Skip to Main content Skip to Navigation
Master Thesis

Comparaison de la qualité de vie et des comorbidités psychiatriques chez les patients souffrant de mouvements anormaux fonctionnels et organiques

Abstract : Background: patients with functional movement disorders (FMD) often report disability and have psychiatric comorbidities (PC). However, few studies compared their quality of life (QoL) and their PC to those of patients with organic movement disorders (OMD). Objectives: to compare the QoL and PC of patients with FMD to those of parkinsonian and dystonic patients. Methods : 30 and 21 patients with FMD were respectively compared to 31 sex- and age-matched parkinsonian patients and 21 sex- and age-matched dystonic patients. QoL was assessed on the Parkinson’s Disease Summary Index (PDSI) and the Sheehan Disability Scale (SDS). PC were screened with the Mini International Neuropsychiatric Interview (MINI) and the Hospital Anxiety and Depression Scale (HADS). Traumatic events were screened with the Composite International Diagnostic Interview (CIDI). Results: the QoL of patients with FMD was as impaired as that of parkinsonian patients on PDSI (38.3 vs 32.2; p = 0.61) and SDS (18.0 vs 13.5; p = 0.37) and more impaired than dystonic patients on PDSI (42.1 vs 25.1; p = 0.003) but not on SDS (19.0 vs 15.0; p = 0.28). The prevalence of PC was similar in all three groups for anxiety (p = 1.0 and 0.58) and depression (p = 0.77 and 0.77). The three groups reported as many traumatic events (p = 0.75 and 0.58). Conclusion: patients with FMD have a QoL that is at least as impaired as that of patients with OMD, without having more PC. A global management of these patients is necessary.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [95 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01730763
Contributor : Université Paris Descartes - Scd <>
Submitted on : Tuesday, March 13, 2018 - 3:39:01 PM
Last modification on : Friday, March 27, 2020 - 2:49:01 AM
Long-term archiving on: : Thursday, June 14, 2018 - 3:32:12 PM

File

ThExe_GENDRE_Thierry_DUMAS.pdf
Files produced by the author(s)

Licence


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License

Identifiers

  • HAL Id : dumas-01730763, version 1

Citation

Thierry Gendre. Comparaison de la qualité de vie et des comorbidités psychiatriques chez les patients souffrant de mouvements anormaux fonctionnels et organiques . Médecine humaine et pathologie. 2017. ⟨dumas-01730763⟩

Share

Metrics

Record views

37

Files downloads

197