Phenomenology and outcome of factitious disorders in otolaryngology clinic in Oman

Deepa Bhargava, Rashid Al-Abri, Syed Gauher A Rizvi, Mohammed H. Al Okbi, Kamlesh Bhargava, Samir Al-Adawi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The phenomenology of factitious disorders from the Arab part of the world has been lacking in the medical literature and few reports have emerged from otolaryngology. Using an observational prospective case series study (n = 19) with long-term follow-up (two to six years), the present study reports the magnitude and mode of clinical profile of factitious disorders in a tertiary care hospital in Oman, an Arab-Islamic country. The outcome was operationalized as prognosis following culturally sensitive intervention akin to confrontation technique. The present observation suggests the prevalence of factitious disorders in the otolaryngology tertiary care setting was 0.2%. Approximately 42.1% (n = 8) had hemorrhagic factitious disorders, 15.8% (n = 3) were those who feigned for multiple surgical interventions. Approximately 15.8% (n = 3) presented neurological factitious disorders while the remaining 26.3% (n = 5) clinical profile suggested minor feigned illnesses. Objective "evidence factitia" was present in 68.4% (n = 13) of the cases. On subsequent follow-up, nine patients with chronic forms became asymptomatic, three patients had fewer episodes, four patients were unchanged, and three patients were lost to follow-up. The prognosis was good in patients who did not have associated psychiatric illnesses as compared to those with psychiatric disorders. Factitious disorders are often incorrectly diagnosed, with all consequences in terms of adverse sequels. The observed good prognostic outcomes are discussed in the context of socio-cultural patterning and the factors that may shape the presentation of factitious disorders in Oman.

Original languageEnglish
Pages (from-to)229-240
Number of pages12
JournalInternational Journal of Psychiatry in Medicine
Volume37
Issue number2
DOIs
Publication statusPublished - 2007

Fingerprint

Factitious Disorders
Oman
Otolaryngology
Tertiary Healthcare
Psychiatry
Arab World
Hemorrhagic Disorders
Middle East
Lost to Follow-Up
Nervous System Diseases
Tertiary Care Centers

Keywords

  • Adult
  • Case series
  • Cross-culture
  • Factitious disorder
  • Oman
  • Otolaryngology

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Phenomenology and outcome of factitious disorders in otolaryngology clinic in Oman. / Bhargava, Deepa; Al-Abri, Rashid; Rizvi, Syed Gauher A; Al Okbi, Mohammed H.; Bhargava, Kamlesh; Al-Adawi, Samir.

In: International Journal of Psychiatry in Medicine, Vol. 37, No. 2, 2007, p. 229-240.

Research output: Contribution to journalArticle

@article{ed8ab1e79b87449f9381b555b1932330,
title = "Phenomenology and outcome of factitious disorders in otolaryngology clinic in Oman",
abstract = "The phenomenology of factitious disorders from the Arab part of the world has been lacking in the medical literature and few reports have emerged from otolaryngology. Using an observational prospective case series study (n = 19) with long-term follow-up (two to six years), the present study reports the magnitude and mode of clinical profile of factitious disorders in a tertiary care hospital in Oman, an Arab-Islamic country. The outcome was operationalized as prognosis following culturally sensitive intervention akin to confrontation technique. The present observation suggests the prevalence of factitious disorders in the otolaryngology tertiary care setting was 0.2{\%}. Approximately 42.1{\%} (n = 8) had hemorrhagic factitious disorders, 15.8{\%} (n = 3) were those who feigned for multiple surgical interventions. Approximately 15.8{\%} (n = 3) presented neurological factitious disorders while the remaining 26.3{\%} (n = 5) clinical profile suggested minor feigned illnesses. Objective {"}evidence factitia{"} was present in 68.4{\%} (n = 13) of the cases. On subsequent follow-up, nine patients with chronic forms became asymptomatic, three patients had fewer episodes, four patients were unchanged, and three patients were lost to follow-up. The prognosis was good in patients who did not have associated psychiatric illnesses as compared to those with psychiatric disorders. Factitious disorders are often incorrectly diagnosed, with all consequences in terms of adverse sequels. The observed good prognostic outcomes are discussed in the context of socio-cultural patterning and the factors that may shape the presentation of factitious disorders in Oman.",
keywords = "Adult, Case series, Cross-culture, Factitious disorder, Oman, Otolaryngology",
author = "Deepa Bhargava and Rashid Al-Abri and Rizvi, {Syed Gauher A} and {Al Okbi}, {Mohammed H.} and Kamlesh Bhargava and Samir Al-Adawi",
year = "2007",
doi = "10.2190/3175-282H-11U4-1U07",
language = "English",
volume = "37",
pages = "229--240",
journal = "International Journal of Psychiatry in Medicine",
issn = "0091-2174",
publisher = "Baywood Publishing Co. Inc.",
number = "2",

