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@ARTICLE{Schild:1030855,
author = {Schild, Ann-Katrin and Scharfenberg, Daniel and Regorius,
Anton and Klein, Kim and Kirchner, Lukas and Yasemin,
Goereci and Lülling, Joachim and Meiberth, Dix and
Schweitzer, Finja and Fink, Gereon Rudolf and Jessen, Frank
and Franke, Christiana and Onur, Oezguer A. and Jost,
Stefanie Theresa and Warnke, Clemens and Maier, Franziska},
title = {{S}ix-month follow-up of multidomain cognitive impairment
in non-hospitalized individuals with post-{COVID}-19
syndrome},
journal = {Archiv für Psychiatrie und Nervenkrankheiten},
volume = {274},
number = {8},
issn = {1433-8491},
address = {Heidelberg},
publisher = {Springer},
reportid = {FZJ-2024-05464},
pages = {1945 - 1957},
year = {2024},
note = {The research leading to these results received funding from
the German Research Foundation under Grant No (PR 1274/8-1;
FR 4479/1-1; WA4101/2-1) supporting CF (FR 4479/1-1) and CW
(WA 410/2-1).Open Access funding enabled and organized by
Projekt DEAL.},
abstract = {Some people infected with SARS-CoV-2 report persisting
symptoms following acute infection. If these persist for
over three months, they are classified as post-COVID-19
syndrome (PCS). Although PCS is frequently reported,
detailed longitudinal neuropsychological characterization
remains scarce. We aimed to describe the trajectory of
cognitive and neuropsychiatric PCS symptoms. 42 individuals
with persisting cognitive deficits after asymptomatic to
mild/moderate acute COVID-19 at study inclusion received
neuropsychological assessment at baseline (BL) and follow-up
(FU; six months after BL). Assessments included
comprehensive testing of five neurocognitive domains, two
cognitive screening tests, and questionnaires on depression,
anxiety, sleep, fatigue, and health-related quality of life.
Results showed high rates of subjective cognitive complaints
at BL and FU $(95.2\%$ versus $88.1\%)$ without significant
change over time. However, objectively measured
neurocognitive disorder (NCD) decreased $(61.9\%$ versus
$42.9\%).$ All cognitive domains were affected, yet most
deficits were found in learning and memory, followed by
executive functions, complex attention, language, and
perceptual motor functions. In individuals with NCD, the
first three domains mentioned improved significantly over
time, while the last two domains remained unchanged.
Cognitive screening tests did not prove valuable in
detecting impairment. Neuropsychiatric symptoms remained
constant except for quality of life, which improved. This
study emphasizes the importance of comprehensive
neuropsychological assessment in longitudinal research and
provides valuable insights into the trajectory of long-term
neuropsychological impairments in PCS. While cognitive
performance significantly improved in many domains,
neuropsychiatric symptoms remained unchanged.Keywords:
Cognitive deficits; Long COVID; Neurocognitive disorder;
Neuropsychology; SARS-CoV-2; Subjective complaints.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5251 - Multilevel Brain Organization and Variability
(POF4-525)},
pid = {G:(DE-HGF)POF4-5251},
typ = {PUB:(DE-HGF)16},
pubmed = {39048833},
UT = {WOS:001275409200001},
doi = {10.1007/s00406-024-01863-3},
url = {https://juser.fz-juelich.de/record/1030855},
}