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Munchausen by Proxy in an international context.

Marc D Feldman1, Rachel M A Brown

  • 1Department of Psychiatry & Behavioral Neurobiology, University of Alabama at Birmingham, 35294-0018, USA.

Child Abuse & Neglect
|June 25, 2002
PubMed
Summary

Munchausen by Proxy (MBP) abuse is a global phenomenon, not limited to Western countries. This review identified 122 cases worldwide, highlighting its international recognition and varying resource implications for care.

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Area of Science:

  • Child Abuse and Neglect
  • Medical Ethics
  • Global Health

Background:

  • The professional literature on Munchausen by Proxy (MBP) abuse is extensive but predominantly originates from English-speaking industrialized nations.
  • Understanding the global prevalence and characteristics of MBP is crucial for developing comprehensive intervention and prevention strategies.

Purpose of the Study:

  • To determine the extent of published research on Munchausen by Proxy (MBP) originating from non-English-speaking, industrialized countries.
  • To analyze the characteristics of reported Munchausen by Proxy (MBP) cases identified in the global literature.

Main Methods:

  • A comprehensive search of numerous health care computer databases was conducted.
  • Findings from database searches were supplemented with informally accumulated materials to ensure a broad scope of information.

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Main Results:

  • A total of 59 articles from 24 countries, detailing at least 122 cases in 9 languages, were identified.
  • Mothers were the sole perpetrators in 86% of cases; victims were predominantly male (54%) and aged 3-13 years (52%).
  • Global presentations of MBP are similar, with induced apnea being a notably uncommon feature in the reviewed literature.

Conclusions:

  • Munchausen by Proxy (MBP) is a worldwide issue, increasingly recognized beyond Western and highly medicalized societies.
  • Resource availability significantly impacts the reporting and management of MBP, necessitating international collaboration for care standards.
  • Global professional contributions are vital for developing inclusive and effective international standards of care for MBP.