Abstract:
Background:Clinical reports from patients suffering from the novel coronavirus (COVID-19) reflect a high prevalence of sensory deprivation or loss pertaining to smell (dysosmia/anosmia) and/or taste (dysgeusia/ageusia). Given the importance of the senses to daily functioning and personal experience, the mental health consequences of these symptoms warrant further attention. Methods:A cohort of Reddit users posting within the /r/covid19positive subforum (N = 15,821) was leveraged to analyze instantaneous risk of transition to a state of suicidal ideation or depression using Cox proportional-hazards models. Risk transition was defined by posts made in suicide- or depression-related forums, or mentions of relevant phrases with and without mention of anosmia/ageusia in /r/covid19positive. Self-diagnosis of COVID-19 was also modeled as a separate and simultaneous predictor of mental health risk. Results:Mention of anosmia/ageusia was significantly associated with transition to a risk state. Users with a history of anosmia/ageusia-related posts and who self-identified as COVID-19 positive had 30% higher instantaneous risk relative to others. The highest increase in instantaneous risk of suicidal ideation or depression occurred more than 100 days after first posting in /r/covid19positive. Limitations:Use of self-diagnosed disease as well as a broad array of anosmia/ageusia-related terminology may entail both information bias and overestimates of symptom incidence. Conclusions:The specific effects of COVID-19 on the senses may have long-term implications for patient mental health well-being beyond the primary recovery period. Future work is needed to investigate the longitudinal mental health burden of residual COVID-19 symptom presentation.
journal_name
J Affect Disord Repjournal_title
Journal of affective disorders reportsauthors
Yom-Tov E,Lekkas D,Jacobson NCdoi
10.1016/j.jadr.2021.100156keywords:
["Ageusia","Anosmia","Coronavirus (COVID-19)","Depression","Social network","Suicidal ideation"]subject
Has Abstractpub_date
2021-07-01 00:00:00pages
100156issn
2666-9153pii
S2666-9153(21)00082-2journal_volume
5pub_type
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