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COVID-19 may cause 'significant' cognitive deficits, study says
A growing body of research suggests COVID-19 can cause neurological damage in some patients.
- The study examined data of cognitive performance collected from more than 84,000 people, more than 12,000 of whom had likely contracted and recovered from COVID-19.
- Compared to healthy participants, the COVID-19 group performed significantly worse on cognitive tests.
- Mental decline in the worst cases were the equivalent of ageing by 10 years.
A new study adds to the growing body of research suggesting COVID-19 may leave some patients with neurological damage.
The preprint study — which is published in medRxiv and has yet to be peer reviewed — examined cognitive test data from 84,285 people, more than 12,000 of whom had either tested positive for COVID-19 or had likely contracted the disease based on previous symptoms.
The data was collected from the Great British Intelligence Test, which measures cognitive performance in areas like semantic reasoning abilities, spatial problem solving and verbal working memory, to name a few.
The results showed that people who contracted and recovered from COVID-19 were significantly more likely to score lower on the tests. What's more, people with more severe cases of the disease tended to show greater cognitive deficits.
Because the researchers didn't have data on participants' cognitive abilities before the pandemic, they compared the scores of the COVID-19 group with a group of healthy controls.
"People who had recovered, including those no longer reporting symptoms, exhibited significant cognitive deficits when controlling for age, gender, education level, income, racial-ethnic group and pre-existing medical disorders," the researchers wrote in the study. "They were of substantial effect size for people who had been hospitalised, but also for mild but biologically confirmed cases who reported no breathing difficulty."
The effect size of cognitive deficits varied across three cognitive domains, which were estimated by applying principal component analysis with varimax rotation to the nine test summary scores.
Hampshire et al.
Participants who suffered the most severe cases of COVID-19, and had to be put on a respirator, showed cognitive "equivalent to the average 10-year decline in global performance between the ages of 20 to 70." For comparison, the study notes that the difference in cognitive performance between this group and the control "equates to an 8.5-point difference in IQ."
The COVID-19 group scored particularly low on tests measuring semantic problem solving and visual selective attention.
"People who have recovered from COVID-19 infection show particularly pronounced problems in multiple aspects of higher cognitive or 'executive' function, an observation that accords with preliminary reports of executive dysfunction in some patients at hospital discharge," the researchers wrote.
Considering that all participants had recovered from the disease when they completed the cognitive tests, the results suggest that "COVID-19 infection likely has consequences for cognitive function that persist into the recovery phase," the researchers wrote.
Still, it's unclear whether these deficits (if indeed caused by COVID-19) are permanent, or how long they may last. But there is evidence suggesting that severe respiratory conditions can cause neurological damage. A 2011 study, for example, found that people who'd been hospitalized with acute respiratory distress syndrome can suffer cognitive deficits that persist up to five years after discharge.
The Block Rearrange test [featured in the Great British Intelligence Test] measures spatial problem solving.
Credit: Hampshire et al.
It's worth noting the study is limited, mainly because it didn't compare before-and-after cognitive performance of the COVID-19 group. Another possible limitation: People with lower cognitive abilities may be more likely to contract COVID-19 because they're more likely to put themselves in harm's way.
"We consider such a relationship plausible; however, it would not explain why the observed deficits varied in scale with respiratory symptom severity," the researchers wrote. "We also note that the large and socioeconomically diverse nature of the cohort enabled us to include many potentially confounding variables in our analysis."
San Diego-area hospitals treat coronavirus patients during COVID-19 pandemic
Credit: Mario Tama/Getty Images
Only time and further research will tell whether COVID-19 leaves people with lasting cognitive deficits. Scientists are already establishing long-term research projects to answer these questions, such as the COVID-19 Brain Study, which aims to monitor the long-term health of 50,000 participants who have tested positive for the disease.
If you've been diagnosed with COVID-19 and want to enroll in the study, visit cambridgebrainsciences.com/studies/covid-brain-study.
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What is human dignity? Here's a primer, told through 200 years of great essays, lectures, and novels.
- Human dignity means that each of our lives have an unimpeachable value simply because we are human, and therefore we are deserving of a baseline level of respect.
- That baseline requires more than the absence of violence, discrimination, and authoritarianism. It means giving individuals the freedom to pursue their own happiness and purpose.
- We look at incredible writings from the last 200 years that illustrate the push for human dignity in regards to slavery, equality, communism, free speech and education.
The inherent worth of all human beings<p>Human dignity is the inherent worth of each individual human being. Recognizing human dignity means respecting human beings' special value—value that sets us apart from other animals; value that is intrinsic and cannot be lost.</p> <p>Liberalism—the broad political philosophy that organizes society around liberty, justice, and equality—is rooted in the idea of human dignity. Liberalism assumes each of our lives, plans, and preferences have some unimpeachable value, not because of any objective evaluation or contribution to a greater good, but simply because they belong to a human being. We are human, and therefore deserving of a baseline level of respect. </p> <p>Because so many of us take human dignity for granted—just a fact of our humanness—it's usually only when someone's dignity is ignored or violated that we feel compelled to talk about it. </p> <p>But human dignity means more than the absence of violence, discrimination, and authoritarianism. It means giving individuals the freedom to pursue their own happiness and purpose—a freedom that can be hampered by restrictive social institutions or the tyranny of the majority. The liberal ideal of the good society is not just peaceful but also pluralistic: It is a society in which we respect others' right to think and live differently than we do.</p>
From the 19th century to today<p>With <a href="https://books.google.com/ngrams/graph?year_start=1800&year_end=2019&content=human+dignity&corpus=26&smoothing=3&direct_url=t1%3B%2Chuman%20dignity%3B%2Cc0" target="_blank" rel="noopener noreferrer">Google Books Ngram Viewer</a>, we can chart mentions of human dignity from 1800-2019.</p><img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDg0ODU0My9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTY1MTUwMzE4MX0.bu0D_0uQuyNLyJjfRESNhu7twkJ5nxu8pQtfa1w3hZs/img.png?width=980" id="7ef38" class="rm-shortcode" data-rm-shortcode-id="9974c7bef3812fcb36858f325889e3c6" data-rm-shortcode-name="rebelmouse-image" />
American novelist, writer, playwright, poet, essayist and civil rights activist James Baldwin at his home in Saint-Paul-de-Vence, southern France, on November 6, 1979.
