Cited by 49Psychosomatic Disorders and Their TreatmentsDementia and Cognitive Impairment ResearchLong-Term Effects of COVID-19

Functional cognitive disorder: what is it and what to do about it?

Pennington, Catherine, Newson, Margaret, Hayre, Amrit, Coulthard, Elizabeth·2015·Practical Neurology

Abstract

To err is human, and it is normal to make minor cognitive errors from time to time. Some people experience persistent subjective cognitive difficulties that cause distress and functional impairment, with no underlying structural, neurodegenerative, toxic or metabolic cause. This is considered a form of functional disorder. In this article, we review functional cognitive disorder and outline its core clinical features. Patients with this are typically of working age and have a source of psychological distress, such as chronic pain, work stress or family difficulties. Its distinction from incipient dementia is difficult and usually requires interval follow-up. Pointers towards possible dementia include abnormal neuroimaging or loss of insight. Many patients accept a functional cognitive disorder diagnosis and willingly engage with psychological therapies but there is no defined optimal treatment. Functional cognitive disorder is common but under-studied; future research priorities include the development of clear diagnostic criteria and robust trials of therapeutic strategies.

Integrity signals

Registry

Crossref · 10.1136/practneurol-2015-001127

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48 of 48 references verified0 citation errors · 0 not checkable

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  • In clinical literature individuals with FCD are described as tending to rate their own cognitive abilities as being much worse than that found on objective testing and compared to their previous level of functioning.

    “In clinical literature individuals with FCD are described as tending to rate their own cognitive abilities as being much worse than that found on objective testing and compared to their previous level of functioning (5).”

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Authors
Pennington, C., Newson, M., Hayre, A., & Coulthard, E.
Affiliations
  • North Bristol NHS Trust (GB)
  • University of Bristol (GB)
Corresponding author
Pennington, Catherine
Venue
Practical Neurology
Publisher
BMJ
Published
2015-08-13
Volume
15
Issue
6
Pages
436-444
ISSN
  • 1474-7758 (ISSN-L)
  • 1474-7766
OpenAlex
W1780948983
Cited by
49
References
48
Citations by year
2026: 3 · 2025: 3 · 2024: 5 · 2023: 9 · 2022: 8 · 2021: 1 · 2020: 6 · 2019: 8 · 2018: 5 · 2016: 1
FWCI
1.62
Type
journal article
Language
en
Open access
closed
Locations
  • Practical Neurology (publishedVersion)
  • PubMed (publishedVersion)
  • Bristol Research (University of Bristol) (submittedVersion)
Funders
  • National Institute for Health and Care Research (CL-2013-25-501)
  • North Bristol NHS Trust
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
Keywords
functional cognitive disorder, subjective cognitive impairment, functional disability, psychological distress, chronic pain, occupational stress, family problems, differential diagnosis of dementia, neuroimaging, loss of insight, psychotherapy, diagnostic criteria, treatment options
MeSH terms
Aged, Mental Disorders, Cognition Disorders, Electroencephalography, Female, Hematologic Tests, Humans, Magnetic Resonance Imaging, Middle Aged, Neuropsychological Tests, Prevalence

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