RU-YIN TSAIYING-JUI HOSHENG-YI LINJAMES CHENG-CHUNG WEI2026-10-162026-10-162024-07-01Pure ID: 15421083Pure UUID: ad7a9564-3fbe-4c41-90ee-705cdf909bd710.1016/j.psychres.2024.115970https://www.scopus.com/pages/publications/85194191389https://scholars.csmu.edu.tw/handle/123456789/34387Substance use disorder (SUD) exacerbates the impact of Long-COVID, particularly increasing the risk of taste and olfactory disorders. Analyzing retrospective cohort data from TriNetX and over 33 million records (Jan 2020-Dec 2022), this study focused on 1,512,358 participants, revealing that SUD significantly heightens the likelihood of experiencing taste disturbances and anosmia in Long-COVID sufferers. Results indicated that individuals with SUD face a higher incidence of sensory impairments compared to controls, with older adults and women being particularly vulnerable. Smokers with SUD were found to have an increased risk of olfactory and taste dysfunctions. The findings underscore the importance of early screening, diagnosis, and interventions for Long-COVID patients with a history of SUD, suggesting a need for clinicians to monitor for depression and anxiety linked to sensory dysfunction for comprehensive care.enjournal article