Evidence map›Paper›PMID 34425522›Full record

ArticleSocial science & medicine (1982)2021

Long Covid - The illness narratives.

Alex Rushforth, Emma Ladds, Sietse Wieringa, Sharon Taylor, Laiba Husain, Trisha Greenhalgh

Open access · hybridAbstract readPersonal Narrative
In one paragraph

Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 pooled it
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 3 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Psychosocial Aspects of the Lived Experience of Long COVID: A Systematic Review and Thematic Synthesis of Qualitative Studies.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Experiences of people with long COVID: Symptoms, support strategies and the Long COVID Optimal Health Programme (LC-OHP).Health expectations : an international journal of public participation in health care and health policy · 2024
    Trial
  5. Narratives of recovery from persistent fatigue: a stepwise learning process.Scandinavian journal of primary health care · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Vital yet Fragile: Informal Networks of Support Among Young People Navigating Long Covid.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  11. Article
  12. Trust in Transition: Exploring Changing Trust in Vaccination in the Context of Long Covid in the United Kingdom.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  13. Living With Persistent Respiratory Symptoms of Long COVID: Qualitative Study Among Brazilian Adults 12 Months After Acute Infection.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  14. Article
  15. From Stagnation to Strategy: Challenges in Advancing Long COVID Research.Journal of evaluation in clinical practice · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Alex RushforthNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
Emma LaddsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
Sietse WieringaNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
Sharon TaylorCentral and North West London NHS Foundation Trust, United Kingdom; Imperial College School of Medicine, London, United Kingdom.
Laiba HusainNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
Trisha GreenhalghNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK. Electronic address: trish.greenhalgh@phc.ox.ac.uk.
University of Oxford · GBCentral and North West London NHS Foundation Trust · GB

Funding

Wellcome Trust 104830Wellcome Trust WT104830MA
6 · The paper itself

Abstract

Callard and Perego depict long Covid as the first illness to be defined by patients who came together on social media. Responding to their call to address why patients were so effective in making long Covid visible and igniting action to improve its care, we use narrative inquiry - a field of research that investigates the place and power of stories and storytelling. We analyse a large dataset of narrative interviews and focus groups with 114 people with long Covid (45 of whom were healthcare professionals) from the United Kingdom, drawing on socio-narratology (Frank), therapeutic emplotment (Mattingly) and polyphonia (Bakhtin). We describe how storytelling devices including chronology, metaphor, characterisation, suspense and imagination were used to create persuasive accounts of a strange and frightening new condition that was beset with setbacks and overlooked or dismissed by health professionals. The most unique feature of long Covid narratives (in most but not all cases) was the absence, for various pandemic-related reasons, of a professional witness to them. Instead of sharing their narratives in therapeutic dialogue with their own clinician, people struggled with a fragmented inner monologue before finding an empathetic audience and other resonant narratives in the online community. Individually, the stories seemed to make little sense. Collectively, they provided a rich description of the diverse manifestations of a grave new illness, a shared account of rejection by the healthcare system, and a powerful call for action to fix the broken story. Evolving from individual narrative postings to collective narrative drama, long Covid communities challenged the prevailing model of Covid-19 as a short-lived respiratory illness which invariably delivers a classic triad of symptoms; undertook and published peer-reviewed research to substantiate its diverse and protracted manifestations; and gained positions as experts by experience on guideline development groups and policy taskforces.

Indexed as

COVID-19CommunicationHumansNarrationPost-Acute COVID-19 SyndromeSARS-CoV-2Covid-19Health social movementsLong CovidNarrative medicineOnline communitiesPost-acute Covid-19 syndrome

Identifiers

PMID34425522
PMCPMC7617381
OpenAlexW3195529034

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.