Dergi Ara >>
Yıl:2009; Cilt: 2; Sayı: 1>> Özet
TAM METİN
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2009;2(1):46-56
Kleptomani
O Çalıyurt
Trakya Ü. Tıp Fak. Psikiyatri AD, Edirne
Kleptomani çalma dürtülerine karşı koyamama ile karakterize bir bozukluktur. Bu bozukluğu olan kişiler genellikle önemsiz veya maddi değeri olmayan nesneleri çalmaya karşı zorlanmaktadırlar. Bazı bireyler hırsızlık yaptığının farkında bile olamamaktadır. Kleptomani adi dükkan ve mağaza hırsızlığından farklıdır, adi hırsızlar maddi değeri veya bir çıkar için çalarlar veya bu davranışa yönelik niyetleri ve planları vardır. Bu bozukluk genellikle ergenlik döneminde başlar ve geç erişkinliğe kadar sürer, bazı olgularda ömür boyu sürebilir. Kleptomaniye genellikle başka komorbid durumlar örneğin duygudurum bozuklukları gibi bozukluklar eşlik edebilmektedir. Ayrıca kleptomani madde kullanım bozuklukları ile sıklıkla birlikte görülmektedir ve kleptomani madde kullanım bozukluğu olanların birinci derece yakınlarında daha sık görülmektedir. Kleptomani hastalarının tedavisinde serotonin geri alım inihibitörleri, duygudurum düzenleyiciler ve opioid antagonistleri gibi ilaçlar kullanılmaktadır ayrıca bilişsel davranışçı terapi ilaçlara ek olarak önerilmektedir.
Kleptomania
Kleptomania is an inability or great difficulty in resisting impulses of stealing. People with this disorder are compelled to steal things, generally things of little or no value. Some may not be aware that they have committed the theft . Kleptomania is distinguished from shoplifting or ordinary theft, as shoplifters and thieves generally steal for monetary value, or associated gains and usually display intent or premeditation. This disorder usaully begins during puberty and usually last until late adulthood; in some cases lasts throughout the person's life. People with this disorder are likely to have a comorbid conditions like mood disorders. In particular, this disorder is frequently co-morbid with substance use disorders, and it is common for individuals with kleptomania to have first-degree relatives who suffer from a substance use disorder. Some medications that are used for people diagnosed with kleptomania are selective serotonin reuptake inhibitors, mood stabilizers and opioid antagonists. Cognitive-behavioral therapy is recommended as an adjuvant to medication.

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