COVID-19 后的记忆抱怨:是原发性认知障碍的潜在指标,还是精神症状的相关因素?

IF 5.8 1区 医学 Q1 PSYCHIATRY Translational Psychiatry Pub Date : 2024-10-26 DOI:10.1038/s41398-024-03154-w
Yiling Dong, Ana Paula Ritto, Rodolfo Furlan Damiano, Amanda Goulart Coli, Rodrigo Hadade, Cristiana Castanho de Almeida Rocca, Antonio de Pádua Serafim, Bruno Fukelmann Guedes, Ricardo Nitrini, Marta Imamura, Orestes Vicente Forlenza, Geraldo Busatto Filho
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摘要

据报道,认知障碍和精神障碍症状是 SARS-CoV-2 感染急性期后遗症的常见特征。本研究旨在调查 COVID-19 幸存者的主观记忆抱怨,并确定这些抱怨是否与 SARS-CoV-2 感染后遗症相关的客观认知障碍或精神症状有更密切的联系。共对 608 名 COVID-19 幸存者进行了住院后 6-11 个月的亲自评估,其中 377 名患者被分配到 "无主观记忆主诉 (SMC) 组",231 名患者根据其记忆主诉量表评分被分配到主观记忆主诉组。随访评估包括客观认知测试和基于量表的焦虑、抑郁和创伤后应激症状评估。我们发现,COVID-19幸存者的记忆障碍感知与精神疾病的核心症状而非主要的客观认知障碍有更密切的关系。单变量分析表明,"无 SMC "组和 SMC 组在精神症状评估和认知评估方面均存在显著差异(P<0.05)。
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Memory complaints after COVID-19: a potential indicator of primary cognitive impairment or a correlate of psychiatric symptoms?

Cognitive impairment and symptoms of psychiatric disorders have been reported frequently as features of post-acute sequelae of SARS-CoV-2 infection. This study aims to investigate subjective memory complaints in COVID-19 survivors and determine if these are more strongly associated with objective cognitive impairment related to sequelae of SARS-CoV-2 infection or with symptoms of psychiatric conditions. A total of 608 COVID-19 survivors were evaluated in-person 6-11 months after hospitalization, with 377 patients assigned to a "no subjective memory complaint (SMC)" group and 231 patients assigned to an SMC group based on their Memory Complaint Scale scores. Follow-up evaluations included an objective cognitive battery and scale-based assessments of anxiety, depression, and post-traumatic stress symptoms. We found the perception of memory impairment in COVID-19 survivors to be more strongly associated to core symptoms of psychiatric conditions rather than to primary objective cognitive impairment. Univariate analysis indicated significant differences between the "no SMC" and SMC groups, both for the psychiatric symptom evaluations and for the cognitive evaluations (p < 0.05); however, the psychiatric symptoms all had large partial eta-squared values (ranging from 0.181 to 0.213), whereas the cognitive variables had small/medium partial eta-squared values (ranging from 0.002 to 0.024). Additionally, multiple regression analysis indicated that only female sex and depressive and post-traumatic stress symptoms were predictors of subjective memory complaints. These findings may help guide clinical evaluations for COVID-19 survivors presenting with memory complaints while also serving to expand our growing understanding of the relationship between COVID-19, subjective memory complaints, and the risk of cognitive decline.

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来源期刊
CiteScore
11.50
自引率
2.90%
发文量
484
审稿时长
23 weeks
期刊介绍: Psychiatry has suffered tremendously by the limited translational pipeline. Nobel laureate Julius Axelrod''s discovery in 1961 of monoamine reuptake by pre-synaptic neurons still forms the basis of contemporary antidepressant treatment. There is a grievous gap between the explosion of knowledge in neuroscience and conceptually novel treatments for our patients. Translational Psychiatry bridges this gap by fostering and highlighting the pathway from discovery to clinical applications, healthcare and global health. We view translation broadly as the full spectrum of work that marks the pathway from discovery to global health, inclusive. The steps of translation that are within the scope of Translational Psychiatry include (i) fundamental discovery, (ii) bench to bedside, (iii) bedside to clinical applications (clinical trials), (iv) translation to policy and health care guidelines, (v) assessment of health policy and usage, and (vi) global health. All areas of medical research, including — but not restricted to — molecular biology, genetics, pharmacology, imaging and epidemiology are welcome as they contribute to enhance the field of translational psychiatry.
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