Grant Jon E, Potenza Marc N
Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
CNS Spectr. 2008 Mar;13(3):235-45. doi: 10.1017/s1092852900028492.
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.
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.
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).
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.
了解男性和女性疾病表现的差异在临床上具有重要意义，因为这些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。在偷窃癖方面，很少有实证研究，特别是关于性别相关影响的研究。
从2001年至2007年，对95名符合《精神疾病诊断与统计手册》第四版定义的偷窃癖成年受试者（n = 27 [28.4%] 为男性）进行社会人口统计学和临床特征评估，包括症状严重程度、共病情况和功能损害，以确定性别相关差异。
男性和女性均表现出相当程度的症状严重程度和功能损害。与患病男性相比，患有偷窃癖的女性更有可能已婚（47.1% 对25.9%；P = 0.039）， shoplifting发病年龄较晚（20.9岁对14岁；P = 0.001），偷窃家庭用品（P < 0.001），囤积赃物（P = 0.020），并有饮食失调（P = 0.017），而偷窃电子产品的可能性较小（P < 0.001），且患另一种冲动控制障碍的可能性较小（P = 0.018）。
偷窃癖在女性和男性中同样与显著损害相关。临床特征和共病情况的性别相关差异表明，预防和治疗策略应纳入性别考虑因素。
