MovDisordV3, Main, Exploration, bibRecord, 003444

Evaluation of clinical diagnostic criteria for psychogenic movement disorders

Identifieur interne : 003444 ( Main/Exploration ); précédent : 003443; suivant : 003445

Evaluation of clinical diagnostic criteria for psychogenic movement disorders

Auteurs : Holly Shill [États-Unis] ; Paula Gerber [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2006-08.

RBID : ISTEX:57C3B53AF79108CC07247D2B3034FA8C599EDEC9

Descripteurs français

Pascal (Inist)
- Diagnostic, Evaluation, Névrose hystérique, Psychogène, Système nerveux pathologie.

English descriptors

KwdEn :
- Adult, Brain (anatomy & histology), Brain Mapping, Diagnosis, Diagnosis, Differential, Dystonic Disorders (diagnosis), Dystonic Disorders (physiopathology), Evaluation, Female, Humans, Hysterical neurosis, Male, Middle Aged, Movement Disorders (diagnosis), Movement Disorders (physiopathology), Nervous system diseases, Psychogenic, Reproducibility of Results, Sex Characteristics, conversion disorder, diagnostic criteria, movement disorder, psychogenic.
MESH :
- anatomy & histology : Brain.
- diagnosis : Dystonic Disorders, Movement Disorders.
- physiopathology : Dystonic Disorders, Movement Disorders.
- Adult, Brain Mapping, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Reproducibility of Results, Sex Characteristics.

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:

https://api.istex.fr/document/57C3B53AF79108CC07247D2B3034FA8C599EDEC9/fulltext/pdf

DOI: 10.1002/mds.20921

Affiliations:

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<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>
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Movement Disorders (revue)

Evaluation of clinical diagnostic criteria for psychogenic movement disorders

Evaluation of clinical diagnostic criteria for 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.