Coprophagia and Entomophagia in a Patient with Alcohol Related Dementia

Fonseca, João B.; Morgado, Pedro

doi:10.1155/2017/3109463

Cited by 3 publications

(1 citation statement)

References 8 publications

(10 reference statements)

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“…Both paraphilias have been seen in patients with varying psychiatric and neurologic disorders, including dementia (Ata et al, 2010; Byard, 2001; Fonseca & Morgado, 2017; Josephs et al, 2016; Sharma et al, 2011; Tsoucalas et al, 2016), seizures (Arieti, 1944; Azizi et al, 2018; Josephs et al, 2016), brain tumor (Josephs et al, 2016; Stewart, 1995), autism (Baker et al, 2005; Hergüner & Hergüner, 2016; Ing et al, 2011; Kılıç & Kültür, 2019; Pardini et al, 2010), Tourette’s syndrome (Shapiro et al, 1988), schizophrenia (Chaturvedi, 1988; Harada et al, 2006; Lingeswaran et al, 2009; Lyketsos et al, 1985; Razali, 1998), schizoaffective disorder (Josephs et al, 2016), catatonia (Varadarajulu & Mahgoub, 2021), antibodies to N -methyl- d -aspartate (NMDA) receptors (Chong et al, 2009), steroid psychosis (Josephs et al, 2016), Kluver–Bucy syndrome (Marlowe et al, 1975; Mendhekar & Duggal, 2005), sialadenitis (Donnellan & Playfer, 1999), borderline personality disorder (Blasco-Fontecilla et al, 2015), obsessive–compulsive disorder (Zeitlin & Polivy, 1995), depression and hypothyroidism (Nicholls & Ananthanarayanan, 1998), depression and alcoholism (Wise & Goldberg, 1995), affective disorder (Azizi et al, 2018; Nissen & Haggag, 1987), cognitive impairment (Sharma, 2012), intellectual developmental disorder (Beck & Frohberg, 2005; Bugle & Rubin, 1993; Erickson et al, 2017; Hingsburger, 1989; Josephs et al, 2016), and malingering (Jaffe & Sharma, 1998).…”

Section: Coprophilia and Coprophagia In The Literature: Case Reportsmentioning

confidence: 99%

Coprophilia and Coprophagia: A Literature Review

Arnone,

Conti,

Preckajlo

2023

J Am Psychiatr Nurses Assoc

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BACKGROUND: Coprophilia and coprophagia are distinct paraphilias that fall under the category of other specified paraphilic disorders in the current edition of the Diagnostic and Statistical Manual of Mental Disorders. Coprophilia refers to sexual excitement from viewing, smelling, or handling feces, as well as fantasizing about another person engaging in these activities. Coprophagia, or eating one’s own or another person’s excrement, has also been observed in some patients with coprophilia. AIMS: The purposes of this review are to examine the current literature on the etiology, symptoms, interviewing techniques, pharmacotherapy, and psychotherapy used for each disorder and to elicit best practice guidelines in the treatment of patients with coprophila and coprophagia. METHODS: Electronic and hand searches were initiated using CINAHL, EBSCOhost, SAGEpub, and MEDLINE databases between 1990 and 2022 using the terms “coprophilia,” “coprophagia,” “paraphilia NOS,” and “other specified paraphilic disorder” restricted to English. RESULTS: Individual case reports and limited studies were found in this literature. Reported treatment protocols included individual and tandem use of pharmacotherapy and psychotherapy, with mixed outcomes. Future studies are needed to explore the factors that mitigate the paraphilias, therapeutic management, and treatment outcomes, to produce evidence-based practice treatment guidelines. CONCLUSIONS: Understanding the psychological and biological factors that may contribute to these disorders’ manifestations may portend a greater understanding and insight into the genesis of the paraphilias. Having specific evidence-based treatment protocols will afford the psychiatric nurse practitioner to render patient-centered, safe, and culturally competent care and effect better patient outcomes among this understudied population.

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Section: Coprophilia and Coprophagia In The Literature: Case Reportsmentioning

confidence: 99%

Coprophilia and Coprophagia: A Literature Review

Arnone,

Conti,

Preckajlo

2023

J Am Psychiatr Nurses Assoc

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Deliberate ingestion of foreign bodies as a form of self-harm among inpatients within forensic mental health and intellectual disability services

Tromans

Chester

Wells³

et al. 2018

The Journal of Forensic Psychiatry & Psychology

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Cariprazine for treating coprophagia and organic psychosis in a young woman with acquired brain injury

Collison-Ani

Faher

et al. 2023

BMJ Case Rep

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Coprophagia or the ingestion of faeces has been associated with medical conditions (seizure disorders, cerebral atrophy and tumours) and psychiatric disorders (mental retardation, alcoholism, depression, obsessive compulsive disorder, schizophrenia, fetishes, delirium and dementia). The case of a woman in her 30s presenting with coprophagia and psychotic symptoms following hypoxic brain injury is reported. The case is discussed and literature is reviewed. We investigate cariprazine, a relatively new atypical antipsychotic for treating coprophagia, associated with psychotic symptoms. Psychiatric evaluation revealed cognitive dysfunction and psychotic symptoms. Physical examination and laboratory evaluation were unremarkable. She was treated with haloperidol resulting in resolution of coprophagia. Attempts at switching to alternative antipsychotics, due to side effects, resulted in recurrence of coprophagia. Subsequent relapses required higher doses of haloperidol for remission of coprophagia and psychotic symptoms. She finally responded to cariprazine. While firm conclusions are not possible from the experience of a single case, we suggest cariprazine may also be a treatment option for coprophagia, particularly in patients with psychotic symptoms.

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Coprophagia and Entomophagia in a Patient with Alcohol Related Dementia

Cited by 3 publications

References 8 publications

Coprophilia and Coprophagia: A Literature Review

Coprophilia and Coprophagia: A Literature Review

Deliberate ingestion of foreign bodies as a form of self-harm among inpatients within forensic mental health and intellectual disability services

Cariprazine for treating coprophagia and organic psychosis in a young woman with acquired brain injury

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