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《新冠病毒感染后的“脑雾”:神经心理学领域如何拨云见日》

"Brain Fog" After COVID-19 Infection: How the Field of Neuropsychology Can Help Clear the Air.

机构信息

Clinical Neuropsychology, Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn Medical Center, Venusberg-Campus 1, 53127, Bonn, Germany.

German Center for Neurodegenerative Diseases, Göttingen, Germany.

出版信息

Adv Exp Med Biol. 2024;1458:59-76. doi: 10.1007/978-3-031-61943-4_5.

Abstract

The chapter explores the role of neuropsychology in understanding brain fog as a subjective complaint in the context of COVID-19. It discusses the historical and medical significance of the term "brain fog" and its psychological and neurological aspects. The chapter identifies the cognitive domains commonly affected by brain fog, such as attention, executive function, memory, and language. Additionally, it emphasizes the impact of societal changes during the COVID-19 pandemic on the general population as a crucial backdrop for understanding the issue. The chapter also highlights the important role of clinical and research neuropsychologists in gaining clarity on grouped data and individual patients' cognitive and emotional difficulties after COVID-19 infection. It discusses indications for neuropsychological rehabilitation and therapy and describes typical therapy phases and methods, including new approaches like telemedicine, virtual reality, and mobile app-based rehabilitation and self-tracking. The chapter underscores that experiences of brain fog can vary among COVID-19 patients and may change over time. It provides clinicians and interested parties with an in-depth understanding of brain fog and its manifestations, concomitant subtypes, and concrete strategies for addressing it. The chapter emphasizes the critical role of neuropsychology in scientifically examining brain fog and advocating for personalized approaches to cognitive rehabilitation.

摘要

这一章探讨了神经心理学在理解 COVID-19 背景下作为主观主诉的脑雾的作用。它讨论了术语“脑雾”的历史和医学意义及其心理和神经学方面。本章确定了通常受脑雾影响的认知领域,如注意力、执行功能、记忆和语言。此外,它强调了 COVID-19 大流行期间社会变化对普通人群的重要影响,这是理解这一问题的关键背景。本章还强调了临床和研究神经心理学家在阐明 COVID-19 感染后分组数据和个体患者认知和情绪困难方面的重要作用。它讨论了神经心理康复和治疗的适应症,并描述了典型的治疗阶段和方法,包括远程医疗、虚拟现实和基于移动应用程序的康复和自我跟踪等新方法。本章强调,脑雾在 COVID-19 患者中的体验可能因人而异,并可能随时间变化。它为临床医生和感兴趣的各方提供了对脑雾及其表现、伴随亚型以及解决脑雾的具体策略的深入了解。本章强调了神经心理学在科学研究脑雾和倡导个性化认知康复方法方面的关键作用。

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