Longterm course of neuropsychological symptoms and ME/CFS after SARS-CoV-2-infection: a prospective registry study

Eur Arch Psychiatry Clin Neurosci. 2024 Dec;274(8):1903-1910. doi: 10.1007/s00406-023-01661-3. Epub 2023 Aug 16.

Abstract

A significant proportion of patients after SARS-CoV-2 infection suffer from long-lasting symptoms. Although many different symptoms are described, the majority of patients complains about neuropsychological symptoms. Additionally, a subgroup of patients fulfills diagnostic criteria for ME/CFS. We analyzed a registry of all patients presenting in the out-patients clinic at a German university center. For patients with more than one visit, changes in reported symptoms from first to second visit were analyzed. A total of 1022 patients were included in the study, 411 of them had more than one visit. 95.5% of the patients reported a polysymptomatic disease. At the first visit 31.3% of the patients fulfilled ME/CFS criteria after a median time of 255 days post infection and and at the second visit after a median of 402 days, 19.4% still suffered from ME/CFS. Self-reported fatigue (83.7-72.7%) and concentration impairment (66.2-57.9%) decreased from first to second visit contrasting non-significant changes in the structured screening. A significant proportion of SARS-CoV-2 survivors presenting with ongoing symptoms present with ME/CFS. Although the proportion of subjective reported symptoms and their severity reduce over time, a significant proportion of patients suffer from long-lasting symptoms necessitating new therapeutic concepts.

Keywords: Fatigue; Long-COVID; ME/CFS; Post-COVID; SARS-CoV2.

MeSH terms

  • Adult
  • Aged
  • COVID-19* / complications
  • COVID-19* / psychology
  • Fatigue / etiology
  • Female
  • Germany / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Post-Acute COVID-19 Syndrome
  • Prospective Studies
  • Registries*
  • SARS-CoV-2