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Published in: BMC Psychiatry 1/2023

Open Access 01-12-2023 | Long-COVID Syndrome | Research

The emotional well-being of Long COVID patients in relation to their symptoms, social support and stigmatization in social and health services: a qualitative study

Authors: M. Samper-Pardo, B. Oliván-Blázquez, R. Magallón-Botaya, F. Méndez-López, C. Bartolomé-Moreno, S. León-Herrera

Published in: BMC Psychiatry | Issue 1/2023

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Abstract

Background

Long COVID patients have experienced a decline in their quality of life due to, in part but not wholly, its negative emotional impact. Some of the most prevalent mental health symptoms presented by long COVID patients are anxiety, depression, and sleep disorders. As such, the need has arisen to analyze the personal experiences of these patients to understand how they are managing their daily lives while dealing with the condition. The objective of this study is to increase understanding about the emotional well-being of people diagnosed with long COVID.

Methods

A qualitative design was created and carried out using 35 patients, with 17 participants being interviewed individually and 18 of them taking part in two focus groups. The participating patients were recruited in November and December 2021 from Primary Health Care (PHC) centers in the city of Zaragoza (Northern Spain) and from the Association of Long COVID Patients in Aragon. The study topics were emotional well-being, social support networks, and experience of discrimination. All an inductive thematic content analyses were performed iteratively using NVivo software.

Results

The Long COVID patients identified low levels of self-perceived well-being due to their persistent symptoms, as well as limitations in their daily lives that had been persistent for many months. Suicidal thoughts were also mentioned by several patients. They referred to anguish and anxiety about the future as well as a fear of reinfection or relapse and returning to work. Many of the participants reported that they have sought the help of a mental health professional. Most participants identified discriminatory situations in health care.

