Concentration and Memory Deficits in Patients with Fibromyalgia
Syndrome

Grace, Gloria M.; Nielson, Warren R.; Hopkins, Melonie; Berg, Michelle A.

doi:10.5555/jcen.21.4.477.876

Cited by 6 publications

(7 citation statements)

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“…This is in partial contrast to the findings of Grace et al (8), in which their patients diagnosed with FM showed modest correlations between trait anxiety and performance, and pain severity and performance on the PASAT.…”

Section: Discussioncontrasting

confidence: 99%

“…Sletvold et al (7) investigated attention and memory deficits in FM patients and found only attentional deficits in FM patients compared with healthy controls on 2 standardized attention tests. In a well-designed study, Grace et al (8) reported that compared with matched healthy controls, FM patients showed significant attentional and memory deficits on a neuropsychological test battery. The attentional deficits were found between groups on the Paced Auditory Serial Additions Test (PASAT) but not on the attention/concentration index of the revised Wechsler Memory Scale.…”

Section: Introductionmentioning

confidence: 99%

“…It is notable that these reported attentional deficits were ob-served only when task performance had a high attentional demand. Unfortunately, because both studies (7,8) tested only FM patients and pain-free controls, it is not possible to conclude whether the reported deficits were primarily related to FM, or whether patients with FM experience greater attentional disruption in comparison with other chronic pain patients. There is some evidence to suggest that patients with a diagnosis of FM will demonstrate greater deficits due to a decreased tolerance to pain (and possibly to other stressors), a heightened attention to pain, and an increased interruptibility (6,9,10).…”

Section: Introductionmentioning

confidence: 99%

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Attentional functioning in fibromyalgia, rheumatoid arthritis, and musculoskeletal pain patients

Dick¹,

Eccleston²,

Crombez³

2002

Arthritis & Rheumatism

240

147

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Objectives. To investigate whether chronic pain patients have deficits in attentional functioning compared with pain-free controls, and whether fibromyalgia patients have larger deficits in attentional functioning compared with rheumatoid arthritis and musculoskeletal pain patients. Methods. Sixty patients (20 in each of 3 patient groups) and 20 pain-free controls completed measures assessing pain intensity, mood, pain-related disability, somatic awareness, and catastrophic thinking about pain. Attentional functioning was assessed using an age-standardized, ecologically valid test battery. Analyses were made of between-group differences. Results. Sixty percent of patients had at least one score in the clinical range of neuropsychological impairment, independent of demography and mood. Fibromyalgia patients were more anxious and somatically aware than rheumatoid arthritis or musculoskeletal pain patients, but did not show larger attentional deficits than other patient groups. Conclusion. All 3 groups of chronic pain patients, regardless of diagnosis, had impaired cognitive functioning on an ecologically sensitive neuropsychological test of everyday attention.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Attentional functioning in fibromyalgia, rheumatoid arthritis, and musculoskeletal pain patients

Dick¹,

Eccleston²,

Crombez³

2002

Arthritis & Rheumatism

240

147

View full text Add to dashboard Cite

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“…Some previous studies indicated that, in patients with FM, cognitive performance is inversely related to self-reported pain (21,22), while other authors demonstrated an absence of this relationship in FM patients (15,23) and in female CFS patients (24). However, to the best of our knowledge the association between cognitive performance and experimental pain measurements and established measures of CS has never been examined in CFS patients.…”

Section: Participants and Assessmentsmentioning

confidence: 58%

Associations between cognitive performance and pain in chronic fatigue syndrome: comorbidity with fibromyalgia does matter

et al. 2015

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Background: In addition to the frequently reported pain complaints, performance-based cognitive capabilities in patients with chronic fatigue syndrome (CFS) with and without comorbid fibromyalgia (FM) are significantly worse than those of healthy controls. In various chronic pain populations, cognitive impairments are known to be related to pain severity. However, to the best of our knowledge, the association between cognitive performance and experimental pain measurements has never been examined in CFS patients.Objectives: This study aimed to examine the association between cognitive performance and self-reported as well as experimental pain measurements in CFS patients with and without FM.Study Design: Observational study.Setting: The present study took place at the Vrije Universiteit Brussel and the University of Antwerp.Methods: Forty-eight (18 CFS-only and 30 CFS+FM) patients and 30 healthy controls were studied. Participants first completed 3 performance-based cognitive tests designed to assess selective and sustained attention, cognitive inhibition, and working memory capacity. Seven days later, experimental pain measurements (pressure pain thresholds [PPT], temporal summation [TS], and conditioned pain modulation [CPM]) took place and participants were asked to fill out 3 questionnaires to assess self-reported pain, fatigue, and depressive symptoms.Results: In the CFS+FM group, the capacity of pain inhibition was significantly associated with cognitive inhibition. Self-reported pain was significantly associated with simple reaction time in CFS-only patients. The CFS+FM but not the CFS-only group showed a significantly lower PPT and enhanced TS compared with controls. Limitations:The cross-sectional nature of this study does not allow for inferences of causation. Conclusions:The results underline disease heterogeneity in CFS by indicating that a measure of endogenous pain inhibition might be a significant predictor of cognitive functioning in CFS patients with FM, while self-reported pain appears more appropriate to predict cognitive functioning in CFS patients without FM.

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“…25 This line of research may further help identify the cognitive processes underlying memory and attentional problems often reported by patients with chronic pain. 14,19 Here, we adapted a standard task-switching procedure in which healthy volunteers are cued to repeat or to switch between three randomly presented tasks (see 25,42 for a review). One of the tasks sometimes co-occurred with pain and thus became a signal for possible pain.…”

Section: Introductionmentioning

confidence: 99%

The Interruptive Effect of Pain in a Multitask Environment: An Experimental Investigation

Ryckeghem

Crombez

Eccleston

et al. 2012

The Journal of Pain

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Daily life is characterized by the need to stop, start, repeat, and switch between multiple tasks. Here, we experimentally investigate the effects of pain, and its anticipation, in a multi-task environment. Using a task switching paradigm participants repeated and switched between three tasks, of which one predicted the possible occurrence of pain. Half of the participants received low intensity pain (N=30) and half high intensity pain (N=30). Results showed that pain interferes with the performance of a simultaneous task, independent of the pain intensity. Furthermore pain interferes with the performance on a subsequent task. These effects are stronger with high intensity pain than with low intensity pain. Finally, and of particular importance in this study, interference of pain on a subsequent task was larger when participants switched to another task than when participants repeated the same task. PerspectiveThis article is concerned with the interruptive effect of pain on people"s task performance by using an adapted task switching paradigm. This adapted paradigm may offer unique possibilities to investigate how pain interferes with task performance while people repeat and switch between multiple tasks in a multi-task environment.

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Concentration and Memory Deficits in Patients with Fibromyalgia Syndrome

Cited by 6 publications

References 0 publications

Attentional functioning in fibromyalgia, rheumatoid arthritis, and musculoskeletal pain patients

Attentional functioning in fibromyalgia, rheumatoid arthritis, and musculoskeletal pain patients

Associations between cognitive performance and pain in chronic fatigue syndrome: comorbidity with fibromyalgia does matter

The Interruptive Effect of Pain in a Multitask Environment: An Experimental Investigation

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