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Normalizing memory recall in fibromyalgia with rehearsal: A distraction-counteracting effect
Arthritis Care and Research , 06/03/09
Leavitt F et al. – Study demonstrates that rehearsal mechanisms are intact in patients with fibromyalgia syndrome (FMS) and play beneficial roles in managing interference from a source of distraction. In the absence of rehearsal, a source of distraction added to unrefreshed information signals a remarkable level of cognitive deficit in FMS that goes undetected by conventionally relied-upon neurocognitive measures.
Methods- Aim was to examine the impact of distraction on the retention of rehearsed information in pts with FMS
- Neurocognitive examination of 134 pts (91 with FMS and 43 control subjects) presenting with memory loss
- 4 neurocognitive measures free of distraction, along with 2 measures with added distraction, were completed
- Differences in the retention of rehearsed and unrehearsed information with a source of distraction present were calculated
- Pts with FMS showed normal cognitive functioning on verbal memory tests free of distraction
- Adding a source of distraction caused unrefreshed information to be lost at a disproportionate rate in pts with FMS
- Over 87% of pts with FMS scored in the impaired range on a task of unrehearsed verbal memory
- Adding a source of distraction to well-rehearsed information produced a normal rate of recall in FMS
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