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Published on: June 12, 2020
[Munchausen syndrome in Spanish pediatrics]
J L Jimenez Hernandez1, J L Figuerido-Poulain
1Departamento de Pediatría, Hospital de Cruces, Vizcaya.
Summary
Munchausen by proxy syndrome involves parents fabricating illness in children, often through drug poisoning. This form of child abuse requires urgent multidisciplinary intervention to protect pediatric patients.
Area of Science:
- Psychiatry
- Pediatrics
- Child Abuse
Context:
- Munchausen syndrome involves fabricating symptoms for medical attention.
- Munchausen by proxy syndrome (MBPS) involves parents fabricating illness in children.
- MBPS is a manifestation of parental psychiatric pathology.
Purpose:
- To review cases of Munchausen syndrome and Munchausen by proxy syndrome in Spanish psychiatric literature.
- To identify patterns and characteristics of these syndromes.
- To emphasize the need for early intervention and multidisciplinary approaches.
Summary:
- A review of Spanish psychiatric literature identified 25 cases of Munchausen syndrome affecting 20 families.
- Of these, 5 were Munchausen syndrome and 20 were Munchausen by proxy syndrome.
- In MBPS cases, mothers were the perpetrators (100%), with non-accidental drug intoxications being the most common method (65%).
Impact:
- Findings suggest underreporting of Munchausen by proxy syndrome cases.
- MBPS is recognized as a severe form of child abuse requiring immediate action.
- Highlights the necessity of a multidisciplinary team approach for effective management and prevention.
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