🕷️ Crawler Inspector

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Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 134 (from laksa051)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa134.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://nyulangone.org/news/severely-stressful-events-worsen-symptoms-long-covid\')), getAhrefsUnparsedNoserviceFromURL(\'https://nyulangone.org/news/severely-stressful-events-worsen-symptoms-long-covid\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/nyulangone.org\/news\/severely-stressful-events-worsen-symptoms-long-covid","crawl_time":1775826138,"first_indexed_time":1668019371,"http_code":200,"src_unparsed":"org,nyulangone!\/news\/severely-stressful-events-worsen-symptoms-long-covid s443","src_root_hash":"13117336243312376934","history_drop_reason":null,"meta_title":"Severely Stressful Events Worsen Symptoms of Long COVID | NYU Langone News","meta_descriptions":["NYU Langone study reveals stressful life events as a predictor of whether patients go on to develop long COVID. Learn more."],"attrs_boilerpipe_text":"T\nhe death of a loved one, financial or food insecurity, or a newly developed disability were some of the strongest predictors of whether a patient hospitalized for COVID-19 would experience symptoms of long COVID a year later, a new study finds.\nLed by researchers from NYU Grossman School of Medicine, the study found that adult patients with such “major life stressors”—present in more than 50 percent of those followed—were at least twice as likely to struggle with depression, brain fog, fatigue, sleep problems, and other long-term COVID-19 symptoms.\nPublished online this week in the\nJournal of the Neurological Sciences\n(link is external)\n, the analysis also confirmed the contribution of traditional factors to greater long COVID risk as shown by past studies—older age, disability level to start with, and a more severe initial case of COVID-19.\n“Our study is unique in that it explores the impact of life stressors—along with demographic trends and neurologic events—as predictors of long-term cognitive and functional disabilities that affected quality of life in a large population,” says lead study author\nJennifer A. Frontera, MD\n, professor in the\nDepartment of Neurology\n(link is external)\nat NYU Langone Health. “Therapies that lessen the trauma of the most stress-inducing life events need to be a central part of treatment for long COVID, with more research needed to validate the best approaches.”\nThe research used standard telephone survey tools in the field—the modified Rankin Scale (mRS), the Barthel Index, the Montreal Cognitive Assessment (t-MoCA), and the National Institutes of Health (NIH)\/Patient-Reported Outcomes Measurement Information System (PROMIS) Neurological Quality Of Life (NeuroQoL) batteries—to measure level of daily function, clear thinking (cognition),\nanxiety\n,\ndepression\n, fatigue, and sleep quality. The team attempted to follow up with each of 790 patients 6 months and a year after COVID-19 hospitalization within NYU Langone Health between March 10, 2020, and May 20, 2020.\nOf these surviving patients, 451 (57 percent) completed a 6-month and\/or 12-month follow-up, and, of them, 17 percent died between discharge and 12-month follow-up and 51 percent reported significant life stressors at 12 months.\nIn analyses that compared factors against each other for their contribution to worse outcomes, life stressors including financial insecurity, food insecurity, death of a close contact, and new disability were the strongest independent predictors of prolonged COVID-19 symptoms. These same stressors also best predicted worse functional status, depression, fatigue, sleep scores, and reduced ability to participate in activities of daily living such as feeding, dressing, and bathing.\nGender was also a contributor, as past studies have found that women are more susceptible in general to, for instance, autoimmune diseases that could have an impact on outcomes. Additionally, undiagnosed mood disorders may have been unmasked by pandemic-related stressors.\nNeurologic Long COVID May Include More Than One Condition\nA second study led by Dr. Frontera and colleagues, and\npublished online September 29, 2022, in\nPLOS ONE\n(link is external)\n, found that patients diagnosed as having long COVID neurologic problems can be divided into three symptom groups.\nBecause there is no current biological definition long COVID, many studies lump disparate symptoms into what is currently a blanket diagnosis, and without an assessment of clinical relevance, says Dr. Frontera. The resulting vagueness has made it “difficult to assess treatment strategies.”\nFor the\nPLOS One\nstudy, the research team collected data on symptoms, treatments received, and outcomes for 12 months after hospitalization with COVID-19, with treatment success measured again by standard metrics (modified Rankin Scale, Barthel Index, NIH NeuroQoL). The three newly identified disease groups were as follows:\nCluster 1: few symptoms (most commonly\nheadache\n) who received few therapeutic interventions\nCluster 2: many symptoms including anxiety and depression who received several treatments, including\nantidepressants\nto\npsychological therapy\nCluster 3: primarily pulmonary symptoms such as shortness of breath; many patients also complained of headache and cognitive symptoms, and mostly received physical therapy\nThe most severely affected patients (symptom Cluster 2) had higher rates of disability and worse measures of anxiety, depression, fatigue, and sleep disorders. All patients whose treatment included psychiatric therapies reported symptom improvement, compared to 97 percent who received primarily physical or occupational therapy, and 83 percent who received few interventions.\nThe Brookings Institution estimated in August 2022 that roughly 16 million working-age Americans (aged 18 to 65) have long COVID, out of which 2 to 4 million are out of work due to long COVID.\nAlong with Dr. Frontera, authors of the\nJournal of the Neurological Sciences\nstudy from the Department of Neurology at NYU Langone Health were\nSakinah B. Sabadia\n,\nAriane Lewis\n,\nAaron S. Lord\n,\nKara R. Melmed\n,\nSujata P. Thawani\n,\nLaura J. Balcer\n,\nThomas M. Wisniewski\n, and\nSteven L. Galetta\n. Also authors were Dixon Yang of the Department of Neurology at NewYork-Presbyterian, Columbia Medical Center; Adam de Havenon in the Department of Neurology at Yale University School of Medicine; and Shadi Yaghi in the Department of Neurology at Brown University School of Medicine.