Munchausen syndrome by proxy: A study of psychopathology

Bools, Christopher; Neale, Brenda; Meadow, Roy

doi:10.1016/0145-2134(94)00044-1

Cited by 127 publications

(87 citation statements)

References 48 publications

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“…These include caregivers who (1) appear to need or thrive on attention from physicians, 13 (2) insist that the child cannot cope without the parent' s ongoing attention, 13 (3) are either directly involved in professions related to health care 3 or at least are very knowledgeable medically and have a familiarity with medical terminology, and (4) have a history of factitious disorder or somatoform disorder. 33,34 Although such indicators are useful in raising awareness about the possibility of fabricated illness among children of otherwise apparently caring families, such features are quite nonspecific and should not be used to make the diagnosis. 35 These characteristics overlap considerably with those of caregivers who are advocates for their children with genuine illnesses, and some parents who fabricate illness in their children do not show such features.…”

Section: Epidemiologymentioning

confidence: 99%

Caregiver-Fabricated Illness in a Child: A Manifestation of Child Maltreatment

Flaherty¹,

MacMillan²

2013

Pediatrics

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Caregiver-fabricated illness in a child is a form of child maltreatment caused by a caregiver who falsifies and/or induces a child’s illness, leading to unnecessary and potentially harmful medical investigations and/or treatment. This condition can result in significant morbidity and mortality. Although caregiver-fabricated illness in a child has been widely known as Munchausen syndrome by proxy, there is ongoing discussion about alternative names, including pediatric condition falsification, factitious disorder (illness) by proxy, child abuse in the medical setting, and medical child abuse. Because it is a relatively uncommon form of maltreatment, pediatricians need to have a high index of suspicion when faced with a persistent or recurrent illness that cannot be explained and that results in multiple medical procedures or when there are discrepancies between the history, physical examination, and health of a child. This report updates the previous clinical report “Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in the Medical Setting.” The authors discuss the need to agree on appropriate terminology, provide an update on published reports of new manifestations of fabricated medical conditions, and discuss approaches to assessment, diagnosis, and management, including how best to protect the child from further harm.

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Section: Epidemiologymentioning

confidence: 99%

Caregiver-Fabricated Illness in a Child: A Manifestation of Child Maltreatment

Flaherty¹,

MacMillan²

2013

Pediatrics

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“…Um estudo retrospectivo sobre 47 mães nos informa que 72% tinham uma história de transtornos fictícios ou somatomorfos, 55% tinham na sua história episódios de autoagressão e nenhuma tinha apresentado episódios psicóticos (Bools;Neale;Meadow, 1994, p. 773-788).…”

Section: Artigosunclassified

Falhas na operação transitivista materna na síndrome de Münchhausen por procuração

Gueller¹

2009

Rev. latinoam. psicopatol. fundam.

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“…This syndrome almost always involves a mother abusing her child by seeking unneeded medical attention for the child. Munchausen syndrome by proxy (MSbP) reflects maternal psychopathology (44). In the medical history we find frequent hospitalization of the child in various hospitals, with no clear discharge diagnoses.…”

Section: Munchausen Syndrome By Proxymentioning

confidence: 99%

The physician's role in recognizing physical abuse of children

Mikulic¹,

Jurišić²

2013

Paediatr Today

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Physicians are in frequent and regular contact with children and families through regular check-ups of pregnant women, newborns, and children of preschool and school-age. Therefore, physicians are in a unique position to effectively detect risk or detect abuse and neglect in good time and initiate the process of providing assistance to protect the child and allow him/her recovery and further undisturbed development. This paper discusses definitions of physical abuse, risk factors and the most common forms of physical abuse, the differences between accidental and non-accidental injuries, and the protocol for professional action in cases of child abuse. Conclusion -Physical abuse of children is a common occurrence, and it carries a significant morbidity and mortality rate. Given that abuse often has a transgenerational character, early recognition and intervention with at-risk families have a preventive character in relation to the next generation.

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Munchausen syndrome by proxy: A study of psychopathology

Cited by 127 publications

References 48 publications

Caregiver-Fabricated Illness in a Child: A Manifestation of Child Maltreatment

Caregiver-Fabricated Illness in a Child: A Manifestation of Child Maltreatment

Falhas na operação transitivista materna na síndrome de Münchhausen por procuração

The physician's role in recognizing physical abuse of children

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