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Factitious disorder

MedGen UID:
4632
•Concept ID:
C0015480
•
Mental or Behavioral Dysfunction
Synonyms: Disorders, Factitious; Factitious Disorders
SNOMED CT: Factitious illness (50705009); Factitious disorder (50705009)
 
Monarch Initiative: MONDO:0002103

Definition

Disorder in which the subject intentionally produces, feigns, falsifies or aggravates physical or psychological symptoms or injury. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFactitious disorder

Professional guidelines

PubMed

Psychosocial and Psychodynamic Considerations Informing Factitious Disorder.
Dickerman AL, Jiménez XF
Psychodyn Psychiatry 2023 Mar;51(1):98-113. doi: 10.1521/pdps.2023.51.1.98. PMID: 36867181
Psychological Treatment of Factitious Disorder Imposed on Another/Munchausen by Proxy Abuse.
Sanders MJ, Bursch B
J Clin Psychol Med Settings 2020 Mar;27(1):139-149. doi: 10.1007/s10880-019-09630-6. PMID: 31089919
Laxative abuse: epidemiology, diagnosis and management.
Roerig JL, Steffen KJ, Mitchell JE, Zunker C
Drugs 2010 Aug 20;70(12):1487-503. doi: 10.2165/11898640-000000000-00000. PMID: 20687617

Recent clinical studies

Etiology

Psychological Treatment of Factitious Disorder Imposed on Another/Munchausen by Proxy Abuse.
Sanders MJ, Bursch B
J Clin Psychol Med Settings 2020 Mar;27(1):139-149. doi: 10.1007/s10880-019-09630-6. PMID: 31089919
An Overview of Munchausen Syndrome and Munchausen Syndrome by Proxy.
Abeln B, Love R
Nurs Clin North Am 2018 Sep;53(3):375-384. doi: 10.1016/j.cnur.2018.04.005. PMID: 30100003
The therapeutic discharge: An approach to dealing with deceptive patients.
Taylor JB, Beach SR, Kontos N
Gen Hosp Psychiatry 2017 May;46:74-78. Epub 2017 Mar 29 doi: 10.1016/j.genhosppsych.2017.03.010. PMID: 28622821
Laxative abuse: epidemiology, diagnosis and management.
Roerig JL, Steffen KJ, Mitchell JE, Zunker C
Drugs 2010 Aug 20;70(12):1487-503. doi: 10.2165/11898640-000000000-00000. PMID: 20687617
Factitious disorders.
Wise MG, Ford CV
Prim Care 1999 Jun;26(2):315-26. doi: 10.1016/s0095-4543(08)70008-3. PMID: 10318750

Diagnosis

An Overview of Munchausen Syndrome and Munchausen Syndrome by Proxy.
Abeln B, Love R
Nurs Clin North Am 2018 Sep;53(3):375-384. doi: 10.1016/j.cnur.2018.04.005. PMID: 30100003
Conversion, Factitious Disorder and Malingering: A Distinct Pattern or a Continuum?
Galli S, Tatu L, Bogousslavsky J, Aybek S
Front Neurol Neurosci 2018;42:72-80. Epub 2017 Nov 17 doi: 10.1159/000475699. PMID: 29151092
The therapeutic discharge: An approach to dealing with deceptive patients.
Taylor JB, Beach SR, Kontos N
Gen Hosp Psychiatry 2017 May;46:74-78. Epub 2017 Mar 29 doi: 10.1016/j.genhosppsych.2017.03.010. PMID: 28622821
Laxative abuse: epidemiology, diagnosis and management.
Roerig JL, Steffen KJ, Mitchell JE, Zunker C
Drugs 2010 Aug 20;70(12):1487-503. doi: 10.2165/11898640-000000000-00000. PMID: 20687617
Factitious disorders.
Wise MG, Ford CV
Prim Care 1999 Jun;26(2):315-26. doi: 10.1016/s0095-4543(08)70008-3. PMID: 10318750

Therapy

Factitious hypoglycemia in insulin-treated diabetic patients.
Galvez T, Lotierzo M, Conquet G, Verani Q, Aguilhon C, Raingeard I, Cristol JP, Renard E
Ann Endocrinol (Paris) 2023 May;84(3):364-366. Epub 2023 Mar 23 doi: 10.1016/j.ando.2023.03.015. PMID: 36965853
Laxative abuse: epidemiology, diagnosis and management.
Roerig JL, Steffen KJ, Mitchell JE, Zunker C
Drugs 2010 Aug 20;70(12):1487-503. doi: 10.2165/11898640-000000000-00000. PMID: 20687617
Management of factitious disorders: a systematic review.
Eastwood S, Bisson JI
Psychother Psychosom 2008;77(4):209-18. Epub 2008 Apr 16 doi: 10.1159/000126072. PMID: 18418027
Factitious methemoglobinemia.
Carr KM, Elias L, Caruana LC, Rabinowitz I
Am J Hematol 1999 Nov;62(3):196-7. doi: 10.1002/(sici)1096-8652(199911)62:3<196::aid-ajh11>3.0.co;2-7. PMID: 10539888
Factitious quinine-induced thrombocytopenia.
Abraham R, Whitehead S
Med J Aust 1998 Jan 5;168(1):19-20. doi: 10.5694/j.1326-5377.1998.tb123338.x. PMID: 9451390

