Epidemiologic and clinical updates on impulse control disorders: a critical review
Open accessAbstract
The article reviews the current knowledge about the impulse control disorders (ICDs) with specific emphasis on epidemiological and pharmacological advances. In addition to the traditional ICDs present in the DSM-IV-pathological gambling, trichotillomania, kleptomania, pyromania and intermittent explosive disorder-a brief description of the new proposed ICDs-compulsive-impulsive (C-I) Internet usage disorder, C-I sexual behaviors, C-I skin picking and C-I shopping-is provided. Specifically, the article summarizes the phenomenology, epidemiology and comorbidity of the ICDs. Particular attention is paid to the relationship between ICDs and obsessive-compulsive disorder (OCD). Finally, current pharmacological options for treating ICDs are presented and discussed.
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Prevalence of sexual addictions in general population is between 5% and 6%.
“entre 5% et 6% pour les addictions sexuelles [4, 17]”
From Avant-propos : Les addictions sans drogues (2008) · cites this paper as [4]
The ICDs’ phenomenology and epidemiology section reports early estimates of 5–6% for compulsive–impulsive sexual behaviors in the US population, also shown in Table 1. It says their true prevalence remains unknown; the claim presents the estimate as a settled prevalence for the general population without the US or uncertainty qualifiers. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPrevalence of compulsive buying in general population is between 1 and 8%.
“entre 1 et 8% pour les achats compulsifs [4, 13]”
From Avant-propos : Les addictions sans drogues (2008) · cites this paper as [4]
The ICDs’ phenomenology and epidemiology section reports compulsive-buying prevalence of 2–8% among US adults, also shown in Table 1. This supports the upper bound but not the claimed 1% lower bound; the cited estimate is also specific to US adults rather than an unqualified general population. (LLM, conf=0.90)
Experimental — accuracy not yet measuredThe frequency of psychiatric comorbidities is a common point to all addictions, particularly mood disorders and anxiety disorders.
“La fréquence des comorbidités psychiatriques est également un point commun à l'ensemble des addictions, en particulier les troubles de l'humeur et les troubles anxieux [4, 7, 10, 19].”
From Avant-propos : Les addictions sans drogues (2008) · cites this paper as [4]
The section on ICDs’ phenomenology and epidemiology reports high psychiatric comorbidity among pathological gamblers, including depression, bipolar disorder, and anxiety disorders. It does not establish that frequent mood and anxiety comorbidities are common to all addictions; its discussion is principally about impulse-control disorders, particularly pathological gambling. Page numbers are not available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPrevalence of pathological gambling in general population is between 1 and 3%.
“entre 1 et 3% pour le jeu pathologique [4, 13, 23]”
From Avant-propos : Les addictions sans drogues (2008) · cites this paper as [4]
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- Authors
- Dell’Osso, B., Altamura, A. C., Allen, A., Marazziti, D., & Hollander, E.
- Affiliations
- University of Milan (IT)
- Icahn School of Medicine at Mount Sinai (US)
- University of Pisa (IT)
- Corresponding author
- Dell’Osso, Bernardo
- Venue
- European Archives of Psychiatry and Clinical Neuroscience
- Published
- 2006-09-07
- Volume
- 256
- Issue
- 8
- Pages
- 464-475
- ISSN
- 0003-9373 (ISSN-L)
- 0940-1334
- 1433-8491
- PMC
- PMC1705499
- OpenAlex
- W2035883626
- Cited by
- 272
- References
- 178
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 21 · 2023: 5 · 2022: 10 · 2021: 11 · 2020: 9 · 2019: 11 · 2018: 13 · 2017: 8 · 2016: 9 · 2015: 20 · 2014: 18 · 2013: 19 · 2012: 25
- FWCI
- 13.29
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Archives of Psychiatry and Clinical Neuroscience (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- impulse control disorders, gambling addiction, trichotillomania, kleptomania, pyromania, intermittent explosive disorder, skin picking disorder, compulsive buying, obsessive-compulsive disorder comorbidity, pharmacotherapy
- MeSH terms
- Adolescent, Adult, Child, Cross-Sectional Studies, Gambling, Humans, Disruptive, Impulse Control, and Conduct Disorders, Obsessive-Compulsive Disorder, Psychotropic Drugs, Comorbidity, Incidence, Behavior, Addictive, Diagnostic and Statistical Manual of Mental Disorders
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