The differential diagnosis of Axis I psychopathology presenting to a university-based multiple sclerosis clinic
Abstract
Patients carrying a presumptive diagnosis of multiple sclerosis (MS) sometimes present with non-specific clinical signs and symptoms that may be, at least in part, somatic manifestations of psychiatric conditions. This retrospective study was undertaken to identify psychiatric diagnoses among 63 patients whose initial clinical evaluations suggested a primary psychiatric, rather than a primary neurological, etiology for their symptoms. Some 92% of patients met Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision (DSM-IV-TR) criteria for one or more primary psychiatric disorders, most often including somatoform, mood, and anxiety disorders. Accurate identification and diagnosis of psychiatric conditions producing pseudoneurological or non-specific somatic symptoms is necessary for both treatment and medico-economic reasons. Multiple Sclerosis 2007; 13: 749-753. http://msj.sagepub.com
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These patients with psychiatric diagnoses had one or more of 'somatoform disorders' (76%), mood disorders (33%), and/or anxiety disorders (11%).
“These patients with psychiatric diagnoses had one or more of “somatoform disorders” (76%), mood disorders (33%), and/or anxiety disorders (11%) [21].”
From Functional neurological disorder and multiple sclerosis: a systematic review of misdiagnosis and clinical overlap (2022) · cites this paper as [21]
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Walzl, D., Solomon, A. J., & Stone, J. (2022) · Journal of Neurology · doi:10.1007/s00415-021-10436-6 · Cited by 62 · see citing works
- Authors
- Brousseau, K., Arciniegas, D., Carmosino, M., & Corboy, Jr.
- Affiliations
- VISN 19 MIRECC (Mental Illness Research Educational Clinical Center), Veteran's Affairs Medical Center, Denver, CO, USA, Department of Psychiatry, University of Colorado School of Medicine, Denver, CO, USA, Department of Medicine, Division of Infectious Diseases, University of Colorado School of Medicine, Denver, CO, USA,
- Neuropsychiatry Service, Department of Psychiatry, University of Colorado School of Medicine, Denver, CO, USA, University of Colorado Multiple Sclerosis Center, Department of Neurology, University of Colorado School of Medicine, and Denver Veteran's Affairs Medical Center, Denver, CO, USA, Department of Psychiatry, University of Colorado School of Medicine, Denver, CO, USA
- University of Colorado Multiple Sclerosis Center, Department of Neurology, University of Colorado School of Medicine, and Denver Veteran's Affairs Medical Center, Denver, CO, USA
- Denver VA Medical Center (US)
- Venue
- Multiple Sclerosis Journal
- Publisher
- SAGE Publications
- Published
- 2007-07
- Volume
- 13
- Issue
- 6
- Pages
- 749-753
- ISSN
- 1352-4585 (ISSN-L)
- 1477-0970
- OpenAlex
- W2151984498
- Cited by
- 7
- References
- 0
- Citations by year
- 2021: 1 · 2015: 1 · 2013: 1
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Multiple Sclerosis Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Keywords
- multiple sclerosis, differential diagnosis, psychiatric comorbidity, somatoform disorders, mood disorders, anxiety disorders, psychiatric diagnosis
- MeSH terms
- Adult, Affect, Aged, Mental Disorders, Diagnosis, Differential, Humans, Middle Aged, Multiple Sclerosis, Pain, Retrospective Studies
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