COVID-19: impact of diagnosis threat and suggestibility on subjective cognitive complaints

• Daniella Winter ^[1] ; Yoram Braw ^[1]
  1. [1] Ariel University

     Ariel University

     Israel

     
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 22, Nº. 1, 2022, págs. 21-30
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2021.100253
• Títulos paralelos:
  • COVID-19: impacto de la amenaza de diagnóstico y la sugestibilidad en las quejas cognitivas subjetivas
• Enlaces
  • Texto completo  1    2    3  
• Resumen
  • español

    Resumen Antecedentes/Objetivo Pacientes con COVID-19 recuperados informan síntomas neurológicos persistentes (e.g., dolor de cabeza y fatiga) que se vieron afectados por procesos psicológicos en otros trastornos (e.g., Síndrome postconmoción cerebral después de una lesión cerebral traumática leve). Se evaluó el impacto de la amenaza del diagnóstico (i.e., información sobre el impacto neurológico a largo plazo del COVID-19) y la sugestión sobre los síntomas respaldados tanto de pacientes recuperados como de controles sanos. Método: Pacientes recuperados (n = 90) y controles sanos (n = 210) informaron sobre su funcionamiento cognitivo después de haber sido asignados al azar a: (a) condición que exploró los síntomas neurológicos a largo plazo entre los sobrevivientes de COVID-19; (b) condición de control que proporciona información general sobre la enfermedad. Resultados: Pacientes recuperados, pero no los controles sanos, aprobaron más síntomas en la condición experimental que en la control. La sugestión se asoció con una mayor aprobación de síntomas. Conclusiones: Los síntomas neurológicos posteriores al COVID-19 pueden verse afectados, al menos parcialmente, por factores no neurológicos como la amenaza del diagnóstico. La información sobre los efectos a largo plazo de COVID-19 puede sesgar los síntomas informados en individuos altamente sugestionables. Se necesitan más investigaciones para validar y desarrollar estos hallazgos iniciales.

  • English

    Abstract Background/Objective A subset of recovered COVID-19 patients report persistent neurological symptoms. These include non-specific symptoms (e.g., headaches and fatigue) which were found to be affected by psychological processes in other disorders (e.g., post-concussion syndrome, PCS, after mild traumatic brain injury). The current study assessed the impact of diagnosis threat (i.e., information regarding the long-term neurological impact of COVID-19) and suggestibility on endorsed symptoms of both recovered patients and healthy controls. Method: Recovered patients (n = 90) and healthy controls (n = 210) described their cognitive functioning after being randomly assigned to: (a) Experimental group: These participants read an article that explored long-term neurological symptoms among COVID-19 survivors. (b) Control group: These participants read an article providing general information regarding the disease. Results: Recovered patients, but not healthy controls, endorsed more symptoms in the experimental condition compared to the control condition. Moreover, suggestibility was correlated with endorsement of symptoms. Conclusions: Post COVID-19 neurological symptoms may, at least partially, be affected by non-neurological factors such as diagnosis threat. Information regarding long-term effects of COVID-19 may skew reported symptoms with highly suggestible individuals particularly susceptible to these effects. Further research, however, is needed to validate and elaborate upon these initial findings.

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