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Jon E Grant - One of the best experts on this subject based on the ideXlab platform.
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Stealing behavior and impulsivity in individuals with Kleptomania who have been arrested for shoplifting.
Comprehensive Psychiatry, 2018Co-Authors: Austin W. Blum, Brian L Odlaug, Sarah A. Redden, Jon E GrantAbstract:Abstract Objectives Kleptomania is characterized by strong urges to steal and is one of only a few psychiatric disorders defined by illegal behaviors, but the clinical characteristics of individuals with Kleptomania who have faced legal consequences due to their behavior are poorly understood. Method From 2001 to 2012, we recruited 107 adult participants with DSM-IV Kleptomania. Participants with a history of shoplifting-related arrest (N = 82) were compared with those who had no such history (N = 25) on demographics, clinical features, and a self-report measure of impulsivity. Results Participants whose shoplifting had resulted in arrest had higher self-rated impulsivity on a weak trend level (Eysenck Impulsiveness Questionnaire), with large to very large effect size (Cohen's d = 1.12). Group comparisons showed no significant differences in terms of overall functioning (d = 0.60), time spent stealing (d = 0.73), frequency of stealing behavior (d = 0.33), psychiatric comorbidity, or severity of Kleptomania symptoms. Conclusions Legal problems in Kleptomania may be associated with generalized deficits in inhibitory control independent of Kleptomania symptom severity. These findings emphasize the need for treatment to improve functional status in individuals with Kleptomania and reduce the social and economic costs associated with reoffending.
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Symptom severity and its clinical correlates in Kleptomania.
Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2018Co-Authors: Jon E Grant, Samuel R. ChamberlainAbstract:BACKGROUND Kleptomania (compulsive stealing) remains poorly understood, with limited data regarding its underlying pathophysiology and appropriate treatment choices. METHODS Participants (N = 112) age 18 to 65 with a primary, current diagnosis of Kleptomania were assessed for the severity of their stealing behavior and urges to steal, as well as related mental health symptoms. To identify clinical and demographic measures associated with variation in disease severity, we utilized the statistical technique of partial least squares. RESULTS Greater Kleptomania symptom severity was associated with having more frequent urges to steal, feeling excited by stealing, having a current eating disorder, and having a current diagnosis of obsessivecompulsive disorder (OCD). Worse symptom severity was associated with a shorter transition time (between first stealing and diagnosis of Kleptomania), as well as with a higher chance of stealing from relatives and seeking treatment at some point. CONCLUSIONS Feeling a sense of reward from stealing and co-occurrence of certain disorders associated with compulsivity (eg, OCD, anorexia nervosa) were strongly associated with worse illness severity in Kleptomania. Treatment approaches should incorporate these disorders as possible treatment targets. These data also may support conceptualizing Kleptomania as an obsessive-compulsive-related disorder rather than being allied to substance use or impulsive disorders.
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Assessment and Treatment of Kleptomania
Oxford Handbooks Online, 2012Co-Authors: Jon E Grant, Brian L Odlaug, Suck Won KimAbstract:Kleptomania, a disabling impulse control disorder, is characterized by repetitive and uncontrollable theft of items that are of little if any use. Kleptomania often goes undiagnosed or is misdiagnosed as a mood disorder, obsessive-compulsive disorder, or a substance use disorder. Unlike typical shoplifters, individuals with Kleptomania steal for symptomatic relief rather than personal gain. Although the etiology of Kleptomania is unknown, various biological and psychosocial theories may explain why some individuals develop Kleptomania. Although cognitive behavioral therapy has shown early promise in treating Kleptomania in case reports, the only controlled data for treatment involve the use of the opioid antagonist naltrexone.
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Suicide attempts in 107 adolescents and adults with Kleptomania.
