1. Occurrence of new or worsened non-specific symptoms (12 symptoms): |
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New or worsened symptoma = |
• Regularly present since the previous questionnaire AND • “More severe” compared to pre-Lyme or pre-participation health AND • Worse standardized questionnaire score for symptom present (only for the 6 PTLDS-related symptoms based on SF-36 BP, SF-36 VT or CFQ) |
2. Occurrence of any of the 6 PTLDS-related symptoms: |
At least one of the 6 PTLDS-related symptoms new or worsened |
• Defined as abovea |
+ Impact daily activities = |
• Limited or strongly limited on the modified GALI AND • At least slight problems with daily activities on the question of the EQ-5D-5L (= level 2–5) |