Uniwersyteckie Czasopisma NaukoweHope of success and fear of failure in post-COVID patients
Słowa kluczowe:
post-COVID, long COVID, achievement motives, hope of success, fear of failureAbstrakt
Background:
Post-COVID syndrome (PCS) affects mental health, but knowledge of PCS remains limited. Investigating key motives, such as personal achievement, might help in understanding the behavior of patients with PCS. This study examined the associations between hope of success (HS) and fear of failure (FF) and health indicators in a PCS sample.
Participants and procedure:
In total, 332 patients completed questionnaires of PCS symptom severity (PCS-S), post-exertional malaise (PEM), fatigue (Fatigue Severity Scale, FSS), depression (Patient Health Questionnaire, PHQ-9), and anxiety (Generalized Anxiety Disorder Scale, GAD-7), as well as HS and FF. Correlations among these constructs and multiple linear regression analysis with PCS-S as a dependent variable were examined. A two-step cluster analysis identified clusters based on HS and FF scores, which were compared with each other.
Results:
The strength of the correlations between increased HS and elevated levels of depression and anxiety was moderate, while the correlations of strength with higher fatigue and PEM were weak. In the linear regression model, high HS was associated with lower PCS-S levels. Clusters with high HS tended to show more symptoms of depression and anxiety. The cluster with both high HS and FF exhibited the highest levels of these symptoms.
Conclusions:
HS appeared to be a relevant achievement motive for mental health impairment of PCS patients. Clusters demonstrated differing effects of combinations of HS and FF on health. To understand the underlying mechanisms, further research is necessary.
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Bibliografia
An, Y., Guo, Z., Fan, J., Luo, T., Xu, H., Li, H., & Wu, X. (2024). Prevalence and measurement of post-exertional malaise in post-acute COVID-19 syndrome: a systematic review and meta-analysis. General Hospital Psychiatry, 91, 130–142. https://doi.org/10.1016/j.genhosppsych.2024.10.011
Bahmer, T., Borzikowsky, C., Lieb, W., Horn, A., Krist, L., Fricke, J., Scheibenbogen, C., Rabe, K. F., Maetzler, W., Maetzler, C., Laudien, M., Frank, D., Ballhausen, S., Hermes, A., Miljukov, O., Haeusler, K. G., Mokhtari, N. E. E., Witzenrath, M., Vehreschild, J. J., … Schreiber, S. (2022). Severity, predictors and clinical correlates of post-COVID syndrome (PCS) in Germany: a prospective, multi-centre, populationbased cohort study. eClinicalMedicine, 51, 101549. https://doi.org/10.1016/j.eclinm.2022.101549
Brunstein, J. (2006). Implizite und explizite Motive [Implicit and explicit motives]. In H. Heckhausen (Ed.), Motivation und Handeln [Motivation and action] (pp. 235–251). Springer Medizin Verlag.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
Cotler, J., Holtzman, C., Dudun, C., & Jason, L. A. (2018). A brief questionnaire to assess post-exertional malaise. Diagnostics, 8, 66. https://doi.org/10.3390/diagnostics8030066
Davis, H. E., Assaf, G. S., McCorkell, L., Wei, H., Low, R. J., Re’em, Y., Redfield, S., Austin, J. P., & Akrami, A. (2021). Characterizing long COVID in an international cohort: 7 months of symptoms and their impact. eClinicalMedicine, 38, 101019. https://doi.org/10.1016/j.eclinm.2021.101019
Delgado-Alonso, C., Valles-Salgado, M., Delgado-Alvarez, A., Gomez-Ruiz, N., Yus, M., Polidura, C., Perez-Izquierdo, C., Marcos, A., Gil, M. J., Matias-Guiu, J., & Matias-Guiu, J. A. (2022). Examining association of personality characteristics and neuropsychiatric symptoms in post-COVID syndrome. Brain Sciences, 12, 265. https://doi.org/10.3390/brainsci12020265
Fernandez-de-Las-Penas, C., Martin-Guerrero, J. D., Pellicer-Valero, O. J., Navarro-Pardo, E., Gomez-Mayordomo, V., Cuadrado, M. L., Arias-Navalon, J. A., Cigaran-Mendez, M., Hernandez-Barrera, V., & Arendt-Nielsen, L. (2022). Female sex is a risk factor associated with long-term post-COVID related-symptoms but not with COVID-19 symptoms: The LONG-COVID-EXP-CM multicenter study. Journal of Clinical Medicine, 11, 413. https://doi.org/10.3390/jcm11020413
Finsel, J., Rosenbohm, A., Peter, R. S., Bäzner, H., Börtlein, A., Dempewolf, S., Schabet, M., Hecht, M., Kohler, A., Opherk, C., Nägele, A., Sommer, N., Lindner, A., Rothenbacher, D., Ludolph, A. C., Nagel, G., & Lulé, D. E. (2024). Coping as a resource to allow for psychosocial adjustment in fatal disease: Results from patients with amyotrophic lateral sclerosis. Frontiers in Psychology, 15, 1361767. https://doi.org/10.3389/fpsyg.2024.1361767
Froehlich, L., Hattesohl, D. B. R., Jason, L. A., Scheibenbogen, C., Behrends, U., & Thoma, M. (2021). Medical care situation of people with myalgic encephalomyelitis/chronic fatigue syndrome in Germany. Medicina, 57, 646. https://doi.org/10.3390/medicina57070646
Gjesme, T., & Nygård, R. (1970). Achievement-related motives: Theoretical considerations and construction of a measuring instrument [Unpublished report]. University of Oslo.
