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WYXOAOTIA, 2006, 13 (4) @ 95-110 Koweovun popia: Pawopevodoyia, KAwixr euKdva Kot anoteAcopatiKés Oepaneies Maria AiBANOY* TIANNHE KAZBIKH® Poza MnoytoyY H kowavix @oBia eivar ula ané nig mio ouXved anavrapeves yuxKés diaTapA- xé6. Zuoyeriverar ye coBapr unoKEweved SuapopIa Ka oTVTUR ExTTWOT KO Vvwvinric, LaBnoiaxTic Kat enayyeAyaTixtic npocappoyric. H napotca WeAEM: (a) ouvowiter Séuata Staywwons, emtSnyworoyiag Kai Parvopevoroyiac, (B) Neprypager pe AerTOpEpe!a yvw- ciaKés Kal cURMEpIOpIOTIKES WUXOBEpaTEUTIKES rrapeYBATEIG yia THY KOWUMIKT POBKA, Kar (y) OUvOYI- Ze1ta anoteAgouata tv epeuviov nou GuveBahay oTHy epmeipuKr KaTOXUPWOT] Tg aMoTeAEOLATIKGTTTAG Tuy ywURaKdv-cULMEpIpopioTIKY NapELBadEWY ETRY KOIWMKA GORA. EupMEpaiverat dvi TO oMPAVTIKS KOWWVIKOOIKOVOHIKE KEOTOS HE TO OnoIo N KoWuYIKT Popa EMIBapLvel To KPGTOS LMope’ va LeWwEe! av 1 YvaoraKt-cunnepipopioTiKn WuxoBepaneia yiver EUKOAa B\aBEDIUN Ge Soous ™ xpELéLovtar. Nporei- verat ueddovrinés épeuves va eoriégouy oThV avérTuEn éyKUpWY, AEISTICTwW KAI TIOATIOHMG OUpPaTey BiayvworKOy epwmpatodoyiuv Via Tov EvTOMIOLS Tw avBpiinY LE KoIVWWIKT Pola. EnunAgov, Npé- Tet va SiepeunBouv evaXAaKriKol TpSnot Via Thy MapOXT YYwaLAKT}c-cULMEPIPOPIOTIKTIS WUXOBEPAIE:- 16 je 600 To Suvardv [KPsTEPO KOTO LaXPO|PSBEGLA y1a TO KPATOG (uEOW NAEKTPOVIKI UNOAOYI- oti, eyEIpIBIWW KAN). NEPIANYH AéEeIG-KAEI5iG: Kowwwwixt} POBia, O6os, ANoguYT, Gepaneia cuLMEPIpopac Kal yrwordy, ‘ExBeOn, ANO- PSYCHOLOGY, 2006, 13 (4) @ 95-110 Teheouatnn Wuxo8epaneia, Ercaywyt H xowavixt pola (KO) eivat ja Biarapaye yous rou xapaxtnpiZerat Kupiwg and unep- BoAtKd @6Bo Kat aNOpUYH KATOIWY KOLVOVIKIDY epeBioudtuv KaTagTédewy. Anotehet my tpim ouyvétepn puxixr Siatapayt orig HMA (Kessler et al., 1994), evs pedétec nou éxouv dieEaxeei amig HITA xan ddAec Sutixés Kowvavies avagé- pouv rocogTd ertimohagHOU and 2% Ewe 16% (Furmark, 2002. Hildago et al., 2001. Kessler et al, 1999, Rapaport et al., 1995. Lépine & Lellouch, 1995), yeyovéc rou unodeuxvilet éti n Statapayt eivat eupéwc Siad_dopévn. Flap’ do ou noAAG dtopa pe KO dev ava- Zntouv Bepaneia (Judd, 1994), sivar n Sevtepn Tuo KoWw} HOpOH PoBiag (uETa THY ayopagoBia) Tou Guvavtérat oTig WUXLaTpIKEG KAIIKES THY ButiKGv xwpav (Marks, 1987). Ze pia npdogary Teptypagr Twy AToLWY HE Statapaxéc GyXOUS Tou avatrimoav Bepaneia om Movdda Gepa- Tefag Zuynepipopac Tou Kévtpou Wuxexrig Yyt- ® Division of Psychological Medicine, Institute of Psychiatry, King’s College London 8 Movdda @epaneiag Syinepipopdc, Kévrpo Wuyurr Yeti, ABriva Epeumnnixs Flaverwommutans hvatirouto Wuyexrc Yytewrc, Arve Auev8uvon: Faveng Kaopixng, Movada Sepaneiag Zuunepipopac, Kévtpo Wuxixri¢ Yyuewric, Bao. Hpaxdiou 8, Adriva. 