Long COVIDclinical features and multidisciplinary approach

  1. A. Serrano García 2
  2. J. Guerra Laso 2
  3. L. Linares Álvarez 1
  4. E. Turrado Valbuena 2
  5. C. Vilella Martín 2
  6. P. García Vázquez 2
  7. C.M. Franch Pato 2
  1. 1 Centro de Salud y Especialidades de Astorga, León
  2. 2 Complejo Asistencial Universitario de León
    info

    Complejo Asistencial Universitario de León

    León, España

    ROR https://ror.org/05gn84d31

Revista:
Psiquiatría biológica: Publicación oficial de la Sociedad Española de Psiquiatría Biológica

ISSN: 1134-5934

Año de publicación: 2024

Volumen: 31

Número: 2

Tipo: Artículo

DOI: 10.1016/J.PSIQ.2024.100471 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Psiquiatría biológica: Publicación oficial de la Sociedad Española de Psiquiatría Biológica

Resumen

Although most of the patients affected by COVID-19 recover their health and return to their previous situation, some of them present symptoms that can last a long time after the acute illness. The main objective of this study is to assess the correlation between symptoms of long COVID and symptoms of central sensitization. Secondarily, it will try to describe the symptoms of long COVID and its correlation with alexithymia and depression. Methods: Prospective observational study in real clinical conditions. Include consecutively those patients who present long COVID and complete multidisciplinary evaluation by a somatic specialist and a psychiatrist, together with a battery of questionnaires. Results: The profile we found corresponds to a woman, in the middle of her fifth decade of life, with higher education and working, who passed the SARS-CoV-2 infection 1 year earlier, without requiring hospitalization and with a severe depressive disorder and alexithymia. We found an intermediate correlation (rho .665; p < .01) between central sensitization questionnaire and the sum of symptoms of long COVID, as well as between the sum of symptoms presented and depression (rho .467; p < .01) and not between the sum of symptoms and alexithymia (rho .151; p = .359). Conclusions: Sensitization phenomena seem to be of notable importance in the symptoms of long COVID and present a symptomatic constellation characterized by fatigue, difficulty concentrating, and memory problems. Patients with persistent COVID present more severe depressive symptoms than they are capable of perceiving o express.