Factitious Disorder | Factitious disorder

Factitious disorder is a syndrome in which patients induce, feign, or exaggerate physical or psychiatric symptoms.[1] These patients are ...NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutNCBIBookshelf.AserviceoftheNationalLibraryofMedicine,NationalInstitutesofHealth.StatPearls[Internet].TreasureIsland(FL):StatPearlsPublishing;2020Jan-.StatPearls[Internet].ShowdetailsTreasureIsland(FL):StatPearlsPublishing;2020Jan-.SearchtermFactitiousDisorderKevinT.Carnahan;AnupamJha.AuthorInformationAuthorsKevinT.Carnahan1;AnupamJha2.Affiliations1FirelandsRegionalMedicalCenter2FirelandsHospitalLastUpdate:May2,2020.IntroductionFactitiousdisorderisasyndromeinwhichpatientsinduce,feign,orexaggeratephysicalorpsychiatricsymptoms.[1]Thesepatientsaremotivatedpurelybyinternalgains,suchasadesireforattention,copingwithstress,orenjoymentinstumpinghealthcareworkers.[2][3]Patientswithfactitiousdisordermayposeasignificantdangertothemselves.[1][4] Additionally,theyoftenover-utilizelimitedhealthcareresources.[5]Theinherentdeceptioninthisconditionposesasignificantchallengeforhealthcareprovidersinmakingadiagnosis.Duetoalackofwillingparticipantsforlarge-scalerandomizedtreatmenttrials,evidence-basedrecommendationsforthemanagementofthesepatientsislimited.Currentrecommendationsarelargelybasedonexpertopinion,casereports,andsystematicreviews.Basedoninformationfromthesesources,treatmentoptionsarelimited,andtheprognosisforthesepatientsisgenerallypoor.EtiologyTheetiologyoffactitiousdisorderislargelybasedonspeculation.Therearenohigh-quality,large-scalestudiesdemonstratingconsistentetiologicalfactors;however,observationshavebeenmadebasedoncasereportsandsmallstudies.Manyexpertsconsiderfactitiousdisordertobelargelydevelopmental.Itisthoughtthatthebehaviorsexhibitedareamaladaptiveresponsetolifeevents,especiallyduringchildhood.[3]Thisreasoningissupportedbyseveralcommonalitiesamongpatientswithfactitiousdisorder:Patientswithfactitiousdisorderaremorelikelytohavesufferedam


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