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Pyromania

Prevalence

The population prevalence of pyromania is not known.
The lifetime prevalence of fire setting, which is just one component of pyromania and not sufficient for a diagnosis by itself, was reported as 1.13% in a population sample.
In contrast, pyromania as a primary diagnosis appears to be very rare.
Among a sample of people reaching the criminal system with repeated fire setting, only 3.3% had symptoms that met full criteria for pyromania.

Deliberate and purposeful fire setting on more than one occasion.
Tension or affective arousal before the act.
Fascination with, interest in, curiosity about, or attraction to fire and its situational contexts (e.g., paraphernalia, uses, consequences).
Pleasure, gratification, or relief when setting fires or when witnessing or participating in their aftermath.
The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one’s living circumstances, in response to a delusion or hallucination, or as a result of impaired judgment (e.g., in major neurocognitive disorder, intellectual disability [intellectual developmental disorder], substance intoxication).
The fire setting is not better explained by conduct disorder, a manic episode, or antisocial personality disorder.

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