Munchausen Syndrome by Proxy (cont.)

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What are the complications of Munchausen syndrome by proxy?

If left untreated, this illness can result in child victims who grow up to be medically or emotionally disabled. It may even be fatal in more than 5% of cases, and more than 7% may experience either long-term or permanent injury as a result. Survivors of MSBP are unfortunately at higher risk of becoming perpetrators of this and other forms of child abuse as adults.

Where can one get more information on Munchausen syndrome by proxy?

Child Welfare Information Gateway
Children's Bureau
1250 Maryland Avenue, SW, Eighth Floor
Washington, D.C. 20024
(703) 385-3206

National Child Abuse Hotline

Prevent Child Abuse America
500 North Michigan Avenue Suite 200
Chicago, Ill. 60611
(312) 663-3520

American Psychiatric Association
1000 Wilson Blvd. Suite 1825
Arlington, Va. 22209

American Psychological Association
750 First Street, N.E.
Washington, D.C. 20002- 4242

National Alliance for the Mentally Ill (NAMI)
Colonial Place Three
2107 Wilson Blvd. Suite 300
Arlington, Va. 22201-3042

National Institute of Mental Health (NIMH)
Office of Communications
6001 Executive Blvd. Room 8184
MSC 9663
Bethesda, Md. 20892-9663

Medically reviewed by Douglas Barton, MD; Board Certified Pediatrics


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David, T.J. Child abuse and paediatrics. Journal of the Royal Society of Medicine 2005; 98: 229-231.

De Ridder, L., Hoekstra, J.H. Manifestations of Munchausen Syndrome by proxy in pediatric gastroenterology. Journal of Pediatric Gastroenterology and Nutrition 2000 August; 31(2): 208-211.

Ehrlich, S., Pfeiffer, E., Salbach, H., Lenz, K., Lehmkuhl, U. Factitious disorder in children and adolescents: a retrospective study. Psychosomatics 2008 September-October; 49: 392-398.

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Kamerling, L.B., Black, X.A., Fiser, R.T. Munchausen syndrome by proxy in the pediatric intensive care unit: an unusual mechanism. Pediatric Critical Care Medicine 2002 July; 3(3): 305-307.

Karlin, N.J. Munchausen syndrome by proxy. Dartmouth Medical School 1996.

Meadow, R. Mothering to death. Archives of Disease in Childhood 1999; 80: 359-362.

Rand, D., Feldman, M. An explanatory model for Munchausen by proxy abuse. International Journal of Psychiatry in Medicine 2001; 31(2): 113-126.

Sheridan, M.S. The deceit continues: an updated literature review of Munchausen Syndrome by Proxy. Child Abuse and Neglect 2003 April; 27(4): 431-451.

Stirling, J. Beyond Munchausen syndrome by proxy: Identification and treatment of child abuse in a medical setting. Pediatrics 2007 May; 119(5): 1026-1030.

Medically Reviewed by a Doctor on 1/17/2014

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