Evidence map›Paper›PMID 40034073›Full record

ArticleEuropean journal of neurology2025

Precipitating Factors for Functional Cognitive Disorder.

Veronica Cabreira, Laura McWhirter, Jon Stone, Alan Carson

Abstract read
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Cognitive Trajectories After Hospitalization for COVID-19: A 36-Month Longitudinal Study.The Journal of neuropsychiatry and clinical neurosciences · 2026
    Article
  3. Review
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

4 authors.

Veronica CabreiraCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Laura McWhirterCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Jon StoneCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-9829-8092
Alan CarsonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.

Funding

European Commission 956673
6 · The paper itself

Abstract

backgroundThe underlying mechanisms of functional cognitive disorder (FCD) are still poorly understood. This hinders diagnostic identification and establishment of personalised and effective treatments. We aimed to describe the precipitating factors for new-onset FCD and explore differences between the acute and gradual onset FCD groups.

methodsRetrospective analysis of a consecutive sample of FCD patients seen in three dedicated clinics in the United Kingdom between September 2023 and March 2024. Only patients with at least one-year symptom duration were included. We extracted mode of onset and precipitating factors, demographics, comorbidities, family history of cognitive symptoms, personal exposure to dementia, symptom duration and trajectory, as well as cognitive testing when available.

resultsNinety-three patients were included, of which 45 had an acute onset of functional cognitive symptoms (48% of total). Of the acute onset group, 51% were female; mean age of symptom onset was 44 years (± 12). In the acute onset group, COVID-19 (n = 18, 40%), head injury (n = 16, 36%) and migraine (n = 16, 36%) were the most common precipitating factors for symptom onset, followed by cardiovascular/vasovagal events, dissociative episodes, panic, medication change, medical procedure under sedation and acute vertigo. The acute onset group was younger, most commonly had a fluctuating course of symptoms, and more headache and fatigue than the gradual onset group.

conclusionsFunctional cognitive disorder often begins acutely. The circumstances around onset may have treatment and prognostic implications. Similar to other functional disorders, the experience of abnormal cognition from an acute pathophysiological event can act as powerful precipitating factors for functional cognitive disorder.

Indexed as

Cognition DisordersCognitive DysfunctionConversion DisorderCOVID-19AdultAgedCraniocerebral TraumaFemaleHumansMaleMiddle AgedMigraine DisordersPrecipitating FactorsRetrospective StudiesUnited Kingdombrain injurycognitive disordersCOVID‐19functional cognitive disorderfunctional neurological disorderlife eventmigraineprecipitating factors

Identifiers

PMID40034073
PMCPMC11876852

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Registered trials

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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.