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CLEPTOMANIA: ENTRE EL TRASTORNO DE CONTROL DE LOS IMPULSOS Y LAS CONDUCTAS ADICTIVAS

(especial para SIIC © Derechos reservados)
En la actualidad la cleptomanía está clasificada como un subtipo impulsivo dentro de los trastornos del espectro obsesivo compulsivo. Los inhibidores selectivos de la recaptación de serotonina son los fármacos de primera línea.
Autor:
Pn Dannon
Columnista Experto de SIIC

Institución:
Tel Aviv University

Artículos publicados por Pn Dannon
Coautor
G Berman* 
Tel Aviv University, Tel-Aviv, Israel*
Recepción del artículo
12 de Agosto, 2012 		Aprobación
21 de Septiembre, 2012
Primera edición
9 de Noviembre, 2012 		Segunda edición, ampliada y corregida
7 de Junio, 2021

CLEPTOMANIA: ENTRE EL TRASTORNO DE CONTROL DE LOS IMPULSOS Y LAS CONDUCTAS ADICTIVAS

Resumen
Generalmente, se cree que la cleptomanía es un cuadro clínico infrecuente, y caracterizado por el fracaso reiterado para intentar resistir el impulso de robar varios objetos no necesarios para el uso personal o por su valor monetario. En la actualidad, hay muchos investigadores que proponen subdividir a los pacientes con cleptomanía según la comorbilidad psiquiátrica, la respuesta a los psicofármacos y la posible etiología. Estos grupos son: 1) trastornos del control de los impulsos; 2) espectro obsesivo compulsivo; 3) espectro afectivo; 4) una conducta adictiva. Los inhibidores de la recaptación selectiva de serotonina (IRSS) son el grupo de sustancias más utilizadas para el tratamiento de esta enfermedad. La naltrexona (NTX), un antagonista opioide empleado en el tratamiento de la dependencia alcohólica, también resultaría eficaz en el tratamiento de la cleptomanía. De todas maneras, al programar la estrategia terapéutica hay que considerar las condiciones comórbidas del paciente, especialmente los trastornos del ánimo y el abuso de fármacos. También, es importante evaluar los problemas maritales, laborales y legales en estos individuos.

Palabras clave
cleptomanía, inhibidores selectivos de la recaptación de serotonina, trastorno del espectro obsesivo compulsivo, conducta adictiva, naltrexona


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Kleptomania: an impulse control disorder or a behavioral addiction

Abstract
Kleptomania is generally believed to be a rare clinical condition, characterized by a recurrent failure to resist the impulse to steal objects not needed for personal use or for their monetary value. Currently several researchers propose to subdivide kleptomania patients into several groups based on psychiatric comorbidity, responsiveness to psychopharmacology and possible aetiology. They are: 1) the "impulse control" disorders, 2) the "obsessive-compulsive" spectrum, 3) the "affective" spectrum, and 4) a "behavioural addiction". SSRI's seem to be the most common group of drugs in the treatment of kleptomania. Naltrexone, an opioid antagonist for the treatment of alcohol dependence, has also proved to be effective. However, treatment planning must take into account considerations raised by comorbid conditions (mainly mood disorders and substance use disorders). In addition marital, occupational and legal problems may require additional assistance by professionals in the related fields.

Key words
kleptomania, selective serotonin reuptake inhibitor, obsessive compulsive disorder spectrum, behavioral addiction, naltrexone


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Especialidades
Principal: Salud Mental
Relacionadas: Atención Primaria, Salud Pública



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Enviar correspondencia a:
Pinhas Dannon, Aviv University Sackler School of Medicine Israel, 70350, Beer Yaacov Mental Health Center & Tel 1 Beer Yaacov, Beer Yaacov, Israel
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Artículos originales>
Expertos del Mundo

Especialidad principal:
Salud Mental


Relacionadas:
Atención Primaria
Salud Pública
 
 
 
 
 
 
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