medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 4, 2024
ABSTRACT
Introduction
The
recent
severe
acute
respiratory
syndrome
coronavirus
type
2
(SARS-CoV-2)
pandemic
had
a
devasting
global
impact.
Many
people
suffered
from
disease
2019
(COVID-19)
and
some
experienced
persistent
symptoms
interrupting
their
lives
even
further.
World
Health
Organization
(WHO)
defined
the
condition
of
these
as
post-COVID-19
(PCC).
most
prevalent
PCC
are
fatigue,
dyspnea,
sleep
disturbances,
coughing,
anosmia
ageusia,
chest
pain,
headaches.
This
article
describes
protocol
Basel
Long
COVID
Cohort
Study
(BALCoS),
which
aims
at
fostering
understanding
investigating
underlying
mechanisms
for
development
course
by
focusing
on
participants’
health
status
with
repeated
measures
over
one
year.
Methods
analysis
BALCoS
is
prospective
single
site
cohort
study.
Inclusion
criteria
confirmed
diagnosis
according
to
WHO
or
subjective
attribution
PCC,
proficiency
in
German
follow
study
procedures,
least
18
years
age.
It
comprises
blood
sample
collections,
standardized
neurocognitive
psychometric
tests,
physical
performance
measures,
ecological
momentary
assessments
(EMAs).
Standardized
tests
EMAs
administered
baseline
(BL),
3-,
6-,
12-months
follow-up.
At
BL
12-month
follow-up,
abilities
assessed.
Participants
provide
samples
BL.
exploratory
nature
size
120
participants
targeted.
part
larger
Horizon
Europe
project
combining
mechanistic,
clinical,
intervention
studies
within
an
interdisciplinary
European
research
consortium.
Ethics
dissemination
Commission
Northwest
Central
Switzerland
approved
(BASEC-ID:
2023-00359),
registered
ClinicalTrial.gov
(ID:
NCT05781893
).
All
written
informed
consent.
Key
results
will
be
published
peer-reviewed
journals.
Funding
Details
primarily
funded
Swiss
State
Secretariat
Education,
Research
Innovation
(SERI)
under
contract
number
22.00094
context
Union’s
innovation
program
grant
agreement
No.
101057553.
BMC Medicine,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: Feb. 11, 2025
Abstract
Background
Harmonizing
core
outcome
domains
allows
for
pooling
data,
comparing
interventions,
and
streamlining
research
evaluation.
At
the
same
time
clinicians
require
concise
feasible
measures
routine
practice.
Considering
heterogeneity
of
post-COVID-19
condition,
a
biopsychosocial
approach
requires
sufficient
coverage
psychosocial
dimension
with
assessments.
Previous
recommendations
sets
have
serious
limitations
regarding
aspects
condition.
This
paper
specifically
focuses
on
outcomes
adults
providing
both
comprehensive
set
streamlined
clinical
tailored
use.
Methods
In
structured
Consensus
Development
Approach,
European
Network
to
improve
diagnostic,
treatment,
healthcare
patients
persistent
somatic
symptoms
(EURONET-SOMA)
developed
assessments
The
experts
identified
variables
instruments
which
should
be
considered
in
studies
suffering
from
are
setting
relevant
research.
Results
We
three
higher-order
dimensions
each
encompassing
several
domains:
first
dimension,
“outcomes”,
encompasses
(1)
classification/
diagnostics
(2)
(including
fatigue),
(3)
psychopathological
status
mental
comorbidities,
(4)
physical
(5)
neurocognitive
symptoms,
(6)
illness
consequences.
second
domain
“mechanisms”
(7)
cognitive
components,
(8)
affective
(9)
behavioral
(10)
social
(11)
psychobiological
bridge
markers
(e.g.,
neuroimmunological
psychoneuroendocrinological
variables).
third
domain,
“risk
factors”,
includes
factors
such
as
(12)
socioeconomic
sociocultural
factors,
(13)
pre-existing
health
issues,
(14)
personality
neuroticism),
(15)
adverse
childhood
experiences,
(16)
ongoing
disability
or
pension
claim,
(17)
media
For
specific
suggested
purposes
Conclusions
recommended
help
increase
consistency
condition
across
investigations,
synergies,
facilitate
decision-making
when
different
interventional
approaches.
