Neurocognitive and Symptom Validity Testing for Post-COVID-19 Condition in a Workers Compensation Context.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Occupational and Environmental Medicine Pub Date : 2023-10-01 Epub Date: 2023-07-06 DOI:10.1097/JOM.0000000000002921

Daniel B LeGoff, Jacob Lazarovic, Miranda Kofeldt, Aimee Peters

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引用次数: 0

Abstract

Objective: Efficacy of a neurocognitive screening evaluation (NCSE) in assessing symptoms and disability associated with post-COVID-19 condition (PCC) and facilitating employee recovery and return to work was evaluated.

Methods: An NCSE was administered to 64 employees off work because of neurocognitive complaints attributed to post-COVID-19 condition. Neurocognitive and symptom validity data were analyzed along with recovery and return-to-work timelines.

Results: A large percentage of the employees gave invalid responses and noncredible effort on psychological and cognitive tests (48%). The NCSEs with invalid profiles suggested more severe cognitive and psychiatric symptoms than valid profiles. Both valid and invalid groups had significant reductions in illness duration and lost workdays after the NCSE.

Conclusions: Post-COVID-19 condition resulted in reports of mild to moderate cognitive and psychiatric symptoms with extensive mean work leave of 11 months before mental health assessment. Regardless of symptom validity, after the NCSE, the employees were released to work at an average of 3 weeks.

Abstract Image

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工人补偿背景下COVID-19后状况的神经认知和症状有效性测试。

目的：评估神经认知筛查评估（NCSE）在评估与COVID-19后状况（PCC）相关的症状和残疾以及促进员工康复和重返工作岗位方面的有效性。方法：对64名因COVID-19后的神经认知投诉而下班的员工进行NCSE。神经认知和症状有效性数据与恢复和重返工作时间表一起进行分析。结果：很大比例的员工在心理和认知测试中给出了无效的回答和不可预测的努力（48%）。具有无效档案的NCSE表明比有效档案更严重的认知和精神症状。有效组和无效组在NCSE后的疾病持续时间和工作日都显著缩短。结论：COVID-19后的情况导致轻度至中度认知和精神症状的报告，在心理健康评估前平均工作假为11个月。无论症状有效性如何，在NCSE之后，员工平均在3周内被释放工作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

9.40%

发文量

402

审稿时长

3-8 weeks

期刊介绍： Journal of Occupational and Environmental Medicine is an indispensable guide to good health in the workplace for physicians, nurses, and researchers alike. In-depth, clinically oriented research articles and technical reports keep occupational and environmental medicine specialists up-to-date on new medical developments in the prevention, diagnosis, and rehabilitation of environmentally induced conditions and work-related injuries and illnesses.