Credit: Ralph Gatti/AFP via Getty Images
The future of dignity<p>Around the world, people are still working toward the full and equal recognition of human dignity. Every year, new speeches and writings help us understand what dignity is—not only what it looks like when dignity is violated but also what it looks like when dignity is honored. In his posthumous essay, Congressman Lewis wrote, "When historians pick up their pens to write the story of the 21st century, let them say that it was your generation who laid down the heavy burdens of hate at last and that peace finally triumphed over violence, aggression and war."</p> <p>The more we talk about human dignity, the better we understand it. And the sooner we can make progress toward a shared vision of peace, freedom, and mutual respect for all. </p>
With just a few strategical tweaks, the Nazis could have won one of World War II's most decisive battles.
- The Battle of Britain is widely recognized as one of the most significant battles that occurred during World War II. It marked the first major victory of the Allied forces and shifted the tide of the war.
- Historians, however, have long debated the deciding factor in the British victory and German defeat.
- A new mathematical model took into account numerous alternative tactics that the German's could have made and found that just two tweaks stood between them and victory over Britain.
Two strategic blunders<p>Now, historians and mathematicians from York St. John University have collaborated to produce <a href="http://www-users.york.ac.uk/~nm15/bootstrapBoB%20AAMS.docx" target="_blank">a statistical model (docx download)</a> capable of calculating what the likely outcomes of the Battle of Britain would have been had the circumstances been different. </p><p>Would the German war effort have fared better had they not bombed Britain at all? What if Hitler had begun his bombing campaign earlier, even by just a few weeks? What if they had focused their targets on RAF airfields for the entire course of the battle? Using a statistical technique called weighted bootstrapping, the researchers studied these and other alternatives.</p><p>"The weighted bootstrap technique allowed us to model alternative campaigns in which the Luftwaffe prolongs or contracts the different phases of the battle and varies its targets," said co-author Dr. Jaime Wood in a <a href="https://www.york.ac.uk/news-and-events/news/2020/research/mathematicians-battle-britain-what-if-scenarios/" target="_blank">statement</a>. Based on the different strategic decisions that the German forces could have made, the researchers' model enabled them to predict the likelihood that the events of a given day of fighting would or would not occur.</p><p>"The Luftwaffe would only have been able to make the necessary bases in France available to launch an air attack on Britain in June at the earliest, so our alternative campaign brings forward the air campaign by three weeks," continued Wood. "We tested the impact of this and the other counterfactuals by varying the probabilities with which we choose individual days."</p><p>Ultimately, two strategic tweaks shifted the odds significantly towards the Germans' favor. Had the German forces started their campaign earlier in the year and had they consistently targeted RAF airfields, an Allied victory would have been extremely unlikely.</p><p>Say the odds of a British victory in the real-world Battle of Britain stood at 50-50 (there's no real way of knowing what the actual odds are, so we'll just have to select an arbitrary figure). If this were the case, changing the start date of the campaign and focusing only on airfields would have reduced British chances at victory to just 10 percent. Even if a British victory stood at 98 percent, these changes would have cut them down to just 34 percent.</p>
A tool for understanding history<p>This technique, said co-author Niall Mackay, "demonstrates just how finely-balanced the outcomes of some of the biggest moments of history were. Even when we use the actual days' events of the battle, make a small change of timing or emphasis to the arrangement of those days and things might have turned out very differently."</p><p>The researchers also claimed that their technique could be applied to other uncertain historical events. "Weighted bootstrapping can provide a natural and intuitive tool for historians to investigate unrealized possibilities, informing historical controversies and debates," said Mackay.</p><p>Using this technique, researchers can evaluate other what-ifs and gain insight into how differently influential events could have turned out if only the slightest things had changed. For now, at least, we can all be thankful that Hitler underestimated Britain's grit.</p>
We’ve mapped a million previously undiscovered galaxies beyond the Milky Way. Take the virtual tour here.
See the most detailed survey of the southern sky ever carried out using radio waves.
Astronomers have mapped about a million previously undiscovered galaxies beyond the Milky Way, in the most detailed survey of the southern sky ever carried out using radio waves.
A new study shows our planet is much closer to the supermassive black hole at the galaxy's center than previously estimated.
Credit: NAOJ<p><em>Arrows on this map show position and velocity data for the 224 objects utilized to model the Milky Way Galaxy. The solid black lines point to the positions of the spiral arms of the Galaxy. Colors reflect groups of objects that are part of the same arm, while the background is a simulation image.</em></p>
Apple sold its first iPod in 2001, and six years later it introduced the iPhone, which ushered in a new era of personal technology.