长期COVID的认知和情感精神教育:一个随机对照试验
Carmen Cabello Fernandez1, Vincent Didone1, Alexia Lesoinne1
1Psychology and Cognitive Neuroscience Research Unit (PsyNCog), Université de Liège (ULiège), Liège 4000, Belgium.
Brain communications
|November 24, 2025
概括
这项研究发现,认知和情感心理教育干预措施都改善了长期COVID症状,如认知投诉和疲劳. 然而,这两种干预措施都没有显示出对另一种干预措施的优势,这表明需要进一步研究量身定制的治疗方法.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 长期的COVID会导致持续的认知困难和疲劳,影响日常生活.
- 目前针对长期COVID症状的干预措施缺乏可靠的疗效数据.
- 正在探索心理教育方法用于神经康复.
研究的目的:
- 为了比较以认知为重点的心理教育干预与以情感为重点的心理教育干预对认知投诉的长期COVID患者的有效性.
- 评估这些干预措施对认知功能,疲劳,睡眠,生活质量和心理困扰的影响.
主要方法:
- 一个随机对照试验 (COVCOG) 涉及122名长期COVID患者.
- 参与者接受了以认知为重点或以情感为重点的精神教育计划 (4次).
- 在干预前和干预后2个月和8个月进行了神经心理评估,使用线性混合模型 (LMM) 进行分析.
主要成果:
- 这两种干预措施都带来了随着时间的推移在主观认知投诉,客观认知表现,生活质量,疲劳和睡眠 (P <0.03) 中的显著改善.
- 没有观察到显著的分组时间相互作用,这表明认知和情感组之间的轨迹相似.
- 低退学率 (9-12%) 和高出席率 (92%) 证实了干预的可行性.
结论:
- 认知和情感心理教育干预都是可行的,对于在长期COVID中管理认知问题是有益的.
- 虽然这两种干预措施都显示出总体改善,但对彼此的具体益处需要进一步调查.
- 较长的治疗时间可能是必要的,以实现更实质性的改善长期COVID症状.
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