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. 2025 Oct 7;25:942. doi: 10.1186/s12888-025-07150-2

Table 2.

- Definitions and assessments of long covid and psychiatric history

N° Author(s) and year Definition of long-covid Assessment of long-covid Definition of psychiatric or addiction history Assessment of psychiatric or addiction history
1 Subramanian et al., 2022 [35] WHO definition: a history of probable or confirmed SARS-CoV-2 infection with symptoms that last for at least 2 months and can not be explained by an alternative diagnosis Declarative Depression/Anxiety/Smoking (ex-smoker, current smoker)/Eating disorder/Substance use disorder/Learning disability Database of primary care medical records
2 Wang and al., 2022 [36] Long-term COVID-19 symptoms (lasting for more than 4 weeks) Declarative Probable depression (subclinique or yes)/Probable Anxiety (subclinic or yes)/Current smoker

Patient Health Questionnaire (PHQ-4)

Declarative

3 Grisanti and al., 2022 [37] Signs and symptoms developed during or following a disease consistent with COVID-19 and which continue for more than four weeks but they are not explained by alternative diagnoses Declarative Smoking (non-smoker, smoker, ex-smoker) Declarative
4 Garjani and al., 2022 [38] Long-standing COVID-19 symptoms for ≥ 4 weeks Declarative Anxiety and/or depression Hospital Anxiety and Depression Scale (HADS) scores
5 Craparo and al., 2022 [39] NICE definition: a clinical condition that includes both ongoingsymptomatic COVID-19 infection, where symptoms last 4 to 12 weeks, and post-COVID-19 symptoms that can persist beyond 12 weeks after recovery Declarative Personnality traits/Alexithymia Personality Inventory for DSM-5 Brief Form (PID-5-BF)/Toronto Alexithymia Scale-20 (TAS-20)
6 Tene and al., 2022 [40] Definite long Covid: International Classification of Diseases (ICD) diagnosis code of post–COVID-19 Probable long Covid: post-COVID symptoms more than 4 weeks after the date of first positive RT-PCR Diagnosed by a physician Smoking (ever) Declarative
7 De Oliveira and al., 2022 [41] Persistence of at least one physical and/or mental health symptom 4 or more weeks after disease onset Declarative Smoking/Alcoholism Declarative
8 Ohira and al., 2022 [42] Persistence of symptoms after recovering from the acute phase of COVID- 19 Electronic medical records and clinical summaries of patients Depression/Schizophrenia/Asperger's spectrum syndrom Data from medical records
9 Bai and al., 2022 [43] Persistence of ≥ 1 physical and/or psychological symptoms for more than 4 weeks after recovery from acute illness COVID-19 Declarative, Medical examination, Scale (HADS and IES-R) Smoking Declarative
10 Daitch and al., 2022 [44] Persistent symptomatology following COVID-19 infection impacting physical and cognitive functions and leading to reduced quality of life Declarative, Questionnaire Smoking Declarative
11 Afroze and al., 2022 [45] Onset or persistence of at least one self-reported symptom of COVID-19 more than 1 month Declarative, stuctured clinical interview, tools Cigarette smoking Declarative
12 Vásconez-González and al., 2023 [46] Persisting symptoms after COVID-19 infection Declarative, Questionnaire Smoke/Alcohol Declarative
13 Frontera and al., 2022 [47] According to Centers for Disease Control and Prevention (CDC) criteria as new or persistent symptoms occurring ≥ 4 weeks after SARS-CoV-2 infection Declarative Psychiatric History Declarative
14 Shukla and al., 2023 [48] Any newly occurring or remaining symptoms or signs in COVID-19 patients after 3 months (12 weeks) of discharge from the hospital (or declared discharged incase of non-hospitalized patients Declarative Smoking/Alcohol Declarative
15 Jacobs and al., 2023 [49] Self-reported continuing or new symptoms 28 days or more following the test date for the acute infection Declarative Cigarette smoking/Depression and anxiety Declarative
16 Knight and al., 2022 [50] Syndrome of persistent symptoms, generally for more than 4 weeks after recovery from acute COVID-19 Declarative No psychiatric or addictive history sought Not applicable
17 Sansone and al., 2022 [51] Symptoms persisting for at least three weeks since positive swab test for SARS-CoV-2 Declarative Depression/Smoking Declarative
18 Yavuz and al., 2022 [52]

Persistence of symptoms following acute COVID-19 infection, lasting at least two months after recovery from COVID-19

