Document Detail

Munchausen syndrome by proxy.
MedLine Citation:
PMID:  1293063     Owner:  NLM     Status:  MEDLINE    
This study examined the indicators of possible presence of Munchausen Syndrome by Proxy (MSBP) in pediatric inpatients discharged against-medical-advice (AMA), in cases transferred to another hospital, and in regular discharges. In a two-year period, there were fourteen AMA discharges and twenty-four transfer cases. These were compared to a randomly selected sample of forty-one regular discharges occurring during the same time period, matched for age, sex and pediatric service. The records were scored for the presence or absence of six MSBP characteristics, which had been developed from a review of MSBP literature. The findings indicated a suspicion for MSBP in 64 percent of the AMA cases, 8 percent of the transfer cases, and none in regular discharges. The findings suggest that AMA discharges need to be examined for the possible presence of MSBP.
S Jani; M White; L A Rosenberg; M Maisami
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of psychiatry in medicine     Volume:  22     ISSN:  0091-2174     ISO Abbreviation:  Int J Psychiatry Med     Publication Date:  1992  
Date Detail:
Created Date:  1993-04-02     Completed Date:  1993-04-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0365646     Medline TA:  Int J Psychiatry Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  343-9     Citation Subset:  IM    
University of Maryland, Baltimore.
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MeSH Terms
Depressive Disorder / etiology
Gastroesophageal Reflux / diagnosis,  etiology,  surgery
Health Status
Hospitals, Pediatric
Length of Stay
Munchausen Syndrome by Proxy / psychology*,  rehabilitation
Patient Discharge

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