MovDisordV3, Main, Exploration, bibRecord, 003071

The REM Sleep Behavior Disorder Screening Questionnaire : A New Diagnostic Instrument

Identifieur interne : 003071 ( Main/Exploration ); précédent : 003070; suivant : 003072

The REM Sleep Behavior Disorder Screening Questionnaire : A New Diagnostic Instrument

Auteurs : Karin Stiasny-Kolster [Allemagne] ; Geert Mayer [Allemagne] ; Sylvia Sch Fer [Allemagne] ; Jens Carsten Möller [Allemagne] ; Monika Heinzel-Gutenbrunner [Allemagne] ; Wolfgang H. Oertel [Allemagne]

Source :

Movement disorders [ 0885-3185 ] ; 2007.

RBID : Pascal:08-0147411

Descripteurs français

Pascal (Inist)
- Trouble du sommeil, Maladie de Parkinson, Pathologie du système nerveux, Sommeil paradoxal, Comportement, Dépistage, Questionnaire, Diagnostic, Instrument, Sensibilité, Spécificité.

English descriptors

KwdEn :
- Behavior, Diagnosis, Instrument, Medical screening, Nervous system diseases, Parkinson disease, Questionnaire, Rapid eye movement sleep, Sensitivity, Sleep disorder, Specificity.

Abstract

Many patients with assumed idiopathic REM sleep behavior disorder (RBD) may actually represent an early clinical manifestation of an evolving neurodegenerative disorder, such as the α-synucleinopathies, Parkinson's disease or multiple system atrophy. Early detection of these patients is clinically relevant for long-term prospective as well as future neuroprotective studies. For this purpose, we validated a 10-item patient self-rating questionnaire (maximum total score 13 points) covering the clinical features of RBD. The RBD screening questionnaire (RBDSQ) was applied to 54 patients with polysomnographically confirmed RBD (29 men; mean age 53.7 ± 15.8 years), 160 control subjects (81 men; mean age 50.8 ± 15.5 years) in whom RBD was excluded by history and polysomnography (PSG, control group 1) and 133 unselected healthy subjects (58 men; mean age 46.9 ± 12.3 years; no PSG, control group 2). In most subjects (n = 153) of control group 1, other sleep-wake disturbances were present. The mean RBDSQ score in the RBD group was 9.5 ± 2.8 points compared with 4.6 ± 3.0 points in control group 1 (P < 0.0001). Considering an RBDSQ score of five points as a positive test result, we found a sensitivity of 0.96 and a specificity of 0.56. The RBDSQ poorly discriminated patients with the most challenging differential diagnoses such as sleepwalking or epilepsy. In control group 2, the mean RBDSQ score (2.02 ± 1.78) was significantly lower than in the RBD group (P < 0.0005), revealing a specificity of 0.92. Due to its high sensitivity, the RBDSQ appears to be particularly useful as a screening tool.

Affiliations:

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Many patients with assumed idiopathic REM sleep behavior disorder (RBD) may actually represent an early clinical manifestation of an evolving neurodegenerative disorder, such as the α-synucleinopathies, Parkinson's disease or multiple system atrophy. Early detection of these patients is clinically relevant for long-term prospective as well as future neuroprotective studies. For this purpose, we validated a 10-item patient self-rating questionnaire (maximum total score 13 points) covering the clinical features of RBD. The RBD screening questionnaire (RBDSQ) was applied to 54 patients with polysomnographically confirmed RBD (29 men; mean age 53.7 ± 15.8 years), 160 control subjects (81 men; mean age 50.8 ± 15.5 years) in whom RBD was excluded by history and polysomnography (PSG, control group 1) and 133 unselected healthy subjects (58 men; mean age 46.9 ± 12.3 years; no PSG, control group 2). In most subjects (n = 153) of control group 1, other sleep-wake disturbances were present. The mean RBDSQ score in the RBD group was 9.5 ± 2.8 points compared with 4.6 ± 3.0 points in control group 1 (P < 0.0001). Considering an RBDSQ score of five points as a positive test result, we found a sensitivity of 0.96 and a specificity of 0.56. The RBDSQ poorly discriminated patients with the most challenging differential diagnoses such as sleepwalking or epilepsy. In control group 2, the mean RBDSQ score (2.02 ± 1.78) was significantly lower than in the RBD group (P < 0.0005), revealing a specificity of 0.92. Due to its high sensitivity, the RBDSQ appears to be particularly useful as a screening tool.</div>
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	Movement Disorders (revue)
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Movement Disorders (revue)

The REM Sleep Behavior Disorder Screening Questionnaire : A New Diagnostic Instrument

The REM Sleep Behavior Disorder Screening Questionnaire : A New Diagnostic Instrument

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