Meta-analysis of Cognitive Function Following Non-severe SARS-CoV-2 Infection.

To effectively diagnose and treat subjective cognitive symptoms in post-acute sequalae of COVID-19 (PASC), it is important to understand objective cognitive impairment across the range of acute COVID-19 severity. Despite the importance of this area of research, to our knowledge, there are no current meta-analyses of objective cognitive functioning following non-severe initial SARS-CoV-2 infection. The aim of this meta-analysis is to describe objective cognitive impairment in individuals with non-severe (mild or moderate) SARS-CoV-2 cases in the post-acute stage of infection. This meta-analysis was pre-registered with Prospero (CRD42021293124) and utilized the PRISMA checklist for reporting guidelines, with screening conducted by at least two independent reviewers for all aspects of the screening and data extraction process. Fifty-nine articles (total participants = 22,060) with three types of study designs met our full criteria. Individuals with non-severe (mild/moderate) initial SARS-CoV-2 infection demonstrated worse objective cognitive performance compared to healthy comparison participants. However, those with mild (nonhospitalized) initial SARS-CoV-2 infections had better objective cognitive performance than those with moderate (hospitalized but not requiring ICU care) or severe (hospitalized with ICU care) initial SARS-CoV-2 infections. For studies that used normative data comparisons instead of healthy comparison participants, there was a small and nearly significant effect when compared to normative data. There were high levels of heterogeneity (88.6 to 97.3%), likely reflecting small sample sizes and variations in primary study methodology. Individuals who have recovered from non-severe cases of SARS-CoV-2 infections may be at risk for cognitive decline or impairment and may benefit from cognitive health interventions.

Psychological Sequelae in Family Caregivers of Critically III Intensive Care Unit Patients. A Systematic Review.

Rationale: Family members of critically ill patients hospitalized in the intensive care unit (ICU) often become caregivers, and they are at risk to develop adverse psychological outcomes. There is a need to understand the psychological impact of critical illness on family caregivers. Objectives: The aim of this systematic review is to document the prevalence of depression, anxiety, and post-traumatic stress disorder (PTSD) in family caregivers of critically ill patients and identify potential risk factors for psychological outcomes to inform clinical and future research recommendations. Methods: A literature search for psychological outcomes for family caregivers of critically ill patients was conducted. A total of 1,148 studies from PsycINFO, CINAHL, Web of Science, SCOPUS, and Medline were identified. Results: Forty studies met inclusion criteria and were included in the review. The prevalence of psychological outcomes in family caregivers ranged from 4% to 94% for depression, 2% to 80% for anxiety, and 3% to 62% for PTSD. Caregiver depression, anxiety, and PTSD decreased in most studies that assessed longitudinal outcomes. Common risk factors identified for adverse psychological outcomes included younger caregiver age, caregiver relationship to the patient, lower socioeconomic status, and female sex. Conclusions: The prevalence of depression, anxiety, and PTSD varies greatly across studies of family caregivers of critically ill patients. This finding highlights the need for more systematic investigations of psychological outcomes and the implementation of clinical interventions to prevent or reduce depression, anxiety, and PTSD in family caregivers of critically ill patients.

Predicting eye-movement characteristics across multiple tasks from working memory and executive control.

Individual differences in working memory (WM) and executive control are stable, related to cognitive task performance, and clinically predictive. Between-participant differences in eye movements are also highly reliable (Carter & Luke, Journal of Experimental Psychology: Human Perception and Performance, 2018; Henderson & Luke, Journal of Experimental Psychology: Human Perception and Performance, 40(4), 1390-1400, 2014). However, little is known about how higher order individual differences in cognition are related to these eye-movement characteristics. In the present study, healthy college-age participants performed several individual difference tasks to measure WM span and executive control. Participants also performed three eye-movement tasks: reading, visual search, and scene viewing. Across all tasks, higher WM scores were related to reduced skewness in fixation duration distributions. In reading, higher WM scores predicted longer saccades. In scene viewing, higher WM scores predicted longer fixations. Theoretical and clinical implications of these findings are discussed.

Instrumental Activities of Daily Living after Critical Illness: A Systematic Review.

RATIONALE: Poor functional status is common after critical illness, and can adversely impact the abilities of intensive care unit (ICU) survivors to live independently. Instrumental activities of daily living (IADL), which encompass complex tasks necessary for independent living, are a particularly important component of post-ICU functional outcome. OBJECTIVES: To conduct a systematic review of studies evaluating IADLs in survivors of critical illness. METHODS: We searched PubMed, CINAHL, Cochrane Library, SCOPUS, and Web of Science for all relevant English-language studies published through December 31, 2016. Additional articles were identified from personal files and reference lists of eligible studies. Two trained researchers independently reviewed titles and abstracts, and potentially eligible full text studies. Eligible studies included those enrolling adult ICU survivors with IADL assessments, using a validated instrument. We excluded studies involving specific ICU patient populations, specialty ICUs, those enrolling fewer than 10 patients, and those that were not peer-reviewed. Variables related to IADLs were reported using the Patient Reported Outcomes Measurement Information System (PROMIS). RESULTS: Thirty of 991 articles from our literature search met inclusion criteria, and 23 additional articles were identified from review of reference lists and personal files. Sixteen studies (30%) published between 1999 and 2016 met eligibility criteria and were included in the review. Study definitions of impairment in IADLs were highly variable, as were reported rates of pre-ICU IADL dependencies (7-85% of patients). Eleven studies (69%) found that survivors of critical illness had new or worsening IADL dependencies. In three of four longitudinal studies, survivors with IADL dependencies decreased over the follow-up period. Across multiple studies, no risk factors were consistently associated with IADL dependency. CONCLUSIONS: Survivors of critical illness commonly experience new or worsening IADL dependency that may improve over time. As part of ongoing efforts to understand and improve functional status in ICU survivors, future research must focus on risk factors for IADL dependencies and interventions to improve these cognitive and physical dependencies after critical illness.

Lingering misinterpretations in garden-path sentences: evidence from a paraphrasing task.

Using a forced-choice question-answering paradigm, K. Christianson, A. Hollingworth, J. F. Halliwell, and F. Ferreira (2001) showed that the original misinterpretation built during the analysis of a garden-path sentence lingers even after reanalysis has occurred. However, their methodology has been questioned (R. P. G. van Gompel, M. J. Pickering, J. Pearson, & G. Jacob, 2006). In this study, the authors report evidence for lingering misinterpretations using a paraphrasing methodology, which is less biased than previous methodologies. Using paraphrasing, they found that garden-path sentences are paraphrased according to a partially reanalyzed interpretation. This finding suggests that the arguments put forward by Christianson et al. are correct: Comprehenders' final interpretations of sentences are often incorrect and do not correspond to the initial input. These findings support the theory that comprehension can occur in a "good-enough" manner (F. Ferreira, V. Ferraro, & K. G. D. Bailey, 2002; F. Ferreira & N. Patson, 2007).

Age-related differences in cognition: the role of distraction control.

The ability to ignore or control the processing of distracting information may underlie many age-related and individual differences in cognitive abilities. Using a large sample of adults aged 18 to 87 years, this article presents data examining the mediating role of distraction control in the relationship between age and higher order cognition. The reading with distraction task (Connelly, Hasher, & Zacks, 1991) has been used as a measure of the access function of distraction control. Results of this study suggest that distraction control, as measured by this paradigm, plays an important role in mediating age-related effects on measures of working memory and matrix reasoning.