Targets of Psychological and Neuropsychological Correction in Working with Patients Who Have Undergone a New Coronavirus Infection
https://doi.org/10.25016/2782-652X-2025-0-96-58-68
Abstract
Relevance and scientific novelty. Currently, post-COVID cognitive disorders and neurological consequences of the new coronavirus infection (NCVI) are being actively investigated. These studies reveal a wide spectrum of dysfunctions, including deficits in memory, attention, and emotional regulation. However, issues of psychocorrective intervention in the treatment of these conditions are extremely rarely considered.
Objective. To identify psychological and neuropsychological intervention targets for the rehabilitation of patients recovering from a new coronavirus infection.
Object. Patients who experienced mild or moderate NCoVI.
Subject. Cognitive functions and emotional functioning in patients who have had NCoVI in mild and moderate degrees.
Methodology. A comprehensive neuropsychological assessment was conducted with 50 participants who had recovered from mild or moderate NCoVI no more than six months prior. To evaluate cognitive functions, the MoCA, FAB, Clock Drawing test and other methods were used. The emotional state was assessed using the MFI-20 asthenia scale and the HADS – hospital anxiety and depression scale, SAN test.
Results and analysis. The main deficit-related factors identified were spatial and regulatory, manifested in impaired sustained attention, reduced verbal fluency, and decreased semantic memory performance. Elevated anxiety and asthenia were observed against the background of preserved motivation.
Conclusions. The key targets for cognitive rehabilitation were identified: regulatory praxis, voluntary attention and quasi-spatial representations. It is important to pay attention to the anxious experiences of patients and conduct primary psychoprophylaxis to prevent depressive disorders. Maintaining motivation through recognition of successes and keeping dynamics diaries contributes to the active involvement of patients in the rehabilitation process.
About the Author
A. K. Kutkova
St. Petersburg State Pediatric Medical University ; Pavlov
First State Medical University of Saint-Petersburg
Россия
Россия
Anna Konstantinovna Kutkova – PhD student, Department of Psychosomatics and Psychotherapy; medical psychologist
2, Litovskaya Str., St. Petersburg, 194100, Russia
6–8, Leo Tolstoy Str., St. Petersburg, 197022, Russia
References
1. Alfimova M.V. Semanticheskaya verbal’naya beglost’: normativnye dannye i osobennosti vypolneniya zadaniya bol’nymi shizofreniey [Semantic verbal fluency: normative data and features of task performance by patients with schizophrenia]. Sotsial’naya i klinicheskaya psikhiyatriya [Social and Clinical Psychiatry]. 2010; 20(3): 20–25. (In Russ.)
2. Akhutina T.V., Korneev A.A., Matveeva E.Yu., Statnikov A.I. Ponimaniye logiko-grammaticheskikh konstruktsiy u vtoroklassnikov: neyrolingvisticheskiy analiz mekhanizmov [Understanding Logical-Grammatical Constructions in Second Graders: Neurolinguistic Analysis of Mechanisms]. Vospitaniye i obucheniye detey mladshogo vozrasta: Sbornik materialov Yezhegodnoy mezhdunarodnoy nauchno-prakticheskoy konferentsii [Education and Training of Young Children: Collection of Materials of the Annual International Scientific and Practical Conference]. 2016; (5): 245–251. (In Russ.)
3. Akhutina T.V., Matveeva E.Yu., Romanova A.A. Primenenie Luriyevskogo printsipa sindromnogo analiza v obrabotke dannykh neyropsikhologicheskogo rasstroystva detey s otkloneniyami v razvitii [Application of luria’s principle of syndromic analysis in processing data on neuropsychological disorders in children with developmental delays]. Vestnik Moskovskogo universiteta. Seriya 14. Psikhologiya [Bulletin of Moscow University. Series 14. Psychology]. 2012; (2): 5–10. (In Russ.)
4. Balashova E.Yu., Kovyazina M.S. Neyropsikhologicheskaya diagnostika. Klassicheskie stimulyarnye materialy [Neuropsychological diagnosis. Classical stimulus materials]. Moscow, 2017. 72 p. (In Russ.)
5. Doskin V.A., Lavrent’eva N.A., Miroshnikov M.P., Sharay V.B. Test differentsirovannoy samootsenki funktsional’nogo sostoyaniya [Test of Differentiated Self-Assessment of Functional State]. Voprosy psikhologii [Issues of sychology]. 1973; (6): 34–42. (In Russ.)
