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Reconocimiento temprano y manejo de enfermedades fabricadas o inducidas en niños
Christopher Bass1, Danya Glaser2
1Department of Psychological Medicine, John Radcliffe Hospital, Oxford, UK.
Lancet (London, England)
|March 12, 2014
Resumen
La enfermedad fabricada o inducida ocurre cuando un cuidador busca atención médica innecesaria para un niño. El reconocimiento y la intervención temprana por parte de los pediatras son cruciales para el niño.
Área de la Ciencia:
- Salud Pediátrica en la Salud Pediátrica.
- Abuso infantil Abuso de niños.
- Salud Mental La salud mental es la salud mental.
Sus antecedentes:
- La enfermedad fabricada o inducida (FII), anteriormente el síndrome de Munchausen por sustituto, involucra a cuidadores que fabrican o inducen enfermedades en niños.
- El engaño del cuidador es una característica clave, pero se observa clínicamente una gama más amplia de comportamientos.
- FII puede tener efectos graves en el bienestar físico y psicológico del niño.
Objetivo del estudio:
- Revisar las características, efectos y características psicosociales de los cuidadores involucrados en enfermedades fabricadas o inducidas.
- Para resaltar la importancia del reconocimiento temprano y la gestión por parte de los pediatras.
- Discutir estrategias de manejo tanto para el niño como para el cuidador.
Principales métodos:
- Revisión de las presentaciones clínicas y los perfiles psicosociales de los cuidadores.
- Análisis de la evidencia sobre trastornos somatoformes y ficticios en cuidadores.
- Examen de la transmisión intergeneracional del comportamiento anormal de la enfermedad.
Principales resultados:
- Los cuidadores a menudo exhiben trastornos somatoformes y artificiales, con potencial para la transmisión intergeneracional de la enfermedad.
- El reconocimiento temprano del pediatra puede prevenir el desarrollo completo de FII.
- La protección infantil y el apoyo terapéutico son esenciales para los niños afectados.
Conclusiones:
- La gestión efectiva requiere abordar el reconocimiento del cuidador del comportamiento abusivo y la colaboración con las agencias.
- Las redes multidisciplinarias en los hospitales se recomiendan para la gestión proactiva de FII.
- Se necesita más investigación, particularmente en cuidadores con trastornos somatoformes / ficticios que involucran a niños en un comportamiento anormal de la enfermedad.
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