The association between objective cognitive measures and ecological-functional outcomes in COVID-19

Marcella Ottonello; Elena Fiabane; Edoardo Nicolò Aiello; Marina Rita Manera; Francesca Spada; Caterina Pistarini

doi:10.3389/fpsyg.2022.903697

Frontiers in Psychology (Nov 2022)

The association between objective cognitive measures and ecological-functional outcomes in COVID-19

Marcella Ottonello,
Elena Fiabane,
Edoardo Nicolò Aiello,
Marina Rita Manera,
Francesca Spada,
Caterina Pistarini

Affiliations

Marcella Ottonello: Department of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri IRCCS, Genova, Italy
Elena Fiabane: Department of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri IRCCS, Genova, Italy
Edoardo Nicolò Aiello: PhD Program in Neuroscience, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy
Marina Rita Manera: Psychology Unit of Pavia Institute, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy
Francesca Spada: Department of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri IRCCS, Genova, Italy
Caterina Pistarini: Department of Neurorehabilitation of Pavia Institute, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy

DOI: https://doi.org/10.3389/fpsyg.2022.903697
Journal volume & issue: Vol. 13

Abstract

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BackgroundCognitive dysfunctions, both subjective and detectable at psychometric testing, may follow SARS-CoV-2 infection. However, the ecological-functional relevance of such objective deficits is currently under-investigated. This study thus aimed at investigating the association between objective cognitive measures and both physical and cognitive, ecological-functional outcomes in post-COVID-19.MethodsForty-two COVID-19-recovered individuals were administered the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). The Functional Independence Measure (FIM) was adopted to assess functional-ecological, motor/physical (FIM-Motor) and cognitive (FIM-Cognitive) outcomes at admission (T0) and discharge (T1).ResultsWhen predicting both T0/T1 FIM-total and-Motor scores based on MMSE/MoCA scores, premorbid risk for cognitive decline (RCD) and disease-related features, no model yielded a significant fit. However, the MoCA - but not the MMSE significantly predicted T0/T1 FIM-Cognitive scores. The MoCA was significantly related only to T0/T1 FIM-Cognitive Memory items.DiscussionCognitive measures are not associated with physical/motor everyday-life outcomes in post-COVID-19 patients. The MoCA may provide an ecological estimate of cognitive functioning in this population.

Published in Frontiers in Psychology

ISSN: 1664-1078 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Philosophy. Psychology. Religion: Psychology
Website: https://www.frontiersin.org/journals/psychology

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