96 # Mapia Aipavou, Puévvns Kaopixne & Ppdoc Mriovicov ewnig oy A@riva (Kasvikis, 2004), to 10% uné- epE and KO. AapBavovtag uNdWN auTd Ta eu- priya, o1 enayyeduarieg wuxtig uyeiag npénet va eivat e£oKe1wpEvor pe Tig KMiKES eKENALIEIG Tg Biatapaytig kat evnpepwpvor yia Tg 3.a8é- opie arioteAcouamikés @epareeies, H Gepareeia ermoytic via Tig Siatapaxés dy- Xoug eivai n CULMEpIpOPICTIKK-YYwWOLAKT} WUXO- Gepaneia (EFW) (Marks, 1987. Ballenger et al., 1998). H xpnowdtyté mg oTny KO éxet anoder- XGei and moAAéc TUXaIoMIOINHEvES EhEyKOHEVES épeuvec (Newman et al., 1994. Turner et al., 1994), peta-avadutixés pedtes (Taylor, 1996. Feske & Chambless, 1995) kai avadpoyeg Tm Bi- BAioypagia (Stravynski & Greenberg, 1998). H napouca pekém neprayBéve pia uvto- bn nepiypagr Mg Siatapaytig Kat eotidZerar COTY KAMKH EapHOYT} TMC ETY om KoIwHIKi} popia. @aivopevonoyia Kai KAIvint E1k6va Aloyvworkdé Kprripia Ev ouvrouia, odprpuva ye my 4n ExBoon TOU Aiayvworikod Kat EratioTiKod Eyxeipidiou yia TG Wuytxég Atatapaxés (American Psychiatric Association, 1994), ta Sayvworikd Kprrtipia Yio Thy KO neprrayBdvouv évrovo kat enijove 680 TOUAGXIOTOV VIG ia KoWWwMIKF| KaTéOTAGN (KATA THY ontoia To Gtopo extiBerat ae ayvaorous H Tlapampeirar ané dAAouG), @OBo ét1 To Gro 6a evepyrdel Ue TpdMo Mou Ga Tou NpoKaAgoet vipomn} kat yeAotoroinan, eniywwon out 0 6c, eivai unepBolKds rh NapGAoyos Kal ano@puyr TH Kowwmuxtig KaTéoTaONS MoU MpOKAAEI To G6BO (A avoxt THC Ue Evtovo dyxog rh Svagopia). Hano- puyT TeV KoIuMiKiov EpeBioycTwy, TO évToVO ay- Xog kat n Sua@opia Tou NpoKaAOUY éxouv on- HavTIKH apwrTTiKH eniSpaon om yevikotepn Npo- Gappoyt| Tou aTéyou. Enundgoy, yia va yiver ayvwon KO, To éyx0<, Ain anopuyt KovwviKay epe@ioudtuv dev Mpé- Tet va oxeriZovtat pe dpedes owpariKés avi Spaceig npoepxdueves and tm xprian KaroLag ouoiag f and owpatixy aoBéveia F aNd dAAN Wu- xix Statapayt. Akoya Ki av undpXel GAAN UX’ Kq Btatapayh, 0 P6Boc Sev npénet va ouvdéetat ne auTtv (drug, Via NapdBeryya, ony nepirts- OM TIOU KATIOIOG EXEI KOIVWVIKS GyXOG EneIST} unopépet and tpauioy rh Népxivoov) H K@ rrapampeitat cuxvétepa omg yuvaikes (Hildago et al., 2001. Merikangas et al., 2002). H Evap8f me ouxvd nopouatdzerar ory maint} AAKia Fh Thy eqnBeia, Kat evs) opropeves popés mope( va auvde8ei we xéno1o