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Frequency of ICD-10 Factitious Disorder: Survey of Senior Hospital Consultants and Physicians in Private Practice

Received December 5, 2005; revised February 10, 2006; accepted February 17, 2006. From the Dept. of Psychosomatic Medicine and Psychotherapy, Charité Universitätsmedizin Berlin, Germany; Dept. of Psychosomatic Medicine and Psychotherapy, University Hospital, Johannes-Gutenberg University, Mainz, Germany; Medical Center for Psychosomatic Medicine, University Hospital, Justus-Liebig-University, Giessen, Germany; Westphalian Center for Psychiatry, Dortmund, Germany; and the Dept. of Psychosomatic Medicine and Psychotherapy, Ruhr University Bochum, Germany. Send correspondence and reprint requests to Dr. Herbert Fliege, Psychosomatic Medicine and Psychotherapy, Charité Universitätsmedizin Berlin, Luisenstrasse 13 a, D-10117 Berlin, Germany. e-mail: herbert.fliege{at}charite.de

The authors surveyed physicians for frequency estimates of factitious disorder among their patients. Twenty-six physicians in independent practice and 83 senior hospital consultants in internal medicine, surgery, neurology, and dermatology participated. They completed a questionnaire including the estimated 1-year prevalence of factitious disorder among their patients. Frequency estimates averaged 1.3% (0.0001%–15%). The number of patients treated correlated negatively with frequency estimates. Dermatologists and neurologists gave the highest estimations. One-third of the physicians rated themselves as insufficiently informed. Frequency estimations did not differ by information level. The estimated frequency is substantial and comparable to earlier findings. Authors discuss clinical implications.

This article has been cited by other articles:

				L. E. Krahn, J. M. Bostwick, and C. M. Stonnington Looking Toward DSM-V: Should Factitious Disorder Become a Subtype of Somatoform Disorder? Psychosomatics, July 1, 2008; 49(4): 277 - 282. [Abstract] [Full Text] [PDF]

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