Restless legs syndrome diagnostic criteria
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Restless Legs Syndrome[1]
- A. An urge to move the legs, usually accompanied by or in response to uncomfortable and unpleasant sensations in the legs, characterized by all of the following:
- The urge to move the legs begins or worsens during periods of rest or inactivity.
- The urge to move the legs is partially or totally relieved by movement.
- The urge to move the legs is worse in the evening or at night than during the day, or occurs only in the evening or at night.
AND
- B. The symptoms in Criterion A occur at least three times per week and have persisted for at least 3 months.
AND
- C. The symptoms in Criterion A are accompanied by significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.
AND
- D. The symptoms in Criterion A are not attributable to another mental disorder or medical condition (e.g., arthritis, leg edema, peripheral ischemia, leg cramps) and are not better explained by a behavioral condition (e.g., positional discomfort, habitual foot tapping).
AND
- E. The symptoms are not attributable to the physiological effects of a drug of abuse or medication (e.g., akathisia).
NIH Criteria
In 2003, a National Institutes of Health (NIH) consensus panel modified their criteria to include the following:
- An urge to move the limbs with or without sensations
- Worsening at rest
- Improvement with activity
- Worsening in the evening or night[2]
References
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
- ↑ Allen R, Picchietti D, Hening W, Trenkwalder C, Walters A, Montplaisi J (2003). "Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health". Sleep Med. 4 (2): 101–19. PMID 14592341.