Table 4 Multivariable analysis of protective and risk factors for developing depressive symptoms, anxiety symptoms or suicidal ideation among patients with Long COVID (N = 5,208)

From: Factors associated with psychiatric outcomes and coping in Long COVID

  

PHQ-2

GAD-7

Suicidal Ideation

Variable group

Variable

GLM OR and significance

95% CI

LASSO OR

GLM coefficient and significance

95% CI

LASSO coefficient

GLM OR and significance

95% CI

LASSO OR

Demographics

Age (>30 years)

0.64a

0.51 to 0.80

0.66

−2.09a

−2.61 to −1.57

−2.01

0.81

0.65 to 1.00

0.83

 

Male/man identification (ref. female/woman)

1.25b

1.07 to 1.47

1.22

0.10

−0.25 to 0.45

0.02

1.21c

1.04 to 1.41

1.16

 

Non-binary/gender queer identification (ref. female/woman)

1.23

0.77 to 1.94

1.14

0.34

−0.74 to 1.42

0.16

2.59a

1.66 to 4.10

2.36

 

No children

1.03

0.90 to 1.17

1.01

−0.04

−0.34 to 0.25

.

1.28a

1.12 to 1.45

1.26

 

African American/Black (ref. white)

1.61c

1.02 to 2.51

1.46

0.54

−0.51 to 1.59

0.34

1.50

0.96 to 2.32

1.35

 

Asian (ref. white)

1.41

0.96 to 2.06

1.30

0.71

−0.16 to 1.58

0.54

1.24

0.85 to 1.79

1.15

 

Non-white Latinx (ref. white)

1.02

0.70 to 1.45

.

0.41

−0.39 to 1.20

0.27

0.92

0.64 to 1.30

0.98

 

White Latinx (ref. white)

1.12

0.66 to 1.87

1.01

0.18

−0.99 to 1.34

.

0.73

0.42 to 1.23

0.81

 

Multiple ancestries (ref. white)

1.41c

1.07 to 1.86

1.34

1.01b

0.38 to 1.64

0.90

1.40c

1.07 to 1.82

1.33

 

Other ancestries (ref. white)

0.58c

0.34 to 0.95

0.64

−0.66

−1.67 to 0.36

−0.48

1.42

0.92 to 2.18

1.30

Positive and supportive community response

Positive medical provider response

0.72a

0.62 to 0.83

0.76

−0.67a

−1.00 to −0.34

−0.65

0.90

0.78 to 1.04

0.93

 

Positive friend response

0.74c

0.58 to 0.96

0.75

−0.56

−1.14 to 0.02

−0.54

1.12

0.88 to 1.43

1.01

 

Positive partner response

0.88

0.65 to 1.19

0.89

−0.72c

−1.42 to −0.02

−0.69

0.73c

0.55 to 0.98

0.76

 

Positive family response

0.70c

0.52 to 0.92

0.70

−0.18

−0.83 to 0.47

−0.15

0.98

0.75 to 1.29

.

 

Support group participation

0.80b

0.70 to 0.92

0.83

−0.21

−0.52 to 0.10

−0.15

1.22b

1.06 to 1.40

1.20

Negative and stigmatizing community response

Negative medical provider response

0.89

0.76 to 1.05

0.96

0.42c

0.08 to 0.77

0.39

1.13

0.97 to 1.32

1.15

 

Negative friend response

1.13

0.92 to 1.38

1.10

0.24

−0.22 to 0.69

0.22

1.20

0.99 to 1.45

1.13

 

Negative partner response

1.58a

1.24 to 2.08

1.55

0.99a

0.42 to 1.57

0.99

1.37b

1.08 to 1.74

1.37

 

Negative family response

1.12

0.89 to 1.41

1.10

0.39

−0.13 to 0.91

0.38

1.07

0.86 to 1.33

1.07

Health

No pre-existing psychiatric diagnosis

0.51a

0.45 to 0.58

0.53

−2.00a

−2.29 to −1.71

−1.96

0.58a

0.51 to 0.66

0.60

 

Change in health—worse (ref. same or better health)

0.99

0.76 to 1.31

.

0.06

−0.51 to 0.63

0.06

1.17

0.90 to 1.53

.

 

Change in health—much worse (ref. same or better health)

1.02

0.76 to 1.36

.

−0.29

−0.91 to 0.33

−0.22

1.30

0.98 to 1.73

1.11

 

Severity of LC symptoms

0.98a

0.97 to 0.98

0.98

−0.03a

−0.04 to −0.02

−0.03

0.99a

0.99 to 1.00

0.99

 

Number of days with LC symptoms

1.0b

0.998 to 0.999

1.00

−0.003b

−0.004 to −0.001

−0.002

1.00a

1.000 to 1.002

1.00

 

Post-illness physical limitations

1.61a

1.24 to 2.10

1.55

0.53c

0.04 to 1.03

0.44

1.13

0.90 to 1.43

1.13

 

Hospitalized for COVID

1.28c

1.03 to 1.59

1.23

0.40

−0.09 to 0.89

0.31

1.32b

1.07 to 1.63

1.26

 

COVID testing access

0.91

0.78 to 1.07

0.93

0.03

−0.32 to 0.38

.

1.08

0.93 to 1.25

1.05

Employment and finances

Post-illness work hours reduced (ref. no change in job)

1.06

0.88 to 1.28

.

−0.19

−0.59 to 0.21

−0.14

1.20

0.99 to 1.44

1.13

 

Post-illness job loss (ref. no change in job)

1.40c

1.06 to 1.86

1.30

0.71c

0.07 to 1.35

0.70

1.34c

1.03 to 1.78

1.26

 

Post-illness financial hardship

1.55a

1.35 to 1.77

1.53

1.26a

0.96 to 1.56

1.24

1.67a

1.46 to 1.90

1.65

  1. aP = 0.001.
  2. bP = 0.01.
  3. cP = 0.05.
  4. Lasso estimates of ‘.’ are variables that are completely minimized in the model.