▁ab use ▁another ▁child : ▁a ▁sib ling ▁or ▁other ▁child ▁in ▁the ▁family . ▁ ▁Fact it ious ▁dis order ▁im posed ▁on ▁another ▁can ▁have ▁many ▁long - term ▁emot ional ▁effects ▁on ▁a ▁child . ▁Depending ▁on ▁their ▁experience ▁of ▁medical ▁inter vent ions , ▁a ▁percentage ▁of ▁children ▁may ▁learn ▁that ▁they ▁are ▁most ▁likely ▁to ▁receive ▁the ▁positive ▁mat ernal ▁attention ▁they ▁cra ve ▁when ▁they ▁are ▁playing ▁the ▁sick ▁role ▁in ▁front ▁of ▁health ▁care ▁prov iders . ▁Several ▁case ▁reports ▁describe ▁M unch aus en ▁synd rome ▁patients ▁sus pected ▁of ▁themselves ▁having ▁been ▁F DI A ▁vict ims . ▁Se ek ing ▁personal ▁grat ification ▁through ▁ill ness ▁can ▁thus ▁become ▁a ▁lif el ong ▁and ▁multi - gener ational ▁dis order ▁in ▁some ▁cases . ▁ ▁In ▁stark ▁contrast , ▁other ▁reports ▁suggest ▁surv iv ors ▁of ▁F DI A ▁develop ▁an ▁avoid ance ▁of ▁medical ▁treatment ▁with ▁post - tra um atic ▁responses ▁to ▁it . ▁ ▁This ▁variation ▁possibly ▁reflect s ▁broad ▁statistics ▁on ▁surv iv ors ▁of ▁child ▁ab use ▁in ▁general , ▁where ▁around ▁ 3 5 % ▁of ▁ab users ▁were ▁a ▁victim ▁of ▁ab use ▁in ▁the ▁past . ▁ ▁The ▁adult ▁care - provider ▁who ▁has ▁ab used ▁the ▁child ▁often ▁seems ▁comfortable ▁and ▁not ▁ups et ▁over ▁the ▁child ' s ▁hospital ization . ▁While ▁the ▁child ▁is ▁hospital ized , ▁medical ▁profession als ▁must ▁monitor ▁the ▁care g iver ' s ▁vis its ▁to ▁prevent