A psychological model of predictive factors of distress following long COVID

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2024-12-20 DOI:10.1016/j.jad.2024.12.049

Sinead A. Brown , Jessica Holland , Keith Gaynor , Jessica Bramham , Fiadhnait O'Keeffe , Susan O'Flanagan , Stefano Savinelli , Patrick Mallon , Eoin Feeney , Grace Kenny , Kathleen McCann , Christine Boyd

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引用次数: 0

Abstract

Background

Long COVID, described as “the continuation or development of new symptoms 3 months after the initial SARS-CoV-2 infection”, is estimated to affect at least 10–20 % of all cases of acute SARS-CoV-2 infection. Because of its novelty, information regarding the experience of Long COVID is still emerging.

Methods

This study examines psychological distress in two long COVID populations, and their experience of fatigue, cognitive failures, experiential avoidance, rumination, and perceived injustice. Participants were recruited via a long COVID hospital clinic and online self-diagnosing samples. Participants completed a battery of scales to measure psychological distress, fatigue, cognitive dysfunction, avoidance and rumination behaviours and the experience of injustice.

Results

It was found that the regression model tested accounted for a significant amount of the variance in psychological distress (R² = 0.675). Cognitive failures, avoidance, rumination, and injustice experiences significantly contributed to the experience of psychological distress and a moderated mediation accounted for the effect of fatigue on psychological distress.

Limitations

The self-report measures in this study did not include objective measures of symptom severity. Cross-sectional data collected at a single time-point may not capture the dynamic nature of long COVID symptoms.

Conclusions

These findings identify contributing factors to the experience of psychological distress in the long COVID population, providing direction to explore supportive interventions.

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长期COVID后焦虑预测因素的心理模型

背景：长冠状病毒，被描述为“在最初的SARS-CoV-2感染后3个月持续或出现新症状”，估计影响至少10- 20% %的急性SARS-CoV-2感染病例。由于其新颖性，有关长冠肺炎经验的信息仍在不断涌现。方法：本研究调查了两个长期COVID人群的心理困扰，以及他们的疲劳、认知失败、经验回避、反思和感知不公正的经历。参与者通过长期的COVID医院诊所和在线自我诊断样本招募。参与者完成了一系列测量心理困扰、疲劳、认知功能障碍、回避和反思行为以及不公正经历的量表。结果：经检验的回归模型能够解释心理困扰的显著方差（R2 = 0.675）。认知失败、回避、反刍和不公正经历对心理痛苦的经历有显著影响，疲劳对心理痛苦的影响有调节的中介作用。局限性：本研究中的自我报告测量不包括症状严重程度的客观测量。在单个时间点收集的横断面数据可能无法捕获长时间COVID症状的动态特性。结论：这些发现确定了长期COVID人群心理困扰的影响因素，为探索支持性干预措施提供了方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.