A unifying theory for cognitive abnormalities in functional neurological disorders, fibromyalgia and chronic fatigue syndrome: Systematic review
Journal of Neurology, Neurosurgery & Psychiatry May 11, 2018
Teodoro T, et al. - The proposition explored was that cognitive profiles in fibromyalgia (FM), chronic fatigue syndrome (CFS) and functional neurological disorders (FNDs) would provide a template for characterising functional cognitive disorder (FCD). Similar cognitive profiles of FM, CFS and non-cognitive FND were found to the proposed features of FCD, hinting towards common mechanistic underpinnings. Similar data were obtained for patients with mild traumatic brain injury and whiplash. Pain, fatigue and excessive interoceptive monitoring possibly led to a decrease in externally directed attention, which raised the susceptibility to distraction and slowed information processing, interfering with cognitive function, in particular, multitasking. Findings illustrated that routine cognitive processes were experienced as unduly effortful, which could depict a switch from an automatic to a less efficient controlled or explicit cognitive mode, a mechanism proposed for impaired motor control in FND. It was determined that such experiences could be overinterpreted owing to the memory perfectionism and heightened self-monitoring of cognitive performance.
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