The Role of Neuropsychological Assessment in Monitoring Direct and Indirect Outcomes of the COVID-19 Pandemic

An integrative review

Authors

DOI:

https://doi.org/10.15448/1980-8623.2025.1.47165

Keywords:

Testing, Evaluation, Neuropsychological Assessment, Neuropsychological Measures, Cognition

Abstract

During the pandemic, neuropsychological assessment became crucial for identifying centralnervous system alterations and intervention targets. This study aimed to characterize the role of neuropsychological assessment in Brazil during the pandemic, through a non-systematic integrative scientific review of productions since 2020, comparing COVID-19’s direct and indirect effects across age groups. Among children and adolescents, indirect effects, such as lower academic achievement and executive functioning, were more pronounced in younger children from lower socioeconomic backgrounds. In adults and older adults, direct effects included neuroinflammation, reduced cerebral blood flow, autonomic neuropathy, and small-fibre neuropathy, while indirect effects showed cognitive deficits, especially in memory. Overall, neuropsychological assessment proved necessary for detecting COVID-19’s cognitive, academic and psychosocial impacts across age groups, as well as to guide interventions. This review of Brazilian studies showed that conducting neuropsychological assessments allowed the identification of COVID-19’s impacts and showed the need for neuropsychology to spread to the whole country.

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Author Biographies

Alessandra Gotuzo Seabra, Mackenzie Presbyterian University (UPM), São Paulo, São Paulo, Brazil.

Doctor, holds a Post-Doctorate in Experimental Psychology from USP. Her institutional affiliation is with the Postgraduate Program in Human Development Sciences at the Presbyterian University Mackenzie, in São Paulo, SP.

Alexandre Luiz de Oliveira Serpa, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Rio de Janeiro, Brazil

Doctor, with a Post-Doctorate in Human Development Sciences from Mackenzie University. He is affiliated with the Postgraduate Program in Human Development Sciences at the Presbyterian University Mackenzie, in São Paulo, SP.

Carlos Eduardo Nórte, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Rio de Janeiro, Brazil

Holds a PhD in Mental Health from UFRJ and is affiliated with the Postgraduate Program in Social Psychology at the State University of Rio de Janeiro (UERJ), in Rio de Janeiro, RJ.

Caroline de Oliveira Cardoso, Federation of Higher Education Institutions (Feevale), Novo Hamburgo, Rio Grande do Sul, Brazil

She holds a PhD in Psychology from PUCRS and works institutionally at Feevale University.

Emmy Uehara Pires, Federal Rural University of Rio de Janeiro (UFRRJ), Seropédica, Rio de Janeiro, Brazil.

Doctor of Clinical Psychology from PUC-Rio, affiliated with the Postgraduate Program in Psychology at the Federal Rural University of Rio de Janeiro, in Rio de Janeiro, RJ.

Jonas Jardim de Paula, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.

Doctor, holds a Post-Doctorate in Molecular Medicine from the Faculty of Medicine of UFMG. He is affiliated with the Department of Psychiatry at the Faculty of Medicine of the Federal University of Minas Gerais, in Belo Horizonte, MG.

Maria Julia Hermida, National University of Hurlingham, Hurlingham, Argentina.

Doctor of Psychology from the National University of San Luis, Argentina. Holds dual affiliation, working at the National University of Hurlingham (UNAHUR) and at the National Council for Scientific and Technical Research (CONICET), in Argentina.

Rochele Paz Fonseca, Federal Rural University of Rio de Janeiro (UFRRJ), Seropédica, Rio de Janeiro, Brazil.

Postdoctoral researcher in Biomedical Sciences at the Université de Montréal, in addition to a PhD in Psychology from UFRGS. Her institutional affiliation is with the PPG Child and Adolescent Health at UFMG.

Luiz Renato Rodrigues Carreiro, Mackenzie Presbyterian University (UPM), São Paulo, São Paulo, Brazil.

Holds a PhD in Sciences from USP (University of São Paulo), and is affiliated with the Postgraduate Program in Human Development Sciences at Mackenzie Presbyterian University, in São Paulo, SP.

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2025-12-12

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Gotuzo Seabra, A., Luiz de Oliveira Serpa, A., Eduardo Nórte, C., de Oliveira Cardoso, C., Uehara Pires, E., Jardim de Paula, J., … Rodrigues Carreiro, L. R. (2025). The Role of Neuropsychological Assessment in Monitoring Direct and Indirect Outcomes of the COVID-19 Pandemic: An integrative review. Psico, 56(1), e47165. https://doi.org/10.15448/1980-8623.2025.1.47165

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Psychological Assessment

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