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Update on factitious disorders

S Taylor1, S E Hyler

  • 1Columbia-Presbyterian Medical Center, New York.

International Journal of Psychiatry in Medicine
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Factitious disorders are uncommon but serious psychiatric conditions. Recent literature reviews cover diagnosis, factitious disorder by proxy, epidemiology, and treatment advancements.

Area of Science:

  • Psychiatry
  • Medical Psychology

Background:

  • Factitious disorders have gained attention since their inclusion in DSM-III and DSM-III-R.
  • There has been a significant increase in reports and commentary on these unusual conditions.

Purpose of the Study:

  • To provide an updated review of the recent literature on factitious disorders.
  • To synthesize current knowledge regarding diagnostic challenges, epidemiology, and management strategies.

Main Methods:

  • A comprehensive search of the psychiatric and medical literature was conducted.
  • Clinical reports and critical/theoretical papers were systematically reviewed.
  • Eighty-five relevant publications were summarized.

Main Results:

  • Data on factitious disorders are primarily descriptive and anecdotal.

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  • Key areas discussed include diagnostic issues and the proposed DSM-IV category of factitious disorder by proxy.
  • Epidemiology, course, and emerging treatment and management developments are also presented.

    • Conclusions:

    • Factitious disorders represent uncommon yet serious illnesses.
    • These conditions pose significant diagnostic and management challenges.
    • There is a critical need for systematic research to better understand factitious disorders.