A Scoping Review of Treatment for Factitious Disorder (Imposed on Self)
Open accessAbstract
Introduction Factitious disorder imposed on self (FDIS) has a deleterious impact on sufferers through the sequalae of induced illness as well as the consequences of unnecessary investigations and treatments. Objective This scoping review aimed to map the existing literature regarding the types of data, data quality, treatment options and outcomes, and changes in treatment approaches over time. Method A search was performed using Ovid Medline, Ovid Embase, Ovid PsycINFO, Cumulated Index in Nursing and Allied Health Literature (CINAHL), Central Register of Controlled Trials, Scopus, and Google Scholar. Results Seventy-two studies were included (71 case reports and one case series) relating to the management of 107 participants. The quality of reporting was limited for 61% of studies. The most common factitious illnesses were dermatological manipulation creating a skin lesion, anaemia, and bleeding. The most common treatments were supportive psychotherapy, psychiatric hospitalisation, and antidepressants. Mapping publications across time revealed that 50% of all data were published after 2011, and medication treatments became more common over time. Confrontation was reported in 40% of participants. Conclusions Evidence has expanded slightly in the past 17 years and this data remains exclusively at the case study level. Data relating to management were of poor quality and incompletely reported. The high frequency of confrontation and positive outcomes reported is suggestive of se…
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Latest research in the management of factitious disorder is limited, with most data generated from case reports or case series.
“Latest research in the management of factitious disorder is limited, with most data generated from case reports or case series [81].”
From Non-Diabetic Hypoglycemia: Evaluation and Management in Adults (2025) · cites this paper as [81]
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- Authors
- Liu, R. K., Green, J., & Newton, R.
- Affiliations
- UNSW Sydney (AU)
- Deakin University (AU)
- Monash Alfred Psychiatry Research centre (AU)
- Corresponding author
- Liu, Rose Kong
- Venue
- Psychiatry Research Communications
- Publisher
- Elsevier BV
- Published
- 2025-06
- Volume
- 5
- Issue
- 2
- Pages
- 100216
- ISSN
- 2772-5987 (ISSN-L)
- OpenAlex
- W4410578190
- Cited by
- 11
- References
- 19
- Citations by year
- 2026: 8 · 2025: 3
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Psychiatry Research Communications (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Deakin Research Online (Deakin University) (cc-by)
- Deakin Research Online (Deakin University)
- Funders
- Monash University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Social Psychology › Deception detection and forensic psychology
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- factitious disorder, treatment options, confrontation therapy, supportive therapy, psychiatric hospitalization, antidepressants, publication bias, reporting quality
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