Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options

Koro syndrome is a multi-tiered disease presenting as an overwhelming belief that one's sex organs are shrinking into their body. Moderate to severe anxiety attacks are associated with the condition, along with a fear of imminent death. Koro is often culturally related and is most seen as an ep...

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Main Authors: Yukino N. Strong, David Y. Cao, Jessica Zhou, Maya A. Guenther, Danyon J. Anderson, Alan D. Kaye, Brian E. Blick, Prathima R. Anandi, Hirni Y. Patel, Ivan Urits
Format: Article
Language:English
Published: Open Medical Publishing 2023-02-01
Series:Health Psychology Research
Online Access:https://doi.org/10.52965/001c.70165
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author Yukino N. Strong
David Y. Cao
Jessica Zhou
Maya A. Guenther
Danyon J. Anderson
Alan D. Kaye
Brian E. Blick
Prathima R. Anandi
Hirni Y. Patel
Ivan Urits
author_facet Yukino N. Strong
David Y. Cao
Jessica Zhou
Maya A. Guenther
Danyon J. Anderson
Alan D. Kaye
Brian E. Blick
Prathima R. Anandi
Hirni Y. Patel
Ivan Urits
author_sort Yukino N. Strong
collection DOAJ
description Koro syndrome is a multi-tiered disease presenting as an overwhelming belief that one's sex organs are shrinking into their body. Moderate to severe anxiety attacks are associated with the condition, along with a fear of imminent death. Koro is often culturally related and is most seen as an epidemic form in East and Southeast Asia, although it can present anywhere worldwide in its sporadic form. The condition typically affects young males who believe in sex-related myths, and many individuals can co-present with anxiety, depression, or even psychosis. Although most presentations of Koro are self-limiting, the condition is harmful for one's self-esteem and quality of life, and some individuals may go through extreme, physically injurious measures to prevent genital retraction. Treatments include the use of psychotherapy that has a sex education component, especially if the patient believes in culturally rooted myths. In sporadic Koro, it is believed that if the primary psychiatric disorder is treated with anxiolytics, antidepressants, sedatives, or psychotics, the secondary Koro-like symptoms will also fade. Additional investigation on the prevalence, pathogenesis, factors that correlate with treatment efficacy are needed to fully understand Koro syndrome.
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spelling doaj-art-bcbe25d9f1594468bd22ef8f511024322025-02-11T20:30:39ZengOpen Medical PublishingHealth Psychology Research2420-81242023-02-0111Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment OptionsYukino N. StrongDavid Y. CaoJessica ZhouMaya A. GuentherDanyon J. AndersonAlan D. KayeBrian E. BlickPrathima R. AnandiHirni Y. PatelIvan UritsKoro syndrome is a multi-tiered disease presenting as an overwhelming belief that one's sex organs are shrinking into their body. Moderate to severe anxiety attacks are associated with the condition, along with a fear of imminent death. Koro is often culturally related and is most seen as an epidemic form in East and Southeast Asia, although it can present anywhere worldwide in its sporadic form. The condition typically affects young males who believe in sex-related myths, and many individuals can co-present with anxiety, depression, or even psychosis. Although most presentations of Koro are self-limiting, the condition is harmful for one's self-esteem and quality of life, and some individuals may go through extreme, physically injurious measures to prevent genital retraction. Treatments include the use of psychotherapy that has a sex education component, especially if the patient believes in culturally rooted myths. In sporadic Koro, it is believed that if the primary psychiatric disorder is treated with anxiolytics, antidepressants, sedatives, or psychotics, the secondary Koro-like symptoms will also fade. Additional investigation on the prevalence, pathogenesis, factors that correlate with treatment efficacy are needed to fully understand Koro syndrome.https://doi.org/10.52965/001c.70165
spellingShingle Yukino N. Strong
David Y. Cao
Jessica Zhou
Maya A. Guenther
Danyon J. Anderson
Alan D. Kaye
Brian E. Blick
Prathima R. Anandi
Hirni Y. Patel
Ivan Urits
Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options
Health Psychology Research
title Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options
title_full Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options
title_fullStr Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options
title_full_unstemmed Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options
title_short Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options
title_sort koro syndrome epidemiology psychiatric and physical risk factors clinical presentation diagnosis and treatment options
url https://doi.org/10.52965/001c.70165
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