The neuropsychological impact of the CoVID-19 pandemic on the mental wellbeing of individuals – what have we learnt thus far

R. Harricharan, William Mark Uren Daniels
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Abstract

The novel Corona virus disease (COVID-19) has escalated drastically to become a global pandemic. Here we review the impact of COVID-19 on the brain. The search string “coronavirus and brain” was typed in Google Scholar and PubMed to yield 31500 and 2044 results respectively. Based on these results the effects of COVID-19 on the brain are two-fold, both neuropathological and psychological in nature. SARS CoV-2 produces a range of non-specific neurological symptoms (headaches, nausea, vomiting, altered mental status, anosmia, neuropathy, delirium, cerebrovascular incidents, seizures, Guillain-Barré Syndrome, cranial nerve dysfunctions, viral and autoimmune encephalitis). Indirect effects of SARS CoV-2 on the brain reside in the practices imposed by lockdown regulations including quarantine and self-isolation. These practices have resulted in psychological manifestations including stress, anxiety and post-traumatic stress disorder-related symptoms in infected and uninfected individuals. While online counselling platforms, resilience-building programmes and cognitive behavioural therapy strategies have been established, more need to be implemented to reduce the impact of these practices. *Correspondence to: Rivona Harricharan, Department of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa; E-mail: rivonah3@gmail.com
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CoVID-19大流行对个人心理健康的神经心理学影响——迄今为止我们了解到什么
新型冠状病毒病(COVID-19)急剧升级,已成为全球大流行。这里我们回顾了COVID-19对大脑的影响。在谷歌Scholar和PubMed中输入搜索字符串“冠状病毒和大脑”,分别得到31500和2044个结果。基于这些结果,COVID-19对大脑的影响是双重的,本质上是神经病理和心理的。SARS - CoV-2会产生一系列非特异性神经系统症状(头痛、恶心、呕吐、精神状态改变、嗅觉丧失、神经病变、谵谵症、脑血管事件、癫痫发作、格林-巴罗综合征、脑神经功能障碍、病毒性和自身免疫性脑炎)。SARS - CoV-2对大脑的间接影响存在于隔离和自我隔离等封锁规定的做法中。这些做法在受感染者和未受感染者中造成心理表现,包括压力、焦虑和创伤后应激障碍相关症状。虽然已经建立了在线咨询平台、恢复力建设项目和认知行为治疗策略,但还需要实施更多措施来减少这些做法的影响。*通信对象:南非德班夸祖鲁-纳塔尔大学临床医学系Rivona Harricharan;电子邮件:rivonah3@gmail.com
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