Table 1.
Summary of main findings per condition and domain
| Parameter | Functional cognitive disorder*** | Fibromyalgia | Chronic fatigue syndrome | Functional neurological disorder† |
| Cognitive symptoms | Memory Language (word finding) |
Attention/concentration Memory Language (word finding) |
Attention/concentration Memory Language (word finding) Reasoning |
Attention/concentration Memory Language (word finding) |
| Objective neuropsychological deficits | ||||
| Memory | Vulnerability to distraction Explicit worse than implicit memory* |
Impaired registration and consolidation* Working memory disruption by abnormal attention/information processing* |
Working memory** | |
| Attention/concentration | Selective/divided attention* Bias towards emotionally negative information** |
Divided attention Executive function of attention** Bias towards threatening stimuli* |
Attention** Attentional bias towards social threatening stimuli** |
|
| Executive functions | Cognitive inhibition** | |||
| Information processing | Slow | Slow** | ||
| Language | Verbal fluency* | Verbal fluency** | ||
| Social cognition | Alexithymia** Recognising others’ emotions* |
Alexithymia* Affect expression and recognition** |
||
| Consistency on repeat assessment | Increased performance variability | |||
| Factors related with neuropsychological deficits | Pain* | Fatigue** | Psychopathology** | |
| Discrepancies between symptoms and objective deficits | Symptoms>objective deficits | Symptoms>objective deficits | Symptoms>objective deficits | Symptoms>objective deficits** |
| Performance validity/effort testing | A minority fail validity testing | Only a minority fail validity testing* | Rare failures on validity testing* | Overall, only a minority fail validity testing |
| Neurobiology of cognitive impairment | No structural damage | No structural damage* Dysfunction of a fronto-parieto-temporal network involved in attention, memory and executive functions, as well in emotion and pain processing |
No structural damage* Dysfunction of the working memory network |
No structural damage |
| Others | Memory perfectionism Overinterpretation of attentional lapses Heightened self-monitoring for cognitive errors Low memory self-efficacy |
Heightened perception of effort | ||
*, some evidence but inconsistent between studies; **, some evidence but particularly inconsistent and/or scarce; ***Proposed features.
†Non-epileptic attacks and functional movement disorders.