Neuropsychological deficits in patients with cognitive complaints after COVID-19

Background: While much of the scientific focus thus far has been on cognitive sequelae in patients with severe COVID-19, subjective cognitive complaints are being reported across the spectrum of disease severity, with recent studies beginning to corroborate patients' perceived deficits. In resp...

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Autores: García Sánchez, Carmen|||0000-0001-5672-9229, Calabria, Marco|||0000-0003-4373-1316, Grunden, Nicholas|||0000-0002-7724-4316, Pons, Catalina, Arroyo Díaz, Juan Antonio|||0000-0001-8029-7374, Gómez Ansón, Beatriz|||0000-0001-7900-938X, Lleó, Alberto|||0000-0002-2568-5478, Alcolea, Daniel|||0000-0002-3819-3245, Belvís, Roberto|||0000-0002-2137-180X, Morollón Sánchez-Mateos, Noemí|||0000-0003-4256-4210, Mur, Isabel|||0000-0001-7660-8483, Pomar, Virginia|||0000-0002-8473-5834, Domingo Pedrol, Pedro|||0000-0003-1138-5770
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:280884
Acceso en línea:https://ddd.uab.cat/record/280884
https://dx.doi.org/urn:doi:10.1002/brb3.2508
Access Level:acceso abierto
Palabra clave:Cognition
Cognitive complaints
Neuropsychology
Post-COVID-19
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spelling Neuropsychological deficits in patients with cognitive complaints after COVID-19García Sánchez, Carmen|||0000-0001-5672-9229Calabria, Marco|||0000-0003-4373-1316Grunden, Nicholas|||0000-0002-7724-4316Pons, CatalinaArroyo Díaz, Juan Antonio|||0000-0001-8029-7374Gómez Ansón, Beatriz|||0000-0001-7900-938XLleó, Alberto|||0000-0002-2568-5478Alcolea, Daniel|||0000-0002-3819-3245Belvís, Roberto|||0000-0002-2137-180XMorollón Sánchez-Mateos, Noemí|||0000-0003-4256-4210Mur, Isabel|||0000-0001-7660-8483Pomar, Virginia|||0000-0002-8473-5834Domingo Pedrol, Pedro|||0000-0003-1138-5770CognitionCognitive complaintsNeuropsychologyPost-COVID-19Background: While much of the scientific focus thus far has been on cognitive sequelae in patients with severe COVID-19, subjective cognitive complaints are being reported across the spectrum of disease severity, with recent studies beginning to corroborate patients' perceived deficits. In response to this, the aims of this study were to (1) explore the frequency of impaired performance across cognitive domains in post-COVID patients with subjective complaints and (2) uncover whether impairment existed within a single domain or across multiple. Methods: Sixty-three patients with subjective cognitive complaints post-COVID were assessed with a comprehensive protocol consisting of various neuropsychological tests and mood measures. Cognitive test performance was transformed into T scores and classified based on recommended guidelines. After performing a principal component analysis to define cognitive domain factors, distributions of test scores within and across domains were analyzed. Results: Results revealed pervasive impact on attention abilities, both as the singularly affected domain (19% of single-domain impairment) as well as coupled with decreased performance in executive functions, learning, and long-term memory. These salient attentional and associated executive deficits were largely unrelated to clinical factors such as hospitalization, disease duration, biomarkers, or affective measures. Discussion: These findings stress the importance of comprehensive evaluation and intervention to address cognitive sequelae in post-COVID patients of varying disease courses, not just those who were hospitalized or experienced severe symptoms. Future studies should investigate to what extent these cognitive abilities are recuperated over time as well as employ neuroimaging techniques to uncover underlying mechanisms of neural damage. 22022-01-0120222022-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/280884https://dx.doi.org/urn:doi:10.1002/brb3.2508reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2808842026-06-06T12:50:31Z
dc.title.none.fl_str_mv Neuropsychological deficits in patients with cognitive complaints after COVID-19
title Neuropsychological deficits in patients with cognitive complaints after COVID-19
spellingShingle Neuropsychological deficits in patients with cognitive complaints after COVID-19
García Sánchez, Carmen|||0000-0001-5672-9229
Cognition
Cognitive complaints
Neuropsychology
Post-COVID-19
title_short Neuropsychological deficits in patients with cognitive complaints after COVID-19
