UNASSIGNED: A literature search was performed using the electronic databases PubMed, EMBASE and Cochrane Library following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were eligible for inclusion in this review if they investigated factitious disorder or Munchausen Syndrome with comorbid depression.
UNASSIGNED: Depression was found to be highly prevalent in factitious disorder, affecting around 30% of the samples. Risk factors for depression in factitious disorder included having suffered from childhood and adulthood traumatic experiences and having a history of psychosocial problems.
UNASSIGNED: The treatment of factitious disorder is challenging and requires a multidisciplinary team approach. Given the high levels of depression in patients with factitious disorder, we recommend to always screen for depression once a factitious disorder is diagnosed.
■使用电子数据库PubMed,EMBASE和Cochrane图书馆遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目。如果研究人员调查了人为障碍或Munchausen综合征合并抑郁症,则有资格纳入本综述。
■发现抑郁症在人为障碍中非常普遍,影响大约30%的样本。人为障碍中抑郁症的危险因素包括患有童年和成年创伤经历以及有心理社会问题史。
■人为障碍的治疗具有挑战性,需要多学科的团队方法。鉴于人为障碍患者的抑郁水平很高,一旦诊断出人为障碍,我们建议始终筛查抑郁症。