. ▁ ▁A ▁child ▁who ▁in exp lic ably ▁d eter ior ates ▁whenever ▁dis charge ▁is ▁planned . ▁ ▁A ▁child ▁that ▁looks ▁for ▁c ue ing ▁from ▁a ▁parent ▁in ▁order ▁to ▁fe ign ▁ill ness ▁when ▁medical ▁personnel ▁are ▁present . ▁ ▁A ▁child ▁that ▁is ▁over ly ▁art ic ulate ▁regarding ▁medical ▁termin ology ▁and ▁their ▁own ▁disease ▁process ▁for ▁their ▁age . ▁ ▁A ▁child ▁that ▁presents ▁to ▁the ▁Emer gency ▁Department ▁with ▁a ▁history ▁of ▁repeat ▁ill ness , ▁injury , ▁or ▁hospital ization . ▁ ▁Ep ide mi ology ▁F DI A ▁is ▁rare . ▁A ▁study ▁in ▁Italy ▁found ▁that ▁ 4 ▁out ▁of ▁more ▁than ▁ 7 0 0 ▁children ▁admitted ▁to ▁the ▁hospital ▁met ▁the ▁criteria ▁( 0 . 5 3 %). ▁In ▁this ▁study , ▁string ent ▁di agnostic ▁criteria ▁were ▁used , ▁which ▁required ▁at ▁least ▁one ▁test ▁outcome ▁or ▁event ▁that ▁could ▁not ▁possibly ▁have ▁occurred ▁without ▁deliber ate ▁inter vention ▁by ▁the ▁F DI A ▁person . ▁One ▁study ▁showed ▁that ▁in ▁ 9 3 ▁percent ▁of ▁F DI A ▁cases , ▁the ▁ab user ▁is ▁the ▁mother ▁or ▁another ▁female ▁guard ian ▁or ▁care g iver . ▁ ▁A ▁psych od ynamic ▁model ▁of ▁this ▁kind ▁of ▁mat ernal ▁ab use ▁exists . ▁ ▁F DI A ▁may ▁be ▁more ▁pre val ent ▁in ▁the ▁parents ▁of ▁those ▁with ▁a ▁learning ▁difficulty ▁or ▁mental ▁in cap acity , ▁and ▁as ▁such ▁the ▁apparent ▁patient ▁could , ▁in ▁fact