Clinical characteristics and psychiatric comorbidity in males with exhibitionism.

  • Wilhelm S
  • Keuthen N
  • Deckersbach T
  • et al.
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Abstract

BACKGROUND: This study was constructed to detail the demographic and phenomenological features of males with exhibitionism. METHOD: Male subjects with DSM-IV exhibitionism were administered a semistructured interview to elicit demographic data and information on the phenomenology, age at onset, and associated features of the disorder. Subjects also underwent structured clinical interviews to assess both Axis I and Axis II comorbidities. Data were collected from September 2003 to March 2005. RESULTS: Twenty-five males with exhibitionism (mean SD age = 35.0 +/-13.1 years range, 14-68 years) were studied. The majority of subjects were single (60% N = 15) and heterosexual (80% N = 20). The mean SD age at onset for exhibitionism was 23.4 +/-13.1 years. All subjects reported urges to expose themselves with little control over these urges. Exposing oneself while driving was the most common expression of the disorder. Twenty-three (92%) suffered from a current comorbid Axis I disorder (major depressive disorder, compulsive sexual behavior, and substance use disorders were most common), and 40% (N = 10) suffered from a personality disorder. Suicidal thoughts were common (52% N = 13), and many (36% N = 9) had been arrested for exhibitionism. CONCLUSION: Exhibitionism appears to be associated with high rates of psychiatric comorbidity and impairment. Research is needed to optimize patient care for men with this disorder.

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APA

Wilhelm, S., Keuthen, N. J., Deckersbach, T., Engelhard, I. M., Forker, A. E., Baer, L., … Jenike, M. A. (2007). Clinical characteristics and psychiatric comorbidity in males with exhibitionism. The Journal of Clinical Psychiatry, 66(11), 132–138. https://doi.org/10.4088/JCP.v66n1104

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