Kupferschmitt, Alexa Alica and Determeyer, Nina and Hasenbring, Monika and Langheim, Eike and Koellner, Volker (2025) Einfluss dysfunktionaler Schon- und Durchhaltemuster auf die Aufrechterhaltung von Post-COVID Fatigue? Eine Pilotstudie = Do dysfunctional patterns of avoidance and endurance play a role in the maintenance of post-COVID fatigue?: A pilot-study. PSYCHOTHERAPIE PSYCHOSOMATIK MEDIZINISCHE PSYCHOLOGIE, 75 (03/04). pp. 112-121. ISSN 0937-2032, 1439-1058
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Background Following a SARS-CoV-2 infection, around 10% of patients develop post-COVID symptoms, with fatigue being one of the most common symptoms. This leads to a considerable reduction in quality of life and a high level of absenteeism from work. In the chronification of pain, dysfunctional patterns in the sense of the avoidance/endurance concept are relevant and clinical experience with PCS patients shows that these could also play a role here. Research question The explorative observational study tests the assumption that maladaptive fear-avoidance reactions or endurance reactions have a significant influence on the maintenance of post-COVID fatigue symptoms. Methods In N=97 patients with post-COVID fatigue symptoms from a rehabilitation facility, fatigue (FSMC), avoidance-endurance behaviour (AEQ) and psychological and work-related variables were recorded using self-report questionnaires, and a 6-minute walking test was also carried out. Results The following distribution pattern emerged: 2/3 distress perseveration, 1/3 avoidance and no adequate copers. The anxiety-avoidance response pattern was able to explain significant variance in the expression of fatigue (F (3, 88)=17,072, p<0,001; R-2=0,368). The avoidance of physical activity is associated with an increased number of sick days. Conclusions The results support the assumption that maladaptive response patterns contribute to the chronification of post-COVID symptoms. In view of this chronified sample, this speaks in favour of the importance of these constructs. Screening could be used to filter these out in advance and implement more targeted, individually tailored therapies.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | FEAR-AVOIDANCE; MUSCULOSKELETAL PAIN; VALIDATION; INSTRUMENT; RESPONSES; post-COVID-19 syndrome; avoidance-endurance model; coping styles; dysfunctional endurance; anxious avoidance; post-COVID-19 syndrome; avoidance-endurance model; coping styles; dysfunctional endurance; anxious avoidance |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Psychosomatische Medizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 11 Aug 2026 05:26 |
| Last Modified: | 11 Aug 2026 05:26 |
| URI: | https://pred.uni-regensburg.de/id/eprint/66635 |
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