Postpartum Depression and Factitious Disorder: A New Presentation

Gojer, Julian; Berman, Tamara

doi:10.2190/fu9u-jpw1-yr3r-q819

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Patients with factitious disorder and depression displayed the classic features of depression: tendency to weep, feelings of guilt, loss of interest in daily activities, and loss of concentration (25, 28). Also, they reported insomnia, suicidal thoughts, loss of appetite, and fatigue (15,17,19,25,28).…”

Section: Factitious Disorder and Depressionmentioning

confidence: 99%

Prevalence and risk factors for depression in factitious disorder: a systematic review

Comacchio,

Misca,

Bortoletto

et al. 2024

Front. Psychiatry

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ObjectiveFactitious disorder is characterized by a pattern of abnormal behavior in which patients deliberately produce, falsify, or exaggerate physical and/or psychological symptoms that have no, or little, organic basis, to assume the sick role. In the context of a factitious disorder, depression can be both a feigned disease and an associated comorbidity. We performed a systematic review to provide an overview of the relationship between factitious disorder and depression, describe the prevalence of depression in factitious disorder, and identify factors that can contribute to the development of depression in patients suffering from factitious disorder.MethodsA literature search was performed using the electronic databases PubMed, EMBASE and Cochrane Library following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were eligible for inclusion in this review if they investigated factitious disorder or Munchausen Syndrome with comorbid depression.ResultsDepression was found to be highly prevalent in factitious disorder, affecting around 30% of the samples. Risk factors for depression in factitious disorder included having suffered from childhood and adulthood traumatic experiences and having a history of psychosocial problems.ConclusionThe treatment of factitious disorder is challenging and requires a multidisciplinary team approach. Given the high levels of depression in patients with factitious disorder, we recommend to always screen for depression once a factitious disorder is diagnosed.

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Section: Factitious Disorder and Depressionmentioning

confidence: 99%

Prevalence and risk factors for depression in factitious disorder: a systematic review

Comacchio,

Misca,

Bortoletto

et al. 2024

Front. Psychiatry

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Munchausen syndrome by proxy

Jovanović

Savić²,

Alempijević³

et al. 2005

Srp Arh Celok Lek

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This review deals with bibliography on Munchausen syndrome by proxy (MSbP). The name of this disorder was introduced by English psychiatrist Roy Meadow who pointed to diagnostic difficulties as well as to serious medical and legal connotations of MSbP. MSbP was classified in DSM-IV among criteria sets provided for further study as "factitious disorder by proxy", while in ICD-10, though not explicitly cited, MSbP might be classified as "factitious disorders" F68.1. MSbP is a special form of abuse where the perpetrator induces somatic or mental symptoms of illness in the victim under his/her care and then persistently presents the victims for medical examinations and care. The victim is usually a preschool child and the perpetrator is the child's mother. Motivation for such pathological behavior of perpetrator is considered to be unconscious need to assume sick role by proxy while external incentives such as economic gain are absent. Conceptualization of MSbP development is still in the domain of psychodynamic speculation, its course is chronic and the prognosis is poor considering lack of consistent, efficient and specific treatment. The authors also present the case report of thirty-three year-old mother who had been abusing her nine year-old son both emotionally and physically over the last several years forcing him to, together with her, report to the police, medical and educational institutions that he had been the victim of rape, poisoning and beating by various individuals, especially teaching and medical staff. Mother manifested psychosis and her child presented with impaired cognitive development, emotional problems and conduct disorder.

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Postpartum Depression and Factitious Disorder: A New Presentation

Cited by 2 publications

References 11 publications

Prevalence and risk factors for depression in factitious disorder: a systematic review

Prevalence and risk factors for depression in factitious disorder: a systematic review

Munchausen syndrome by proxy

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