COVID-19 and clinical neuropsychology: A review of neuropsychological literature on acute and chronic pulmonary disease

Clin Neuropsychol. 2020 Oct-Nov;34(7-8):1480-1497. doi: 10.1080/13854046.2020.1810325. Epub 2020 Sep 3.

Abstract

Objective: The illness resulting from Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), better known as COVID-19, has quickly escalated to a worldwide pandemic. Although understanding of the short and long-term manifestations of COVID-19 remains incomplete, there is a preponderance of respiratory pathology in COVID-19 and potential for chronic loss of pulmonary function in recovered patients, raising concerns for associated cognitive impacts.Method: We conducted a narrative review of the existing literature on neuropsychological variables in acute/severe respiratory disease and various forms of chronic pulmonary disease to inform expectations about potential cognitive manifestations of COVID-19.Results: Cognitive dysfunction is common but not inevitable in acute and chronic pulmonary disease, although unique predictors and symptom trajectories appear to be associated with each.Conclusions: Although the full scope of neuropathophysiology associated with COVID-19 remains to be established, pulmonary insults associated with the disease are likely to produce cognitive dysfunction in a substantial percentage of patients.

Keywords: ARDS; COPD; COVID-19; MERS; SARS; pulmonary disease.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Betacoronavirus*
  • COVID-19
  • Chronic Disease
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / psychology*
  • Coronavirus Infections / therapy
  • Humans
  • Lung Diseases / epidemiology*
  • Lung Diseases / psychology*
  • Lung Diseases / therapy
  • Neuropsychological Tests
  • Neuropsychology / methods*
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / psychology*
  • Pneumonia, Viral / therapy
  • SARS-CoV-2