Clinical Pediatrics

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to register today!

Click here to register today!

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Peebles, R.
Right arrow Articles by Goldfarb, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Peebles, R.
Right arrow Articles by Goldfarb, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Clinical Pediatrics, Vol. 44, No. 3, 237-243 (2005)
DOI: 10.1177/000992280504400307
© 2005 SAGE Publications

Factitious Disorder and Malingering in Adolescent Girls: Case Series and Literature Review

Rebecka Peebles, MD

Division of Adolescent Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA

Camille Sabella, MD

Division of Pediatrics, The Children’s Hospital, The Cleveland Clinic Foundation, Cleveland, Ohio

Kathleen Franco, MD

Department of Liaison Psychiatry, Cleveland Clinic Foundation, Cleveland, Ohio

Johanna Goldfarb, MD

Division of Pediatrics, The Children’s Hospital, The Cleveland Clinic Foundation, Cleveland, Ohio

Six cases of factitious disease and malingering in pediatric patients referred to an infectious diseases practice in a tertiary care children’s hospital are described, and implications for general clinical practice are reviewed. All patients were girls aged 9-15 years. Two patients were malingering with the secondary gain of avoiding attendance at school. The other 4 patients presented with factitious illness without clear link to secondary gain, but rather for a psychological purpose. Three of the subjects admitted to self-induced or feigned illness. The 2 patients diagnosed with malingering did very well with early parental support, psychotherapy, and attention paid to school difficulties. The outcomes of the others with underlying psychological conflicts were less resolved. Factitious disorders and malingering occur in the pediatric population. A high index of suspicion is needed for prompt diagnosis and care.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?