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 Borderline Personality Disorder[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:
  1. The urge to move the legs begins or worsens during periods of rest or inactivity.
  2. The urge to move the legs is partially or totally relieved by movement.
  3. 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:

  1. An urge to move the limbs with or without sensations
  2. Worsening at rest
  3. Improvement with activity
  4. Worsening in the evening or night[2]

References

  1. Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
  2. 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.

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