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Koro in an industrial setting.

S M Agarwal1, P G Divakara, K B Pramanik

  • 1S.M. Agarwal, DPM, Consultant Psychiatrist and Head, Bokaro General Hospital, Bokaro Steel Plant, Bokaro Steel City, Bihar- 827 004.

Indian Journal of Psychiatry
|July 12, 2011
PubMed
Summary
This summary is machine-generated.

This case study details a 52-year-old male experiencing koro, characterized by severe anxiety and fear of genital retraction. Treatment involved medication and therapy, with a five-year follow-up.

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Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Koro is a culture-bound syndrome characterized by intense anxiety over genital retraction.
  • Classical koro presents with specific symptoms including fear of complete disappearance and death.

Purpose of the Study:

  • To describe a case of classical koro in a 52-year-old male.
  • To discuss etiological, developmental, and personality factors contributing to anxiety in koro.

Main Methods:

  • Case report of a single patient.
  • Pharmacological treatment with anxiolytics and antidepressants.
  • Psychotherapeutic intervention including dual sex therapy.
  • Longitudinal follow-up for five years.

Main Results:

  • The patient exhibited acute anxiety, fear of genital retraction, and fear of death.
  • Treatment led to management of symptoms.
  • Five-year follow-up indicated sustained improvement.

Conclusions:

  • Classical koro is associated with significant anxiety and specific fears.
  • A combination of pharmacological and psychotherapeutic interventions can be effective.
  • Long-term follow-up is crucial for managing koro syndrome.