Long covid and medical gaslighting: Dismissal, delayed diagnosis, and deferred treatment

Larry Au1, Cristian Capotescu2, Gil Eyal3

  • 1Department of Sociology, The City College of New York, NAC 6/135, 160 Convent Ave, New York, NY, 10031, USA.

Insights

Long Covid patients often experience medical gaslighting, where healthcare providers dismiss their symptoms, leading to delayed diagnoses and treatment. This study highlights how these experiences are common and potentially worsened by social inequalities.

Area of Science:

  • Medical Sociology
  • Public Health
  • Patient Experience Research

Background:

  • Early Long Covid patients faced healthcare providers unaware of prolonged post-COVID-19 complications.
  • Patients experiencing persistent symptoms after COVID-19 infection have labeled their interactions with the medical system as "gaslighting."

Purpose of the Study:

  • To investigate the prevalence and nature of "medical gaslighting" experienced by Long Covid patients.
  • To understand how patients perceive and label their interactions with healthcare professionals regarding Long Covid symptoms.

Main Methods:

  • Analysis of an online survey data from 334 Long Covid patients active on social media in the United States.
  • Qualitative analysis of short answer responses detailing experiences with medical care.

Main Results:

  • A significant proportion of respondents reported experiences of contention and "gaslighting" in their medical care for Long Covid.
  • Patients described encounters with medical professionals who dismissed their symptoms, resulting in prolonged diagnostic delays and limited treatment options.

Conclusions:

  • The concept of "medical gaslighting" offers a framework for understanding Long Covid patients' struggles for recognition and validation.
  • Experiences of medical gaslighting may be intensified by intersecting factors of gender, class, and race, underscoring systemic inequalities in healthcare access and delivery.

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