Memory gaps, lost words and crucial mistakes - Men's experiences of cognitive difficulties in fibromyalgia.

The purpose of the study was to explore the impact of perceived cognitive problems on daily life in men with fibromyalgia. The data were collected through life-story interviews of eight men with fibromyalgia. Narrative analysis was conducted to create model narratives that comprise the content and storylines across the data. Three model narratives are presented in the findings to describe the scope and severity of the cognitive problems. The participants' experiences of cognitive problems varied from occasional concentration problems to severe and complex difficulties in memory, problem solving and verbal fluency. The impact of these problems on daily life was substantial and overshadowed the participants' domestic life, social relations and work performance. In some cases, maintaining a role in working life was perceived as challenging. These patients are usually examined and treated in primary health care settings and the assessment tools and interventions should be applicable in these settings. More research is needed to develop effective interventions that address not only memory but also individual's ability to solve complex problems and to work under pressure as well as the level of verbal fluency, which all are relevant issues in terms of work ability in contemporary society.