Effects of COVID-19 on Sense of Smell: Human Factors/Ergonomics Considerations

Why human olfaction should not be modeled on theories and tasks of vision

In this paper we analyze some key concepts and problems in olfaction and argue that many concepts borrowed from vision are not helpful in elucidating the functions of human olfaction. This is illustrated with several examples. Olfaction is rarely in the focus of human attention. Olfaction is, compared to vision, a 'hidden sense', but still guides many important behaviors by way of unattended unconscious olfactory perception and implicit memory. Not all olfactory processing, however, is of an unconscious nature. Flavors, and the pleasures gained from them, are most often consciously perceived. These are experiences mostly determined by olfaction, taste, touch and chemesthesis. Our analyses lead us to conclude that olfaction should not be modeled on vision, neither conceptually nor with respect to the problems solved by the two senses. A critical examination of the ecological and physical constraints of olfaction and the other senses should be given priority. Such analyses will further our understanding of which problems are solved by the different senses and how they collaborate to guide us through the world.

Olfactory-related quality of life impacts psychological distress in people with COVID-19: The affective implications of olfactory dysfunctions

BACKGROUND

Coronavirus disease 2019 (COVID-19) often causes chemosensory impairment, and olfactory dysfunctions may have negative consequences on psychological distress. This study aimed at assessing which dimension of perceived olfactory disfunctions (i.e., subjective olfactory capability, smell-related problems, or olfactory-related quality of life [QoL]) was most associated with psychological distress in people diagnosed with COVID-19.

METHODS

364 participants (65 men and 299 women) diagnosed with COVID-19 on average 7 months prior to the beginning of the study were recruited between June 5 and 21, 2021, to take part in an online cross-sectional survey. Participants answered questions on demographics, clinical factors, perceived olfactory functioning, and psychological distress. Hierarchical multiple linear regression analysis was conducted, assessing the role of demographics, clinical factors, and perceived olfactory functioning dimensions on psychological distress.

RESULTS

More than half of the participants met the cut-off for all perceived olfactory dysfunctions scales and psychological distress. Being women, smoker, with comorbidities, and greater severity of COVID-19 symptoms were associated with higher scores on psychological distress. Among perceived olfactory functioning scales, only impairment in olfaction QoL was associated with psychological distress.

LIMITATIONS

Limitations concerned the cross-sectional nature of the study and the unbalanced sample in terms of gender.

CONCLUSIONS

The study confirmed the core intertwining between mood, perceived QoL, and olfactory functioning, showing how impairments in olfactory processing are strongly correlated with psychological distress through the impact they have on the perceived QoL.