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Perceived dyscognition reported by patients with fibromyalgia
Samantha J McAllister1, Loren L Toussaint2, David A Williams3
1Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Fibromyalgia patients experience significant cognitive difficulties, or dyscognition, which are linked to depression, anxiety, and autonomic dysfunction. Treatment should address these interconnected symptoms for better patient outcomes.
Area of Science:
- Neuroscience
- Rheumatology
- Psychiatry
Background:
- Fibromyalgia is a chronic condition characterized by widespread pain, fatigue, and cognitive dysfunction.
- Dyscognition, or cognitive impairment, is a frequently reported symptom in fibromyalgia patients.
- Existing literature on dyscognition in fibromyalgia is limited, necessitating further research.
Purpose of the Study:
- To characterize dyscognition in fibromyalgia patients.
- To identify comorbid symptoms associated with dyscognition.
- To evaluate the relationship between dyscognition and fibromyalgia severity.
Main Methods:
- A cross-sectional study involving 681 fibromyalgia patients.
- Dyscognition assessed using the Multiple Abilities Self-report Questionnaire (MASQ).
- Correlation and regression analyses used to examine symptom relationships; ANOVA for severity levels.
Main Results:
- Perceived dyscognition strongly correlated with depression, anxiety, and autonomic function.
- Fibromyalgia patients reported significantly higher dyscognition than healthy controls.
- Dyscognition varied significantly across mild, moderate, and severe fibromyalgia patient groups.
Conclusions:
- Perceived dyscognition in fibromyalgia is multifactorial, influenced by comorbid symptoms.
- Clinicians should consider the diverse nature of dyscognition and its links to other fibromyalgia symptoms.
- Integrated treatment approaches addressing cognitive and comorbid symptoms are recommended.
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