\nMedia Inquiries\nGreg Williams\nPhone: 212-404-3500\ngregory.williams@nyulangone.org\n(link sends email)","attrs_markdown":"- We use cookies and similar tools to give you the best website experience. 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[Facebook](https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A\/\/nyulangone.org\/news\/severely-stressful-events-worsen-symptoms-long-covid&quote=Severely%20Stressful%20Events%20Worsen%20Symptoms%20of%20Long%20COVID \"Facebook, \")\n\n## In this article\n### Our Experts\n- [Jennifer A. Frontera, MD](https:\/\/nyulangone.org\/doctors\/1669420550\/jennifer-a-frontera)\n- [Sakinah B. Sabadia, MD](https:\/\/nyulangone.org\/doctors\/1578919122\/sakinah-b-sabadia)\n- [Ariane Lewis, MD](https:\/\/nyulangone.org\/doctors\/1700046075\/ariane-lewis)\n- [Aaron S. Lord, MD](https:\/\/nyulangone.org\/doctors\/1477759058\/aaron-s-lord)\n- [Kara R. Melmed, MD](https:\/\/nyulangone.org\/doctors\/1013354745\/kara-r-melmed)\n- [Sujata P. Thawani, MD, MPH](https:\/\/nyulangone.org\/doctors\/1043549108\/sujata-p-thawani)\n- [Laura J. Balcer, MD](https:\/\/nyulangone.org\/doctors\/1902838121\/laura-j-balcer)\n- [Thomas M. Wisniewski, MD](https:\/\/nyulangone.org\/doctors\/1033103759\/thomas-m-wisniewski)\n- [Steven L. Galetta, MD](https:\/\/nyulangone.org\/doctors\/1326072091\/steven-l-galetta)\n\n### Care & Services\n[Neurology](https:\/\/nyulangone.org\/care-services\/neurology)\n\n### Departments & Institutes\n- [Department of Neurology](https:\/\/med.nyu.edu\/departments-institutes\/neurology\/neurology)\n\n### Education & Research\n- [Research](https:\/\/med.nyu.edu\/research)\n\n### Need help finding a doctor?\n[Search all doctors](https:\/\/nyulangone.org\/doctors) or call 844-698-7243.\n\n**T**he death of a loved one, financial or food insecurity, or a newly developed disability were some of the strongest predictors of whether a patient hospitalized for COVID-19 would experience symptoms of long COVID a year later, a new study finds.\n\nLed by researchers from NYU Grossman School of Medicine, the study found that adult patients with such “major life stressors”—present in more than 50 percent of those followed—were at least twice as likely to struggle with depression, brain fog, fatigue, sleep problems, and other long-term COVID-19 symptoms.\n\n[Published online this week in the *Journal of the Neurological Sciences*](https:\/\/doi.org\/10.1016\/j.jns.2022.120487), the analysis also confirmed the contribution of traditional factors to greater long COVID risk as shown by past studies—older age, disability level to start with, and a more severe initial case of COVID-19.\n\n“Our study is unique in that it explores the impact of life stressors—along with demographic trends and neurologic events—as predictors of long-term cognitive and functional disabilities that affected quality of life in a large population,” says lead study author [Jennifer A. Frontera, MD](https:\/\/nyulangone.org\/doctors\/1669420550\/jennifer-a-frontera), professor in the [Department of Neurology](https:\/\/med.nyu.edu\/departments-institutes\/neurology) at NYU Langone Health. “Therapies that lessen the trauma of the most stress-inducing life events need to be a central part of treatment for long COVID, with more research needed to validate the best approaches.”\n\nThe research used standard telephone survey tools in the field—the modified Rankin Scale (mRS), the Barthel Index, the Montreal Cognitive Assessment (t-MoCA), and the National Institutes of Health (NIH)\/Patient-Reported Outcomes Measurement Information System (PROMIS) Neurological Quality Of Life (NeuroQoL) batteries—to measure level of daily function, clear thinking (cognition), [anxiety](https:\/\/nyulangone.org\/conditions\/anxiety-disorders), [depression](https:\/\/nyulangone.org\/conditions\/depression), fatigue, and sleep quality. The team attempted to follow up with each of 790 patients 6 months and a year after COVID-19 hospitalization within NYU Langone Health between March 10, 2020, and May 20, 2020.\n\nOf these surviving patients, 451 (57 percent) completed a 6-month and\/or 12-month follow-up, and, of them, 17 percent died between discharge and 12-month follow-up and 51 percent reported significant life stressors at 12 months.\n\nIn analyses that compared factors against each other for their contribution to worse outcomes, life stressors including financial insecurity, food insecurity, death of a close contact, and new disability were the strongest independent predictors of prolonged COVID-19 symptoms. These same stressors also best predicted worse functional status, depression, fatigue, sleep scores, and reduced ability to participate in activities of daily living such as feeding, dressing, and bathing.\n\nGender was also a contributor, as past studies have found that women are more susceptible in general to, for instance, autoimmune diseases that could have an impact on outcomes. Additionally, undiagnosed mood disorders may have been unmasked by pandemic-related stressors.\n\n## Neurologic Long COVID May Include More Than One Condition\nA second study led by Dr. Frontera and colleagues, and [published online September 29, 2022, in *PLOS ONE*](https:\/\/doi.org\/10.1371\/journal.pone.0275274), found that patients diagnosed as having long COVID neurologic problems can be divided into three symptom groups.\n\nBecause there is no current biological definition long COVID, many studies lump disparate symptoms into what is currently a blanket diagnosis, and without an assessment of clinical relevance, says Dr. Frontera. The resulting vagueness has made it “difficult to assess treatment strategies.”