Prognosis

Histopathological patterns in dermatitis artefacta.
Tittelbach J, Peckruhn M, Elsner P
J Dtsch Dermatol Ges 2018 May;16(5):559-564. Epub 2018 Apr 24 doi: 10.1111/ddg.13504. PMID: 29689138
Factitious disorder.
Velazquez MD, Bolton J
Br J Hosp Med (Lond) 2006 Oct;67(10):548-9. doi: 10.12968/hmed.2006.67.10.22065. PMID: 17069136
Psychogenic movement disorders.
Hinson VK, Haren WB
Lancet Neurol 2006 Aug;5(8):695-700. doi: 10.1016/S1474-4422(06)70523-3. PMID: 16857575
Psychogenic movement disorders.
Reich SG
Semin Neurol 2006 Jul;26(3):289-96. doi: 10.1055/s-2006-947276. PMID: 16791775
Factitious disorders.
Wise MG, Ford CV
Prim Care 1999 Jun;26(2):315-26. doi: 10.1016/s0095-4543(08)70008-3. PMID: 10318750

Clinical prediction guides

Intersex Pretenders.
Cadet P
Arch Sex Behav 2024 May;53(5):1667-1679. Epub 2024 May 14 doi: 10.1007/s10508-024-02854-0. PMID: 38744731
Comorbidity Between Factitious and Borderline Personality Disorder: A Narrative Analysis.
Lazzari C, Rabottini M
Psychiatr Danub 2023 Spring;35(1):16-26. doi: 10.24869/psyd.2023.16. PMID: 37060588
The other face of illness-deception: Diagnostic criteria for factitious disorder with proposed standards for clinical practice and research.
Chafetz MD, Bauer RM, Haley PS
Clin Neuropsychol 2020 Apr;34(3):454-476. Epub 2019 Sep 19 doi: 10.1080/13854046.2019.1663265. PMID: 31535601Free PMC Article
Factitious disorder: a systematic review of 455 cases in the professional literature.
Yates GP, Feldman MD
Gen Hosp Psychiatry 2016 Jul-Aug;41:20-8. Epub 2016 May 12 doi: 10.1016/j.genhosppsych.2016.05.002. PMID: 27302720
Management of factitious disorders: a systematic review.
Eastwood S, Bisson JI
Psychother Psychosom 2008;77(4):209-18. Epub 2008 Apr 16 doi: 10.1159/000126072. PMID: 18418027

Recent systematic reviews

Factitious Disorder (Munchausen Syndrome) in Plastic Surgery: A Systematic Review of 42 Cases.
Evans RL, Tew JC, Yates GP, Feldman M
Ann Plast Surg 2021 Apr 1;86(4):e1-e6. doi: 10.1097/SAP.0000000000002526. PMID: 32804718
The perpetrators of medical child abuse (Munchausen Syndrome by Proxy) - A systematic review of 796 cases.
Yates G, Bass C
Child Abuse Negl 2017 Oct;72:45-53. Epub 2017 Jul 24 doi: 10.1016/j.chiabu.2017.07.008. PMID: 28750264
Factitious disorder: a systematic review of 455 cases in the professional literature.
Yates GP, Feldman MD
Gen Hosp Psychiatry 2016 Jul-Aug;41:20-8. Epub 2016 May 12 doi: 10.1016/j.genhosppsych.2016.05.002. PMID: 27302720
Otolaryngology fantastica: the ear, nose, and throat manifestations of Munchausen's syndrome.
Alicandri-Ciufelli M, Moretti V, Ruberto M, Monzani D, Chiarini L, Presutti L
Laryngoscope 2012 Jan;122(1):51-7. Epub 2011 Nov 17 doi: 10.1002/lary.22373. PMID: 22095880
Laboratory diagnosis of factitious disorder: a systematic review of tools useful in the diagnosis of Munchausen's syndrome.
Kenedi CA, Shirey KG, Hoffa M, Zanga J, Lee JC, Harrison JD, Preud'homme XA
N Z Med J 2011 Sep 9;124(1342):66-81. PMID: 21963927

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