First case of surrogate Munchausen syndrome in children in mainland China, published in the February 2022 issue of the Chinese Journal of Practical Pediatrics.
Source: Chinese Journal of Practical Pediatrics
Proxy Munchausen Syndrome (MSBP) refers to caregivers targeting the care recipients, falsifying symptoms, etc., to induce unnecessary medical diagnosis and treatment, in order to satisfy their own “care for the patient” At this time, the caregivers were MSBP patients, and the care recipients were victims, mostly children.
Previously, MSBP had only 3 related literature reports in Taiwan.
In previous articles, we published a bizarre true story: After a mother was brutally murdered by her seriously ill daughter, the daughter said she had no disease at all, but was killed by The mother was forcibly taken to the hospital and had more than 100 operations.
The child with proxy Munchausen syndrome, the care recipient is a 4-year-old girl, admitted to the Department of Pediatrics of Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology for “multiple organ pain” Strong>, during the hospitalization, he described physical pain in detail many times, such as “retrosternal acid reflux, pain, pain in the teeth, esophagus, and abdomen, limited bending of fingers, difficulty urinating, low volume, and pain”, etc.
The doctor told the mother of the child that “4-year-old children cannot normally complete these complex and accurate descriptions, and the family should be careful not to lead in the direction of pain”, and because No abnormality was found in the examination results, and the doctor began to consider the possibility of MSBP on the 7th day of admission.
The survey found that as of July 2021, the child had seen 177 outpatient clinic visits, 24 clinic visits within half a year, and sometimes two clinic physicians within one day, with many repeated examinations .
According to the American Diagnostic Criteria for Mental Disorders (DSM-IV), the key points for the diagnosis of MSBP are:
A. Deliberately causing the care recipient to develop physical or mental symptoms.
B. The carer’s motive is to pretend to care for a sick person.
C. There are no external incentives (such as financial interests) to drive.
D. Unexplained by other mental illnesses.
The mother’s symptoms were more consistent with MSBP, and the doctor suggested that the mother and the child go to the psychiatric outpatient clinic for counseling.
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Information source: Chinese Journal of Practical Pediatrics