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1.
J Neurosci Res ; 102(4): e25335, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38634155

RESUMO

Brain activity may manifest itself as oscillations which are repetitive rhythms of neuronal firing. These local field potentials can be measured via intracranial electroencephalography (iEEG). This review focuses on iEEG used to map human brain structures involved in olfaction. After presenting the methodology of the review, a summary of the brain structures involved in olfaction is given, followed by a review of the literature on human olfactory oscillations in different contexts. A single case is provided as an illustration of the olfactory oscillations. Overall, the timing and sequence of oscillations found in the different structures of the olfactory system seem to play an important role for olfactory perception.


Assuntos
Percepção Olfatória , Olfato , Humanos , Olfato/fisiologia , Encéfalo/fisiologia , Percepção Olfatória/fisiologia , Eletroencefalografia/métodos
2.
Perception ; 53(3): 180-196, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38216326

RESUMO

Body odors convey information about the individuals, but the mechanisms are not fully understood yet. As far as human reproduction is concerned, molecules that are produced in sexually dimorphic amounts could be possible chemosignals. 3-hydroxy-3-methylhexanoic acid (HMHA) is one of them-more typical of men. Here, we investigated the possibility that the perception of gender and attractiveness in human faces could be implicitly influenced by this compound. Clearly feminine, ambiguous and clearly masculine faces were primed with an odor of HMHA, a control odor or air. Based on 100-ms face presentation, 40 raters had to identify the face's gender as quickly as possible and provide attractiveness evaluations. 3-hydroxy-3-methylhexanoic acid tended to be perceived as less pleasant and induced lower sniff duration in women compared with men. As to the effects of HMHA on face perception (vs. control conditions), we found that gender identification and the associated response time were unaffected by HMHA. Attractiveness of the faces, however, increased in presence of HMHA, but not in a sex-specific manner and only for unattractive faces with ambiguous gender. In sum, this study found no evidence in favor of a possible role of this sexually dimorphic compound in intrasexual competition nor in intersexual attraction.


Assuntos
Reconhecimento Facial , Odorantes , Masculino , Humanos , Feminino , Odor Corporal , Caproatos
3.
Eur Arch Otorhinolaryngol ; 280(3): 1219-1229, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36173444

RESUMO

PURPOSE: One of the long-term symptoms of COVID-19 is phantosmia, a type of Olfactory Disorder (OD) that has deleterious impacts on patients' quality of life. The aim of this article was to study how this poorly understood qualitative OD manifests itself in the COVID-19. METHODS: 4691 patients with COVID-19 responded to our online questionnaire focusing on COVID-19-related OD. We first analyzed the prevalence of phantosmia in this population. Then, with the help of Natural Language Processing techniques, we investigated the qualitative descriptions of phantom smells by the 1723 respondents who reported phantosmia. RESULTS: The prevalence of phantosmia was of 37%. Women were more likely to report phantosmia than men, as well as respondents for whom OD was described as fluctuating rather than permanent, lasted longer, was partial rather than total and appeared progressively rather than suddenly. The relationship between OD duration and phantosmia followed a logarithmic function, with a prevalence of phantosmia increasing strongly during the first 2 months of the disease before reaching a plateau and no decrease over the 15 months considered in this study. Qualitative analyses of phantosmia descriptions with a sentiment analysis revealed that the descriptions were negatively valenced for 78% of the respondents. Reference to "tobacco" was more frequent in non-smokers. Source names and odor characteristics were used differently according to age and OD duration. CONCLUSION: The results of this descriptive study of phantosmia contribute to the current efforts of the medical community to better understand and treat this rapidly increasing COVID-19-related OD.


