Factitious disorders: Sociocultural and clinical factors among Saudi patients.

Author: Qureshi, Naseem Akhtar, Al Habeed, Tariq Ali, Abdelgadir, Muzamil, Al Ghamdy, Yasser S

Source:
Arab Journal of Psychiatry, 10, 28-140.
Examined the sociocultural and clinical features of factitious disorders in the light of Saudi culture. This case study comprised of 5 patients (aged 32-45 yrs) with factitious disorders who were identified through multiple interviews over a period of decade, i.e., from January 1983 to December 1995. At a sociodemographic level, most of these patients were characterized by lack of adequate education, dysfunctional marriages, and problematic large families. At an aetiological level, multiple psychosocial factors fairly consistent with the international literature were traced in all patients. Clinically extensive travelling, i.e, peregrination, pseudopathological lying, and aggressive behaviors were less intense in females, as compared to their male counterparts which could be attributed to cultural differences. Furthermore, four patients uniquely consulted traditional healers whose responses were varied. It is tentatively summarized that some components of Munchausen's syndrome are influenced pathoplastically by sociocultural dynamics of Saudi ArabiFurther research across cultures is needed for unentangling psychological, social and cultural perspectives of factitious disorders which may finally lead to the development of novel culturally sensitive treatment strategies.