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Comorbid psychiatric diagnoses in kleptomania and pathological gambling: a preliminary comparison study

Published online by Cambridge University Press:  16 April 2020

Pinhas N. Dannon ,
Katherine Lowengrub ,
Marina Sasson ,
Bosmat Shalgi ,
Lali Tuson ,
Yafa Saphir  and
Moshe Kotler
Pinhas N. Dannon*
Affiliation:
Rehovot Community Mental Health and Rehabilitation Center, Affiliated to Ness Ziona Medical Center and Tel Aviv University, Remez Street 80, Rehovot 76449, Israel
Katherine Lowengrub
Affiliation:
Rehovot Community Mental Health and Rehabilitation Center, Affiliated to Ness Ziona Medical Center and Tel Aviv University, Remez Street 80, Rehovot 76449, Israel
Marina Sasson
Affiliation:
Tel Aviv Central School of Social Workers, Tel Aviv Israel
Bosmat Shalgi
Affiliation:
Tel Aviv Central School of Social Workers, Tel Aviv Israel
Lali Tuson
Affiliation:
Tel Aviv Central School of Social Workers, Tel Aviv Israel
Yafa Saphir
Affiliation:
Tel Aviv Central School of Social Workers, Tel Aviv Israel
Moshe Kotler
Affiliation:
Ness Ziona and Beer Yaa'kov Medical Complex and Tel Aviv University, Ness Ziona Israel
*
*Corresponding author. E-mail address: pinhasd@post.tau.ac.il (P.N. Dannon).
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Abstract

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.

Keywords

Pathological gamblingKleptomaniaImpulse controlDepressionAnxietyAddiction
Type
Short communication
Information
European Psychiatry , Volume 19 , Issue 5 , August 2004 , pp. 299 - 302
Copyright
Copyright © 2004 European Psychiatric Association

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