Assuntos
COVID-19 , Transtornos do Olfato , Masculino , Humanos , Feminino , COVID-19/epidemiologia , Qualidade de Vida , Transtornos do Olfato/diagnóstico , Transtornos do Olfato/epidemiologia , Olfato
4.
Chem Senses ; 472022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-35588293

RESUMO

Emotions can be communicated in social contexts through chemosignals contained in human body odors. The transmission of positive emotions via these signals has received little interest in past research focused mainly on negative emotional transmission. Furthermore, how the use of perfumed products might modulate this transmission remains poorly understood. To investigate human positive chemical communication, we explored the autonomic, verbal, and behavioral responses of receivers exposed to body odors of donors having undergone a within-subject positive or neutral mood induction procedure. These responses were compared with those obtained after exposure to the same body odors with added fragrance. Our findings suggest that positive emotions can be transmitted through body odor. They not only induced modifications at the physiological (heart rate) and verbal levels (perceived intensity and familiarity) but also at the behavioral level, with an improved performance on creativity tasks. Perfume did not modulate the physiological effects and had a synergistic effect on the positive body odor ratings (increased perceived differences between the neutral and positive body odor).


Assuntos
Perfumes , Emoções/fisiologia , Humanos , Odorantes , Olfato/fisiologia , Suor
5.
Chem Senses ; 462021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33403395

RESUMO

Although olfaction is a modality with great interindividual perceptual disparities, its subjective dimension has been let aside in modern research, in line with the overall neglect of consciousness in experimental psychology. However, following the renewed interest for the neural bases of consciousness, some methodological leads have been proposed to include subjectivity in experimental protocols. Here, we argue that adapting such methods to the field of olfaction will allow to rigorously acquire subjective reports, and we present several ways to do so. This will improve the understanding of diversity in odor perception and its underlying neural mechanisms.


Assuntos
Odorantes , Olfato/fisiologia , Humanos , Percepção/fisiologia
6.
Chem Senses ; 462021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34097726

RESUMO

Although olfactory disorders (OD) are among the most significant symptoms of COVID-19, recovery time from COVID-19-related OD and their consequences on the quality of life remain poorly documented. We investigated the characteristics and behavioral consequences of COVID-19-related OD using a large-scale study involving 3111 French respondents (78% women) to an online questionnaire over a period of 9 months covering different epidemic waves (from 8 April 2020 to 13 January 2021). In the patients who subjectively recovered from COVID-19-related OD (N = 609), recovery occurred on average after 16 days and most of the time within 1 month ("normal" recovery range); 49 subjectively recovered in 1-2.5 months, and several cases took up to 6.5 months. Among the patients with ongoing OD (N = 2502), 974 were outside the "normal" recovery range (persistent OD) and reported OD for 1-10 months. Developing a persistent OD was more likely with increasing age and in women and was more often associated with parosmia and phantosmia. The deleterious impact of COVID-19-related OD on the quality of life was significantly aggravated by OD duration and was more pronounced in women. Because persistent OD is not infrequent after COVID-19, has deleterious consequences on the quality of life, and receives few solutions from the health practitioners, it would be beneficial to implement screening and treatment programs to minimize the long-term behavioral consequences of COVID-19-related OD.


Assuntos
COVID-19/complicações , Transtornos do Olfato/etnologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Olfato/epidemiologia , Prevalência , Qualidade de Vida , SARS-CoV-2 , Fatores Sexuais , Olfato , Inquéritos e Questionários , Avaliação de Sintomas/métodos , Fatores de Tempo
7.
Chem Senses ; 45(3): 211-218, 2020 04 17.
Artigo em Inglês | MEDLINE | ID: mdl-32064508

RESUMO

Whereas contextual influences in the visual and auditory domains have been largely documented, little is known about how chemical senses might be affected by our multisensory environment. In the present study, we aimed to better understand how a visual context can affect the perception of a rather pleasant (floral) and a rather unpleasant (damp) odor. To this end, 19 healthy participants performed a series of tasks including odor detection followed by perceptual evaluations of odor intensity, pleasantness, flowery, and damp characters of both odors presented at 2 different concentrations. A visual context (either congruent or incongruent with the odor; or a neutral control context) preceded odor stimulations. Olfactomotor responses as well as response times were recorded during the detection task. Results showed an influence of the visual context on semantic and motor responses to the target odors. First, congruency between context and odor increased the saliency of the olfactory feature of the memory trace, for the pleasant floral odor only (higher perceived flowery note). Clinical applications of this finding for olfactory remediation in dysosmic patients are proposed. Second, the unpleasant odor remained unaffected by visual primes, whatever the condition. In addition, incongruency between context and odor (regardless of odor type) had a disruptive effect on odor sampling behavior, which was interpreted as a protective behavior in response to expectancy violation. Altogether, this second series of effects may serve an adaptive function, especially the avoidance of, or simply vigilance toward, aversive and unpredictable stimuli.


