Factitious disorder in children and adolescents: a retrospective study

Psychosomatics. 2008 Sep-Oct;49(5):392-8. doi: 10.1176/appi.psy.49.5.392.

Abstract

Background: Factitious disorder (FD) presumably manifests at an early age, but epidemiological and clinical data about pediatric FD are still lacking.

Objective: The authors sought to study prevalence data of FD among referrals to a child-and-adolescent consultation-liaison service (CLS).

Method: Authors conducted a retrospective survey of FD on 1,684 patients who were referred to the CLS from 1992 to 2003 (Sample I) and 12,081 patients who were treated in a tertiary-care child health center from 2003 to 2005 (Sample II).

Results: In Sample I, FD occurred in 0.7% and, in Sample II, in 0.03% of the cases.

Conclusion: The prevalence of pediatric FD among referrals to a CLS is similar to those found in studies of adults, and patients share many clinical characteristics.

MeSH terms

  • Adolescent
  • Child
  • Diagnosis, Differential
  • Factitious Disorders / diagnosis
  • Factitious Disorders / epidemiology*
  • Female
  • Humans
  • Male
  • Munchausen Syndrome / diagnosis
  • Munchausen Syndrome / epidemiology
  • Prevalence
  • Retrospective Studies
  • Sex Factors
  • Surveys and Questionnaires