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Examining Well-Being and Cognitive Function in People with Long COVID and ME/CFS, and Age-Matched Healthy Controls: A Case-Case-Control Study - 14/06/24

Doi : 10.1016/j.amjmed.2024.04.041 
Nilihan E.M. Sanal-Hayes, PhD a, b, , Marie Mclaughlin, PhD b, c, Lawrence D. Hayes, PhD b, d, Ethan C.J. Berry, BSc (Hons) b, Nicholas F. Sculthorpe, PhD b
a School of Health and Society, University of Salford, Salford, UK 
b Sport and Physical Activity Research Institute, School of Health and Life Sciences, University of the West of Scotland, Glasgow, UK 
c School of Sport, Exercise & Rehabilitation Sciences, University of Hull, Hull, UK 
d Lancaster Medical School, Lancaster University, Lancaster, UK 

Requests for reprints should be addressed to Nilihan E.M. Sanal-Hayes, PhD, School of Health and Society, University of Salford, Salford, UK.School of Health and SocietyUniversity of SalfordSalfordUK.

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Abstract

Background

Well-being and cognitive function had not previously been compared between people with long COVID and people with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Therefore, this study examined well-being and cognitive function in people with long COVID (∼16 months illness duration; n = 17) and ME/CFS (∼16 years illness duration; n = 24), versus age-matched healthy controls (n = 16).

Methods

Well-being was examined using several questionnaires, namely the Health Visual Analogue Scale (VAS), Fatigue Severity Scale (FSS), post-exertional malaise (PEM), Pittsburgh Sleep Quality Index (PSQI), European Quality of Life-5 Domains (EQ-5D), MRC Dyspnoea, Self-Efficacy (SELTC), The Edinburgh Neurosymptoms Questionnaire (ENS), General Anxiety Disorder 7 (GAD-7) and Patient Health Questionnaire 9 (PHQ-9). Cognitive function was examined using Single Digit Modalities Test (SDMT), Stroop test and Trails A and B. These were delivered via a mobile application (app) built specifically for this remote data collection.

Results

The main findings of the present investigation were that people with ME/CFS and people with long COVID were generally comparable on all well-being and cognitive function measures, but self-reported worse values for pain, fatigue, post-exertional malaise, sleep quality, general well-being in relation to mobility, usual activities, self-care, breathlessness, neurological symptoms, self-efficacy and other well-being such as anxiety and depression, compared to controls. There was no effect of group for cognitive function measures.

Conclusions

These data suggest that both people with long COVID and people with ME/CFS have similar impairment on well-being measures examined herein. Therefore, interventions that target well-being of people with ME/CFS and long COVID are required.

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Keywords : Chronic fatigue syndrome, Cognitive function, Long COVID, Myalgic encephalomyelitis, Post-exertional malaise, Well-being


Plan


 Funding: This work was supported by grants from The Chief Scientist Office for Scotland (COV/LTE/20/08) and the National Institute for Health and Care Research (COV-LT2-0010).
 Conflict of Interest: The submitted work was not carried out in the presence of any personal, professional, or financial relationships that could potentially be construed as a conflict of interest.
 Authorship: All authors have read and agreed to the published version of the manuscript. N.E.M.S-H., M.M., L.D.H, E.C.B., and N.F.S.: Conceptualisation, N.E.M.S-H., M.M.,L.D.H, and N.F.S.: methodology, L.D.H, E.C.B., N.E.M.S-H., M.M., and N.F.S.: software, L.D.H, E.C.B., N.E.M.S-H., M.M., and N.F.S.: and N.F.S.B.: validation, M.M.: formal analysis, N.E.M.S-H., L.D.H, M.M., E.C.B., and N.F.S.: investigation, L.D.H, and N.F.S.: resources, N.E.M.S-H.,M.M., L.D.H, and E.C.B.: data curation, N.E.M.S-H.: writing—original draft preparation, N.E.M.S-H.,L.D.H., M.M., E.C.B., and N.F.S.: writing—review and editing, M.M.: visualisation, N.F.S: supervision, N.E.M.S-H., L.D.H, M.M., E.C.B., and N.F.S.: project administration, L.D.H, and N.F.S.: funding acquisition.


© 2024  The Authors. Publié par Elsevier Masson SAS. Tous droits réservés.
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