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Neurocognitive Profiles in Patients With Persisting Cognitive Symptoms Associated With COVID-19
Kamini Krishnan1,2, Ashley K Miller1, Katherine Reiter1,2
1Department of Neurology, Cleveland Clinic, Cleveland, OH, USA.
Individuals with persistent cognitive complaints after coronavirus disease 2019 (COVID-19) show mild attention and executive function deficits. Psychological factors and fatigue significantly impact these long COVID symptoms, suggesting a need for targeted support.
Area of Science:
- Neuroscience
- Psychology
- Infectious Diseases
Background:
- A subset of individuals experience persistent cognitive and medical symptoms following COVID-19.
- Early research indicates attention and executive function deficits in the acute phase of the illness.
Purpose of the Study:
- To investigate cognitive functioning in individuals with persistent cognitive complaints approximately 5.5 months after COVID-19 infection.
Main Methods:
- Observational study involving comprehensive neuropsychological evaluations for patients with confirmed COVID-19 and ongoing cognitive complaints.
- Exclusion of patients with pre-existing neurological disorders.
- Analysis of demographic and clinical data, including hospitalization, ICU admission, mechanical ventilation, and delirium rates.
Main Results:
- Mild cognitive deficits observed in attention, processing speed, and executive function.
- High prevalence of pre-existing mood disorders (70%) and current moderate to severe mood symptoms (35-40%).
- Significant fatigue reported by 85% of participants.
Conclusions:
- The pattern of mild cognitive deficits aligns with findings from the acute illness stage.
- Psychological factors, fatigue, and other persistent symptoms likely contribute to subjective cognitive complaints post-COVID-19.
- Patients may benefit from interventions addressing mood symptoms and cognitive compensatory strategies.
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