Impacts of Long COVID on workers: A longitudinal study of employment exit, work hours and mental health in the UK

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(6), P. e0306122 - e0306122

Published: June 26, 2024

Background The COVID-19 pandemic has had enormous implications for the world of work. However, there been relatively little focus on employment and workforce challenges virus in relation to health, beyond immediate management spread disease. There is an important gap understanding ongoing issues created by significant incidence Long COVID population. Aim This paper examines effects workers’ mental health contribute work-limiting conditions offer policy similar workforce. Methods A large national panel study UK used estimate likelihood exiting as well changes working hours general happiness those who remain sample includes individuals 16 years older were January/February 2020 followed during 2020–2021. self-reported data. Informed conceptual consideration protection UK, two groups with are defined based duration symptoms. Group 1 5–28 weeks after infection COVID-19, which up maximum length Statutory Sick Pay UK. 2 symptoms 29+ weeks, statutory entitlement sickness pay. Panel regression models fitted both fixed-effects random-effects. Individual job characteristics controls Those no reference group. Results In between-person comparison, at higher risk compared Between-person estimates well-being show negative but these greatest 2. Within-person suggest that factors associated earnings mediate adapts COVID. zero (i.e. being sick leave) neither nor have a probability fewer impact stems primarily from (sickness rather than hours, suggesting lack accommodation employers Policy extension Sickness greater flexibility manage partial (returns to) work would help preserve health. 12 months likely meet definition disability so right receive reasonable workplace adjustments.

Language: Английский

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Exploring social determinants of health and their impacts on self-reported quality of life in long COVID-19 patients

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Dec. 6, 2024

This study explores the health-related quality of life (HRQoL) experienced by patients with Long COVD-19 using data from British Columbia's post-COVID-19 Recovery Clinics. A retrospective cohort 3463 was analyzed to assess HRQoL through EQ-5D-5L questionnaire which includes five dimensions (mobility, self-care, usual activities, physical health, and mental health) administered patients; responses were Visual Analogue Score (VAS). Notably, 95% participants reported scores below 90, 50% scoring under 60, indicating significant impacts on their well-being. The analysis revealed that is significantly influenced various social determinants health (SDoH), including age, sex, employment status, ethnicity, each showing distinct correlations overall VAS scores. Specifically, older age associated decreased mobility increased pain/discomfort but less anxiety depression, highlighting varying across spectrum. highlights multifaceted COVID lives underscores necessity targeted strategies improve among diverse groups, considering specific SDoH. Such a comprehensive approach could lead more equitable outcomes support development tailored public policies aimed at recovery rehabilitation sufferers.

Language: Английский

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Antidepressant treatment initiation among children and adolescents with acute versus long COVID: a large retrospective cohort study

Child and Adolescent Psychiatry and Mental Health, Journal Year: 2024, Volume and Issue: 18(1)

Published: Aug. 1, 2024

Abstract Background Child and adolescent antidepressant use increased post-pandemic, but it is unknown if this disproportionally affected those who develop post-acute sequelae of coronavirus disease 2019 (COVID) or long COVID. This study compared the risk initiation among children adolescents with COVID had did not have evidence Methods Our retrospective cohort aged 3–17 years at first from October 1, 2021 through April 4, 2022 was conducted within Komodo’s Healthcare Map ™ database. The index date earliest a medical claim associated (COVID comparators) diagnosis (long cases). baseline period six months before date. outcome twelve after Due to large number relative cases, comparators were randomly selected ratio 2 1 We used propensity score matching control for confounding due imbalances in covariates. Log-binomial models estimated (RR) matched sample. several sensitivity analyses test robustness our findings assumptions. Results child sample included 18 274 9137 Compared COVID, larger proportion psychiatric disorders, psychotropic use, comorbidities, previously hospitalized, visited emergency department. In score-adjusted analysis, group statistically significant higher comparator (adjusted-RR: 1.40, 95% CI = 1.20, 1.62). robust across analyses. Conclusions following warrants further better understand underlying reasons risk. Emerging COVID’s impact on mental health has important implications prevention early interventions.

