Psychological burden associated with incident persistent symptoms and their evolution during the COVID-19 pandemic : a prospective population-based study

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. Published by BMJ..

BACKGROUND: Identifying factors that predict the course of persistent symptoms that occurred during the COVID-19 pandemic is a public health issue. Modifiable factors could be targeted in therapeutic interventions.

OBJECTIVE: This prospective study based on the population-based CONSTANCES cohort examined whether the psychological burden associated with incident persistent symptoms (ie, that first occurred from March 2020) would predict having ≥1 persistent symptom 6-10 months later.

METHODS: A total of 8424 participants (mean age=54.6 years (SD=12.6), 57.2% women) having ≥1 incident persistent symptom at baseline (ie, between December 2020 and February 2021) were included. The psychological burden associated with these persistent symptoms was assessed with the Somatic Symptom Disorder-B Criteria Scale (SSD-12). The outcome was having ≥1 persistent symptom at follow-up. Adjusted binary logistic regression models examined the association between the SSD-12 score and the outcome.

FINDINGS: At follow-up, 1124 participants (13.3%) still had ≥1 persistent symptom. The SSD-12 score at baseline was associated with persistent symptoms at follow-up in both participants with (OR (95% CI) for one IQR increase: 1.42 (1.09 to 1.84)) and without SARS-CoV-2 infection prior to baseline (1.39 (1.25 to 1.55)). Female gender, older age, poorer self-rated health and infection prior to baseline were also associated with persistent symptoms at follow-up.

CONCLUSIONS: The psychological burden associated with persistent symptoms at baseline predicted the presence of ≥1 persistent symptom at follow-up regardless of infection prior to baseline.

CLINICAL IMPLICATIONS: Intervention studies should test whether reducing the psychological burden associated with persistent symptoms could improve the course of these symptoms.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

BMJ mental health - 27(2024), 1 vom: 15. März

Sprache:

Englisch

Beteiligte Personen:

Pignon, Baptiste [VerfasserIn]
Matta, Joane [VerfasserIn]
Wiernik, Emmanuel [VerfasserIn]
Toussaint, Anne [VerfasserIn]
Loewe, Bernd [VerfasserIn]
Robineau, Olivier [VerfasserIn]
Carrat, Fabrice [VerfasserIn]
Severi, Gianluca [VerfasserIn]
Touvier, Mathilde [VerfasserIn]
Gouraud, Clement [VerfasserIn]
Ouazana Vedrines, Charles [VerfasserIn]
Pitron, Victor [VerfasserIn]
Ranque, Brigitte [VerfasserIn]
Hoertel, Nicolas [VerfasserIn]
Kab, Sofiane [VerfasserIn]
Goldberg, Marcel [VerfasserIn]
Zins, Marie [VerfasserIn]
Lemogne, Cédric [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Journal Article

Anmerkungen:

Date Completed 18.03.2024

Date Revised 25.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bmjment-2023-300907

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369803671