Evaluation of clinical diagnostic criteria for psychogenic movement disorders
Identifieur interne : 002107 ( Istex/Corpus ); précédent : 002106; suivant : 002108Evaluation of clinical diagnostic criteria for psychogenic movement disorders
Auteurs : Holly Shill ; Paula GerberSource :
- Movement Disorders [ 0885-3185 ] ; 2006-08.
English descriptors
Abstract
Previous studies showed that there are certain features suggestive of a psychogenic disorder, and Fahn and Williams proposed criteria for psychogenic movement disorders. Data on the sensitivity and specificity of these criteria are lacking. We expanded on the Fahn and Williams criteria to create a new set of diagnostic criteria. We retrospectively reviewed 79 patients in a movement disorders specialty clinic. We applied the proposed diagnostic criteria to both cases and controls and analyzed sensitivity and specificity. The diagnostic criteria correctly identified “clinically probable” (or better) psychogenic movement disorders with a sensitivity of 83% and specificity of 100%. For “clinically possible” or greater, sensitivity was 97% and specificity was 96%. In addition, a significantly higher proportion of patients with psychogenic disease were female and reported either a family history of neurological disease or other exposure to neurological disease (P = 0.001 and 0.01, respectively). The diagnostic criteria are simple to apply and have high sensitivity and specificity for psychogenic movement disorders. Also, we report a correlation between previous exposure to a disease model and psychogenic disease. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.20921
Links to Exploration step
ISTEX:57C3B53AF79108CC07247D2B3034FA8C599EDEC9Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title><author><name sortKey="Shill, Holly" sort="Shill, Holly" uniqKey="Shill H" first="Holly" last="Shill">Holly Shill</name><affiliation><mods:affiliation>Division of Movement Disorders, Barrow Neurological Institute, Phoenix, Arizona, USA</mods:affiliation></affiliation></author><author><name sortKey="Gerber, Paula" sort="Gerber, Paula" uniqKey="Gerber P" first="Paula" last="Gerber">Paula Gerber</name><affiliation><mods:affiliation>Barrow Neurological Institute, Phoenix, Arizona, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:57C3B53AF79108CC07247D2B3034FA8C599EDEC9</idno><date when="2006" year="2006">2006</date><idno type="doi">10.1002/mds.20921</idno><idno type="url">https://api.istex.fr/document/57C3B53AF79108CC07247D2B3034FA8C599EDEC9/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002107</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title><author><name sortKey="Shill, Holly" sort="Shill, Holly" uniqKey="Shill H" first="Holly" last="Shill">Holly Shill</name><affiliation><mods:affiliation>Division of Movement Disorders, Barrow Neurological Institute, Phoenix, Arizona, USA</mods:affiliation></affiliation></author><author><name sortKey="Gerber, Paula" sort="Gerber, Paula" uniqKey="Gerber P" first="Paula" last="Gerber">Paula Gerber</name><affiliation><mods:affiliation>Barrow Neurological Institute, Phoenix, Arizona, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-08">2006-08</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1163">1163</biblScope><biblScope unit="page" to="1168">1168</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">57C3B53AF79108CC07247D2B3034FA8C599EDEC9</idno><idno type="DOI">10.1002/mds.20921</idno><idno type="ArticleID">MDS20921</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>conversion disorder</term><term>diagnostic criteria</term><term>movement disorder</term><term>psychogenic</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Previous studies showed that there are certain features suggestive of a psychogenic disorder, and Fahn and Williams proposed criteria for psychogenic movement disorders. Data on the sensitivity and specificity of these criteria are lacking. We expanded on the Fahn and Williams criteria to create a new set of diagnostic criteria. We retrospectively reviewed 79 patients in a movement disorders specialty clinic. We applied the proposed diagnostic criteria to both cases and controls and analyzed sensitivity and specificity. The diagnostic criteria correctly identified “clinically probable” (or better) psychogenic movement disorders with a sensitivity of 83% and specificity of 100%. For “clinically possible” or greater, sensitivity was 97% and specificity was 96%. In addition, a significantly higher proportion of patients with psychogenic disease were female and reported either a family history of neurological disease or other exposure to neurological disease (P = 0.001 and 0.01, respectively). The diagnostic criteria are simple to apply and have high sensitivity and specificity for psychogenic movement disorders. Also, we report a correlation between previous exposure to a disease model and psychogenic disease. © 2006 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Holly Shill MD</name><affiliations><json:string>Division of Movement Disorders, Barrow Neurological Institute, Phoenix, Arizona, USA</json:string></affiliations></json:item><json:item><name>Paula Gerber MD</name><affiliations><json:string>Barrow Neurological Institute, Phoenix, Arizona, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>psychogenic</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>conversion disorder</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>movement disorder</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>diagnostic criteria</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Previous studies showed that there are certain features suggestive of a psychogenic disorder, and Fahn and Williams proposed criteria for psychogenic movement disorders. Data on the sensitivity and specificity of these criteria are lacking. We expanded on the Fahn and Williams criteria to create a new set of diagnostic criteria. We retrospectively reviewed 79 patients in a movement disorders specialty clinic. We applied the proposed diagnostic criteria to both cases and controls and analyzed sensitivity