Evidence map›Paper›PMID 35085824›Full record

ArticleJournal of the Academy of Consultation-Liaison Psychiatry

Neuropsychological, Medical, and Psychiatric Findings After Recovery From Acute COVID-19: A Cross-sectional Study.

Stephen J Ferrando, Rhea Dornbush, Sean Lynch, Sivan Shahar, Lidia Klepacz, Carol L Karmen, Donald Chen, Stephen A Lobo, Dania Lerman

Open access · hybridAbstract read
In one paragraph

Article in Journal of the Academy of Consultation-Liaison Psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 7 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 7 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  3. Neurocognitive Impairment in Long COVID: A Systematic Review.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
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  5. Pathophysiological Mechanisms in Long COVID: A Mixed Method Systematic Review.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Stephen J FerrandoDepartment of Psychiatry, Westchester Medical Center Health System, Valhalla, NY; New York Medical College, Valhalla, NY. Electronic address: Stephen.Ferrando@wmchealth.org.
Rhea DornbushDepartment of Psychiatry, Westchester Medical Center Health System, Valhalla, NY; New York Medical College, Valhalla, NY.
Sean LynchDepartment of Psychiatry, Westchester Medical Center Health System, Valhalla, NY; New York Medical College, Valhalla, NY.
Sivan ShaharNew York Medical College, Valhalla, NY.
Lidia KlepaczDepartment of Psychiatry, Westchester Medical Center Health System, Valhalla, NY; New York Medical College, Valhalla, NY.
Carol L KarmenNew York Medical College, Valhalla, NY; Department of Medicine, Westchester Medical Center Health System, Valhalla, NY.
Donald ChenNew York Medical College, Valhalla, NY; Department of Medicine, Westchester Medical Center Health System, Valhalla, NY.
Stephen A LoboNew York Medical College, Valhalla, NY; Department of Medicine, Westchester Medical Center Health System, Valhalla, NY.
Dania LermanDepartment of Psychiatry, Westchester Medical Center Health System, Valhalla, NY.
Westchester Medical Center · USNew York Medical College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent cognitive, medical and psychiatric complaints have been extensively described after recovery from acute SARS-CoV-2 infection.

objectiveTo describe neuropsychological, medical, psychiatric, and functional correlates of cognitive complaints experienced after recovery from acute COVID-19 infection.

methodsSixty participants underwent neuropsychological, psychiatric, medical, functional, and quality-of-life assessments 6-8 months after acute COVID-19. Those seeking care for cognitive complaints in a post-COVID-19 clinical program for post-acute symptoms of COVID-19 (clinical group, N = 32) were compared with those recruited from the community who were not seeking care (nonclinical, N = 28). A subset of participants underwent serological testing for proinflammatory cytokines C-reactive protein, interleukin-6, and tumor necrosis factor-α to explore correlations with neuropsychological, psychiatric, and medical variables.

resultsFor the entire sample, 16 (27%) had extremely low test scores (less than second percentile on at least 1 neuropsychological test). The clinical group with cognitive complaints scored lower than age-adjusted population norms in tests of attention, processing speed, memory, and executive function and scored significantly more in the extremely low range than the nonclinical group (38% vs. 14%, P < 0.04). The clinical group also reported higher levels of depression, anxiety, fatigue, posttraumatic stress disorder, and functional difficulties and lower quality of life. In logistic regression analysis, scoring in the extremely low range was predicted by acute COVID-19 symptoms, current depression score, number of medical comorbidities, and subjective cognitive complaints in the areas of memory, language, and executive functions. Interleukin-6 correlated with acute COVID symptoms, number of medical comorbidities, fatigue, and inversely with measures of executive function. C-reactive protein correlated with current COVID symptoms and depression score but inversely with quality of life.

conclusionResults suggest the existence of extremely low neuropsychological test performance experienced by some individuals months after acute COVID-19 infection, affecting multiple neurocognitive domains. This extremely low neuropsychological test performance is associated with worse acute COVID-19 symptoms, depression, medical comorbidities, functional complaints, and subjective cognitive complaints. Exploratory correlations with proinflammatory cytokines support further research into inflammatory mechanisms and viable treatments.

Indexed as

COVID-19C-Reactive ProteinCross-Sectional StudiesDepressionFatigueHumansInterleukin-6Quality of LifeSARS-CoV-2Tumor Necrosis Factor-alphaC-Reactive ProteinInterleukin-6Tumor Necrosis Factor-alphacognitive complaintsCOVID-19neuropsychiatryneuropsychological testingpost-acute symptoms of COVID-19 (PASC)

Identifiers

PMID35085824
PMCPMC8786396
OpenAlexW4206927965

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.