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Correlation Between COVID-19 Recovery, Executive Function Decline, and Emotional State
Daniela María Velásquez Cabrera1, Jose Maria De la Roca-Chiapas2, Martha Alicia Hernández-González3
1Health Sciences Division, University of Guanajuato, Guanajuato, Mexico.
Long COVID may cause executive function decline, particularly in stimulus inhibition, over time. Depression is linked to cognitive impairment, necessitating cognitive rehabilitation and psychological support for patients recovering from COVID-19.
Area of Science:
- Neuroscience
- Psychiatry
- Infectious Diseases
Background:
- Persistent symptoms after coronavirus disease 2019 (COVID-19) infection are common.
- Executive functions and emotional state are frequently affected in post-COVID-19 patients.
Purpose of the Study:
- To investigate the relationship between time since COVID-19 recovery and executive function alterations.
- To evaluate the emotional state of individuals post-COVID-19.
Main Methods:
- 67 patients aged 18-50 with prior COVID-19 (mild to severe) were assessed.
- Neuropsychological tests (BANFE-3, MMSE) and psychiatric interviews (MINI) were utilized.
- Spearman's correlation and logistic regression analyzed data, with p<0.05 significance.
Main Results:
- 19.4% of participants showed executive function deficits, with mental flexibility most impacted.
- A negative correlation between orbitofrontal area scores and time since recovery was observed, indicating potential deterioration in stimulus inhibition.
- 67.2% experienced emotional alterations, with anxiety and depression being prevalent. Depression was associated with higher likelihood of executive function impairment.
Conclusions:
- COVID-19 can lead to executive function deficits, possibly due to progressive orbitofrontal damage and impaired stimulus inhibition.
- Depression is a potential indicator of cognitive impairment in COVID-19 survivors.
- Cognitive rehabilitation and psychological support are crucial for post-COVID-19 recovery.
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