Memory beliefs and function in fibromyalgia patients

Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48106, United States.
Journal of Psychosomatic Research (Impact Factor: 2.74). 04/2005; 58(3):263-9. DOI: 10.1016/j.jpsychores.2004.09.004
Source: PubMed


The aim of this study was to investigate memory beliefs and their relationship to actual memory function in fibromyalgia (FM) patients.
Twenty-three FM patients, 23 age- and education-matched controls, and 22 older controls completed the Metamemory in Adulthood (MIA) questionnaire, which assessed beliefs about seven aspects of memory function. Group differences on the seven scales were assessed, and scores on the capacity scale were correlated with objective memory performance.
FM patients reported lower memory capacity and more memory deterioration than did either control group. Patients reported lower control or self-efficacy over memory, higher achievement motivation, higher strategy use, and higher anxiety about memory than age-matched controls did. Among the patients, perceived capacity, achievement motivation, and self-efficacy were significantly correlated with objective memory performance on a recall task.
FM patients' complaints about memory function have some accuracy.

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    • "In addition to pain, many patients with fibromyalgia complain of problems with memory and concentration, often referred to as “fibrofog” [40–43]. This clinical symptom has received a large amount of experimental study, and studies using objective cognitive tests substantiate patients' subjective reports of cognitive dysfunctions, most commonly related to speed of information processing, attention, and memory [43–56]. The most robust deficits in tests of memory and attention have so far been observed in paradigms involving a prominent distraction from a competing source of information, wherein FM patients are less capable than healthy controls to retain new information when rehearsal is prevented by a distraction [49, 50, 57]. "
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    ABSTRACT: Fibromyalgia is characterized by chronic widespread pain, clinical symptoms that include cognitive and sleep disturbances, and other abnormalities such as increased sensitivity to painful stimuli, increased sensitivity to multiple sensory modalities, and altered pain modulatory mechanisms. Here we relate experimental findings of fibromyalgia symptoms to anatomical and functional brain changes. Neuroimaging studies show augmented sensory processing in pain-related areas, which, together with gray matter decreases and neurochemical abnormalities in areas related to pain modulation, supports the psychophysical evidence of altered pain perception and inhibition. Gray matter decreases in areas related to emotional decision making and working memory suggest that cognitive disturbances could be related to brain alterations. Altered levels of neurotransmitters involved in sleep regulation link disordered sleep to neurochemical abnormalities. Thus, current evidence supports the view that at least some fibromyalgia symptoms are associated with brain dysfunctions or alterations, giving the long-held "it is all in your head" view of the disorder a new meaning.
    Pain Research and Treatment 01/2012; 2012(2):585419. DOI:10.1155/2012/585419
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    • "We are aware of only one study that has investigated this link. It showed that patients suffering from fibromyalgia, which is characterized by muscular and skeletal pains and by sleep disorders, fatigue and neuropsychological complaints, produced higher performance anxiety scores and lower and less time-stable estimates of their memory capacities (Glass et al., 2005). "
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    ABSTRACT: The aim of this research is to test the psychometric properties of the Questionnaire d’auto-efficacité mnésique (QAEM), the French version of the Memory Self-Efficacy Questionnaire (MSEQ). Reliability and validity of the MSEQ. Dev. Psychol. 25 (1989) 701–713, a scale based on Bandura's self-efficacy theory. After reviewing previous research into memory self-efficacy (MSE), we present a validation study for the QAEM, conducted on a sample of 288 older adults. The QAEM was found to show comparable reliability, sensitivity and construct validity to the MSEQ. The QAEM scores correlated with other metamemory variables and, weakly, with episodic memory performances.
    Revue Européenne de Psychologie Appliquée 09/2008; 58(3):165-176. DOI:10.1016/j.erap.2007.09.001 · 0.52 Impact Factor
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    • "Los pacientes refieren una variedad de síntomas cognitivos que incluyen dificultad para concentrarse , «lentitud mental», deterioro de la memoria, dificultad para recordar palabras/nombres y un sentirse abrumado al enfrentarse con varias cosas que hacer a la vez. Así, muchos pacientes manifiestan que la disfunción cognitiva ha deteriorado su cometido profesional (Wallace, 1997), considerándose por algunos autores como un síntoma más perturbador e incapacitante que el dolor (Glass et al., 2005). "
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    ABSTRACT: En: Psicothema Oviedo 2008, v. 20, n. 3 ; p. 427-431 Estudios previos han mostrado la presencia de alteraciones cognitivas en los pacientes con síndrome de fibromialgia (SFM), sin embargo, no han determinado la posible influencia de las distintas variables clínicas en estas alteraciones. El primer objetivo de nuestro estudio es determinar las diferencias en la función cognitiva entre 81 pacientes con SFM y 35 controles sanos mediante una batería de tests neuropsicológicos. El segundo objetivo es determinar la influencia de la ansiedad y el dolor en la función cognitiva en pacientes con SFM. Los resultados de nuestro estudio muestran que las pacientes con SFM desarrollan un rendimiento cognitivo significativamente inferior a los controles sanos en todos los parámetros valorados. El rendimiento neuropsicológico en pacientes con SFM está asociado al dolor, siendo esta relación independiente del nivel de ansiedad. La relación entre el rendimiento cognitivo y la ansiedad también es significativa. Por esta razón, concluimos que el rendimiento cognitivo está principalmente afectado por el dolor, pero además, el nivel de ansiedad explica parte de la variabilidad en los tests neuropsicológicos que no es explicada por el dolor
    Psicothema 01/2008; 20(3). · 0.96 Impact Factor
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