Cognitive impairment, depressive and anxiety disorders among post-COVID-19 survivors: a follow-up study
Notice bibliographique
Résumé
Abstract Background Psychiatric signs may be induced by the cytokine storm that is implicated in the immune response to coronavirus through neuro-inflammation. Survivors disclosed symptoms of obsessive–compulsive disorder, melancholy, anxiety, panic disorder, and post-traumatic stress disorder. For the first year following the SARS disease, they generally suffer from suicide and psychosis. Aim To evaluate the presence of cognitive impairment, anxiety disorders, and depression in adult survivors of COVID-19, 1 month and 3 months post-recovery. Method It is an observational longitudinal study. Forty-four COVID-19 survivor patients, with no past psychiatric history were evaluated at 3 months and 1 month after recovery. The Montreal Cognitive Impairment Basic (MoCA-B) was employed to evaluate cognitive impairment. However, anxiety and depressive disorders were identified via structured clinical interview for DSM IV, axis I (SCID-I) and their severity was examined by the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) consecutively. Results Regarding cognitive impairment, MoCA-B results showed a mean score of 25.95 ± 1.98 in the 1st interview and 27.7 ± 1.05 in the 2nd interview, with a marked change, P- value = 0.001. SCID-I showed that 43.2% of our sample was diagnosed with both anxiety and depression at 1 month post-recovery, with the improvement of some cases at 3 months to affect only 18.2%, showing a statistically significant difference, P- value = 0.036. The percentage of patients who suffered from sleep difficulties was 59.1% at 1st interview and 27.3% at 2nd interview. While 61.4% of patients suffered from fatigue and low concentration at 1st interview and went down to 31.8% at 2nd interview, showing a statistically significant difference, P -value < 0.001. The severity of depression and anxiety in those diagnosed also declined from the 1st interview to the 2nd, BDI mean score in 1st interview was 12.30 ± 10.46, and in the 2nd interview was 7.09 ± 9.24 with marked variation P -value < 0.001, while BAI means score at the 1st interview was 18.18 ± 16.85 and at the 2nd interview was 11.32 ± 16.12 with statistically significant difference P = 0.001. Conclusion Impairment of cognitive functions; especially delayed recall; was one of the important COVID-19 psychiatric sequelae, In addition to anxiety and depressive signs in the form of depressed/anxious mood, fatigue, decreased concentration, and sleep disturbances. The severity of symptoms declined over the 3 months period of the study.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».