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Clinical characteristics and psychiatric comorbidity in males with exhibitionism.

机译:暴露狂男性的临床特征和精神病合并症。

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BACKGROUND: This study was constructed to detail the demographic and phenomenological features of males with exhibitionism. METHOD: Male subjects with DSM-IV exhibitionism were administered a semistructured interview to elicit demographic data and information on the phenomenology, age at onset, and associated features of the disorder. Subjects also underwent structured clinical interviews to assess both Axis I and Axis II comorbidities. Data were collected from September 2003 to March 2005. RESULTS: Twenty-five males with exhibitionism (mean +/- SD age = 35.0 +/-13.1 years [range, 14-68 years]) were studied. The majority of subjects were single (60% [N = 15]) and heterosexual (80% [N = 20]). The mean +/- SD age at onset for exhibitionism was 23.4 +/-13.1 years. All subjects reported urges to expose themselves with little control over these urges. Exposing oneself while driving was the most common expression of the disorder. Twenty-three (92%) suffered from a current comorbid Axis I disorder (major depressive disorder, compulsive sexual behavior, and substance use disorders were most common), and 40% (N = 10) suffered from a personality disorder. Suicidal thoughts were common (52% [N = 13]), and many (36% [N = 9]) had been arrested for exhibitionism. CONCLUSION: Exhibitionism appears to be associated with high rates of psychiatric comorbidity and impairment. Research is needed to optimize patient care for men with this disorder.
机译:背景:这项研究的目的是详细研究暴露狂男性的人口统计学和现象学特征。方法:对患有DSM-IV暴露症的男性受试者进行半结构式访谈,以得出有关人口统计学,疾病现象,发病年龄以及相关疾病特征的人口统计学数据和信息。受试者还接受了结构化的临床访谈,以评估Axis I和Axis II合并症。收集了2003年9月至2005年3月的数据。结果:研究了25名有暴露狂的男性(平均+/- SD年龄= 35.0 +/- 13.1岁[范围,14-68岁])。大多数受试者是单身(60%[N = 15])和异性恋(80%[N = 20])。暴露狂发作的平均+/- SD年龄为23.4 +/- 13.1岁。所有受试者都报告了敦促自己在这些敦促下几乎没有控制的能力。开车时暴露自己是这种疾病的最常见表现。二十三名(92%)患有当前的并发性轴心病(主要是抑郁症,强迫性行为和吸毒障碍),还有40%(N = 10)患有人格障碍。自杀的想法很普遍(52%[N = 13]),许多人(36%[N = 9])因暴露狂而被捕。结论:暴露狂似乎与精神病合并症和损伤的高发生率有关。需要进行研究以优化对患有这种疾病的男性的患者护理。

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