Language: Английский

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Effectiveness of an online multimodal rehabilitation program in long COVID patients: a randomized clinical trial

Archives of Public Health, Journal Year: 2024, Volume and Issue: 82(1)

Published: Sept. 18, 2024

Language: Английский

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Psychosocial Aspects of the Lived Experience of Long COVID: A Systematic Review and Thematic Synthesis of Qualitative Studies

Health Expectations, Journal Year: 2024, Volume and Issue: 27(5)

Published: Oct. 1, 2024

ABSTRACT Background Despite increasing recognition of long COVID, the psychosocial impacts lived experience on individuals remain underexplored. This systematic review sought to fill this gap by identifying key themes that describe dimensions COVID. Objective The aim study is identify illustrating aspects individuals' Search Strategy Searches were conducted in multiple databases and grey literature sources for qualitative studies published between November 2019 June 2024. Inclusion Criteria Eligible involved adult participants self‐reporting needed provide data could be synthesised thematically. Data Extraction Synthesis extraction thematic synthesis at least two independent reviewers each stage. Quality appraisal was performed using Critical Appraisal Skills Programme tool. Results included 34 studies. Thematic yielded five themes: ‘Debilitation’, ‘Uncertainty’, ‘Sources Support’, ‘Meaning Making: Adjusting a New Normal’ ‘Experiences with Healthcare Services’. Individuals COVID reported experiencing physical, economic, social challenges. Uncertainty scepticism from others caused anxiety. Support healthcare services, friends online groups played an important role. Acceptance gratitude found meaningful adjusting new normal. Experiences services varied. Discussion Conclusions provides valuable insights into impact highlighting profound changes challenges face. should adopt holistic approach integrate support within their management strategies, improve overall patient outcomes.

Language: Английский

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Long COVID Is Associated with Decreased Quality of Life and Increased Mental Disability

COVID, Journal Year: 2024, Volume and Issue: 4(11), P. 1719 - 1730

Published: Oct. 30, 2024

COVID-19’s impact on quality of life (QoL) has been studied; however, data the effects long COVID QoL and mental disability remain limited. This study aimed to investigate whether is associated with decreased increased disability. We analyzed from adults (≥18 years) in 2022 Medical Expenditure Panel Survey (MEPS). Physical were assessed using Veterans RAND 12-Item Health Survey, while was measured Kessler Index. Long defined as experiencing COVID-related symptoms for over 3 months. To account skewness outcome variables, employed survey-weighted generalized linear regression a log link gamma distribution. The analysis included 153,330,408 subjects (unweighted n = 10,975). average age those without similar (51 vs. 52 years, p 0.46). Subjects had 3% lower physical (β −0.03, 0.02), 4% −0.04, < 0.01), 26% higher score 0.26, 0.01) compared COVID. These findings highlight urgent need targeted strategies address support patients recovering their pre-COVID health.

Language: Английский

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(Selbst‑)Coachingprogramm für Long Covid-Betroffene

Organisationsberatung Supervision Coaching, Journal Year: 2024, Volume and Issue: 31(3), P. 417 - 432

Published: May 6, 2024

Zusammenfassung Das von der Autorin entwickelte (Selbst‑)Coachingprogramm richtet sich speziell an Personen, die unter den anhaltenden Symptomen Long Covid leiden. Basierend auf aktuellen Leitlinienempfehlungen und wissenschaftlichen Erkenntnissen zur Krankheitsbewältigung, begleitet das 8‑Schritte-Programm Betroffene durch verschiedene Phasen ihrer Erkrankung. übergeordnete Ziel ist Förderung des Selbstmanagements im Umgang mit Erkrankung sowie Verbesserung Lebensqualität Betroffenen. Angesichts Herausforderungen in Versorgung Covid-Patient:innen stellt Programm sowohl für als auch professionelle Coaches Rahmen Gesundheitscoachings einen niederschwelligen Zugang zu evidenzbasierten Interventionen dar. Positive Erfahrungsberichte unterstreichen Nutzen vorliegenden (Selbst-)Coachingprogramms.

