Glass Jennifer M
Substance Abuse Section, Department of Psychiatry, University of Michigan Medical School, Ann Arbor, USA.
J Clin Psychiatry. 2008;69 Suppl 2:20-4.
Patients with fibromyalgia frequently complain of cognitive problems or "fibrofog." The existence of these symptoms has been confirmed by studies of the incidence of cognitive problems in fibromyalgia patients and by the results of objective tests of metamemory, working memory, semantic memory, everyday attention, task switching, and selective attention. The results of these tests show that fibromyalgia patients have impairments in working, episodic, and semantic memory that mimic about 20 years of aging. These patients have particular difficulty with memory when tasks are complex and their attention is divided. Cognitive symptoms in these patients may be exacerbated by the presence of depression, anxiety, sleep problems, endocrine disturbances, and pain, but the relationship of these factors to cognitive problems in fibromyalgia patients is unclear. Standardized tests and treatment have not yet been established for cognitive problems in fibromyalgia patients.
纤维肌痛患者经常抱怨存在认知问题或“纤维性脑雾”。这些症状的存在已通过对纤维肌痛患者认知问题发生率的研究以及元记忆、工作记忆、语义记忆、日常注意力、任务转换和选择性注意力的客观测试结果得到证实。这些测试结果表明，纤维肌痛患者在工作记忆、情景记忆和语义记忆方面存在损伤，类似于约20年的衰老情况。当任务复杂且注意力分散时，这些患者在记忆方面尤其困难。这些患者的认知症状可能会因抑郁、焦虑、睡眠问题、内分泌紊乱和疼痛的存在而加重，但这些因素与纤维肌痛患者认知问题之间的关系尚不清楚。目前尚未为纤维肌痛患者的认知问题建立标准化测试和治疗方法。
