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Article: Prevalence and correlates of subjective cognitive impairment in Chinese psychiatric patients during the fifth wave of COVID-19 in Hong Kong

TitlePrevalence and correlates of subjective cognitive impairment in Chinese psychiatric patients during the fifth wave of COVID-19 in Hong Kong
Authors
Keywordscoping styles
COVID-19
depression
mental disorders
self-reported cognitive complaints
traumatic stress symptoms
Issue Date17-Aug-2023
PublisherFrontiers Media
Citation
Frontiers in Psychiatry, 2023, v. 14 How to Cite?
AbstractINTRODUCTION: The extent of cognitive impairment and its association with psychological distress among people with pre-existing mental illness during COVID-19 is understudied. This study aimed to investigate prevalence and correlates of subjective cognitive impairment (SCI) in Chinese psychiatric patients during fifth-wave of COVID-19 in Hong Kong (HK). METHODS: Four-hundred-eight psychiatric outpatients aged 18–64 years were assessed with questionnaires between 28 March and 8 April 2022, encompassing illness profile, psychopathological symptoms, coping-styles, resilience, and COVID-19 related factors. Participants were categorized into moderate-to-severe and intact/mild cognitive impairment (CI+ vs. CI-) groups based on severity of self-reported cognitive complaints. Univariate and multivariate regression analyses were conducted to determine variables associated with CI+ status. RESULTS: One-hundred-ninety-nine participants (48.8%) experienced CI+. A multivariate model on psychopathological symptoms found that depressive and post-traumatic-stress-disorder (PTSD)-like symptoms were related to CI+, while a multivariate model on coping, resilience and COVID-19 related factors revealed that avoidant coping, low resilience and more stressors were associated with CI+. Final combined model demonstrated the best model performance and showed that more severe depressive and PTSD-like symptoms, and adoption of avoidant coping were significantly associated with CI+. CONCLUSION: Almost half of the sample of psychiatric patients reported cognitive complaints during fifth-wave of COVID-19 in HK. Greater depressive and PTSD-like symptom severity, and maladaptive (avoidant) coping were found as correlates of SCI. COVID-19 related factors were not independently associated with SCI in psychiatric patients. Early detection with targeted psychological interventions may therefore reduce psychological distress, and hence self-perceived cognitive difficulties in this vulnerable population.
Persistent Identifierhttp://hdl.handle.net/10722/331595
ISSN
2023 Impact Factor: 3.2
2023 SCImago Journal Rankings: 1.155
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFung, VSC-
dc.contributor.authorChan, JMT-
dc.contributor.authorChui, EMC-
dc.contributor.authorWong, CSM-
dc.contributor.authorChan, JKN-
dc.contributor.authorChu, RST-
dc.contributor.authorSo, YK-
dc.contributor.authorChung, AKK-
dc.contributor.authorLee, KCK-
dc.contributor.authorCheng, CPW-
dc.contributor.authorLaw, CW-
dc.contributor.authorChan, WC-
dc.contributor.authorChang, WC-
dc.date.accessioned2023-09-21T06:57:14Z-
dc.date.available2023-09-21T06:57:14Z-
dc.date.issued2023-08-17-
dc.identifier.citationFrontiers in Psychiatry, 2023, v. 14-
dc.identifier.issn1664-0640-
dc.identifier.urihttp://hdl.handle.net/10722/331595-
dc.description.abstractINTRODUCTION: The extent of cognitive impairment and its association with psychological distress among people with pre-existing mental illness during COVID-19 is understudied. This study aimed to investigate prevalence and correlates of subjective cognitive impairment (SCI) in Chinese psychiatric patients during fifth-wave of COVID-19 in Hong Kong (HK). METHODS: Four-hundred-eight psychiatric outpatients aged 18–64 years were assessed with questionnaires between 28 March and 8 April 2022, encompassing illness profile, psychopathological symptoms, coping-styles, resilience, and COVID-19 related factors. Participants were categorized into moderate-to-severe and intact/mild cognitive impairment (CI+ vs. CI-) groups based on severity of self-reported cognitive complaints. Univariate and multivariate regression analyses were conducted to determine variables associated with CI+ status. RESULTS: One-hundred-ninety-nine participants (48.8%) experienced CI+. A multivariate model on psychopathological symptoms found that depressive and post-traumatic-stress-disorder (PTSD)-like symptoms were related to CI+, while a multivariate model on coping, resilience and COVID-19 related factors revealed that avoidant coping, low resilience and more stressors were associated with CI+. Final combined model demonstrated the best model performance and showed that more severe depressive and PTSD-like symptoms, and adoption of avoidant coping were significantly associated with CI+. CONCLUSION: Almost half of the sample of psychiatric patients reported cognitive complaints during fifth-wave of COVID-19 in HK. Greater depressive and PTSD-like symptom severity, and maladaptive (avoidant) coping were found as correlates of SCI. COVID-19 related factors were not independently associated with SCI in psychiatric patients. Early detection with targeted psychological interventions may therefore reduce psychological distress, and hence self-perceived cognitive difficulties in this vulnerable population.-
dc.languageeng-
dc.publisherFrontiers Media-
dc.relation.ispartofFrontiers in Psychiatry-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectcoping styles-
dc.subjectCOVID-19-
dc.subjectdepression-
dc.subjectmental disorders-
dc.subjectself-reported cognitive complaints-
dc.subjecttraumatic stress symptoms-
dc.titlePrevalence and correlates of subjective cognitive impairment in Chinese psychiatric patients during the fifth wave of COVID-19 in Hong Kong-
dc.typeArticle-
dc.identifier.doi10.3389/fpsyt.2023.1216768-
dc.identifier.scopuseid_2-s2.0-85169616142-
dc.identifier.volume14-
dc.identifier.eissn1664-0640-
dc.identifier.isiWOS:001058938700001-
dc.identifier.issnl1664-0640-

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