ArticleJournal of Korean medical science2026
Mental Health Outcomes After the Acute Phase of COVID-19: Factors Identified in a Korean Public Mental Health Service.
Article in Journal of Korean medical science, 2026. 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
backgroundSequelae following coronavirus disease 2019 (COVID-19) frequently include lasting neuropsychiatric symptoms; however, identifying predictors from the acute phase remains challenging due to limitations in collecting prospective data during that time.
methodsData were obtained from electronic counseling records of 515 COVID-19 patients who received free services from the Korean National Center for Disaster and Trauma. The Clinical Global Impression Severity Scale (CGI-S) was used to repeatedly assess mental health at each counseling session. Baseline predictors included demographic characteristics, psychiatric and medical comorbidities, and psychological response, which was further divided into four sub-factors via factor analysis. Multivariate mixed effect models were used to explore the relationship between these predictors and mental health following the acute phase of COVID-19, with analyses stratified by gender.
resultsThe most common post-COVID psychological responses were anxiety, depression, and sleep problems, with CGI-S scores dropping from 2.83 initially to 1 by the last observed session and averaging 2.38 at the third follow-up. Four sub-factors were identified through exploratory factor analysis, namely cognitive and physical exhaustion, emotional distress, self-destructive coping, and somatized anxiety. Baseline psychological responses (β = 0.06,
conclusionBaseline psychological responses predict persistent mental health symptoms, and identified profiles may help early identification of high-risk groups during acute COVID-19.
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