Conclusions

It is necessary to continue researching the impact that Long COVID has had on mental health, as well as to provide Primary Health Care professionals with evidence that can guide the emotional treatment of these patients
Literature
1.
go back to reference Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA, et al. The species severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol Nat Res. 2020;5:536–44. Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA, et al. The species severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol Nat Res. 2020;5:536–44.
2.
go back to reference Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. Covid-19 pandemia and public and global mental health from the perspective of global health security. Psychiatria Danubina. 2020;32(1):6–14. Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. Covid-19 pandemia and public and global mental health from the perspective of global health security. Psychiatria Danubina. 2020;32(1):6–14.
3.
go back to reference Sun J, He WT, Wang L, Lai A, Ji X, Zhai X, et al. COVID-19: epidemiology, evolution, and cross-disciplinary Perspectives. Trends Mol Med. 2020;26(5):483–95.CrossRef Sun J, He WT, Wang L, Lai A, Ji X, Zhai X, et al. COVID-19: epidemiology, evolution, and cross-disciplinary Perspectives. Trends Mol Med. 2020;26(5):483–95.CrossRef
5.
go back to reference Yong SJ. Long COVID or post-COVID-19 syndrome: putative pathophysiology, risk factors, and treatments. Infect Dis. 2021;53(10):737–54.CrossRef Yong SJ. Long COVID or post-COVID-19 syndrome: putative pathophysiology, risk factors, and treatments. Infect Dis. 2021;53(10):737–54.CrossRef
6.
go back to reference Tenforde MW, Kim SS, Lindsell CJ, Rose EB, Shapiro NI, Clark ; D, et al. Morbidity and Mortality Weekly Report Symptom Duration and Risk Factors for Delayed Return to Usual Health Among Outpatients with COVID-19 in a Multistate Health Care Systems Network-United States, March–June 2020 [Internet]. Vol. 69. 2020. Available from: https://www.cdc.gov/mmwr Tenforde MW, Kim SS, Lindsell CJ, Rose EB, Shapiro NI, Clark ; D, et al. Morbidity and Mortality Weekly Report Symptom Duration and Risk Factors for Delayed Return to Usual Health Among Outpatients with COVID-19 in a Multistate Health Care Systems Network-United States, March–June 2020 [Internet]. Vol. 69. 2020. Available from: https://​www.​cdc.​gov/​mmwr
7.
go back to reference COVID Symptom Study. How long does COVID-19 last? 2020. COVID Symptom Study. How long does COVID-19 last? 2020.
8.
go back to reference World Health Organization. A clinical case definition of post COVID-19 condition by a Delphi consensus. Lancet Infect Dis. 2021;22(4):e102–7. World Health Organization. A clinical case definition of post COVID-19 condition by a Delphi consensus. Lancet Infect Dis. 2021;22(4):e102–7.
9.
10.
go back to reference Wijeratne T, Crewther S. Post-COVID 19 neurological syndrome (PCNS); a novel syndrome with challenges for the global neurology community. J Neurol Sci. 2020;419:117179.CrossRef Wijeratne T, Crewther S. Post-COVID 19 neurological syndrome (PCNS); a novel syndrome with challenges for the global neurology community. J Neurol Sci. 2020;419:117179.CrossRef
11.
go back to reference Greenhalgh T, Knight M, A’Court C, Buxton M, Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020;370:m3026.CrossRef Greenhalgh T, Knight M, A’Court C, Buxton M, Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020;370:m3026.CrossRef
12.
go back to reference Palmer SJ. Long COVID and mental health. Br J Community Nurs. 2021;26(8):406–9.CrossRef Palmer SJ. Long COVID and mental health. Br J Community Nurs. 2021;26(8):406–9.CrossRef
13.
go back to reference Schou TM, Joca S, Wegener G, Bay-Richter C. Psychiatric and neuropsychiatric sequelae of COVID-19 – a systematic review. Brain Behav Immun. 2021;97:328–48.CrossRef Schou TM, Joca S, Wegener G, Bay-Richter C. Psychiatric and neuropsychiatric sequelae of COVID-19 – a systematic review. Brain Behav Immun. 2021;97:328–48.CrossRef
14.