6. Zalevskaya M.A. Vozrastnaya periodizatsiya v Rossiyskoy Federatsii v sovremennykh usloviyakh [Age Periodization in the Russian Federation under Modern Conditions]. Mezhdunarodnyy nauchno-issledovatelskiy zhurnal [International Scientific Research Journal]. 2020; (12(102)): 12–15. (In Russ.)
7. Luriya A.R. Vysshie korkovye funktsii cheloveka i ikh narusheniya pri lokal’nykh porazheniyakh mozga [Higher Cortical Functions of Man and Their Disorders in Local Brain Lesions]. Moscow, 1962. 512p. (In Russ.)
8. Melyokhin A.I. Ispol’zovaniye testa risovaniya chasov v skrining-obsledovanii kognitivnogo defitsita [Use of the Clock Drawing Test in Screening for Cognitive Deficit]. Natsional’nye prioriteti Rossii [National Priorities of Russia]. 2014; (2(12)): 5–8. (In Russ.)
9. Mikadze Yu.V. Nekotorye metodologicheskie voprosy kachestvennogo i kolichestvennogo analiza v neyropsikhologicheskoy diagnostike [Some Methodological Issues of Qualitative and Quantitative Analysis in Neuropsychological Diagnosis]. Vestnik Moskovskogo universiteta. Seriya 14. Psikhologiya [Bulletin of Moscow University. Series 14. Psychology]. 2012; (2): 96–103. (In Russ.)
10. Morozova M.A., Potanin S.S., Benyashvili A.G. [et al.]. Validatsiya russkoyazychnoy versii Gospital’noy shkal’y trevogi i depressii v obshchey populatsii [Validation of the Russian version of the hospital anxiety and depression scale in the general population]. Profilakticheskaya meditsina [Preventive Medicine]. 2023; 26(4): 7–14. (In Russ.)
11. Polyakov V.M., Cherevikova I.A., Myasishchev N.A. [et al.]. Kognitivnye i emotsional’nye narusheniya, assotsiirovannye s COVID-19 (obzor literatury) [Cognitive and Emotional Disorders Associated with COVID-19 (Literature Review)]. Acta biomedica scientifica [Acta Biomedica Scientifica]. 2022; (6): 71–81. (In Russ.)
12. Slovenko E.D., Yaremchenko P.I., Khokhlov N.A. Normativnye kharakteristiki vypolneniya metodiki “zauchivaniye 10 slov” i sposoby vyyavleniya ustanovochnogo povedeniya pri issledovanii pamyati [Normative Characteristics of the “Learning 10 Words” Method and Ways to Identify Set Behavior in Memory Research]. Vestnik po pedagogike i psikhologii Yuzhnoy Sibiri [Bulletin of Pedagogy and Psychology of Southern Siberia]. 2020; (3): 45–51. (In Russ.)
13. Fotekova T.A., Akhutina T.V. Diagnostika rechevykh narusheniy shkol’nikov s ispol’zovaniem neyropsikhologicheskikh metodov: posobiye dlya logopedov i psikhologov [Diagnosis of speech disorders in schoolchildren using neuropsychological methods: a guide for speech therapists and psychologists]. Biblioteka praktikuushchego logopeda) [Library of the Practicing Speech Therapist]. Moscow, 2002. 136 p. (In Russ.)
14. Khomskaia E.D. Neyropsikhologiya: 4-e izd. [Neuropsychology: 4th ed.]. Sankt-Peterburg, 2005. 496 p. (In Russ.)
15. Alemanno F., Houdayer E., Parma A. [et al.]. COVID-19 cognitive deficits after respiratory assistance in the subacute phase: A COVID-rehabilitation unit experience // PLOS ONE. 2021. Vol. 16. Article e0246590. DOI: 10.1371/journal.pone.0246590.
16. Almeria M., Cejudo J.C., Sotoca J. [et al.]. Cognitive profile following COVID-19 infection: Clinical predictors leading to neuropsychological impairment // BBB Health. 2020. Vol. 9. Article 100163. DOI: 10.1016/j.bbih.2020.100163.