\n\nFor the *PLOS One* study, the research team collected data on symptoms, treatments received, and outcomes for 12 months after hospitalization with COVID-19, with treatment success measured again by standard metrics (modified Rankin Scale, Barthel Index, NIH NeuroQoL). The three newly identified disease groups were as follows:\n\n- Cluster 1: few symptoms (most commonly [headache](https:\/\/nyulangone.org\/conditions\/headache)) who received few therapeutic interventions\n- Cluster 2: many symptoms including anxiety and depression who received several treatments, including [antidepressants](https:\/\/nyulangone.org\/conditions\/depression\/treatments\/medication-for-depression) to [psychological therapy](https:\/\/nyulangone.org\/conditions\/depression\/treatments\/therapy-for-depression)\n- Cluster 3: primarily pulmonary symptoms such as shortness of breath; many patients also complained of headache and cognitive symptoms, and mostly received physical therapy\n\nThe most severely affected patients (symptom Cluster 2) had higher rates of disability and worse measures of anxiety, depression, fatigue, and sleep disorders. All patients whose treatment included psychiatric therapies reported symptom improvement, compared to 97 percent who received primarily physical or occupational therapy, and 83 percent who received few interventions.\n\nThe Brookings Institution estimated in August 2022 that roughly 16 million working-age Americans (aged 18 to 65) have long COVID, out of which 2 to 4 million are out of work due to long COVID.\n\nAlong with Dr. Frontera, authors of the *Journal of the Neurological Sciences* study from the Department of Neurology at NYU Langone Health were [Sakinah B. Sabadia](https:\/\/nyulangone.org\/doctors\/1578919122\/sakinah-b-sabadia), [Ariane Lewis](https:\/\/nyulangone.org\/doctors\/1700046075\/ariane-lewis), [Aaron S. Lord](https:\/\/nyulangone.org\/doctors\/1477759058\/aaron-s-lord), [Kara R. Melmed](https:\/\/nyulangone.org\/doctors\/1013354745\/kara-r-melmed), [Sujata P. Thawani](https:\/\/nyulangone.org\/doctors\/1043549108\/sujata-p-thawani), [Laura J. Balcer](https:\/\/nyulangone.org\/doctors\/1902838121\/laura-j-balcer), [Thomas M. Wisniewski](https:\/\/nyulangone.org\/doctors\/1033103759\/thomas-m-wisniewski), and [Steven L. Galetta](https:\/\/nyulangone.org\/doctors\/1326072091\/steven-l-galetta). Also authors were Dixon Yang of the Department of Neurology at NewYork-Presbyterian, Columbia Medical Center; Adam de Havenon in the Department of Neurology at Yale University School of Medicine; and Shadi Yaghi in the Department of Neurology at Brown University School of Medicine.\n\n### Media Inquiries\nGreg Williams  \n Phone: 212-404-3500  \n [gregory.williams@nyulangone.org](mailto:gregory.williams@nyulangone.org)\n\n***\n## Related Articles\n- ![\"\"](https:\/\/nyulangone.org\/news\/sites\/default\/files\/styles\/listing\/public\/2026-02\/alzheimer-disease-scan.jpg?itok=DVyI-fCu)\n  [Research](https:\/\/nyulangone.org\/news\/research), [Innovation](https:\/\/nyulangone.org\/news\/innovation), [Press Releases](https:\/\/nyulangone.org\/news\/press-releases)\n  ## [Long COVID Linked to Alzheimer’s Disease Mechanisms](https:\/\/nyulangone.org\/news\/long-covid-linked-alzheimers-disease-mechanisms)\n  ### Patients with long COVID have higher levels of blood markers.\n  February 10, 2026\n- ![Dr. Oermann and Dr. He look at a drawing of the brain on a monitor. ](https:\/\/nyulangone.org\/news\/sites\/default\/files\/styles\/listing\/public\/2025-06\/1500x1000_Amengual%2CD-020823-PhysicianFocus-022-%282%29.jpg?itok=1yFojX9w)\n  [Research](https:\/\/nyulangone.org\/news\/research), [Press Releases](https:\/\/nyulangone.org\/news\/press-releases), [Artificial Intelligence](https:\/\/nyulangone.org\/news\/artificial-intelligence)\n  ## [Researchers Find Brain Mechanism Behind ‘Flashes of Intuition’](https:\/\/nyulangone.org\/news\/researchers-find-brain-mechanism-behind-flashes-intuition)\n  ### NYU Langone Health researchers have a better understanding of the type of memory known to go awry in those who have schizophrenia.\n  February 4, 2026\n\nWe can help you find a doctor.  Call [646-929-7800](tel:646-929-7800) or  \n [browse our specialists](https:\/\/nyulangone.org\/doctors).\n\n## Explore NYU Langone\nPatient Care\n\nExpand menu\n\n- [Conditions We Treat](https:\/\/nyulangone.org\/conditions)\n- [Locations](https:\/\/nyulangone.org\/locations)\n- [Emergency Care](https:\/\/nyulangone.org\/care-services\/emergency-care)\n- [Virtual Urgent Care](https:\/\/nyulangone.org\/care-services\/virtual-urgent-care)\n- [Insurance & Billing](https:\/\/nyulangone.org\/insurance-billing-financial-assistance)\n\nAbout Us\n\nExpand menu\n\n- [Our Story](https:\/\/nyulangone.org\/our-story)\n- [Jobs . Opens in a new tab](https:\/\/jobs.nyulangone.org\/)\n- [Vendor & Supplier Information](https:\/\/nyulangone.org\/vendor-supplier-information)\n- [Contact Us](https:\/\/nyulangone.org\/contact-us)\n\nHow to Help\n\nExpand menu\n\n- [Give . 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)](https:\/\/nyulangone.org\/)\n\n- © 2026 NYU Langone Hospitals\n- [Price Transparency](https:\/\/med.nyu.edu\/standard-charges\/)\n- [Policies & Disclaimers](https:\/\/nyulangone.org\/policies-disclaimers)\n- [Public Notices](https:\/\/nyulangone.org\/public-notices)\n- [Websites Privacy Policy](https:\/\/nyulangone.org\/policies-disclaimers\/websites-privacy-policy)\n- [Accessibility](https:\/\/nyulangone.org\/policies-disclaimers\/accessibility)\n- Accessibility Help Line:  [855-698-9991](tel:855-698-9991)\n\nCurrent site Current page\n\n[Close](https:\/\/nyulangone.org\/news\/severely-stressful-events-worsen-symptoms-long-covid)","attrs_readable_markdown":"**T**he death of a loved one, financial or food insecurity, or a newly developed disability were some of the strongest predictors of whether a patient hospitalized for COVID-19 would experience symptoms of long COVID a year later, a new study finds.\n\nLed by researchers from NYU Grossman School of Medicine, the study found that adult patients with such “major life stressors”—present in more than 50 percent of those followed—were at least twice as likely to struggle with depression, brain fog, fatigue, sleep problems, and other long-term COVID-19 symptoms.\n\n[Published online this week in the *Journal of the Neurological Sciences*](https:\/\/doi.org\/10.1016\/j.jns.2022.120487), the analysis also confirmed the contribution of traditional factors to greater long COVID risk as shown by past studies—older age, disability level to start with, and a more severe initial case of COVID-19.