go back to reference Daher A, Balfanz P, Cornelissen C, Müller A, Bergs I, Marx N, et al. Follow up of patients with severe coronavirus disease 2019 (COVID-19): pulmonary and extrapulmonary disease sequelae. Respir Med. 2020;174:106197.CrossRef Daher A, Balfanz P, Cornelissen C, Müller A, Bergs I, Marx N, et al. Follow up of patients with severe coronavirus disease 2019 (COVID-19): pulmonary and extrapulmonary disease sequelae. Respir Med. 2020;174:106197.CrossRef
15.
go back to reference Sudre CH, Murray B, Varsavsky T, Graham MS, Penfold RS, Bowyer RC, et al. Attributes and predictors of long COVID. Nat Med. 2021;27(4):626–31.CrossRef Sudre CH, Murray B, Varsavsky T, Graham MS, Penfold RS, Bowyer RC, et al. Attributes and predictors of long COVID. Nat Med. 2021;27(4):626–31.CrossRef
16.
go back to reference Burn E, Tebé C, Fernandez-Bertolin S, Aragon M, Recalde M, Roel E, et al. The natural history of symptomatic COVID-19 during the first wave in Catalonia. Nat Commun. 2021;12(1):777.CrossRef Burn E, Tebé C, Fernandez-Bertolin S, Aragon M, Recalde M, Roel E, et al. The natural history of symptomatic COVID-19 during the first wave in Catalonia. Nat Commun. 2021;12(1):777.CrossRef
17.
go back to reference Office for National Statistics The prevalence of long COVID symptoms and COVID-19 complications 2020 Office for National Statistics The prevalence of long COVID symptoms and COVID-19 complications 2020
18.
go back to reference Ladds E, Rushforth A, Wieringa S, Taylor S, Rayner C, Husain L, et al. Persistent symptoms after Covid-19: qualitative study of 114 long Covid patients and draft quality principles for services. BMC Health Serv Res. 2020;20(1):1144.CrossRef Ladds E, Rushforth A, Wieringa S, Taylor S, Rayner C, Husain L, et al. Persistent symptoms after Covid-19: qualitative study of 114 long Covid patients and draft quality principles for services. BMC Health Serv Res. 2020;20(1):1144.CrossRef
19.
go back to reference Greenhalgh T, Knight M, A’Court C, Buxton M, Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020;11:m3026.CrossRef Greenhalgh T, Knight M, A’Court C, Buxton M, Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020;11:m3026.CrossRef
20.
go back to reference Daines L, Zheng B, Pfeffer P, Hurst JR, Sheikh A. A clinical review of long-COVID with a focus on the respiratory system. Curr Opin Pulm Med. 2022;28(3):174–9.CrossRef Daines L, Zheng B, Pfeffer P, Hurst JR, Sheikh A. A clinical review of long-COVID with a focus on the respiratory system. Curr Opin Pulm Med. 2022;28(3):174–9.CrossRef
21.
go back to reference McMahon DE, Gallman AE, Hruza GJ, Rosenbach M, Lipoff JB, Desai SR, et al. Long COVID in the skin: a registry analysis of COVID-19 dermatological duration. Lancet Infect Dis. 2021;21(3):313–4.CrossRef McMahon DE, Gallman AE, Hruza GJ, Rosenbach M, Lipoff JB, Desai SR, et al. Long COVID in the skin: a registry analysis of COVID-19 dermatological duration. Lancet Infect Dis. 2021;21(3):313–4.CrossRef
22.
go back to reference Paterson I, Ramanathan K, Aurora R, Bewick D, Chow CM, Clarke B, et al. Long COVID-19: a primer for cardiovascular health professionals, on behalf of the CCS rapid response team. Can J Cardiol. 2021;37(8):1260–2.CrossRef Paterson I, Ramanathan K, Aurora R, Bewick D, Chow CM, Clarke B, et al. Long COVID-19: a primer for cardiovascular health professionals, on behalf of the CCS rapid response team. Can J Cardiol. 2021;37(8):1260–2.CrossRef
23.
go back to reference Yusuf F, Fahriani M, Mamada SS, Frediansyah A, Abubakar A, Maghfirah D, et al. Global prevalence of prolonged gastrointestinal symptoms in COVID-19 survivors and potential pathogenesis: a systematic review and meta-analysis. F1000Res. 2021;10:301.CrossRef Yusuf F, Fahriani M, Mamada SS, Frediansyah A, Abubakar A, Maghfirah D, et al. Global prevalence of prolonged gastrointestinal symptoms in COVID-19 survivors and potential pathogenesis: a systematic review and meta-analysis. F1000Res. 2021;10:301.CrossRef
24.
