Validation of the Innsbruck REM sleep behavior disorder inventory.
Identifieur interne : 000B58 ( Main/Exploration ); précédent : 000B57; suivant : 000B59Validation of the Innsbruck REM sleep behavior disorder inventory.
Auteurs : Birgit Frauscher [Autriche] ; Laura Ehrmann ; Laura Zamarian ; Florentine Auer ; Thomas Mitterling ; David Gabelia ; Elisabeth Brandauer ; Margarete Delazer ; Werner Poewe [Autriche] ; Birgit HöglSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2012.
English descriptors
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- MESH :
Abstract
A diagnosis of definite REM sleep behavior disorder requires both a positive history for REM sleep behavior disorder and polysomnographic demonstration of REM sleep without atonia. To improve and facilitate screening for REM sleep behavior disorder, there is a need for simple clinical tools with sufficient sensitivity and specificity for the identification of subjects with probable REM sleep behavior disorder. We developed a short REM sleep behavior disorder screening questionnaire with 7 REM sleep behavior disorder- and 2 non-REM sleep behavior disorder-specific control items and performed a validation study in 70 REM sleep behavior disorder subjects and 140 sleep disorder controls. Response patterns to all 7 REM sleep behavior disorder-specific items differed between REM sleep behavior disorder and non-REM sleep behavior disorder patients (all P < 0.05), whereas the 2 non-REM sleep behavior disorder-specific control items did not differentiate between REM sleep behavior disorder and non-REM sleep behavior disorder (all P > .05). In 5 of the 7 REM sleep behavior disorder-specific items, AUC was greater than 0.700. These 5 items were included in the Innsbruck REM sleep behavior disorder inventory. In this questionnaire, a cutoff of 0.25 (number of positive symptoms divided by number of answered questions) had a sensitivity of 0.914 and a specificity of 0.857 for both idiopathic and Parkinson's-related REM sleep behavior disorder (AUC, 0.886). The Innsbruck REM sleep behavior disorder inventory is a promising, easy-to-use, short screening tool for REM sleep behavior disorder with excellent sensitivity and specificity for both idiopathic and Parkinson's-related REM sleep behavior disorder.
DOI: 10.1002/mds.25223
PubMed: 23192924
Affiliations:
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xml:lang="en">Validation of the Innsbruck REM sleep behavior disorder inventory.</title><author><name sortKey="Frauscher, Birgit" sort="Frauscher, Birgit" uniqKey="Frauscher B" first="Birgit" last="Frauscher">Birgit Frauscher</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Innsbruck Medical University, Innsbruck, Austria. birgit.frauscher@i-med.ac.at</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, Innsbruck Medical University, Innsbruck</wicri:regionArea><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Ehrmann, Laura" sort="Ehrmann, Laura" uniqKey="Ehrmann L" first="Laura" last="Ehrmann">Laura Ehrmann</name></author><author><name sortKey="Zamarian, Laura" sort="Zamarian, Laura" uniqKey="Zamarian L" first="Laura" last="Zamarian">Laura Zamarian</name></author><author><name sortKey="Auer, Florentine" sort="Auer, Florentine" uniqKey="Auer F" first="Florentine" 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qualifier="diagnosis" xml:lang="en"><term>REM Sleep Behavior Disorder</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Area Under Curve</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Polysomnography</term><term>Questionnaires</term><term>ROC Curve</term><term>Reproducibility of Results</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A diagnosis of definite REM sleep behavior disorder requires both a positive history for REM sleep behavior disorder and polysomnographic demonstration of REM sleep without atonia. To improve and facilitate screening for REM sleep behavior disorder, there is a need for simple clinical tools with sufficient sensitivity and specificity for the identification of subjects with probable REM sleep behavior disorder. We developed a short REM sleep behavior disorder screening questionnaire with 7 REM sleep behavior disorder- and 2 non-REM sleep behavior disorder-specific control items and performed a validation study in 70 REM sleep behavior disorder subjects and 140 sleep disorder controls. Response patterns to all 7 REM sleep behavior disorder-specific items differed between REM sleep behavior disorder and non-REM sleep behavior disorder patients (all P < 0.05), whereas the 2 non-REM sleep behavior disorder-specific control items did not differentiate between REM sleep behavior disorder and non-REM sleep behavior disorder (all P > .05). In 5 of the 7 REM sleep behavior disorder-specific items, AUC was greater than 0.700. These 5 items were included in the Innsbruck REM sleep behavior disorder inventory. In this questionnaire, a cutoff of 0.25 (number of positive symptoms divided by number of answered questions) had a sensitivity of 0.914 and a specificity of 0.857 for both idiopathic and Parkinson's-related REM sleep behavior disorder (AUC, 0.886). The Innsbruck REM sleep behavior disorder inventory is a promising, easy-to-use, short screening tool for REM sleep behavior disorder with excellent sensitivity and specificity for both idiopathic and Parkinson's-related REM sleep behavior disorder.</div></front></TEI><affiliations><list><country><li>Autriche</li></country><region><li>Tyrol (Land)</li></region><settlement><li>Innsbruck</li></settlement><orgName><li>Université de médecine d'Innsbruck</li></orgName></list><tree><noCountry><name sortKey="Auer, Florentine" sort="Auer, Florentine" uniqKey="Auer F" first="Florentine" last="Auer">Florentine Auer</name><name sortKey="Brandauer, Elisabeth" sort="Brandauer, Elisabeth" uniqKey="Brandauer E" first="Elisabeth" last="Brandauer">Elisabeth Brandauer</name><name sortKey="Delazer, Margarete" sort="Delazer, Margarete" uniqKey="Delazer M" first="Margarete" last="Delazer">Margarete Delazer</name><name sortKey="Ehrmann, Laura" sort="Ehrmann, Laura" uniqKey="Ehrmann L" first="Laura" last="Ehrmann">Laura Ehrmann</name><name sortKey="Gabelia, David" sort="Gabelia, David" uniqKey="Gabelia D" first="David" last="Gabelia">David Gabelia</name><name sortKey="Hogl, Birgit" sort="Hogl, Birgit" uniqKey="Hogl B" first="Birgit" last="Högl">Birgit Högl</name><name sortKey="Mitterling, Thomas" sort="Mitterling, Thomas" uniqKey="Mitterling T" first="Thomas" last="Mitterling">Thomas Mitterling</name><name sortKey="Zamarian, Laura" sort="Zamarian, Laura" uniqKey="Zamarian L" first="Laura" last="Zamarian">Laura Zamarian</name></noCountry><country name="Autriche"><noRegion><name sortKey="Frauscher, Birgit" sort="Frauscher, Birgit" uniqKey="Frauscher B" first="Birgit" last="Frauscher">Birgit Frauscher</name></noRegion><name sortKey="Poewe, Werner" sort="Poewe, Werner" uniqKey="Poewe W" first="Werner" last="Poewe">Werner Poewe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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