Long COVID in Pakistan: a cross-sectional analysis of health and psychosocial outcomes.

Madeeha Khan, Sadaf Majeed, Quratul Ain, Amjad Nawaz, Khadija Awais Sumra, Vilma Lammi, Faizan Nihal, Aleena Afrah, Ejaz Ahmed Khan, Mohammad Iqbal Khan, Fouzia Sadiq
Author Information
  1. Madeeha Khan: Directorate of Research, Shifa Tameer-e-Millat University, Islamabad, Pakistan. ORCID
  2. Sadaf Majeed: Department of Physiology, Shifa College of Medicine, Shifa Tameer e Millat University, Islamabad, Pakistan. ORCID
  3. Quratul Ain: Directorate of Research, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
  4. Amjad Nawaz: Directorate of Research, Shifa Tameer-e-Millat University, Islamabad, Pakistan. ORCID
  5. Khadija Awais Sumra: Faculty of Health Sciences, Agha Khan University, Karachi, Pakistan.
  6. Vilma Lammi: Institute for Molecular Medicine, Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland. ORCID
  7. Faizan Nihal: Department of Vascular Surgery, Shifa International Hospital, Islamabad, Pakistan.
  8. Aleena Afrah: Department of Psychology, University of Wah, Wah Cantt, Pakistan. ORCID
  9. Ejaz Ahmed Khan: Department of Infectious Diseases, Shifa International Hospital, Islamabad, Pakistan.
  10. Mohammad Iqbal Khan: Department of Vascular Surgery, Shifa International Hospital, Islamabad, Pakistan.
  11. Fouzia Sadiq: Directorate of Research, Shifa Tameer-e-Millat University, Islamabad, Pakistan. ORCID

Abstract

According to the World Health Organization-led Delphi consensus, long COVID corresponds to the occurrence of symptoms beyond twelve weeks after the onset of acute COVID-19 illness that cannot be explained by alternate diagnosis. This cross-sectional study aimed to analyse the impacts of long COVID on general health and psychosocial well-being. For this study, the participants were interviewed either face to face or via telephone, and their responses were recorded on a questionnaire capturing information on demographics, COVID-19 status, duration of symptoms and long COVID symptoms. The psychosocial impacts of the pandemic were assessed using scales like Short Mood and feeling questionnaire (sMFQ), Warwick-Edinburgh Mental Well-being Scale (WEMWBS), Generalized Anxiety Disorder Assessment (GAD-7) and Perceived Stress Scale (PSS). Regression analysis was conducted to analyse the predictors of long COVID. A total of 300 participants were interviewed, of which 155 (52%) had COVID-19 illness. Of these 54 (35%) had persistent symptoms for a period of more than 12���weeks classified as long COVID. Muscle problems and fatigue were the most frequent (14.7%) symptoms encountered, followed by breathing problems (12.6%) and cognitive issues (12.6%). The symptoms of decrease in appetite and confusion or disorientation during the initial phase of the infection were associated with long COVID. The majority of the participants (83.3%) had moderate level of perceived stress, while moderate to severe levels of stress were observed in 17.3% of the individuals. Moreover, a high level of positive mental well-being was also observed. This study highlights the need for further research into the clinical aspects and implications of long COVID in Pakistan and emphasizes the importance of ongoing support for affected individuals.

Keywords

MeSH Term

Humans
COVID-19
Cross-Sectional Studies
Female
Male
Pakistan
Adult
Middle Aged
Post-Acute COVID-19 Syndrome
Surveys and Questionnaires
Young Adult
Stress, Psychological
Mental Health

Word Cloud

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