Neuropsychiatric aspects of long COVID: A comprehensive review

Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID‐19) infection, neuropsychiatric aspects of long COVID are not well known. This review summarizes and provides an update on the neuropsychiatric dimensions of long COVID. Its neuropsychia...

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Veröffentlicht in:Psychiatry and clinical neurosciences Jg. 77; H. 2; S. 84 - 93
Hauptverfasser: Kubota, Takafumi, Kuroda, Naoto, Sone, Daichi
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Melbourne John Wiley & Sons Australia, Ltd 01.02.2023
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ISSN:1323-1316, 1440-1819, 1440-1819
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Abstract Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID‐19) infection, neuropsychiatric aspects of long COVID are not well known. This review summarizes and provides an update on the neuropsychiatric dimensions of long COVID. Its neuropsychiatric manifestations commonly include fatigue, cognitive impairment, sleep disorders, depression, anxiety, and post‐traumatic stress disorder. There are no specific tests for long COVID, but some characteristic findings such as hypometabolism on positron emission tomography have been reported. The possible mechanisms of long COVID include inflammation, ischemic effects, direct viral invasion, and social and environmental changes. Some patient characteristics and the severity and complications of acute COVID‐19 infection may be associated with an increased risk of neuropsychiatric symptoms. Long COVID may resolve spontaneously or persist, depending on the type of neuropsychiatric symptoms. Although established treatments are lacking, various psychological and pharmacological treatments have been attempted. Vaccination against COVID‐19 infection plays a key role in the prevention of long coronavirus disease. With differences among the SARS‐CoV‐2 variants, including the omicron variant, the aspects of long COVID are likely to change in the future. Further studies clarifying the aspects of long COVID to develop effective treatments are warranted. Overview of neuropsychiatric aspects of long COVID.
AbstractList Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID‐19) infection, neuropsychiatric aspects of long COVID are not well known. This review summarizes and provides an update on the neuropsychiatric dimensions of long COVID. Its neuropsychiatric manifestations commonly include fatigue, cognitive impairment, sleep disorders, depression, anxiety, and post‐traumatic stress disorder. There are no specific tests for long COVID, but some characteristic findings such as hypometabolism on positron emission tomography have been reported. The possible mechanisms of long COVID include inflammation, ischemic effects, direct viral invasion, and social and environmental changes. Some patient characteristics and the severity and complications of acute COVID‐19 infection may be associated with an increased risk of neuropsychiatric symptoms. Long COVID may resolve spontaneously or persist, depending on the type of neuropsychiatric symptoms. Although established treatments are lacking, various psychological and pharmacological treatments have been attempted. Vaccination against COVID‐19 infection plays a key role in the prevention of long coronavirus disease. With differences among the SARS‐CoV‐2 variants, including the omicron variant, the aspects of long COVID are likely to change in the future. Further studies clarifying the aspects of long COVID to develop effective treatments are warranted.
Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID‐19) infection, neuropsychiatric aspects of long COVID are not well known. This review summarizes and provides an update on the neuropsychiatric dimensions of long COVID. Its neuropsychiatric manifestations commonly include fatigue, cognitive impairment, sleep disorders, depression, anxiety, and post‐traumatic stress disorder. There are no specific tests for long COVID, but some characteristic findings such as hypometabolism on positron emission tomography have been reported. The possible mechanisms of long COVID include inflammation, ischemic effects, direct viral invasion, and social and environmental changes. Some patient characteristics and the severity and complications of acute COVID‐19 infection may be associated with an increased risk of neuropsychiatric symptoms. Long COVID may resolve spontaneously or persist, depending on the type of neuropsychiatric symptoms. Although established treatments are lacking, various psychological and pharmacological treatments have been attempted. Vaccination against COVID‐19 infection plays a key role in the prevention of long coronavirus disease. With differences among the SARS‐CoV‐2 variants, including the omicron variant, the aspects of long COVID are likely to change in the future. Further studies clarifying the aspects of long COVID to develop effective treatments are warranted. Overview of neuropsychiatric aspects of long COVID.
Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID‐19) infection, neuropsychiatric aspects of long COVID are not well known. This review summarizes and provides an update on the neuropsychiatric dimensions of long COVID. Its neuropsychiatric manifestations commonly include fatigue, cognitive impairment, sleep disorders, depression, anxiety, and post‐traumatic stress disorder. There are no specific tests for long COVID, but some characteristic findings such as hypometabolism on positron emission tomography have been reported. The possible mechanisms of long COVID include inflammation, ischemic effects, direct viral invasion, and social and environmental changes. Some patient characteristics and the severity and complications of acute COVID‐19 infection may be associated with an increased risk of neuropsychiatric symptoms. Long COVID may resolve spontaneously or persist, depending on the type of neuropsychiatric symptoms. Although established treatments are lacking, various psychological and pharmacological treatments have been attempted. Vaccination against COVID‐19 infection plays a key role in the prevention of long coronavirus disease. With differences among the SARS‐CoV‐2 variants, including the omicron variant, the aspects of long COVID are likely to change in the future. Further studies clarifying the aspects of long COVID to develop effective treatments are warranted. Overview of neuropsychiatric aspects of long COVID.
Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID-19) infection, neuropsychiatric aspects of long COVID are not well known. This review summarizes and provides an update on the neuropsychiatric dimensions of long COVID. Its neuropsychiatric manifestations commonly include fatigue, cognitive impairment, sleep disorders, depression, anxiety, and post-traumatic stress disorder. There are no specific tests for long COVID, but some characteristic findings such as hypometabolism on positron emission tomography have been reported. The possible mechanisms of long COVID include inflammation, ischemic effects, direct viral invasion, and social and environmental changes. Some patient characteristics and the severity and complications of acute COVID-19 infection may be associated with an increased risk of neuropsychiatric symptoms. Long COVID may resolve spontaneously or persist, depending on the type of neuropsychiatric symptoms. Although established treatments are lacking, various psychological and pharmacological treatments have been attempted. Vaccination against COVID-19 infection plays a key role in the prevention of long coronavirus disease. With differences among the SARS-CoV-2 variants, including the omicron variant, the aspects of long COVID are likely to change in the future. Further studies clarifying the aspects of long COVID to develop effective treatments are warranted.Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID-19) infection, neuropsychiatric aspects of long COVID are not well known. This review summarizes and provides an update on the neuropsychiatric dimensions of long COVID. Its neuropsychiatric manifestations commonly include fatigue, cognitive impairment, sleep disorders, depression, anxiety, and post-traumatic stress disorder. There are no specific tests for long COVID, but some characteristic findings such as hypometabolism on positron emission tomography have been reported. The possible mechanisms of long COVID include inflammation, ischemic effects, direct viral invasion, and social and environmental changes. Some patient characteristics and the severity and complications of acute COVID-19 infection may be associated with an increased risk of neuropsychiatric symptoms. Long COVID may resolve spontaneously or persist, depending on the type of neuropsychiatric symptoms. Although established treatments are lacking, various psychological and pharmacological treatments have been attempted. Vaccination against COVID-19 infection plays a key role in the prevention of long coronavirus disease. With differences among the SARS-CoV-2 variants, including the omicron variant, the aspects of long COVID are likely to change in the future. Further studies clarifying the aspects of long COVID to develop effective treatments are warranted.
Author Kuroda, Naoto
Kubota, Takafumi
Sone, Daichi
AuthorAffiliation 3 Department of Epileptology Tohoku University Graduate School of Medicine Sendai Japan
2 Department of Neurology Tohoku University Graduate School of Medicine Sendai Japan
1 Department of Neurology National Hospital Organization Sendai Medical Center Sendai Japan
5 Department of Psychiatry Jikei University School of Medicine Tokyo Japan
4 Department of Pediatrics Wayne State University Detroit Michigan USA
AuthorAffiliation_xml – name: 5 Department of Psychiatry Jikei University School of Medicine Tokyo Japan
– name: 3 Department of Epileptology Tohoku University Graduate School of Medicine Sendai Japan
– name: 2 Department of Neurology Tohoku University Graduate School of Medicine Sendai Japan
– name: 1 Department of Neurology National Hospital Organization Sendai Medical Center Sendai Japan
– name: 4 Department of Pediatrics Wayne State University Detroit Michigan USA
Author_xml – sequence: 1
  givenname: Takafumi
  orcidid: 0000-0003-3632-9679
  surname: Kubota
  fullname: Kubota, Takafumi
  email: takafumi.kubota.0612@gmail.com
  organization: Tohoku University Graduate School of Medicine
– sequence: 2
  givenname: Naoto
  surname: Kuroda
  fullname: Kuroda, Naoto
  organization: Wayne State University
– sequence: 3
  givenname: Daichi
  orcidid: 0000-0001-9617-706X
  surname: Sone
  fullname: Sone, Daichi
  organization: Jikei University School of Medicine
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36385449$$D View this record in MEDLINE/PubMed
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Issue 2
Keywords COVID-19
long COVID
psychiatry
post COVID-19 condition
neurology
Language English
License Attribution
2022 The Authors. Psychiatry and Clinical Neurosciences published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Psychiatry and Neurology.
This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Snippet Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID‐19) infection, neuropsychiatric aspects of...
Although some patients have persistent symptoms or develop new symptoms following coronavirus disease 2019 (COVID-19) infection, neuropsychiatric aspects of...
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SubjectTerms Anxiety Disorders
Cognitive ability
Coronaviruses
COVID-19
Drug therapy
Environmental changes
Humans
Infections
Ischemia
Long COVID
Medical treatment
Mental disorders
neurology
PCN Frontier Review
PCN Frontier Reviews
Positron emission tomography
post COVID‐19 condition
Post-Acute COVID-19 Syndrome
psychiatry
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Sleep disorders
Vaccination
Title Neuropsychiatric aspects of long COVID: A comprehensive review
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fpcn.13508
https://www.ncbi.nlm.nih.gov/pubmed/36385449
https://www.proquest.com/docview/2773524714
https://www.proquest.com/docview/2737466835
https://pubmed.ncbi.nlm.nih.gov/PMC10108156
Volume 77
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