\n\n“Our study is unique in that it explores the impact of life stressors—along with demographic trends and neurologic events—as predictors of long-term cognitive and functional disabilities that affected quality of life in a large population,” says lead study author [Jennifer A. Frontera, MD](https:\/\/nyulangone.org\/doctors\/1669420550\/jennifer-a-frontera), professor in the [Department of Neurology](https:\/\/med.nyu.edu\/departments-institutes\/neurology) at NYU Langone Health. “Therapies that lessen the trauma of the most stress-inducing life events need to be a central part of treatment for long COVID, with more research needed to validate the best approaches.”\n\nThe research used standard telephone survey tools in the field—the modified Rankin Scale (mRS), the Barthel Index, the Montreal Cognitive Assessment (t-MoCA), and the National Institutes of Health (NIH)\/Patient-Reported Outcomes Measurement Information System (PROMIS) Neurological Quality Of Life (NeuroQoL) batteries—to measure level of daily function, clear thinking (cognition), [anxiety](https:\/\/nyulangone.org\/conditions\/anxiety-disorders), [depression](https:\/\/nyulangone.org\/conditions\/depression), fatigue, and sleep quality. The team attempted to follow up with each of 790 patients 6 months and a year after COVID-19 hospitalization within NYU Langone Health between March 10, 2020, and May 20, 2020.\n\nOf these surviving patients, 451 (57 percent) completed a 6-month and\/or 12-month follow-up, and, of them, 17 percent died between discharge and 12-month follow-up and 51 percent reported significant life stressors at 12 months.\n\nIn analyses that compared factors against each other for their contribution to worse outcomes, life stressors including financial insecurity, food insecurity, death of a close contact, and new disability were the strongest independent predictors of prolonged COVID-19 symptoms. These same stressors also best predicted worse functional status, depression, fatigue, sleep scores, and reduced ability to participate in activities of daily living such as feeding, dressing, and bathing.\n\nGender was also a contributor, as past studies have found that women are more susceptible in general to, for instance, autoimmune diseases that could have an impact on outcomes. Additionally, undiagnosed mood disorders may have been unmasked by pandemic-related stressors.\n\n## Neurologic Long COVID May Include More Than One Condition\nA second study led by Dr. Frontera and colleagues, and [published online September 29, 2022, in *PLOS ONE*](https:\/\/doi.org\/10.1371\/journal.pone.0275274), found that patients diagnosed as having long COVID neurologic problems can be divided into three symptom groups.\n\nBecause there is no current biological definition long COVID, many studies lump disparate symptoms into what is currently a blanket diagnosis, and without an assessment of clinical relevance, says Dr. Frontera. The resulting vagueness has made it “difficult to assess treatment strategies.”\n\nFor the *PLOS One* study, the research team collected data on symptoms, treatments received, and outcomes for 12 months after hospitalization with COVID-19, with treatment success measured again by standard metrics (modified Rankin Scale, Barthel Index, NIH NeuroQoL). The three newly identified disease groups were as follows:\n\n- Cluster 1: few symptoms (most commonly [headache](https:\/\/nyulangone.org\/conditions\/headache)) who received few therapeutic interventions\n- Cluster 2: many symptoms including anxiety and depression who received several treatments, including [antidepressants](https:\/\/nyulangone.org\/conditions\/depression\/treatments\/medication-for-depression) to [psychological therapy](https:\/\/nyulangone.org\/conditions\/depression\/treatments\/therapy-for-depression)\n- Cluster 3: primarily pulmonary symptoms such as shortness of breath; many patients also complained of headache and cognitive symptoms, and mostly received physical therapy\n\nThe most severely affected patients (symptom Cluster 2) had higher rates of disability and worse measures of anxiety, depression, fatigue, and sleep disorders. All patients whose treatment included psychiatric therapies reported symptom improvement, compared to 97 percent who received primarily physical or occupational therapy, and 83 percent who received few interventions.\n\nThe Brookings Institution estimated in August 2022 that roughly 16 million working-age Americans (aged 18 to 65) have long COVID, out of which 2 to 4 million are out of work due to long COVID.\n\nAlong with Dr. Frontera, authors of the *Journal of the Neurological Sciences* study from the Department of Neurology at NYU Langone Health were [Sakinah B. Sabadia](https:\/\/nyulangone.org\/doctors\/1578919122\/sakinah-b-sabadia), [Ariane Lewis](https:\/\/nyulangone.org\/doctors\/1700046075\/ariane-lewis), [Aaron S. Lord](https:\/\/nyulangone.org\/doctors\/1477759058\/aaron-s-lord), [Kara R. Melmed](https:\/\/nyulangone.org\/doctors\/1013354745\/kara-r-melmed), [Sujata P. Thawani](https:\/\/nyulangone.org\/doctors\/1043549108\/sujata-p-thawani), [Laura J. Balcer](https:\/\/nyulangone.org\/doctors\/1902838121\/laura-j-balcer), [Thomas M. Wisniewski](https:\/\/nyulangone.org\/doctors\/1033103759\/thomas-m-wisniewski), and [Steven L. Galetta](https:\/\/nyulangone.org\/doctors\/1326072091\/steven-l-galetta). Also authors were Dixon Yang of the Department of Neurology at NewYork-Presbyterian, Columbia Medical Center; Adam de Havenon in the Department of Neurology at Yale University School of Medicine; and Shadi Yaghi in the Department of Neurology at Brown University School of Medicine.\n\n### Media Inquiries\nGreg Williams  \n Phone: 212-404-3500  \n [gregory.williams@nyulangone.org](mailto:gregory.williams@nyulangone.org)","meta_canonical":null}

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URL	https://nyulangone.org/news/severely-stressful-events-worsen-symptoms-long-covid
Last Crawled	2026-04-10 13:02:18 (8 days ago)
First Indexed	2022-11-09 18:42:51 (3 years ago)
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Meta Title	Severely Stressful Events Worsen Symptoms of Long COVID \| NYU Langone News
Meta Description	NYU Langone study reveals stressful life events as a predictor of whether patients go on to develop long COVID. Learn more.
