Long-term neuropsychological and pathopsychological consequences associated with COVID-19
DOI:
https://doi.org/10.33910/2686-9527-2025-7-1-109-124Keywords:
new coronavirus infection (NCI), cognitive impairment, COVID-19, post-COVID syndrome, central nervous system damage, mental disordersAbstract
Introduction. Long-term consequences associated with COVID-19 have a significant impact on people’s health. The most common symptoms observed in the post-COVID period include disorders of the nervous system (21.7 %). However, data on the mental structure of the consequences induced by SARS-CoV-2 is still lacking. The purpose of this study was therefore to assess the structure and nature of health complaints as well as neuropsychological and pathopsychological disorders in people in the post-COVID period.
Materials and Methods. This article presents the results of an extensive survey involving 1,200 respondents, which aimed to identify the main general somatic, mental and neurological consequences that developed from four weeks to twelve months after COVID-19 infection. Another part of the described results comes from an experimental psychological examination of 47 respondents randomly selected from the main study group (n = 1,200), which included an assessment of the overall state of cognitive functions, memory, attention, gnosis, praxis and the severity of psychopathological symptoms.
Results. A total of seven subphenotypes of disorders were identified in the post-COVID period, among them anxiety and related phenomena (1), neuromuscular disorders associated with pain syndrome (2), disorders of respiratory, cardiovascular and autonomic systems (3), asthenic phenomena (4), disorders of cognitive functions (5), depressive phenomena (6) and disorders of sensory organs (7). The experimental psychological examination revealed the following mental disorders: a decline in logical and mechanical long-term memory, a decrease in mental stability, difficulties in spatial gnostic and praxic orientations, the severity of anxious and depressive tendencies and a proclivity for obsessive phenomena.
Conclusions. Rehabilitation of persons with a history of COVID-19 infection requires a comprehensive neuropsychological correction program rooted in a multidisciplinary approach. The identified subphenotypes and mental disorders of the post-COVID period can be used as corrective targets in rehabilitation.
References
ЛИТЕРАТУРА
Беляков, Н. А., Рассохин, В. В., Тотолян, Н. А. и др. (2023) Отсроченные психические, неврологические и соматические расстройства, ассоциированные с COVID-19. ВИЧ-инфекция и иммуносупрессии, т. 15, № 4, с. 53–62. http://doi.org/10.22328/2077-9828-2023-15-4-53-62
Боголепова, А. Н., Осиновская, Н. А., Коваленко, Е. А., Махнович, Е. В. (2021) Возможные подходы к терапии астенических и когнитивных нарушений при постковидном синдроме. Неврология, нейропсихиатрия, психосоматика, т. 13, № 4, с. 88–93. http://doi.org/10.14412/2074-2711-2021-4-88-93
Гутова, Т. С., Антипов, И. А., Воробьева, Л. В. (2021) Психологические аспекты постковидного синдрома. Инновации. Наука. Образование, № 34, с. 3272–3275. EDN: DOJKCD
Евстифеева, Е. А., Филиппченкова, С. И., Мурашова, Л. А. и др. (2022) Постковидный синдром в контексте психологических последствий. Клиническая геронтология, т. 28, № 1-2, с. 10–17. https://doi.org/10.26347/1607-2499202101-02010-017
Мальцева, М. Н., Шмонин, А. А. (2023) Реабилитация пациента с постковидным синдромом: клинический случай. Физическая и реабилитационная медицина, медицинская реабилитация, т. 5, № 2, с. 167–174. https://doi.org/10.36425/rehab123530
Петрова, Н. Н., Кудряшов, А. В., Матвиевская, О. В. и др. (2022) Депрессивные состояния в структуре постковидного синдрома: особенности и терапия. Обозрение психиатрии и медицинской психологии имени В. М. Бехтерева, т. 56, № 1, с. 16–24. https://doi.org/10.31363/2313-7053-2022-56-1-16-24
Полиданов, М. А., Кондрашкин, И. Е., Блохин, И. С. и др. (2022) Постковидный синдром: психосоматический взгляд на проблему. В кн.: Инфекционные болезни в современном мире: эволюция, текущие и будущие угрозы. Сборник трудов ХIV Ежегодного Всероссийского Конгресса по инфекционным болезням имени академика В. И. Покровского. М.: Медицинское Маркетинговое Агентство, с. 135–136. EDN: QGWNEB
Усов, К. И., Юшков, Г. Г. (2021) Нейропсихологические аспекты постковидного синдрома. Сборник научных трудов Ангарского государственного технического университета, т. 1, № 18, с. 231–235. EDN: UWGFLN
Филиппченкова, С. И., Евстифеева, Е. А., Мурашова, Л. А. и др. (2022) Оценка качества жизни, связанного со здоровьем у пациентов с постковидным синдромом. International Journal of Medicine and Psychology, т. 5, № 5, с. 24–29. EDN: SHMNWO
Ярмухамедова, Н. А., Узакова, Г. З. (2023) Оптимизация терапии постковидного синдрома при новой коронавирусной инфекции. Science and Education, т. 4, № 3, с. 159–167.
