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More Munchausen with chronic pain.

D A Fishbain1, M Goldberg, R S Rosomoff

  • 1University of Miami School of Medicine, and Comprehensive Pain & Rehabilitation Center, South Shore Hospital, Florida.

The Clinical Journal of Pain
|September 1, 1991
PubMed
Summary

Factitious disorder with physical symptoms, commonly known as Munchausen syndrome, was found in 0.14% of chronic pain patients. This study profiles these patients to understand their unique characteristics within pain management contexts.

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Area of Science:

  • Psychiatry
  • Pain Medicine
  • Medical Psychology

Background:

  • Factitious disorder, commonly referred to as Munchausen syndrome, involves the intentional production or feigning of physical or psychological symptoms.
  • Chronic pain conditions are complex and can be associated with various psychological comorbidities.
  • Accurate diagnosis and understanding of factitious disorders are crucial for effective patient management.

Observation:

  • A study examined a cohort of 2,860 patients diagnosed with chronic pain.
  • Within this sample, four cases were identified that met the criteria for Munchausen syndrome.
  • This represents a prevalence of 0.14% for Munchausen syndrome among chronic pain patients.

Findings:

  • The study describes the characteristics of the identified Munchausen syndrome patients presenting with chronic pain.

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  • An attempt was made to develop a clinical profile specific to Munchausen patients experiencing chronic pain.
  • The findings highlight the challenges in differentiating factitious disorders from genuine chronic pain conditions.

    • Implications:

    • Understanding the profile of Munchausen patients with chronic pain can aid clinicians in diagnosis and treatment planning.
    • This research underscores the importance of considering factitious disorders in the differential diagnosis of chronic pain.
    • Further research is warranted to explore the underlying mechanisms and effective therapeutic interventions for this patient population.