Ambrose K R, Gracely R H, Glass J M
Regional Center for Neurosensory Disorders, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
Reumatismo. 2012 Sep 28;64(4):206-15. doi: 10.4081/reumatismo.2012.206.
Fibromyalgia is characterized by widespread pain and tenderness; however, comorbid cognitive difficulties are a common complaint among patients. Known as fibro fog or dyscognition, this symptom comprises difficulties with complex cognitive processes including memory, executive function, concentration and attention. While the mechanisms that initiate and maintain these cognitive deficits are still largely unknown, recent research has increased the understanding of subjective symptoms and objectively-determined deficits in cognitive performance. Treatments have also improved to include complementary cognitive and physical strategies. This review focuses on issues of dyscognition in fibromyalgia. Details of objective testing methods are not within the scope of this paper.
纤维肌痛的特点是广泛的疼痛和压痛；然而，认知困难共病是患者中常见的主诉。这种症状被称为“纤维肌痛性脑雾”或认知障碍，包括记忆、执行功能、注意力和专注力等复杂认知过程方面的困难。虽然引发和维持这些认知缺陷的机制在很大程度上仍不明确，但最近的研究增进了我们对主观症状以及认知表现中客观确定的缺陷的理解。治疗方法也有所改进，包括辅助性的认知和身体策略。本综述聚焦于纤维肌痛中的认知障碍问题。客观测试方法的细节不在本文讨论范围内。