go back to reference Jozuka R, Kimura H, Uematsu T, Fujigaki H, Yamamoto Y, Kobayashi M, et al. Severe and long-lasting neuropsychiatric symptoms after mild respiratory symptoms caused by COVID-19: a case report. Neuropsychopharmacol Rep. 2022;42(1):114–9.CrossRef Jozuka R, Kimura H, Uematsu T, Fujigaki H, Yamamoto Y, Kobayashi M, et al. Severe and long-lasting neuropsychiatric symptoms after mild respiratory symptoms caused by COVID-19: a case report. Neuropsychopharmacol Rep. 2022;42(1):114–9.CrossRef
25.
go back to reference Carfì A, Bernabei R, Landi F. Gemelli against COVID-19 post-acute care study group. Persistent symptoms in patients after acute COVID-19. JAMA. 2020;324(6):603–5.CrossRef Carfì A, Bernabei R, Landi F. Gemelli against COVID-19 post-acute care study group. Persistent symptoms in patients after acute COVID-19. JAMA. 2020;324(6):603–5.CrossRef
26.
go back to reference Arnold DT, Hamilton FW, Milne A, Morley AJ, Viner J, Attwood M, et al. Patient outcomes after hospitalisation with COVID-19 and implications for follow-up: results from a prospective UK cohort. Thorax. 2021;76(4):399–401.CrossRef Arnold DT, Hamilton FW, Milne A, Morley AJ, Viner J, Attwood M, et al. Patient outcomes after hospitalisation with COVID-19 and implications for follow-up: results from a prospective UK cohort. Thorax. 2021;76(4):399–401.CrossRef
27.
go back to reference Goërtz YMJ, van Herck M, Delbressine JM, Vaes AW, Meys R, Machado FVC, et al. Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome? ERJ Open Res. 2020;6(4). Goërtz YMJ, van Herck M, Delbressine JM, Vaes AW, Meys R, Machado FVC, et al. Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome? ERJ Open Res. 2020;6(4).
28.
go back to reference Vaes AW, Machado FVC, Meys R, Delbressine JM, Goertz YMJ, van Herck M, et al. Care dependency in non-hospitalized patients with COVID-19. J Clin Med. 2020;9(9):2946.CrossRef Vaes AW, Machado FVC, Meys R, Delbressine JM, Goertz YMJ, van Herck M, et al. Care dependency in non-hospitalized patients with COVID-19. J Clin Med. 2020;9(9):2946.CrossRef
29.
go back to reference Nabavi N. Long covid: how to define it and how to manage it. BMJ. 2020;7:m3489.CrossRef Nabavi N. Long covid: how to define it and how to manage it. BMJ. 2020;7:m3489.CrossRef
30.
go back to reference Dhont S, Derom E, van Braeckel E, Depuydt P, Lambrecht BN. The pathophysiology of ‘happy’ hypoxemia in COVID-19. Respir Res. 2020;21(1):198.CrossRef Dhont S, Derom E, van Braeckel E, Depuydt P, Lambrecht BN. The pathophysiology of ‘happy’ hypoxemia in COVID-19. Respir Res. 2020;21(1):198.CrossRef
31.
go back to reference Ahmad MS, Shaik RA, Ahmad RK, Yusuf M, Khan M, Almutairi AB, et al. LONG COVID: an insight. Eur Rev Med Pharmacol Sci. 2021;25(17):5561–77. Ahmad MS, Shaik RA, Ahmad RK, Yusuf M, Khan M, Almutairi AB, et al. LONG COVID: an insight. Eur Rev Med Pharmacol Sci. 2021;25(17):5561–77.
32.
go back to reference Moldofsky H, Patcai J. Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study. BMC Neurol. 2011;11(1):37.CrossRef Moldofsky H, Patcai J. Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study. BMC Neurol. 2011;11(1):37.CrossRef
33.
go back to reference National Health Service (NHS). Long-term effects of coronavirus (long COVID). PLoS One. 2021. National Health Service (NHS). Long-term effects of coronavirus (long COVID). PLoS One. 2021.
34.
go back to reference Ahmad MS, Shaik RA, Ahmad RK, Yusuf M, Khan M, Almutairi AB, et al. LONG COVID: an insight. Eur Rev Med Pharmacol Sci. 2021;25(17):5561–77. Ahmad MS, Shaik RA, Ahmad RK, Yusuf M, Khan M, Almutairi AB, et al. LONG COVID: an insight. Eur Rev Med Pharmacol Sci. 2021;25(17):5561–77.
35.
go back to reference Naidu SB, Shah AJ, Saigal A, Smith C, Brill SE, Goldring J, et al. The high mental health burden of long COVID and its association with on-going physical and respiratory symptoms in all adults discharged from hospital. Eur Respir J. 2021;57(6). Naidu SB, Shah AJ, Saigal A, Smith C, Brill SE, Goldring J, et al. The high mental health burden of long COVID and its association with on-going physical and respiratory symptoms in all adults discharged from hospital. Eur Respir J. 2021;57(6).
36.
