Treatment of Child Gratification Disorder

OBJECTIVES: Gratification disorder is a group of self-stimulatory behaviors tending to form a habit. These normal behaviors are common and have various differential diagnoses, including epilepsy. Hence, misdiagnosis may lead to performing unnecessary workups and treatments. In this article, we systematically reviewed available treatment options for gratification disorder. MATERIALS & METHODS: We systematically searched Scopus, MEDLINE, and Embase for related articles published from the beginning to 12(th) May 2021. We followed the search strategy in all electronic databases using keywords [“Self-gratification” AND “treatment”], [“child” AND “masturbation” AND “treatment”], [“Pediatric” AND “masturbation” AND “treatment”], [“infantile” AND “masturbation” AND “treatment”], and [“Benign” AND “Infantile” AND “Dyskinesia” AND “treatment”]. RESULTS: The primary search yielded 241 studies. Five studies fulfilled the inclusion criteria and were used in the systematic review. None of the studies provided a good level of evidence. These studies indicated that behavioral therapy, escitalopram, and aripiprazole could be considered treatment options. CONCLUSION: Although pediatricians are familiar with gratification behaviors, their optimal management is overlooked. In addition to parental education and behavioral therapy, escitalopram and aripiprazole can be used as treatment options for this issue. We need to perform well-designed randomized controlled trials to obtain adequate evidence on the efficacy of these measures.