Assuntos
Percepção Olfatória/efeitos dos fármacos , Álcool Feniletílico/farmacologia , Estimulação Luminosa , Olfato/efeitos dos fármacos , Terpenos/farmacologia , Adulto , Feminino , Humanos , Masculino , Odorantes
8.
Chem Senses ; 2020 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-32441744

RESUMO

In response to the COVID-19 pandemic, countries have implemented various strategies to reduce and slow the spread of the disease in the general population. For countries that have implemented restrictions on its population in a step-wise manner, monitoring of COVID-19 prevalence is of importance to guide decision on when to impose new, or when to abolish old, restrictions. We are here determining whether measures of odor intensity in a large sample can serve as one such measure. Online measures of how intense common household odors are perceived and symptoms of COVID-19 were collected from 2440 Swedes. Average odor intensity ratings were then compared to predicted COVID-19 population prevalence over time in the Swedish population and were found to closely track each other (r=-0.83). Moreover, we found that there was a large difference in rated intensity between individuals with and without COVID-19 symptoms and number of symptoms was related to odor intensity ratings. Finally, we found that individuals progressing from reporting no symptoms to subsequently reporting COVID-19 symptoms demonstrated a large drop in olfactory performance. These data suggest that measures of odor intensity, if obtained in a large and representative sample, can be used as an indicator of COVID-19 disease in the general population. Importantly, this simple measure could easily be implemented in countries without widespread access to COVID-19 testing or implemented as a fast early response before wide-spread testing can be facilitated.

9.
Chem Senses ; 45(7): 609-622, 2020 10 09.
Artigo em Inglês | MEDLINE | ID: mdl-32564071

RESUMO

Recent anecdotal and scientific reports have provided evidence of a link between COVID-19 and chemosensory impairments, such as anosmia. However, these reports have downplayed or failed to distinguish potential effects on taste, ignored chemesthesis, and generally lacked quantitative measurements. Here, we report the development, implementation, and initial results of a multilingual, international questionnaire to assess self-reported quantity and quality of perception in 3 distinct chemosensory modalities (smell, taste, and chemesthesis) before and during COVID-19. In the first 11 days after questionnaire launch, 4039 participants (2913 women, 1118 men, and 8 others, aged 19-79) reported a COVID-19 diagnosis either via laboratory tests or clinical assessment. Importantly, smell, taste, and chemesthetic function were each significantly reduced compared to their status before the disease. Difference scores (maximum possible change ±100) revealed a mean reduction of smell (-79.7 ± 28.7, mean ± standard deviation), taste (-69.0 ± 32.6), and chemesthetic (-37.3 ± 36.2) function during COVID-19. Qualitative changes in olfactory ability (parosmia and phantosmia) were relatively rare and correlated with smell loss. Importantly, perceived nasal obstruction did not account for smell loss. Furthermore, chemosensory impairments were similar between participants in the laboratory test and clinical assessment groups. These results show that COVID-19-associated chemosensory impairment is not limited to smell but also affects taste and chemesthesis. The multimodal impact of COVID-19 and the lack of perceived nasal obstruction suggest that severe acute respiratory syndrome coronavirus strain 2 (SARS-CoV-2) infection may disrupt sensory-neural mechanisms.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/complicações , Transtornos do Olfato/etiologia , Pneumonia Viral/complicações , Distúrbios Somatossensoriais/etiologia , Distúrbios do Paladar/etiologia , Adulto , Idoso , COVID-19 , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/virologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Olfato/virologia , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/virologia , SARS-CoV-2 , Autorrelato , Olfato , Distúrbios Somatossensoriais/virologia , Inquéritos e Questionários , Paladar , Distúrbios do Paladar/virologia , Adulto Jovem
10.
PLoS Comput Biol ; 15(4): e1006945, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-31022180