Crivelli, L., Palmer, K., Calandri, I. et al. (2022) Changes in cognitive functioning after COVID-19: A systematic review and meta-analysis. Alzheimer’s & Dementia, vol. 18, no. 5, pp. 1047–1066. https://doi.org/10.1002/alz.12644
Harenwall, S., Heywood-Everett, S., Henderson, R. et al. (2021) Post-Covid-19 syndrome: Improvements in health-related quality of life following psychology-led interdisciplinary virtual rehabilitation. Journal of Primary Care & Community Health, vol. 12, no. 2, article 215013192110676. https://doi.org/10.1177/21501319211067674
Herrera, E., Pérez-Sánchez, M. d. C., San Miguel-Abella, R. et al. (2023) Cognitive impairment in young adults with post COVID-19 syndrome. Scientific Reports, vol. 13, article 6378. https://doi.org/10.1038/s41598-023-32939-0
Jamilloux, Y., Henry, T., Belot, A. et al. (2020) Should we stimulate or suppress immune responses in COVID-19? Cytokine and anti-cytokine interventions. Autoimmunity Reviews, vol. 19, no. 7, article 102567. https://doi.org/10.1016/j.autrev.2020.102567
Kupferschmitt, A., Hinterberger, T., Montanari, I. et al. (2022) Relevance of the post-COVID syndrome within rehabilitation (PoCoRe): Study protocol of a multi-centre study with different specialisations. BMC Psychology, vol. 10, no. 1, article 189. https://doi.org/10.1186/s40359-022-00892-8
Lauria, A., Carfì, A., Benvenuto, F. et al. (2023) Neuropsychological measures of post-COVID-19 cognitive status. Frontiers in Psychology, vol. 14, article 1136667. https://doi.org/10.3389/fpsyg.2023.1136667
Orrù, G., Bertelloni, D., Diolaiuti, F. et al. (2021) Long-COVID syndrome? A study on the persistence of neurological, psychological and physiological symptoms. Healthcare, vol. 9, no. 5, article 575. https://doi.org/10.3390/healthcare9050575
Zhang, H.-P., Sun, Y.-L., Wang, Y.-F. et al. (2023) Recent developments in the immunopathology of COVID-19. Allergy, vol. 78, no. 2 pp. 369–388. https://doi.org/10.1111/all.15593
REFERENCES
Belyakov, N. A., Rassokhin, V. V., Totolyan, N. A. et al. (2023) Otsrochennye psikhicheskie, nevrologicheskie i somaticheskie rasstrojstva, assotsiirovannye s COVID-19 [Delayed mental, neurological and somatic disorders associated with COVID-19]. VICh-infektsiya i immunosupressii — HIV Infection and Immunosuppressive Disorders, vol. 15, no. 4, pp. 53–62. http://doi.org/10.22328/2077-9828-2023-15-4-53-62 (In Russian)
Bogolepova, A. N., Osinovskaya, N. A., Kovalenko, E. A., Makhnovich, E. V. (2021) Vozmozhnye podkhody k terapii astenicheskikh i kognitivnykh narushenij pri postkovidnom syndrome [Fatigue and cognitive impairment in post-COVID syndrome: Possible treatment approaches]. Nevrologiya, nejropsikhiatriya, psikhosomatika — Neurology, Neuropsychiatry, Psychosomatics, vol. 13, no. 4, pp. 88–93. http://doi.org/10.14412/2074-2711-2021- 4-88-93 (In Russian)
Crivelli, L., Palmer, K., Calandri, I. et al. (2022) Changes in cognitive functioning after COVID-19: A systematic review and meta-analysis. Alzheimer’s & Dementia, vol. 18, no. 5, pp. 1047–1066. https://doi.org/10.1002/alz.12644 (In English)
Evstifeeva, E. A., Filippchenkova, S. I., Murashova, L. A. et al. (2022) Postkovidnyj sindrom v kontekste psikhologicheskikh posledstvij [Post-Covid syndrome in the context of psychological impact]. Klinicheskaya gerontologiya — Clinical Gerontology, vol. 28, no. 1-2, pp. 10–17. https://doi.org/10.26347/1607-2499202101-02010-017 (In Russian)
Filippchenkova, S. I., Evstifeeva, E. A., Murashova, L. A. et al. (2022) Otsenka kachestva zhizni, svyazannogo so zdorov’em u patsientov s postkovidnym sindromom [Assessment of health-related quality of life in patients with post-Covid syndrome]. International Journal of Medicine and Psychology, vol. 5, no. 5, pp. 24–29. (In Russian)
Gutova, T. S., Antipov, I. A., Vorob’eva, L. V. (2021) Psikhologicheskie aspekty postkovidnogo sindroma [Psychological aspects of post-Covid syndrome]. Innovatsii. Nauka. Obrazovanie, no. 34, pp. 3272–3275. (In Russian)
Harenwall, S., Heywood-Everett, S., Henderson, R. et al. (2021) Post-Covid-19 syndrome: Improvements in health-related quality of life following psychology-led interdisciplinary virtual rehabilitation. Journal of Primary Care & Community Health, vol. 12, no. 2, article 215013192110676. https://doi.org/10.1177/21501319211067674 (In English)
