Correlates of patient interest in rehabilitation psychology services among individuals with long COVID: A cross-sectional analysis.

IF 2 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2026-04-13 DOI:10.1037/rep0000671

Kristen M O'Loughlin, Tracy E Herring, Nicole L Gentile, Jessica A Bender, Janna L Friedly, Lindsey M Knowles

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引用次数: 0

Abstract

Purpose/objective: Long COVID is a complex chronic condition, affecting approximately 18% of adults in the United States and commonly involves fatigue, cognitive impairment, pain, and psychiatric conditions (e.g., depression, anxiety, posttraumatic stress disorder, and insomnia). Despite high psychiatric burden, many individuals do not receive mental health care, and little is known about their interest in psychological services. This study characterized symptom profiles of long COVID and examined correlates of patients' interest in rehabilitation psychology services.

Research method/design: Secondary data analysis of routinely collected clinical data. Descriptive statistics were calculated, and logistic regression analyses examined associations of interest.

Results: Participants in the full sample (N = 1,789) were predominantly White, non-Hispanic, and female, with high rates of fatigue (84.9%), cognitive difficulties (55.3%-74.3%), and psychiatric history (51.8%). Over half (56.8%) expressed interest in rehabilitation psychology services, including individual (50.2%) and group (32.1%) formats. Two participants were excluded from regression analyses due to sparse cell size, yielding a final analytic sample of n = 1,787. Interest in individual services was associated with not having a mental health provider, greater depression and anxiety, poor sleep, and lower cognitive functioning. Interest in group services was associated with psychiatric history, greater anxiety, lower cognitive and social functioning, and better physical functioning.

Conclusion/implications: Anxiety symptoms and cognitive difficulties are key correlates of interest in rehabilitation psychology services, underscoring the value of early screening and targeted intervention. Stigma and prioritization of medical concerns may limit engagement, highlighting the importance of psychoeducation and stigma-reduction efforts to support engagement in care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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长冠状病毒感染者对康复心理服务兴趣的相关性：横断面分析

目的/目标：长冠状病毒病是一种复杂的慢性疾病，影响了美国约18%的成年人，通常涉及疲劳、认知障碍、疼痛和精神疾病（如抑郁、焦虑、创伤后应激障碍和失眠）。尽管精神负担很高，但许多人没有接受精神卫生保健，而且对他们对心理服务的兴趣知之甚少。本研究表征了长冠状病毒病的症状特征，并研究了患者对康复心理服务兴趣的相关因素。研究方法/设计：对常规收集的临床资料进行二次资料分析。计算了描述性统计数据，并进行了逻辑回归分析，检验了感兴趣的关联。结果：整个样本（N = 1,789）的参与者主要是白人、非西班牙裔和女性，疲劳率高（84.9%），认知困难（55.3%-74.3%），精神病史（51.8%）。超过一半（56.8%）的受访者表示对康复心理服务感兴趣，包括个人（50.2%）和团体（32.1%）形式。由于细胞大小稀疏，两名参与者被排除在回归分析之外，最终的分析样本为n = 1,787。对个人服务感兴趣的人与没有心理健康服务提供者、更严重的抑郁和焦虑、睡眠不佳和认知功能低下有关。对团体服务的兴趣与精神病史、更大的焦虑、更低的认知和社会功能以及更好的身体功能有关。结论/启示：焦虑症状和认知困难是康复心理学服务的关键相关因素，强调早期筛查和有针对性干预的价值。耻辱感和对医疗问题的优先考虑可能会限制参与，这突出了心理教育和减少耻辱感的努力对支持参与护理的重要性。（PsycInfo数据库记录(c) 2026 APA，版权所有）。

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

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.