"Brain Fog" na síndrome pós COVID-19: uma revisão bibliográfica

Autores

  • Valdir Donizeti Alves Junior Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil https://orcid.org/0000-0001-7937-9671
  • Ana Sofia Arradi Campos Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, HU-UFJF, Juiz de Fora, MG, Brasil https://orcid.org/0009-0005-7474-6811
  • Ananda Soares de Brito Freire Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil https://orcid.org/0000-0002-8285-4434
  • Isabella La-Côrte Morais Matos Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil
  • Kescya Miranda de Paula Silva Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil https://orcid.org/0009-0000-2596-9764

DOI:

https://doi.org/10.25118/2763-9037.2023.v13.1109

Palavras-chave:

fadiga mental, brain fog, epidemiologia, prognóstico, tratamento, COVID-19, confusão mental

Resumo

Introdução: Estudos indicam alta incidência de sintomas psiquiátricos agudos pós-infecção por SARS-CoV-2. Aqueles que apresentam sintomas persistentes e/ou disfunção orgânica após a fase aguda da COVID-19 são diagnosticados com a síndrome pós-Covid. O comprometimento cognitivo nessa síndrome inclui déficit de memória recente, dificuldades de concentração e execução, além de raciocínio lento em comparação com o padrão anterior de funcionamento. Objetivo: Fornecer uma visão geral sobre o tema “Brain Fog” e, dessa forma, contribuir para o conhecimento dos profissionais de saúde e para o desenvolvimento de estratégias de manejo em saúde mental. Método: Trata-se de uma revisão narrativa da literatura, com coleta de dados feita nas bases de dados PubMed, LILACS e Scielo. Foram selecionados 14 trabalhos, os quais contemplavam os seguintes itens sobre o tema: epidemiologia, clínica, prognóstico e tratamento. Resultado: Observou-se que o sexo feminino estava associado a uma maior chance de apresentar comprometimento cognitivo pós-covid. Estratégias de tratamento incluem avaliação neuropsicológica, reabilitação cognitiva, apoio à saúde mental e sono adequado. Abordagem multidisciplinar é crucial para lidar com sintomas persistentes e retornar à vida normal. Conclusão: Observou-se alta prevalência de quadros de disfunção cognitiva no período pós-agudo da infecção por COVID-19. Houve, também, grande heterogeneidade na caracterização dos sintomas, o que torna necessário estabelecer definições consensuais acerca da condição estudada, para melhor investigação de estratégias de prevenção e tratamento.

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Biografia do Autor

Valdir Donizeti Alves Junior, Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil

Ana Sofia Arradi Campos, Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, HU-UFJF, Juiz de Fora, MG, Brasil

Ananda Soares de Brito Freire, Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil

Isabella La-Côrte Morais Matos, Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil

Kescya Miranda de Paula Silva, Residente de Psiquiatria, Hospital Universitário, Universidade Federal de Juiz de Fora, UFJF, Juiz de Fora, MG, Brasil

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2023-12-26

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Alves Junior VD, Campos ASA, Freire AS de B, Matos IL-CM, Silva KM de P. "Brain Fog" na síndrome pós COVID-19: uma revisão bibliográfica. Debates em Psiquiatria [Internet]. 26º de dezembro de 2023 [citado 19º de fevereiro de 2025];13:1-19. Disponível em: https://revistardp.org.br/revista/article/view/1109

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