Munchausen Syndrome by Proxy (MSBP)

  • Medical Author:
    Roxanne Dryden-Edwards, MD

    Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

What are the complications of Munchausen syndrome by proxy?

If left untreated, the prognosis of this illness can be quite ominous. For example, it 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

National Child Abuse Hotline

National Indian Welfare Association (NICWA)
5100 SW Macadam Avenue, Suite 300
Portland, OR 97239
Phone: 503-222-4044
Fax: 503-222-4007

Prevent Child Abuse America
500 North Michigan Avenue Suite 200
Chicago, Ill. 60611

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


Adshead, G., Bluglass, K. "Attachment Representations in Mothers with Abnormal Illness Behavior by Proxy." The British Journal of Psychiatry 187 (2005): 328-333.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Washington, D.C.: American Psychiatric Publishing, 2013.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Treatment Revision. Washington, D.C.: American Psychiatric Publishing, Inc., 2000.

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.

Fanu, J.L. "Wrongful diagnosis of child abuse-a master theory." Journal of the Royal Society of Medicine 2005; 98: 249-254.

Goodwin, J. Munchausen's Syndrome as a dissociative disorder. Dissociation 1988 March; 1:1.

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 5/15/2015

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