yeyovds nou Mpo- Kaheoe dyXoG, GAoTe Be Seixvet va XE eypa- vi aina, arvopevohoyia H Auepixavuxr Yuxcarpixr} Eraipeia dtaxpiver hia kamnyopia KO yexeuuévnc wop@ric, MoU xa- paxmpitet avepurioug nou wsBouv p6Bo oTi¢ nepioadrepes KovwviKés KatadTACEIG, NoTé<0, &xet uooTnptx@ei (Heimberg et al., 1993a) 1: Lmopodue va SiaKpivoupe 540 axéya unoKam- yopiec: My «xAeioTou Hi Nepiopioyévou TUNOUr (circumscribed subtype), nou avagépetat oe av- @puirtoug ot onoiot visBoUV OBO Ce ia H Te- ploodtepes MOAU ouyKexpinéves KaTacTdoEIc, KAT «Ln YEVIKEUPEVOU f} E15IKOU TUMOU® (non- generalized subtype), nou avagépetat oe av- Gpuinoug wavodc va Aetroupyouv anoteAcopaTt- xd Kal va npocapyscovrat ye enutuxia atic ne- ploadtepes Kovuvixés KaTaCTAaEIG eKTdg aNd edaxtoes, H KO dev npénet va auyxéetat pe auTé nou Kowwisg ovopazetat evtponaAsrrta», yiati to ay- X0¢ Tou ouvodeder My K® umtepBaiver Kata NOAW ‘utd ms viponakémrtac, EninAgov, MoAAoi dv- @punot pe KO ynopet va nv eivat vrponaAoi Lnpootd ae avépurouc nou Bewpotv oxKEious H umopel eivat xaAapot Kat Siaxutikoi pe avepii- Tous Tou ywwpiZouv nu Se Ba Tous KpivouY ap- vmnxa. ‘Ooov apopa Tig ywaaxés eneEepyaciec, rug Kat ae GAdEc Statapayés AyXous, oTHY KO undpxet n 140m Ta yeyovéra (iBiaitepa av ivat Korvwovixr popia: Parvopevoloyia, klivixy erxova kat anorelequarixts Oepaneicg @ 97 acagt) va epynvetiovtar ws anetAntiKa (Butler & Mathews, 1983). ‘Eto, ta Gtopa pe K® evKoAa Lnopei va napepynveicouv oudétepa epesiopa- Ta Kat va KaTaAREOUv AavBacnéva oto auyné- pagya 61 ot aAAo1 Tous ak\oAoyouY apvntiKa. Teivouv va Sewpouv NOAU ONNAVTIKG To va SN oupyouv Betikés evtundaeig oToUG YUPW TOUS, KaGie cUXvd EniTOUV évrova THY aNodox" and TOUS GAAOUS Kal LPIBAAAOUV Yia TIG IKAVOTITTES, TOUG va KdvOUV KOA EvTUMWON. H K® napouaidzei UpnAd eninedo guwoon- pémtac pe dAAsc dtatapaxés dyxous, 5:d8e0n¢ Kat npooumixéTmTaG, KaGW¢ Kal HE THY KaTAXpN- Gn aAKodA (Kessler et al., 1999. Merikangas & Angst, 1995. Brewerton et al. 1993. Schwalberg et al., 1992. Schneier et al., 1992). YnoAoyifetat de (Merikangas & Angst, 1995) 6tt Kata pé00 6po- 80% Twv atopwy pe KO rAnpoi Ta 14 Biou dia- Ywworikd KpITrApIA yia TOUAGXLOTOV GAN pia yu uxt] Statapayt}: Ero n cuvvoonpoTta Teivel va eivat paAAov Kavévag apd e€aipeon. ©6Bog Kal anoguyy} H KO, crc Kat o1 nepioadtep|s diatapayés, Gyxous, xapaxmpiterat and pdBo kat anopuyt. 