Archives of Suicide Research, 2012Co-Authors: Brian L Odlaug, Jon E Grant, Suck Won KimAbstract:Suicide attempts in Kleptomania have received little investigation. This study examined rates, correlates, and predictors of suicide attempts in Kleptomania. A total of 107 adolescent and adult subjects (n = 32 [29.9%] males) with DSM-IV Kleptomania were assessed with standard measures of symptom severity, psychiatric comorbidity, and functional impairment. Subjects had high rates of suicide attempts (24.3%). The suicide attempt in 92.3% of those who attempted suicide was attributed specifically to Kleptomania. Suicide attempts were associated with current and life-time bipolar disorder (p = .047) and lifetime personality disorder (p = .049). Individuals with Kleptomania have high rates of suicide attempts. Bipolar disorder is associated with suicide attempts in individuals with Kleptomania and underscores the importance of carefully assessing and monitoring suicidality in patients with Kleptomania.
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Kleptomania: Clinical Characteristics and Relationship to Substance Use Disorders
The American Journal of Drug and Alcohol Abuse, 2010Co-Authors: Jon E Grant, Brian L Odlaug, Suck Won KimAbstract:Background: Although categorized as an impulse control disorder, Kleptomania has many features in common with substance use disorders. Objectives: This paper sought to examine the mounting evidence supporting the phenomenological, clinical, epidemiological, and biological links between Kleptomania and substance addictions. Methods: A review of the literature examining family history, genetics, comorbid psychiatric conditions, neuroimaging, and phenomenology was utilized to examine the relationship of Kleptomania to substance addiction. Results: Kleptomania and substance addiction share common core qualities, including similar treatment successes, as well as etiologic and phenomenological similarities. Conclusions: Future research investigating the relationship between Kleptomania and substance use disorders holds significant promise in advancing prevention and treatment strategies for addiction in general. Scientific Significance: Research investigating Kleptomania (and other behavioral addictions) and it...
Pinhas N. Dannon - One of the best experts on this subject based on the ideXlab platform.
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Phenomenology and Epidemiology of Kleptomania
Oxford Handbooks Online, 2012Co-Authors: Netta Shoenfeld, Pinhas N. DannonAbstract:Stealing behaviors have been reported since the eighteenth century. However, only in 1952 was the phenomenon included in the Diagnostic and Statistical Manual of Mental Disorders. While shoplifting and Kleptomania share the same behavior, the motives behind each behavior differ significantly. Kleptomania is characterized as an incontrollable urge to steal, accompanied by mounting stress before committing the theft, followed by relief, guilt, and shame. Kleptomania seems to be a more female-dominant disorder, and the exact causes remain unknown. The explanations are broad, stretching from stressful childhood and low self-esteem to head trauma. It seems to be chronic, with exacerbations and remissions. Treatments vary from psychological approaches suggesting psychotherapy to pharmacological interventions with various medications. A combination of the two had been found to be the best treatment strategy. With the right diagnosis and treatment, there is hope for bettering the quality of life of people suffering from Kleptomania.
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Kleptomania: Differential Diagnosis and Treatment Modalities
Current Psychiatry Reviews, 2006Co-Authors: Pinhas N. Dannon, Anat Aizer, Katherine LowengrubAbstract:Kleptomania is classified in the psychiatric nomenclature as an impulse control disorder. Patients with Kleptomania, however, often suffer from repetitive intrusive thoughts about stealing, an inability to avoid the compulsion to steal as well as a relief of tension following the theft. These associated symptoms suggest that Kleptomania may be a form of obsessive compulsive spectrum disorder. On the other hand, some authors describe Kleptomania as a nonpharmacological addiction because of the inability to control maladaptive behavior. A broad range of pharmacotherapeutic agents has been found to be beneficial in the treatment of Kleptomania including serotonin reuptake inhibitors (SSRIs), mood stabilizers, and opioid receptor antagonist medications. Adjuvant cognitive behavioral therapy (CBT) is recommended.
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Kleptomania after head trauma: two case reports and combination treatment strategies.