and specificity. The diagnostic criteria correctly identified “clinically probable” (or better) psychogenic movement disorders with a sensitivity of 83% and specificity of 100%. For “clinically possible” or greater, sensitivity was 97% and specificity was 96%. In addition, a significantly higher proportion of patients with psychogenic disease were female and reported either a family history of neurological disease or other exposure to neurological disease (P = 0.001 and 0.01, respectively). The diagnostic criteria are simple to apply and have high sensitivity and specificity for psychogenic movement disorders. Also, we report a correlation between previous exposure to a disease model and psychogenic disease. © 2006 Movement Disorder Society</abstract><qualityIndicators><score>5.088</score><pdfVersion>1.3</pdfVersion><pdfPageSize>594 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1259</abstractCharCount><pdfWordCount>2916</pdfWordCount><pdfCharCount>20790</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>181</abstractWordCount></qualityIndicators><title>Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title><genre><json:string>Serial article</json:string></genre><host><volume>21</volume><pages><total>6</total><last>1168</last><first>1163</first></pages><issn><json:string>0885-3185</json:string></issn><issue>8</issue><subject><json:item><value>Research Article</value></json:item></subject><genre></genre><language><json:string>unknown</json:string></language><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>2006</publicationDate><copyrightDate>2006</copyrightDate><doi><json:string>10.1002/mds.20921</json:string></doi><id>57C3B53AF79108CC07247D2B3034FA8C599EDEC9</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/57C3B53AF79108CC07247D2B3034FA8C599EDEC9/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/57C3B53AF79108CC07247D2B3034FA8C599EDEC9/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/57C3B53AF79108CC07247D2B3034FA8C599EDEC9/fulltext/tei"><teiHeader type="text"><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Wiley Subscription Services, Inc., A Wiley Company</p></availability><date>2006</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title><author><persName><forename type="first">Holly</forename><surname>Shill</surname><roleName type="degree">MD</roleName></persName><note type="correspondence"><p>Correspondence: Barrow Neurological Institute, Division of Movement Disorders, 500 W. Thomas Road, Ste 720, Phoenix, AZ 85013</p></note><affiliation>Division of Movement Disorders, Barrow Neurological Institute, Phoenix, Arizona, USA</affiliation></author><author><persName><forename type="first">Paula</forename><surname>Gerber</surname><roleName type="degree">MD</roleName></persName><affiliation>Barrow Neurological Institute, Phoenix, Arizona, USA</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-08"></date><biblScope unit="vol">21</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1163">1163</biblScope><biblScope unit="page" to="1168">1168</biblScope></imprint></monogr><idno type="istex">57C3B53AF79108CC07247D2B3034FA8C599EDEC9</idno><idno type="DOI">10.1002/mds.20921</idno><idno type="ArticleID">MDS20921</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2006</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Previous studies showed that there are certain features suggestive of a psychogenic disorder, and Fahn and Williams proposed criteria for psychogenic movement disorders. Data on the sensitivity and specificity of these criteria are lacking. We expanded on the Fahn and Williams criteria to create a new set of diagnostic criteria. We retrospectively reviewed 79 patients in a movement disorders specialty clinic. We applied the proposed diagnostic criteria to both cases and controls and analyzed sensitivity and specificity. The diagnostic criteria correctly identified “clinically probable” (or better) psychogenic movement disorders with a sensitivity of 83% and specificity of 100%. For “clinically possible” or greater, sensitivity was 97% and specificity was 96%. In addition, a significantly higher proportion of patients with psychogenic disease were female and reported either a family history of neurological disease or other exposure to neurological disease (P = 0.001 and 0.01, respectively). The diagnostic criteria are simple to apply and have high sensitivity and specificity for psychogenic movement disorders. Also, we report a correlation between previous exposure to a disease model and psychogenic disease. © 2006 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>psychogenic</term></item><item><term>conversion disorder</term></item><item><term>movement disorder</term></item><item><term>diagnostic criteria</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2005-08-01">Received</change><change when="2005-12-23">Registration</change><change when="2006-08">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/57C3B53AF79108CC07247D2B3034FA8C599EDEC9/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="80"><doi origin="wiley" registered="yes">10.1002/mds.v21:8</doi><numberingGroup><numbering type="journalVolume" number="21">21</numbering><numbering type="journalIssue">8</numbering></numberingGroup><coverDate startDate="2006-08">August 2006</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="180" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.20921</doi><idGroup><id type="unit" value="MDS20921"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="articleCategory">Research Article</title><title type="tocHeading1">Research Articles</title></titleGroup><copyright ownership="thirdParty">Copyright © 2006 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="2005-08-01"></event><event type="manuscriptRevised" date="2005-11-20"></event><event type="manuscriptAccepted" date="2005-12-23"></event><event type="publishedOnlineEarlyUnpaginated" date="2006-05-09"></event><event type="firstOnline" date="2006-05-09"></event><event type="publishedOnlineFinalForm" date="2006-08-22"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">1163</numbering><numbering type="pageLast">1168</numbering></numberingGroup><correspondenceTo>Barrow Neurological Institute, Division of Movement Disorders, 500 W. Thomas Road, Ste 720, Phoenix, AZ 85013</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS20921.