Focus
Il disturbo somatoforme e fittizio
SOMATOFORM DISORDERS AND FACTITIOUS ILLNESS: THE CLINICAL PRESENTATION OF FOUR CASES
F. Marchetti, M. Lazzerini, R. Aliverti, A. Ventura
Giugno 2004 - pagg. 377 -381
Abstract
Somatoform disorders are common among children and adolescents. The authors describes
the clinical history of 4 out of 8 cases with somatoform or factitious disorders referred to
the Hospital during a period of one year (total number of admission: 130). Abnormal psychosocial
situations were found to be associated with onset and course of the disorders in
all cases. The level of school absenteism in adolescents with somatoform disorder is remarkably
higher than that reported in other chronic diseases. In some cases, physicians
and the health care system play a significant role in reinforcing somatisation by patients. It
is recommended that paediatricians include illness falsification by the child and adolescent
patients in the differential diagnosis of persistent and unexplained medical condition, along
with somatisation and malingering by proxy.
Classificazione MeSH
Bibliografia
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7. Thomas K. Munchausen syndrome by proxy: identification and diagnosis. J Pediatr Nurs 2003;18(3):174-80.
8. Gushurst CA. Child abuse: behavioral aspects and other associated problems. Pediatr Clin North Am 2003;50(4):919-38.
9. Marchetti F, D’Andrea N, D’Eramo A. L’abuso intrafamiliare all’infanzia. Quaderni acp 1997;1:26-30.
2. World Health Organization. Pocket guide to the ICD-10 Classification of mental and behavioural disorders-Churchill Livingstone, 1994 (trad. it. ICD 10. Classificazione delle sindromi e dei disturbi psichici e comportamentali. Descrizioni cliniche e direttive diagnostiche -CDCG. Criteri diagnostici per la ricerca -DCR. Milano: Masson, 1997).
3. Libow JA. Child and adolescent illness falsification. Pediatrics 2000;105 (2):336-42.
4. Cerchio R, Brondello C, Lenhardt A, Gagliardo A, Barbi E, Aliverti R, Marchetti F. Il malingering come causa di ricovero ospedaliero. Medico e Bambino 2002;6;391; pag. elettroniche: www.medicoebambino.com
5. Campo JV, Fritz G. Management model for pediatric somatization. Psychosomatics 2001;42(6):467-76.
6. Di Pietro M. La psicoterapia cognitivocomportamentale in età evolutiva. Medico e Bambino 2003; 22(suppl. 1):40-5.
7. Thomas K. Munchausen syndrome by proxy: identification and diagnosis. J Pediatr Nurs 2003;18(3):174-80.
8. Gushurst CA. Child abuse: behavioral aspects and other associated problems. Pediatr Clin North Am 2003;50(4):919-38.
9. Marchetti F, D’Andrea N, D’Eramo A. L’abuso intrafamiliare all’infanzia. Quaderni acp 1997;1:26-30.