The Mental Burden of COVID-19 in Pulmonary Patients: An Investigation of Fear, Anxiety, and Quality of Life
DOI:
https://doi.org/10.56508/mhgcj.v8i1.288Keywords:
Mental Health, anxiety, stigma, COVID-19, fear, pandemic, quality of lifeAbstract
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted various aspects of life, particularly mental health and quality of life.
Purpose: This study aims to assess the levels of anxiety and fear experienced during the coronavirus disease 2019 (COVID-19) pandemic, examine how these factors vary according to sociodemographic and individual characteristics, and explore their impact on the quality of life of individuals attending private pulmonology clinics.
Methodology: A descriptive cross-sectional study was conducted with 112 patients who visited a private pulmonology clinic in Greece during the COVID-19 pandemic. Data were collected via a questionnaire that included six sections, covering demographics, stigma, fear, quality of life, coping strategies, and mental health. Statistical analysis was performed via SPSS 25.
Results: The survey revealed high rates of COVID-19-related stigma, especially for foreigners (50.9%) and health workers (29.5%), with half of the participants believing that people were ill due to irresponsible behaviour. Fear of COVID-19 appears to be significantly high (m = 15.7), with gender (women) being among the determinants of the highest levels of fear. Anxiety occurs at normal levels (m = 5.6), although higher levels of fear have been shown to lead to higher levels of anxiety. Finally, both fear (p = 0.000) and anxiety (p = 0.003) are negatively correlated with most dimensions of quality of life.
Conclusions: The present research highlights the stigma created by COVID-19, especially for specific groups of people. In addition, increased levels of fear and anxiety affect the quality of life of individuals.
References
Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2022). The Fear of COVID-19 Scale: Development and initial validation. International Journal of Mental Health and Addiction, 20(3), 1537–1545. https://doi.org/10.1007/s11469-020-00270-8 DOI: https://doi.org/10.1007/s11469-020-00270-8
Antony, M. M., Cox, B. J., Enns, M. W., Bieling, P. J., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181. https://doi.org/10.1037/1040-3590.10.2.176 DOI: https://doi.org/10.1037//1040-3590.10.2.176
Byock, I. R., & Merriman, M. P. (1998). Measuring quality of life for patients with terminal illness: The Missoula-VITAS® quality of life index. Palliative Medicine, 12(4), 231–244. https://doi.org/10.1191/026921698670234618 DOI: https://doi.org/10.1191/026921698670234618
Campo-Arias, A., Álvarez-Solorza, I., Tirado-Otálvaro, A. F., & Cassiani-Miranda, C. A. (2021). Proposal of a scale for COVID-19 stigma-discrimination toward health workers. Journal of Investigative Medicine, 69(1), 100–101. https://doi.org/10.1136/jim-2020-001647 DOI: https://doi.org/10.1136/jim-2020-001647
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100. DOI: https://doi.org/10.1207/s15327558ijbm0401_6
Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., ... Meenakshi, P. V. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity, 88, 559–565. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172854/ DOI: https://doi.org/10.1016/j.bbi.2020.04.049
Fischer, L. S., Mansergh, G., Lynch, J., & Santibanez, S. (2019). Addressing disease-related stigma during infectious disease outbreaks. Disaster Medicine and Public Health Preparedness, 13(5–6), 989–996. https://doi.org/10.1017/dmp.2018.157 DOI: https://doi.org/10.1017/dmp.2018.157
Harper, C. A., Satchell, L. P., Fido, D., & Latzman, R. D. (2021). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction, 19, 1875–1888. https://doi.org/10.1007/s11469-020-00281-5 DOI: https://doi.org/10.1007/s11469-020-00281-5
Hodge, J. G., Wetter, S., Carey, E., Pendergrass, E., Reeves, C. M., & Reinke, H. (2020). Legal “tug-of-wars” during the COVID-19 pandemic: Public health vs. economic prosperity. Journal of Law, Medicine and Ethics, 48(3), 603–607. https://doi.org/10.1177/107311052095888 DOI: https://doi.org/10.1177/1073110520958888
Hudson, J. (2020). Coping with information overload in the COVID-19 age: A compilation of trustworthy information sources. Journal of Geriatric Care and Research, 7(1), 43–46. https://www.midyorks.nhs.uk/covid-19-bulletins
