Lefu le Mathata a ho ja
Re atisa ho utloa ka likotsi tsa botenya, empa re ikutloa re sa utloisise haholo ka likotsi tsa mafu a ho ja. Mathata a ho ja a ka 'na a bonahala a le bobebe, empa ena ke tšōmo . Metsotso e meng le e meng e meng le e meng e 62 e shoa ka lebaka la lefu la ho ja.
Ho kenella nakong ea pele ho bonahala ho ntlafatsa phello ea phekolo, e leng lebaka le le leng la ho netefatsa hore batho ba nang le mathata a ho ja ba fumanoa ka potlako le ho fumana phekolo , ka ho khetheha ho bontšoa-hohle hohle ho khoneha.
Litšenyehelo tsa ho shoa
Liphuputso li tlaleha phapang e fapaneng ea litefiso tsa lefu ho tsoa ho mathata a ho ja, empa ho na le lintho tse tloaelehileng tse fumanoeng. Ka kakaretso, mathata a ho ja a na le litekanyetso tse phahameng ka ho fetisisa tsa lefu har'a mafu ohle a kelello. Liphuputsong tse ngata, anorexia nervosa e na le tekanyo e phahameng ka ho fetisisa ea ho shoa ha mathata a fapaneng a ho ja. Phuputsong ea morao tjena ea Fichter le basebetsi-'moho le eena, batho ba nang le anorexia nervosa ba na le tekanyo ea ho shoella ea 5.0 - ke hore, ba ne ba le menyetla e mengata e mengata ea hore ba shoele nakong ea thuto ho feta lithaka tsa batho ba lilemong tsohle. Batho ba nang le bulimia nervosa le bothata ba ho ja lijo tse nang le ho itlopa joala ba ne ba e-na le tekanyo ea ho shoa ha batho ba 1.5 (e ne e le menyetla e fetang 1.5 ea ho shoa ho feta lithaka tse se nang mathata a ho ja).
Tlhaloso ea litlhaloso tsa Arcelus le basebetsi-'moho le eona li fumane litekanyo tse tšoanang tsa lefu la ho finyella ho Fichter ho ithuta: 5.86 bakeng sa anorexia nervosa, 1.93 bakeng sa bulimia nervosa, le 1.92 bakeng sa khatello ea lijo e sa boleloang ka ho hlaka (EDNOS).
Lipatlisiso li bontšitse litefiso tse phahameng tsa lefu la bulimia nervosa le EDNOS ho feta lipalo tsena. Ho ea ka phuputso e 'ngoe, tekanyo ea batho ba shoang ba anorexia nervosa ea lilemo li 25 ho isa ho tse 44 e latellane ka mor'a ho hlaphoheloa ha sepetlele e ne e le makhetlo a 14 a lilemong tsa lithaka tse sa tšoaneng tse sa tšoaneng. (Ke makhetlo a 14!)
Mabaka a Lefu
Mathata a ho ja a baka mathata a mangata a bongaka.
Ha ho tsamaiso ea 'mele e sa sireletsoeng ke liphello tsa khaello ea phepo e nepahetseng. Ha e le lisosa tsa lefu, ho ipolaea le mathata a pelo holimo lethathamong. Fichter le basebetsi-'moho le eena ba fumane hore likarolo tse tharo tsa lefu la bakuli ba nang le lefu la anorexia nervosa li fumaneha ka lebaka la mathata a pelo a amanang le boima ba 'mele. Phuputso e entsoeng ke Huas le basebetsi-'moho le eena e fumane hore ho na le lihlooho tse peli tse ka sehloohong tsa lefu bakeng sa batho ba nang le bolimia nervosa: histori ea boiteko ba ho ipolaea pele le BMI e tlaase. Ka lithuto tse 'maloa, ho ipolaea ke sesosa se tloaelehileng sa lefu,' me tekanyo e phahameng ea ho ipolaea e fumanoa har'a bothata bohle ba ho kula. Liphuputso li bontšitse hore hoo e ka bang 20% ea batho ba nang le anorexia ba shoeleng ba ipolaile, 'me karolo ea 23 lekholong ea lefu la bulimia nervosa e ne e le ho ipolaea.
Mehlala le Mekhoa ea Boipelaetso ea Lefu
Bakuli ba nang le anorexia nervosa ba bonahala ba atisa ho shoa ba sa le banyenyane ho feta ba nang le bolimia nervosa kapa ho itlopa bolutu ba ho ja, haholo-holo ha ba se ba le batho ba baholo. Li-predictors tsa nako e khutšoanyane ho isa lefung li kenyeletsa palo e phahameng ea ho kula ha bophelo bohle ba ho kula, ho ntša metsi pele ho nako sepetlele, ho sebelisa joala hampe, botsofali bo boholo ba ho ja, ho fetoha ha maemo a sechaba le ho fokotsa boima ba 'mele nakong ea bolulo.
Mathata a ho ja a hloka ho nkoa ka botebo
Hangata, batho ba nang le mathata a ho ja ba ke ke ba tseba hore ba na le bothata kapa bothata ba ho ja. Ho tloaelehile hore bakuli ba nang le mathata a ho ja ba se ke ba kholoa bothata ba bona bo tebile . Haeba u motho ea ratoang ke motho ea nang le bothata ba ho ja, ka kōpo khothaletsa moratuoa oa hau hore a fumane thuso. Haeba u na le bothata ba ho ja 'me ha u phekoloe, ka kōpo fihlella ho setsebi sa kalafo. Ka phekolo, batho ba bangata ba nang le mathata a ho ja ba hlaphoheloa!
> Mohloli
> Arcelus J, Mitchell AJ, Wales J, Nielsen S. Mortality litekanyetso ho bakuli ba nang le anorexia nervosa le mathata a mang a ho ja. Libuka tsa General Psychiatry 2011; 68.
> Crow SJ, Peterson CB, Swanson SA, Raymond NC, Specker S, Eckert ED, Mitchell JO. Ho shoa ho eketsehileng ka bulimia nervosa le mathata a mang a ho ja. Journal of American Psychiatry 2009; 166: 1342-1346.
> Fichter, M., & Quadflieg, N. (2016). Ho shoa ha batho mathateng a ho ja - Liphello tsa thuto e kholo ea nako e telele ea thuto ea bongaka. International Journal of Eating Disorders .
> Hoang U, Goldacre M, James A. Mortality ka mor'a ho hlakoloa ha sepetlele ka lefu la ho kula: National Record Linkage Study, Engelane, 2001-2009 (2014). International Journal of Eating Disorders, 47 (5): 507-515.
> Huas C, Caille A, Godart N, Foulon C, Pham-Scottez A, Divac S, Dechartres A le al. (2011). Li-predictors tsa batho ba shoang lilemo tse leshome ka bakuli bo matla ba anorexia nervosa. Cta Psychiatrica Scandinavica, 123: 62-70.
> Huas C, Godart N, Caille A, Pham-Scottez A, Foulon C, Divac SM le al. (2013). Ho shoa ha batho le bohlokomeli ba bona ba bakuli bo matla ba bulimia nervosa. Tlhahlobo ea ho ja ha Lijo tsa Europe, 21: 15-19.
Keel PK, Dorer DJ, Eddy KT, Franco D, Charatan DL, Herzog DB. (2003). Li-predictors tsa ho shoella mathateng a ho ja. Arch Gen Psychiatry.
> Warren, CS, Schafer, KJ, Crowley, ME, & Olivardia, R. (2012). Tlhahlobo e nepahetseng ea ts'ebetso ea mosebetsi mosebetsing oa ho ja lijo tsa mafu. Mathata a ho ja , 20 , 175-195.