Neurological and psychological effects of long COVID in a young population: A cross-sectional study

AimWe evaluated the long-term clinical status of pediatric patients after testing positive for COVID-19. We hypothesized that there are similar symptoms to those that have been described in adults and children and that pediatric patients with neurophysiologic symptoms still present 3–5 months after...

Full description

Bibliographic Details
Main Authors: Cristiana Alessia Guido, Fabio Lucidi, Fabio Midulla, Anna Maria Zicari, Elena Bove, Federica Avenoso, Ilaria Amedeo, Enrica Mancino, Raffaella Nenna, Giovanna De Castro, Martina Capponi, Bianca Laura Cinicola, Giulia Brindisi, Flavia Grisoni, Manuel Murciano, Alberto Spalice, the Long-Covid Group of Department of Maternal Sciences
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.925144/full
_version_ 1828149043749978112
author Cristiana Alessia Guido
Cristiana Alessia Guido
Fabio Lucidi
Fabio Midulla
Anna Maria Zicari
Elena Bove
Federica Avenoso
Ilaria Amedeo
Enrica Mancino
Raffaella Nenna
Giovanna De Castro
Martina Capponi
Bianca Laura Cinicola
Giulia Brindisi
Flavia Grisoni
Manuel Murciano
Alberto Spalice
the Long-Covid Group of Department of Maternal Sciences
author_facet Cristiana Alessia Guido
Cristiana Alessia Guido
Fabio Lucidi
Fabio Midulla
Anna Maria Zicari
Elena Bove
Federica Avenoso
Ilaria Amedeo
Enrica Mancino
Raffaella Nenna
Giovanna De Castro
Martina Capponi
Bianca Laura Cinicola
Giulia Brindisi
Flavia Grisoni
Manuel Murciano
Alberto Spalice
the Long-Covid Group of Department of Maternal Sciences
author_sort Cristiana Alessia Guido
collection DOAJ
description AimWe evaluated the long-term clinical status of pediatric patients after testing positive for COVID-19. We hypothesized that there are similar symptoms to those that have been described in adults and children and that pediatric patients with neurophysiologic symptoms still present 3–5 months after infection have psychological consequences that interfere with their adaptive functioning.MethodWe recruited 322 COVID-19-positive pediatric patients, between 1.5 and 17 years old, from the outpatient clinic for COVID-19 follow-up. Neurological symptoms were analyzed at onset, after 1 month, and after 3–5 months. A psychological assessment with standardized questionnaires was also conducted to determine the impact of the disease.ResultsAt the onset of COVID-19, 60% of the total sample exhibited symptoms; this decreased after 1 month (20%) but stabilized 3–5 months after disease onset (22%). Prevailing long-COVID neurological symptoms were headache, fatigue, and anosmia. In the 1.5–5-year-old subgroup, internalizing problems emerged in 12% of patients. In the 6–18-year-old subgroup, anxiety and post-traumatic stress showed significant associations with neurological symptoms of long COVID.ConclusionsThese data demonstrate that long COVID presents various broad-spectrum symptoms, including psychological and long-lasting cognitive issues. If not treated, these symptoms could significantly compromise the quality of life of children and adolescents.
first_indexed 2024-04-11T21:24:29Z
format Article
id doaj.art-f61d0ff364c140358f1cd032aa4df60f
institution Directory Open Access Journal
issn 1664-2295
language English
last_indexed 2024-04-11T21:24:29Z
publishDate 2022-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neurology
spelling doaj.art-f61d0ff364c140358f1cd032aa4df60f2022-12-22T04:02:29ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-08-011310.3389/fneur.2022.925144925144Neurological and psychological effects of long COVID in a young population: A cross-sectional studyCristiana Alessia Guido0Cristiana Alessia Guido1Fabio Lucidi2Fabio Midulla3Anna Maria Zicari4Elena Bove5Federica Avenoso6Ilaria Amedeo7Enrica Mancino8Raffaella Nenna9Giovanna De Castro10Martina Capponi11Bianca Laura Cinicola12Giulia Brindisi13Flavia Grisoni14Manuel Murciano15Alberto Spalice16the Long-Covid Group of Department of Maternal SciencesDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Developmental and Social Psychology, Sapienza University of Rome, Rome, ItalyDepartment of Developmental and Social Psychology, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Maternal Sciences, Sapienza University of Rome, Rome, ItalyAimWe evaluated the long-term clinical status of pediatric patients after testing positive for COVID-19. We hypothesized that there are similar symptoms to those that have been