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High levels of pre-existing psychological distress prior to a COVID-19 infection were associated with an increased risk for developing long COVID symptoms, according to a prospective cohort study.

Participants who self-reported psychological distress—including probable depression or anxiety, being very worried about COVID-19, and feeling lonely some of the time or often—had an increased risk of developing post-COVID conditions: depression, anxiety, worry about COVID and loneliness.
Siwen Wang, MD, of Harvard T.H. Chan School of Public Health in Boston, said, "We found that psychological distress is even more strongly associated with long COVID compared to established risk factors, including obesity, diabetes and hypertension,"

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