RESUMO

An important goal in researching the biology of olfaction is to link the perception of smells to the chemistry of odorants. In other words, why do some odorants smell like fruits and others like flowers? While the so-called stimulus-percept issue was resolved in the field of color vision some time ago, the relationship between the chemistry and psycho-biology of odors remains unclear up to the present day. Although a series of investigations have demonstrated that this relationship exists, the descriptive and explicative aspects of the proposed models that are currently in use require greater sophistication. One reason for this is that the algorithms of current models do not consistently consider the possibility that multiple chemical rules can describe a single quality despite the fact that this is the case in reality, whereby two very different molecules can evoke a similar odor. Moreover, the available datasets are often large and heterogeneous, thus rendering the generation of multiple rules without any use of a computational approach overly complex. We considered these two issues in the present paper. First, we built a new database containing 1689 odorants characterized by physicochemical properties and olfactory qualities. Second, we developed a computational method based on a subgroup discovery algorithm that discriminated perceptual qualities of smells on the basis of physicochemical properties. Third, we ran a series of experiments on 74 distinct olfactory qualities and showed that the generation and validation of rules linking chemistry to odor perception was possible. Taken together, our findings provide significant new insights into the relationship between stimulus and percept in olfaction. In addition, by automatically extracting new knowledge linking chemistry of odorants and psychology of smells, our results provide a new computational framework of analysis enabling scientists in the field to test original hypotheses using descriptive or predictive modeling.


Assuntos
Biologia Computacional/métodos , Bases de Dados de Compostos Químicos , Odorantes , Algoritmos , Fenômenos Químicos , Humanos , Modelos Moleculares , Percepção Olfatória/fisiologia , Relação Estrutura-Atividade
11.
Brain Topogr ; 32(6): 977-986, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31564029

RESUMO

The hedonic and social dimensions of olfactory perception are characterized by a great diversity across people. Whereas the cerebral processing underlying these aspects of odor perception have been widely explored in the last decades, very few brain imaging studies considered individual differences. This lack of consideration weakens the current models in the field, where the paradigm of universality is the norm. The present review is aimed at examining this issue. Through a synthetic summary, we will first present past studies suggesting that (1) hedonics are represented consistently throughout the olfactory system from primary to secondary areas, with a progressive cognitive modulation and integration with other senses, (2) social dimension of odors may be represented in a distinct pathway involving social and attentional networks. In a second, and more critical part, we will highlight the importance of individual differences for the cerebral study of human olfaction.


Assuntos
Individualidade , Percepção Olfatória/fisiologia , Recompensa , Olfato/fisiologia , Habilidades Sociais , Adulto , Humanos , Imageamento por Ressonância Magnética , Odorantes , Tomografia por Emissão de Pósitrons
12.
Perception ; 48(3): 197-213, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30758252

RESUMO

The present study examined whether children with autism spectrum disorder (ASD) and typically developing (TD) children differed in visual perception of food stimuli at both sensorimotor and affective levels. A potential link between visual perception and food neophobia was also investigated. To these aims, 11 children with ASD and 11 TD children were tested. Visual pictures of food were used, and food neophobia was assessed by the parents. Results revealed that children with ASD explored visually longer food stimuli than TD children. Complementary analyses revealed that whereas TD children explored more multiple-item dishes (vs. simple-item dishes), children with ASD explored all the dishes in a similar way. In addition, children with ASD gave more negative appreciation in general. Moreover, hedonic rating was negatively correlated with food neophobia scores in children with ASD, but not in TD children. In sum, we show here that children with ASD have more difficulty than TD children in liking a food when presented visually. Our findings also suggest that a prominent factor that needs to be considered is time management during the food choice process. They also provide new ways of measuring and understanding food neophobia in children with ASD.


Assuntos
Afeto , Transtorno do Espectro Autista/complicações , Transtorno do Espectro Autista/psicologia , Transtornos Fóbicos/complicações , Transtornos Fóbicos/psicologia , Percepção Visual , Adolescente , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Alimentos , Humanos , Masculino , Filosofia , Estimulação Luminosa
13.
Eur J Neurosci ; 45(12): 1524-1537, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28449277

