Functional Cognitive Disorder: Differential Diagnosis of Common Clinical Presentations

Kemp Steven; Kapur Narinder; Graham Christopher D.Reuber Markus

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Functional Cognitive Disorder: Differential Diagnosis of Common Clinical Presentations

机译：Functional Cognitive Disorder: Differential Diagnosis of Common Clinical Presentations

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Background Cognitive symptoms in the absence of neurological disease are common. Functional cognitive disorder (FCD) has been conceptualized as a cognitive subtype of functional neurological disorder. Although FCD is understood as different from exaggerated or feigned cognitive complaints, previous accounts have provided little practical advice on how FCD can be separated from factitious or malingered cognitive complaints. Also, the distinction of FCD from other medical or mental health disorders that impact on cognition is an area of ongoing study and debate. Diagnostic precision is important to prevent iatrogenesis and for the development of needed treatment protocols. Method We summarize the current literature and present seven anonymized case vignettes to characterize the challenges in this area and develop proposals for solutions. Results/Conclusions Recognizing the limitations of categorical diagnostic systems, we position FCD as distinct from feigning and cognitive symptoms of psychiatric disorders, although with overlapping features. We set out typical clinical features and neuropsychological profiles for each category of cognitive disorder and a statistical method to analyze performance validity tests/effort tests to assist in determining feigned or invalid responding.

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《Archives of clinical neuropsychology :》 |2022年第6期|1158-1176|共19页
作者
Kemp Steven; Kapur Narinder; Graham Christopher D.Reuber Markus;
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作者单位

Leeds Beckett University,Leeds Beckett Univ;

Res Dept Clin Educ & Hlth Psychol,UCL;

Dept Psychol,Queens UnivAcad Neurol Unit,Univ Sheffield;

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正文语种英语
中图分类医学心理学、病理心理学;
关键词
Neuropsychology; Malingering; Case reports; Exaggeration; Performance validation tests (PVT); Functional cognitive disorder (FCD); Functional neurological disorder (FND); MALINGERED NEUROCOGNITIVE DYSFUNCTION; PSYCHOGENIC NONEPILEPTIC SEIZURES; BASE-RATES; MEMORY COMPLAINTS; RESPONSE BIAS; DEMENTIA; PERFORMANCE; NEUROPSYCHOLOGY; IMPAIRMENT; STATEMENT;

Functional Cognitive Disorder: Differential Diagnosis of Common Clinical Presentations

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