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Boilerpipe Text	T he death of a loved one, financial or food insecurity, or a newly developed disability were some of the strongest predictors of whether a patient hospitalized for COVID-19 would experience symptoms of long COVID a year later, a new study finds. Led by researchers from NYU Grossman School of Medicine, the study found that adult patients with such “major life stressors”—present in more than 50 percent of those followed—were at least twice as likely to struggle with depression, brain fog, fatigue, sleep problems, and other long-term COVID-19 symptoms. Published online this week in the Journal of the Neurological Sciences (link is external) , the analysis also confirmed the contribution of traditional factors to greater long COVID risk as shown by past studies—older age, disability level to start with, and a more severe initial case of COVID-19. “Our study is unique in that it explores the impact of life stressors—along with demographic trends and neurologic events—as predictors of long-term cognitive and functional disabilities that affected quality of life in a large population,” says lead study author Jennifer A. Frontera, MD , professor in the Department of Neurology (link is external) at NYU Langone Health. “Therapies that lessen the trauma of the most stress-inducing life events need to be a central part of treatment for long COVID, with more research needed to validate the best approaches.” The research used standard telephone survey tools in the field—the modified Rankin Scale (mRS), the Barthel Index, the Montreal Cognitive Assessment (t-MoCA), and the National Institutes of Health (NIH)/Patient-Reported Outcomes Measurement Information System (PROMIS) Neurological Quality Of Life (NeuroQoL) batteries—to measure level of daily function, clear thinking (cognition), anxiety , depression , fatigue, and sleep quality. The team attempted to follow up with each of 790 patients 6 months and a year after COVID-19 hospitalization within NYU Langone Health between March 10, 2020, and May 20, 2020. Of these surviving patients, 451 (57 percent) completed a 6-month and/or 12-month follow-up, and, of them, 17 percent died between discharge and 12-month follow-up and 51 percent reported significant life stressors at 12 months. In analyses that compared factors against each other for their contribution to worse outcomes, life stressors including financial insecurity, food insecurity, death of a close contact, and new disability were the strongest independent predictors of prolonged COVID-19 symptoms. These same stressors also best predicted worse functional status, depression, fatigue, sleep scores, and reduced ability to participate in activities of daily living such as feeding, dressing, and bathing. Gender was also a contributor, as past studies have found that women are more susceptible in general to, for instance, autoimmune diseases that could have an impact on outcomes. Additionally, undiagnosed mood disorders may have been unmasked by pandemic-related stressors. Neurologic Long COVID May Include More Than One Condition A second study led by Dr. Frontera and colleagues, and published online September 29, 2022, in PLOS ONE (link is external) , found that patients diagnosed as having long COVID neurologic problems can be divided into three symptom groups. Because there is no current biological definition long COVID, many studies lump disparate symptoms into what is currently a blanket diagnosis, and without an assessment of clinical relevance, says Dr. Frontera. The resulting vagueness has made it “difficult to assess treatment strategies.” For the PLOS One study, the research team collected data on symptoms, treatments received, and outcomes for 12 months after hospitalization with COVID-19, with treatment success measured again by standard metrics (modified Rankin Scale, Barthel Index, NIH NeuroQoL). The three newly identified disease groups were as follows: Cluster 1: few symptoms (most commonly headache ) who received few therapeutic interventions Cluster 2: many symptoms including anxiety and depression who received several treatments, including antidepressants to psychological therapy Cluster 3: primarily pulmonary symptoms such as shortness of breath; many patients also complained of headache and cognitive symptoms, and mostly received physical therapy The most severely affected patients (symptom Cluster 2) had higher rates of disability and worse measures of anxiety, depression, fatigue, and sleep disorders. All patients whose treatment included psychiatric therapies reported symptom improvement, compared to 97 percent who received primarily physical or occupational therapy, and 83 percent who received few interventions. The Brookings Institution estimated in August 2022 that roughly 16 million working-age Americans (aged 18 to 65) have long COVID, out of which 2 to 4 million are out of work due to long COVID. Along with Dr. Frontera, authors of the Journal of the Neurological Sciences study from the Department of Neurology at NYU Langone Health were Sakinah B. Sabadia , Ariane Lewis , Aaron S. Lord , Kara R. Melmed , Sujata P. Thawani , Laura J. Balcer , Thomas M. Wisniewski , and Steven L. Galetta . Also authors were Dixon Yang of the Department of Neurology at NewYork-Presbyterian, Columbia Medical Center; Adam de Havenon in the Department of Neurology at Yale University School of Medicine; and Shadi Yaghi in the Department of Neurology at Brown University School of Medicine. Media Inquiries Greg Williams Phone: 212-404-3500 gregory.williams@nyulangone.org (link sends email)
