如果未被识别,未经治疗:COVID-19中持续主观执行功能障碍的认知概况
Bob O de Groot1, Chiara Biserni1, Anselm B M Fuermaier1
1Department of Clinical and Developmental Neuropsychology, University of Groningen, The Netherlands.
Applied neuropsychology. Adult
|June 19, 2023
概括
在SARS-CoV-2感染后,长期的认知投诉或执行功能 (EF) 问题很常见,即使在轻微的情况下也会影响日常生活. 这些执行功能 (EF) 障碍在诊断后至少持续六个月.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 传染性疾病 传染性疾病
背景情况:
- SARS-CoV-2 感染与急性和持续性认知缺陷有关.
- 执行职能 (EF) 对日常活动至关重要,COVID-19后的损害需要进行彻底评估.
- 了解COVID-19对EF的影响对于开发有效的神经心理干预至关重要.
研究的目的:
- 描述认知投诉,特别是执行功能 (EFs),影响SARS-CoV-2感染后的日常生活.
- 调查疾病严重程度,诊断后的时间和健康风险因素与日常生活EF损伤之间的关系.
- 确定受COVID-19影响的EFs的特定领域及其对康复的影响.
主要方法:
- 在四个国家对442名参与者 (18-65岁以上) 进行了在线问卷调查.
- 成年人执行功能行为评级清单 (BRIEF-A) 用于评估日常生活EF障碍.
- 逐步回归分析检查了EF投诉的预测因素,包括疾病严重程度,病后的时间和健康风险因素.
主要成果:
- 在日常生活中观察到执行功能 (EF) 问题的中等效果大小,在COVID-19诊断后至少持续六个月,即使在轻微的情况下.
- 具体的EF领域,包括工作记忆,计划/组织,任务监控和转班,显示出临床相关的损伤.
- 经历过的疾病的严重程度显著影响了这些EF投诉.
结论:
- COVID-19可以导致严重和持续的执行功能 (EF) 障碍影响日常生活,即使在轻度感染后.
- 识别的认知特征突出了在COVID-19后康复中针对性认知训练的具体领域.
- 这些发现也可能适用于其他病毒感染后观察到的认知缺陷.
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