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Factitious disorders with psychological symptoms
A P Popli1, P S Masand, M J Dewan
1Department of Psychiatry, State University of New York Health Science Center, Syracuse 13210.
The Journal of Clinical Psychiatry
|September 1, 1992
Summary
Factitious disorder with psychological symptoms is often underdiagnosed. This study highlights diverse presentations and calls for improved diagnostic criteria and treatment for this condition.
Area of Science:
- Psychiatry
- Psychological Medicine
Background:
- Factitious disorders with psychological symptoms are underdiagnosed and undertreated.
- Literature has historically focused on factitious disorder with physical symptoms (Munchausen's syndrome).
Observation:
- Presents three diverse cases of factitious disorder with psychological symptoms.
- Case 1 & 2: Middle-aged men with falsified symptoms, treatments, and backgrounds, exhibiting psychiatric Munchausen's syndrome features.
- Case 3: Younger woman with comorbid substance abuse, dysthymia, and borderline personality disorder.
Findings:
- Factitious disorder with psychological symptoms presents with varied clinical manifestations.
- Psychiatric Munchausen's syndrome can manifest in middle-aged men.
- Comorbid conditions are present in some patients, including substance abuse and personality disorders.
Implications:
- Refinement of diagnostic criteria for factitious disorder with psychological symptoms is needed.
- Increased clinical awareness is crucial for accurate diagnosis.
- Further evaluation of effective treatment approaches is warranted.