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[Jump to site navigation](https://nyulangone.org/news/severely-stressful-events-worsen-symptoms-long-covid#navigation) Filter News by Category - [For Journalists](https://nyulangone.org/news/for-journalists) - [Press Releases](https://nyulangone.org/news/press-releases) - [Patient Care](https://nyulangone.org/news/patient-care) - [Education](https://nyulangone.org/news/education) - [Research](https://nyulangone.org/news/research) - [Artificial Intelligence](https://nyulangone.org/news/artificial-intelligence) - [Translational Medicine](https://nyulangone.org/news/translational-medicine) - [Digital Health](https://nyulangone.org/news/digital-health) - [Leaders in Medicine](https://nyulangone.org/news/leaders-medicine) - [Innovation](https://nyulangone.org/news/innovation) - [Complex Cases](https://nyulangone.org/news/complex-cases) - [Locations](https://nyulangone.org/news/locations) - [In the Media](https://nyulangone.org/news/media) - [Honors & Awards](https://nyulangone.org/news/honors-awards) Search this site [Ask AI](https://nyulangone.org/ai-assistant) [Research](https://nyulangone.org/news/research), [Press Releases](https://nyulangone.org/news/press-releases) \\| November 9, 2022 Severely Stressful Events Worsen Symptoms of Long COVID ![Person Sitting on Steps Wearing Face Mask with Arms up and Fists Resting Next to Their Temples](https://nyulangone.org/news/sites/default/files/styles/hero/public/2022-11/press-release-severely-stressful-events-worsen-symptoms-long-covid.jpg?h=d38411e2&itok=tBFcKD1w) Photo: Twenty47studio/Getty - [Twitter](https://twitter.com/intent/tweet?url=https%3A//nyulangone.org/news/severely-stressful-events-worsen-symptoms-long-covid&text=Severely%20Stressful%20Events%20Worsen%20Symptoms%20of%20Long%20COVID "Twitter, ") - [Facebook](https://www.facebook.com/sharer/sharer.php?u=https%3A//nyulangone.org/news/severely-stressful-events-worsen-symptoms-long-covid&quote=Severely%20Stressful%20Events%20Worsen%20Symptoms%20of%20Long%20COVID "Facebook, ") ## In this article ### Our Experts - [Jennifer A. Frontera, MD](https://nyulangone.org/doctors/1669420550/jennifer-a-frontera) - [Sakinah B. Sabadia, MD](https://nyulangone.org/doctors/1578919122/sakinah-b-sabadia) - [Ariane Lewis, MD](https://nyulangone.org/doctors/1700046075/ariane-lewis) - [Aaron S. Lord, MD](https://nyulangone.org/doctors/1477759058/aaron-s-lord) - [Kara R. Melmed, MD](https://nyulangone.org/doctors/1013354745/kara-r-melmed) - [Sujata P. Thawani, MD, MPH](https://nyulangone.org/doctors/1043549108/sujata-p-thawani) - [Laura J. Balcer, MD](https://nyulangone.org/doctors/1902838121/laura-j-balcer) - [Thomas M. Wisniewski, MD](https://nyulangone.org/doctors/1033103759/thomas-m-wisniewski) - [Steven L. Galetta, MD](https://nyulangone.org/doctors/1326072091/steven-l-galetta) ### Care & Services [Neurology](https://nyulangone.org/care-services/neurology) ### Departments & Institutes - [Department of Neurology](https://med.nyu.edu/departments-institutes/neurology/neurology) ### Education & Research - [Research](https://med.nyu.edu/research) ### Need help finding a doctor? [Search all doctors](https://nyulangone.org/doctors) or call 844-698-7243. The death of a loved one, financial or food insecurity, or a newly developed disability were some of the strongest predictors of whether a patient hospitalized for COVID-19 would experience symptoms of long COVID a year later, a new study finds. Led by researchers from NYU Grossman School of Medicine, the study found that adult patients with such “major life stressors”—present in more than 50 percent of those followed—were at least twice as likely to struggle with depression, brain fog, fatigue, sleep problems, and other long-term COVID-19 symptoms. [Published online this week in the Journal of the Neurological Sciences](https://doi.org/10.1016/j.jns.2022.120487), the analysis also confirmed the contribution of traditional factors to greater long COVID risk as shown by past studies—older age, disability level to start with, and a more severe initial case of COVID-19. “Our study is unique in that it explores the impact of life stressors—along with demographic trends and neurologic events—as predictors of long-term cognitive and functional disabilities that affected quality of life in a large population,” says lead study author [Jennifer A. Frontera, MD](https://nyulangone.org/doctors/1669420550/jennifer-a-frontera), professor in the [Department of Neurology](https://med.nyu.edu/departments-institutes/neurology) at NYU Langone Health. “Therapies that lessen the trauma of the most stress-inducing life events need to be a central part of treatment for long COVID, with more research needed to validate the best approaches.” The research used standard telephone survey tools in the field—the modified Rankin Scale (mRS), the Barthel Index, the Montreal Cognitive Assessment (t-MoCA), and the National Institutes of Health (NIH)/Patient-Reported Outcomes Measurement Information System (PROMIS) Neurological Quality Of Life (NeuroQoL) batteries—to measure level of daily function, clear thinking (cognition), [anxiety](https://nyulangone.org/conditions/anxiety-disorders), [depression](https://nyulangone.org/conditions/depression), fatigue, and sleep quality. The team attempted to follow up with each of 790 patients 6 months and a year after COVID-19 hospitalization within NYU Langone Health between March 10, 2020, and May 20, 2020. Of these surviving patients, 451 (57 percent) completed a 6-month and/or 12-month follow-up, and, of them, 17 percent died between discharge and 12-month follow-up and 51 percent reported significant life stressors at 12 months. In analyses that compared factors against each other for their contribution to worse outcomes, life stressors including financial insecurity, food insecurity, death of a close contact, and new disability were the strongest independent predictors of prolonged COVID-19 symptoms. These same stressors also best predicted worse functional status, depression, fatigue, sleep scores, and reduced ability to participate in activities of daily living such as feeding, dressing, and bathing. Gender was also a contributor, as past studies have found that women are more susceptible in general to, for instance, autoimmune diseases that could have an impact on outcomes. Additionally, undiagnosed mood disorders may have been unmasked by pandemic-related