It
better
identify
subgroups
heterogeneous
populations
offering
practical
tools
practice
through
set.
BMC Infectious Diseases,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: April 9, 2025
Abstract
Background
Common
complaints
of
long
COVID
patients
are
cardiac
symptoms
such
as
fatigue,
weakness,
and
a
feeling
palpitations.
The
study
aimed
to
investigate
the
clinical
features
with
persistent
cardiological
occurring
within
3
6
months
after
COVID-19.
Differences
in
ambulatory
blood
pressure
monitoring
(ABPM),
Holter
ECG
(electrocardiogram)
Echocardiography
between
people
without
were
evaluated.
We
also
assessed
whether
anxiety
depression
may
be
implicated
outcomes.
Materials
methods
This
was
retrospective
affiliated
STOP-COVID
registry
who
attended
follow-up
visit
3–6
undergoing
present
performed
tests:
ABPM,
Echocardiography.
504
additionally
had
GAD-2
(Generalized
Anxiety
Disorder
2-item)
PHQ-2
(Patient
Health
Questionnaire-2)
tests
performed.
Results
analysis
included
1080
patients.
At
least
1
analyzed
586
(54.3%).
most
common
symptom
fatigue
(38.9%).
Comparing
or
palpitations
showed
that
mean
value
ventricular
extrasystole
higher
former
group
(
p
=
0.011).
symptoms,
there
differences
values
0.022)
<
0.001)
scales,
well
percentage
responses
related
risk
depression.
Conclusion
Cardiological
among
health
issues
must
face
contracting
People
more
excessive
extrasystoles
than
these
symptoms.
Trial
registration
Our
based
on
medical
data
COVID-19
treated
out-patient
basis
Polish
Long-Covid
Cardiovascular
(PoLoCOV-CVD)
(ClinicalTrials.gov
identifier–
NCT05018052,
date
29.05.2020).
Consent
conduct
obtained
from
Bioethics
Committee
District
Medical
Chamber
Lodz
(no.
KB-0115/2021).
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: April 11, 2025
The
COVID-19
pandemic
has
significantly
impacted
mental
health,
with
healthcare
professionals
being
particularly
vulnerable.
This
study
explores
the
emotional
distress
experienced
in
Serbia,
focusing
on
factors
that
contribute
to
symptoms
of
depression,
anxiety,
and
stress.
A
total
3328
participants
from
general
populations
were
surveyed
using
Depression
Anxiety
Stress
Scales-Short
Form
(DASS-21).
analysis
revealed
certain
groups,
such
as
women,
non-psychiatrist
doctors,
individuals
a
history
disorders,
those
dissatisfied
their
financial,
familial,
living
circumstances,
more
likely
experience
heightened
levels
Moreover,
professionals,
especially
working
challenging
conditions,
may
be
at
increased
risk
for
health
issues.
These
findings
underscore
need
targeted
interventions
ongoing
support
most
affected,
within
sector,
mitigate
long-term
impacts
pandemic.
PLoS ONE,
Journal Year:
2025,
Volume and Issue:
20(2), P. e0317905 - e0317905
Published: Feb. 3, 2025
Background
A
significant
number
of
individuals
who
have
contracted
SARS-CoV-2
report
persistent
somatic
symptoms
after
the
infection
has
resolved.
Evidence-based
treatment
options
for
Long
COVID
are
lacking
to
date.
To
ensure
that
an
expectation
management
intervention,
designed
research
project
SOMA.COV,
addresses
relevant
patient
needs
as
well
promote
acceptance
and
adherence,
a
participatory
approach
was
chosen.