Clinical Neuropharmacology, 2004Co-Authors: Anat Aizer, Katherine Lowengrub, Pinhas N. DannonAbstract:The purpose of this paper is to add to the growing number of reports about Kleptomania occurring in relation to brain injury as well as to present the authors' findings regarding treatment strategies. The authors present two case reports of patients who developed the new onset of Kleptomania after closed head trauma. Both patients had comorbid psychiatric symptoms associated with the Kleptomania. Antidepressant monotherapy was not beneficial in reducing Kleptomania in either patient. Kleptomanic behavior was successfully treated in both patients, however, through combination treatment using an antidepressant agent together with adjunctive cognitive behavioral therapy or adjunctive naltrexone. In one patient, single photon emission tomography showed a perfusion deficit in the left temporal lobe. Various hypotheses regarding this finding and the etiopathology of Kleptomania are discussed. Review of current work in the field suggests that Kleptomania is a heterogeneous disorder that shares features of both impulse and addiction disorders as well as affective spectrum disorders.
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Comorbid psychiatric diagnoses in Kleptomania and pathological gambling: a preliminary comparison study
European Psychiatry, 2004Co-Authors: Pinhas N. Dannon, Katherine Lowengrub, Marina Sasson, Bosmat Shalgi, Lali Tuson, Yafa Saphir, Moshe KotlerAbstract:Kleptomania and pathological gambling (PG) are currently classified in the DSM IV as impulse control disorders. Impulse control disorders are characterized by an overwhelming temptation to perform an act that is harmful to the person or others. The patient usually feels a sense of tension before committing the act and then experiences pleasure or relief while in the process of performing the act. Kleptomania and PG are often associated with other comorbid psychiatric diagnoses. Forty-four pathological gamblers and 19 kleptomanics were included in this study. All enrolled patients underwent a complete diagnostic psychiatric evaluation and were examined for symptoms of depression and anxiety using the Hamilton depression rating scale and the Hamilton anxiety rating scale, respectively. In addition, the patients completed self-report questionnaires about their demographic status and addictive behavior. The comorbid lifetime diagnoses found at a high prevalence among our kleptomanic patients included 47% with affective disorders (9/19) and 37% with anxiety disorders (7/19). The comorbid lifetime diagnoses found at a high prevalence in our sample of pathological gamblers included 27% with affective disorders (12/44), 21% with alcohol abuse (9/44), and 7% with a history of substance abuse (3/44). A larger study is needed to confirm these preliminary results.
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Topiramate for the treatment of Kleptomania: a case series and review of the literature.
Clinical Neuropharmacology, 2003Co-Authors: Pinhas N. DannonAbstract:Kleptomania--the inability to resist the impulse to steal objects, not for personal use or monetary gain--is currently classified in psychiatric nomenclature as an impulse control disorder. There is no standard pharmacologic therapy for this disorder. If Kleptomania was considered a form of obsessive-compulsive disorder, treatments used for this spectrum, including serotonin reuptake inhibitors (SSRI), other antidepressants, opioid receptor antagonist medications, and mood stabilizers, could be logically tested. Topiramate is currently used for the treatment of patients with affective and compulsive eating disorders. This report documents three kleptomanic patients who responded well to topiramate given either alone or in combination with SSRIs.
Brian L Odlaug - One of the best experts on this subject based on the ideXlab platform.
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Stealing behavior and impulsivity in individuals with Kleptomania who have been arrested for shoplifting.
Comprehensive Psychiatry, 2018Co-Authors: Austin W. Blum, Brian L Odlaug, Sarah A. Redden, Jon E GrantAbstract:Abstract Objectives Kleptomania is characterized by strong urges to steal and is one of only a few psychiatric disorders defined by illegal behaviors, but the clinical characteristics of individuals with Kleptomania who have faced legal consequences due to their behavior are poorly understood. Method From 2001 to 2012, we recruited 107 adult participants with DSM-IV Kleptomania. Participants with a history of shoplifting-related arrest (N = 82) were compared with those who had no such history (N = 25) on demographics, clinical features, and a self-report measure of impulsivity. Results Participants whose shoplifting had resulted in arrest had higher self-rated impulsivity on a weak trend level (Eysenck Impulsiveness Questionnaire), with large to very large effect size (Cohen's d = 1.12). Group comparisons showed no significant differences in terms of overall functioning (d = 0.60), time spent stealing (d = 0.73), frequency of stealing behavior (d = 0.33), psychiatric comorbidity, or severity of Kleptomania symptoms. Conclusions Legal problems in Kleptomania may be associated with generalized deficits in inhibitory control independent of Kleptomania symptom severity. These findings emphasize the need for treatment to improve functional status in individuals with Kleptomania and reduce the social and economic costs associated with reoffending.
