COGNITIONS AND EMOTIONS OF PATIENTS DURING POST-COVID REHABILITATION
Abstract
Background. A lot of scientific articles have been published since the global COVID-19 pandemic was officially announced by WHO. Although different aspects of COVID-19 impact on the mental sphere were studied, some issues regarding the psychological characteristics of those who have had a coronavirus infection are still not fully revealed. It is noted by many authors that even when the main symptoms of the disease are subsided, symptoms of anxiety, depression, cognitive & mood disorders are still persistent even after the treatment.
Purpose: to study cognitive and emotional spheres of patients who are recovering from coronavirus infection and currently undergoing rehabilitation procedures.
Materials and methods. The study involved 100 patients undergoing medical rehabilitation, 55 of them are recovering from traumatological, neurological and cardiovascular disorders (27 male and 28 female patients, aged 57±10) and 45 patients are recovering from pneumonia caused by coronavirus infection (11 male and 34 female patients, aged 58±12). The study was conducted using the Montreal Cognitive Assessment Scale (MoCA), the Hospital Anxiety & Depression Scale (HADS), and the Health-Activity-Mood Scale (SAN). Statistical analysis of raw data had included calculation of descriptive statistics, Pearson’s correlation coefficient, Student’s t-test for independent groups, Fisher’s φ* transformation and significance of correlation coefficients differences with Fisher’s transformation & Student T-distribution, and was processed with Microsoft Office Excel 2016 build-in data analysis package.
Results. Analysis of MoCA results showed that ratio of severe impairments of memory functions and attention span is higher in post-COVID group of patients. This group also had higher rate of anxiety symptoms and sub-clinical depression state. In both groups more than a half of the patients have average level of anxiety and depression, however patients from post-COVID group are more likely to experience more symptoms of anxiety than non-COVID patients. Patients from post-COVID group are significantly more likely to have a higher scores of anxiety compared to patients in the other group and at the same time they are less likely to have average anxiety level. Differences between groups were discovered for “Health” and “Mood” scales of SAN with higher scores among post-COID patients as well as lower scores for “Activity” scale.
Conclusion. Statistically significant differences between the groups were found; common and specific correlations were found for both groups. The results may be useful for healthcare professionals working with post-COVID patients, and can also be used by psychologists who deal with the problems of social and psychological rehabilitation of post-COVID patients.
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Список литературы
Абдурахимов А.Х., Хегай Л.Н., Юсупова Ш.К. COVID-19 и его осложнения // Re-health journal. 2021. № 4 (12). С. 61-74.
Анализ психического состояния населения Китая и России в период пандемии COVID-19 / Фан Ц., Ли В., У Ц., Цю. Ц., Огнев А.С. // Коллекция гуманитарных исследований. 2020. № 4 (25). С. 6-13. https://doi.org/10.21626/j-chr/2020-4(25)/1
Белопасов В.В., Журавлева Е.Н., Нугманова Н.П., Абдрашитова А.Т. Постковидные неврологические синдромы // Клиническая практика. 2021. Т. 12. № 2. С. 69-82. https://doi.org/10.17816/clinpract71137
Ветрова Т.В., Подольская В.-А.В. Особенности психологического состояния лиц, перенесших заболевание, вызванное действием коронавирусной инфекции нового типа (COVID-19) и пути коррекции выявленных негативных изменений // Сборник избранных статей по материалам научных конференций ГНИИ «Нацразвитие»: Материалы Всероссийских (национальных) научных конференций, Санкт-Петербург, 11–13 октября 2021 года. Санкт-Петербург, 2021. С. 71-78. https://doi.org/10.37539/OCT321.2021.21.35.004
Головачева В.А., Табеева Г.Р., Кузнецов И.В. Когнитивные нарушения при COVID-19: взаимосвязь, патогенез и вопросы терапии // Неврология, нейропсихиатрия, психосоматика. 2021. Т. 13. № 2. С. 123-129. https://doi.org/10.14412/2074-2711-2021-2-123-129
Динамика психологических реакций на начальном этапе пандемии COVID-19 / Ениколопов С.Н., Бойко О.М., Медведева Т.И., Воронцова О.Ю., Казьмина О.Ю. // Психолого-педагогические исследования. 2020. Т. 12. № 2. С. 108-126. https://doi.org/10.17759/psyedu.2020120207
Дудиков Е.М., Келин Д.Ю., Репьев В.Н., Шабанова Э.С. Сравнение когнитивного статуса у пациентов с новой коронавирусной инфекцией COVID-19 с наличием и отсутствием в анамнезе острого нарушения мозгового кровообращения // Forcipe. 2021. Т. 4. № S1. С. 560.
