{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T21:30:47Z","timestamp":1791927047437,"version":"4.3.4"},"reference-count":62,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T00:00:00Z","timestamp":1692230400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>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).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Four-hundred-eight psychiatric outpatients aged 18\u201364\u2009years 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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+.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2023.1216768","type":"journal-article","created":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T01:59:22Z","timestamp":1692323962000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence and correlates of subjective cognitive impairment in Chinese psychiatric patients during the fifth wave of COVID-19 in Hong Kong"],"prefix":"10.3389","volume":"14","author":[{"given":"Vivian Shi Cheng","family":"Fung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob Man Tik","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileena Mo Ching","family":"Chui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corine Sau Man","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe Kwun Nam","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan Sai Ting","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuen Kiu","family":"So","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert Kar Kin","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystal Chi Kei","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calvin Pak Wing","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi Wing","family":"Law","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai Chi","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wing Chung","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,8,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1016\/S0140-6736(20)30185-9","article-title":"A novel coronavirus outbreak of global health concern","volume":"395","author":"Wang","year":"2020","journal-title":"Lancet"},{"key":"ref2","volume-title":"Timeline: WHO's COVID-19 response","year":"2020"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s12144-022-02913-6","article-title":"Mental health among the general population and healthcare workers during the COVID-19 pandemic: a meta-analysis of well-being and psychological distress prevalence","author":"Blasco-Belled","year":"2022","journal-title":"Curr Psychol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1935","DOI":"10.1002\/jmv.27549","article-title":"A large-scale meta-analytic atlas of mental health problems prevalence during the COVID-19 early pandemic","volume":"94","author":"Dragioti","year":"2022","journal-title":"J Med Virol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"100067","DOI":"10.1016\/j.jadr.2020.100067","article-title":"The relationship between social media use, stress symptoms and burden caused by coronavirus (Covid-19) in Germany and Italy: a cross-sectional and longitudinal investigation","volume":"3","author":"Brailovskaia","year":"2021","journal-title":"J Affect Disord Rep"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1334","DOI":"10.1002\/cpp.2644","article-title":"Impact of COVID-19 outbreak on Italian healthcare workers versus general population: results from an online survey","volume":"28","author":"Mansueto","year":"2021","journal-title":"Clin Psychol Psychother"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2860","article-title":"The Arab COVID-19 anxiety syndrome scale (C-19ASS): COVID-19 anxiety syndrome and psychological symptoms in the Saudi Arabian population","author":"Alhakami","year":"2023","journal-title":"Clin Psychol Psychother"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1111\/pcn.13105","article-title":"Mental health status of the general population in Japan during the COVID-19 pandemic","volume":"74","author":"Ueda","year":"2020","journal-title":"Psychiatry Clin Neurosci"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"101","DOI":"10.3390\/healthcare9010101","article-title":"What will be the impact of the Covid-19 quarantine on psychological distress? 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