Altered smell and taste: Anosmia, parosmia and the impact of long Covid-19.

Altered smell and taste: Anosmia, parosmia and the impact of long Covid-19.
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DOI:
10.1371/journal.pone.0256998
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Deary V
Deary V
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Burges Watson DL;Campbell M;Hopkins C;Smith B;Kelly C;Deary V

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定性嗅觉(嗅觉)功能障碍是病毒后疾病的常见副作用,已知会影响生活质量和健康状况。越来越多的证据表明,味觉和嗅觉丧失是 Covid-19 的常见症状,这些症状可能会在初次感染后出现并持续很长时间。本研究的目的是记录 Covid-19 后的变化对味觉和嗅觉的影响。我们对 2020 年 3 月 24 日至 9 月 30 日期间由 AbScent Covid-19 Smell and Taste Loss 主持的 Facebook 支持小组的 9000 名用户生成的文本进行了探索性主题分析。参与者表示难以解释和管理味觉和嗅觉的改变;缺乏人际和专业解释或支持;改变饮食;食欲减退,体重变化;失去食物、饮食和社交活动的乐趣;亲密关系的改变以及与自我和他人的关系的改变。我们的研究结果表明,Covid-19 导致的味觉和嗅觉改变可能会严重扰乱日常生活,从而影响心理健康、身体健康、人际关系和自我意识。更具体地说,参与者报告了与进食和准备食物的欲望和能力降低有关的影响;体重增加、体重减轻和营养不足;情绪健康;专业实践;亲密关系和社会联系;以及人们的现实感和自我意识的破坏。我们的研究结果将为进一步的研究提供信息,并为长期与新冠病毒相关的医疗保健专业人员的培训、评估和治疗实践提出建议。
Qualitative olfactory (smell) dysfunctions are a common side effect of post-viral illness and known to impact quality of life and health status. Evidence is emerging that taste and smell loss are common symptoms of Covid-19 that may emerge and persist long after initial infection. The aim of the present study was to document the impact of post Covid-19 alterations to taste and smell. We conducted exploratory thematic analysis of user-generated text from 9000 users of the AbScent Covid-19 Smell and Taste Loss moderated Facebook support group from March 24 to 30th September 2020. Participants reported difficulty explaining and managing an altered sense of taste and smell; a lack of interpersonal and professional explanation or support; altered eating; appetite loss, weight change; loss of pleasure in food, eating and social engagement; altered intimacy and an altered relationship to self and others. Our findings suggest altered taste and smell with Covid-19 may lead to severe disruption to daily living that impacts on psychological well-being, physical health, relationships and sense of self. More specifically, participants reported impacts that related to reduced desire and ability to eat and prepare food; weight gain, weight loss and nutritional insufficiency; emotional wellbeing; professional practice; intimacy and social bonding; and the disruption of people’s sense of reality and themselves. Our findings should inform further research and suggest areas for the training, assessment and treatment practices of health care professionals working with long Covid.
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