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Cognitive Symptoms of Post-COVID-19 Condition and Daily Functioning
Abhishek Jaywant1, Faith M Gunning1, Lauren E Oberlin1
1Department of Psychiatry, Weill Cornell Medicine, New York, New York.
Cognitive symptoms are prevalent in post-COVID-19 condition, impacting daily functioning and employment. Addressing these symptoms is crucial for public health responses to long COVID.
Area of Science:
- Neurology
- Public Health
- Infectious Diseases
Background:
- Cognitive symptoms are frequently reported in post-COVID-19 condition but lack comprehensive characterization regarding demographic and functional factors in generalizable populations.
- Understanding these factors is essential for effective management and public health strategies.
Purpose of the Study:
- To determine the prevalence of self-reported cognitive symptoms in individuals with post-COVID-19 condition.
- To compare cognitive symptom prevalence with individuals who had acute SARS-CoV-2 infection but no post-COVID-19 condition.
- To examine the association of cognitive symptoms with depressive symptoms and functional status.
Main Methods:
- A 50-state, nonprobability, population-based internet survey was conducted in two waves between December 2022 and May 2023.
- Participants included 14,767 adults aged 18+ who reported test-confirmed COVID-19 at least two months prior.
- Cognitive symptoms were assessed using the Neuro-QoL cognition battery, and depressive symptoms were measured by the Patient Health Questionnaire-9.
Main Results:
- Of 1683 individuals with post-COVID-19 condition, 56.7% reported daily cognitive symptoms versus 27.1% in those without post-COVID-19 condition.
- Daily cognitive symptoms correlated with increased functional interference (AOR, 1.30), reduced full-time employment (AOR, 0.92), and higher depressive symptom severity (coefficient, 1.27).
- These associations remained significant after accounting for depressive symptoms.
Conclusions:
- Cognitive symptoms are common in post-COVID-19 condition and are linked to significant functional impairment, reduced employment, and increased depressive symptoms.
- Screening for and addressing cognitive symptoms should be an integral part of the public health response to post-COVID-19 condition.
- These findings highlight the need for targeted interventions for cognitive dysfunction in long COVID patients.
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