Yousufzai Wali, Heo Alex, Gu Kyle, Sun Edward, Lopez Gabriel, Balamurali Shreya, Adjei-Mosi Jennifer, Shin Riley, Stuart Daniel B, Edwards Peggy, Baronia Regina, Amor Wail, McMahon Terry
Psychiatry Department Texas Tech University Health Sciences Lubbock Lubbock Texas USA.
Nassau University Medical Center East Meadow New York USA.
PCN Rep. 2025 Jun 25;4(2):e70146. doi: 10.1002/pcn5.70146. eCollection 2025 Jun.
This scoping review aims to examine the frequency and prevalence of neuropsychiatric disorders reported in patients infected with coronavirus disease 2019, and the mechanisms by which these develop during and post infection. A systematic search using relevant search terms and key words was done on six electronic databases of literature on neuropsychiatric conditions post-coronavirus disease 2019 infection from 2020 to 2023. Data were extracted following Joanna Briggs Institute guidelines, focusing on key findings, intervention details, and outcomes. We included 333 studies in the review. Studies indicated an elevated risk of neuropsychiatric disorders post-coronavirus disease 2019, with some risks remaining high 2 years after diagnosis. A significant prevalence of depressive, psychotic, and anxiety disorders, as well as post-traumatic stress symptoms were noted among coronavirus disease 2019 survivors. There was increased prevalence of insomnia and other sleep disturbances, mild to severe cognitive dysfunction, and eating disorders. Coronavirus disease 2019 infection is associated with a significant risk of developing various neuropsychiatric disorders, including schizophrenia, depressive disorders, anxiety, post-traumatic stress disorder, and cognitive dysfunction. Long-term monitoring and early interventions are essential to mitigate these risks and improve patient outcomes.
本综述旨在研究2019冠状病毒病感染患者中报告的神经精神障碍的频率和患病率,以及这些障碍在感染期间和感染后发生的机制。使用相关检索词和关键词对2020年至2023年期间关于2019冠状病毒病感染后神经精神状况的六个电子文献数据库进行了系统检索。按照乔安娜·布里格斯研究所的指南提取数据,重点关注主要发现、干预细节和结果。我们在综述中纳入了333项研究。研究表明,2019冠状病毒病感染后神经精神障碍的风险升高,一些风险在诊断后2年仍居高不下。在2019冠状病毒病幸存者中,抑郁、精神病性和焦虑障碍以及创伤后应激症状的患病率显著。失眠和其他睡眠障碍、轻度至重度认知功能障碍以及饮食失调的患病率有所增加。2019冠状病毒病感染与发生各种神经精神障碍的重大风险相关,包括精神分裂症、抑郁症、焦虑症、创伤后应激障碍和认知功能障碍。长期监测和早期干预对于降低这些风险和改善患者预后至关重要。