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="6"></count><count type="referenceTotal" number="10"></count><count type="wordTotal" number="3470"></count></countGroup><titleGroup><title type="main" xml:lang="en">Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title><title type="short" xml:lang="en">Evaluation of Clinical Diagnostic Criteria</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Holly</givenNames><familyName>Shill</familyName><degrees>MD</degrees></personName><contactDetails><email>hshill@chw.edu</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Paula</givenNames><familyName>Gerber</familyName><degrees>MD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Division of Movement Disorders, Barrow Neurological Institute, Phoenix, Arizona, USA</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Barrow Neurological Institute, Phoenix, Arizona, USA</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">psychogenic</keyword><keyword xml:id="kwd2">conversion disorder</keyword><keyword xml:id="kwd3">movement disorder</keyword><keyword xml:id="kwd4">diagnostic criteria</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Previous studies showed that there are certain features suggestive of a psychogenic disorder, and Fahn and Williams proposed criteria for psychogenic movement disorders. Data on the sensitivity and specificity of these criteria are lacking. We expanded on the Fahn and Williams criteria to create a new set of diagnostic criteria. We retrospectively reviewed 79 patients in a movement disorders specialty clinic. We applied the proposed diagnostic criteria to both cases and controls and analyzed sensitivity and specificity. The diagnostic criteria correctly identified “clinically probable” (or better) psychogenic movement disorders with a sensitivity of 83% and specificity of 100%. For “clinically possible” or greater, sensitivity was 97% and specificity was 96%. In addition, a significantly higher proportion of patients with psychogenic disease were female and reported either a family history of neurological disease or other exposure to neurological disease (<i>P</i> = 0.001 and 0.01, respectively). The diagnostic criteria are simple to apply and have high sensitivity and specificity for psychogenic movement disorders. Also, we report a correlation between previous exposure to a disease model and psychogenic disease. © 2006 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Evaluation of Clinical Diagnostic Criteria</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Evaluation of clinical diagnostic criteria for psychogenic movement disorders</title></titleInfo><name type="personal"><namePart type="given">Holly</namePart><namePart type="family">Shill</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Division of Movement Disorders, Barrow Neurological Institute, Phoenix, Arizona, USA</affiliation><description>Correspondence: Barrow Neurological Institute, Division of Movement Disorders, 500 W. Thomas Road, Ste 720, Phoenix, AZ 85013</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Paula</namePart><namePart type="family">Gerber</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Barrow Neurological Institute, Phoenix, Arizona, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2006-08</dateIssued><dateCaptured encoding="w3cdtf">2005-08-01</dateCaptured><dateValid encoding="w3cdtf">2005-12-23</dateValid><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">6</extent><extent unit="references">10</extent><extent unit="words">3470</extent></physicalDescription><abstract lang="en">Previous studies showed that there are certain features suggestive of a psychogenic disorder, and Fahn and Williams proposed criteria for psychogenic movement disorders. Data on the sensitivity and specificity of these criteria are lacking. We expanded on the Fahn and Williams criteria to create a new set of diagnostic criteria. We retrospectively reviewed 79 patients in a movement disorders specialty clinic. We applied the proposed diagnostic criteria to both cases and controls and analyzed sensitivity and specificity. The diagnostic criteria correctly identified “clinically probable” (or better) psychogenic movement disorders with a sensitivity of 83% and specificity of 100%. For “clinically possible” or greater, sensitivity was 97% and specificity was 96%. In addition, a significantly higher proportion of patients with psychogenic disease were female and reported either a family history of neurological disease or other exposure to neurological disease (P = 0.001 and 0.01, respectively). The diagnostic criteria are simple to apply and have high sensitivity and specificity for psychogenic movement disorders. Also, we report a correlation between previous exposure to a disease model and psychogenic disease. © 2006 Movement Disorder Society</abstract><subject lang="en"><genre>Keywords</genre><topic>psychogenic</topic><topic>conversion disorder</topic><topic>movement disorder</topic><topic>diagnostic criteria</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2006</date><detail type="volume"><caption>vol.</caption><number>21</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>1163</start><end>1168</end><total>6</total></extent></part></relatedItem><identifier type="istex">57C3B53AF79108CC07247D2B3034FA8C599EDEC9</identifier><identifier type="DOI">10.1002/mds.20921</identifier><identifier type="ArticleID">MDS20921</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2006 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002107 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 002107 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:57C3B53AF79108CC07247D2B3034FA8C599EDEC9
|texte= Evaluation of clinical diagnostic criteria for psychogenic movement disorders
}}
| This area was generated with Dilib version V0.6.23. |  |