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Article Dans Une Revue BMJ Mental Health Année : 2024

Psychological burden associated with incident persistent symptoms and their evolution during the COVID-19 pandemic: a prospective population-based study

Baptiste Pignon
Anne Toussaint
  • Fonction : Auteur
Bernd Loewe
  • Fonction : Auteur
Olivier Robineau
  • Fonction : Auteur
Fabrice Carrat
  • Fonction : Auteur
Gianluca Severi
  • Fonction : Auteur
Mathilde Touvier
  • Fonction : Auteur
Clement Gouraud
  • Fonction : Auteur
Charles Ouazana Vedrines
  • Fonction : Auteur
Victor Pitron
  • Fonction : Auteur
Brigitte Ranque
  • Fonction : Auteur
Nicolas Hoertel
  • Fonction : Auteur

Résumé

Background Identifying factors that predict the course of persistent symptoms that occurred during the COVID-19 pandemic is a public health issue. Modifiable factors could be targeted in therapeutic interventions. Objective This prospective study based on the population-based CONSTANCES cohort examined whether the psychological burden associated with incident persistent symptoms (ie, that first occurred from March 2020) would predict having ≥1 persistent symptom 6–10 months later. Methods A total of 8424 participants (mean age=54.6 years (SD=12.6), 57.2% women) having ≥1 incident persistent symptom at baseline (ie, between December 2020 and February 2021) were included. The psychological burden associated with these persistent symptoms was assessed with the Somatic Symptom Disorder-B Criteria Scale (SSD-12). The outcome was having ≥1 persistent symptom at follow-up. Adjusted binary logistic regression models examined the association between the SSD-12 score and the outcome. Findings At follow-up, 1124 participants (13.3%) still had ≥1 persistent symptom. The SSD-12 score at baseline was associated with persistent symptoms at follow-up in both participants with (OR (95% CI) for one IQR increase: 1.42 (1.09 to 1.84)) and without SARS-CoV-2 infection prior to baseline (1.39 (1.25 to 1.55)). Female gender, older age, poorer self-rated health and infection prior to baseline were also associated with persistent symptoms at follow-up. Conclusions The psychological burden associated with persistent symptoms at baseline predicted the presence of ≥1 persistent symptom at follow-up regardless of infection prior to baseline. Clinical implications Intervention studies should test whether reducing the psychological burden associated with persistent symptoms could improve the course of these symptoms.
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Dates et versions

hal-04567623 , version 1 (03-05-2024)

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Baptiste Pignon, Joane Matta, Emmanuel Wiernik, Anne Toussaint, Bernd Loewe, et al.. Psychological burden associated with incident persistent symptoms and their evolution during the COVID-19 pandemic: a prospective population-based study. BMJ Mental Health, 2024, 27 (1), pp.e300907. ⟨10.1136/bmjment-2023-300907⟩. ⟨hal-04567623⟩
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