一种用于诊断饮食失调中孟乔森综合征的算法。

An algorithm for the diagnosis of Münchausen's syndrome in eating disorders.

作者信息

Birmingham C L, Sidhu F K

机构信息

Eating Disorders Program, University of British Columbia, St. Paul's Hospital, Vancouver, B.C. V6Z 1Y6, Canada.

出版信息

Eat Weight Disord. 2007 Dec;12(4):e75-7.

PMID:18227629

Abstract

OBJECTIVE

To present an algorithm for the diagnosis of Münchausen's syndrome (MS) in patients with eating disorders (ED).

METHOD

Case reports and review of the literature using PubMed.

RESULTS

Two cases diagnosed with anorexia nervosa (AN): one later diagnosed with MS and one with Münchausen's syndrome by proxy (MSBP) are presented. We then present an algorithm to aid in the diagnosis of MS and MSBP in patients with eating disorders.

DISCUSSION

EDs can be distinguished from MS by their distinctive psychopathological traits, including fear of weight gain, eating and shape concerns, and food restraint. However, the diagnosis of concurrent ED and MS can be difficult because patients with both disorders may manifest similar abnormal behaviours: self-injurious behaviour, manipulation, splitting, physical complaints, multiple admissions, non-compliance, and giving false information. We present an algorithm as an aid to the diagnosis of concurrent MS and ED.

摘要

目的

提出一种针对饮食失调（ED）患者的孟乔森综合征（MS）诊断算法。

方法

通过PubMed进行病例报告及文献综述。

结果

呈现了两例最初诊断为神经性厌食症（AN）的病例，其中一例后来被诊断为MS，另一例被诊断为代理孟乔森综合征（MSBP）。然后我们提出一种算法，以帮助诊断饮食失调患者的MS和MSBP。

讨论

ED可通过其独特的精神病理学特征与MS相区分，这些特征包括对体重增加的恐惧、对饮食和体型的关注以及食物限制。然而，并发ED和MS的诊断可能很困难，因为患有这两种疾病的患者可能表现出相似的异常行为：自我伤害行为、操纵行为、分裂行为、身体不适、多次住院、不依从以及提供虚假信息。我们提出一种算法，以辅助诊断并发的MS和ED。