| Title |
Fibrofog and fibromyalgia: a narrative review and implications for clinical practice
|
|---|---|
| Published in |
Rheumatology International, January 2015
|
| DOI | 10.1007/s00296-014-3208-7 |
| Pubmed ID | |
| Authors |
Howard M. Kravitz, Robert S. Katz |
| Abstract |
Patients with fibromyalgia often report forgetfulness as well as declines in cognitive function, memory, and mental alertness-symptoms that have been termed "fibrofog" in popular and electronic media as well as in professional literature. "Fibrofog" is the subjectively experienced cognitive dysfunction associated with fibromyalgia and is a clinically important yet comparatively less well-studied aspect of the disorder; it includes loss of mental clarity (mental fogginess) as well as attention and memory impairment. Although until recently cognitive symptoms have been largely ignored, these symptoms can be more disturbing than the widespread pain and can change these patients' lives, sometimes dramatically so. Whereas widespread musculoskeletal pain, tenderness, and fatigue may be the hallmark symptoms of fibromyalgia, patients rank cognitive dysfunction highly in terms of disease impact. This review addresses (1) the prevalence of self-reported cognitive disturbances in fibromyalgia, (2) the clinical presentation of fibrofog, (3) neuropsychological test performance, with particular attention to discrepancies between self-report and test results, (3) clinical correlates of impaired cognitive function in fibromyalgia, (4) neurobiology relevant to cognitive disturbances in fibromyalgia, and (5) clinical management of fibrofog. Although the pathophysiology of fibromyalgia remains an enigma, evidence suggests that it may be a brain disorder, with cognitive deficits ("fibrofog") reflecting disturbed centrally mediated processes. |
X Demographics
The data shown below were collected from the profiles of 21 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 5 | 24% |
| Saudi Arabia | 2 | 10% |
| Japan | 2 | 10% |
| France | 1 | 5% |
| Canada | 1 | 5% |
| United States | 1 | 5% |
| Unknown | 9 | 43% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 19 | 90% |
| Practitioners (doctors, other healthcare professionals) | 1 | 5% |
| Scientists | 1 | 5% |
Mendeley readers
The data shown below were compiled from readership statistics for 185 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 1 | <1% |
| Italy | 1 | <1% |
| Norway | 1 | <1% |
| Austria | 1 | <1% |
| Unknown | 181 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 28 | 15% |
| Student > Bachelor | 25 | 14% |
| Researcher | 15 | 8% |
| Student > Ph. D. Student | 15 | 8% |
| Student > Doctoral Student | 10 | 5% |
| Other | 38 | 21% |
| Unknown | 54 | 29% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 37 | 20% |
| Medicine and Dentistry | 36 | 19% |
| Nursing and Health Professions | 13 | 7% |
| Neuroscience | 13 | 7% |
| Social Sciences | 6 | 3% |
| Other | 24 | 13% |
| Unknown | 56 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 35. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 November 2023.
All research outputs
#1,145,152
of 25,387,189 outputs
Outputs from Rheumatology International
#50
of 2,448 outputs
Outputs of similar age
#15,005
of 361,567 outputs
Outputs of similar age from Rheumatology International
#2
of 25 outputs
Altmetric has tracked 25,387,189 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,448 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.0. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 25 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.