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A Practical Framework for Long COVID Treatment in Primary Care

Published: June 10, 2024

Long COVID, also known as Post-Acute Sequelae of SARS-CoV-2 Infection (PASC), is a complex, multisystem illness with poorly understood pathophysiology, absence specific diagnostic tests or criteria, evidence-based treatments. With over 200 identified symptoms and approximately 10% COVID-19 cases resulting in PASC, it challenge to provide comprehensive treatment at scale commensurate the burden. The diverse manifestations encompassing numerous medical specialties, typically place primary care providers (PCPs) forefront management, navigating an evolving landscape research lack guidelines. This paper presents pragmatic, structured framework for PASC management care, integrating current knowledge best practices. approach individualized, addressing PASC's broad symptomatology through four-step framework. first step focuses on energy strategies, emphasizing prevention post-exertional malaise, cardinal feature PASC. second step, intentional rehabilitation, employs carefully titrated multidisciplinary modalities address physical, cognitive, emotional domains. third utilizes symptomatic both pharmacological non-pharmacological interventions, targeting debilitating like fatigue, insomnia, chronic pain. fourth outlines trialing experimental, targeted therapies that may impact underlying pathophysiology. These treatments, while experimental lacking quality evidence be available off-label individual basis following thorough risk-benefit discussion. stepwise can equip PCPs effectively most common disabling individualize remain attuned scientific understanding condition.

Language: Английский

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Assessing the Effects of Long-COVID on Mental Health in the United States: A Population Based Study

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 16, 2024

Background The term long-COVID is commonly used to refer protracted symptoms following COVID-19 infection that persist beyond four weeks from onset. Long-COVID conditions have been associated with reduced quality of life. This study estimates the impact on anxiety and depression in US, using survey data nearly a million Americans. Methods Household Pulse Survey, provides first population based nationally representative prevalence long-COVID, starting survey’s June 2022 wave. A population-based allows us conduct counterfactual research control groups. Difference-in-differences models are applied predict contracted had vis-à-vis Results Nearly 51.8% those surveyed reported testing positive for these 27.3% suffering long-COVID. Anxiety rates were twice as high Our sub-group analysis reveals general higher among younger adults females, lower income education scale. Whites, Blacks Hispanics odds compared Asians both Interestingly, was more negative mental health outcomes males, where mortality higher. Conclusion fills significant gap literature effects results, large level data, point association between COVID-19, especially cognitive impairment problems

Language: Английский

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Lifestyle adaptations in cardiometabolic patients after COVID-19

Revista CUIDARTE, Journal Year: 2024, Volume and Issue: 15(2), P. 1 - 11

Published: Aug. 23, 2024

Numerous factors contribute over time to changes in lifestyle behaviors, and the COVID-19 pandemic not only altered individuals' routines but also influenced affecting their chronic conditions. To understand perception of patients with cardiometabolic diseases regarding adaptations after contracting COVID-19. This exploratory study a qualitative approach was conducted nine diagnosed who tested positive for Data collection involved semi-structured audio-recorded interviews, which were transcribed processed using IRAMUTEQ software. The collective discourse revealed that mass contamination by coronavirus subsequent Long COVID triggered significant fears anxieties, as well increases muscle pain, fatigue, difficulties maintaining blood pressure and/or glycemic control. These issues directly impacted daily infected patients. However, there an awakening due lifestyle. complexity experiences reported desire adopt healthy seek knowledge. number affected its acute long phases is concerning both society health professionals, highlighting need expand strategies aimed at quality care ensuring adequate monitoring across different spheres care.

Language: Английский

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