Gender-related differences in individuals seeking treatment for kleptomania.
Gender-related differences in individuals seeking treatment for kleptomania.
复制标题
寻求盗窃癖治疗的个体存在性别相关差异。
DOI：
10.1017/s1092852900028492
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发表时间：
2008
期刊：
影响因子：
3.3
通讯作者：
Potenza,MarcN
中科院分区：
文献类型：
--
作者：
Grant,JonE;Potenza,MarcN
目的了解男性和女性疾病表现的差异具有临床重要意义，因为差异可能反映生物学和社会文化因素，并对预防和治疗策略产生影响。很少有关于盗窃癖的实证研究，特别是与性别相关的影响。方法从 2001 年到 2007 年，对 95 名成年受试者（n = 27 [28.4%] 男性）使用《精神疾病诊断和统计手册》第四版定义的盗窃癖进行了社会人口统计学和临床特征的评估，包括症状严重程度、合并症和功能障碍，以识别与性别相关的疾病结果男性和女性表现出明显的症状严重程度和功能障碍。与受影响的男性相比，患有盗窃癖的女性更有可能已婚（47.1% vs 25.9%；P = .039），入店行窃的年龄较晚（20.9 vs 14 岁；P = .001），偷窃家居用品（P <.001），囤积被盗物品（P =.020），有饮食失调（P = .017），并且偷窃的可能性较小电子产品 (P < .001) 并患有另一种冲动控制障碍 (P = .018)。结论 偷窃癖与女性和男性的显着损害相似。临床特征和并发疾病的性别相关差异表明预防和治疗策略纳入了性别考虑。
ObjectiveUnderstanding variations in disease presentation in men and women is clinically important as differences may reflect biological and sociocultural factors and have implications for prevention and treatment strategies. Few empirical investigations have been performed in kleptomania, particularly with respect to gender-related influences.MethodsFrom 2001–2007, 95 adult subjects (n = 27 [28.4%] males) with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-defined kleptomania were assessed on sociodemographics and clinical characteristics, including symptom severity, comorbidity, and functional impairment, to identify gender-related differences.ResultsMen and women showed substantial symptom severity and functional impairment. Compared with affected men, women with kleptomania were more likely to be married (47.1% vs 25.9%; P = .039), have a later age at shoplifting onset (20.9 vs 14 years of age; P = .001), steal household items (P <.001), hoard stolen items (P =.020), and have an eating disorder (P = .017) and less likely to steal electronic goods (P < .001) and have another impulse-control disorder (P = .018).ConclusionKleptomania is similarly associated with significant impairment in women and men. Gender-related differences in clinical features and co-occurring disorders suggest that prevention and treatment strategies incorporate gender considerations.