described in adults and children and that pediatric patients with neurophysiologic symptoms still present 3–5 months after infection have psychological consequences that interfere with their adaptive functioning.MethodWe recruited 322 COVID-19-positive pediatric patients, between 1.5 and 17 years old, from the outpatient clinic for COVID-19 follow-up. Neurological symptoms were analyzed at onset, after 1 month, and after 3–5 months. A psychological assessment with standardized questionnaires was also conducted to determine the impact of the disease.ResultsAt the onset of COVID-19, 60% of the total sample exhibited symptoms; this decreased after 1 month (20%) but stabilized 3–5 months after disease onset (22%). Prevailing long-COVID neurological symptoms were headache, fatigue, and anosmia. In the 1.5–5-year-old subgroup, internalizing problems emerged in 12% of patients. In the 6–18-year-old subgroup, anxiety and post-traumatic stress showed significant associations with neurological symptoms of long COVID.ConclusionsThese data demonstrate that long COVID presents various broad-spectrum symptoms, including psychological and long-lasting cognitive issues. If not treated, these symptoms could significantly compromise the quality of life of children and adolescents.https://www.frontiersin.org/articles/10.3389/fneur.2022.925144/fulllong-COVID syndromeCOVID-19 (coronavirus disease 2019)SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)CNS (central nervous system)psychological effectschildren
spellingShingle Cristiana Alessia Guido
Cristiana Alessia Guido
Fabio Lucidi
Fabio Midulla
Anna Maria Zicari
Elena Bove
Federica Avenoso
Ilaria Amedeo
Enrica Mancino
Raffaella Nenna
Giovanna De Castro
Martina Capponi
Bianca Laura Cinicola
Giulia Brindisi
Flavia Grisoni
Manuel Murciano
Alberto Spalice
the Long-Covid Group of Department of Maternal Sciences
Neurological and psychological effects of long COVID in a young population: A cross-sectional study
Frontiers in Neurology
long-COVID syndrome
COVID-19 (coronavirus disease 2019)
SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)
CNS (central nervous system)
psychological effects
children
title Neurological and psychological effects of long COVID in a young population: A cross-sectional study
title_full Neurological and psychological effects of long COVID in a young population: A cross-sectional study
title_fullStr Neurological and psychological effects of long COVID in a young population: A cross-sectional study
title_full_unstemmed Neurological and psychological effects of long COVID in a young population: A cross-sectional study
title_short Neurological and psychological effects of long COVID in a young population: A cross-sectional study
title_sort neurological and psychological effects of long covid in a young population a cross sectional study
topic long-COVID syndrome
COVID-19 (coronavirus disease 2019)
SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)
CNS (central nervous system)
psychological effects
children
url https://www.frontiersin.org/articles/10.3389/fneur.2022.925144/full
work_keys_str_mv AT cristianaalessiaguido neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT cristianaalessiaguido neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT fabiolucidi neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT fabiomidulla neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT annamariazicari neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT elenabove neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT federicaavenoso neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT ilariaamedeo neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT enricamancino neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT raffaellanenna neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT giovannadecastro neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT martinacapponi neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT biancalauracinicola neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT giuliabrindisi neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT flaviagrisoni neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT manuelmurciano neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT albertospalice neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy
AT thelongcovidgroupofdepartmentofmaternalsciences neurologicalandpsychologicaleffectsoflongcovidinayoungpopulationacrosssectionalstudy