Herrera, E., Pérez-Sánchez, M. d. C., San Miguel-Abella, R. et al. (2023) Cognitive impairment in young adults with post COVID-19 syndrome. Scientific Reports, vol. 13, article 6378. https://doi.org/10.1038/s41598-023-32939-0 (In English)
Jamilloux, Y., Henry, T., Belot, A. et al. (2020) Should we stimulate or suppress immune responses in COVID-19? Cytokine and anti-cytokine interventions. Autoimmunity Reviews, vol. 19, no. 7, article 102567. https://doi.org/10.1016/j.autrev.2020.102567 (In English)
Kupferschmitt, A., Hinterberger, T., Montanari, I. et al. (2022) Relevance of the post-COVID syndrome within rehabilitation (PoCoRe): Study protocol of a multi-centre study with different specialisations. BMC Psychology, vol. 10, no. 1, article 189. https://doi.org/10.1186/s40359-022-00892-8 (In English)
Lauria, A., Carfì, A., Benvenuto, F. et al. (2023) Neuropsychological measures of post-COVID-19 cognitive status. Frontiers in Psychology, vol. 14, article 1136667. https://doi.org/10.3389/fpsyg.2023.1136667 (In English)
Maltseva, M. N., Shmonin, A. A. (2023) Reabilitatsiya patsienta s postkovidnym sindromom: klinicheskij sluchaj [Rehabilitation of a patient with post-Covid syndrome: A clinical case]. Fizicheskaya i reabilitatsionnaya meditsina, meditsinskaya reabilitatsiya — Physical and Rehabilitation Medicine, Medical Rehabilitation, vol. 5, no. 2, pp. 167–174. https://doi.org/10.36425/rehab123530 (In Russian)
Orrù, G., Bertelloni, D., Diolaiuti, F. et al. (2021) Long-COVID syndrome? A study on the persistence of neurological, psychological and physiological symptoms. Healthcare, vol. 9, no. 5, article 575. https://doi.org/10.3390/healthcare9050575 (In English)
Petrova, N. N., Kudryashov, A. V., Matvievskaya, O. V. et al. (2022) Depressivnye sostoyaniya v strukture postkovidnogo sindroma: osobennosti i terapiya [Depressive states in the structure of postcovid syndrome: Features and therapy]. Obozrenie psikhiatrii i meditsinskoj psikhologii imeni V. M. Bekhtereva — V. M. Bekhterev Review of Psychiatry and Medical Psychology, vol. 56, no. 1, pp. 16–24. https://doi.org/10.31363/2313-7053-2022-56-1-16-24 (In Russian)
Polidanov, M. A., Kondrashkin, I. E., Blokhin, I. S. et al. (2022) Postkovidnyj sindrom: psikhosomaticheskij vzglyad na problemu [Post-Covid syndrome: A psychosomatic view of the problem]. In: Infektsionnye bolezni v sovremennom mire: evolyutsiya, tekushchie i budushchie ugrozy. Sbornik trudov ХIV Ezhegodnogo Vserossijskogo Kongressa po infektsionnym boleznyam imeni akademika V. I. Pokrovskogo [Infectious diseases in the modern world: Evolution, current and future threats. Proceedings of the XIV Annual All-Russian Congress on infectious diseases named after academician V. I. Pokrovsky]. Moscow: Meditsinskoe Marketingovoe Agentstvo Publ., pp. 135–136. (In Russian)
Usov, K. I., Yushkov, G. G. (2021) Nejropsikhologicheskie aspekty postkovidnogo sindroma [Neuropsychological aspects of post-Covid syndrome]. Sbornik nauchnykh trudov Angarskogo gosudarstvennogo tekhnicheskogo universiteta, vol. 1, no. 18, pp. 231–235. (In Russian)
Yarmukhamedova, N. A., Uzakova, G. Z. (2023) Optimizatsiya terapii postkovidnogo sindroma pri novoj koronavirusnoj infektsii [Optimization of post-Covid syndrome therapy in new coronavirus infection]. Science and Education, vol. 4, no. 3, pp. 159–167. (In Russian)
Zhang, H.-P., Sun, Y.-L., Wang, Y.-F. et al. (2023) Recent developments in the immunopathology of COVID-19. Allergy, vol. 78, no. 2 pp. 369–388. https://doi.org/10.1111/all.15593 (In English)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nikolay A. Belyakov, Vadim V. Rassokhin, Ekaterina V. Boeva, Anastasia A. Knizhnikova, Anna O. Norka, Nadezhda B. Khalezova, Yana B. Kushnir, Elena R. Isaeva

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The work is provided under the terms of the Public Offer and of Creative Commons public license Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). This license allows an unlimited number of persons to reproduce and share the Licensed Material in all media and formats. Any use of the Licensed Material shall contain an identification of its Creator(s) and must be for non-commercial purposes only.