RESUMEN
Impulsive-compulsive sexual behavior is a little studied clinical phenomenon which affects approximately 5% to 6% of the population. In the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision, it is classified as an impulse control disorder not otherwise specified or a sexual disorder not otherwise specified. It may be placed in a possible new category in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition called substance and behavioral addictions. This clinical entity is reviewed and the merit of classifying it as an addiction is assessed. Information is presented regarding its diagnostic criteria, epidemiology, types of behavior it can involve, relationship to hypersexuality, comorbidities, treatment, and etiology. The data regarding this disorder and its overlap with chemical addiction is limited. If the two disorders are to be grouped together, further data are needed.
Asunto(s)
Conducta Adictiva/diagnóstico , Conducta Compulsiva/diagnóstico , Conducta Impulsiva/diagnóstico , Conducta Sexual , Disfunciones Sexuales Fisiológicas/diagnóstico , Adolescente , Adulto , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/psicología , Trastornos de Ansiedad/terapia , Conducta Adictiva/psicología , Conducta Adictiva/terapia , Comorbilidad , Conducta Compulsiva/psicología , Conducta Compulsiva/terapia , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Femenino , Humanos , Conducta Impulsiva/psicología , Conducta Impulsiva/terapia , Masculino , Trastornos del Humor/diagnóstico , Trastornos del Humor/psicología , Trastornos del Humor/terapia , Trastorno Obsesivo Compulsivo/diagnóstico , Trastorno Obsesivo Compulsivo/psicología , Trastorno Obsesivo Compulsivo/terapia , Disfunciones Sexuales Fisiológicas/psicología , Disfunciones Sexuales Fisiológicas/terapia , Trastornos Relacionados con Sustancias/diagnóstico , Trastornos Relacionados con Sustancias/psicologíaRESUMEN
Recommendations exist for preparticipation physical examinations, but there is no national standard, and the recommendations are not widely followed. The most common reasons for denying clearance to play are musculoskeletal conditions, hypertension, and visual acuity problems. Although detecting potentially life-threatening conditions is an appropriate goal, preparticipation physical examinations have only a limited ability to detect cardiac abnormalities that dispose athletes to sudden death on the playing field; fortunately, these events are very rare.
