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Munchausen syndrome by proxy: diagnosis and prevalence
1Department of Psychiatry, Children's Hospital Medical Center, Oakland, Calif.
The American Journal of Orthopsychiatry
|April 1, 1993
Abstract:
A review of the literature and a survey of pediatric neurologists and gastroenterologists yield data indicating that the prevalence of Munchausen syndrome by proxy is greater than is generally estimated. This possibility is further supported by follow-up data on siblings of victims, together with wide variability among practitioners in case identification.
Insights
Munchausen syndrome by proxy, a form of medical child abuse, may be more common than previously thought. This is suggested by a literature review and surveys of medical professionals.
Area of Science:
- Pediatric Medicine
- Child Abuse Research
- Psychiatry
Background:
- Munchausen syndrome by proxy (MSbP) is a form of abuse where a caregiver fabricates or induces illness in a child.
- The true prevalence of MSbP is not well-established, leading to potential underdiagnosis.
Purpose of the Study:
- To estimate the prevalence of Munchausen syndrome by proxy.
- To highlight the need for improved identification of this condition.
Main Methods:
- A comprehensive literature review was conducted.
- Surveys were distributed to pediatric neurologists and gastroenterologists.
- Follow-up data on siblings of affected children were analyzed.
Main Results:
- Data suggest that Munchausen syndrome by proxy is more prevalent than commonly estimated.
- Significant variability exists among practitioners in identifying cases of MSbP.
- Sibling follow-up data support the increased prevalence.
Conclusions:
- The findings indicate a potential underestimation of Munchausen syndrome by proxy cases.
- Enhanced awareness and standardized diagnostic criteria are needed for accurate identification and intervention.
- Further research is warranted to elucidate the epidemiology and impact of MSbP.