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新型冠状病毒肺炎:诊断威胁和暗示性对主观认知主诉的影响

COVID-19: Impact of diagnosis threat and suggestibility on subjective cognitive complaints.

作者信息

Winter Daniella, Braw Yoram

机构信息

Department of Psychology, Ariel University, Ariel, Israel.

出版信息

Int J Clin Health Psychol. 2022 Jan-Apr;22(1):100253. doi: 10.1016/j.ijchp.2021.100253. Epub 2021 May 24.

Abstract

A subset of recovered COVID-19 patients report persistent neurological symptoms. These include non-specific symptoms (e.g., headaches and fatigue) which were found to be affected by psychological processes in other disorders (e.g., post-concussion syndrome, PCS, after mild traumatic brain injury). The current study assessed the impact of diagnosis threat (i.e., information regarding the long-term neurological impact of COVID-19) and suggestibility on endorsed symptoms of both recovered patients and healthy controls. Recovered patients ( = 90) and healthy controls ( = 210) described their cognitive functioning after being randomly assigned to: (a) : These participants read an article that explored long-term neurological symptoms among COVID-19 survivors. (b) : These participants read an article providing general information regarding the disease. Recovered patients, but not healthy controls, endorsed more symptoms in the experimental condition compared to the control condition. Moreover, suggestibility was correlated with endorsement of symptoms. Post COVID-19 neurological symptoms may, at least partially, be affected by non-neurological factors such as diagnosis threat. Information regarding long-term effects of COVID-19 may skew reported symptoms with highly suggestible individuals particularly susceptible to these effects. Further research, however, is needed to validate and elaborate upon these initial findings.

摘要

一部分康复的新冠患者报告有持续的神经症状。这些症状包括非特异性症状(如头痛和疲劳),在其他疾病(如轻度创伤性脑损伤后的脑震荡后综合征,PCS)中发现这些症状会受到心理过程的影响。本研究评估了诊断威胁(即关于新冠长期神经影响的信息)和易受暗示性对康复患者和健康对照者认可症状的影响。将康复患者(n = 90)和健康对照者(n = 210)随机分配后,描述他们的认知功能:(a):这些参与者阅读了一篇探讨新冠幸存者长期神经症状的文章。(b):这些参与者阅读了一篇提供有关该疾病一般信息的文章。与对照条件相比,康复患者而非健康对照者在实验条件下认可了更多症状。此外,易受暗示性与症状的认可相关。新冠后的神经症状可能至少部分受到非神经因素如诊断威胁的影响。关于新冠长期影响的信息可能会歪曲报告的症状,高度易受暗示的个体尤其容易受到这些影响。然而,需要进一步的研究来验证和详细阐述这些初步发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/676d/8313497/c4a5464b80e1/gr1.jpg

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