Kana iwe uine bulimia nervosa , binge kudya chirwere , kana zvinyorwa zvinyorwa zveimwe yeizvi, kuzvibatsira kungabatsira. Nokushandisa kwebhuku, bhuku rebasa, kana webhupu , munhu anotambura anogona kushanda nenzira dzakatevedzana dzekudzidza pamusoro penhamo yavo nekuvandudza unyanzvi hwokukunda nekugadzirisa chirwere chavo. Kuzvidavirira, zvisinei, hazvikurudzirwi kuti anorexia nervosa ipe zvidikanwi zvekurapa zvevarwere vane chirwere ichi.
Kutsvakurudza kunoratidza kuti kusimbiswa kwehutano hwekufunga kwehutano hwehutano (CBT-E) ndiko kurapa kwekusarudza kune vanhu vane bulimia uye binge kudya chirwere; Zviongorori zvitsva zvinoratidza kuti vanenge 65% yevanhu vanorarama mushure memasangano makumi maviri ehutano hwepfungwa. Zvisinei, havasi vose vanoda ruzivo rwakakwana rweB CBT-E kuti vadzoke kubva pakudya kwemaitiro ekudya, bulimia, nemamwe marudzi ekudya zvisina kunaka. Vatsvakurudzi vakatsanangura kuti vanhu vane dambudziko rekudya vanotanga nekurapa kwakanyanya-kwakakodzera zvakakodzera uye vozofambira kune dzimwe kurapa zvakanyanya kana pasina kuvandudzwa. Muchimiro ichi chekuchengetedza-chengetedza, kutanga kwacho ndiko kuzvibatsira.
Kuzvidavirira kwekutambudzika kwekudya kungave kunobatsira zvikuru kune avo vasingakwanisi kuwana kurapwa kwemazuva ano kana kune avo vane dambudziko rokuwana kurapwa. Kuenzaniswa nedzimwe mishonga, kuzviriritira kunobhadhara mari. Izvo zvinoshanduka uye zvinogona kuitwa pane imwe nguva yako.
Mukuzvibatsira kwakachena , murwere anoshanda kuburikidza nezvinhu zvakasununguka zvachose nekutungamirirwa kwechiremba. Kusiyana neizvi, kutungamira-rubatsiro kunobatanidza rubatsiro rwekuzvibatsira pamwe nekusimbiswa kweumwe munhu kana mutungamiri uyo angave asina kuva chiremba chekudya chirwere chinorwara. Ichi chitsigiro munhu anogona kuva, somuenzaniso, munhu akangwara kana aimbova ane chirwere; rubatsiro runogona kuiswa mumhando dzakasiyana-siyana, zvakadai se-munhu, pamusoro pefoni, nekutumira mameseji, kana pamusoro peInternet.
Kuwedzerwa kwebatsiro kunogona kusiyanisa, asi kazhinji kanyanya kuderera kupfuura psychotherapy yevhiki nevhiki.
Kuzvimirira-rubatsiro uye kutungamirirwa-rubatsiro rwezvokudya kwekudya zvakaratidza kuti zvinobudirira kune zvikamu zvevanhu vane bulimia nervosa, binge kudya chirwere, uye OSFED (Zvimwe Zvakanzwisisika Kudyisa & Kudya Dambudziko ). Pakati peizvi, pane hutsigiro hukuru hwekushandiswa kwayo pakati pevanhu vane binge yekudya chirwere. Pane humwe hutsigiro hwekutungamira-rubatsiro rwekuzvida kupfuura kuperera kwekubatsira. Kuzvidavirira kwave kuchiratidzwa zvakare kukunda kusina hutano.
Muna 2013, Rutgers University University Counseling Center yakatanga kugovera mazano ekuzvidzivirira kwekutambudzika kwekudya mushure mekutsvakurudza kwevadzidzi kuchikoro kwakaratidza kuti ichi chaive chiitiko uye chinoshanda. Mukudzidza kwegore maviri Zandberg, mudzidzi akadzidzisa boka revanomwe vanopedza kudzidza mumapfungwa uye avo vakapawo mazano ekuzvibatsira kubatsira kuvadzidzi makumi matatu nemakumi matatu vakawanikwa vane bulimia nervosa kana binge kudya chirwere. Rutsigiro, rwakanga rwakavakirwa pamagariro ehutano hwehutano hwehutano, rwakapiwa muna 10, 25-miniti masangano. Pakupera kwechirongwa chemavhiki gumi nemaviri, 42 muzana yezvidzidzo izvi hazvina kuonekwa uye zvikamu makumi matanhatu nezviviri zvezana hazvisati zvasangana nemiganho yekudya chirwere.
Unofanira Kuedza Kuzvibatsira-Kubatsira Here?
