Kleptomania: Clinical features and comorbidity in an Italian sample

Presta, S.; Marazziti, Donatella; Dell’Osso, Liliana; Pfanner, Chiara; Pallanti, Stefano; Cassano, Giovanni B.

doi:10.1053/comp.2002.29851

Cited by 84 publications

(34 citation statements)

References 19 publications

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“…Some series have reported bipolar disorder to be the most common comorbidity, 4,8 whereas another, 7 like ours, found major depressive disorder to be more common. We identified no cases of comorbid bipolar disorder, although 3 callers with bipolar disorder who did not have kleptomania reported stealing only during hypomanic or manic periods.…”

Section: Discussionsupporting

confidence: 44%

Overview of Kleptomania and Phenomenological Description of 40 Patients

Aboujaoude¹,

Gamel²,

Koran³

2004

Prim. Care Companion CNS Disord.

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Background: Despite its considerable personal toll and its impact on the economy and the legal system, kleptomania is an understudied psychiatric disorder. Method:We review what is known about the epidemiology, course, and treatment of kleptomania and describe 40 patients meeting DSM-IV criteria for the disorder.Results: Our data suggest a female preponderance, with an early age at onset and most often a continuous course. No other gender-based differences were seen. The majority of our subjects had not received treatment for kleptomania despite often having sought help for comorbid psychiatric conditions, most commonly major depressive disorder. Our data confirm kleptomania's devastating effects on personal and professional lives and serious legal consequences, reflected in high arrest and incarceration rates. Because patients with kleptomania rarely seek psychiatric help for the disorder, we indicate how other health care providers can screen for it, possibly as part of taking patients' legal and social histories, and suggest treatments.Conclusion: Awareness of kleptomania, empathy toward those afflicted, and rigorous research into treatment options are needed to mitigate kleptomania's personal and societal costs.

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Section: Discussionsupporting

confidence: 44%

Overview of Kleptomania and Phenomenological Description of 40 Patients

Aboujaoude¹,

Gamel²,

Koran³

2004

Prim. Care Companion CNS Disord.

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“…Rates of cooccurring OCD in samples of individuals who have kleptomania have ranged from 6.5% [61] to 60% [63]. Conversely, rates of kleptomania in OCD samples suggest a higher rate of cooccurrence than found in the community (2.2%-5.9%) [14,15].…”

Section: Kleptomaniamentioning

confidence: 99%

Compulsive Aspects of Impulse-Control Disorders

Grant

Potenza

2006

Psychiatric Clinics of North America

157

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“…One study found that men with kleptomania are more likely to have a history of birth trauma. 15 Men with kleptomania also appear less likely to suffer from a co-occurring higher rates of cognitive impulsivity (measured by the Barratt Impulsiveness Scale, 10 th version) were found in 11 subjects with kleptomania when compared to a control group of psychiatric patients without kleptomania.…”

Section: 17mentioning

confidence: 98%

“…High rates of mood disorders, alcohol use disorders, and kleptomania in the first-degree relatives of individuals with kleptomania have also been reported. 12,15,17,18 Neurobiology Although individuals with kleptomania report an inability to resist their urge to shoplift, the etiology of this uncontrollable behavior is unclear. Serotonergic dysfunction in the ventromedial prefrontal cortex has been hypothesized to underlie the poor decision-making seen in individuals with kleptomania.…”

Section: 22mentioning

confidence: 99%

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Cleptomania: características clínicas e tratamento

Grant

Odlaug

2007

Rev. Bras. Psiquiatr.

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A b s t r a c t Objectives: Kleptomania, a disabling impulse control disorder, is characterized by the repetitive and uncontrollable theft of items that are of little use to the afflicted person. Despite its relatively long history, kleptomania remains poorly understood to the general public, clinicians, and sufferers. Method: This article reviews the literature for what is known about the clinical characteristics, family history, neurobiology, and treatment options for individuals with kleptomania. Results: Kleptomania generally has its onset in late adolescence or early adulthood and appears to be more common among women. Lifetime psychiatric comorbidity is frequent, mainly with other impulse control (20-46%), substance use (23-50%) and mood disorders (45-100%). Individuals with kleptomania suffer significant impairment in their ability to function socially and occupationally. Kleptomania may respond to cognitive behavioral therapy and various pharmacotherapies (lithium, anti-epileptics, and opioid antagonists). Conclusions: Kleptomania is a disabling disorder that results in intense shame, as well as legal, social, family, and occupational problems. Large scale treatment studies are needed.Descriptors: Impulse control disorders; Pharmacotherapy; Comorbidity; Theft; Study characteristics [Publication type] Resumo Objetivos: A cleptomania, um transtorno incapacitante do controle dos impulsos, caracteriza-se pelo furto repetitivo e incontrolável de itens que são de pequena utilidade para a pessoa acometida por esse transtorno. Apesar de seu histórico relativamente longo, a cleptomania continua sendo pouco entendida pelo público geral, pelos clínicos e pelos que dela sofrem. Método: Este artigo revisa a literatura sobre o que se sabe a respeito das características clínicas, histórico familiar, neurobiologia e opções de tratamento para indivíduos com cleptomania. Resultados: A cleptomania geralmente tem seu início no final da adolescência ou no início da vida adulta, e parece ser mais comum em mulheres. A comorbidade psiquiátrica ao longo da vida com outros transtornos de controle de impulsos (20-46%), de uso de substâncias (23-50%) e de humor (45-100%) é freqüente. Indivíduos com cleptomania sofrem de prejuízo significativo em sua capacidade de funcionamento social e ocupacional. A cleptomania pode responder ao tratamento com terapia cognitivo-comportamental e com várias farmacoterapias (lítio, antiepilépticos e antagonistas de opióides). Conclusões: A cleptomania é um transtorno incapacitante que resulta em uma vergonha intensa, bem como problemas legais, sociais, familiares e ocupacionais. São necessários estudos de tratamento em ampla escala.Descritores: Transtornos do controle de impulso; Farmacoterapia; Comorbidade; Roubo; Características de estudos [Tipo de publicação]

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Kleptomania: Clinical features and comorbidity in an Italian sample

Cited by 84 publications

References 19 publications

Overview of Kleptomania and Phenomenological Description of 40 Patients

Overview of Kleptomania and Phenomenological Description of 40 Patients

Compulsive Aspects of Impulse-Control Disorders

Cleptomania: características clínicas e tratamento

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