Objective
The
aim
present
study
explore
wishes
patients
with
regarding
preliminary
version
intervention
thereby
inform
further
development
manual.
Methods
Twenty-two
affected
by
participated
in
one
four
focus
groups
June
July
2023.
Participants
were
presented
draft
content
four-session
intervention.
Feedback
audio-recorded,
transcribed,
analyzed
using
thematic
analysis.
Results
Thirteen
themes
relating
main
components
manual
developed.
Large
parts
received
overall
positive
feedback,
including
psychoeducation
on
biopsychosocial
etiology
condition,
elements
cognitive
restructuring,
imagination
exercise.
Patients’
response
vicious
circle
fear
behavior
change
exercise
mixed.
Modifications
made
patients’
feedback.
Conclusion
Patients
provided
feedback
while
also
highlighting
important
adaptations
necessary
this
group.
results
informed
finalization
within
SOMA.COV
project,
which
investigates
effectiveness
three-armed
randomized
controlled
trial.
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: April 5, 2025
Abstract
The
aim
was
to
compare
the
relationship
between
somatic
symptom
disorder
(SSD),
anxiety,
depression,
clinical
symptoms,
and
daily
life
impairment
(DLI)
in
post-COVID
syndrome
(PCS),
asthma
chronic
obstructive
pulmonary
disease
(COPD).
In
a
cross-sectional
study,
371
patients
(161
PCS,
121
asthma,
89
COPD)
of
rehabilitation
clinic
received
questionnaires
PHQ-15
(Patient
Health
Questionnaire-15)
SSD-12
(Somatic
Symptom
Disorder-12)
determine
SSD,
GAD-7
(Generalized
Anxiety
Disorder-7)
anxiety
disorder,
PHQ-9
Questionnaire-9)
depression.
Lung
function
estimated
using
whole-body
plethysmography.
Predictors
for
DLI
were
assessed
by
regression
models
ROC
analyses.
Association
SSD
with
stronger
PCS
(odds
ratio
13.8;
95%
confidence
interval
1.7-109.9)
than
(8.5;
2.4–30.1),
not
significant
COPD
(1.9;
0.5–7.5).
COPD,
strongest
predictors
(15.0;
1.9-116.8)
(8.9;
1.1–71.8),
respectively.
Diffusion
capacity
predictive
(0.947;
0.916–0.979)
(0.967;
0.943–0.993),
but
PCS.
To
conclude,
appears
have
greater
impact
on
or
patients.
This
should
be
recognized
appropriately
during
rehabilitation.
Furthermore,
increased
psychological
comorbidity
also
considered
adequately
treated
if
necessary.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(12), P. 2831 - 2831
Published: Dec. 13, 2024
Although
the
impact
of
post-acute
COVID-19
syndrome
(PACS)
on
patients
and
public
health
is
undeniably
significant,
its
etiology
remains
largely
unclear.
Much
research
has
been
conducted
pathophysiology,
shedding
light
various
aspects;
however,
due
to
multitude
symptoms
clinical
conditions
that
directly
or
indirectly
define
PACS,
it
challenging
establish
definitive
causations.
In
this
exploration,
through
systematically
reviewing
latest
pathophysiological
findings
related
neurological
syndrome,
we
aim
examine
how
psychosocial
neuropsychological
may
overlap
with
ones,
they
not
only
serve
as
risk
factors
but
also
contribute
persistence
some
primary
disorder.
Findings
from
our
synthesis
suggest
psychological
factors,
such
anxiety,
depression,
loneliness,
interact
in
a
self-reinforcing
feedback
loop.
This
cycle
seems
be
affecting
both
physical
distress,
potentially
increasing
severity
PACS
symptoms.
By
pointing
out
interaction,
review
study,
attempt
offer
new
perspective
interconnected
nature
psychological,
psychosocial,
emphasizing
importance
integrated
treatment
approaches
disrupt
improve
outcomes
when
possible.