Cognitive and Functional Abilities in an Older Adult Veteran Before and After Contracting COVID-19.

Cognitive and Functional Abilities in an Older Adult Veteran Before and After Contracting COVID-19.
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DOI:
10.3233/adr-210055
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发表时间:
2022
期刊:
Journal of Alzheimer's disease reports
影响因子:
--
通讯作者:
Mooney S
Mooney S
中科院分区:
其他
文献类型:
--
作者:
Okolichany R;Padala PR;Mooney S

文献摘要

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一名76岁的男性退伍军人,既往诊断为轻度认知障碍,在基线和随访时进行评估,作为两项独立的正在进行的研究的一部分。在此期间,他被诊断出患有COVID-19。报告感染COVID-19前后对认知和功能能力的潜在影响。患者接受了一系列认知测试和自我报告程序,评估认知、功能和神经精神状态。总体而言,在COVID前和COVID后评估之间没有发现可辨别的认知变化模式。在自我报告测量中,仅注意到激越、抑郁和易怒的轻度增加。然而,与典型的老年退伍军人男性相比,这个特定的主题具有相对理想的心理社会环境。据推测,心理社会状况的改善将减少被诊断患有COVID-19的老年人的负面认知和功能结果。高水平的韧性、社会支持和锻炼,加上较低水平的感知压力和孤独感,可能是预防感染COVID-19的老年人认知和功能下降的保护因素。
A 76-year-old male Veteran with a historical diagnosis of mild cognitive impairment was assessed at baseline and follow-up as part of two separate, ongoing studies. He was diagnosed with COVID-19 during the interim. To report potential effects on cognitive and functional abilities measured before and after contracting COVID-19. The patient was administered a series of cognitive tests and self-report procedures assessing cognitive, functional, and neuropsychiatric status. Overall, no discernable pattern of cognitive changes between pre-COVID and post-COVID assessments were noted. Only mild increases in agitation, depression, and irritability were noted on a self-report measure. However, this particular subject has relatively ideal psychosocial circumstances in comparison to the typical older adult Veteran male. It is hypothesized that improved psychosocial conditions will result in less negative cognitive and functional outcomes for older adults diagnosed with COVID-19. High levels of resilience, social support, and exercise, coupled with lower levels of perceived stress and loneliness may serve as protective factors against cognitive and functional decline in older adults who contract COVID-19.