Effects of COVID-19 on cognition and mood after hospitalization and at 2-month follow-up

Peskar, Manca (avtor), Šimunič, Boštjan (avtor), Šlosar, Luka (avtor), Pišot, Saša (avtor), Teraž, Kaja (avtor), Gasparini, Mladen (avtor), Pišot, Rado (avtor), Marušič, Uroš (avtor)

A plethora of evidence links SARS-CoV-2 infection with concomitant cognitive dysfunction, which often persists weeks to months after the acute stages of illness and affects executive function, attention, memory, orientation, and movement control. It remains largely unclear which conditions or factors exacerbate the recovery. In a cohort of N=37 Slovenian patients (5 females, aged M = 58, SD = 10.7 years) that were hospitalized because of COVID-19, the cognitive function and mood states were assessed immediately after discharge and 2-months later to investigate the early post-COVID recovery changes. We assessed the global Montreal Cognitive Assessment (MoCA), Simple and Choice Reaction Times, executive functions (Trail-Making Test – TMT-A and TMT-B), short-term memory (Auditory Verbal Learning Test – AVLT), and visuospatial memory. We monitored depressive and anxiety symptoms and applied general self-efficacy and cognitive complaints questionnaires. Our results showed a global cognitive impairment (MoCA, Z = 332.5; p = 0.012), poorer performance on executive functions (TMT-A, Z = 188; p = 0.014; and TMT-B, Z = 185; p = 0.012), verbal memory (AVLT, F = 33.4; p < 0.001), and delayed recall (AVLT7, F = 17.1; p < 0.001), and higher depressive (Z = 145; p = 0.015) and anxiety (Z = 141; p = 0.003) symptoms after hospital discharge compared to 2-month follow-up, indicating that SARS-CoV-2 may transiently impair cognitive function and adversely affect the mood. No improvement in MoCA was observed in 40.5% of the patients at follow-up, indicating possible long-term effects of COVID-19 on global cognitive performance. Medical comorbidities (p = 0.035) significantly predicted the change in MoCA score over time, while fat mass (FM, p = 0.518), Mediterranean diet index (p = .0.944), and Florida Cognitive Activities Score (p = 0.927) did not. These results suggest that the patients’ medical comorbidities at the time of SARS-CoV-2 infection could importantly contribute to the acute impairment of cognitive function and stress the importance of systemic implementation of countermeasures to limit the negative consequences on public health.

• Jezik: Angleški jezik
• Ključne besede: coronavirus, recovery, acute respiratory syndrome, cognitive functions, cognitive impairment, MOCA, trail-making test, COVID-19 recovery, Severe Acute Respiratory Syndrome Coronavirus-2
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: FŠ - Fakulteta za šport
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2023
• Št. strani: 10 str.
• Številčenje: Vol. 14, art. 1141809
• PID: 20.500.12556/RUL-155271
• UDK: 616.98:578.834:159.955
• ISSN pri članku: 1664-1078
• DOI: 10.3389/fpsyg.2023.1141809
• COBISS.SI-ID: 153839363
• Datum objave v RUL: 22.03.2024

Gradivo je del revije

• Naslov: Frontiers in psychology
• Skrajšan naslov: Front. psychol.
• Založnik: Frontiers Media
• ISSN: 1664-1078
• COBISS.SI-ID: 519967513

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: okrevanje, akutni respiratorni sindrom, kognitivne funkcije, kognitivne motnje, epidemije, covid-19, SARS-CoV, virusi

Projekti

• Financer: ARRS - Agencija za raziskovalno dejavnost Republike Slovenije
• Številka projekta: P5-0381
• Naslov: Kineziologija za kakovost življenja

• Financer: EC - European Commission
• Program financ.: H2020
• Številka projekta: 952401
• Naslov: TWINning the BRAIN with machine learning for neuro-muscular efficiency
• Akronim: TwinBrain