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Arch Dis Child. 1993 December; 69(6): 625–630.
PMCID: PMC1029641

Follow up of victims of fabricated illness (Munchausen syndrome by proxy).


Fifty four children were studied 1-14 (mean 5.6) years after fabrications of illness had been identified. Thirty of the 54 children were living in families with their biological mothers and 24 were with other family members or in substitute families. Further fabrications were identified for 10 children who had been living with their mothers and there were 'other concerns' for a further eight children. Thirteen children residing with mother and 14 not residing with mother at follow up had a range of disorders including conduct and emotional disorders, and problems related to school, including difficulties in attention and concentration and non-attendance. Overall, 20 children (49% of those successfully followed up) had outcomes that were considered to be unacceptable.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Rosenberg DA. Web of deceit: a literature review of Munchausen syndrome by proxy. Child Abuse Negl. 1987;11(4):547–563. [PubMed]
  • Meadow R. Suffocation, recurrent apnea, and sudden infant death. J Pediatr. 1990 Sep;117(3):351–357. [PubMed]
  • Rogers D, Tripp J, Bentovim A, Robinson A, Berry D, Goulding R. Papers and originals. Br Med J. 1976 Apr 3;1(6013):793–796. [PMC free article] [PubMed]
  • Meadow R. Non-accidental salt poisoning. Arch Dis Child. 1993 Apr;68(4):448–452. [PMC free article] [PubMed]
  • Meadow R. Munchausen syndrome by proxy. Arch Dis Child. 1982 Feb;57(2):92–98. [PMC free article] [PubMed]
  • McGuire TL, Feldman KW. Psychologic morbidity of children subjected to Munchausen syndrome by proxy. Pediatrics. 1989 Feb;83(2):289–292. [PubMed]
  • Bools CN, Neale BA, Meadow SR. Co-morbidity associated with fabricated illness (Munchausen syndrome by proxy). Arch Dis Child. 1992 Jan;67(1):77–79. [PMC free article] [PubMed]
  • Rutter M. A children's behaviour questionnaire for completion by teachers: preliminary findings. J Child Psychol Psychiatry. 1967 May;8(1):1–11. [PubMed]
  • Bools C, Foster J, Brown I, Berg I. The identification of psychiatric disorders in children who fail to attend school: a cluster analysis of a non-clinical population. Psychol Med. 1990 Feb;20(1):171–181. [PubMed]
  • Waller DA. Obstacles to the treatment of Munchausen by Proxy syndrome. J Am Acad Child Psychiatry. 1983 Jan;22(1):80–85. [PubMed]
  • Livingston R. Maternal somatization disorder and Munchausen syndrome by proxy. Psychosomatics. 1987 Apr;28(4):213–217. [PubMed]
  • Rogeness GA, Amrung SA, Macedo CA, Harris WR, Fisher C. Psychopathology in abused or neglected children. J Am Acad Child Psychiatry. 1986 Sep;25(5):659–665. [PubMed]
  • Edelbrock C, Costello AJ, Dulcan MK, Conover NC, Kala R. Parent-child agreement on child psychiatric symptoms assessed via structured interview. J Child Psychol Psychiatry. 1986 Mar;27(2):181–190. [PubMed]
  • Weissman MM, Orvaschel H, Padian N. Children's symptom and social functioning self-report scales. Comparison of mothers' and children's reports. J Nerv Ment Dis. 1980 Dec;168(12):736–740. [PubMed]
  • Jones JG, Butler HL, Hamilton B, Perdue JD, Stern HP, Woody RC. Munchausen syndrome by proxy. Child Abuse Negl. 1986;10(1):33–40. [PubMed]
  • Kurlandsky L, Lukoff JY, Zinkham WH, Brody JP, Kessler RW. Munchausen syndrome by proxy: definition of factitious bleeding in an infant by 51Cr labeling of erythrocytes. Pediatrics. 1979 Feb;63(2):228–231. [PubMed]
  • Haddad PM, Garralda ME. Hyperkinetic syndrome and disruptive early experiences. Br J Psychiatry. 1992 Nov;161:700–703. [PubMed]

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