Mood Disorders After COVID-19

Introduction. The COVID-19 pandemic has led to a high prevalence of post-COVID-19 syndrome (PCS), with mood disorders being the most common manifestations. Objective: To study the prevalence of PCS-associated mood disorders and their features. Materials and methods. We examined patients after...

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Main Authors: Anna G. Mikheeva, Mariya P. Topuzova, Valeriya A. Malko, Ekaterina S. Zhilina, Arina A. Mikhailova, Daria I. Lagutina, Tatiana L. Karonova, Tatyana M. Alekseeva
Format: Article
Language:English
Published: Research Center of Neurology 2023-12-01
Series:Анналы клинической и экспериментальной неврологии
Subjects:
Online Access:https://annaly-nevrologii.com/journal/pathID/article/viewFile/886/pdf
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author Anna G. Mikheeva
Mariya P. Topuzova
Valeriya A. Malko
Ekaterina S. Zhilina
Arina A. Mikhailova
Daria I. Lagutina
Tatiana L. Karonova
Tatyana M. Alekseeva
author_facet Anna G. Mikheeva
Mariya P. Topuzova
Valeriya A. Malko
Ekaterina S. Zhilina
Arina A. Mikhailova
Daria I. Lagutina
Tatiana L. Karonova
Tatyana M. Alekseeva
author_sort Anna G. Mikheeva
collection DOAJ
description Introduction. The COVID-19 pandemic has led to a high prevalence of post-COVID-19 syndrome (PCS), with mood disorders being the most common manifestations. Objective: To study the prevalence of PCS-associated mood disorders and their features. Materials and methods. We examined patients after COVID-19 (n = 91; age: 24-84 years; median time to recovery: 7 months) using the following tools: the BDI and HADS (screening for anxiety and depression); the Starkstein Apathy Scale; FIS and FSS (fatigue assessment); the MoCA, MMSE, and FAB (cognitive assessment); the FIRST, ESS, PSQI, and ISI (sleep disorders evaluation); the EQ5D (quality of life measurement). We designed a special questionnaire to collect data related to a history of COVID-19 and patients' condition after discharge. In addition, we analyzed electronic medical records and discharge summaries and performed neurological examination. Results. Of all the examined patients, 65 (71.4%) participants had signs and symptoms of PCS. Mood disorders were observed in 33 (50.8%) cases, with apathy (78.7%), anxiety (66.7%), and fatigue (60.6%) being the most common. Depressive disorders were found in 12 (36.3%) patients. Cognitive functions were impaired in 7 (21.2%) patients; sleep disorders were observed in 16 (48.5%) cases. We found a positive correlation between depressive disorders and fatigue based on the BDI, FIS, and FSS scores (rS = 0.711; rS = 0.453), depressive disorders and anxiety (rS = 0.366), fatigue and apathy (rS = 0.350). Anxiety increased the risk of sleep disorders (rS = 0.683). Quality of life has been shown to decrease in patients with mood disorders due to the negative effect of long-term fatigue and depressive disorders. Conclusions. There is a close connection between different types of mood disorders that develop after COVID-19 and exacerbate symptoms of each other. Early diagnosis and treatment of these disorders can improve patients' quality of life and preserve their ability to work.
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spelling doaj.art-2a10dbb1a76e4768b2b2251fae949e252024-02-13T16:36:05ZengResearch Center of NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-25332023-12-01174172710.54101/ACEN.2023.4.2658Mood Disorders After COVID-19Anna G. Mikheeva0https://orcid.org/0000-0002-1478-6580Mariya P. Topuzova1https://orcid.org/0000-0002-0175-3085Valeriya A. Malko2https://orcid.org/0000-0003-2230-3750Ekaterina S. Zhilina3https://orcid.org/0000-0002-9020-3287Arina A. Mikhailova4https://orcid.org/0000-0001-6066-3525Daria I. Lagutina5https://orcid.org/0000-0001-6198-5278Tatiana L. Karonova6https://orcid.org/0000-0002-1547-0123Tatyana M. Alekseeva7https://orcid.org/0000-0002-4441-1165Almazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreIntroduction. The COVID-19 pandemic has led to a high prevalence of post-COVID-19 syndrome (PCS), with mood disorders being the most common manifestations. Objective: To study the prevalence of PCS-associated mood disorders and their features. Materials and methods. We examined patients after COVID-19 (n = 91; age: 24-84 years; median time to recovery: 7 months) using the following tools: the BDI and HADS (screening for anxiety and depression); the Starkstein Apathy Scale; FIS and FSS (fatigue assessment); the MoCA, MMSE, and FAB (cognitive assessment); the FIRST, ESS, PSQI, and ISI (sleep disorders evaluation); the EQ5D (quality of life measurement). We designed a special questionnaire to collect data related to a history of COVID-19 and patients' condition after discharge. In addition, we analyzed electronic medical records and discharge summaries and performed neurological examination. Results. Of all the examined patients, 65 (71.4%) participants had signs and symptoms of PCS. Mood disorders were observed in 33 (50.8%) cases, with apathy (78.7%), anxiety (66.7%), and fatigue (60.6%) being the most common. Depressive disorders were found in 12 (36.3%) patients. Cognitive functions were impaired in 7 (21.2%) patients; sleep disorders were observed in 16 (48.5%) cases. We found a positive correlation between depressive disorders and fatigue based on the BDI, FIS, and FSS scores (rS = 0.711; rS = 0.453), depressive disorders and anxiety (rS = 0.366), fatigue and apathy (rS = 0.350). Anxiety increased the risk of sleep disorders (rS = 0.683). Quality of life has been shown to decrease in patients with mood disorders due to the negative effect of long-term fatigue and depressive disorders. Conclusions. There is a close connection between different types of mood disorders that develop after COVID-19 and exacerbate symptoms of each other. Early diagnosis and treatment of these disorders can improve patients' quality of life and preserve their ability to work.https://annaly-nevrologii.com/journal/pathID/article/viewFile/886/pdfcovid-19post-covid-19 syndromedepressionapathyanxietyfatigue
spellingShingle Anna G. Mikheeva
Mariya P. Topuzova
Valeriya A. Malko
Ekaterina S. Zhilina
Arina A. Mikhailova
Daria I. Lagutina
Tatiana L. Karonova
Tatyana M. Alekseeva
Mood Disorders After COVID-19
Анналы клинической и экспериментальной неврологии
covid-19
post-covid-19 syndrome
depression
apathy
anxiety
fatigue
title Mood Disorders After COVID-19
title_full Mood Disorders After COVID-19
title_fullStr Mood Disorders After COVID-19
title_full_unstemmed Mood Disorders After COVID-19
title_short Mood Disorders After COVID-19
title_sort mood disorders after covid 19
topic covid-19
post-covid-19 syndrome
depression
apathy
anxiety
fatigue
url https://annaly-nevrologii.com/journal/pathID/article/viewFile/886/pdf
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AT arinaamikhailova mooddisordersaftercovid19
AT dariailagutina mooddisordersaftercovid19
AT tatianalkaronova mooddisordersaftercovid19
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