Movement Disorders (revue)

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Evaluation of clinical diagnostic criteria for psychogenic movement disorders

Identifieur interne : 001A52 ( PascalFrancis/Corpus ); précédent : 001A51; suivant : 001A53

Evaluation of clinical diagnostic criteria for psychogenic movement disorders

Auteurs : Holly Shill ; Paula Gerber

Source :

RBID : Pascal:06-0435086

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
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A06       @2 8
A08 01  1  ENG  @1 Evaluation of clinical diagnostic criteria for psychogenic movement disorders
A11 01  1    @1 SHILL (Holly)
A11 02  1    @1 GERBER (Paula)
A14 01      @1 Division of Movement Disorders, Barrow Neurological Institute @2 Phoenix, Arizona @3 USA @Z 1 aut.
A14 02      @1 Barrow Neurological Institute @2 Phoenix, Arizona @3 USA @Z 2 aut.
A20       @1 1163-1168
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000142193570170
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
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A47 01  1    @0 06-0435086
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 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.
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Format Inist (serveur)

NO : PASCAL 06-0435086 INIST
ET : Evaluation of clinical diagnostic criteria for psychogenic movement disorders
AU : SHILL (Holly); GERBER (Paula)
AF : Division of Movement Disorders, Barrow Neurological Institute/Phoenix, Arizona/Etats-Unis (1 aut.); Barrow Neurological Institute/Phoenix, Arizona/Etats-Unis (2 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 8; Pp. 1163-1168; Bibl. 10 ref.
LA : Anglais
EA : 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.
CC : 002B17; 002B17A01; 002B17A02
FD : Système nerveux pathologie; Névrose hystérique; Evaluation; Diagnostic; Psychogène
ED : Nervous system diseases; Hysterical neurosis; Evaluation; Diagnosis; Psychogenic
SD : Sistema nervioso patología; Neurosis histérica; Evaluación; Diagnóstico; Psicógeno
LO : INIST-20953.354000142193570170
ID : 06-0435086

Links to Exploration step

Pascal:06-0435086

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