Diagnostic Agreement in Patients with Psychogenic Movement Disorders
Identifieur interne : 000221 ( PascalFrancis/Checkpoint ); précédent : 000220; suivant : 000222Diagnostic 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.
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- topic : Homme.
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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.
Affiliations:
- Espagne, Italie, Royaume-Uni, États-Unis
- Angleterre, Catalogne, Grand Londres, Ohio
- Barcelone, Londres
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Edwards</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square</s1><s2>London</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Espay, Alberto J" sort="Espay, Alberto J" uniqKey="Espay A" first="Alberto J." last="Espay">Alberto J. Espay</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>University of Cincinnati Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</s1><s2>Cincinnati, Ohio</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Istituto Neuromed</s1><s2>Pozzilli</s2><s3>ITA</s3><sZ>4 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Istituto Neuromed</wicri:noRegion></affiliation></author><author><name sortKey="Mir, Pablo" sort="Mir, Pablo" uniqKey="Mir P" first="Pablo" last="Mir">Pablo Mir</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Unidad de Trastornos del Movimiento, Servicio de Neurologia y Neurofisiologla Clinica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/ Universidad de Sevilla</s1><s2>Seville</s2><s3>ESP</s3><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Seville</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Martino, Davide" sort="Martino, Davide" uniqKey="Martino D" first="Davide" last="Martino">Davide Martino</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Bari</s1><s2>Bari</s2><s3>ITA</s3><sZ>6 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Bari</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry</s1><s2>London</s2><s3>GBR</s3><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0183677</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0183677 INIST</idno><idno type="RBID">Pascal:12-0183677</idno><idno type="wicri:Area/PascalFrancis/Corpus">000257</idno><idno type="wicri:Area/PascalFrancis/Curation">002A57</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000221</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Diagnostic Agreement in Patients with Psychogenic Movement Disorders</title><author><name sortKey="Morgante, Francesca" sort="Morgante, Francesca" uniqKey="Morgante F" first="Francesca" last="Morgante">Francesca Morgante</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipart<sub>l</sub>mento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina</s1><s2>Messina</s2><s3>ITA</s3><sZ>1 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Messina</wicri:noRegion></affiliation></author><author><name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J." last="Edwards">Mark J. Edwards</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square</s1><s2>London</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Espay, Alberto J" sort="Espay, Alberto J" uniqKey="Espay A" first="Alberto J." last="Espay">Alberto J. Espay</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>University of Cincinnati Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</s1><s2>Cincinnati, Ohio</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Istituto Neuromed</s1><s2>Pozzilli</s2><s3>ITA</s3><sZ>4 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Istituto Neuromed</wicri:noRegion></affiliation></author><author><name sortKey="Mir, Pablo" sort="Mir, Pablo" uniqKey="Mir P" first="Pablo" last="Mir">Pablo Mir</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Unidad de Trastornos del Movimiento, Servicio de Neurologia y Neurofisiologla Clinica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/ Universidad de Sevilla</s1><s2>Seville</s2><s3>ESP</s3><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Seville</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Martino, Davide" sort="Martino, Davide" uniqKey="Martino D" first="Davide" last="Martino">Davide Martino</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Bari</s1><s2>Bari</s2><s3>ITA</s3><sZ>6 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Bari</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry</s1><s2>London</s2><s3>GBR</s3><sZ>6 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diagnosis</term><term>Epidemiology</term><term>Human</term><term>Nervous system diseases</term><term>Psychogenic</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pathologie du système nerveux</term><term>Diagnostic</term><term>Homme</term><term>Psychogène</term><term>Epidémiologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>27</s2></fA05><fA06><s2>4</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Diagnostic Agreement in Patients with Psychogenic Movement Disorders</s1></fA08><fA11 i1="01" i2="1"><s1>MORGANTE (Francesca)</s1></fA11><fA11 i1="02" i2="1"><s1>EDWARDS (Mark J.)</s1></fA11><fA11 i1="03" i2="1"><s1>ESPAY (Alberto J.)</s1></fA11><fA11 i1="04" i2="1"><s1>FASANO (Alfonso)</s1></fA11><fA11 i1="05" i2="1"><s1>MIR (Pablo)</s1></fA11><fA11 i1="06" i2="1"><s1>MARTINO (Davide)</s1></fA11><fA14 i1="01"><s1>Dipart<sub>l</sub>mento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina</s1><s2>Messina</s2><s3>ITA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square</s1><s2>London</s2><s3>GBR</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>University of Cincinnati Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</s1><s2>Cincinnati, Ohio</s2><s3>USA</s3><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Istituto Neuromed</s1><s2>Pozzilli</s2><s3>ITA</s3><sZ>4 aut.</sZ></fA14><fA14 i1="05"><s1>Unidad de Trastornos del Movimiento, Servicio de Neurologia y Neurofisiologla Clinica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/ Universidad de Sevilla</s1><s2>Seville</s2><s3>ESP</s3><sZ>5 aut.</sZ></fA14><fA14 i1="06"><s1>Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas</s1><s2>Barcelona</s2><s3>ESP</s3><sZ>5 aut.</sZ></fA14><fA14 i1="07"><s1>Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Bari</s1><s2>Bari</s2><s3>ITA</s3><sZ>6 aut.</sZ></fA14><fA14 i1="08"><s1>Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry</s1><s2>London</s2><s3>GBR</s3><sZ>6 aut.</sZ></fA14><fA20><s1>548-552</s1></fA20><fA21><s1>2012</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000194678450180</s5></fA43><fA44><s0>0000</s0><s1>© 2012 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>19 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>12-0183677</s0></fA47><fA60><s1>P</s1><s3>CC</s3></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>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.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17F</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Diagnostic</s0><s5>09</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Diagnosis</s0><s5>09</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Diagnóstico</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Homme</s0><s5>10</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Human</s0><s5>10</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Hombre</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Psychogène</s0><s5>11</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Psychogenic</s0><s5>11</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Psicógeno</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Epidémiologie</s0><s5>12</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Epidemiology</s0><s5>12</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Epidemiología</s0><s5>12</s5></fC03><fN21><s1>142</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Espagne</li><li>Italie</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Catalogne</li><li>Grand Londres</li><li>Ohio</li></region><settlement><li>Barcelone</li><li>Londres</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Morgante, Francesca" sort="Morgante, Francesca" uniqKey="Morgante F" first="Francesca" last="Morgante">Francesca Morgante</name></noRegion><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name><name sortKey="Martino, Davide" sort="Martino, Davide" uniqKey="Martino D" first="Davide" last="Martino">Davide Martino</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J." last="Edwards">Mark J. Edwards</name></region><name sortKey="Martino, Davide" sort="Martino, Davide" uniqKey="Martino D" first="Davide" last="Martino">Davide Martino</name></country><country name="États-Unis"><region name="Ohio"><name sortKey="Espay, Alberto J" sort="Espay, Alberto J" uniqKey="Espay A" first="Alberto J." last="Espay">Alberto J. Espay</name></region></country><country name="Espagne"><noRegion><name sortKey="Mir, Pablo" sort="Mir, Pablo" uniqKey="Mir P" first="Pablo" last="Mir">Pablo Mir</name></noRegion><name sortKey="Mir, Pablo" sort="Mir, Pablo" uniqKey="Mir P" first="Pablo" last="Mir">Pablo Mir</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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