Post-COVID fatigue: Reduced quality-of-life associated with clinically relevant fatigue in mild disease courses.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Neuropsychological Rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-02-21 DOI:10.1080/09602011.2024.2314874
Chiara Biserni, Bob O De Groot, Anselm B M Fuermaier, Dick de Waard, Stefanie Enriquez-Geppert
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引用次数: 0

Abstract

Fatigue is a pervasive symptom experienced by many individuals after COVID-19. Despite its widespread occurrence, fatigue remains a poorly understood and complex phenomenon. Our aim is to evaluate the subjective experience of mental fatigue after COVID-19 and to assess its significance for daily life functioning. In this online questionnaire study (N = 220), the Fatigue Severity Scale (FSS), World Health Organization Quality-of-Life assessment (WHOQoL) and a subjective severity rating of the COVID-19 disease progression were used. For our statistical analyses we utilized independent samples t-tests, one-way ANOVA with post-hoc analyses, and a multiple regression. As expected our findings revealed the COVID group reported significantly higher levels of subjective fatigue compared to the control group. Moreover, there was a significant difference between experienced fatigue across the four severity groups. Participants who had a milder course of disease also experienced severe subjective fatigue. Subjective fatigue explained 40% variance in quality-of-life. In conclusion, severe subjective fatigue appears to be associated with increased self-reported COVID-19 symptom severity and lower quality-of-life but is already observable in milder cases. This underscores, firstly, the importance of considering also less severe cases and, secondly, the need to develop rehabilitation and psychological interventions for fatigue.

COVID 后疲劳:生活质量下降与轻度病程中的临床相关疲劳有关。
疲劳是许多人在接受 COVID-19 后出现的普遍症状。尽管疲劳现象普遍存在,但人们对其了解甚少,而且这种现象十分复杂。我们的目的是评估 COVID-19 后精神疲劳的主观感受,并评估其对日常生活功能的影响。在这项在线问卷调查(N = 220)中,我们使用了疲劳严重程度量表(FSS)、世界卫生组织生活质量评估(WHOQoL)和 COVID-19 疾病进展的主观严重程度评级。在统计分析中,我们采用了独立样本 t 检验、单因素方差分析(带事后分析)和多元回归。不出所料,我们的研究结果显示,与对照组相比,COVID 组的主观疲劳程度明显更高。此外,四个严重程度组之间的疲劳体验也存在显著差异。病程较轻的参与者也有严重的主观疲劳感。主观疲劳可以解释生活质量中 40% 的差异。总之,严重的主观疲劳似乎与自我报告的 COVID-19 症状严重程度增加和生活质量降低有关,但在病情较轻的病例中已经可以观察到。这首先强调了考虑较轻病例的重要性,其次强调了针对疲劳制定康复和心理干预措施的必要性。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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