title: Diagnostic agreement in patients with psychogenic movement disorders.
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.
authors.affiliation: Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina, Messina, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Morgante
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Edwards
authors.forename: Alberto J
authors.initials: AJ
authors.lastname: Espay
authors.forename: Alfonso
authors.initials: A
authors.lastname: Fasano
authors.forename: Pablo
authors.initials: P
authors.lastname: Mir
authors.forename: Davide
authors.initials: D
authors.lastname: Martino
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D009460:Neurologic Examination / Q000379:methods / Q000592:standards; D009462:Neurology; D011569:Psychiatric Status Rating Scales; D011602:Psychophysiologic Disorders / Q000150:complications* / Q000175:diagnosis*; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D055815:Young Adult