Taylor S, Hyler S E
Columbia-Presbyterian Medical Center, New York.
Int J Psychiatry Med. 1993;23(1):81-94. doi: 10.2190/BM5G-GQ1D-JJE1-5H1E.
Since factitious disorders entered the official psychiatric nomenclature in DSM-III and DSM-III-R, there has been a proliferation of reports and commentary about this unusual disorder. We present an update of the recent literature.
The psychiatric and medical literature was searched. Clinical reports and critical/theoretical papers were reviewed; eighty-five are summarized here.
Available data is descriptive and anecdotal. Reports focus on the following four topics, which are discussed here: 1) diagnostic issues, 2) the newly proposed DSM-IV category of factitious disorder by proxy, 3) epidemiology and course, 4) new developments in treatment and management.
Factitious disorders are uncommon but serious illnesses that present diagnostic and management dilemmas. Deriving systematic information about these illnesses is a major challenge.
自诈病在《精神疾病诊断与统计手册》第三版（DSM-III）和第三版修订本（DSM-III-R）中被纳入官方精神科命名以来，关于这种特殊疾病的报告和评论大量涌现。我们提供近期文献的最新情况。
检索了精神科和医学文献。回顾了临床报告以及评论/理论文章；此处总结了85篇。
现有数据为描述性和轶事性的。报告集中在以下四个主题，在此进行讨论：1）诊断问题，2）《精神疾病诊断与统计手册》第四版（DSM-IV）新提出的代理型诈病类别，3）流行病学和病程，4）治疗与管理的新进展。
诈病并不常见，但却是严重疾病，会带来诊断和管理方面的困境。获取有关这些疾病的系统信息是一项重大挑战。
