Diagnostic Agreement in Patients with Psychogenic Movement Disorders
Identifieur interne : 000257 ( PascalFrancis/Corpus ); précédent : 000256; suivant : 000258Diagnostic Agreement in Patients with Psychogenic Movement Disorders
Auteurs : Francesca Morgante ; Mark J. Edwards ; Alberto J. Espay ; Alfonso Fasano ; Pablo Mir ; Davide MartinoSource :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Format Inist (serveur)
NO : | PASCAL 12-0183677 INIST |
---|---|
ET : | Diagnostic Agreement in Patients with Psychogenic Movement Disorders |
AU : | MORGANTE (Francesca); EDWARDS (Mark J.); ESPAY (Alberto J.); FASANO (Alfonso); MIR (Pablo); MARTINO (Davide) |
AF : | Dipartlmento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina/Messina/Italie (1 aut.); Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square/London/Royaume-Uni (2 aut.); University of Cincinnati Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati/Cincinnati, Ohio/Etats-Unis (3 aut.); Istituto Neuromed/Pozzilli/Italie (4 aut.); 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/Seville/Espagne (5 aut.); Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas/Barcelona/Espagne (5 aut.); Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Bari/Bari/Italie (6 aut.); Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry/London/Royaume-Uni (6 aut.) |
DT : | Publication en série; Courte communication, note brève; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 4; Pp. 548-552; Bibl. 19 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B17; 002B17F |
FD : | Pathologie du système nerveux; Diagnostic; Homme; Psychogène; Epidémiologie |
ED : | Nervous system diseases; Diagnosis; Human; Psychogenic; Epidemiology |
SD : | Sistema nervioso patología; Diagnóstico; Hombre; Psicógeno; Epidemiología |
LO : | INIST-20953.354000194678450180 |
ID : | 12-0183677 |
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Pascal:12-0183677Le document en format XML
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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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<ET>Diagnostic Agreement in Patients with Psychogenic Movement Disorders</ET>
<AU>MORGANTE (Francesca); EDWARDS (Mark J.); ESPAY (Alberto J.); FASANO (Alfonso); MIR (Pablo); MARTINO (Davide)</AU>
<AF>Dipart<sub>l</sub>
mento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina/Messina/Italie (1 aut.); Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square/London/Royaume-Uni (2 aut.); University of Cincinnati Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati/Cincinnati, Ohio/Etats-Unis (3 aut.); Istituto Neuromed/Pozzilli/Italie (4 aut.); 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/Seville/Espagne (5 aut.); Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas/Barcelona/Espagne (5 aut.); Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Bari/Bari/Italie (6 aut.); Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry/London/Royaume-Uni (6 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 4; Pp. 548-552; Bibl. 19 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
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