17. Beaud V., Crottaz-Herbette S., Dunet V. [et al.]. Pattern of cognitive deficits in severe COVID-19 // Journal of Neurology, Neurosurgery & Psychiatry. 2021. Vol. 92. Pp. 567–568. DOI: 10.1136/jnnp-2020-325173.
18. De Lorenzo R., Conte C., Lanzani C. [et al.]. Residual clinical damage after COVID-19: A retrospective and prospective observational cohort study // PLOS ONE. 2020. Vol. 15. Article e0239570. DOI: 10.1371/journal.pone.0239570.
19. Dubois B., Slachevsky A., Litvan I., Pillon B. The FAB: A Frontal Assessment Battery at bedside // Neurology. 2000. Vol. 55, N 11. Pp. 1621–1626. DOI: 10.1212/wnl.55.11.1621.
20. Mikadze Y.V. Methodology of neuropsychological assessment: Qualitative (metasyndromal analysis of cognitive deficit structure) and quantitative (psychometric estimate) aspects // Psychology in Russia: State of the Art / Ed. Yu.P. Zinchenko, V.F. Petrenko. Moscow; 2011. Pp. 261–267.
21. Nasreddine Z.S., Phillips N.A., Bedirian V. [et al.]. The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment // JAGS. 2005. Vol. 53, N 4. Pp. 695–699. DOI: 10.1111/j.1532-5415.2005.53221.
22. Negrini F., Ferrario I., Mazziotti D. [et al.]. Neuropsychological features of severe hospitalized coronavirus disease 2019 patients at clinical stability and clues for postacute rehabilitation // Archives of Physical Medicine and Rehabilitation. 2021. Vol. 102. Pp. 155–158. DOI: 10.1016/j.apmr.2020.09.376.
23. Ortelli P., Ferrazzoli D., Sebastianelli L. [et al.]. Neuropsychological and neurophysiological correlates of fatigue in post-acute patients with neurological manifestations of COVID-19: Insights into a challenging symptom // JNS. 2021. Vol. 420. Article 117271. DOI: 10.1016/j.jns.2020.117271.
24. Raman B., Cassar M.P., Tunnicliffe E.M. [et al.]. Medium-term effects of SARS-CoV-2 infection on multiple vital organs, exercise capacity, cognition, quality of life and mental health, post-hospital discharge // E Clinical Medicine. 2021. Vol. 31. Article 100683. DOI: 10.1016/j.eclinm.2020.100683.
25. Smets E.M., Garssen B., Bonke B., De Haes J.C. The multidimensional fatigue inventory (MFI): Psychometric qualities of an instrument to assess fatigue // J. Psychosom. Res. 1995. Vol. 39, N 3. Pp. 315–325. DOI: 10.1016/0022-3999(94)00125-o.
26. Souillard-Mandar W., Penney D., Schaible B. [et al.]. DCTclock: Clinically-interpretable and automated artificial intelligence analysis of drawing behavior for capturing cognition // Front. Digit. Health. 2021. Vol. 3. Article 750661. DOI: 10.3389/fdgth.2021.750661.
27. Van Den Borst B., Peters J.B., Brink M. [et al.]. Comprehensive health assessment three months after recovery from acute COVID-19 // CID. 2020. DOI: 10.1093/cid/ciaa1750.
28. Woo M.S., Malsy J., Pottgen J. [et al.]. Frequent neurocognitive deficits after recovery from mild COVID-19 // Brain Commun. 2020. Vol. 2. Article fcaa205. DOI: 10.1093/braincomms/fcaa205.
29. Zhou H., Lu S., Chen J. [et al.]. The landscape of cognitive function in recovered COVID-19 patients // J. Psychiatr. Res.2020. Vol. 129. Pp. 98–102. DOI: 10.1016/j.jpsychires.2020.06.022.
30. Zucker R.A. Normative Symbol Digit Modalities Test performance in a community-based sample // Arch Clin Neuropsychol. 2006. Vol. 21, N 1. Pp. 23–28. DOI: http://dx.doi.org/10.1016/j.acn.2005.07.003.
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For citations:
Kutkova A.K. Targets of Psychological and Neuropsychological Correction in Working with Patients Who Have Undergone a New Coronavirus Infection. Bulletin of psychotherapy. 2025;(96):58-68. (In Russ.) https://doi.org/10.25016/2782-652X-2025-0-96-58-68
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