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Kleptomania on the impulsive-compulsive spectrum : linical and therapeutic considerations for women
Munguía, Lucero (Hospital Universitari de Bellvitge)
Baenas Soto, Isabel Maria (Hospital Universitari de Bellvitge)
Granero, Roser (Institut d'Investigació Biomèdica de Bellvitge)
Fábregas Balcells, Mar (Hospital Universitari de Bellvitge)
Gaspar-Pérez, Anahí (Hospital Universitari de Bellvitge)
Rosinska, Magda (Hospital Universitari de Bellvitge)
Potenza, Marc N. (Yale University School of Medicine)
Cuquerella Fuentes, Àngel (Institut de Medicina Legal i Ciències Forenses de Catalunya)
Tapia-Martínez, Javier (Institut d'Investigació Biomèdica de Bellvitge)
Cabús Grange, Rosa María (Institut de Medicina Legal i Ciènces Forenses de Catalunya)
Taranilla Castro, Ana María (Institut de Medicina Legal i Ciènces Forenses de Catalunya)
Macharé Alberni, Marta Elisabet (Institut de Medicina Legal i Ciènces Forenses de Catalunya)
Talón-Navarro, María Teresa (Institut de Medicina Legal i Ciències Forenses de Catalunya)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)
Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut

Data: 2025
Descripció: 11 pàg.
Resum: The current literature regarding kleptomania (KM) is scarce, especially regarding treatment approaches and outcomes. The aims of the present study involved: (1) exploring characteristics of people with KM (with and without co-occurring eating disorders (EDs)); (2) considering KM along an impulsive-compulsive spectrum; and, (3) investigating treatment outcomes in a clinical sample of female patients with KM. The study sample included 150 female participants with either a diagnosis of KM only (n = 13), co-occurring KM and EDs (n = 71), or healthy control individuals (HCs) (n = 66). The KM-only group was diagnosed using DSM-5 criteria and by a face-to-face clinical interviewed. EDs were diagnosed through a face-to-face semi-structured clinical interview based on DSM-5 criteria, and co-occurring KM was self-reported by patients. Psychopathology, impulsivity and personality features were assessed. Clinical groups received cognitive behavioral treatment. Compared to HCs, both KM groups reported more psychopathology, higher impulsivity, and more dysfunctional personality features. Relative to the clinical groups, that with KM + ED was more impulsive; in contrast, harm avoidance scores were higher in the KM-only group. Both clinical groups present poor treatment outcomes. KM can present impulsive and compulsive features, and these may impact treatment outcomes. Co-occurring KM and EDs may worsen clinical profiles and warrant specific interventions.
Ajuts: Agencia Estatal de Investigación PID2021-124887OB-I00
Instituto de Salud Carlos III PI20/00132
Instituto de Salud Carlos III FORT23/00032
Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00824
European Commission 847879
European Commission 101080219
Instituto de Salud Carlos III CM21/00172
Nota: Altres ajuts: We thank CERCA Programme/Generalitat de Catalunya for guarante institutional support. This manuscript and research were supported by grants from the Delegación del Gobierno para el Plan Nacional sobre Drogas (2021I031), Plan Nacional sobre Drogas Convocatoria de subvenciones para proyectos de investigación financiados con fondos europeos 2022 (EXP2022/008847), and cofounded by FEDER funds/European Regional Development Fund (ERDF), a way to build Europe. CIBERObn is an initiative of ISCIII. RG and FFA are supported by the Catalan Institution for Research and Advanced Studies (ICREA-Academia, 2021 and 2024- Programme, respectively). AGP is supported by the Ministerio de Ciencia e Innovación (Helps for predoctoral training contracts - FPI, Ref. PRE2022-104138
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Kleptomania ; Impulsive behaviors ; Compulsive behaviors ; Eating disorders ; Treatment outcome
Publicat a: Scientific reports, Vol. 15 Núm. 1 (2025) , art. 7886, ISSN 2045-2322

DOI: 10.1038/s41598-025-85705-9
PMID: 40050325


11 p, 1.7 MB

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