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Assessment and Treatment of Kleptomania
Oxford Handbooks Online, 2012Co-Authors: Jon E Grant, Brian L Odlaug, Suck Won KimAbstract:Kleptomania, a disabling impulse control disorder, is characterized by repetitive and uncontrollable theft of items that are of little if any use. Kleptomania often goes undiagnosed or is misdiagnosed as a mood disorder, obsessive-compulsive disorder, or a substance use disorder. Unlike typical shoplifters, individuals with Kleptomania steal for symptomatic relief rather than personal gain. Although the etiology of Kleptomania is unknown, various biological and psychosocial theories may explain why some individuals develop Kleptomania. Although cognitive behavioral therapy has shown early promise in treating Kleptomania in case reports, the only controlled data for treatment involve the use of the opioid antagonist naltrexone.
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Suicide attempts in 107 adolescents and adults with Kleptomania.
Archives of Suicide Research, 2012Co-Authors: Brian L Odlaug, Jon E Grant, Suck Won KimAbstract:Suicide attempts in Kleptomania have received little investigation. This study examined rates, correlates, and predictors of suicide attempts in Kleptomania. A total of 107 adolescent and adult subjects (n = 32 [29.9%] males) with DSM-IV Kleptomania were assessed with standard measures of symptom severity, psychiatric comorbidity, and functional impairment. Subjects had high rates of suicide attempts (24.3%). The suicide attempt in 92.3% of those who attempted suicide was attributed specifically to Kleptomania. Suicide attempts were associated with current and life-time bipolar disorder (p = .047) and lifetime personality disorder (p = .049). Individuals with Kleptomania have high rates of suicide attempts. Bipolar disorder is associated with suicide attempts in individuals with Kleptomania and underscores the importance of carefully assessing and monitoring suicidality in patients with Kleptomania.
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Kleptomania: Clinical Characteristics and Relationship to Substance Use Disorders
The American Journal of Drug and Alcohol Abuse, 2010Co-Authors: Jon E Grant, Brian L Odlaug, Suck Won KimAbstract:Background: Although categorized as an impulse control disorder, Kleptomania has many features in common with substance use disorders. Objectives: This paper sought to examine the mounting evidence supporting the phenomenological, clinical, epidemiological, and biological links between Kleptomania and substance addictions. Methods: A review of the literature examining family history, genetics, comorbid psychiatric conditions, neuroimaging, and phenomenology was utilized to examine the relationship of Kleptomania to substance addiction. Results: Kleptomania and substance addiction share common core qualities, including similar treatment successes, as well as etiologic and phenomenological similarities. Conclusions: Future research investigating the relationship between Kleptomania and substance use disorders holds significant promise in advancing prevention and treatment strategies for addiction in general. Scientific Significance: Research investigating Kleptomania (and other behavioral addictions) and it...
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Legal Consequences of Kleptomania
Psychiatric Quarterly, 2009Co-Authors: Jon E Grant, Brian L Odlaug, Andrew A. DavisAbstract:Although studies have examined clinical characteristics of Kleptomania, no previous studies have examined the legal consequences of Kleptomania. From 2001 to 2007, 101 adult subjects ( n = 27 [26.7%] males) with DSM-IV Kleptomania were assessed on sociodemographics and clinical characteristics including symptom severity, comorbidity, and legal repercussions. Of 101 subjects with Kleptomania, 73.3% were female. Mean age of shoplifting onset was 19.4 ± 12.0 years, and subjects shoplifted a mean of 8.2 ± 11.0 years prior to meeting full criteria for Kleptomania. Co-occurring depressive, substance use, and impulse control disorders were common. Sixty-nine subjects with Kleptomania (68.3%) had been arrested, 36.6% had been arrested but not convicted, 20.8% had been convicted and incarcerated after conviction, while only 10.9% had been convicted and not incarcerated after conviction. Kleptomania is associated with significant legal repercussions. The findings emphasize the need for rigorous treatment approaches to target Kleptomania symptoms and prevent re-offending.
