The true incidence of
Munchausen syndrome by proxy (MSBP) is unknown. In the
United States, it is estimated that nearly 3 children out of every 100,000 who
are age 1 year or younger are victimized by a caregiver who has MSBP.1 This estimated incidence decreases to less than 1 child in
every 100,000 when the age range extends to all children age 16 years and
younger.1 Victims of MSBP are estimated to account for
fewer than 1 of every 3,000 reported cases of child abuse in the United States.
The number of male and female victims are about equal.
Children subjected to MSBP are most often younger than 6 years old.
However, MSBP has also involved older children, including teens. Older children
and teens subjected to this syndrome may cooperate with the offending
caregiver; for example, they may tell health professionals what the caregiver
has told them to say, or they may truly believe they have an illness.
Often several children in one family will be victims of MSBP,
although usually the caregiver with MSBP abuses only one child at a time.
The long-term effects on victims of MSBP vary depending on the
severity of abuse and the treatment. Some children die from the abuse, although
the exact number is difficult to determine.