stressors. ## Neurologic Long COVID May Include More Than One Condition A second study led by Dr. Frontera and colleagues, and [published online September 29, 2022, in PLOS ONE](https://doi.org/10.1371/journal.pone.0275274), found that patients diagnosed as having long COVID neurologic problems can be divided into three symptom groups. Because there is no current biological definition long COVID, many studies lump disparate symptoms into what is currently a blanket diagnosis, and without an assessment of clinical relevance, says Dr. Frontera. The resulting vagueness has made it “difficult to assess treatment strategies.” For the PLOS One study, the research team collected data on symptoms, treatments received, and outcomes for 12 months after hospitalization with COVID-19, with treatment success measured again by standard metrics (modified Rankin Scale, Barthel Index, NIH NeuroQoL). The three newly identified disease groups were as follows: - Cluster 1: few symptoms (most commonly [headache](https://nyulangone.org/conditions/headache)) who received few therapeutic interventions - Cluster 2: many symptoms including anxiety and depression who received several treatments, including [antidepressants](https://nyulangone.org/conditions/depression/treatments/medication-for-depression) to [psychological therapy](https://nyulangone.org/conditions/depression/treatments/therapy-for-depression) - Cluster 3: primarily pulmonary symptoms such as shortness of breath; many patients also complained of headache and cognitive symptoms, and mostly received physical therapy The most severely affected patients (symptom Cluster 2) had higher rates of disability and worse measures of anxiety, depression, fatigue, and sleep disorders. All patients whose treatment included psychiatric therapies reported symptom improvement, compared to 97 percent who received primarily physical or occupational therapy, and 83 percent who received few interventions. The Brookings Institution estimated in August 2022 that roughly 16 million working-age Americans (aged 18 to 65) have long COVID, out of which 2 to 4 million are out of work due to long COVID. Along with Dr. Frontera, authors of the Journal of the Neurological Sciences study from the Department of Neurology at NYU Langone Health were [Sakinah B. Sabadia](https://nyulangone.org/doctors/1578919122/sakinah-b-sabadia), [Ariane Lewis](https://nyulangone.org/doctors/1700046075/ariane-lewis), [Aaron S. Lord](https://nyulangone.org/doctors/1477759058/aaron-s-lord), [Kara R. Melmed](https://nyulangone.org/doctors/1013354745/kara-r-melmed), [Sujata P. Thawani](https://nyulangone.org/doctors/1043549108/sujata-p-thawani), [Laura J. Balcer](https://nyulangone.org/doctors/1902838121/laura-j-balcer), [Thomas M. Wisniewski](https://nyulangone.org/doctors/1033103759/thomas-m-wisniewski), and [Steven L. Galetta](https://nyulangone.org/doctors/1326072091/steven-l-galetta). Also authors were Dixon Yang of the Department of Neurology at NewYork-Presbyterian, Columbia Medical Center; Adam de Havenon in the Department of Neurology at Yale University School of Medicine; and Shadi Yaghi in the Department of Neurology at Brown University School of Medicine. ### Media Inquiries Greg Williams Phone: 212-404-3500 [gregory.williams@nyulangone.org](mailto:gregory.williams@nyulangone.org) *** ## Related Articles - ![""](https://nyulangone.org/news/sites/default/files/styles/listing/public/2026-02/alzheimer-disease-scan.jpg?itok=DVyI-fCu) [Research](https://nyulangone.org/news/research), [Innovation](https://nyulangone.org/news/innovation), [Press Releases](https://nyulangone.org/news/press-releases) ## [Long COVID Linked to Alzheimer’s Disease Mechanisms](https://nyulangone.org/news/long-covid-linked-alzheimers-disease-mechanisms) ### Patients with long COVID have higher levels of blood markers. February 10, 2026 - ![Dr. Oermann and Dr. He look at a drawing of the brain on a monitor. ](https://nyulangone.org/news/sites/default/files/styles/listing/public/2025-06/1500x1000_Amengual%2CD-020823-PhysicianFocus-022-%282%29.jpg?itok=1yFojX9w) [Research](https://nyulangone.org/news/research), [Press Releases](https://nyulangone.org/news/press-releases), [Artificial Intelligence](https://nyulangone.org/news/artificial-intelligence) ## [Researchers Find Brain Mechanism Behind ‘Flashes of Intuition’](https://nyulangone.org/news/researchers-find-brain-mechanism-behind-flashes-intuition) ### NYU Langone Health researchers have a better understanding of the type of memory known to go awry in those who have schizophrenia. February 4, 2026 We can help you find a doctor. Call [646-929-7800](tel:646-929-7800) or [browse our specialists](https://nyulangone.org/doctors). ## Explore NYU Langone Patient Care Expand menu - [Conditions We Treat](https://nyulangone.org/conditions) - [Locations](https://nyulangone.org/locations) - [Emergency Care](https://nyulangone.org/care-services/emergency-care) - [Virtual Urgent Care](https://nyulangone.org/care-services/virtual-urgent-care) - [Insurance & Billing](https://nyulangone.org/insurance-billing-financial-assistance) About Us Expand menu - [Our Story](https://nyulangone.org/our-story) - [Jobs . Opens in a new tab](https://jobs.nyulangone.org/) - [Vendor & Supplier Information](https://nyulangone.org/vendor-supplier-information) - [Contact Us](https://nyulangone.org/contact-us) How to Help Expand menu - [Give . 