[Factors affecting the quality of life of patients with neurological manifestations of post-COVID syndrome].

OBJECTIVE

To identify factors affecting the quality of life (QOL) of patients with neurological manifestations of post-COVID syndrome (PCS).

MATERIAL AND

METHODS

The study included 60 patients undergoing treatment at the A.Ya. Kozhevnikov Clinic of Nervous Diseases for the underlying disease: tension headaches, migraine, musculoskeletal pain in the neck and back, who had recovered from COVID-19. The main group consisted of 40 patients (average age 47.7±11.43 years). In addition to the manifestations of the underlying disease, they complained of fatigue, decreased performance and concentration, anxiety, memory impairment, low mood, apathy, which arose for the first time during, immediately after, or within 2 months after the coronavirus infection (CI), which met the criteria of the PCS. The comparison group included 20 patients (average age 39±14 years). Patients in this group presented complaints only about their underlying diseases and did not note any peculiarities in their course due to the past CI. For objective assessment of emotional state, we used the Spielberger-Khanin scale, the Beck depression scale, MFI-20, SF-36.

RESULTS

Factors influencing the QoL of patients with PCS are age over 40 years, high trait anxiety, depressive and asthenic syndromes. For the most part, the psychological domain of QOL was lower in patients with PCS, a decrease in vital activity, physical functioning, mental health has also been identified.

CONCLUSION

The results of the study indicate a deterioration in QoL in patients with PCS. In terms of rehabilitation treatment, it is necessary to pay more attention to the treatment of anxiety, depressive and asthenic manifestations.