Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1991 Aug;66(8):956–960. doi: 10.1136/adc.66.8.956

Compliance with treatment in asthma and Munchausen syndrome by proxy.

V Godding 1, M Kruth 1
PMCID: PMC1793449  PMID: 1929492

Abstract

Among 1648 asthmatic patients, 17 families (1%) were identified as having Munchausen syndrome by proxy. Ten families did not treat their children's, attacks or refused medical care, and seven exaggerated the severity of symptoms to obtain invasive investigations and treatment. All the families had disturbed psychosocial backgrounds. The abuse consisted mainly of neglect, in that necessary treatment was not given. In some cases a more direct form of abuse was observed, when useless and sometimes harmful investigations and treatment were given. We conclude that medical control of the compliance of both parents and children is necessary in the management of childhood asthma.

Full text

PDF
956

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Griffith J. L. The family systems of Munchausen syndrome by proxy. Fam Process. 1988 Dec;27(4):423–437. doi: 10.1111/j.1545-5300.1988.00423.x. [DOI] [PubMed] [Google Scholar]
  2. Guandolo V. L. Munchausen syndrome by proxy: an outpatient challenge. Pediatrics. 1985 Mar;75(3):526–530. [PubMed] [Google Scholar]
  3. Kaufman K. L., Coury D., Pickrel E., McCleery J. Munchausen syndrome by proxy: a survey of professionals' knowledge. Child Abuse Negl. 1989;13(1):141–147. doi: 10.1016/0145-2134(89)90037-9. [DOI] [PubMed] [Google Scholar]
  4. Libow J. A., Schreier H. A. Three forms of factitious illness in children: when is it Munchausen syndrome by proxy? Am J Orthopsychiatry. 1986 Oct;56(4):602–611. doi: 10.1111/j.1939-0025.1986.tb03493.x. [DOI] [PubMed] [Google Scholar]
  5. Meadow R. Munchausen syndrome by proxy. The hinterland of child abuse. Lancet. 1977 Aug 13;2(8033):343–345. doi: 10.1016/s0140-6736(77)91497-0. [DOI] [PubMed] [Google Scholar]
  6. Meadow R. Munchausen syndrome by proxy. Arch Dis Child. 1982 Feb;57(2):92–98. doi: 10.1136/adc.57.2.92. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Rosenberg D. A. Web of deceit: a literature review of Munchausen syndrome by proxy. Child Abuse Negl. 1987;11(4):547–563. doi: 10.1016/0145-2134(87)90081-0. [DOI] [PubMed] [Google Scholar]
  8. Sbarbaro J. A. Strategies to improve compliance with therapy. Am J Med. 1985 Dec 20;79(6A):34–37. doi: 10.1016/0002-9343(85)90085-3. [DOI] [PubMed] [Google Scholar]
  9. Spector S. L., Kinsman R., Mawhinney H., Siegel S. C., Rachelefsky G. S., Katz R. M., Rohr A. S. Compliance of patients with asthma with an experimental aerosolized medication: implications for controlled clinical trials. J Allergy Clin Immunol. 1986 Jan;77(1 Pt 1):65–70. doi: 10.1016/0091-6749(86)90325-8. [DOI] [PubMed] [Google Scholar]
  10. Voyles J. B., Menendez R. Role of patient compliance in the management of asthma. J Asthma. 1983;20(5):411–418. doi: 10.3109/02770908309077383. [DOI] [PubMed] [Google Scholar]
  11. Warner J. O., Hathaway M. J. Allergic form of Meadow's syndrome (Munchausen by proxy). Arch Dis Child. 1984 Feb;59(2):151–156. doi: 10.1136/adc.59.2.151. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Zitelli B. J., Seltman M. F., Shannon R. M. Munchausen's syndrome by proxy and its professional participants. Am J Dis Child. 1987 Oct;141(10):1099–1102. [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES