Munchausen syndrome by proxy: A narrative review and update for the dentist and other healthcare professionals

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Ruixiang Yee, Sarah Ying Sim, Wen Hann Chow, Kumudhini Rajasegaran, Catherine Hsu Ling Hong
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Abstract

Munchausen syndrome by proxy (MSbP) is a form of abuse in which a caregiver with Factitious Disorder Imposed on Another (FDIA) fabricates or induces signs or symptoms in a person under their care to satisfy a self-serving psychological need. Unnecessary clinical evaluations, procedures, and treatments that are initiated based on falsification by the abuser inadvertently add to the trauma experienced by the victim. It is a form of abuse and the impact on victims can be severe, sometimes fatal, and far-reaching such as prolonged neglect and extension to affected siblings. The long-term exposure to MSbP may predispose the victim to eventually developing factitious disorder imposed on self (FDIS). While MSbP often involves child victims, elderly, adults, and pets have also been reported as victims. MSbP can be a diagnostic challenge, and the important keys to timely identification of MSbP include the ability to detect deception by caregivers through awareness, clinical suspicion, and careful review of available health records; it also involves collecting collaborative information from other relevant healthcare providers including dentists, schoolteachers, and social workers. To date, there are limited published cases of MSbP with oral findings. This paper provides a narrative review of the current understanding of MSbP with a section on cases with oral findings. This paper aims to increase awareness about the clinical presentations and management considerations for MSbP among dentists and other healthcare professionals.

代理孟乔森综合症:针对牙医和其他医疗保健专业人员的叙述性回顾和更新。
代理孟乔森综合症(Munchausen syndrome by proxy,MSbP)是一种虐待形式,患有 "强加于他人的事实性失调症"(Factitious Disorder Imposed on Another,FDIA)的照顾者会在其照顾的人身上捏造或诱发症状或体征,以满足自我的心理需求。基于施虐者的伪造而启动的不必要的临床评估、程序和治疗,无意中加重了受害者的创伤。MSbP 是一种虐待形式,对受害者的影响可能是严重的,有时甚至是致命的,而且影响深远,如长期忽视和延伸到受影响的兄弟姐妹。长期遭受 MSbP 可能会使受害者最终患上强加于自身的事实性失调症(FDIS)。虽然 MSbP 通常涉及儿童受害者,但也有报道称老年人、成年人和宠物也是受害者。MSbP可能是诊断方面的一个难题,及时识别MSbP的重要关键包括通过意识、临床怀疑和仔细查看现有健康记录来发现护理人员欺骗行为的能力;还包括从牙医、学校教师和社会工作者等其他相关医疗服务提供者那里收集合作信息。迄今为止,已发表的有口腔发现的 MSbP 病例非常有限。本文对目前人们对 MSbP 的认识进行了叙述性回顾,其中一部分是关于有口腔发现的病例。本文旨在提高牙医和其他医护人员对 MSbP 临床表现和管理注意事项的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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