Suck Won Kim - One of the best experts on this subject based on the ideXlab platform.
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Assessment and Treatment of Kleptomania
Oxford Handbooks Online, 2012Co-Authors: Jon E Grant, Brian L Odlaug, Suck Won KimAbstract:Kleptomania, a disabling impulse control disorder, is characterized by repetitive and uncontrollable theft of items that are of little if any use. Kleptomania often goes undiagnosed or is misdiagnosed as a mood disorder, obsessive-compulsive disorder, or a substance use disorder. Unlike typical shoplifters, individuals with Kleptomania steal for symptomatic relief rather than personal gain. Although the etiology of Kleptomania is unknown, various biological and psychosocial theories may explain why some individuals develop Kleptomania. Although cognitive behavioral therapy has shown early promise in treating Kleptomania in case reports, the only controlled data for treatment involve the use of the opioid antagonist naltrexone.
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Suicide attempts in 107 adolescents and adults with Kleptomania.
Archives of Suicide Research, 2012Co-Authors: Brian L Odlaug, Jon E Grant, Suck Won KimAbstract:Suicide attempts in Kleptomania have received little investigation. This study examined rates, correlates, and predictors of suicide attempts in Kleptomania. A total of 107 adolescent and adult subjects (n = 32 [29.9%] males) with DSM-IV Kleptomania were assessed with standard measures of symptom severity, psychiatric comorbidity, and functional impairment. Subjects had high rates of suicide attempts (24.3%). The suicide attempt in 92.3% of those who attempted suicide was attributed specifically to Kleptomania. Suicide attempts were associated with current and life-time bipolar disorder (p = .047) and lifetime personality disorder (p = .049). Individuals with Kleptomania have high rates of suicide attempts. Bipolar disorder is associated with suicide attempts in individuals with Kleptomania and underscores the importance of carefully assessing and monitoring suicidality in patients with Kleptomania.
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Kleptomania: Clinical Characteristics and Relationship to Substance Use Disorders
The American Journal of Drug and Alcohol Abuse, 2010Co-Authors: Jon E Grant, Brian L Odlaug, Suck Won KimAbstract:Background: Although categorized as an impulse control disorder, Kleptomania has many features in common with substance use disorders. Objectives: This paper sought to examine the mounting evidence supporting the phenomenological, clinical, epidemiological, and biological links between Kleptomania and substance addictions. Methods: A review of the literature examining family history, genetics, comorbid psychiatric conditions, neuroimaging, and phenomenology was utilized to examine the relationship of Kleptomania to substance addiction. Results: Kleptomania and substance addiction share common core qualities, including similar treatment successes, as well as etiologic and phenomenological similarities. Conclusions: Future research investigating the relationship between Kleptomania and substance use disorders holds significant promise in advancing prevention and treatment strategies for addiction in general. Scientific Significance: Research investigating Kleptomania (and other behavioral addictions) and it...
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A Double-Blind, Placebo-Controlled Study of the Opiate Antagonist, Naltrexone, in the Treatment of Kleptomania
Biological Psychiatry, 2009Co-Authors: Jon E Grant, Suck Won Kim, Brian L OdlaugAbstract:Background Kleptomania is a rare psychiatric disorder characterized by recurrent stealing and for which there exists no empirically validated treatments. This study examined the efficacy and tolerability of the opioid antagonist naltrexone in adults with Kleptomania who have urges to steal. Methods An 8-week, double-blind, placebo-controlled trial was conducted to evaluate the safety and efficacy of oral naltrexone for Kleptomania. Twenty-five individuals with DSM-IV Kleptomania were randomized to naltrexone (dosing ranging from 50 mg/day to 150 mg/day) or placebo. Twenty-three subjects (92%) completed the study. Subjects were assessed every 2 weeks with the Yale Brown Obsessive Compulsive Scale Modified for Kleptomania (K-YBOCS), the urge and behavior subscales of the K-YBOCS, the Kleptomania Symptom Assessment Scale (K-SAS), the Clinical Global Impressions Scale (CGI), and measures of depression, anxiety, and psychosocial functioning. Results Subjects assigned to naltrexone had significantly greater reductions in K-YBOCS total scores ( p = .001), stealing urges ( p = .032), and stealing behavior ( p p Conclusions Naltrexone demonstrated statistically significant reductions in stealing urges and behavior in Kleptomania. Naltrexone was well tolerated.
