MovDisordV3, Ncbi, Merge, bibRecord, 001682

Evaluation of clinical diagnostic criteria for psychogenic movement disorders.

Identifieur interne : 001682 ( Ncbi/Merge ); précédent : 001681; suivant : 001683

Evaluation of clinical diagnostic criteria for psychogenic movement disorders.

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

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.

RBID : pubmed:16685685

English descriptors

KwdEn :
- Adult, Brain (anatomy & histology), Brain Mapping, Diagnosis, Differential, Dystonic Disorders (diagnosis), Dystonic Disorders (physiopathology), Female, Humans, Male, Middle Aged, Movement Disorders (diagnosis), Movement Disorders (physiopathology), Reproducibility of Results, Sex Characteristics.
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.

DOI: 10.1002/mds.20921
PubMed: 16685685

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pubmed:16685685

Le document en format XML

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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.</div>
</front>
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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>(c) 2006 Movement Disorder Society</CopyrightInformation>
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	Movement Disorders (revue)
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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 :

English descriptors

Abstract

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

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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