The association between objective cognitive measures and ecological-functional outcomes in COVID-19

BackgroundCognitive dysfunctions, both subjective and detectable at psychometric testing, may follow SARS-CoV-2 infection. However, the ecological-functional relevance of such objective deficits is currently under-investigated. This study thus aimed at investigating the association between objective...

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Main Authors: Marcella Ottonello, Elena Fiabane, Edoardo Nicolò Aiello, Marina Rita Manera, Francesca Spada, Caterina Pistarini
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.903697/full
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author Marcella Ottonello
Elena Fiabane
Edoardo Nicolò Aiello
Marina Rita Manera
Francesca Spada
Caterina Pistarini
author_facet Marcella Ottonello
Elena Fiabane
Edoardo Nicolò Aiello
Marina Rita Manera
Francesca Spada
Caterina Pistarini
author_sort Marcella Ottonello
collection DOAJ
description BackgroundCognitive dysfunctions, both subjective and detectable at psychometric testing, may follow SARS-CoV-2 infection. However, the ecological-functional relevance of such objective deficits is currently under-investigated. This study thus aimed at investigating the association between objective cognitive measures and both physical and cognitive, ecological-functional outcomes in post-COVID-19.MethodsForty-two COVID-19-recovered individuals were administered the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). The Functional Independence Measure (FIM) was adopted to assess functional-ecological, motor/physical (FIM-Motor) and cognitive (FIM-Cognitive) outcomes at admission (T0) and discharge (T1).ResultsWhen predicting both T0/T1 FIM-total and-Motor scores based on MMSE/MoCA scores, premorbid risk for cognitive decline (RCD) and disease-related features, no model yielded a significant fit. However, the MoCA - but not the MMSE significantly predicted T0/T1 FIM-Cognitive scores. The MoCA was significantly related only to T0/T1 FIM-Cognitive Memory items.DiscussionCognitive measures are not associated with physical/motor everyday-life outcomes in post-COVID-19 patients. The MoCA may provide an ecological estimate of cognitive functioning in this population.
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spelling doaj.art-9751c275aa7a430bba66b0a319627e232022-12-22T03:56:45ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-11-011310.3389/fpsyg.2022.903697903697The association between objective cognitive measures and ecological-functional outcomes in COVID-19Marcella Ottonello0Elena Fiabane1Edoardo Nicolò Aiello2Marina Rita Manera3Francesca Spada4Caterina Pistarini5Department of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri IRCCS, Genova, ItalyDepartment of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri IRCCS, Genova, ItalyPhD Program in Neuroscience, School of Medicine and Surgery, University of Milano-Bicocca, Monza, ItalyPsychology Unit of Pavia Institute, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, ItalyDepartment of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri IRCCS, Genova, ItalyDepartment of Neurorehabilitation of Pavia Institute, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, ItalyBackgroundCognitive dysfunctions, both subjective and detectable at psychometric testing, may follow SARS-CoV-2 infection. However, the ecological-functional relevance of such objective deficits is currently under-investigated. This study thus aimed at investigating the association between objective cognitive measures and both physical and cognitive, ecological-functional outcomes in post-COVID-19.MethodsForty-two COVID-19-recovered individuals were administered the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). The Functional Independence Measure (FIM) was adopted to assess functional-ecological, motor/physical (FIM-Motor) and cognitive (FIM-Cognitive) outcomes at admission (T0) and discharge (T1).ResultsWhen predicting both T0/T1 FIM-total and-Motor scores based on MMSE/MoCA scores, premorbid risk for cognitive decline (RCD) and disease-related features, no model yielded a significant fit. However, the MoCA - but not the MMSE significantly predicted T0/T1 FIM-Cognitive scores. The MoCA was significantly related only to T0/T1 FIM-Cognitive Memory items.DiscussionCognitive measures are not associated with physical/motor everyday-life outcomes in post-COVID-19 patients. The MoCA may provide an ecological estimate of cognitive functioning in this population.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.903697/fullSARS-CoV-2COVID-19functional independence measurescognitive screeningneuropsychologyecological validity
spellingShingle Marcella Ottonello
Elena Fiabane
Edoardo Nicolò Aiello
Marina Rita Manera
Francesca Spada
Caterina Pistarini
The association between objective cognitive measures and ecological-functional outcomes in COVID-19
Frontiers in Psychology
SARS-CoV-2
COVID-19
functional independence measures
cognitive screening
neuropsychology
ecological validity
title The association between objective cognitive measures and ecological-functional outcomes in COVID-19
title_full The association between objective cognitive measures and ecological-functional outcomes in COVID-19
title_fullStr The association between objective cognitive measures and ecological-functional outcomes in COVID-19
title_full_unstemmed The association between objective cognitive measures and ecological-functional outcomes in COVID-19
title_short The association between objective cognitive measures and ecological-functional outcomes in COVID-19
title_sort association between objective cognitive measures and ecological functional outcomes in covid 19
topic SARS-CoV-2
COVID-19
functional independence measures
cognitive screening
neuropsychology
ecological validity
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.903697/full
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