisinei, vanowanzoshandisa zviidzo zvekudzokorora (zvichida mutambo wepanyama kana wepfungwa unonzi compulsions) kuti abvise kushungurudzika kunokonzerwa nekuderera. Dzimwe nguva OCD compulsions inokonzera kunze kwekutenda kuti mufambiro unogona kuchengetedza mhinduro inotya kubva pakuitika.
Muenzaniso weizvi ungadai uri kushambwa nemaoko zvakanyanya uye ritualistically kudzivirira kusvibiswa. Kune vanhu vane OCD yakazara, kumanikidzira kunotora nguva yavo yakawanda (semuenzaniso,> 1 awa / zuva) uye kunopesana nezvinetso zvezuva nezuva. Kunyange kana mamwe mafambiro akasiyana-siyana kune kunetseka kunoonekwa muGAD iripo, kufanana nekutsvaga kutsvaga kwevamwe, hazvisi zvisizvo kuti zviitike nenzira yakasimba, yakarongeka kana yakamanikidza.
Kusiyana mukufunga
Mifungiro yemafungiro emuGAD inoisanidzawo kubva kuOCD. Vanhu vane GAD vanowanzozvidya mwoyo nezvehupenyu hwehupenyu hwechokwadi ; nyaya idzi dziri-uye-huru dzakakodzera kuzvidya mwoyo pamusoro, kunyange zvazvo dambudziko rekuzvidya mwoyo riri kunyanya kudarika. Zvinotambudza zvinogona kunge zviri pamusoro pehupenyu hwehupenyu huzhinji - hwakadai sehutano, mari, kana hukama - asi ivo zvakare nezvemazuva mashomanana, masikati-zuva-kushungurudzwa izvo vamwe vangatadza kuti vasanzwisise zvakanyanya - zvakadai sekupa basa rekushanda kana kusati anokwanisa kufanotaura kuti chii chichaitika zuva nezuva. Kushungurudza pathological , rudzi runosangana nechikumbaridzo chekutsvaga kweGAD, rwakapararira uye harwugoni kudzora uye runowanzobatanidza kukanganisa kwakawanda kana kuti kusagadzikana .
Kucherechedza, iyo inonyanya kufungidzirwa mafungiro eOCD , anewo zvakaoma kune munhu anotambudzika kutonga. Zvisinei, kusiyana neGAD, pfungwa idzi kana mafungiro epfungwa zvinowedzera kupfuura zvinetso zvezuva nezuva nezvinetso. Kufungidzira kufungidzira hakusi kwechokwadi uye dzimwe nguva kunyange kune unhu hwemashiripiti. Semuenzaniso, mudzidzi ane OCD angatenda kuti zvinhu zviri padhesiki rake zvinofanira kunge zvakanyatsorongedzwa zvakakwana uye kuverenga nhamba yakatarwa yekudzivisa kuti arege kuedza.
Kana kuti, mubereki ane OCD angatenda kuti vanofanirwa kuti vataure mamwe mazwi kakawanda zuva nezuva kuti vana vavo varambe vakachengeteka.
Unoita Zvinetso Izvi Here?
Hazvishamisi kune vanhu vane GAD kuti vasangane nemiganho yemumwe mupfungwa dzepfungwa dzepfungwa munguva yeupenyu hwavo, kana kunyange panguva imwecheteyo. Dambudziko rinowanzoitika, asi, kuora mwoyo . Zvisinei, chikamu chevanhu vanorwisana neGAD pamwe chete neOCD.
Nenzira, mishonga yeGAD neOCD inowanikwawo. Mishonga yakawanda inobatsira pamatambudziko ose, sezvinongoita kugadzirisa mafungiro ekutenda kwepfungwa .
Zvisinei, nokuda kweOCD, chirongwa chakakosha chekuziva kugadzirisa maitiro kunonzi kuzarura uye kudzivirira kupindura kune uchapupu hwakasimba kupfuura hwose.
> References:
> Abramowitz JS, Foa EB. (1998). Zvinotambudza uye kuvhiringidzika mune vanhu vane chirwere chisingaiti-chinokonzera kusangana uye uye pasina comorbid generalized chirwere chinetseka. Behav Res Ther, 36: 695-700.
> American Psychiatric Association. Kuongororwa uye nhamba yehuwandu hwehutano hwepfungwa (Fifth edition). Washington, DC: American Psychiatric Association; 2013.
> Newman MG, Crits-Christoph PF, Szkodny LE. (2013). Chirwere chinokonzera kushungurudzika. Mune LG Castonguay & TF Oltmanns (Eds), Psychopathology: Kubva kuSayenzi kuenda kuchipatara Practice (peji 62-87). New York, NY: Guilford Press.