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Fibromyalgia
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===[[Cognitive dysfunction]] and [[Fibro fog]]=== The cognitive problems or "fibro fog" in fibromyalgia are part of the diagnostic criteria, although [[cognitive dysfunction|brain fog]] in general occurs in a number of different health conditions.<ref name="ACR2010" /> Cognitive dysfunction in fibromyalgia includes problems with thinking and memory.<ref name="Park2001" /> Fibromyalgia is known to cause multiple types of cognitive impairment.<ref name="Wu2018">{{Cite journal| url = https://journals.lww.com/psychosomaticmedicine/Fulltext/2018/06000/Cognitive_Impairment_in_Fibromyalgia__A.5.aspx | title = Cognitive Impairment in Fibromyalgia: A Meta-Analysis of Case-Control Studies | last = Wu | first = Yu-Lin | last2 = Huang | first2 = Chun-Jen | date = 2018|journal=Psychosomatic medicine|volume = 80|issue =5 | pages =432-438|pmid=29528888 | last3 = Fang | first3 = Su-Chen | last4 = Ko | first4 = Ling-Hsin | last5 = Tsai | first5 = Pei-Shan}}</ref> ====Fibro fog ==== The "Fibro fog" or brain fog in fibromyalgia is a highly disabling symptom that includes memory problems, problems managing activities/schedule, difficulty with verbal expression, focus/concentration, and generally experiencing "life in a haze".<ref name="Kratz2015" /> Fibro fog has been found to linked to the degree of pain and was found to be unrelated to any depression or anxiety that some people with fibromyalgia also have.<ref name="Park2001" /> The term '''dyscognition''' is sometimes used to refer to signs of cognitive problems, including diminished performance on tests of memory tests, verbal fluency, attention and concentration problems, reduced executive functioning.The Multiple Ability Self-Report Questionnaire (MASQ) is often used to assess cognitive dysfunction in fibromyalgia research, including "fibro fog".<ref name="Kratz2015">{{Cite journal | last = Kratz | first = Anna L. | author-link = | last2 = Schilling | first2 = Stephen | authorlink2 = | last3 = Goesling | first3 = Jenna | authorlink3 = | last4 = Williams | first4 = David A. | authorlink4 = | date = Jun 2015 | title = Development and Initial Validation of a Brief Self-Report Measure of Cognitive Dysfunction in Fibromyalgia| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456217/|journal=The journal of pain : official journal of the American Pain Society|volume=16|issue=6 | pages = 527β536|doi=10.1016/j.jpain.2015.02.008|issn=1526-5900|pmc=4456217|pmid=25746197|access-date=|quote=|via=}}</ref> Improving pain and sleep may reduce cognitive impairment. Treatment for cognitive dysfunction in FM including "fibro fog" include [[transcranial direct current stimulation]], [[exercise|physical activity]], and CBT for sleep although studies are limited.<ref name="Bell2019">{{Cite journal | last = Bell | first = Tyler Reed | authorlink = | last2 = Trost | first2 = Zina | authorlink2 = | last3 = Buelow | first3 = Melissa T. | authorlink3 = | last4 = Clay | first4 = Olivio | authorlink4 = | last5 = Younger | first5 = Jarred | authorlink5 = | last6 = Moore | first6 = David | authorlink6 = | last7 = Crowe | first7 = Michael | date = Sep 2018 | title = Meta-analysis of cognitive performance in fibromyalgia| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151134/|journal=Journal of clinical and experimental neuropsychology|volume=40|issue=7 | pages = 698β714|doi=10.1080/13803395.2017.1422699|issn=1380-3395|pmc=6151134|pmid=29388512|access-date=|quote=|via=}}</ref> One randomized controlled trial found CBT for sleep difficulties in FM improved executive functions and alertness but [[sleep hygiene]] did not.<ref name="Bell2019" /> {{See also|Cognitive dysfunction}}
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