01 dvpwnot nou unopépouv and auTiv evdExe- Tat va PoBouvra va pave H va MouV uNpOOTA GE GdAous, Opiopévor poBouvrat éu1 pntopei va TMi- Youv Gta Tpiive Kat ot GAOL TouG KorToUV H ot bmopet va tpyouv ta xépia Tous Spools. Eu- v4, eniong, PoBotvrat IMG KOKKWWiCOUV Kat (Spucouv pnpoata Ge dAAouG 1h NpoceAKUGOUY “TMV Npogoyt HE la NapdEevn GupNepIpops Fh Kévovrag Kati mou pope; va Tous vipontdoet (1.x. oxovrd@tovtas, Kévovtag eet 1 AnoBu- Havtag Sqpootwe). Exed6v navea niow and au- TOUS TOUS POBoUG EAAOXELIE! © POBOS TM Tapa- TpNoNs, TS apyATIKriG KPITIKF| F| THG YEAOIO- Tloinanc. O1 owpatixés ex@pageic Tou Gyxous Tou avagépovtat auxvétepa aTHY KO nepihay Bavouv taxurtadia, TpéHoUAo, KOKKiviCHG Kat e@idpwon (Amies et al., 1983. Marks, 1987). E€artiag autav tev péBuv, dcot éxouv KO teivouv va GNOgEvYOUV KATACTAGEIG KATA TIG omoieg npénet va WAouv He GAAOUG F} va aneu- BUVOVTaI GE AKPOATHPIO (NX. ENAyYEAHATIKE ouvavmiveic, NpopopiKés eEeTaCEIG, ouvEvTEU- Reig yia SouAeIG, Napouaidceig ce cuvédpia), va Tpwve 1 va nivouv Sqyooiwg (n.x. NdpT, pavte- Bou) kat va ypapouv Snpooiws (1.x. SnHdateG uninpecieg Grou unopei va xpetaotei va uNO- ypdyouv f va oupnAnpwoouy évtuna). Zuxva anogetyouv va WAouv o& ayvusoTouG, GE avu- tépoug Tous 1 9€ Grou KUpoUS. FeviKéTepa, ariogetyouv va yivovtat To KEvtpo TG MPOGOXTI (nx. va pnaivouv oe xwpous He MOAAG Gropa n va Tous SiaoxiZouv, va KoAUpNOuy, va xopEvoUY). O @6Bos Kai ot cuumepipopés anoguyrs ne- plopiouv Tig emtBdoeig Tous TSO GE KOLVvIKEG KaTAOTGOEIG (NX. NGPTI, KOIVWVIKES OUYKEVTPL- 1c) dg0 Ka OMY EniteUEN OTSxwv OTOV ToHEa TMC HSPQWONS Kal Ths KaPIEpAG. OpropEvor Ev- SéxETal va OTPAGOL GE LN MPOTAPHOOTIKOUG TpdnoUG aVTILET&MLANS TOU PdBOU ToUG, dnw6, TLX., OMV KaTAXpNON OUTLaY (Barlow et al., 1986. Chambiess et al., 1987. Kushner et al., 1990). Ert- TiAdov, 0 @4Pog Kain ano@uyT TeivouV va ennped- Zouv tic Sianpoownuxés OXECEIG, Kal OUVENWG va oBnyouv Ge XAYNAF AUTOEKTiNON Kat GUVaICe- para povakidc. Ia autotig tous Adyous n KO @é- Tel Ge GoBapS KivSuvo TH YEvIK| NPosapLoyH Twv avepurwv (Greist, 1995. Schneier et al., 1992. Lépine & Lellouch, 1995). Xwpig éykupn Biayvwon Kar éyKatpn Bepaneia, n KO pnopet va anoteAgoet coBapr) Kolvwwixr avarmpia, AnoreAcopaninés Bepaneieg Qepaneia cupmepipopac - ExBeon, LUppwVa Le TO CULNEPLPOPLOTIKG HOVTEAS. 1 Andaman Twv GoBIGV eival anoTéAcoHA OUV- Suaoyou Karri eEapMpEWNG (classical condi- tioning) Kai GuvtedoTiKrg HaSnons (operant conditioning) (Mowrer, 1947. McAllister & McAlli- ster, 1995). Méoa an6 Tm SraSuxacia m¢ Kaa} e&apmpéyn ya@nons ovdétepa epeBiouata cu- oxetiZovtat pe epeBiayata ou MpoKaAowv ay-

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