It's always going to be hard to define for some individuals. My blood pressure shot up when I got Covid and never went back down, requiring a medication change. It has continued to creep up slowly, but is that because I'm getting older and had previous poor health habits or because I had Covid? There's no way to tell in my case - I'll have to wait to find out from God. All we can do is look at a few million people and see if the ones who had Covid now have worse BPs than the ones who didn't. There will be some in each group who got worse and we compare the rates.
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Scott Alexander has had a couple articles recently that included arguments or evidence that some significant percentage of long covid was/is psychosomatic.
I'm not sure what to make of his conclusions, as I'm pretty sure my symptoms in that regard aren't all it my head, but I also have no reason to believe that his analysis is faulty.
I'll bet his overall is pretty good. I will also bet that a lot of people are attributing to covid things that were going to occur anyway. Once there is a basket that accepts a lot of explanations, we tend to throw things in it, which is why depression and anxiety collect more evidence in the sufferers as they go along.
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