MovDisordV3, Main, Exploration, bibRecord, 001148

Diagnostic Agreement in Patients with Psychogenic Movement Disorders

Identifieur interne : 001148 ( Main/Exploration ); précédent : 001147; suivant : 001149

Diagnostic Agreement in Patients with Psychogenic Movement Disorders

Auteurs : Francesca Morgante [Italie] ; Mark J. Edwards [Royaume-Uni] ; Alberto J. Espay [États-Unis] ; Alfonso Fasano [Italie] ; Pablo Mir [Espagne] ; Davide Martino [Italie, Royaume-Uni]

Source :

Movement disorders [ 0885-3185 ] ; 2012.

RBID : Pascal:12-0183677

Descripteurs français

Pascal (Inist)
- Pathologie du système nerveux, Diagnostic, Homme, Psychogène, Epidémiologie.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Adult, Aged, Diagnosis, Epidemiology, Female, Human, Humans, Male, Middle Aged, Movement Disorders (complications), Movement Disorders (diagnosis), Movement Disorders (psychology), Nervous system diseases, Neurologic Examination (methods), Neurologic Examination (standards), Neurology, Psychiatric Status Rating Scales, Psychogenic, Psychophysiologic Disorders (complications), Psychophysiologic Disorders (diagnosis), Reproducibility of Results, Severity of Illness Index, Young Adult.
MESH :
- complications : Movement Disorders, Psychophysiologic Disorders.
- diagnosis : Movement Disorders, Psychophysiologic Disorders.
- methods : Neurologic Examination.
- psychology : Movement Disorders.
- standards : Neurologic Examination.
- Adult, Aged, Female, Humans, Male, Middle Aged, Neurology, Psychiatric Status Rating Scales, Reproducibility of Results, Severity of Illness Index, Young Adult.

Abstract

Background: The reliability and applicability of published diagnostic criteria for psychogenic movement disorders (PMDs) have never been examined. Methods: Eight movement disorder and six general neurologists rated 14 patients diagnosed with PMD and 14 patients diagnosed with organic movement disorders. Raters provided a dichotomous judgment (i.e., psychogenic or organic) upon review of video-based movement phenomenology and a category of diagnostic certainty based on the Fahn-Williams and Shill-Gerber criteria after accessing standardized clinical information. We measured interobserver agreement on the diagnosis and clinical certainty judgment of PMD. Results: In both groups of raters, agreements were "fair" on the video-based dichotomous judgment, but improved to "substantial" after access to standardized clinical information. "Slight" to "poor" agreement was reached for the "probable" and "possible" categories of diagnostic certainty corresponding to both diagnostic criteria. Conclusions: Diagnosis according to clinical available criteria for PMD yields poor diagnostic agreement.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675653

Affiliations:

Espagne, Italie, Royaume-Uni, États-Unis
Angleterre, Catalogne, Grand Londres, Ohio
Barcelone, Londres

Le document en format XML

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<term>Human</term>
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<term>Psychophysiologic Disorders</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Movement Disorders</term>
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<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Background: The reliability and applicability of published diagnostic criteria for psychogenic movement disorders (PMDs) have never been examined. Methods: Eight movement disorder and six general neurologists rated 14 patients diagnosed with PMD and 14 patients diagnosed with organic movement disorders. Raters provided a dichotomous judgment (i.e., psychogenic or organic) upon review of video-based movement phenomenology and a category of diagnostic certainty based on the Fahn-Williams and Shill-Gerber criteria after accessing standardized clinical information. We measured interobserver agreement on the diagnosis and clinical certainty judgment of PMD. Results: In both groups of raters, agreements were "fair" on the video-based dichotomous judgment, but improved to "substantial" after access to standardized clinical information. "Slight" to "poor" agreement was reached for the "probable" and "possible" categories of diagnostic certainty corresponding to both diagnostic criteria. Conclusions: Diagnosis according to clinical available criteria for PMD yields poor diagnostic agreement.</div>
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Movement Disorders (revue)

Diagnostic Agreement in Patients with Psychogenic Movement Disorders

Diagnostic Agreement in Patients with Psychogenic Movement Disorders

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.