Кисляков П.А., Белов М.С., Константинова Н.П. Психологическое здоровье спортсменов в период пандемии COVID-2019 // Siberian Journal of Life Sciences and Agriculture. 2021. Т. 13. № 2. С. 77-99. https://doi.org/10.12731/2658-6649-2021-13-2-77-99
Медведев В.Э., Доготарь О.А. COVID-19 и психическое здоровье: вызовы и первые выводы // Неврология, нейропсихиатрия, психосоматика. 2020. Т. 12. № 6. С. 4-10. https://doi.org/10.17759/psyedu.2020120207
Орынбасарова А.Т., Закирова М.М. Оценка психологического состояния больных, переболевших COVID-19, подтверждённых положительным ПЦР // Научный взгляд в будущее. 2021. Т. 1. № 22. С. 82-91. https://doi.org/10.30888/2415-7538.2021-22-01-001
Остроумова Т.М., Черноусов П.А., Кузнецов И.В. Когнитивные нарушения у пациентов, перенесших COVID-19 // Неврология, нейропсихиатрия, психосоматика. 2021. Т. 13. № 1. С. 126-130. https://doi.org/10.14412/2074-2711-2021-1-126-130
Посттравматический стресс у пациентов с COVID-19 после лечения в стационаре / Холмогорова А.Б., Рахманина А.А., Пуговкина О.Д., Рой А.П., Истомин М.А., Авакян Т.В., Карчевская Н.А., Петриков С.С. // Современная терапия психических расстройств. 2021. № 3. С. 58-67. https://doi.org/10.21265/PSYPH.2021.90.34.006
Симаева И.Н., Бударина А.О. Самосохранительный аттитюд подростков и молодежи в период пандемии // Siberian Journal of Life Sciences and Agriculture. 2021. Т. 13. N 4. C. 75-98. https://doi.org/10.12731/2658-6649-2021-13-4-75-98.
Цветкова Н.А., Кисляков П.А., Володарская Е.А. Особенности смысловой сферы личности и суточного структурирования занятости студентов, переболевших COVID-2019 // Siberian Journal of Life Sciences and Agriculture, 2021. Т. 13. N 5. С. 285-306. https://doi.org/10.12731/2658-6649-2021-13-5-285-306
Шевченко Ю.Л., Ионова Т.И., Мельниченко В.Я., Никитина Т.П. Качество жизни населения Российской Федерации в условиях пандемии COVID-19 // Вестник Национального медико-хирургического центра имени Н.И. Пирогова. 2021. Т. 16. № 1. С. 74-83. https://doi.org/10.25881/BPNMSC.2021.97.90.013
Штыгашева О.В., Агеева Е.С., Пронькина К.В., Пузакова З.Ю. Эпидемиологические тренды и структура пациентов с COVID-19 в Республике Хакасия в 2020 году // Siberian Journal of Life Sciences and Agriculture. 2021. Т. 13. N 4. C. 59-74. https://doi.org/10.12731/2658-6649-2021-13-4-59-74
Attitude to COVID-19 vaccination and disorders of healthy behavior of russian university students during the third pandemic wave / Zakharova A.N, Nikolaev E.L., Lazareva E.Yu., Trukova A.I, Hartfelder D.V., Petunova S.A. // Proceedings of INTCESS 2022- 9th International Conference on Education and Education of Social Sciences (17-18 January 2022). 2022, pр. 551-557. https://doi.org/10.51508/intcess.202277
COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. / Rossi R., Socci V., Talevi D., Mensi S., Niolu C., Pacitti F., Di Marco A., Rossi A., Siracusano A., Di Lorenzo G. // Frontiers in Psychiatry. 2020. Vol. 11. P. 790. https://doi.org/10.3389/fpsyt.2020.00790
Dong L., Bouey J. Public mental health crisis during COVID-19 pandemic, China. // Emerging infectious diseases. 2020, Vol. 26, N. 7, P. 1616. https://doi.org/10.3201/eid2607.200407
Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance / Centers for Disease Control and Prevention. URL: https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/post-covid-assessment-testing.html (дата обращения 29.06.2022).
