科罗综合征:流行病学、精神和生理风险因素、临床表现、诊断和治疗方案。

IF 2 Q3 PSYCHOLOGY, CLINICAL
Health Psychology Research Pub Date : 2023-02-21 eCollection Date: 2023-01-01 DOI:10.52965/001c.70165
Yukino N Strong, David Y Cao, Jessica Zhou, Maya A Guenther, Danyon J Anderson, Alan D Kaye, Brian E Blick, Prathima R Anandi, Hirni Y Patel, Ivan Urits
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引用次数: 0

摘要

科罗综合征是一种多层次的疾病,表现为患者坚信自己的性器官正在缩进自己的身体。中度至重度焦虑发作与此病有关,同时还伴有对即将死亡的恐惧。Koro 通常与文化有关,在东亚和东南亚以流行病的形式最为常见,但也可能以零星形式出现在世界各地。这种病通常影响那些相信与性有关的神话的年轻男性,许多人可能同时伴有焦虑、抑郁甚至精神病。虽然大多数科罗病症都是自限性的,但这种病症会损害患者的自尊和生活质量,有些患者可能会采取极端的、伤害身体的措施来防止生殖器回缩。治疗方法包括使用包含性教育内容的心理疗法,尤其是当患者相信文化上根深蒂固的神话时。对于零星的柯洛病,如果使用抗焦虑药、抗抑郁药、镇静剂或精神药物治疗原发性精神障碍,相信继发性柯洛样症状也会消退。要全面了解科罗综合征,还需要对其发病率、发病机制以及与治疗效果相关的因素进行更多调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options.

Koro syndrome is a multi-tiered disease presenting as an overwhelming belief that one's sex organs are shrinking into their body. Moderate to severe anxiety attacks are associated with the condition, along with a fear of imminent death. Koro is often culturally related and is most seen as an epidemic form in East and Southeast Asia, although it can present anywhere worldwide in its sporadic form. The condition typically affects young males who believe in sex-related myths, and many individuals can co-present with anxiety, depression, or even psychosis. Although most presentations of Koro are self-limiting, the condition is harmful for one's self-esteem and quality of life, and some individuals may go through extreme, physically injurious measures to prevent genital retraction. Treatments include the use of psychotherapy that has a sex education component, especially if the patient believes in culturally rooted myths. In sporadic Koro, it is believed that if the primary psychiatric disorder is treated with anxiolytics, antidepressants, sedatives, or psychotics, the secondary Koro-like symptoms will also fade. Additional investigation on the prevalence, pathogenesis, factors that correlate with treatment efficacy are needed to fully understand Koro syndrome.

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来源期刊
Health Psychology Research
Health Psychology Research PSYCHOLOGY, CLINICAL-
CiteScore
2.90
自引率
0.00%
发文量
63
审稿时长
15 weeks
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