Munchausen syndrome, depression and the dexamethasone suppression test

D. L. Evans, J. K. Hsiao, Charles Nemeroff

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Abstract

The authors describe two patients with Munchausen syndrome who met DSM-III criteria for major depression. Both patients exhibited evidence of nonsuppression of serum cortisol by dexamethasone. Although many patients with Munchausen syndrome have been reported to be depressed, only a few have received a diagnosis of major depression. Because the physical and psychiatric symptoms of the Munchausen patient are so complex, clinical assessment may stop at a diagnosis of Munchausen syndrome, and major depresssion may be overlooked. A diagnosis of major depression should be considered in the evaluation of these patients; the dexamethasone suppression test may enhance clinical assessment.

Original languageEnglish
Pages (from-to)570-572
Number of pages3
JournalAmerican Journal of Psychiatry
Volume141
Issue number4
StatePublished - Jan 1 1984
Externally publishedYes

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ASJC Scopus subject areas

  • Psychiatry and Mental health

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