● Izinkinga zokukhathazeka zithinta izigidi zabantu emhlabeni wonke.
● Ukwelashwa kwezinkinga zokukhathazeka kuhlanganisa imithi nokwelashwa kwengqondo.Nakuba kusebenza kahle, lezi zinketho zingase zingafinyeleleki njalo noma zifanele abanye abantu.
● Ubufakazi bokuqala bubonisa ukuthi ukunaka kungase kunciphise izimpawu zokukhathazeka.Kodwa-ke, alukho ucwaningo oluhlole ukuthi ukusebenza kwalo kuqhathaniswa kanjani nemithi elwa nokucindezeleka esetshenziselwa ukwelapha ukuphazamiseka kokukhathazeka.
● Manje, ucwaningo lokuqala lohlobo lwayo luthole ukuthi ukuncishiswa kokucindezeleka okusekelwe engqondweni (MBSR) “kusebenza kahle” njenge-escitalopram eqeda ukucindezeleka yokunciphisa izimpawu zokukhathazeka.
● Abacwaningi baphakamisa ukuthi abakutholile kunikeza ubufakazi bokuthi i-MBSR iyindlela yokwelapha ebekezelelwa kahle futhi ephumelelayo yezinkinga zokukhathazeka.
● Ukukhathazekaumuzwa wemvelo obangelwa ukwesaba noma ukukhathazeka ngengozi ecatshangwayo.Kodwa-ke, lapho ukukhathazeka kunzima futhi kuphazamisa ukusebenza kwansuku zonke, kungase kuhlangabezane nenqubo yokuxilonga ye-ukuphazamiseka kokukhathazeka.
● Idatha iphakamisa ukuthi ukuphazamiseka kokukhathazeka kwathinta indawo yonke301 millionabantu emhlabeni wonke ngo-2019.
● Ukwelashwa kokukhathazekahlanganisaimithikanye ne-psychotherapy, njengeI-cognitive behavioral therapy (CBT).Nakuba zisebenza kahle, abanye abantu bangase bangakhululeki noma bangakwazi ukufinyelela lezi zinketho - okushiya abantu abathile abaphila nokukhathazeka befuna ezinye izindlela.
● Ngokuka a2021 ukubuyekezwa kocwaningo, ubufakazi bokuqala bubonisa ukuthi ukucabangela - ikakhulukazi ukwelapha kwengqondo okusekelwe engqondweni (MBCT) nokunciphisa ukucindezeleka okusekelwe engqondweni (MBSR) - kungase kube nomthelela omuhle ekukhathazekeni nasekucindezelekeni.
● Noma kunjalo, akucaci ukuthi imithi yokwelapha esekelwe ekucabangeni iyasebenza yini njengemithi yokwelapha ukukhathazeka.
● Manje, isilingo esisha somtholampilo esingahleliwe (RCT) esivela e-Georgetown University Medical Center sithole ukuthi uhlelo lwe-MBSR oluqondisiwe lwamaviki angu-8 lusebenza ngempumelelo ekwehliseni ukukhathazekai-escitalopram(igama lomkhiqizo iLexapro) - umuthi ojwayelekile wokudambisa ukucindezeleka.
● "Lokhu kuyisifundo sokuqala sokuqhathanisa i-MBSR nemithi yokwelapha ukuphazamiseka kokukhathazeka," umbhali wocwaningoUDkt Elizabeth Hoge, umqondisi we-Anxiety Disorders Research Programme kanye noprofesa ohlangene wezifo zengqondo eGeorgetown University Medical Center, eWashington, DC, utshele i-Medical News Today.
● Ucwaningo lwashicilelwa ngoNovemba 9 kujenaliI-JAMA Psychiatry.
Ukuqhathanisa i-MBSR ne-escitalopram (Lexapro)
Ososayensi baseGeorgetown University Medical Center baqashe ababambiqhaza abangu-276 phakathi kukaJuni 2018 noFebruwari 2020 ukuze baqhube uhlolo lomtholampilo olungahleliwe.
Abahlanganyeli babeneminyaka engu-18 kuya ku-75 ubudala, isilinganiso seminyaka engu-33 ubudala.Ngaphambi kokuqala kocwaningo, kwatholakala ukuthi banesinye salezi zinkinga zokukhathazeka ezilandelayo:
I-Generalized Anxiety Disorder (GAD)
Isifo sokukhathazeka komphakathi (SASD)
Ithimba locwaningo lisebenzise isikali sokuhlola esiqinisekisiwe ukukala izimpawu zokukhathazeka zombambi qhaza ekubuthweni futhi lazihlukanisa ngamaqembu amabili.Iqembu elilodwa lathatha i-escitalopram, kanti elinye labamba iqhaza kuhlelo lwe-MBSR.
