{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:13:23Z","timestamp":1790187203604,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>Long\u2010COVID, identified in approximately 15% of symptomatic cases of COVID\u201019 in Spain, is a chronic multiorgan disease characterised by persistent symptoms, such as fatigue, dyspnoea, and cognitive difficulties. This study aims to evaluate the relationship between fatigue, perceived social support, and symptomatology in Spanish patients with Long\u2010COVID, with the objective of identifying variables that contribute to holistic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodological Design and Justification<\/jats:title>\n                    <jats:p>An observational, descriptive, cross\u2010sectional study was conducted with a non\u2010randomised sample of 374 patients belonging to Spanish associations of Long\u2010COVID patients. It was conducted using self\u2010administered questionnaires distributed between July and November 2022 through associations of patients with Long\u2010COVID.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethical Issues and Approval<\/jats:title>\n                    <jats:p>Ethical evaluation was requested by the research ethics committee of the Eastern Area of Valladolid, which granted approval with registration number PI\u201022\u20102747.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Methods<\/jats:title>\n                    <jats:p>A total of 374 individuals who met specific criteria, including proficiency in Spanish and persistent symptoms, participated. Sociodemographic variables, persistent symptomatology, levels of fatigue (FSS scale), and perceived social support (DUKE\u2010UNC\u201011 scale) were assessed. Descriptive statistical analysis, linear regression, and logistic analysis were employed to determine associations between variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The sample predominantly consisted of women (79.9%) with a mean age of 47\u2009years. Neurological symptoms (79.4%) and pain (75.9%) were the most prevalent. Notably, 54.5% of participants experienced severe fatigue, which was negatively correlated with perceived social support. Conversely, perceived social support exhibited a significant association with neurological, psychic, and pain symptoms. Additionally, variables such as age and fatigue level predicted affective and confidential social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fatigue and pain are associated with low perceptions of social support, underscoring the necessity of integrating psychosocial assessments into care protocols for patients with Long\u2010COVID. An approach focused on perceived social support could enhance the adaptation of these patients, contributing to a more comprehensive and personalised model of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.70078","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T06:34:04Z","timestamp":1751265244000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Relationship Between Fatigue, Perceived Social Support and Symptomatology of Long\u2010\n                    <scp>COVID<\/scp>\n                    Patients in Spain"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6837-8275","authenticated-orcid":false,"given":"Miguel","family":"Madrigal","sequence":"first","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing University of Valladolid  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Velasco\u2010Gonzalez","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing University of Valladolid  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourdes","family":"Jim\u00e9nez\u2010Navascu\u00e9s","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Nursing Department, Faculty of Health Sciences University of Valladolid  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa M.","family":"C\u00e1rdaba\u2010Garc\u00eda","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing University of Valladolid  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Durantez\u2010Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing University of Valladolid  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Bahillo Ruiz","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Nursing Department, Faculty of Health Sciences University of Valladolid  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda","family":"P\u00e9rez\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Primary Care Management Valladolid West (SACYL)  Valladolid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Olea","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Nursing University of Valladolid  Valladolid Spain"},{"name":"Instituto de Biomedicina y Gen\u00e9tica Molecular (IBGM). 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