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Transcranial direct current stimulation (tDCS) in the treatment of neuropsychiatric symptoms of post-COVID syndrome (long COVID)

Not Applicable
Completed
Conditions
Post-acute sequelae of SARS-CoV-2 infection (PASC)
Mental and Behavioural Disorders
Registration Number
ISRCTN10942585
Lead Sponsor
Czech Health Research Council
Brief Summary

2024 Results article in https://doi.org/10.1038/s41598-024-52763-4 (added 28/02/2024)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
33
Inclusion Criteria

Current participant inclusion criteria as of 10/11/2023:
1. Male and female outpatients aged 18-75 years with a history of COVID-19 and monitored by an outpatient physician for mental disorders (anxiety, mood disorders, sleep) within the PASC
2. PCR RNA SARS-CoV-2 negativity at screening/study entry
3. Duration of symptoms >1 and =24 months after detection of COVID-19
4. The mental ability to understand and sign the Informed Consent Form
5. Presence of neuropsychiatric PASC symptoms as determined by A-PASC with a minimum overall score =25 (cognitive score, emotional and functional impairment)
6. FIS questionnaire score =40
7. Psychopharmacological medication (if used) at a stable dose =4 weeks.

Previous participant inclusion criteria:
1. Male and female outpatients aged 18-75 years with a history of COVID-19 and monitored by an outpatient physician for mental disorders (anxiety, mood disorders, sleep) within the PASC
2. PCR RNA SARS-CoV-2 negativity at screening/study entry
3. Duration of symptoms >1 and =18 months after detection of COVID-19
4. The mental ability to understand and sign the Informed Consent Form
5. Presence of neuropsychiatric PASC symptoms as determined by A-PASC with a minimum overall score =25 (cognitive score, emotional and functional impairment)
6. FIS questionnaire score =40
7. Psychopharmacological medication (if used) at a stable dose =4 weeks.

Exclusion Criteria

1. Contraindications of tDCS (skin disease, superficial injury, and fracture or infraction of skull in the stimulation area, epilepsy, metallic plates in the head)
2. History of any other DSM-IV axis I diagnosis prior to COVID-19, except for:
2.1. Depressive disorders, anxiety disorders, and sleep disorders that may be present in the history, but with at least 6 months of documented remission of symptoms
2.2. Disorders associated with the use of addictive substances at least 6 months before entering the study
3. Pregnancy or breastfeeding
4. Patients with severe and/or unstable somatic disorders (cardiovascular disease, neoplasms, endocrinology disorders, etc)
5. Patients suffering from a serious neurological disorder (eg epilepsy, head injury with loss of consciousness)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Current primary outcome measure as of 10/11/2023:<br>Czech version of the Fatigue Impact Scale (FIS) score after the acute phase of the study<br><br><br><br><br>Previous primary outcome measure:<br>Czech version of the Fatigue Impact Scale (FIS) score after the acute phase of the study and after the 4W-F
Secondary Outcome Measures
NameTimeMethod
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