ArticleBJPsych open2025
Trajectory of severe COVID anxiety and predictors for recovery in an 18-month UK cohort.
Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPeople with severe COVID anxiety have significant fears of contagion, physiological symptoms of anxiety in response to a COVID stimulus and employ often disproportionate safety behaviours at the expense of other life priorities.
aimsTo characterise the long-term trajectory of severe COVID anxiety, and the factors that influence recovery.
methodThis prospective cohort study followed 285 people with severe COVID anxiety in the UK over 18 months. A nested randomised feasibility trial tested an online cognitive-behavioural therapy (CBT)-based intervention (no. ISRCTN14973494). Descriptive statistics and linear regression models identified factors associated with change in COVID anxiety over 18 months.
resultsMost participants experienced major reductions in COVID anxiety over time (69.8% relative cohort mean decrease,
conclusionsFor most people severe COVID anxiety improves significantly with time. However, interventions treating depression and health anxiety, and targeting older people and those from greater-risk minority backgrounds, warrant further investigation in future pandemics.
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