Evidence map›Paper›PMID 36497573›Full record

ArticleInternational journal of environmental research and public health2022

Brain Fog and Fatigue following COVID-19 Infection: An Exploratory Study of Patient Experiences of Long COVID.

Emily E Chasco, Kimberly Dukes, DeShauna Jones, Alejandro P Comellas, Richard M Hoffman, Alpana Garg

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

49 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Exploring the influence of long COVID upon self-identity: a systematic literature review.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
  2. Pooled it
  3. Patient and Professional Perspectives on Long COVID: A Systematic Literature Review and Meta-Synthesis.International journal of environmental research and public health · 2025
    Pooled it
  4. Pooled it
  5. Psychosocial Aspects of the Lived Experience of Long COVID: A Systematic Review and Thematic Synthesis of Qualitative Studies.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Narratives of recovery from persistent fatigue: a stepwise learning process.Scandinavian journal of primary health care · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Toward characterizing brain fog in long COVID: correlates and impact on measurement metrics.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  15. How do fatigue, cognitive dysfunction, activity and role functioning, and mental health inter-relate in adults with post-COVID-19 syndrome? A structural equation model analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  16. Article
  17. Virtual Pet-Assisted Therapy to Alleviate Symptoms of Long COVID: A Prospective Pilot Interventional Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  18. Long COVID and work in the UK: challenges, support and perspectives.Archives of public health = Archives belges de sante publique · 2025
    Article
  19. Review
  20. Review
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

6 authors.

Emily E ChascoInstitute for Clinical & Translational Science, University of Iowa, Iowa City, IA 52242, USA.
Kimberly DukesCenter for Access & Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Health Care System (ICVAHCS), Iowa City, IA 52246, USA.ORCID 0000-0001-6977-4221
DeShauna JonesInstitute for Clinical & Translational Science, University of Iowa, Iowa City, IA 52242, USA.
Alejandro P ComellasInstitute for Clinical & Translational Science, University of Iowa, Iowa City, IA 52242, USA.ORCID 0000-0003-1521-7520
Richard M HoffmanDepartment of Internal Medicine, Division of General Internal Medicine, University of Iowa, Iowa City, IA 52242, USA.
Alpana GargDepartment of Internal Medicine, Division of General Internal Medicine, University of Iowa, Iowa City, IA 52242, USA.ORCID 0000-0002-9497-0141

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

Post-acute sequelae of SARS-CoV-2 (PASC) is a poorly understood condition with significant impact on quality of life. We aimed to better understand the lived experiences of patients with PASC, focusing on the impact of cognitive complaints ("brain fog") and fatigue on (1) daily activities, (2) work/employment, and (3) interpersonal relationships. We conducted semi-structured qualitative interviews with 15 patients of a Midwestern academic hospital's post-COVID-19 clinic. We audio-recorded, transcribed, and analyzed interviews thematically using a combined deductive-inductive approach and collected participants' characteristics from chart review. Participants frequently used descriptive and metaphorical language to describe symptoms that were relapsing-remitting and unpredictable. Fatigue and brain fog affected all domains and identified subthemes included symptoms' synergistic effects, difficulty with multitasking, lack of support, poor self-perception, and fear of loss of income and employment. Personal relationships were affected with change of responsibilities, difficulty parenting, social isolation, and guilt due to the burdens placed on family. Furthermore, underlying social stigma contributed to negative emotions, which significantly affected emotional and mental health. Our findings highlight PASC's negative impact on patients' daily lives. Providers can better support COVID-19 survivors during their recovery by identifying their needs in a sensitive and timely manner.

Indexed as

COVID-19Post-Acute COVID-19 SyndromeBrainDisease ProgressionFatigueHumansMental FatiguePatient Outcome AssessmentQuality of LifeSARS-CoV-2brain fogeconomic impactfatiguelong COVID/post-COVID-19 syndromemental healthoccupationalpatient experiencepost-acute sequalae of SARS-CoV-2 (PASC)qualitativequality of lifesocial

Identifiers

PMID36497573
PMCPMC9737348

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.