RESUMO

Mental imagery in experts has been documented in visual arts, music and dance. Here, we examined this issue in an understudied art domain, namely, culinary arts. Previous research investigating mental imagery in experts has reported either a stronger involvement of the right hemisphere or bilateral brain activation. The first aim of our study was to examine whether culinary arts also recruit such a hemispheric pattern specifically during odor mental imagery. In a second aim, we investigated whether expertise effects observed in a given sensory domain transfer to another modality. We combined psychophysics and neurophysiology to study mental imagery in cooks, musicians and controls. We collected response times and event-related potentials (ERP) while participants mentally compared the odor of fruits, the timbre of musical instruments and the size of fruits, musical instruments and manufactured objects. Cooks were faster in imagining fruit odors, and musicians were faster in imagining the timbre of musical instruments. These differences were not observed in control participants. This expertise effect was reflected in the ERP late positive complex (LPC): only experts showed symmetric bilateral activation, specifically when cooks imagined odors and when musicians imagined timbres. In contrast, the LPC was significantly greater in the left hemisphere than in the right hemisphere for non-expert participants in all conditions. These findings suggest that sensory expertise does not involve transfer of mental imagery ability across modalities and highlight for the first time that olfactory expertise in cooks induces a balance of activations between hemispheres as does musical expertise in musicians.


Assuntos
Córtex Cerebral/fisiologia , Imaginação , Percepção Olfatória , Percepção da Altura Sonora , Competência Profissional , Adulto , Culinária , Potenciais Evocados , Feminino , Lateralidade Funcional , Humanos , Masculino , Música
14.
Hum Brain Mapp ; 38(12): 5958-5969, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28901711

RESUMO

Semantic description of odors is a cognitively demanding task. Learning to name smells is, however, possible with training. This study set out to examine how improvement in olfactory semantic knowledge following training reorganizes the neural representation of smells. First, 19 nonexpert volunteers were trained for 3 days; they were exposed (i) to odorants presented without verbal labels (perceptual learning) and (ii) to other odorants paired with lexicosemantic labels (associative learning). Second, the same participants were tested in a brain imaging study (fMRI) measuring hemodynamic responses to learned odors presented in both the perceptual and associative learning conditions. The lexicosemantic training enhanced the ability to describe smells semantically. Neurally, this change was associated with enhanced activity in a set of heteromodal areas-including superior frontal gyrus-and parietal areas. These findings demonstrate that odor-name associative learning induces recruitment of brain areas involved in the integration and representation of semantic attributes of sensory events. They also offer new insights into the brain plasticity underlying the acquisition of olfactory expertise in lay people. Hum Brain Mapp 38:5958-5969, 2017. © 2017 Wiley Periodicals, Inc.


Assuntos
Encéfalo/fisiologia , Aprendizagem/fisiologia , Odorantes , Percepção Olfatória/fisiologia , Semântica , Vocabulário , Adulto , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Circulação Cerebrovascular/fisiologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Plasticidade Neuronal/fisiologia , Testes Neuropsicológicos , Psicolinguística , Reconhecimento Psicológico/fisiologia
15.
Chem Senses ; 42(6): 465-472, 2017 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-28575227

RESUMO

Psychophysiological responses to disgusting and pleasant smells are one of the most important aspects of olfaction. These emotional signals can constitute an alert against toxic substances, and they may play a major role in food selection and nutritional intake. The aim of this study was to test this hypothesis by examining whether individual physiological responses to odors could predict the subject's nutritional status. Because aging is associated with changes in emotional response to smells, we also examined how aging affects the relationship between olfaction and nutrition. Twenty young and 20 old participants perceived a series of odorants while their psychophysiological responses were simultaneously measured, and completed the Mini-Nutritional Assessment (MNA) questionnaire. Regression between individual correlation coefficients (r-values between odor perceptual ratings and physiological parameters) and individual MNA scores revealed that appropriateness of the physiological responses to aversive odors predicted nutritional status (R2 = 0.22, P < 0.007): participants with higher electromyogram corrugator activity in response to aversive smells had better nutritional status. Furthermore, this relationship was significant in old (R2 = 0.45, P < 0.005) but not young participants (R2 = 0.04, P > 0.44). Taken together, preserved functioning of somatic markers in response to odors during normal aging is associated with better nutritional status, and may facilitate healthier food selection.


