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Koro: a case in an Eastern European asylum seeker in Ireland

Published online by Cambridge University Press:  13 June 2014

Noel Kennedy  and
Michael McDonough
Noel Kennedy
Affiliation:
University of Cambridge, Cambridge, England
Michael McDonough
Affiliation:
Maudsley Hospital, London, England
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Abstract

Koro is characterised as a perception that one's genital organs are shrinking and will eventually recede into the abdomen. It was initially described in South East Asia as a culture bound syndrome but this syndrome has recently been recognised in a non-culture bound context A case is described of a depressed Eastern European asylum seeker with koro like symptoms. All symptoms resolved completely with fluoxetine treatment The relevant literature to the case is reviewed, in relation to onset, symptoms and treatment of this rare syndrome. In addition comparison is made with previous reports of the non-culture bound variant.

Keywords

KoroCulture bound koroNon culture bound koroAsylum seekerRefugeeTreatmentSelective serotonin re-uptake inhibitorPenile shrinkageDepression

Information

Type
Case report
Information
Irish Journal of Psychological Medicine , Volume 19 , Issue 4 , December 2002 , pp. 130 - 131
Copyright
Copyright © Cambridge University Press 2002

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References

1.Yap, PM. Koro – a culture bound depersonalisation syndrome. Br J Psychiat 1965; 111: 43–50.CrossRefGoogle Scholar
2.Chiniwala, M, Alfonso, CA, Torres, JR, et al.Koro in an immigrant from Guinea with brief psychotic disorder. Am J Psychiatry 1996; 153: 736.Google Scholar
3.Adeniran, RA, Jones, JR. Koro: culture-bound disorder or universal symptom? Br J Psychiatry 1994; 153: 559–61.CrossRefGoogle Scholar
4.Sajjad, HA, Gill, KU. Koro: a case of the genital retraction syndrome in Ireland. Ir J Psychological Medicine 1993; 10: 40–1.CrossRefGoogle Scholar
5.Smyth, MG, Dean, C. Capgras and koro. Br J Psychiat 1992; 161: 121–3.CrossRefGoogle ScholarPubMed
6.Kennedy, B, Fick, GR. Classification of koro. Am J Psychiat 1991; 148: 1278–9.CrossRefGoogle Scholar
7.Chadda, RK, Shome, S. Koro: proposed classification for DSM-IV. Am J Psychiat 1991; 148: 1766–7.CrossRefGoogle Scholar
8.Fabian, JL. Koro: classification and case reports. Am J Psychiatry 1991; 148: 12.Google Scholar
9.Fernando, N. Monosymptomatic hypochondriasis treated with a tricyclic antidepressant. Br J Psychiat 1988; 152: 851–2.CrossRefGoogle ScholarPubMed
10.Hawley, RM, Owen, JH. Koro: its presentation in an elderly male. Int J Geriatric Psychiatry 1988; 3: 69–72.CrossRefGoogle Scholar
11.Edwards, JG. The koro pattern of depersonalisation in an American schizophrenic patient. Am J Psychiat 1970; 126: 1171–3.CrossRefGoogle Scholar
12.Chen, E. Drug induced koro in a non-Chinese man. Br J Psychiatry 1991; 158: 721.CrossRefGoogle Scholar
13.Anderson, DN. Koro: the genital retraction syndrome after stroke. Br J Psychiat 1990; 157: 142–4.CrossRefGoogle ScholarPubMed
14.DeLeo, D, Mauro, P, Pellegrini, C. An organic triggering factor in koro syndrome? A case report. Eur J Psychiatry 1989; 3: 77–81.Google Scholar
15.Durst, R, Rosca-Rebaudengo, D. Koro secondary to a tumour of the corpus callosum. Br J Psychiatry 1988; 153: 251–4.CrossRefGoogle ScholarPubMed
16.Kovacs, A, Osvath, P. Genital retraction syndrome in a Korean woman: a case of koro in Hungary. Psychopathology 1998; 31: 220–4.CrossRefGoogle Scholar
17.Witztum, E, Bersudsky, Y, Mayodovnik, Ket al.Koro like syndrome in a Bedouin man. Psychopathology 1998; 31: 174–7.CrossRefGoogle Scholar
