新冠后综合征、新冠康复和新冠无感染个体的客观和主观认知功能特征。
Profiles of objective and subjective cognitive function in Post-COVID Syndrome, COVID-19 recovered, and COVID-19 naïve individuals.
机构信息
Department of Psychology, Manchester Metropolitan University, Manchester, UK.
Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
出版信息
Sci Rep. 2024 Jun 11;14(1):13368. doi: 10.1038/s41598-024-62050-x.
Post-COVID Syndrome has emerged as a significant public health concern worldwide with increasing evidence to suggest that individuals who have had an acute COVID-19 infection report lingering memory and attention difficulties, even in individuals who have fully recovered and no longer experiencing symptoms of COVID-19. The present study sought to investigate the profile of objective and subjective cognitive difficulties in people who have Post-COVID Syndrome, people who have fully recovered from an acute COVID infection and people who have never had COVID-19. We further sought to explore the extent to which self-reported fatigue and stress are related to subjective and objective cognitive difficulties. 162 participants including 50 people living with Post-COVID Syndrome, 59 people who have had COVID-19 but have fully recovered and 53 people who have never experienced symptoms of COVID-19 and had never tested positive for COVID-19 were recruited from Academic Prolific to complete a series of online questionnaires and neurocognitive tasks. Subjective cognitive function was measured using the Cognitive Failures Questionnaire and objective cognitive function was measured using the Cognitron cognitive test battery. We found that objective and subjective measures of cognitive function were not significantly related, suggesting that self-reports of "brain fog" are not reflecting objectively measured cognitive dysfunction. A MANOVA revealed that subjective cognitive deficits were driven by heightened perceived stress and fatigue and not significantly related to COVID-19 status. Objective cognitive function, however, was significantly related to perceived stress and COVID status whereby we observed significant objective cognitive deficits in people who have been exposed to an acute COVID-19 infection regardless of whether they had Post-COVID Syndrome or had fully recovered, as compared to people who had never had COVID-19. This suggests that an acute infection can have long term effects on cognitive function, even without persistent COVID-19 symptoms. Encouragingly, objective cognitive function was significantly associated with time since initial infection showing that cognitive deficits improved over time for people who had recovered from COVID-19. However, we did not observe the same improvement in individuals with Post-COVID Syndrome and observed that cognitive dysfunction was significantly related to the number of neurological symptoms presently experienced. These results add to the accumulating literature that COVID-19 is associated with significant cognitive difficulties following a COVID-19 infection, which appear to improve over time for those who have recovered from COVID-19 yet persist in people living with Post-COVID Syndrome.
新冠后遗症已成为全球关注的重大公共卫生问题,越来越多的证据表明,即使是那些已完全康复且不再有新冠症状的急性新冠感染者,也会报告存在挥之不去的记忆和注意力困难等问题。本研究旨在探究新冠后遗症患者、已从急性新冠感染中完全康复的患者和从未感染过新冠的患者的客观和主观认知困难特征,并进一步探讨自我报告的疲劳和压力与主观和客观认知困难的关系程度。研究共招募了 162 名参与者,包括 50 名新冠后遗症患者、59 名已从急性新冠感染中完全康复的患者和 53 名从未感染过新冠且从未检测出新冠阳性的患者,他们均来自 Academic Prolific,以完成一系列在线问卷和神经认知任务。主观认知功能采用认知失败问卷进行测量,客观认知功能采用 Cognitron 认知测试套件进行测量。研究发现,客观和主观认知功能测量之间没有显著相关性,这表明“脑雾”的自我报告并不能反映客观测量的认知功能障碍。多变量分析显示,主观认知缺陷是由感知到的压力和疲劳增加驱动的,而与新冠感染状态并无显著关系。然而,客观认知功能与感知到的压力和新冠状态显著相关,我们观察到,无论是否患有新冠后遗症,只要曾感染过急性新冠,其客观认知功能就会出现显著缺陷,与从未感染过新冠的人相比,这表明急性感染会对认知功能产生长期影响,即使没有持续的新冠症状。令人鼓舞的是,客观认知功能与初次感染后的时间呈显著正相关,这表明从新冠中康复的患者的认知缺陷会随着时间的推移而改善。然而,我们在新冠后遗症患者中并未观察到相同的改善,并且观察到认知功能障碍与目前经历的神经系统症状数量显著相关。这些结果增加了越来越多的文献,表明新冠感染与新冠感染后存在显著的认知困难有关,对于那些从新冠中康复的患者,认知困难似乎会随着时间的推移而改善,但在新冠后遗症患者中仍会持续存在。