Razina T.V., Kandybovich S.L., Zakharova A.N. Reflection of the problem of COVID-19 pandemic in quantitative and content characteristics of internet memes in social networks. // Proceedings of the 36th International Business Information Management Association Conference (IBIMA), 2020, pp. 7040-7046.
Schwartz B.J. New APA survey on public anxiety over COVID-19 / Anderson P. High Anxiety in America Over COVID-19. Medscape, Mar 28 2020. URL: https://www.medscape.com/viewarticle/927711 (дата обращения 28.06.2022).
Smirnov V.V., Zakharova A.N., Dulina G.S., Gubanova N.G., Talanova T.V., Klykova J.Y., Yaklashkin M.N. Development of Russian Youth Entrepreneurship amid COVID-19 Pandemic. // Proceedings of the 38th International Business Information Management Association Conference (IBIMA Innovation Management and Sustainable Economic Development in the Era of Global Pandemic) 23-24 November 2021, Seville, Spain. 2022, pр. 4057-4066.
Study of University Students’ Quality of Life and Their Attitude to Health during the Third Pandemic Wave: A Quantitative Research / Nikolaev E.L., Zakharova A.N., Lazareva E.Yu., Hartfelder D.V., Talanova T.V., Dulina G.S. // Proceedings of the 39th International Business Information Management Association Conference (30-31 may 2022, Granada, Spain), 2022.
References
Abdurakhimov A.Kh., Khegay L.N., Yusupova Sh.K. COVID-19 i ego oslozhneniya [COVID-19 and its complications]. Re-health journal, 2021, no. 4 (12), pp. 61-74.
Fan X., Li V., Wu X., Xu X., Ognev A.S. Analiz psikhicheskogo sostoyaniya naseleniya Kitaya i Rossii v period pandemii COVID-19 [Chinese and Russian population mental state during COVID-19 pandemic]. Kollektsiya gumanitarnykh issledovaniy, 2020, no. 4 (25), pp. 6-13. https://doi.org/10.21626/j chr/2020-4(25)/1
Belopasov V.V., Zhuravleva E.N., Nugmanova N.P., Abdrashitova A.T. Postkovidnye nevrologicheskie sindromy [Neurological post-COVID syndromes]. Klinicheskaya praktika, 2021, vol. 12, no. 2, pp. 69-82. https://doi.org/10.17816/clinpract71137
Vetrova T.V., Podol’skaya V.-A.V. Osobennosti psikhologicheskogo sostoyaniya lits, perenesshikh zabolevanie, vyzvannoe deystviem koronavirusnoy infektsii novogo tipa (COVID-19) i puti korrektsii vyyavlennykh negativnykh izmeneniy [Psychological state of people with new type of coronavirus infection (COVID-19) and approaches to correction of its negative consequences]. Sbornik izbrannykh statey po materialam nauchnykh konferentsiy GNII “Natsrazvitie”: Materialy Vserossiyskikh (natsional’nykh) nauchnykh konferentsiy, Saint-Petersburg, 11–13 Oct 2021, pp. 71-78. https://doi.org/10.37539/OCT321.2021.21.35.004
Golovacheva V.A., Tabeeva G.R., Kuznetsov I.V. Kognitivnye narusheniya pri COVID-19: vzaimosvyaz’, patogenez i voprosy terapii [COVID-19 and cognitive disorders: relationship, pathogenesis and therapy]. Nevrologiya, neyropsikhiatriya, psikhosomatika, 2021, vol. 13, no. 2, pp. 123-129. https://doi.org/10.14412/2074-2711-2021-2-123-129