Only prolonged post-COVID-19 neurological symptoms are studied

Declarative Depression/Smoking Declarative and Beck Depression Inventory (BDI)
19 Gutiérrez-Canales and al., 2022 [53] Persistent symptoms for months after acute illness Declarative Smoking Declarative
20 Hastie and al., 2022 [54] WHO definition: a history of probable or confirmed SARS-CoV-2 infection with symptoms that last for at least 2 months and can not be explained by an alternative diagnosis Declarative Depression/Anxiety ICD10 codes F30-F33, or antidepressant, hypnotic or anxiolytic (BNF 4.1;4.3), or self-report
21 Fleischer and al., 2022 [55] WHO definition: a history of probable or confirmed SARS-CoV-2 infection with symptoms that last for at least 2 months and can not be explained by an alternative diagnosis Neurological and physical examination according to standards recommended by the European Academy of Neurology including neurovascular, elec-trophysiological, and blood analysis. In addition, magnetic resonance imaging (MRI) and lumbar puncture if necessary Previous psychiatric condition (Depression/Anxiety disorder/post-traumatic stress disorder/somatic disorder/adjustment disorder/borderline disorder) Declarative
22 Margalit and al., 2022 [56]

Ongoing symptoms persisting at least 4 weeks following the onset of acute coronavirus disease 2019

Focusing in long covid fatigue in this study

physical examination by an internist, questionnaires (evaluating 14 post-Covid symptoms from 0 to 3 for intensity), cognitive fatigue task and and blood sampling Smoking status (never, past, current)/Use of cannabis/Use of alcohol Declarative
23 Gasnier and al., 2022 [57] Signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis Declarative Cognitive impairment screening questionnaire from the European AIDS Clinical Society Psychiatric History

Diagnostic Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

Systematic interview with a psychiatrist

Mini International Neuropsychiatric Inter-view (MINI 5.0)

24 Loosen and al., 2022 [58] WHO definition: a history of probable or confirmed SARS CoV-2 infection, usually 3 months from the onset of COVID-19 with symptoms and that last for at least 2 months and cannot be explained by an alternative diagnosis

Original diagnosis text of the physicians

Following ICD-10 diagnoses were additionally used as surrogates for LCS: chronic fatigue (ICD-10: G93.3), abnormalities of breathing (ICD-10: R06), disturbances of smell and taste (ICD-10: R43), malaise and fatigue (ICD-10: R53, disturbances in attention (ICD-10: R41.8)

Depression ICD-10: F32, F33
25 Buonsenso and al., 2022 [59] WHO definition: Set of symptomatic sequelae that typically develop within three months of COVID-19 infection, last at least two months, and cannot be explained by alternative diagnoses Declarative Smoke/Alcohol Declarative
26 Lhuillier and al., 2022 [60] Any COVID-19-related symptoms that lasted at least 4 weeks after symptom onset Declarative Depressive Symptoms Mean of depressive symptoms using the Patient Health Questionnaire (PHQ-9)
27 Tleyjeh and al., 2022 [61] Chronic symptoms or long-term sequelae of COVID-19 lasting beyond 4 weeks after onset of symptoms Declarative Smoking status: Never smoked, Previous smoker, Current smoke Declarative
28 Kidwai and al., 2022 [62] Persistent symptoms and/or delayed or long–term complications of SARS–CoV–2 infection beyond 4 weeks from the onset of symptoms Declarative Depression Declarative
29 Magdy and al., 2021 [63] Recovered COVID-19 (= improvement in all COVID-19 symptoms, no fever for three consecutive days and two consecutive nasopharyngeal swabs were negative for SARS-CoV-2 at a 24 h interval) adults with persistent neuropathic pain

Neurological examination validating neuropathic pain

Neuropathic pain in 4 questions (DN4 ≥ 4/10)

Depression/Smoking/Drug abuse Declarative/Diagnostic and screening according to Statistical Manual of Mental Disorders (DSM–5)
30 Abdelhafiz and al., 2022 [64] Symptoms persisting for more than 12 weeks after infection Declarative Smoking Declarative
31 Ghoshal and al., 2021 [65] Long-term gastrointestinal illness following acute COVID-19 infection Declarative Addiction (tobacco, alcohol) Declarative
32 Peter and al., 2022 [66] WHO definition: symptoms lasting for at least two months, being unexplained by an alternative diagnosis, and occurring three months from the acute infection Declarative Mental disorders/Smoking (current, former or never) Declarative
33 Alkwai and al., 2022 [67] NICE definition: signs and symptoms that develop during or after an infection, consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis Declarative Anxiety/Depression/Other mental health disorder Declarative
34 Colizzi and al., 2022 [68] WHO definition: a history of probable or confirmed SARS-CoV-2 infection, usually 3 months from the onset, with symptoms that last for at least 2 months and cannot be explained by an alternative diagnosis Declarative No psychiatric or addictive history sought Not applicable
35 Martinez and al., 2021 [69] Symptoms persisting 90 days after COVID-19 diagnosis Declarative History of depression or state of exhaustion Declarative
36 Uygur and al., 2021 [70]

Symptoms that persist for 28 days after a COVID-19 diagnosis

This study focuses on post-Covid fatigue

Declarative History of psychiatric disease/History of psychiatric drug Declarative