}

TY - JOUR

T1 - Phenomenology and outcome of factitious disorders in otolaryngology clinic in Oman

AU - Bhargava, Deepa

AU - Al-Abri, Rashid

AU - Rizvi, Syed Gauher A

AU - Al Okbi, Mohammed H.

AU - Bhargava, Kamlesh

AU - Al-Adawi, Samir

PY - 2007

Y1 - 2007

N2 - The phenomenology of factitious disorders from the Arab part of the world has been lacking in the medical literature and few reports have emerged from otolaryngology. Using an observational prospective case series study (n = 19) with long-term follow-up (two to six years), the present study reports the magnitude and mode of clinical profile of factitious disorders in a tertiary care hospital in Oman, an Arab-Islamic country. The outcome was operationalized as prognosis following culturally sensitive intervention akin to confrontation technique. The present observation suggests the prevalence of factitious disorders in the otolaryngology tertiary care setting was 0.2%. Approximately 42.1% (n = 8) had hemorrhagic factitious disorders, 15.8% (n = 3) were those who feigned for multiple surgical interventions. Approximately 15.8% (n = 3) presented neurological factitious disorders while the remaining 26.3% (n = 5) clinical profile suggested minor feigned illnesses. Objective "evidence factitia" was present in 68.4% (n = 13) of the cases. On subsequent follow-up, nine patients with chronic forms became asymptomatic, three patients had fewer episodes, four patients were unchanged, and three patients were lost to follow-up. The prognosis was good in patients who did not have associated psychiatric illnesses as compared to those with psychiatric disorders. Factitious disorders are often incorrectly diagnosed, with all consequences in terms of adverse sequels. The observed good prognostic outcomes are discussed in the context of socio-cultural patterning and the factors that may shape the presentation of factitious disorders in Oman.

AB - The phenomenology of factitious disorders from the Arab part of the world has been lacking in the medical literature and few reports have emerged from otolaryngology. Using an observational prospective case series study (n = 19) with long-term follow-up (two to six years), the present study reports the magnitude and mode of clinical profile of factitious disorders in a tertiary care hospital in Oman, an Arab-Islamic country. The outcome was operationalized as prognosis following culturally sensitive intervention akin to confrontation technique. The present observation suggests the prevalence of factitious disorders in the otolaryngology tertiary care setting was 0.2%. Approximately 42.1% (n = 8) had hemorrhagic factitious disorders, 15.8% (n = 3) were those who feigned for multiple surgical interventions. Approximately 15.8% (n = 3) presented neurological factitious disorders while the remaining 26.3% (n = 5) clinical profile suggested minor feigned illnesses. Objective "evidence factitia" was present in 68.4% (n = 13) of the cases. On subsequent follow-up, nine patients with chronic forms became asymptomatic, three patients had fewer episodes, four patients were unchanged, and three patients were lost to follow-up. The prognosis was good in patients who did not have associated psychiatric illnesses as compared to those with psychiatric disorders. Factitious disorders are often incorrectly diagnosed, with all consequences in terms of adverse sequels. The observed good prognostic outcomes are discussed in the context of socio-cultural patterning and the factors that may shape the presentation of factitious disorders in Oman.

KW - Adult

KW - Case series

KW - Cross-culture

KW - Factitious disorder

KW - Oman

KW - Otolaryngology

UR - http://www.scopus.com/inward/record.url?scp=34547930747&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34547930747&partnerID=8YFLogxK

U2 - 10.2190/3175-282H-11U4-1U07

DO - 10.2190/3175-282H-11U4-1U07

M3 - Article

VL - 37

SP - 229

EP - 240

JO - International Journal of Psychiatry in Medicine

JF - International Journal of Psychiatry in Medicine

SN - 0091-2174

IS - 2

ER -