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Does COVID-19 Impact Less on Post-stroke Aphasia? This Is Not the Case.
Pisano, Francesca; Giachero, Alberto; Rugiero, Cristian; Calati, Melanie; Marangolo, Paola.
  • Pisano F; Dipartimento di Studi Umanistici, University of Naples Federico II, Naples, Italy.
  • Giachero A; Aphasia Experimental Laboratory - Fondazione Carlo Molo Onlus, Turin, Italy.
  • Rugiero C; Dipartimento di Psicologia, University of Turin, Turin, Italy.
  • Calati M; Aphasia Experimental Laboratory - Fondazione Carlo Molo Onlus, Turin, Italy.
  • Marangolo P; Aphasia Experimental Laboratory - Fondazione Carlo Molo Onlus, Turin, Italy.
Front Psychol ; 11: 564717, 2020.
Article in English | MEDLINE | ID: covidwho-983691
Semantic information from SemMedBD (by NLM)
1. COVID-19 AFFECTS Aphasi
Subject
COVID-19
Predicate
AFFECTS
Object
Aphasi
2. CD69 protei AFFECTS C5203670
Subject
CD69 protei
Predicate
AFFECTS
Object
C5203670
3. COVID-19 AFFECTS Aphasia
Subject
COVID-19
Predicate
AFFECTS
Object
Aphasia
4. Aphasia COEXISTS_WITH Cerebrovascular accident
Subject
Aphasia
Predicate
COEXISTS_WITH
Object
Cerebrovascular accident
5. Aphasia AFFECTS COVID-19
Subject
Aphasia
Predicate
AFFECTS
Object
COVID-19
6. Mood swings AFFECTS Coronavirus Infections
Subject
Mood swings
Predicate
AFFECTS
Object
Coronavirus Infections
7. COVID-19 AFFECTS Aphasia, Post-Ictal
Subject
COVID-19
Predicate
AFFECTS
Object
Aphasia, Post-Ictal
8. CD69 protein, human|CD69 AFFECTS COVID-19
Subject
CD69 protein, human|CD69
Predicate
AFFECTS
Object
COVID-19
9. COVID-19 AFFECTS Aphasia
Subject
COVID-19
Predicate
AFFECTS
Object
Aphasia
10. Aphasia COEXISTS_WITH Cerebrovascular accident
Subject
Aphasia
Predicate
COEXISTS_WITH
Object
Cerebrovascular accident
11. Aphasia AFFECTS COVID-19
Subject
Aphasia
Predicate
AFFECTS
Object
COVID-19
12. Mood swings AFFECTS Coronavirus Infections
Subject
Mood swings
Predicate
AFFECTS
Object
Coronavirus Infections
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic has greatly affected people's mental health resulting in severe psychological consequences. One of the leading causes of long-term disability worldwide is aphasia. The language changes experienced by a person with aphasia (PWA) often have a sudden and long-lasting negative impact on social interaction, quality of life, and emotional wellbeing. The main aim of this study was to investigate the impact of COVID-19 on the different psychosocial dimensions which affect PWA.

METHODS:

This retrospective study included 73 PWA and 81 elderly matched controls. All patients were in the chronic phase. They were all discharged from rehabilitation services, which left them with different degrees of language deficits (i.e., severe vs. mild vs. moderate). All participants were administered the hospital anxiety and depression scale (HADS) through an online survey. PWA also took part in the stroke and aphasia quality of life scale questionnaire (SAQOL-39).

RESULTS:

Although the comparison between two different time points [one month before (T0) and one month after the lockdown (T1)] led to a significant increase in depression and anxiety symptoms in both groups (PWA vs. control), lower rates of depression and anxiety were found in PWA compared to the healthy group. Significant deterioration was also present in PWA in the communication and psychosocial scales of the SAQOL-39 test, which correlated with the observed changes in the psychological domains. Interestingly, the results were not significantly influenced by the degree of aphasia severity. Similarly, in both groups, none of the demographic variables (gender, age, and educational level) significantly affected the scores in the different subscales.

CONCLUSIONS:

This evidence which, at first glance, seems to suggest that PWA have been partially spared from the impact of COVID-19, actually masks a dramatic situation that has always characterized this population. Indeed, given that PWA already live in a state of social isolation and emotional instability, these conditions might have, paradoxically, limited the effects of the coronavirus. However, as our results showed a deterioration in the emotional state and communication skills of our patients, possible solutions are discussed in order to prevent further decline of their cognitive abilities.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Randomized controlled trials Topics: Long Covid Language: English Journal: Front Psychol Year: 2020 Document Type: Article Affiliation country: Fpsyg.2020.564717

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Randomized controlled trials Topics: Long Covid Language: English Journal: Front Psychol Year: 2020 Document Type: Article Affiliation country: Fpsyg.2020.564717