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Paper   IPM / Cognitive Sciences / 17802
School of Cognitive Sciences
  Title:   Chronic fatigue syndrome and cognitive deficit are associated with acute-phase neuropsychiatric manifestations of COVID-19: A 9-month follow-up study
  Author(s): 
1.  F. Mirfazeli
2.  A. Sarabi-Jamab
3.  V. Pereira-Sanchez
4.  A. Kordi
5.  B. Shariati
6.  S.V. Shariati
7.  S . Bshrami
8.  S. Nohesara
9.  M. Almasi-Dooghaee
10.  S.H.R. Faiz
  Status:   Published
  Journal: Neuroscience
  No.:  4
  Vol.:  43
  Year:  2022
  Pages:   2231-2239
  Supported by:  IPM
  Abstract:
The preva lence of long-COVID symptoms is rising but it is not still possible to predict which patients will present them, and which types of symptoms they will present. We followed up 95 patients with confirmed COVID-19 for 9 months to identify and characterize long-COVID symptoms. Easy fatigability was the most common symptom (51.04%), followed by anxiety (38.54%), dyspnea (38.54%), and new-onset headache (38.54%). There was no association between COVID-19 severity in the acute phase and the number of long-COVID symptoms (F(1,93) = 0.75, p = 0.45), and cognitive function (MoCA) scores (F(1,90) = 0.073, p = 0.787) at follow-up. Being female (F(1,92) = - 2.27, p = 0.02), having a higher number of symptoms (F(1,93) = 2.76, p = 0.0068), and experiencing constitutional neuropsychiatric symptoms (F(1,93) = 2.529, p = 0.01) in the acute phase were associated with having chronic fatigue syndrome at follow-up. Moreover, constitutional neuropsychiatric symptoms in the acute phase were associated with a lower MoCA score (F(1,93) = 10.84, p = 0.001) at follow-up. Specific clinical presentations such as constitutional neuropsychiatric symptoms in the acute phase might be predictors of debilitating long-COVID symptoms such as chronic fatigue syndrome and cognitive deficits.

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