Psychiatry research · 2025
Post-COVID onset of psychiatric complications and associated COVID-related symptom impairment and organ system complications over 24 months.
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Vasiliadis Helen-Maria, Campello Camilla Porto, Tanguay-Labrèche Mélodie, Lamoureux-Lamarche Catherine, Berbiche Djamal
Аннотация
INTRODUCTION: Neurological and psychiatric sequelae are among the long-term effects of COVID. The aim of this study was to investigate the change in post-COVID psychiatric complaints and associated clinical and sociodemographic factors over a 24-month period.
METHODS: This study draws on data from the "BioBanque Québécoise de la Covid-19″ longitudinal cohort. The study sample consists of adults aged ≥18 years with a positive SARS-CoV-2 test, no history of psychiatric illness, with at least one follow-up visit. The presence of post-COVID psychiatric complications (yes, no) was assessed at follow-up (1-month, 3-month, 6-month, 12-month, 18-month and 24-month, post baseline), as was the presence of COVID-related symptoms and other post-COVID complications.
RESULTS: The prevalence of new onset post-COVID psychiatric complications ranged between 2.1 % and 8.5 % during the 24-month follow-up. As compared to the 1-month follow-up, there was an increase, between nearly two and four times, in the likelihood of psychiatric complications at the 3-month, 6-month, 12-month,18-month and 24-month follow-up. COVID-related symptoms such as impaired sensory function and pain, and impaired body system function, and post-COVID cardiovascular, respiratory, neurological, and other complications predicted post-COVID psychiatric complaints. Among individuals followed at 24-months, admission to hospital or emergency department, and frailty were also associated with the presence of a post-COVID psychiatric complication.
CONCLUSION: Post-COVID psychiatric complications persist up to 24 months after infection and are associated with impairment related to COVID symptoms and multiple organ system complications, highlighting the substantial long-term health burden for individuals.
METHODS: This study draws on data from the "BioBanque Québécoise de la Covid-19″ longitudinal cohort. The study sample consists of adults aged ≥18 years with a positive SARS-CoV-2 test, no history of psychiatric illness, with at least one follow-up visit. The presence of post-COVID psychiatric complications (yes, no) was assessed at follow-up (1-month, 3-month, 6-month, 12-month, 18-month and 24-month, post baseline), as was the presence of COVID-related symptoms and other post-COVID complications.
RESULTS: The prevalence of new onset post-COVID psychiatric complications ranged between 2.1 % and 8.5 % during the 24-month follow-up. As compared to the 1-month follow-up, there was an increase, between nearly two and four times, in the likelihood of psychiatric complications at the 3-month, 6-month, 12-month,18-month and 24-month follow-up. COVID-related symptoms such as impaired sensory function and pain, and impaired body system function, and post-COVID cardiovascular, respiratory, neurological, and other complications predicted post-COVID psychiatric complaints. Among individuals followed at 24-months, admission to hospital or emergency department, and frailty were also associated with the presence of a post-COVID psychiatric complication.
CONCLUSION: Post-COVID psychiatric complications persist up to 24 months after infection and are associated with impairment related to COVID symptoms and multiple organ system complications, highlighting the substantial long-term health burden for individuals.