Hostname: page-component-cc8bf7c57-n7pht Total loading time: 0 Render date: 2024-12-11T22:13:28.010Z Has data issue: false hasContentIssue false
  • English
  • Français

Gender-related Differences in Individuals Seeking Treatment for Kleptomania

Published online by Cambridge University Press:  07 November 2014

Jon E. Grant  and
Marc N. Potenza
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective: Understanding 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.

Methods: From 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.

Results: Men 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).

Conclusion: Kleptomania 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.

Type
Original Research
Information
CNS Spectrums , Volume 13 , Issue 3 , March 2008 , pp. 235 - 245
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Diagnostic and Statistical Manual of Mental Disorders. 4th ed, text rev. Washington, DC: American Psychiatric Association: 2000.Google Scholar
2.Lejoyeux, M, Arbaretaz, M, McLoughlin, M, et al.Impulse control disorders and depression. J Nerv Ment Dis. 2002;190:310–314.CrossRefGoogle ScholarPubMed
3.Lejoyeux, M, Feuche, N, Loi, S, et al.Study of impulse-control disorders among alcohol-dependent patients. J Clin Psychiatry. 1999;60:302–305.Google Scholar
4.Specker, SM, Carlson, GA, Christenson, GA, et al.Impulse control disorders and attention deficit disorder in pathological gamblers. Ann Clin Psychiatry. 1995;7:175–179.Google Scholar
5.Grant, JE, Kim, SW. Comorbidity of impulse control disorders among pathological gamblers. Acta Psychiatr Scand. 2003;108:203–207.Google Scholar
6.Hudson, JI, Pope, HG, Jonas, JM, et al.Phenomenologie relationship of eating disorders to major affective disorder. Psychiatry Res. 1983;9:345–354.Google Scholar
7.Grant, JE, Levine, L, Kim, D, Potenza, MN. Impulse control disorders in adult psychiatric inpatients. Am J Psychiatry. 2005;162:2184–2188.Google Scholar
8.Jones, WK. Women living long, living well: community driven women's health priorities. J Am Med Womens Assoc. 2001;56:118–119.Google Scholar
9.Grant, JE, Kim, SW. Clinical characteristics and associated psychopathology of 22 patients with kleptomania. Compr Psychiatry. 2002;43:378–384.Google Scholar
10.McElroy, SL, Pope, HG, Hudson, JI, et al.Kleptomania: a report of 20 cases. Am J Psychiatry. 1991;148:652–657.Google Scholar
11.Presta, S, Marazziti, D, Dell'Osso, L, et al.Kleptomania: clinical features and comorbidity in an Italian sample. Compr Psychiatry. 2002;43:7–12.CrossRefGoogle Scholar
12.Sarasalo, E, Bergman, B, Toth, J. Personality traits and psychiatric and somatic morbidity among kleptomaniacs. Acta Psychiatr Scand. 1996;94:358–364.Google Scholar
13.Aboujaoude, E, Gamel, N, Koran, LM. Overview of kleptomania and phenomenological description of 40 patients. Prim Care Companion J Clin Psychiatry. 2004;6:244–247.Google Scholar
14.Grant, JE, Potenza, MN. Impulse control disorders. In: Grant, JE, Potenza, MN, eds. Textbookof Men's Mental Health. Washington, DC: American Psychiatric Publishing, Inc. 2006:205–231.Google Scholar
15.Crisp, BR, Thomas, SA, Jackson, AC, et al.Not the same: a comparison of female and male clients seeking treatment from problem gambling counselling services. J Gambl Stud. 2004;20:283–299.Google Scholar
16.Grant, JE, Kim, SW. Gender differences in pathological gamblers seeking medication treatment. Compr Psychiatry. 2002;43:56–62.CrossRefGoogle ScholarPubMed
17.Ibanez, A, Blanco, C, Moreryra, P. et al.Gender differences in pathological gambling. J Clin Psychiatry. 2003;64:295–301.CrossRefGoogle ScholarPubMed
18.Ladd, GT, Petry, NM. Gender differences among pathological gamblers seeking treatment. Exp Clin Psychopharmacol. 2002;10:302–309.CrossRefGoogle ScholarPubMed
19.Martins, SS, Lobo, DSS, Tavares, H, et al.Pathological gambling in women: a review. Rev Hosp Clin Fac Med S Paulo. 2002;57:235–242.Google Scholar