18.Berrios, GE, Morley, SJ. Koro like symptoms in a non-Chinese subject. Br J Psychiatry 1984; 145: 331–4.CrossRefGoogle Scholar
19.Turnier, L, Chouinard, G. Anti-koro effect of a tricyclic antidepressant. Can J Psychiatry 1990; 35: 331–3.CrossRefGoogle ScholarPubMed
20.Hayman, I, Fahy, TA. Koro-like symptoms in a man infected with the human immunodeficiency virus. Br J Psychiatry 1992; 160: 119–21.CrossRefGoogle Scholar
21.Tsend, WS, Kan-Ming, M, Hsu, Jet al.A sociocultural study of koro epidemics in Guangdong, China. Am J Psychiatry 1988; 145: 1538–43.Google Scholar
22.Chowdhury, AN. Penile perception of koro patients. Acta Psychiat Scand 1989; 80: 183–6.CrossRefGoogle ScholarPubMed
23.Oyebode, F, Jamieson, R, Mullaney, Jet al.Koro – a psychophysiological dysfunction. Br J Psychiatry 1986; 148: 212–4.CrossRefGoogle Scholar
24.Tyhurst, L. Displacement and migration: a study in social psychiatryry. Am J Psychiatryry 1951; 107: 561–8.CrossRefGoogle Scholar
25.Mathers, J. The gestation period of identity change. Br J Psychiatry 1974; 125: 472–4.CrossRefGoogle ScholarPubMed
26.Beiser, M. Influence of time, ethnicity and attachment on depression in Southeast Asian refugees. Am J Psychiatry 1988; 145: 46–51.Google ScholarPubMed
27.Knoll, J, Habenicht, M, McKenzie, Tet al.Depression and posttraumatic stress disorder in Southeast Asian refugees. Am J Psychiatry 1989; 146: 1592–7.Google Scholar
28.Carlson, FB, Rosser-Hogan, R. Trauma experiences, posttraumatic stress, dissociation and depression in Cambodian refugees. Am J Psychiatry 1991; 148: 1548–51.Google ScholarPubMed
29.Hauff, E, Vaglum, P. Organised violence and the stress of exile. Predictors of mental health in a cohort of Vietnamese refugees 3 years after resettlement. Br J Psychiat 1993; 166: 360–7.CrossRefGoogle Scholar
30.Lavik, NJ, Hauff, E, Skrondal, Aet al.Mental disorder among refugees and the impact of persecution and exile: some findings from an out-patient population. Br J Psychiatry 1996; 169: 726–32.CrossRefGoogle ScholarPubMed
31.Silove, D, Sinnerbrink, J, Field, Aet al.Anxiety, depression and PTSD in asylum seekers: associations with pre-migratory trauma and post-migratory stressors. Br J Psychiat 1997; 170: 351–7.CrossRefGoogle Scholar
32.Gorst-Unsworth, C, Goldenberg, E. Psychological sequelae of torture and organised violence suffered by refugees from Iraq. Br J Psychiatry 1998; 172: 90–4.CrossRefGoogle ScholarPubMed
33.Sundquist, J, Johansson, SEL. The influence of exile and repatriation on mental and physical health: a population based study. Soc Psychiatry 1996; 31: 21–8.Google ScholarPubMed
34.Mollica, RF, Wyshak, G, Lavelle, Jet al.Assessing symptom change in Southeast Asian refugee survivors of mass violence and torture. Am J Psychiatry 1990; 147: 83–8.Google ScholarPubMed
35.Ramsey, R, Gorst-Unsworth, C, Turner, S. Psychiatryric morbidity in survivors of organised state violence including torture. A retrospective series. Br J Psychiatry 1993; 162: 55–9.CrossRefGoogle Scholar
36.Sinnerbrink, I, Silove, D, Field, Aet al.Compounding of preimigration trauma and postimigration stress in asylum seekers. J Psychology 1997; 131: 463–70.CrossRefGoogle ScholarPubMed
37.Silove, D, Sinnerbrink, I, Field, Aet al.Anxiety, depression and PTSD in asylum seekers: associations with pre-migratory trauma and post-migratory stressors. Br J Psychiatry 1997; 170: 351–7.CrossRefGoogle Scholar
38.Van Veisen, C, Gorst-Unsworth, C, Turner, SW. Survivors of torture and organised violence: demography and diagnosis. J Traumatic Stress 1996; 9: 181–93.CrossRefGoogle Scholar