PDF(Pubmed)
Abstract：
UNASSIGNED: Factitious disorder is characterized by a pattern of abnormal behavior in which patients deliberately produce, falsify, or exaggerate physical and/or psychological symptoms that have no, or little, organic basis, to assume the sick role. In the context of a factitious disorder, depression can be both a feigned disease and an associated comorbidity. We performed a systematic review to provide an overview of the relationship between factitious disorder and depression, describe the prevalence of depression in factitious disorder, and identify factors that can contribute to the development of depression in patients suffering from factitious disorder.
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.
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.
摘要：
■动作障碍的特征是患者故意产生的异常行为模式，伪造,或夸大没有的身体和/或心理症状，或者很少，有机基础,承担生病的角色。在人为障碍的背景下，抑郁症既可以是一种假病，也可以是一种相关的共病。我们进行了系统评价，以概述人为障碍和抑郁症之间的关系。描述抑郁症在人为障碍中的患病率，并确定可能导致患有人为障碍的患者抑郁症发展的因素。
■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。
■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。