20.Potenza, MN, Steinberg, MA, McLaughlin, SD, et al.Gender-related differences in the characteristics of problem gamblers using a gambling helpline. Am J Psychiatry. 2001;158:1500–1505.Google Scholar
21.Tavares, H, Zilberman, ML, Beites, FJ, et al.Gender differences in gambling progression. J Gambl Stud. 2001;17:151–159.Google Scholar
22.Blanco, C, Hasin, DS, Petry, NM, et al.Sex differences in subclinical and DSM-IV pathological gambling: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol Med. 2006;36:943–953.Google Scholar
23.Potenza, MN, Maciejewski, PK, Mazure, CM. A gender-based examination of past-year recreational gamblers. J Gambl Stud. 2006;22:41–64.Google Scholar
24.Hollander, E, Kim, S, Khanna, S, et al.Obsessive-compulsive disorder and obsessive-compulsive spectrum disorders: diagnostic and dimensional issues, CNS Spectr. 2007;12:(2 suppl 3):5–13.CrossRefGoogle Scholar
25.Bogetto, F, Venturello, S, Albert, U, et al.Gender-related clinical differences in obsessive-compulsive disorder. Eur Psychiatry. 1999;14:434–441.Google Scholar
26.Lenzi, RCassano, G, Correddu, G, et al.Obsessive-compulsive disorder: family developmental history, symptomatology, comorbidity and course with special reference to gender-related differences. Br J Psychiatry. 1996;169:101–107.CrossRefGoogle Scholar
27.Hanna, GL, Piacentini, J, Cantwell, DRet al.Obsessive-compulsive disorder with and without tics in a clinical sample of children and adolescents. Depress Anxiety. 2002;16:59–63.Google Scholar
28.Saxena, S, Brody, AL, Maidment, KM, et al.Paroxetine treatment of compulsive hoarding. J Psychiatr Res. 2007;41:481–487.CrossRefGoogle ScholarPubMed
29.Hollander, E. Obsessive-compulsive spectrum disorders: an overview. Psychiatric Annals. 1993;23:355–358.Google Scholar
30.McElroy, SL, Phillips, KA, Keck, PE. Obsessive compulsive spectrum disorder. J Clin Psychiatry. 1994;559(suppl 1):33–51.Google Scholar
31.Grant, JE, Kim, SW. An open label study of naltrexone in the treatment of kleptomania. J Clin Psychiatry. 2002;63:349–356.Google Scholar
32.Grant, JE, Correia, S, Brennan-Krohn, T. White matter integrity in kleptomania: a pilot study. Psychiatr Res. 2006;147:233–237.Google Scholar
33. World Medical Association Web site. Declaration of Helsinki. Available at: www.wma.net/e/policy/b3.htm. Accessed January 30, 2008.Google Scholar
34.Grant, JE. Outcome study of kleptomania patients treated with naltrexone: a chart review. Clin Neuropharmacol. 2005:28:11–14.Google Scholar
35.Grant, JE, Kim, SW, McCabe, J. A Structured Clinical Interview for Kleptomania (SCI-K): preliminary validity and reliability testing. Int J Meth Psychiatr Res. 2006;15:83–94.CrossRefGoogle ScholarPubMed
36.Guy, W. ECDEU Assessment Manual for Psychopharmacology. US Dept Health, Education and Welfare publication (ADM) 76–338. Rockville, Md: National Institute of Mental Health; 1976:218-222.Google Scholar
37.Sheehan, DV. The Anxiety Disease. New York, NY: Scribners; 1983.Google Scholar
38.Frisch, MB, Cornell, J, Veillaneuva, M. Clinical validation of the Quality of Life Inventory: a measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment. 1993;4:92–101.CrossRefGoogle Scholar
39.First, MB, Spitzer, RL, Gibbon, M, et al.Structured Clinical Interview for DSM-IV-Patient Edition ISCID-I/P, Version 2.0). New York, NY: Biometrics Research Department, New York State Psychiatric Institute; 1995.Google Scholar
40.Dannon, PN, Lowengrub, K, Sasson, M, et al.Comorbid psychiatric diagnoses in kleptomania and pathological gambling: a preliminary comparison study. Eur Psychiatry. 2004;19:299–302Google Scholar
41.Dannon, PN, Lowengrub, KM, Iancu, I, et al.Kleptomania: comorbid psychiatric diagnosis in patients and their families. Psychopathol. 2004:37:76–80.Google Scholar
42.Grant, JE, Potenza, MN, Hollander, E, et al.A multicenter investigation of the opioid antagonist nalmefene in the treatment of pathological gambling. Am J Psychiatry. 2006;163:303–312.Google Scholar