Han, Q., Zheng, B., Daines, L., & Sheikh, A. (2022). Long-term sequelae of COVID-19: a systematic review and meta-analysis of one-year follow-up studies on post-COVID symptoms. Pathogens, 11, 269. https://doi.org/10.3390/pathogens11020269
Hanc, E., Koller, K., Herold, R., Erim, Y., & Morawa, E. (2025). Cognitive impairment, depression, and fatigue in post-COVID and post-vaccination syndrome: a large-scale cross-sectional study. European Archives of Psychiatry and Clinical Neuroscience. https://doi.org/10.1007/s00406-025-02144-3
Hardy, J. K., Crofford, L. J., & Segerstrom, S. C. (2011). Goal conflict, distress, and pain in women with fibromyalgia: a daily diary study. Journal of Psychosomatic Research, 70, 534–540. https://doi.org/10.1016/j.jpsychores.2010.10.013
Job, V., Langens, T. A., & Brandstatter, V. (2009). Effects of achievement goal striving on well-being: The moderating role of the explicit achievement motive. Personality and Social Psychology Bulletin, 35, 983–996. https://doi.org/10.1177/0146167209336606
Kempke, S., Van Houdenhove, B., Luyten, P., Goossens, L., Bekaert, P., & Van Wambeke, P. (2011). Unraveling the role of perfectionism in chronic fatigue syndrome: Is there a distinction between adaptive and maladaptive perfectionism? Psychiatry Research, 186, 373–377. https://doi.org/10.1016/j.psychres.2010.09.016
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The Fatigue Severity Scale: Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology, 46, 1121–1123. https://doi.org/10.1001/archneur.1989.00520460115022
Lang, J. W. B., & Fries, S. (2006). A revised 10-item version of the Achievement Motives Scale. European Journal of Psychological Assessment, 22, 216–224. https://doi.org/10.1027/1015-5759.22.3.216
Lazarus, R., & Folkman, S. (1984). Stress, appraisal and coping. Springer Publishing.
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008). Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care, 46, 266–274. https://doi.org/10.1097/MLR.0b013e318160d093
McClelland, D. C., Atkinson, J. W., Clark, R. A., & Lowell, E. L. (1953). The achievement motive. Appleton-Century-Crofts. https://doi.org/10.1037/11144-000
McClelland, D. C., Koestner, R., & Weinberger, J. (1989). How do self-attributed and implicit motives differ? Psychological Review, 96, 690–702. https://doi.org/10.1037/0033-295X.96.4.690
Morawa, E., Krehbiel, J., Borho, A., Herold, R., Lieb, M., Schug, C., & Erim, Y. (2023). Cognitive impairments and mental health of patients with post-COVID-19: a cross-sectional study. Journal of Psychosomatic Research, 173, 111441. https://doi.org/10.1016/j.jpsychores.2023.111441
Murray, H. A. (1938). Explorations in personality. Oxford University Press.
Peine, C., Stoliaroff-Pepin, A., Reinacher, U., Heldt, K., Sarganas, G., Piechotta, V., Mikolajewska, A., Pilic, A., Barkowski, N., Bleve, D., Giebeler, M. H., Poser, S., Searle, L., Kißner, E., Nitsche, L., Bayram, F., Siemens, W., Ziegler, A., Meerpohl, J. J., … Harder, T. (2025). Effectiveness of COVID-19 vaccines against post-COVID-19 condition/long COVID: Systematic review and meta-analysis. Clinical Microbiology and Infection, 31, 1961–1971. https://doi.org/10.1016/j.cmi.2025.07.026
Peter, R. S., Nieters, A., Kräusslich, H. G., Brockmann, S. O., Göpel, S., Kindle, G., Merle, U., Steinacker, J. M., Rothenbacher, D., & Kern, W. V. (2022). Post-acute sequelae of COVID-19 six to 12 months after infection: population based study. BMJ, 379, e071050. https://doi.org/10.1136/bmj-2022-071050
Schäfer, I. C., Krehbiel, J., Adler, W., Borho, A., Herold, R., Greiner, B., Reuner, M., Morawa, E., & Erim, Y. (2024). Three-month follow-up of the post-COVID syndrome after admission to a specialised post-COVID centre: a prospective study focusing on mental health with patient reported outcome measures (PROMs). International Journal of Environmental Research and Public Health, 21, 1076. https://doi.org/10.3390/ijerph21081076
Spangler, W. D. (1992). Validity of questionnaire and TAT measures of need for achievement: Two meta-analyses. Psychological Bulletin, 112, 140–154. https://doi.org/10.1037/0033-2909.112.1.140
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
Wang, S., Quan, L., Chavarro, J. E., Slopen, N., Kubzansky, L. D., Koenen, K. C., Kang, J. H., Weisskopf, M. G., Branch-Elliman, W., & Roberts, A. L. (2022). Associations of depression, anxiety, worry, perceived stress, and loneliness prior to infection with risk of post-COVID-19 conditions. JAMA Psychiatry, 79, 1081–1091. https://doi.org/10.1001/jamapsychiatry.2022.2640
Watanabe, A., Iwagami, M., Yasuhara, J., Takagi, H., & Kuno, T. (2023). Protective effect of COVID-19 vaccination against long COVID syndrome: a systematic review and meta-analysis. Vaccine, 41, 1783–1790. https://doi.org/10.1016/j.vaccine.2023.02.008
Weinberger, J., & McClelland, D. C. (1990). Cognitive versus traditional motivational models: Irreconcilable or complementary? In E. T. Higgins & R. M. Sorrentino (Eds.), Handbook of motivation and cognition: Foundations of social behavior (Vol. 2, pp. 562–597). Guilford Press.
World Health Organization (2021). A clinical case definition of post COVID-19 condition by a Delphi consensus. Retrieved from https://www.who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1