title_full Neuropsychological deficits in patients with cognitive complaints after COVID-19
title_fullStr Neuropsychological deficits in patients with cognitive complaints after COVID-19
title_full_unstemmed Neuropsychological deficits in patients with cognitive complaints after COVID-19
title_sort Neuropsychological deficits in patients with cognitive complaints after COVID-19
dc.creator.none.fl_str_mv García Sánchez, Carmen|||0000-0001-5672-9229
Calabria, Marco|||0000-0003-4373-1316
Grunden, Nicholas|||0000-0002-7724-4316
Pons, Catalina
Arroyo Díaz, Juan Antonio|||0000-0001-8029-7374
Gómez Ansón, Beatriz|||0000-0001-7900-938X
Lleó, Alberto|||0000-0002-2568-5478
Alcolea, Daniel|||0000-0002-3819-3245
Belvís, Roberto|||0000-0002-2137-180X
Morollón Sánchez-Mateos, Noemí|||0000-0003-4256-4210
Mur, Isabel|||0000-0001-7660-8483
Pomar, Virginia|||0000-0002-8473-5834
Domingo Pedrol, Pedro|||0000-0003-1138-5770
author García Sánchez, Carmen|||0000-0001-5672-9229
author_facet García Sánchez, Carmen|||0000-0001-5672-9229
Calabria, Marco|||0000-0003-4373-1316
Grunden, Nicholas|||0000-0002-7724-4316
Pons, Catalina
Arroyo Díaz, Juan Antonio|||0000-0001-8029-7374
Gómez Ansón, Beatriz|||0000-0001-7900-938X
Lleó, Alberto|||0000-0002-2568-5478
Alcolea, Daniel|||0000-0002-3819-3245
Belvís, Roberto|||0000-0002-2137-180X
Morollón Sánchez-Mateos, Noemí|||0000-0003-4256-4210
Mur, Isabel|||0000-0001-7660-8483
Pomar, Virginia|||0000-0002-8473-5834
Domingo Pedrol, Pedro|||0000-0003-1138-5770
author_role author
author2 Calabria, Marco|||0000-0003-4373-1316
Grunden, Nicholas|||0000-0002-7724-4316
Pons, Catalina
Arroyo Díaz, Juan Antonio|||0000-0001-8029-7374
Gómez Ansón, Beatriz|||0000-0001-7900-938X
Lleó, Alberto|||0000-0002-2568-5478
Alcolea, Daniel|||0000-0002-3819-3245
Belvís, Roberto|||0000-0002-2137-180X
Morollón Sánchez-Mateos, Noemí|||0000-0003-4256-4210
Mur, Isabel|||0000-0001-7660-8483
Pomar, Virginia|||0000-0002-8473-5834
Domingo Pedrol, Pedro|||0000-0003-1138-5770
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Cognition
Cognitive complaints
Neuropsychology
Post-COVID-19
topic Cognition
Cognitive complaints
Neuropsychology
Post-COVID-19
description Background: While much of the scientific focus thus far has been on cognitive sequelae in patients with severe COVID-19, subjective cognitive complaints are being reported across the spectrum of disease severity, with recent studies beginning to corroborate patients' perceived deficits. In response to this, the aims of this study were to (1) explore the frequency of impaired performance across cognitive domains in post-COVID patients with subjective complaints and (2) uncover whether impairment existed within a single domain or across multiple. Methods: Sixty-three patients with subjective cognitive complaints post-COVID were assessed with a comprehensive protocol consisting of various neuropsychological tests and mood measures. Cognitive test performance was transformed into T scores and classified based on recommended guidelines. After performing a principal component analysis to define cognitive domain factors, distributions of test scores within and across domains were analyzed. Results: Results revealed pervasive impact on attention abilities, both as the singularly affected domain (19% of single-domain impairment) as well as coupled with decreased performance in executive functions, learning, and long-term memory. These salient attentional and associated executive deficits were largely unrelated to clinical factors such as hospitalization, disease duration, biomarkers, or affective measures. Discussion: These findings stress the importance of comprehensive evaluation and intervention to address cognitive sequelae in post-COVID patients of varying disease courses, not just those who were hospitalized or experienced severe symptoms. Future studies should investigate to what extent these cognitive abilities are recuperated over time as well as employ neuroimaging techniques to uncover underlying mechanisms of neural damage.
publishDate 2022
dc.date.none.fl_str_mv 2
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/280884
https://dx.doi.org/urn:doi:10.1002/brb3.2508
url https://ddd.uab.cat/record/280884
https://dx.doi.org/urn:doi:10.1002/brb3.2508
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
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dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
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