go back to reference Titze-de-Almeida R, da Cunha TR, dos Santos Silva LD, Ferreira CS, Silva CP, Ribeiro AP, et al. Persistent, new-onset symptoms and mental health complaints in long COVID in a Brazilian cohort of non-hospitalized patients. BMC Infect Dis. 2022;22(1):133.CrossRef Titze-de-Almeida R, da Cunha TR, dos Santos Silva LD, Ferreira CS, Silva CP, Ribeiro AP, et al. Persistent, new-onset symptoms and mental health complaints in long COVID in a Brazilian cohort of non-hospitalized patients. BMC Infect Dis. 2022;22(1):133.CrossRef
37.
go back to reference Carod-Artal FJ. Post-COVID-19 syndrome: epidemiology, diagnostic criteria and pathogenic mechanisms involved. Rev Neurol. 2021;72(11):384–96. Carod-Artal FJ. Post-COVID-19 syndrome: epidemiology, diagnostic criteria and pathogenic mechanisms involved. Rev Neurol. 2021;72(11):384–96.
38.
go back to reference Walia N, Lat JO, Tariq R, Tyagi S, Qazi AM, Salari SW, et al. Post-acute sequelae of COVID-19 and the mental health implications. Discoveries (Craiova). 2021;9(4):e140.CrossRef Walia N, Lat JO, Tariq R, Tyagi S, Qazi AM, Salari SW, et al. Post-acute sequelae of COVID-19 and the mental health implications. Discoveries (Craiova). 2021;9(4):e140.CrossRef
39.
go back to reference Romero-Duarte Á, Rivera-Izquierdo M, Guerrero-Fernández de Alba I, Pérez-Contreras M, Fernández-Martínez NF, Ruiz-Montero R, et al. Sequelae, persistent symptomatology and outcomes after COVID-19 hospitalization: the ANCOHVID multicentre 6-month follow-up study. BMC Med. 2021;19(1):129.CrossRef Romero-Duarte Á, Rivera-Izquierdo M, Guerrero-Fernández de Alba I, Pérez-Contreras M, Fernández-Martínez NF, Ruiz-Montero R, et al. Sequelae, persistent symptomatology and outcomes after COVID-19 hospitalization: the ANCOHVID multicentre 6-month follow-up study. BMC Med. 2021;19(1):129.CrossRef
40.
41.
go back to reference Aiyegbusi OL, Hughes SE, Turner G, Rivera SC, McMullan C, Chandan JS, et al. Symptoms, complications and management of long COVID: a review. J R Soc Med. 2021;114(9):428–42.CrossRef Aiyegbusi OL, Hughes SE, Turner G, Rivera SC, McMullan C, Chandan JS, et al. Symptoms, complications and management of long COVID: a review. J R Soc Med. 2021;114(9):428–42.CrossRef
42.
go back to reference Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220–32.CrossRef Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021;397(10270):220–32.CrossRef
43.
go back to reference Nauen DW, Hooper JE, Stewart CM, Solomon IH. Assessing brain capillaries in coronavirus disease 2019. JAMA Neurol. 2021;78(6):760.CrossRef Nauen DW, Hooper JE, Stewart CM, Solomon IH. Assessing brain capillaries in coronavirus disease 2019. JAMA Neurol. 2021;78(6):760.CrossRef
44.
go back to reference Egbert AR, Cankurtaran S, Karpiak S. Brain abnormalities in COVID-19 acute/subacute phase: a rapid systematic review. Brain Behav Immun. 2020;89:543–54.CrossRef Egbert AR, Cankurtaran S, Karpiak S. Brain abnormalities in COVID-19 acute/subacute phase: a rapid systematic review. Brain Behav Immun. 2020;89:543–54.CrossRef
45.
go back to reference Helms J, Kremer S, Merdji H, Clere-Jehl R, Schenck M, Kummerlen C, et al. Neurologic features in severe SARS-CoV-2 infection. N Engl J Med. 2020;382(23):2268–70.CrossRef Helms J, Kremer S, Merdji H, Clere-Jehl R, Schenck M, Kummerlen C, et al. Neurologic features in severe SARS-CoV-2 infection. N Engl J Med. 2020;382(23):2268–70.CrossRef
46.
go back to reference Fisher A, Roberts A, McKinlay AR, Fancourt D, Burton A. The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study. BMC Public Health. 2021;21(1):1801.CrossRef Fisher A, Roberts A, McKinlay AR, Fancourt D, Burton A. The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study. BMC Public Health. 2021;21(1):1801.CrossRef
47.
go back to reference Taylor AK, Kingstone T, Briggs TA, O’Donnell CA, Atherton H, Blane DN, et al. Reluctant pioneer: a qualitative study of doctors’ experiences as patients with long COVID. Health Expect. 2021;24(3):833–42.CrossRef Taylor AK, Kingstone T, Briggs TA, O’Donnell CA, Atherton H, Blane DN, et al. Reluctant pioneer: a qualitative study of doctors’ experiences as patients with long COVID. Health Expect. 2021;24(3):833–42.CrossRef
48.