Kapteyn, A., Angrisani, M., Bennett, D., de Bruin, W. B., Darling, J., Gutsche, T., ... Weerman, B. (2020). Tracking the effect of the COVID-19 pandemic on American households. Survey Research Methods, 14(2), 179–186. https://doi.org/10.18148/srm/2020.v14i2.7737
Kapsou, M., Panayiotou, G., Kokkinos, C. M., & Demetriou, A. G. (2010). Dimensionality of coping: An empirical contribution to the construct validation of the Brief COPE with a Greek-speaking sample. Journal of Health Psychology, 15(2), 215–229. https://doi.org/10.1177/1359105309346516 DOI: https://doi.org/10.1177/1359105309346516
Lyrakos, G. N., Arvaniti, C., Smyrnioti, M., & Kostopanagiotou, G. (2011). Translation and validation study of the depression anxiety stress scale in the Greek general population and in a psychiatric patient’s sample. European Psychiatry, 26(S2), 1731. https://doi.org/10.1016/s0924-9338(11)73435-6 DOI: https://doi.org/10.1016/S0924-9338(11)73435-6
Ornell, F., Schuch, J. B., Sordi, A. O., & Kessler, F. H. P. (2020). ‘Pandemic fear’ and COVID-19: Mental health burden and strategies. Brazilian Journal of Psychiatry, 42(3), 232–235. https://doi.org/10.1590/1516-4446-2020-0008 DOI: https://doi.org/10.1590/1516-4446-2020-0008
Pakpour, A. H., & Griffiths, M. D. (2020). The fear of COVID-19 and its role in preventive behaviours. Journal of Concurrent Disorders, 2(1). https://doi.org/10.54127/wcic8036 DOI: https://doi.org/10.54127/WCIC8036
Saridi, M., Latsou, D., Gamvroula, A., Antonopoulos, S., Panoutsopoulos, A., Albani, E., Milionis, C., & Tsolka, A. (2022). Validation and reliability of a scale for COVID-19 stigma-discrimination on general population in Greece. International Journal of Caring Sciences, 15(2), 1528–1532.
Satija, Y. K., Advani, G. B., & Nathawat, S. S. (1998). Influence of stressful life events and coping strategies in depression. Indian Journal of Psychiatry, 40(2), 165–171. http://www.ncbi.nlm.nih.gov/pubmed/21494464
Secor, A., MacAuley, R., Stan, L., Kagone, M., Sidikiba, S., Sow, S., ... Sanderson, J. (2020). Mental health among Ebola survivors in Liberia, Sierra Leone and Guinea: Results from a cross-sectional study. BMJ Open, 10(5), e035217. https://doi.org/10.1136/bmjopen-2019-035217 DOI: https://doi.org/10.1136/bmjopen-2019-035217
Shereen, M. A., Khan, S., Kazmi, A., Bashir, N., & Siddique, R. (2020). COVID-19 infection: Origin, transmission, and characteristics of human coronaviruses. Journal of Advanced Research, 24, 91–98. https://doi.org/10.1016/j.jare.2020.03.005 DOI: https://doi.org/10.1016/j.jare.2020.03.005
Sim, K., Chan, Y. H., Chong, P. N., Chua, H. C., & Soon, S. W. (2010). Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease. Journal of Psychosomatic Research, 68(2), 195–202. https://doi.org/10.1016/j.jpsychores.2009.04.004 DOI: https://doi.org/10.1016/j.jpsychores.2009.04.004
Stein, D. J., Scott, K. M., De Jonge, P., & Kessler, R. C. (2017). Epidemiology of anxiety disorders: From surveys to nosology and back. Dialogues in Clinical Neuroscience, 19(2), 127–136. DOI: https://doi.org/10.31887/DCNS.2017.19.2/dstein
Taylor, S., Landry, C. A., Paluszek, M. M., Fergus, T. A., McKay, D., & Asmundson, G. J. G. (2020). Development and initial validation of the COVID Stress Scales. Journal of Anxiety Disorders, 72, 102232. https://doi.org/10.1016/j.janxdis.2020.102232 DOI: https://doi.org/10.1016/j.janxdis.2020.102232
Theofilou, P., Aroni, A., Ralli, M., Gouzou, M., & Zyga, S. (2013). Measuring health-related quality of life in hemodialysis patients: Psychometric properties of the Missoula-VITAS Quality of Life Index (MVQOLI-15) in Greece. Health Psychology Research, 1(2), e17. https://doi.org/10.4081/hpr.2013.e17 DOI: https://doi.org/10.4081/hpr.2013.1004
Tsipropoulou, V., Nikopoulou, V. A., Holeva, V., Nasika, Z., Diakogiannis, I., Sakka, S., ... Parlapani, E. (2021). Psychometric Properties of the Greek Version of FCV-19S. International Journal of Mental Health and Addiction, 19(6), 2279–2288. https://doi.org/10.1007/s11469-020-00319-8 DOI: https://doi.org/10.1007/s11469-020-00319-8
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Maria Saridi , Ioanna Dimitriadou , Evangelos Fradelos, Athanasia Christara , Ioanna V. Papathanasiou, Kyriakos Souliotis , Aikaterini Toska

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Mental Health: Global Challenges Journal follows the Creative Commons Attribution License International CC-BY – 4.0 international License and author/s must agree on the terms under this license in order to have their manuscript published in the Mental Health: Global Challenges Journal.




E-mail us: viktor.vus@mhgcj.org