I looked at the CLoCK paper. Paragraphs in Discussion section show in my opinion they are looking to frame LC as having a significant mental health component and treatment should involve psychological therapies. V concerning. Know shouldn’t be surprising seeing who some of the authors are.
“Third, our findings showed that, for both test-positives and test-negatives, those assigned to the latent class with “multiple symptoms” at three months were more likely to be female, older and
have poorer physical and mental health before COVID-19, suggesting that pre-existing physical and mental health difficulties may influence symptoms at three months. Unsurprisingly, those with multiple physical symptoms had poorer mental health, reflecting the close relationship between physical and mental health.”
“Taking the studies together, there is consistent evidence that some teenagers will have persisting symptoms after testing positive for SARS-CoV-2
and that mental and physical health symptoms are closely related. Avoiding false dichotomies between mind and body is likely to be helpful as, for example, stressed individuals may present with somatic symptoms or conversely persisting physical symptoms may be associated with depression and anxiety. Some individuals may develop somatic symptoms disorders29 and the existing evidence for effective management of conditions such as pain, headache and fatigue30*might be usefully evaluated in CYP presenting with persistent physical symptoms post-COVID. CYP with clinically impaired mental ill health should receive the appropriate evidence-based treatments whether or not they have physical symptoms. Family approaches and understanding of persistent symptoms is key31. Investigation of persisting symptoms may be needed or requested, with consideration of the potentially negative impact of protracted medical treatments or investigations if no abnormalities are found29.”
References 29, 30 and 31 are:
Willis, C. & Chalder, T. Concern for Covid-19 cough, fever and impact on mental health. What about risk of Somatic Symptom Disorder?
J Ment Health, 1–5 (2021)Fisher, E.,
et al.
Psychological therapies for the management of chronic and recurrent pain in children and adolescents.
Cochrane Database Syst Rev 9, CD003968 (2018).
O'Connell, K., Berluti, K., Rhoads, S.A. & Marsh, A.A. Reduced social distancing early in the COVID-19 pandemic is associated with antisocial behaviors in an online United States sample.
PLoS One 1
CLOck study link - https://www.researchsquare.com/article/rs-798316/v1
