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强调 COVID-19 的神经心理学后果:来自叙事性综述的证据。

Highlighting the Neuropsychological Consequences of COVID-19: Evidence From a Narrative Review.

机构信息

City College, University of York, Europe Campus, Thessaloniki, Greece.

University of Western Macedonia, Florina, Greece.

出版信息

Inquiry. 2024 Jan-Dec;61:469580241262442. doi: 10.1177/00469580241262442.

Abstract

The coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus-2, although largely affecting the respiratory system, commonly presents with numerous clinical symptoms from other systems. COVID-19 has been associated with both acute and persistent neurological abnormalities in a substantial proportion of patients. Notably, post-COVID-19 neuropsychological abnormalities have garnered attention, highlighting a high prevalence of neurocognitive issues in affected individuals. This narrative review synthesizes current knowledge on the neuropsychological impact of COVID-19, drawing insights from an extensive online search of published literature conducted in the PubMed (MEDLINE) and Scopus databases. The findings underscore significant neuropsychological effects of COVID-19 observed at both individual and societal levels during the ongoing pandemic. Neuropsychological deficits such as memory difficulties, attention problems, and executive dysfunction, alongside physical symptoms like headaches and fatigue were commonly reported. Additionally, psychological challenges, including fear, anxiety, and depression, emerged as prevalent issues arising from the uncertainties surrounding the situation, social isolation, and employment insecurities. The identified neuropsychological manifestations of COVID-19 can significantly impede normal cognitive and emotional functioning, potentially resulting in decreased productivity and an overall decline in mental health and quality of life. Early identification of signs indicative of neurological or psychological decline becomes imperative, offering a crucial opportunity to mitigate the risk of long-term neuropsychological dysfunction through the development of targeted interventions.

摘要

新型冠状病毒病 2019(COVID-19)是由严重急性呼吸系统综合征冠状病毒 2 引起的,尽管主要影响呼吸系统,但通常会出现来自其他系统的许多临床症状。COVID-19 在相当一部分患者中与急性和持续性神经系统异常有关。值得注意的是,COVID-19 后神经心理异常引起了关注,突出了受影响个体中神经认知问题的高患病率。本叙述性综述综合了 COVID-19 对神经心理学影响的现有知识,从在 PubMed(MEDLINE)和 Scopus 数据库中进行的广泛在线搜索中汲取了见解。研究结果强调了在当前大流行期间,COVID-19 在个人和社会层面上都观察到了显著的神经心理学影响。记忆力困难、注意力问题和执行功能障碍等神经心理缺陷以及头痛和疲劳等身体症状经常被报道。此外,还出现了心理挑战,包括对情况不确定性、社交隔离和就业不稳定的恐惧、焦虑和抑郁等。COVID-19 的确定神经心理学表现会严重影响正常的认知和情绪功能,可能导致生产力下降以及心理健康和生活质量整体下降。早期识别表明存在神经或心理下降的迹象变得至关重要,通过开发有针对性的干预措施,为减轻长期神经心理功能障碍的风险提供了重要机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a377/11409285/86e0025852e3/10.1177_00469580241262442-fig1.jpg

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