Cognitive Impairments in Two Samples of Individuals with ME/CFS and Long COVID: A Comparative Analysis.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-22 DOI:10.1007/s10880-025-10074-4

Zoe Sirotiak, Jenna L Adamowicz, Emily B K Thomas

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引用次数: 0

Abstract

Cognitive impairments, including memory and concentration difficulties, are common in individuals with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID. These conditions frequently co-occur, but it remains unclear how cognitive difficulties differ between individuals with ME/CFS, long COVID, both, or neither. The purpose of this study was to examine cognitive impairment presence and type for individuals with and without these conditions. Data from the 2022 and 2023 National Health Interview Survey were analyzed. Participants included 27,512 and 29,404 U.S. adults in 2022 and 2023, respectively. Survey weights and variance estimation variables were utilized and multivariate logistic regression models assessed the likelihood of cognitive difficulty, accounting for sociodemographics and shared variance. Participants from both cohorts were primarily female, white, and non-Hispanic/Latine, with an average age of 48.1 years in both cohorts. ME/CFS (aOR 6.18; 95% CI 4.82-7.93; aOR 5.33; 95% CI 4.04-7.05) and long COVID (aOR 2.01; 95% CI 1.67-2.44; aOR 2.16; 95% CI 1.82-2.56) were significantly associated with reported cognitive difficulties, after controlling for the other condition and sociodemographic factors. Individuals with ME/CFS, particularly those with comorbid long COVID, are especially prone to memory and concentration difficulties.

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两例ME/CFS和长冠状病毒感染者的认知障碍比较分析

认知障碍，包括记忆和注意力困难，在肌痛性脑脊髓炎/慢性疲劳综合征（ME/CFS）和长期COVID患者中很常见。这些情况经常同时发生，但目前尚不清楚ME/CFS、长COVID、两者都有或两者都没有的个体之间的认知困难有何不同。本研究的目的是检查有和没有这些条件的个体的认知障碍的存在和类型。分析了2022年和2023年全国健康访谈调查的数据。在2022年和2023年，参与者分别包括27512名和29404名美国成年人。利用调查权重和方差估计变量，并利用多元逻辑回归模型评估认知困难的可能性，考虑社会人口统计学和共享方差。两个队列的参与者主要是女性、白人和非西班牙裔/拉丁裔，两个队列的平均年龄为48.1岁。ME/CFS (aOR 6.18；95% ci 4.82-7.93；优势比5.33;95% CI 4.04-7.05)和长COVID (aOR 2.01；95% ci 1.67-2.44；优势比2.16;95% CI 1.82-2.56)在控制了其他条件和社会人口因素后，与报告的认知困难显著相关。患有ME/CFS的人，特别是那些患有长COVID合并症的人，特别容易出现记忆和注意力困难。

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 Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.