ABSTRACT
Objetivo: Los objetivos de este trabajo fueron realizar una evaluación neuropsicológica de pacientes con fibromialgia (FM) con quejas subjetivas de pérdida de memoria y compararlos con un grupo de deterioro cognitivo leve (DCL) sin FM. Material y método: Estudio retrospectivo. Se evaluó a 32 pacientes con FM y 86 pacientes con DCL sin FM. Se administró una batería neuropsicológica. Se comparó el grupo con FM con un grupo control con DCL (n=86) sin FM. Resultados: Se evidenció un deterioro cognitivo leve en 29 de las 32 mujeres con FM y el patrón neuropsicológico mostró una afectación en atención, memoria y función ejecutiva. Cuando comparamos el perfil neuropsicológico con el grupo con DCL sin FM, observamos que la muestra con FM presenta una mayor afectación en memoria, en función ejecutiva, y una menor afectación en función premotora. Conclusión: La exploración neuropsicológica evidenció una alteración cognitiva leve en la mayoría de las mujeres con FM con quejas subjetivas de pérdida de memoria (90,5%). El patrón neuropsicológico obtenido es de predominio subcortical, con afectación de la memoria y de la función ejecutiva. La muestra con FM presenta unos resultados cognitivos similares al grupo con DCL (AU)
Objective: The neuropsychological assessment of patients with fibromyalgia (FM) and with subjective cognitive complaints was analyzed. The group was compared with a mild cognitive impairment (MCI) group without FM. Material and method: Retrospective study of 32 patients with FM were evaluated and 86 patients with MCI without FM. A neuropsychological test battery was administered. Results were compared with a control group of MCI (n=86) without FM. Results: Evidence of MCI was observed in 29 of 32 women with FM, and the neuropsychological pattern showed a major impairment on attention, memory and executive function. When the neuropsychological pattern was compared with the MCI group without FM, we found that patients with FM presented a higher rate of impairment of memory and executive function, and less impairment of the premotor function. Conclusions: The neuropsychological evaluation showed an MCI in the majority of women with FM with a subjective complaint of memory loss (90,5%). The neuropsychological pattern was predominantly subcortical with impairment of memory and executive function. The sample of patients with FM presented cognitive results similar to the MCI group (AU)
Subject(s)
Humans , Cognition Disorders/etiology , Fibromyalgia/psychology , Cognition Disorders/physiopathology , Fibromyalgia/physiopathology , Retrospective Studies , Memory Disorders/etiologyABSTRACT
OBJECTIVE: The neuropsychological assessment of patients with fibromyalgia (FM) and with subjective cognitive complaints was analyzed. The group was compared with a mild cognitive impairment (MCI) group without FM. MATERIAL AND METHOD: Retrospective study of 32 patients with FM were evaluated and 86 patients with MCI without FM. A neuropsychological test battery was administered. Results were compared with a control group of MCI (n=86) without FM. RESULTS: Evidence of MCI was observed in 29 of 32 women with FM, and the neuropsychological pattern showed a major impairment on attention, memory and executive function. When the neuropsychological pattern was compared with the MCI group without FM, we found that patients with FM presented a higher rate of impairment of memory and executive function, and less impairment of the premotor function. CONCLUSIONS: The neuropsychological evaluation showed an MCI in the majority of women with FM with a subjective complaint of memory loss (90,5%). The neuropsychological pattern was predominantly subcortical with impairment of memory and executive function. The sample of patients with FM presented cognitive results similar to the MCI group.