Association between fatigue and depressive symptoms in persons with post-COVID-19 condition: a post hoc analysis, 2024, Kayla M. Teopiz et al

Discussion in 'Long Covid research' started by Mij, Jun 11, 2024.

  1. Mij

    Mij Senior Member (Voting Rights)

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    Abstract
    Objective
    Post-COVID-19 Condition (PCC) is a prevalent, persistent and debilitating phenomenon occurring three or more months after resolution of acute COVID-19 infection. Fatigue and depressive symptoms are commonly reported in PCC. We aimed to further characterize PCC by assessing the relationship between fatigue and depressive symptom severity in adults with PCC.

    Methods
    A post hoc analysis was conducted on data retrieved from a randomized, double-blinded, placebo-controlled study evaluating vortioxetine for cognitive deficits in persons with PCC. We sought to determine the relationship between baseline fatigue [i.e. Fatigue Severity Scale (FSS) total score] and baseline depressive symptom severity [i.e. 16-item Quick Inventory of Depressive Symptomatology (QIDS-SR-16) total score] in adults with PCC.

    Results
    The statistical analysis included baseline data from 142 participants. After adjusting for age, sex, education, employment status, history of major depressive disorder (MDD) diagnosis, self-reported physical activity, history of documented acute SARS-CoV-2 infection and body mass index (BMI), baseline FSS was significantly correlated with baseline QIDS-SR-16 (β = 0.825, p = .001)

    Conclusion
    In our sample, baseline measures of fatigue and depressive symptoms are correlated in persons living with PCC. Individuals presenting with PCC and fatigue should be screened for the presence and severity of depressive symptoms. Guideline-concordant care should be prescribed for individuals experiencing clinically significant depressive symptoms. Fatigue and depressive symptom severity scores were not pre-specified as primary objectives of the study. Multiple confounding factors (i.e. disturbance in sleep, anthropometrics and cognitive impairment) were not collected nor adjusted for in the analysis herein.

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  2. Mij

    Mij Senior Member (Voting Rights)

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    Link posted by a Professor of Psychiatry & Pharmacology on X from Canada.
     
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  3. rvallee

    rvallee Senior Member (Voting Rights)

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    Ask overlapping questions, get overlapping answers.: https://med-fom-ubcsad.sites.olt.ubc.ca/files/2013/11/QIDS-SR.pdf.

    How is it that smart people can't see the problem with that? I can't imagine any answer to this other than that they want to conflate the overlap on purpose. This is at least as bad as creating a mix-up over different measures made in metric vs imperial, it simply has no valid excuse.

    But of course one major consequence of fixing this would lead to rates of depression and anxiety to be massively lower than they've been claimed for decades. And that doesn't cover how the questions are ambiguous enough that answering for an opposite reason can lead to the same interpretation.

    For sure this did not merit a paper, but in a race to the bottom, you have to flood the space with BS.
     
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