Evidence map›Paper›PMID 35493431›Full record

ReviewExperimental and therapeutic medicine2022

Long COVID and neuropsychiatric manifestations (Review).

Vasiliki Efstathiou, Maria-Ioanna Stefanou, Marina Demetriou, Nikolaos Siafakas, Michael Makris, Georgios Tsivgoulis, Vassilios Zoumpourlis, Stylianos P Kympouropoulos, James N Tsoporis, Demetrios A Spandidos and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Experimental and therapeutic medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% 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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Human brain matters: Navigating the neuropathology of COVID-19.Brain pathology (Zurich, Switzerland) · 2026
    Review
  3. Article
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  8. Review
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  15. Association between COVID-19 diagnosis and severe mental health symptoms in adolescents in southern Brazil.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
    Article
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  18. Review
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11 more citing papers are in PubMed but not listed here.

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

12 authors at 4 institutions in 2 countries.

Vasiliki EfstathiouSecond Department of Psychiatry, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
Maria-Ioanna StefanouSecond Department of Neurology, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
Marina DemetriouSecond Department of Psychiatry, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
Nikolaos SiafakasClinical Microbiology Laboratory, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
Michael MakrisAllergy Unit, Second Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
Georgios TsivgoulisSecond Department of Neurology, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
Vassilios ZoumpourlisBiomedical Applications Unit, Institute of Chemical Biology, National Hellenic Research Foundation (NHRF), Athens 11635, Greece.
Stylianos P KympouropoulosSecond Department of Psychiatry, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
James N TsoporisKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, ON M5B 1W8, Canada.
Demetrios A SpandidosLaboratory of Clinical Virology, Medical School, University of Crete, Heraklion 71003, Greece.
Nikolaos SmyrnisSecond Department of Psychiatry, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
Emmanouil RizosSecond Department of Psychiatry, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens 12462, Greece.
National and Kapodistrian University of Athens · GRNational Hellenic Research Foundation · GRSt. Michael's Hospital · CAUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is accumulating evidence in the literature indicating that a number of patients with coronavirus disease 2019 (COVID-19) may experience a range of neuropsychiatric symptoms, persisting or even presenting following the resolution of acute COVID-19. Among the neuropsychiatric manifestations more frequently associated with 'long COVID' are depression, anxiety, post-traumatic stress disorder, sleep disturbances, fatigue and cognitive deficits, that can potentially be debilitating and negatively affect patients' wellbeing, albeit in the majority of cases symptoms tend to improve over time. Despite variations in results obtained from studies using different methodological approaches to define 'long COVID' syndrome, the most widely accepted factors associated with a higher risk of developing neuropsychiatric manifestations include the severity of foregoing COVID-19, the female sex, the presence of comorbidities, a history of mental health disease and an elevation in the levels of inflammatory markers, albeit further research is required to establish causal associations. To date, the pathophysiological mechanisms implicated in neuropsychiatric manifestations of 'long COVID' remain only partially elucidated, while the role of the indirect effects of the COVID-19 pandemic, such as social isolation and uncertainty concerning social, financial and health recovery post-COVID, have also been highlighted. Given the alarming effects of 'long-COVID', interdisciplinary cooperation for the early identification of patients who are at a high risk of persistent neuropsychiatric presentations, beyond COVID-19 recovery, is crucial to ensure that appropriate integrated physical and mental health support is provided, with the aim of mitigating the risks of long-term disability at a societal and individual level.

Indexed as

COVID-19COVID-19 survivorslong COVIDneuropsychiatric sequalaepost-COVID syndromesevere acute respiratory syndrome coronavirus 2

Identifiers

PMID35493431
PMCPMC9019760
OpenAlexW4220742750

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.