Kana iwe uri kuderera, uchangobva kurasikirwa nehuwandu hunorema, kana uchitambura neanorexia kana matambudziko akafanana, kuzvibatsira hakunzwisisiki - zvakakosha kuti iwe utsvake rubatsiro rwemhizha. Kana uri kunetseka kudya, kubata chirwere chekudya kana bulimia nervosa, zvakanakisa kutanga nekutsvaga kurapwa uye unyanzvi hwehutano hwepfungwa. Zvisinei, kana kurapa kwakanyanyisa hakuwaniki uye / kana dambudziko rako harisi rakaoma, unogona kutanga neimwe yezvinhu zviri pasi apa. Kunyangwe iwe uri mune imwe nzira yekurapa, iwe unogona kuongorora imwe yemhando-rubatsiro rwezvinhu sekugadzirisa; kunyange chiri chikonzero chakanaka chekukurukurirana mabhuku anogadzirisa zvakare neboka rako rekurapa.
Zvizhinji zvekuchirapa kwekuchirapa kwekutambudzika kwekudya (zvisinei nokuti kurapwa kwakadzidzwa) kuratidza kuti kana pasina hunovandudzika nevhiki 4, munhu wacho haakwanisi kubatsirwa nemutano iwoyo. Nokudaro, kana mushure mokupa rubatsiro rwekuedza kuedza, iwe hausi kuratidza kufambira mberi kwevhiki 4, unofanirwa kutsvaga rubatsiro rwakawedzerwa kana huwandu hwehutano hwepamusoro. Zvakakosha kuyeuka kuti vanhu vakawanda havaiti kuti vadzore zvakakwana nekuzvipira kwega-kubatsira chete. Ichi hachisi chikonzero chokunyara. Kudya kushungurudzwa kwakaipa uye dzimwe nguva zvirwere zvisingaiti.
Kunyorerwa Kuverenga
- Kukunda Binge Eating (Fairburn, 1995), shanduro yakagadziridzwa yehutano hweBBCT-E, ibhuku rekubatsira rinowanzoshandiswa mumisungo yakasarudzwa yakarongedzwa yekutungamirirwa. Yakaratidza kubudirira kwebulimia nervosa, binge kudya chirwere, uye EDNOS (chirwere chekudya chisina kutsanangurwa, chakafanotarisa kuongororwa kune OSFED) pane zvidzidzo zvakawanda. Shanduro yakagadzirwa yakabudiswa muna 2013. Kukunda Binge Eating ine zvikamu zviviri. Yokutanga ine pfungwa-dzidzo pamusoro pematambudziko ezvokudya uye yechipiri chirongwa chezvitanhatu chekubatsira. Danho rimwe nerimwe rinosanganisira mabasa epamba (eg, kuzviongorora, kudya nguva dzose, kugadzirisa matambudziko) uye mabhuku anotsvaga anobvumira vatori vechikamu kuti vaone kufambira mberi kwavo.
- Kukunda Kusadya Kunetseka - Chikamu A uye Kukunda Kudya Zvisina Kukodzera - Chikamu B chinosanganisira purogiramu yekuzvibatsira inowanikwa pasina rusununguko rwevashandisi vevashandi munyika yese kuburikidza neCent for Clinical Interventions (CCI) yekuWestern Australia. CCI mabhuku ebasa, akaitwa shanduro se-user-friendly pdf files, kutarisa hutano hwehutano hwepfungwa. Zvirwere zvekudya mabhuku ekushanda zvinonyatsoenderana nehupupuriro hunotungamirirwa ne CBT-E protocol.
- (Apple & Agras, 2007). Bhuku rebhuku rino rinonyatsotevera bhuku reBCTT rekurapa rebulimia uye binge-kudya.
Sources:
DeBar, L., Striegel-Moore, R., Wilson, GT, Perrin, N., Yarborough, BJ, Dickerson, J., Lynch, F., Roselli, F., & Kraemer, HC (2011). Kutungamirirwa kuzvibatsira rubatsiro rwekugara uchidya kudya: Kudzokorora uye kuwedzera. Psychiatric Services , 62, 367-373.
Ghaderi, A. uye Scott, B. (2003). Yakachena uye yakatungamira kuzvibatsira kubhadhara zvizere uye zvishoma-bulimia nervosa uye binge kudya chirwere British Journal of Clinical Psychology . 42 (3), 257-69.
Stefano, S., Bacaltchuk, J., Blay. S., Hay, P. Kuzvipa rubatsiro rwekuzvidavirira kwezvinetso zvekare zvekudya zvakadyiwa: kurongwa kwakarongeka. Acta Psychiatrica Scandinavica , 113 (6), 452-9.
Sysko, R. & Walsh, B. (2008). A critical critic of the efficacy of self-help interventions for the treatment of bulimia nervosa and binge eating disorder. International Journal of Eating Disorders, 41 , 97-112.
Zandberg, LJ, & Wilson, GT (2013). Kudzidzisa-Murovedzi: Kushandiswa kwekufunga kwehutano kunotungamirirwa-kubatsira pakuramba kwekudya kunowanikwa mune zvakasikwa. European Eating Disorders Review, 21 , 230-237.