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This cross-sectional study evaluates associations between depression, generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), suicidal ideation (SI), and syndromic common mental disorder (CMD) with lifestyle factors in 730 moderate to severe COVID-19 survivors. Lifestyle factors included physical activity, alcohol and substance use and during COVID-19 infection, and dietary intake, with assessments conducted 6 to 11\u00a0months post-hospitalization. Multiple logistic regression was employed for each of the five dependent variables. Of the participants, 51.9% were male, with a mean age of 55. Previous COVID-19 sedative use and the severity of alcohol use were correlated with increased depression (sedative, OR = 2.43,\n                    <jats:italic>P<\/jats:italic>\n                    = .011; alcohol OR = 1.09,\n                    <jats:italic>P<\/jats:italic>\n                    = .017), GAD (sedative, OR = 2.13,\n                    <jats:italic>P<\/jats:italic>\n                    = .007; alcohol OR = 1.08,\n                    <jats:italic>P<\/jats:italic>\n                    = .009), PTSD (sedative, OR = 2.10,\n                    <jats:italic>P<\/jats:italic>\n                    = .008; alcohol OR = 1.08,\n                    <jats:italic>P<\/jats:italic>\n                    = .004), and sedative for CMD (OR = 1.97,\n                    <jats:italic>P<\/jats:italic>\n                    = .005). Opioid use was linked to increased GAD (OR = 2.23,\n                    <jats:italic>P<\/jats:italic>\n                    = .042), and \u201cfruits and vegetables\u201d consumption 2-3 times\/week was associated with lower odds for depression (OR = 0.19,\n                    <jats:italic>P<\/jats:italic>\n                    = .021). No lifestyle behaviors were found to be associated with suicidal ideation. These results underscore the importance of lifestyle-specific behaviors in mitigating psychiatric symptoms during the extended recovery period from COVID-19. This is particularly pertinent with respect to minimizing the consumption of sedatives and alcohol in the context of depression, GAD, and PTSD, as well as the use of opioids for GAD and the increased intake of fruits and vegetables to depression. These findings may have substantial implications for the formulation of lifestyle strategies aimed at the prevention of mental health disorders subsequent to severe acute viral infections.\n                  <\/jats:p>","DOI":"10.1177\/15598276251328022","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T19:51:20Z","timestamp":1742845880000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Relationship Between Lifestyle and Post-COVID Psychiatric Symptoms: Findings from a Brazilian Cohort"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8044-4882","authenticated-orcid":false,"given":"Sophia Aguiar Monteiro","family":"Borges","sequence":"first","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (SAMB, GPR, FCA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme Pimenta","family":"Roncete","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (SAMB, GPR, FCA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Couto","family":"Amendola","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (SAMB, GPR, FCA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus Vinicius","family":"Zanetti","sequence":"additional","affiliation":[{"name":"Departmento de Psiquiatria, Faculdade S\u00edrio Liban\u00eas, S\u00e3o Paulo, Brazil (MVZ)"},{"name":"Program of Treatment-Resistant Depression, Self-Injury, and Suicidality, Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (MVZ, RFD)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Euripedes Constantino","family":"Miguel","sequence":"additional","affiliation":[{"name":"Departamento e Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (ECM, GBF, OVF)"},{"name":"Center for Research and Innovation in Mental Health (CISM), S\u00e3o Paulo Research Foundation (FAPESP), S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geraldo Busatto","family":"Filho","sequence":"additional","affiliation":[{"name":"Departamento e Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (ECM, GBF, OVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orestes V.","family":"Forlenza","sequence":"additional","affiliation":[{"name":"Departamento e Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (ECM, GBF, OVF)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3180-7926","authenticated-orcid":false,"given":"Rodolfo Furlan","family":"Damiano","sequence":"additional","affiliation":[{"name":"Program of Treatment-Resistant Depression, Self-Injury, and Suicidality, Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (MVZ, RFD)"},{"name":"Departamento e Instituto de Psiquiatria, Hospital das Cl\u00ednicas da Faculdade de Medicina da Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil (ECM, GBF, OVF)"},{"name":"Center for Research and Innovation in Mental Health (CISM), S\u00e3o Paulo Research Foundation (FAPESP), S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"HCFMUSP COVID-19 Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"issue":"3","key":"e_1_3_4_2_2","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.dsx.2021.04.007","article-title":"Long COVID: an overview","volume":"15","author":"Raveendran A","year":"2021","unstructured":"Raveendran A, Jayadevan R, Sashidharan S. 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