Evidence map›Paper›PMID 35842882›Full record

ArticleJournal of neurology2022

Attention impairment in motor functional neurological disorders: a neuropsychological study.

Gabriela Věchetová, Tomáš Nikolai, Matěj Slovák, Zuzana Forejtová, Marek Vranka, Eva Straková, Tiago Teodoro, Evžen Růžička, Mark J Edwards, Tereza Serranová

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In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Gabriela VěchetováDepartment of Neurology and Centre of Clinical Neuroscience, General University Hospital and First Faculty of Medicine, Charles University, Kateřinská 30, 120 00, Prague 2, Czech Republic.ORCID http://orcid.org/0000-0003-2791-6388
Tomáš NikolaiDepartment of Neurology and Centre of Clinical Neuroscience, General University Hospital and First Faculty of Medicine, Charles University, Kateřinská 30, 120 00, Prague 2, Czech Republic. tomas.nikolai@vfn.cz.ORCID http://orcid.org/0000-0002-0104-7228
Matěj SlovákDepartment of Neurology and Centre of Clinical Neuroscience, General University Hospital and First Faculty of Medicine, Charles University, Kateřinská 30, 120 00, Prague 2, Czech Republic.
Zuzana ForejtováDepartment of Neurology and Centre of Clinical Neuroscience, General University Hospital and First Faculty of Medicine, Charles University, Kateřinská 30, 120 00, Prague 2, Czech Republic.
Marek VrankaDepartment of Psychology, Charles University, Prague, Czech Republic.ORCID http://orcid.org/0000-0003-3413-9062
Eva StrakováDepartment of Neurology and Centre of Clinical Neuroscience, General University Hospital and First Faculty of Medicine, Charles University, Kateřinská 30, 120 00, Prague 2, Czech Republic.
Tiago TeodoroNeuroscience Research Centre, Institute of Molecular and Clinical Sciences, St George's University of London, London, UK.ORCID http://orcid.org/0000-0003-4501-5532
Evžen RůžičkaDepartment of Neurology and Centre of Clinical Neuroscience, General University Hospital and First Faculty of Medicine, Charles University, Kateřinská 30, 120 00, Prague 2, Czech Republic.ORCID http://orcid.org/0000-0002-4893-9661
Mark J EdwardsNeuroscience Research Centre, Institute of Molecular and Clinical Sciences, St George's University of London, London, UK.ORCID http://orcid.org/0000-0002-8283-9015
Tereza SerranováDepartment of Neurology and Centre of Clinical Neuroscience, General University Hospital and First Faculty of Medicine, Charles University, Kateřinská 30, 120 00, Prague 2, Czech Republic.ORCID http://orcid.org/0000-0001-6525-3971
Charles University · CZSt George's, University of London · GBUniversity of Lisbon · PT

Funding

Ministerstvo Zdravotnictví Ceské Republiky 16-29651A
6 · The paper itself

Abstract

objectiveOur objective was to assess cognitive functioning across multiple cognitive domains using a standardised neuropsychological battery in patients with motor functional neurological disorders (mFND).

methodsThirty patients with clinically established mFND and 30 age-, sex- and education-matched control subjects underwent a thorough neuropsychological assessment evaluating (1) attention including processing speed, (2) executive functions including working memory, (3) short-term memory, (4) speech and language and (5) visuospatial functions. Performance validity tests (PVT) and self-report measures of depression, anxiety and cognitive complaints were included in the assessment. Only patients with valid test performance were included in the analysis.

resultsThree patients scored below the cut-off scores in PVT. Patients performed significantly worse than controls in the following areas: (1) the attention domain which included a slow processing speed (p = 0.005, Cohen's d = 0.89), (2) executive functions (p = 0.01, Cohen's d = 0.88) and (3) speech and language domains (p = 0.025, Cohen's d = 0.77). Patients with mFND showed greater intra-individual variability in cognitive performance (p = 0.005, Cohen's d = 0.94). Cognitive impairments were independent of depressive symptoms, which were higher in mFND patients.

conclusionThis study revealed both subjective and objective cognitive impairment in patients with mFND. The neuropsychological profile in mFND was characterised primarily by attentional impairment including a slow processing speed and a high intra-individual variability in cognitive performance. Cognitive impairment was associated with a valid test performance, highlighting that the deficits observed were not likely to be explained by a lack of effort in the patient group. Attention is considered to play a key role in mFND pathophysiology, and the results suggest that such impairments are objectively measurable.

Indexed as

Cognition DisordersCognitive DysfunctionConversion DisorderAttentionCognitionExecutive FunctionHumansNeuropsychological TestsAttentionCognitive functionsMotor functional neurological disordersNeuropsychological profilePerformance validity

Identifiers

PMID35842882
OpenAlexW4285677302

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.