Evaluation of clinical diagnostic criteria for psychogenic movement disorders
Identifieur interne : 001A52 ( PascalFrancis/Corpus ); précédent : 001A51; suivant : 001A53Evaluation of clinical diagnostic criteria for psychogenic movement disorders
Auteurs : Holly Shill ; Paula GerberSource :
- Movement disorders [ 0885-3185 ] ; 2006.
Descripteurs français
- Pascal (Inist)
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.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 06-0435086 INIST |
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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 |
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Pascal:06-0435086Le document en format XML
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