What Is the Role of Psychological Factors in Long COVID Syndrome? Latent Class Analysis in a Sample of Patients Recovered from COVID-19

Int J Environ Res Public Health. 2022 Dec 28;20(1):494. doi: 10.3390/ijerph20010494.

Abstract

Background: This study aimed to identify clusters of long COVID-19 symptoms using latent class analysis and investigate the psychological factors involved in the onset of this syndrome. Method: Five hundred and six subjects recovering from COVID-19 completed a series of standardized questionnaires to evaluate the personality traits, alexithymia, and post-traumatic stress. Results: Five classes were identified: Brain fog (31.82%), No symptoms (20.95%), Sensory disorders (18.77%), Breath impairment (17.59%), and Multiple disorders (10.87%). Women reported post-COVID-19 respiratory symptoms and multiple disorders to a greater extent than men. Hospitalized subjects were more likely to report persistent symptoms after COVID-19 than asymptomatic or home-treated subjects. Antagonism, hyperarousal, and difficulty identifying emotions significantly predicted post COVID-19 symptoms. Conclusions: These findings open new questions for research on long COVID-19 and how states of emotional dysregulation can alter the physiological processes of the body and contribute to the onset of organic pathologies.

Keywords: COVID-19; emotional dysregulation; long COVID-19; trauma.

MeSH terms

  • Affective Symptoms
  • COVID-19* / epidemiology
  • Female
  • Humans
  • Latent Class Analysis
  • Male
  • Post-Acute COVID-19 Syndrome
  • Stress Disorders, Post-Traumatic* / psychology

Grants and funding

This research received no external funding.