Movement Disorders (revue)

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Validation of the Innsbruck REM Sleep Behavior Disorder Inventory

Identifieur interne : 000F36 ( Main/Exploration ); précédent : 000F35; suivant : 000F37

Validation of the Innsbruck REM Sleep Behavior Disorder Inventory

Auteurs : Birgit Frauscher [Autriche] ; Laura Ehrmann [Autriche] ; Laura Zamarian [Autriche] ; Florentine Auer [Autriche] ; Thomas Mitterling [Autriche] ; David Gabelia [Autriche] ; Elisabeth Brandauer [Autriche] ; Margarete Delazer [Autriche] ; Werner Poewe [Autriche] ; Birgit Högl [Autriche]

Source :

RBID : Pascal:13-0017940

Descripteurs français

English descriptors

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.


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<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>
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<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="Poewe, Werner" sort="Poewe, Werner" uniqKey="Poewe W" first="Werner" last="Poewe">Werner Poewe</name>
<name sortKey="Zamarian, Laura" sort="Zamarian, Laura" uniqKey="Zamarian L" first="Laura" last="Zamarian">Laura Zamarian</name>
</country>
</tree>
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