Evidence map›Paper›PMID 40707478›Full record

ArticleNature communications2025

Risk of neuropsychiatric and related conditions associated with SARS-CoV-2 infection: a difference-in-differences analysis.

Yiwen Lu, Jiayi Tong, Dazheng Zhang, Jiajie Chen, Lu Li, Yuqing Lei, Ting Zhou, Leyna V Aragon, Michael J Becich, Saul Blecker and 20 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors.

Yiwen Lu *Center for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8610-2416
Jiayi Tong *Center for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Dazheng Zhang *Center for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1431-0785
Jiajie ChenCenter for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Lu LiCenter for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Yuqing LeiCenter for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Ting ZhouCenter for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Leyna V AragonRECOVER Patient, Caregiver, or Community Advocate Representative, New York, NY, USA.
Michael J BecichDepartment of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-5998-8074
Saul BleckerDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Nathan J BlumDivision of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Dimitri A ChristakisCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA.
Mady HornigRECOVER Patient, Caregiver, or Community Advocate Representative, New York, NY, USA.ORCID http://orcid.org/0000-0001-7572-3092
Maxwell M Hornig-RohanRECOVER Patient, Caregiver, or Community Advocate Representative, New York, NY, USA.ORCID http://orcid.org/0009-0005-0985-0225
Ravi JhaveriDivision of Infectious Diseases, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
W Schuyler JonesDuke Clinical Research Institute, Duke University Health System, Durham, NC, USA.
Amber Brown KeeblerDivision of General Internal Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.ORCID http://orcid.org/0000-0002-7246-2859
Kelly KelleherThe Research Institute, Nationwide Children's Hospital, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.
Susan KimUniversity of California, San Francisco, Division of Rheumatology, Benioff Children's Hospital, San Francisco, CA, USA.
Abu Saleh Mohammad MosaDepartment of Biomedical Informatics, Biostatistics, and Medical Epidemiology, University of Missouri School of Medicine, Columbia, MO, USA.ORCID http://orcid.org/0000-0002-8956-1466
Kathleen PajerUniversity of Ottawa Department of Psychiatry, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Jonathan PlattDepartment of Epidemiology, The University of Iowa College of Public Health, Iowa City, IA, USA.
Hayden T SchwenkStanford School of Medicine, Division of Pediatric Infectious Diseases, Stanford, CA, USA.
Bradley W TaylorClinical and Translational Science Institute, The Medical College of Wisconsin, Milwaukee, WI, USA.ORCID http://orcid.org/0000-0002-6414-4172
Levon H UtidjianApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
David A WilliamsDepartment of Anesthesiology, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-5052-4895
Raghuram PrasadDepartment of Child and Adolescent Psychiatry, Children's Hospital of Philadelphia, Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Josephine EliaDepartment of Pediatrics, Nemours Children's Health Delaware, Sydney Kimmel School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-5037-1622
Christopher B ForrestApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-1252-068X
Yong ChenCenter for Health AI and Synthesis of Evidence (CHASE), Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. ychen123@upenn.edu.ORCID http://orcid.org/0000-0003-0835-0788

Funding

OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Coordinating Individually Measured Phenotypes to Advance Mental Health ResearchU24MH136069 · NIMH · YALE UNIVERSITY · PI Yong Chen, Cui Tao · 2024 to 2026
$9.8M
PANDA-MSD: Predictive Analytics via Networked Distributed Algorithms for Multi-System DiseasesU01TR003709 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI BIAN, JIANG, CHEN, YONG · 2022 to 2025
$4.7M
TRiPOD: Toward Reusable Phenotypes in Observational Data for AD/ADRD - managing definitions and correcting biasR01AG073435 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CHEN, YONG, XU, HUA · 2021 to 2025
$3.9M
ClinEX - Clinical Evidence Extraction, Representation, and AppraisalR01LM014344 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Yong Chen, Yifan Peng · 2023 to 2026
$2.7M
Novel evidence-accumulation-driven methods for characterizing kidney stone progressionR01DK128237 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI LIU, YU-LUN · 2022 to 2025
$2.7M
AI-ADRD: Accelerating interventions of AD/ADRD via Machine learning methodsRF1AG077820 · NIA · UNIVERSITY OF PENNSYLVANIA · PI BIAN, JIANG, CHEN, YONG · 2023 to 2023
$2.3M
PheBC: bias correction methods for EHR derived phenotypeR01LM013519 · NLM · UNIVERSITY OF PENNSYLVANIA · PI CHEN, YONG, XU, HUA · 2021 to 2024
$1.6M
CICADA: clinical informatics and computational approaches for drug-repositioning of AD/ADRDR56AG074604 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CHEN, YONG, TAO, CUI · 2021 to 2022
$1.5M
Surrogate Augmented Deep Predictive Learning for Retinopathy of PrematurityR21EY034179 · NEI · UNIVERSITY OF PENNSYLVANIA · PI CHEN, YONG, HE, LIFANG · 2023 to 2023
$482k
Methods for Estimating Disease Burden of Seasonal InfluenzaR21AI167418 · NIAID · EMORY UNIVERSITY · PI CHANG, HOWARD H, CHEN, YONG · 2023 to 2024
$443k
NCATS NIH HHS U01 TR003709NEI NIH HHS R21 EY034179NHLBI NIH HHS OT2 HL161847NIAID NIH HHS R21 AI167418NIA NIH HHS R01 AG073435NIA NIH HHS R56 AG074604NIA NIH HHS RF1 AG077820NIDDK NIH HHS R01 DK128237NIMH NIH HHS U24 MH136069NLM NIH HHS R01 LM013519NLM NIH HHS R01 LM014344
6 · The paper itself

Abstract

The COVID-19 pandemic has been associated with increased neuropsychiatric conditions in children and youths, with evidence suggesting that SARS-CoV-2 infection may contribute additional risks beyond pandemic stressors. This study aims to assess the full spectrum of neuropsychiatric conditions in COVID-19 positive children (ages 5-12) and youths (ages 12-20) compared to a matched COVID-19 negative cohort, accounting for factors influencing infection risk. Using EHR data from 25 institutions in the RECOVER program, we conduct a retrospective analysis of 326,074 COVID-19 positive and 887,314 negative participants matched for risk factors and stratified by age. Neuropsychiatric outcomes are examined 28 to 179 days post-infection or negative test between March 2020 and December 2022. SARS-CoV-2 positivity is confirmed via PCR, serology, or antigen tests, while negativity requires negative test results and no related diagnoses. Risk differences reveal higher frequencies of neuropsychiatric conditions in the COVID-19 positive cohort. Children face increased risks for anxiety, OCD, ADHD, autism, and other conditions, while youths exhibit elevated risks for anxiety, suicidality, depression, and related symptoms. These findings highlight SARS-CoV-2 infection as a potential contributor to neuropsychiatric risks, emphasizing the importance of research into tailored treatments and preventive strategies for affected individuals.

Indexed as

COVID-19Mental DisordersAdolescentAnxietyAttention Deficit Disorder with HyperactivityAutistic DisorderChildChild, PreschoolDepressionFemaleHumansMaleObsessive-Compulsive DisorderRetrospective StudiesRisk FactorsSARS-CoV-2

Identifiers

PMID40707478
PMCPMC12290120

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.