Quality of Sleep and Mental Symptoms Contribute to Health-Related Quality of Life after COVID-19 Pneumonia, a Follow-Up Study of More than 2 Years.

During the follow-up, patients with post-traumatic stress disorder had persistently higher scores on the HADS total score up to the third evaluation and anxiety subscore up to the fourth evaluation (“ t ” test, t-values from 2.047 to 4.935, p < 0.05), with higher scores on sleep quality (worse sleep) (“ t ” test, t-values from 2.372 to 3.539, p < 0.03) at the first, third, and fourth evaluations, with lower scores on health-related quality of life at the first, second, and fourth evaluations (“ t ” test, t-values from 2.615 to 3.634, p < 0.02), and a borderline significant difference at the second evaluation (“ t ” test, t = 1.980, p = 0.051).

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A decreasing trend in dyspnea supports the attenuation of symptom severity over time.

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