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A Structured Clinical Interview for Kleptomania (SCI-K): preliminary validity and reliability testing.
International Journal of Methods in Psychiatric Research, 2006Co-Authors: Jon E Grant, Suck Won Kim, James S. MccabeAbstract:Kleptomania presents difficulties in diagnosis for clinicians. This study aimed to develop and test a DSM-IV-based diagnostic instrument for Kleptomania. To assess for current Kleptomania the Structured Clinical Interview for Kleptomania (SCI-K) was administered to 112 consecutive subjects requesting psychiatric outpatient treatment for a variety of disorders. Reliability and validity were determined. Classification accuracy was examined using the longitudinal course of illness. The SCI-K demonstrated excellent test-retest (Phi coefficient = 0.956 (95% CI = 0.937, 0.970)) and inter-rater reliability (phi coefficient = 0.718 (95% CI = 0.506, 0.848)) in the diagnosis of Kleptomania. Concurrent validity was observed with a self-report measure using DSM-IV Kleptomania criteria (phi coefficient = 0.769 (95% CI = 0.653, 0.850)). Discriminant validity was observed with a measure of depression (point biserial coefficient = −0.020 (95% CI = −0.205, 0.166)). The SCI-K demonstrated both high sensitivity and specificity based on longitudinal assessment. The SCI-K demonstrated excellent reliability and validity in diagnosing Kleptomania in subjects presenting with various psychiatric problems. These findings require replication in larger groups, including non-psychiatric populations, to examine their generalizability. Copyright © 2006 John Wiley & Sons, Ltd.
Gokhan Kandemir - One of the best experts on this subject based on the ideXlab platform.
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The use of SSRI (Selective Serotonin Reuptake Inhibitors)in Kleptomania?s treatment: case reports -
Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology, 2004Co-Authors: Çiçek Hocaoğlu, Gokhan KandemirAbstract:Kleptomania is characterized by a recurrent failure to resist the impulse to steal objects not necessary for personal use or their monetary value. Although Kleptomania has been identified for decades, very little is known about the reason, prevalence, and treatment of this disorder. Current knowledge about Kleptomania is generally derived from case reports and theoretical studies on etiology. With regard to comorbidity, Kleptomania is related to the obsessive compulsive disorder spectrum and to the broader spectrum of affective disorders. Accordingly, a psychopharmacological intervention with antidepressant drugs or mood stabilizers may be possible, even though there have been known results from controlled therapy studies to date. Nevertheless, the successful administration of such medication has been reported in several cases. Assuming a disturbed central serotonin reuptake, the use of selective serotonin reuptake inhibitors (SSRI) seems to be indicated. Consequently, in our study three outpatitents who have diagnosed Kleptomania by taking SSRI treatment is presented.
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the use of ssri selective serotonin reuptake inhibitors in Kleptomania s treatment case reports
Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology, 2004Co-Authors: Çiçek Hocaoğlu, Gokhan KandemirAbstract:Kleptomania is characterized by a recurrent failure to resist the impulse to steal objects not necessary for personal use or their monetary value. Although Kleptomania has been identified for decades, very little is known about the reason, prevalence, and treatment of this disorder. Current knowledge about Kleptomania is generally derived from case reports and theoretical studies on etiology. With regard to comorbidity, Kleptomania is related to the obsessive compulsive disorder spectrum and to the broader spectrum of affective disorders. Accordingly, a psychopharmacological intervention with antidepressant drugs or mood stabilizers may be possible, even though there have been known results from controlled therapy studies to date. Nevertheless, the successful administration of such medication has been reported in several cases. Assuming a disturbed central serotonin reuptake, the use of selective serotonin reuptake inhibitors (SSRI) seems to be indicated. Consequently, in our study three outpatitents who have diagnosed Kleptomania by taking SSRI treatment is presented.