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Updated: Jun 10, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
Published on: November 10, 2023
Prevalence and exploratory factor analysis of long COVID-19 symptoms among experienced infected population in
Suphanna Krongthaeo1, Suphamas Partiprajak2, Noppawan Piaseu1,3
1Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama VI Road, Phaya Thai, Ratchathewi, Bangkok, 10400, Thailand.
Insights
Long COVID affects 32.9% of individuals, with anxiety and fatigue being common. Understanding these long COVID symptoms is crucial for developing effective rehabilitation programs and improving patient quality of life.
Area of Science:
- Medical Research
- Public Health
- Epidemiology
Background:
- Long COVID presents with diverse, inflammation-driven symptoms impacting patient well-being.
- Understanding the prevalence and characteristics of long COVID is essential for effective patient management.
Purpose of the Study:
- To determine the prevalence of long COVID in Bangkok, Thailand.
- To explore symptom severity, functional disability, and overall health in long COVID patients.
- To conduct an exploratory factor analysis of long COVID symptoms.
Main Methods:
- Cross-sectional study involving 337 participants previously infected with COVID-19.
- Data collected via online and paper questionnaires.
- Statistical analyses included descriptive statistics, odds ratio, exploratory factor analysis, and Spearman's rank correlation.
Main Results:
- The prevalence of long COVID was 32.9%, with anxiety, fatigue, and dyspnea as primary symptoms.
- Significant correlations were found between symptom severity, functional disability, and overall health.
- Factor analysis identified three symptom clusters: common symptoms/communication, fatigue/functioning/nutrition, and psychosocial impacts.
Conclusions:
- Findings provide insights into the multifaceted nature of long COVID symptoms.
- Results can inform multidisciplinary teams in developing comprehensive rehabilitation programs.
- Improving quality of life for long COVID patients through integrated care is a key objective.
Background:
Patients with long COVID may experience various concomitant symptoms caused by inflammation, which affect their lives and well-being. In this study, we aimed to (1) investigate the prevalence of long COVID; (2) explore the levels of symptom severity and functional disability owing to long COVID, overall health, and their relationship; and (3) conduct exploratory factor analysis of long COVID-19 symptoms among experienced infected population in the capital of Thailand.
Methods:
A cross-sectional research design was used and a sample of 337 community members with previously COVID-19 infection in Bangkok, Thailand was recruited for this study. Purposive sampling was used. Data collection was performed using an online and a paper-based questionnaire. Descriptive statistics (number, percentage), odds ratio, exploratory factor analysis, and Spearman's rank correlation coefficient were used for the data analysis.
Results:
The prevalence of long COVID was 32.9%. The main reported symptoms included anxiety (28.5%), fatigue (26.1%), and dyspnea (13.4%). There was a significant relationship between symptom severity and functional disability (rs=0.385, p value < 0.01). Overall health was negatively correlated with symptom severity (rs = - 0.291, p < .01) and functional disability (rs = - 0.108, p < .05). Using principal component analysis with Promax rotation, three clusters were identified, explaining 71.44% of the total variance. The Clusters comprised (1) common symptoms of long COVID and communication, (2) fatigue, functioning, and nutritional concerns, and (3) psychosocial impacts.
Conclusions:
The present results might help multidisciplinary care teams understand the concurrent symptoms of patients with long COVID and develop rehabilitation care programs to ease all symptoms simultaneously and improve patients' quality of life.
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