MovDisordV3, Pmc, Checkpoint, bibRecord, 000190

Diagnostic Agreement in Patients with Psychogenic Movement Disorders

Identifieur interne : 000190 ( Pmc/Checkpoint ); précédent : 000189; suivant : 000191

Diagnostic 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 : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2012.

RBID : PMC:3675653

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.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675653

DOI: 10.1002/mds.24903
PubMed: 22488862
PubMed Central: 3675653

Affiliations:

Espagne, Italie, Royaume-Uni, États-Unis
Angleterre, Catalogne, Grand Londres, Ohio
Barcelone, Londres

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Le document en format XML

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<author><name sortKey="Morgante, Francesca" sort="Morgante, Francesca" uniqKey="Morgante F" first="Francesca" last="Morgante">Francesca Morgante</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina, Messina, Italy</nlm:aff>
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<author><name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J." last="Edwards">Mark J. Edwards</name>
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<author><name sortKey="Mir, Pablo" sort="Mir, Pablo" uniqKey="Mir P" first="Pablo" last="Mir">Pablo Mir</name>
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<wicri:noRegion>Seville</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="A6">Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas, Barcelona, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas, Barcelona</wicri:regionArea>
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<author><name sortKey="Martino, Davide" sort="Martino, Davide" uniqKey="Martino D" first="Davide" last="Martino">Davide Martino</name>
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<affiliation wicri:level="3"><nlm:aff id="A8">Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry, London, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry, London</wicri:regionArea>
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<author><name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J." last="Edwards">Mark J. Edwards</name>
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<author><name sortKey="Espay, Alberto J" sort="Espay, Alberto J" uniqKey="Espay A" first="Alberto J." last="Espay">Alberto J. Espay</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Cincinnati Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson’s Disease and Movement Disorders, University of Cincinnati, Cincinnati, Ohio</wicri:regionArea>
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<author><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name>
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<author><name sortKey="Mir, Pablo" sort="Mir, Pablo" uniqKey="Mir P" first="Pablo" last="Mir">Pablo Mir</name>
<affiliation wicri:level="1"><nlm:aff id="A5">Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain</nlm:aff>
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<wicri:noRegion>Seville</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="A6">Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas, Barcelona, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas, Barcelona</wicri:regionArea>
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<author><name sortKey="Martino, Davide" sort="Martino, Davide" uniqKey="Martino D" first="Davide" last="Martino">Davide Martino</name>
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<country xml:lang="fr">Italie</country>
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<wicri:noRegion>Bari</wicri:noRegion>
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<affiliation wicri:level="3"><nlm:aff id="A8">Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry, London, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry, London</wicri:regionArea>
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<region type="région" nuts="1">Grand Londres</region>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint><date when="2012">2012</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">The reliability and applicability of published diagnostic criteria for psychogenic movement disorders (PMDs) have never been examined.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">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.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">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.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Diagnosis according to clinical available criteria for PMD yields poor diagnostic agreement.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">8610688</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5937</journal-id>
<journal-id journal-id-type="nlm-ta">Mov Disord</journal-id>
<journal-id journal-id-type="iso-abbrev">Mov. Disord.</journal-id>
<journal-title-group><journal-title>Movement disorders : official journal of the Movement Disorder Society</journal-title>
</journal-title-group>
<issn pub-type="ppub">0885-3185</issn>
<issn pub-type="epub">1531-8257</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22488862</article-id>
<article-id pub-id-type="pmc">3675653</article-id>
<article-id pub-id-type="doi">10.1002/mds.24903</article-id>
<article-id pub-id-type="manuscript">NIHMS463008</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Diagnostic Agreement in Patients with Psychogenic Movement Disorders</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Morgante</surname>
<given-names>Francesca</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Edwards</surname>
<given-names>Mark J.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Espay</surname>
<given-names>Alberto J.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fasano</surname>
<given-names>Alfonso</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mir</surname>
<given-names>Pablo</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martino</surname>
<given-names>Davide</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A7">7</xref>
<xref ref-type="aff" rid="A8">8</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
</contrib>
<on-behalf-of>on behalf of the DISMOV-SIN study group on psychogenic movement disorders</on-behalf-of>
<xref ref-type="aff" rid="A8">8</xref>
<xref rid="FN2" ref-type="author-notes">†</xref>
</contrib-group>
<aff id="A1"><label>1</label>
Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina, Messina, Italy</aff>
<aff id="A2"><label>2</label>
Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London, United Kingdom</aff>
<aff id="A3"><label>3</label>
University of Cincinnati Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson’s Disease and Movement Disorders, University of Cincinnati, Cincinnati, Ohio, USA</aff>
<aff id="A4"><label>4</label>
Istituto Neuromed, Pozzilli, Italy</aff>
<aff id="A5"><label>5</label>
Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain</aff>
<aff id="A6"><label>6</label>
Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas, Barcelona, Spain</aff>
<aff id="A7"><label>7</label>
Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Bari, Bari, Italy</aff>
<aff id="A8"><label>8</label>
Neuroscience and Trauma Center, Barts and The London School of Medicine and Dentistry, London, United Kingdom</aff>
<author-notes><corresp id="FN1"><label>*</label>
Correspondence to: Davide Martino, Dipartimento di Scienze Neurologiche e Psichiatriche, Università di Bari, Piazza Giulio Cesare 11, I-70124 Bari, Italy; <email>davidemartino@virgilio.it</email>
</corresp>
<fn id="FN2"><label>†</label>
<p>See Appendix for list of collaborators.</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>7</day>
<month>5</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>04</day>
<month>1</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>4</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>07</day>
<month>6</month>
<year>2013</year>
</pub-date>
<volume>27</volume>
<issue>4</issue>
<fpage>548</fpage>
<lpage>552</lpage>
<permissions><copyright-statement>© 2012 Movement Disorder Society</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">The reliability and applicability of published diagnostic criteria for psychogenic movement disorders (PMDs) have never been examined.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">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.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">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.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Diagnosis according to clinical available criteria for PMD yields poor diagnostic agreement.</p>
</sec>
</abstract>
<kwd-group><kwd>psychogenic movement disorders</kwd>
<kwd>diagnostic criteria</kwd>
<kwd>interobserver agreement</kwd>
<kwd>epidemiology</kwd>
<kwd>phenomenology</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>K23 MH092735 || MH</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
<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>
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<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>
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<name sortKey="Martino, Davide" sort="Martino, Davide" uniqKey="Martino D" first="Davide" last="Martino">Davide Martino</name>
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<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>
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<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>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Diagnostic Agreement in Patients with Psychogenic Movement Disorders

Diagnostic Agreement in Patients with Psychogenic Movement Disorders

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Abstract

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