Assuntos
Envelhecimento/fisiologia , Preferências Alimentares , Estado Nutricional/fisiologia , Olfato/fisiologia , Adulto , Fatores Etários , Feminino , Preferências Alimentares/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Odorantes , Psicofisiologia , Inquéritos e Questionários , Adulto Jovem
16.
Chem Senses ; 42(1): 37-46, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-27655940

RESUMO

Olfactory perception is highly variable from one person to another, as a function of individual and contextual factors. Here, we investigated the influence of 2 important factors of variation: culture and semantic information. More specifically, we tested whether cultural-specific knowledge and presence versus absence of odor names modulate odor perception, by measuring these effects in 2 populations differing in cultural background but not in language. Participants from France and Quebec, Canada, smelled 4 culture-specific and 2 non-specific odorants in 2 conditions: first without label, then with label. Their ratings of pleasantness, familiarity, edibility, and intensity were collected as well as their psychophysiological and olfactomotor responses. The results revealed significant effects of culture and semantic information, both at the verbal and non-verbal level. They also provided evidence that availability of semantic information reduced cultural differences. Semantic information had a unifying action on olfactory perception that overrode the influence of cultural background.


Assuntos
Cultura , Odorantes/análise , Percepção Olfatória , Semântica , Olfato , Adulto , Afeto , Feminino , França , Humanos , Masculino , Quebeque , Adulto Jovem
19.
Hum Brain Mapp ; 35(3): 810-8, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23225581

RESUMO

Odor names refer usually to "source" object categories. For example, the smell of rose is often described with its source category (flower). However, linguistic studies suggest that odors can also be named with labels referring to categories of "practices". This is the case when rose odor is described with a verbal label referring to its use in fragrance practices ("body lotion," cosmetic for example). It remains unknown whether naming an odor by its practice category influences olfactory neural responses differently than that observed when named with its source category. The aim of this study was to investigate this question. To this end, functional MRI was used in a within-subjects design comparing brain responses to four different odors (peach, chocolate, linden blossom, and rose) under two conditions whereby smells were described either (1) with their source category label (food and flower) or (2) with a practice category label (body lotion). Both types of labels induced activations in secondary olfactory areas (orbitofrontal cortex), whereas only the source label condition induced activation in the cingulate cortex and the insula. In summary, our findings offer a new look at olfactory perception by indicating differential brain responses depending on whether odors are named according to their source or practice category.


Assuntos
Córtex Cerebral/fisiologia , Neuroimagem Funcional/métodos , Idioma , Percepção Olfatória/fisiologia , Adulto , Formação de Conceito/fisiologia , Feminino , Neuroimagem Funcional/instrumentação , Giro do Cíngulo/fisiologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Córtex Pré-Frontal/fisiologia , Distribuição Aleatória , Adulto Jovem
20.
Commun Med (Lond) ; 4(1): 83, 2024 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-38724573

RESUMO

BACKGROUND: The optimal management of COVID-19 symptoms and their sequelae remains an important area of clinical research. Policy makers have little scientific data regarding the effects on the daily life of affected individuals and the identification of their needs. Such data are needed to inform effective care policy. METHODS: We studied 639 people with COVID-19 resident in France via an online questionnaire. They reported their symptoms, effects on daily life, and resulting needs, with particular focus on olfaction. RESULTS: The results indicate that a majority of participants viewed their symptoms as disabling, with symptoms affecting their physical and mental health, social and professional lives. 60% of the individuals reported having unmet medical, psychological and socio-professional support needs. Finally, affected individuals were concerned about the risk and invasiveness of possible treatments as shown by a preference for non-invasive intervention over surgery to cure anosmia. CONCLUSIONS: It is important that policy makers take these needs into consideration in order to assist affected individuals to regain a normal quality of life.


The impact of COVID-19 has been substantial, both on individuals' health and on society. Information is needed to understand the biological mechanisms underlying the illness and to provide appropriate support for people affected. This study uses data from an online questionnaire of adults diagnosed with COVID-19 to characterize symptoms, understand their impact on peoples' everyday lives, and determine the support that people need. Our over-arching analysis of symptoms experienced reveals that heart- and skin-related symptoms are linked to chronic illness, and symptoms related to the sense of smell may have a different underlying disease mechanism. Most respondents had a mild initial illness, but their symptoms were long-lasting and had a severe impact. Our findings show that sufferers need different kinds of support in order to regain a normal quality of life.

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