Abstract：
Patients with factitious disorder imposed on self (FDIS) seek medical care for deliberately falsified problems. Although a large amount of work has been published, the scientific literature lacks robust data on FDIS. The present study aimed to estimate the annual mean of in-hospital FDIS codings in France, describe the sociodemographic characteristics of subjects with FDIS, assess healthcare utilisation and medical nomadism, and describe the pathologies most frequently associated with FDIS.
Subjects with at least one coding of FDIS in French health insurance databases between January 1, 2009, and December 31, 2017 were included. Subjects younger than 18 years of age at the time of first coding were excluded from the study. Sociodemographic data of subjects and diagnoses associated with the first coding of FDIS were collected. Healthcare utilisation and medical nomadism were analysed descriptively from one year before to one year after the first FDIS coding.
2232 subjects were included, representing an average of 248 new in-hospital FDIS codings per year. The subjects included were 58.2% female. The mean age at diagnosis was 48.5 years. In the year following the first coding of FDIS, 1268 subjects (56.8%) were re-hospitalised at least once, including 159 (7.1%) with at least one new coding for FDIS. From one year before to one year after the first coding of FDIS, 66% of the subjects included had received at least one prescription for benzodiazepines, 58.3% for antidepressants, and 42.6% for antipsychotics.
Our findings bring new data working towards a better understanding of FDIS. The consumption of psychotropic drugs is particularly frequent in patients with FDIS.
Subjects with at least one coding of FDIS in French health insurance databases between January 1, 2009, and December 31, 2017 were included. Subjects younger than 18 years of age at the time of first coding were excluded from the study. Sociodemographic data of subjects and diagnoses associated with the first coding of FDIS were collected. Healthcare utilisation and medical nomadism were analysed descriptively from one year before to one year after the first FDIS coding.
2232 subjects were included, representing an average of 248 new in-hospital FDIS codings per year. The subjects included were 58.2% female. The mean age at diagnosis was 48.5 years. In the year following the first coding of FDIS, 1268 subjects (56.8%) were re-hospitalised at least once, including 159 (7.1%) with at least one new coding for FDIS. From one year before to one year after the first coding of FDIS, 66% of the subjects included had received at least one prescription for benzodiazepines, 58.3% for antidepressants, and 42.6% for antipsychotics.
Our findings bring new data working towards a better understanding of FDIS. The consumption of psychotropic drugs is particularly frequent in patients with FDIS.
摘要：
目的：患有自我人为障碍（FDIS）的患者因故意伪造的问题而寻求医疗护理。虽然已经发表了大量的作品，科学文献缺乏关于FDIS的可靠数据。本研究旨在估计法国住院FDIS编码的年平均值，描述FDIS受试者的社会人口统计学特征，评估医疗保健利用率和医疗游牧，并描述最常见的与FDIS相关的病理。
方法：纳入了2009年1月1日至2017年12月31日在法国健康保险数据库中至少有一个FDIS编码的受试者。首次编码时年龄小于18岁的受试者被排除在研究之外。收集与FDIS的第一编码相关的受试者和诊断的社会人口统计学数据。从第一次FDIS编码前一年到后一年，对医疗保健利用和医疗游牧进行了描述性分析。
结果：纳入2232名受试者，代表平均每年248个新的住院FDIS编码。包括的受试者为58.2%的女性。诊断时的平均年龄为48.5岁。在FDIS第一次编码后的一年里，1268名受试者（56.8%）至少再次住院一次，包括159个(7.1%)，至少有一个新的FDIS编码。从FDIS第一次编码前一年到后一年，66％的受试者接受了至少一种苯二氮卓类药物的处方，58.3％用于抗抑郁药，抗精神病药物占42.6%。
结论：我们的发现为更好地理解FDIS带来了新的数据。在FDIS患者中，精神药物的消费尤其频繁。
方法：纳入了2009年1月1日至2017年12月31日在法国健康保险数据库中至少有一个FDIS编码的受试者。首次编码时年龄小于18岁的受试者被排除在研究之外。收集与FDIS的第一编码相关的受试者和诊断的社会人口统计学数据。从第一次FDIS编码前一年到后一年，对医疗保健利用和医疗游牧进行了描述性分析。
结果：纳入2232名受试者，代表平均每年248个新的住院FDIS编码。包括的受试者为58.2%的女性。诊断时的平均年龄为48.5岁。在FDIS第一次编码后的一年里，1268名受试者（56.8%）至少再次住院一次，包括159个(7.1%)，至少有一个新的FDIS编码。从FDIS第一次编码前一年到后一年，66％的受试者接受了至少一种苯二氮卓类药物的处方，58.3％用于抗抑郁药，抗精神病药物占42.6%。
结论：我们的发现为更好地理解FDIS带来了新的数据。在FDIS患者中，精神药物的消费尤其频繁。