"I-MBSR iyindlela yokungenelela kwengqondo efundwa kakhulu futhi imisiwe futhi ihlolwe kahle ngemiphumela emihle," kuchaza uDkt. Hoge.
Lapho ukuhlolwa kwamasonto angu-8 kuphela, abahlanganyeli be-102 baqedile uhlelo lwe-MBSR, futhi i-106 yathatha imithi njengoba iqondiswe.
Ngemuva kokuthi ithimba labacwaningi libuyekeze kabusha izimpawu zokukhathazeka zombambiqhaza, lithole ukuthi womabili amaqembu ahlangabezane nokwehliswa okulinganiselwa ku-30% ebucayi bezimpawu zabo.
Uma kucatshangelwa abakutholile, ababhali bocwaningo basikisela ukuthi i-MBSR iyindlela yokwelapha ebekezeleleke kahle esebenza ngendlela efanayo nemithi esetshenziswa kakhulu yezinkinga zokukhathazeka.
Kungani i-MBSR yayisebenza kahle ekwelapheni ukukhathazeka?
Ucwaningo lwangaphambilini lwango-2021 lwesikhathi eside Umthombo Othembekile wathola ukuthi ukucabanga kwabikezela amazinga aphansi okucindezeleka, ukukhathazeka, kanye nokukhubazeka komphakathi kubantu abasebenza ezindlini zezimo eziphuthumayo.Le miphumela emihle ibinamandla okukhathazeka, ilandelwa ukudangala kanye nokukhubazeka komphakathi.
Nokho, akukacaci ukuthi kungani ukucabangela kuphumelela ekwehliseni ukukhathazeka.
"Sicabanga ukuthi i-MBSR ingase isize ngokukhathazeka ngoba ukuphazamiseka kokukhathazeka kuvame ukubonakala ngamaphethini okucabanga okuvamile okuyinkinga njengokukhathazeka, nokuzindla ngokucabangela kusiza abantu ukuba bathole imicabango yabo ngendlela ehlukile," kusho uDkt. Hoge.
Ngamanye amazwi, ukuzijwayeza ukunaka kusiza abantu ukuthi babone imicabango njengemicabango futhi bangaziboni ngayo noma bakhungathekiswe yiyo.
I-MBSR iqhathaniswa nezinye izindlela zokucabangela
I-MBSR akuyona kuphela indlela yokucabangela esetshenziswa ekwelapheni.Ezinye izinhlobo zihlanganisa:
I-mindfulness-based cognitive therapy (MBCT): Ngokufanayo ne-MBSR, le ndlela isebenzisa isakhiwo esiyisisekelo esifanayo kodwa igxile emaphethini okucabanga angalungile ahambisana nokucindezeleka.
I-Dialectal Behavior therapy (DBT): Lolu hlobo lufundisa ukucabangela, ukubekezelelana kokucindezeleka, ukusebenza kahle phakathi kwabantu, nokulawula ngokomzwelo.
Ukwelashwa Kokwamukela Nokuzinikela (UMTHETHO): Lokhu kungenelela kugxile ekwandiseni ukuguquguquka kwengqondo ngokwamukela nokucabangela okuhlanganiswe nokuzibophezela namasu okushintsha ukuziphatha.
UPeggy Loo, Ph.D., udokotela wezengqondo onelayisensi eNew York City kanye nomqondisi eManhattan Therapy Collective, utshele i-MNT:
“Kunezinhlobo eziningi zokungenelela okucatshangelwayo kokukhathazeka, kodwa ngivame ukusebenzisa lezo ezisiza umuntu ukuthi agxile emoyeni nasemizimbeni yakhe ukuze behlise ijubane futhi balawule ukukhathazeka kwabo ngempumelelo.Ngiphinde ngihlukanise ingqondo namasu okuphumula neziguli zami zokwelashwa. "
U-Loo wachaza ukuthi ukunaka kuyisandulela sokubhekana nokukhathazeka ngokusebenzisa amasu okuphumula “ngoba uma ungazi ukuthi ukukhathazeka kukuthinta kanjani, ngeke uphendule ngokusiza.”
Isikhathi sokuthumela: Nov-11-2022