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Characteristics of 86 families and 142 children diagnosed with Pediatric Condition Falsification in the Netherlands

P I M Worm1, A H Teeuw2, M J Steketee3

  • 1Pediatrician/confidential doctor at The Municipal or Community Health Service (in Dutch: GGD), Veilig Thuis, the Netherlands.

Child Abuse & Neglect
|September 28, 2025
PubMed

Insights

This study analyzed Pediatric Condition Falsification (PCF) cases in the Netherlands, revealing insights into reporters and perpetrators. Implementing uniform questionnaires is crucial for better data collection and understanding the child

Area of Science:

  • Pediatric medical ethics
  • Child abuse and neglect
  • Forensic psychology

Background:

  • Pediatric Condition Falsification (PCF) is a form of child abuse.
  • Data from the Netherlands' Child Abuse Counseling and Reporting Center (CACRC) was analyzed.
  • This is the first study to use CACRC data for PCF cases in the Netherlands.

Purpose of the Study:

  • To analyze PCF cases reported to the CACRC.
  • To identify trends and common factors in PCF.
  • To determine information gaps for earlier diagnosis and intervention.

Main Methods:

  • Analysis of CACRC files for suspected and confirmed PCF cases.
  • Data collected over a five-year period (January 2008 - December 2013).
  • Inclusion of 86 families and 142 children, with waiver of informed consent.

Main Results:

  • Insights into reporter characteristics, involvement of medical professionals, and the role of fathers.
  • Identified extensive medical history and problematic childhoods of perpetrators.
  • Significant lack of information regarding the child's perspective was noted.

Conclusions:

  • The study underscores the need for a standardized approach to collecting information for CACRC case files.
  • Uniform questionnaires are recommended to improve data quality and knowledge of PCF.
  • Incorporating the child's viewpoint is essential for comprehensive understanding and diagnosis.
Abstract

Keywords:
Caregiver fabricated illnessFabricated or induced illnessFactitious disorder imposed on selfMedical child abuseMünchausen by proxy-fabricated and induced illnessPediatric condition falsification

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