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Readable Markdown	The death of a loved one, financial or food insecurity, or a newly developed disability were some of the strongest predictors of whether a patient hospitalized for COVID-19 would experience symptoms of long COVID a year later, a new study finds. Led by researchers from NYU Grossman School of Medicine, the study found that adult patients with such “major life stressors”—present in more than 50 percent of those followed—were at least twice as likely to struggle with depression, brain fog, fatigue, sleep problems, and other long-term COVID-19 symptoms. [Published online this week in the Journal of the Neurological Sciences](https://doi.org/10.1016/j.jns.2022.120487), the analysis also confirmed the contribution of traditional factors to greater long COVID risk as shown by past studies—older age, disability level to start with, and a more severe initial case of COVID-19. “Our study is unique in that it explores the impact of life stressors—along with demographic trends and neurologic events—as predictors of long-term cognitive and functional disabilities that affected quality of life in a large population,” says lead study author [Jennifer A. Frontera, MD](https://nyulangone.org/doctors/1669420550/jennifer-a-frontera), professor in the [Department of Neurology](https://med.nyu.edu/departments-institutes/neurology) at NYU Langone Health. “Therapies that lessen the trauma of the most stress-inducing life events need to be a central part of treatment for long COVID, with more research needed to validate the best approaches.” The research used standard telephone survey tools in the field—the modified Rankin Scale (mRS), the Barthel Index, the Montreal Cognitive Assessment (t-MoCA), and the National Institutes of Health (NIH)/Patient-Reported Outcomes Measurement Information System (PROMIS) Neurological Quality Of Life (NeuroQoL) batteries—to measure level of daily function, clear thinking (cognition), [anxiety](https://nyulangone.org/conditions/anxiety-disorders), [depression](https://nyulangone.org/conditions/depression), fatigue, and sleep quality. The team attempted to follow up with each of 790 patients 6 months and a year after COVID-19 hospitalization within NYU Langone Health between March 10, 2020, and May 20, 2020. Of these surviving patients, 451 (57 percent) completed a 6-month and/or 12-month follow-up, and, of them, 17 percent died between discharge and 12-month follow-up and 51 percent reported significant life stressors at 12 months. In analyses that compared factors against each other for their contribution to worse outcomes, life stressors including financial insecurity, food insecurity, death of a close contact, and new disability were the strongest independent predictors of prolonged COVID-19 symptoms. These same stressors also best predicted worse functional status, depression, fatigue, sleep scores, and reduced ability to participate in activities of daily living such as feeding, dressing, and bathing. Gender was also a contributor, as past studies have found that women are more susceptible in general to, for instance, autoimmune diseases that could have an impact on outcomes. Additionally, undiagnosed mood disorders may have been unmasked by pandemic-related stressors. ## Neurologic Long COVID May Include More Than One Condition A second study led by Dr. Frontera and colleagues, and [published online September 29, 2022, in PLOS ONE](https://doi.org/10.1371/journal.pone.0275274), found that patients diagnosed as having long COVID neurologic problems can be divided into three symptom groups. Because there is no current biological definition long COVID, many studies lump disparate symptoms into what is currently a blanket diagnosis, and without an assessment of clinical relevance, says Dr. Frontera. The resulting vagueness has made it “difficult to assess treatment strategies.” For the PLOS One study, the research team collected data on symptoms, treatments received, and outcomes for 12 months after hospitalization with COVID-19, with treatment success measured again by standard metrics (modified Rankin Scale, Barthel Index, NIH NeuroQoL). The three newly identified disease groups were as follows: - Cluster 1: few symptoms (most commonly [headache](https://nyulangone.org/conditions/headache)) who received few therapeutic interventions - Cluster 2: many symptoms including anxiety and depression who received several treatments, including [antidepressants](https://nyulangone.org/conditions/depression/treatments/medication-for-depression) to [psychological therapy](https://nyulangone.org/conditions/depression/treatments/therapy-for-depression) - Cluster 3: primarily pulmonary symptoms such as shortness of breath; many patients also complained of headache and cognitive symptoms, and mostly received physical therapy The most severely affected patients (symptom Cluster 2) had higher rates of disability and worse measures of anxiety, depression, fatigue, and sleep disorders. All patients whose treatment included psychiatric therapies reported symptom improvement, compared to 97 percent who received primarily physical or occupational therapy, and 83 percent who received few interventions. The Brookings Institution estimated in August 2022 that roughly 16 million working-age Americans (aged 18 to 65) have long COVID, out of which 2 to 4 million are out of work due to long COVID. Along with Dr. Frontera, authors of the Journal of the Neurological Sciences study from the Department of Neurology at NYU Langone Health were [Sakinah B. Sabadia](https://nyulangone.org/doctors/1578919122/sakinah-b-sabadia), [Ariane Lewis](https://nyulangone.org/doctors/1700046075/ariane-lewis), [Aaron S. Lord](https://nyulangone.org/doctors/1477759058/aaron-s-lord), [Kara R. Melmed](https://nyulangone.org/doctors/1013354745/kara-r-melmed), [Sujata P. Thawani](https://nyulangone.org/doctors/1043549108/sujata-p-thawani), [Laura J. Balcer](https://nyulangone.org/doctors/1902838121/laura-j-balcer), [Thomas M. Wisniewski](https://nyulangone.org/doctors/1033103759/thomas-m-wisniewski), and [Steven L. Galetta](https://nyulangone.org/doctors/1326072091/steven-l-galetta). Also authors were Dixon Yang of the Department of Neurology at NewYork-Presbyterian, Columbia Medical Center; Adam de Havenon in the Department of Neurology at Yale University School of Medicine; and Shadi Yaghi in the Department of Neurology at Brown University School of Medicine. ### Media Inquiries Greg Williams Phone: 212-404-3500 [gregory.williams@nyulangone.org](mailto:gregory.williams@nyulangone.org)
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