Enikolopov S.N., Boyko O.M., Medvedeva T.I., Vorontsova O.Yu., Kaz’mina O.Yu. Dinamika psikhologicheskikh reaktsiy na nachal’nom etape pandemii COVID-19 [Dynamics of psychological reactions at the initial stage of the COVID-19 pandemic]. Psikhologo-pedagogicheskie issledovaniya, 2020, vol. 12, no. 2, pp. 108-126. https://doi.org/10.17759/psyedu.2020120207
Dudikov E.M., Kelin D.Yu., Rep’ev V.N., Shabanova E.S. Sravnenie kognitivnogo statusa u patsientov s novoy koronavirusnoy infektsiey COVID 19 s nalichiem i otsutstviem v anamneze ostrogo narusheniya mozgovogo krovoobrashcheniya [Cognitive status of COVID-19 patients with and without acute cerebrovascular accident anamnesis: comparative study]. Forcipe, 2021, vol. 4, no. S1, p. 560.
Kislyakov P.A., Belov M.S., Konstantinova N.P. Psikhologicheskoe zdorov’e sportsmenov v period pandemii COVID-2019 [Psychological health of athletes during the COVID-19 pandemic]. Siberian Journal of Life Sciences and Agriculture, 2021, vol. 13, no. 2, pp. 77-99. https://doi.org/10.12731/2658-6649-2021-13-2-77-99
Medvedev V.E., Dogotar’ O.A. COVID-19 i psikhicheskoe zdorov’e: vyzovy i pervye vyvody [COVID-19 and mental health: challenges and preliminary conclusions]. Nevrologiya, neyropsikhiatriya, psikhosomatika, 2020, vol. 12, no. 6, pp. 4-10. https://doi.org/10.17759/psyedu.2020120207
Orynbasarova A.T., Zakirova M.M. Otsenka psikhologicheskogo sostoyaniya bol’nykh, perebolevshikh COVID-19, podtverzhdennykh polozhitel’nym PTsR [Psychological state assessment of confirmed COVID-19 patients with positive PCR in recovering state]. Nauchnyy vzglyad v budushchee, 2021, vol. 1, no. 22, pp. 82-91. https://doi.org/10.30888/2415-7538.2021-22-01-001
Ostroumova T.M., Chernousov P.A., Kuznetsov I.V. Kognitivnye narusheniya u patsientov, perenesshikh COVID-19 [Cognitive impairment in patients with COVID-19]. Nevrologiya, neyropsikhiatriya, psikhosomatika, 2021, vol. 13, no. 1, pp. 126-130. https://doi.org/10.14412/2074-2711-2021-1-126-130
Kholmogorova A.B., Rakhmanina A.A., Pugovkina O.D., Roy A.P., Istomin M.A., Avakyan T.V., Karchevskaya N.A., Petrikov S.S. Posttravmaticheskiy stress u patsientov s COVID-19 posle lecheniya v statsionare [Post-traumatic stress in patients with COVID-19 after hospital treatment]. Sovremennaya terapiya psikhicheskikh rasstroystv, 2021, no. 3, pp. 58-67. https://doi.org/10.21265/PSYPH.2021.90.34.006
Simaeva I.N., Budarina A.O. Samosokhranitel’nyy attityud podrostkov i molodezhi v period pandemii [Self-Preservation Attitudes of Youth and Adolescents during the COVID-19 Pandemic]. Siberian Journal of Life Sciences and Agriculture, 2021, vol. 13, no. 4, pp. 75-98. https://doi.org/10.12731/2658-6649-2021-13-4-75-98
Tsvetkova N.A., Kislyakov P.A., Volodarskaya E.A. Osobennosti smyslovoy sfery lichnosti i sutochnogo strukturirovaniya zanyatosti studentov, perebolevshikh COVID-2019 [Semantic sphere of personality and daily structuring of students recovered from COVID-19]. Siberian Journal of Life Sciences and Agriculture, 2021, vol. 13, no. 5, pp. 285-306. https://doi.org/10.12731/2658-6649-2021-13-5-285-306
