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Trajectories of mental health outcomes following COVID-19 infection: a prospective longitudinal study
Karolinska Institute, Sweden; Region of Stockholm, Sweden; Karolinska University Hospital, Sweden.
RISE Research Institutes of Sweden, Digital Systems, Data Science.
Karolinska Institute, Sweden; Region of Stockholm, Sweden.
Karolinska Institute, Sweden; Region of Stockholm, Sweden.
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2024 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, no 1, article id 452Article in journal (Refereed) Published
Abstract [en]

Background: The COVID-19 pandemic has triggered a global mental health crisis. Yet, we know little about the lasting effects of COVID-19 infection on mental health. This prospective longitudinal study aimed to investigate the trajectories of mental health changes in individuals infected with COVID-19 and to identify potential predictors that may influence these changes. Methods: A web-survey that targeted individuals that had been infected with COVID-19 was used at three time-points: T0 (baseline), T1 (six months), and T2 (twelve months). The survey included demographics, questions related to COVID-19 status, previous psychiatric diagnosis, post-COVID impairments, fatigue, and standardized measures of depression, anxiety, insomnia. Linear mixed models were used to examine changes in depression, anxiety, and insomnia over time and identify factors that impacted trajectories of mental health outcomes. Results: A total of 236 individuals completed assessments and was included in the longitudinal sample. The participants’ age ranged between 19 and 81 years old (M = 48.71, SD = 10.74). The results revealed notable changes in mental health outcomes over time. The trajectory of depression showed significant improvement over time while the trends in anxiety and insomnia did not exhibit significant changes over time. Younger participants and individuals who experienced severe COVID-19 infection in the acute phase were identified as high-risk groups with worst mental ill-health. The main predictors of the changes in the mental health outcomes were fatigue and post-COVID impairments. Conclusions: The findings of our study suggest that mental health outcomes following COVID-19 infection exhibit a dynamic pattern over time. The study provides valuable insights into the mental health trajectory following COVID-19 infection, emphasizing the need for ongoing assessment, support, and interventions tailored to the evolving mental health needs of this population. 

Place, publisher, year, edition, pages
BioMed Central Ltd , 2024. Vol. 24, no 1, article id 452
Keywords [en]
Adult; Aged; Aged, 80 and over; Anxiety; COVID-19; Depression; Fatigue; Humans; Longitudinal Studies; Middle Aged; Outcome Assessment, Health Care; Pandemics; Prospective Studies; Sleep Initiation and Maintenance Disorders; Young Adult; adult; aged; anxiety; article; controlled study; coronavirus disease 2019; depression; fatigue; female; high risk population; human; insomnia; long COVID; longitudinal study; major clinical study; male; mental health; middle aged; psychiatric diagnosis; Severe acute respiratory syndrome coronavirus 2; therapy
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Health Sciences
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URN: urn:nbn:se:ri:diva-72826DOI: 10.1186/s12889-024-17997-xScopus ID: 2-s2.0-85185124478OAI: oai:DiVA.org:ri-72826DiVA, id: diva2:1855014
Note

Corresponding author: Farzaneh Badinlou.

Available from: 2024-04-29 Created: 2024-04-29 Last updated: 2024-04-29Bibliographically approved

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