A rare symptom in posttraumatic stress disorder: Spontaneous ejaculation

Öznur, Taner; Akarsu, Süleyman; Karaahmetoğlu, Bülent; Doruk, Ali

doi:10.12659/ajcr.889658

Cited by 6 publications

(1 citation statement)

References 41 publications

(45 reference statements)

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“…Koro has also been observed in patients with schizophrenia, depression, obsessive-compulsive, body dysmorphic, somatoform, panic disorders, depersonalization, sexual disorders not otherwise specified, conversion reactions, poor intellectual functioning, and voyeuristic tendencies. 4,14,[31][32][33][34] In individuals with Koro-like syndromes and comorbid disorders, Koro-like symptoms can be chronic. Primary (either in sporadic or epidemic contexts) and secondary (in the presence of comorbid mental disorders) forms of Koro are distinguishable.…”

Section: Literature Reviewmentioning

confidence: 99%

Classical Koro and Koro-Like Symptoms: Illustration from Canada

Stip

Nguyen

Bertulies-Esposito

et al. 2021

Journal of Psychosexual Health

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Koro syndrome has been colorfully described as a pathological distortion of one’s body image of the genital organ. In Koro, body image dysphoria is characterized by severe anxiety related to the delusional idea that one’s genitals will shrink and retract into one’s abdomen, eventually leading to death. This syndrome was first reported in South East Asia, where endemics have been described, but it has also sporadically occurred globally. We present a systematic literature review on Koro syndrome and report 7 cases from Canada. A search review with PubMed and Google Scholar resulted in 504 entries. Sixty-seven manuscripts were eventually selected following a thorough elimination process. The resultant literature underscored the cultural diversity that underlay the reported cases. Various aspects of Koro have been examined (eg, etiological, clinical, diagnostic, and cultural aspects). It has stimulated substantial scholarly debate, discussions, correspondences, and arguments from anthropological, psychiatric, psychological, and biological perspectives. In our series, it seems that Koro could have been misattributed here. The primary concern was not with penile retraction of the cases. To our knowledge, this is the first time that a series of cases is documented from North America where the syndrome is often ignored. We highlight the potential differences between the classical Koro syndrome and a collection of beliefs related to the perception or delusion of penile retraction in other codable psychiatric disorders, Koro-like syndrome. Understanding Koro syndrome beyond geographic boundaries is in line with our collected case reports of Koro from outside Asia.

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Section: Literature Reviewmentioning

confidence: 99%

Classical Koro and Koro-Like Symptoms: Illustration from Canada

Stip

Nguyen

Bertulies-Esposito

et al. 2021

Journal of Psychosexual Health

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Disinhibited Exposing Behavior, Hypersexuality, and Erectile Dysfunction as a Consequence of Posttraumatic Stress in a 42-Year-Old Male Patient

Petri-Kelvasa

Schulte‐Herbrüggen

2017

Arch Sex Behav

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Research into sexual dysfunction and its explanations within a cognitive behavioral framework in patients with posttraumatic stress is sparse. In this report, we present the case of a 42-year-old male with severe posttraumatic stress symptoms who displayed apparent exhibitionistic behavior, hypersexual behavior in the form of excessive masturbation, and erectile dysfunction. Differential diagnostics showed that the presented exhibitionistic behavior could be more accurately classified as non-paraphilic disinhibited exposing behavior. Functional behavioral analysis of his sexual behavior suggested that disinhibited exposing and hypersexual behavior served as dysfunctional coping strategies for trauma-associated negative emotions. Erectile dysfunction seemed to be the result of trauma-associated hyperarousal and excessive masturbation. Within the context of operant learning processes, we propose that his sexual behaviors became highly automated and were used as the main strategies to regulate trauma-associated negative emotions. Implications for the diagnoses and suggestions for the conceptualization and incorporation into a cognitive behavioral therapy treatment of posttraumatic stress disorder are made.

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Pediatric Obstructive Sleep Apnea and Neurocognition

Chandrakantan

2020

Anesthesiology Clinics

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A rare symptom in posttraumatic stress disorder: Spontaneous ejaculation

Cited by 6 publications

References 41 publications

Classical Koro and Koro-Like Symptoms: Illustration from Canada

Classical Koro and Koro-Like Symptoms: Illustration from Canada

Disinhibited Exposing Behavior, Hypersexuality, and Erectile Dysfunction as a Consequence of Posttraumatic Stress in a 42-Year-Old Male Patient

Pediatric Obstructive Sleep Apnea and Neurocognition

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