Shevchenko Yu.L., Ionova T.I., Mel’nichenko V.Ya., Nikitina T.P. Kachestvo zhizni naseleniya Rossiyskoy Federatsii v usloviyakh pandemii COVID-19 [Russian Federation population quality of life during COVID-19 pandemic]. Vestnik Natsional’nogo mediko-khirurgicheskogo tsentra imeni N.I. Pirogova, 2021, vol. 16, no. 1, pp. 74-83. https://doi.org/10.25881/BPNMSC.2021.97.90.013
Shtygasheva O.V., Ageeva E.S., Pron’kina K.V., Puzakova Z.Yu. Epidemiologicheskie trendy i struktura patsientov s COVID-19 v Respublike Khakasiya v 2020 godu [Epidemiological trends and structure of patients with COVID-19 in Republic of Khakassia in 2020]. Siberian Journal of Life Sciences and Agriculture, 2021, vol. 13, no. 4, pp. 59-74. https://doi.org/10.12731/2658-6649-2021-13-4-59-74
Zakharova A.N, Nikolaev E.L., Lazareva E.Yu., Trukova A.I, Hartfelder D.V., Petunova S.A. Attitude to COVID-19 vaccination and disorders of healthy behavior of russian university students during the third pandemic wave. Proceedings of INTCESS 2022- 9th International Conference on Education and Education of Social Sciences (17-18 January 2022). 2022, pр. 551-557. https://doi.org/10.51508/intcess.202277
Rossi R., Socci V., Talevi D., Mensi S., Niolu C., Pacitti F., Di Marco A., Rossi A., Siracusano A., Di Lorenzo G. COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in Psychiatry, 2020, vol. 11, p. 790. https://doi.org/10.3389/fpsyt.2020.00790
Dong L., Bouey J. Public mental health crisis during COVID-19 pandemic, China. Emerging infectious diseases, 2020, vol. 26, no. 7, p. 1616. https://doi.org/10.3201/eid2607.200407
Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance / Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/post-covid-assessment-testing.html (accessed June 29 2022).
Razina T.V., Kandybovich S.L., Zakharova A.N. Reflection of the problem of COVID-19 pandemic in quantitative and content characteristics of internet memes in social networks. Proceedings of the 36th International Business Information Management Association Conference (IBIMA), 2020, pр. 7040-7046.
Schwartz B.J. New APA survey on public anxiety over COVID-19 / Anderson P. High anxiety in America over COVID-19. Medscape, Mar 28 2020. https://www.medscape.com/viewarticle/927711 (accessed June 28 2022).
Smirnov V.V., Zakharova A.N., Dulina G.S., Gubanova N.G., Talanova T.V., Klykova J.Y., Yaklashkin M.N. Development of Russian Youth Entrepreneurship amid COVID-19 Pandemic. Proceedings of the 38th International Business Information Management Association Conference (IBIMA Innovation Management and Sustainable Economic Development in the Era of Global Pandemic) 23-24 November 2021, Seville, Spain, 2022, pр. 4057-4066.
Nikolaev E.L., Zakharova A.N., Lazareva E.Yu., Hartfelder D.V., Talanova T.V., Dulina G.S. Study of University Students’ Quality of Life and Their Attitude to Health during the Third Pandemic Wave: A Quantitative Research. Proceedings of the 39th International Business Information Management Association Conference (30-31 may 2022, Granada, Spain), 2022.
Copyright (c) 2023 Oleg V. Borisov, Denis V. Hartfelder, Anna N. Zakharova, Evgenia S. Komarova, Galina S. Dulina

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