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 |
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John Wiley & Sons Australia, Ltd
01.02.2023
Wiley Subscription Services, Inc |
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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. |
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| 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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| 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 |
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