Alzheimer’s Association International Cohort Study of Chronic Neuropsychiatric Sequeale of SARS‐CoV‐2 (CNS‐SARS‐CoV‐2)

Abstract

Background The pandemic of SARS‐CoV‐2 is focusing all energies on the impact on survival of affected individuals, treatment and prevention, but increasingly attention is focusing on its enduring consequences. We established a global consortium to study a longitudinal representative cohort of individuals, to characterize neurological and neuropsychiatric sequalae from direct viral, immune‐, vascular‐ or accelerated neurodegenerative injury to the central nervous system (CNS). Method We propose to characterize the neurobehavioral phenomenology associated with SARS‐CoV‐2 in a large, multinational, longitudinal cohort of post COVID‐19 infection patients following three sampling strategies: 1) Opportunity sample of patients discharged after hospital admission for COVID‐19 related symptoms. 2) A stratified random sample from COVID‐19 testing registries (including asymptomatic and negative participants). 3) Ascertaining COVID‐19 exposure (antibody) status in ongoing longitudinal, community‐based cohort studies that are already collecting biosamples, cognitive, behavioral and neuroimaging data. We will obtain core data within 6 months of discharge or testing. Core characterization will include interviews with the Schedules of Clinical Assessment in Neuropsychiatry (SCAN), neurological exams, emotional reactivity scales and a neurocognitive assessment. Wherever feasible, we will also collect neuroimaging, biosamples and genetic data. Longitudinal follow up will be conducted at 9 and 18 months of the initial evaluation. An mHealth keeping‐in‐touch process will be set up to minimize attrition rates. The population cohorts provide a large, unbiased, normative and validation sample, albeit with more heterogenous outcome ascertainment. They also permit examination of pre‐ and post‐COVID trends in symptoms and biomarkers. Since some ethnic groups, as well as in individuals with blood type A, are at higher risk of COVID‐19 infection and death, a role of genetics in determining susceptibility to infection and poor outcomes seems well supported. We will collect genome‐wide genotypes from our cohort individuals to address the role of ancestry and genetic variation on susceptibility to neuropsychiatric sequelae. High rates of mutation in COVID‐19 strongly suggest that viral infectivity, including neurotropism, may not be uniform across countries affected by the pandemic. Results Pending. Conclusion Our consortium is in a unique position to address the interaction between genetics (including ancestral DNA), and viral strain variation on CNS sequelae of SARS‐CoV‐2.

Mental Health During the First Year of the COVID-19 Pandemic: A Review and Recommendations for Moving Forward

“…Indeed, although this article summarizes the rapidly growing and evolving evidence on COVID-19 and mental health, we do not yet know the duration and long-term impacts of this global challenge. As the number of people infected with the virus continues to climb, humanity needs greater insight into how to support those who become infected, as well as those who care for the infected ( de Erausquin et al, 2020 ). Moreover, greater knowledge is needed to understand how most people have altered their lives, as well as what factors have supported or challenged mental health during this time.…”

Mental Health During the First Year of the COVID-19 Pandemic: A Review and Recommendations for Moving Forward

“…Indeed, while this review summarizes the fast growing and evolving evidence on COVID-19 and mental health, we do not yet know the duration and long-term impacts of this global challenge. As the number of people infected with the virus continues to climb, humanity needs greater insight into how to support those who become infected, as well as those who care for the infected (de Erausquin et al, 2020). Moreover, greater knowledge is needed to understand how most people have altered their lives, as well as what factors have supported or challenged mental health during this time.…”