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Cohort studies that followed individuals for at least 12\u2009weeks post\u2010COVID\u201019 were included and pediatric studies were excluded. The databases Embase, Lilacs\/BVS, PubMed, SciELO and Scopus were searched in November 2023. Meta\u2010analyses were performed with subgroup analyses conducted. Results were presented with forest plot graphs and tables. Risk of bias and methodological quality were assessed using Eggers's Test and the Newcastle\u2010Ottawa Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>2,456 studies were identified and screened. Forty\u2010seven articles were included in the systematic review, and 46 in the meta\u2010analysis (192,158 participants). The most prevalent psychological outcome was anxiety (0.17; 95% CI 0.11\u20130.27, 19 studies), followed by cognitive impairments (0.15; 95% CI 0.11\u20130.20, 35 studies), sleep disturbances (0.14; 95% CI 0.09\u20130.19, 33 studies) and depression (0.11; 95% CI 0.06\u20130.19, 16 studies).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The mental health consequences of COVID\u201019 highlight the need for long\u2010term monitoring and represent a significant public health challenge. The limitation is the heterogeneity among the studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice\/Recommendations<\/jats:title>\n                    <jats:p>These findings represent a public health issue emphasizing the need for public policies and support strategies to mitigate consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although high prevalence rates were identified, the prediction intervals were wide and heterogeneity remained high\u2013common characteristics of studies conducted during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>Registered in the international Prospective Register of Ongoing Systematic Reviews (PROSPERO) under number CRD42023460632, on\u00a0September 5, 2023.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70139","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T12:12:38Z","timestamp":1778242358000},"page":"653-666","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological and Cognitive Sequelae of\n                    <scp>COVID<\/scp>\n                    \u201019: Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1745-3391","authenticated-orcid":false,"given":"Eduarda","family":"Boufleuer","sequence":"first","affiliation":[{"name":"Postgraduate Program in Nursing Federal University of Rio Grande do Sul  Porto Alegre Brazil"},{"name":"State Health Department of Rio Grande do Sul  Porto Alegre 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