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Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
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Cognitive dysfunction and depression in Fabry disease: a systematic review.

Fay E Bolsover1, Elaine Murphy, Lisa Cipolotti

  • 1Charles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, 8-11 Queen Square, Internal Mailbox 92, London, WC1N 3BG, UK.

Journal of Inherited Metabolic Disease
|August 17, 2013
PubMed
Summary

Fabry disease can cause cognitive issues like problems with executive function, processing speed, and attention. Depression is also common, with neuropathic pain being a major contributing factor.

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Area of Science:

  • Neurology
  • Genetics
  • Psychiatry

Background:

  • Fabry disease is an X-linked lysosomal storage disorder causing multi-organ dysfunction.
  • Cerebrovascular and psychological disorders are known complications.
  • The extent and nature of cognitive dysfunction in Fabry disease are not well understood.

Purpose of the Study:

  • To review evidence of neuropsychological impairment in Fabry disease patients.
  • To identify affected cognitive domains.
  • To determine the prevalence and associated factors of depression in Fabry disease.

Main Methods:

  • Qualitative systematic review of published literature.
  • Studies included neuropsychological assessments or depression prevalence measures.
  • PRISMA guidelines were followed where applicable.

Main Results:

  • Evidence suggests impairment in executive functioning, information processing speed, and attention.
  • General intellectual functioning, memory, naming, perceptual, and global cognitive functioning appear preserved.
  • Depression prevalence ranged from 15% to 62%, with neuropathic pain as a key associated factor.

Conclusions:

  • Fabry disease may present a distinct pattern of cognitive deficits and high depression rates.
  • Limited data necessitates further research.
  • Future studies should use standardized assessments, brain imaging, and depression measures.