43.Duffy, M, Gillespie, K, Clark, DM. Post-traumatic stress disorder in the context of terrorism and other civil conflict in Northern Ireland: randomised controlled trial. BMJ. 2007;334:1147.Google Scholar
44.Olfson, M, Fireman, B, Weissman, MM, et al.Mental disorders and disability among patients in a primary care group practice. Am J Psychiatry. 1997;154:1734–1740.Google Scholar
45.Diefenbach, GJ, Abramowitz, JS, Norberg, MM, et al.Changes in quality of life following cognitive-behavioral therapy for obsessive-compulsive disorder. Behav Res Ther. 2007 05 10;[Epub ahead of print].Google Scholar
46.Petry, NM, Alessi, SM, Hanson, T. Contingency management improves abstinence and quality of life in cocaine abusers. J Consult Clin Psychol. 2007;75:307–315.Google Scholar
47.Grant, JE, Kim, SW. Quality of life in kleptomania and pathological gambling. Compr Psychiatry. 2005;46:34–37.CrossRefGoogle ScholarPubMed
48.Bayle, FJ, Caci, H, Millet, B, et al. Psychopathology and comorbidity of psychiatric disorders in patients with kleptomania. Am J Psychiatry. 2003;160:1509–1513.CrossRefGoogle ScholarPubMed
49.Kessler, RC, Borges, G, Walters, EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617–626.CrossRefGoogle ScholarPubMed
50.Crosby, AE, Cheltenham, MRSacks, JJ. Incidence of suicidal ideation and behavior in the United States, 1994. Suicide Life Threat Behav. 1999;29:131–140.Google Scholar
51.Leverich, GS, Altshuler, LL, Frye, MA, et al.Factors associated with suicide attempts in 648 patients with bipolar disorder in the Stanley Foundation Bipolar Network. J Clin Psychiatry. 2003;64:506–515.Google Scholar
52.Ruggero, CJ, Chelminski, I, Young, D, et al.Psychosocial impairment associated with bipolar II disorder. J Affect Disord. 2007 03 6;[Epub ahead of print],Google Scholar
53.Claasen, CA, Trivedi, MH, Rush, AJ, et al.Clinical differences among depressed patients with and without a history of suicide attempts: findings from the STAR*D trial. J Affect Disord 2007;97:77–84.Google Scholar
54.Goodwin, RFJ, Roy-Byrne, P. Panic and suicidal ideation and suicide attempts: results from the National Comorbidity Survey. Depress Anxiety. 2006;23:124–132.Google Scholar
55.Chambers, RA, Potenza, MN. Neurodevelopment, impulsivity, and adolescent gambling. J Gambl Stud. 2003; 19:53–84.CrossRefGoogle ScholarPubMed
56.Brady, KT, Randall, CL. Gender differences in substance use disorders. Psychiatr Clin North Am. 1999;22:241–252.Google Scholar
57.Maier, T. On phenomenology and classification of hoarding: a review. Acta Psychiatr Scand. 2004;110:323–337.CrossRefGoogle ScholarPubMed
58.Saxena, S. Is compulsive hoarding a genetically and neuroblologically discrete syndrome? Implications for diagnostic classification. Am J Psychiatry. 2007;164:380–384.Google Scholar
59.Grisham, JR. Brown, TA, Savage, CR, et al.Neuropsychological impairment associated with compulsive hoarding. Behav Res Ther. 2007 01 12;[Epub ahead of print].Google Scholar
60.Grant, JE, Mancebo, MC, Pinto, A, et al.Impulse control disorders in adults with obsessive compulsive disorder. J Psychiatr Res. 2006;40:494–501.CrossRefGoogle ScholarPubMed
61.Kessler, RC, Coccaro, EF, Fava, M, et al.The prevalence and correlates of DSM-IV intermittent explosive disorder in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2006;63:669–678.CrossRefGoogle ScholarPubMed
62.Black, DW, Kehrberg, LL, Flumerfelt, DL, et al.Characteristics of 36 subjects reporting compulsive sexual behavior. Am J Psychiatry. 1997;154:243–249.Google Scholar
63.McElroy, SL, Hudson, JI, Pope, HG, et al.The DSM-III-R impulse control disorders not elsewhere classified: clinical characteristics and relationship to other psychiatric disorders. Am J Psychiatry. 1992;149:318–327.Google Scholar
64.Hollander, E, Pallanti, S, Allen, A, et al.Does sustained-release lithium reduce impulsive gambling and affective instability versus placebo in pathological gamblers with bipolar spectrum disorders? Am J Psychiatry. 2005;162:137–145.Google Scholar