go back to reference Ireson J, Taylor A, Richardson E, Greenfield B, Jones G. Exploring invisibility and epistemic injustice in Long Covid-A citizen science qualitative analysis of patient stories from an online Covid community. Health Expect. 2022;25(4):1753–65. https://doi.org/10.1111/hex.13518. Ireson J, Taylor A, Richardson E, Greenfield B, Jones G. Exploring invisibility and epistemic injustice in Long Covid-A citizen science qualitative analysis of patient stories from an online Covid community. Health Expect. 2022;25(4):1753–65. https://​doi.​org/​10.​1111/​hex.​13518.
49.
go back to reference Burton A, Aughterson H, Fancourt D, Philip KEJ. Factors shaping the mental health and well-being of people experiencing persistent COVID-19 symptoms or long COVID: qualitative study. BJPsych Open. 2022;8(2):e72.CrossRef Burton A, Aughterson H, Fancourt D, Philip KEJ. Factors shaping the mental health and well-being of people experiencing persistent COVID-19 symptoms or long COVID: qualitative study. BJPsych Open. 2022;8(2):e72.CrossRef
50.
go back to reference Kingstone T, Taylor AK, O’Donnell CA, Atherton H, Blane DN, Chew-Graham CA. Finding the right GP: a qualitative study of the experiences of people with long-COVID. BJGP Open. 2020;4(5):bjgpopen20X101143.CrossRef Kingstone T, Taylor AK, O’Donnell CA, Atherton H, Blane DN, Chew-Graham CA. Finding the right GP: a qualitative study of the experiences of people with long-COVID. BJGP Open. 2020;4(5):bjgpopen20X101143.CrossRef
51.
go back to reference Macpherson K, Cooper K, Harbour J, Mahal D, Miller C, Nairn M. Experiences of living with long COVID and of accessing healthcare services: a qualitative systematic review. BMJ Open. 2022;12(1):e050979.CrossRef Macpherson K, Cooper K, Harbour J, Mahal D, Miller C, Nairn M. Experiences of living with long COVID and of accessing healthcare services: a qualitative systematic review. BMJ Open. 2022;12(1):e050979.CrossRef
52.
go back to reference Islam MS, MostZ F, Islam US, Mosaddek ASM, Potenza MN, Treatment PS. Treatment, Persistent Symptoms, and Depression in People Infected with COVID-19 in Bangladesh. Int J Environ Res Public Health. 2021;18(4):1453.CrossRef Islam MS, MostZ F, Islam US, Mosaddek ASM, Potenza MN, Treatment PS. Treatment, Persistent Symptoms, and Depression in People Infected with COVID-19 in Bangladesh. Int J Environ Res Public Health. 2021;18(4):1453.CrossRef
53.
go back to reference Menges D, Ballouz T, Anagnostopoulos A, Aschmann HE, Domenghino A, Fehr JS, et al. Burden of post-COVID-19 syndrome and implications for healthcare service planning: a population-based cohort study. PLoS One. 2021;16(7):e0254523.CrossRef Menges D, Ballouz T, Anagnostopoulos A, Aschmann HE, Domenghino A, Fehr JS, et al. Burden of post-COVID-19 syndrome and implications for healthcare service planning: a population-based cohort study. PLoS One. 2021;16(7):e0254523.CrossRef
54.
go back to reference Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. Soc Sci Med. 2000;51(6):843–57.CrossRef Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. Soc Sci Med. 2000;51(6):843–57.CrossRef
55.
go back to reference House JS, Landis KR, Umberson D. Social relationships and health. Science. 1979;241(4865):540–5.CrossRef House JS, Landis KR, Umberson D. Social relationships and health. Science. 1979;241(4865):540–5.CrossRef
56.
go back to reference Fasihi Harandi T, Mohammad Taghinasab M, Dehghan NT. The correlation of social support with mental health: a meta-analysis. Electron Physician. 2017;9(9):5212–22.CrossRef Fasihi Harandi T, Mohammad Taghinasab M, Dehghan NT. The correlation of social support with mental health: a meta-analysis. Electron Physician. 2017;9(9):5212–22.CrossRef
57.
go back to reference Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007;4(5):35–40. Ozbay F, Johnson DC, Dimoulas E, Morgan CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007;4(5):35–40.
58.
go back to reference Callaghan P, Morrissey J. Social support and health: a review. J Adv Nurs. 1993;18(2):203–10.CrossRef Callaghan P, Morrissey J. Social support and health: a review. J Adv Nurs. 1993;18(2):203–10.CrossRef
59.
go back to reference Piferi RL, Lawler KA. Social support and ambulatory blood pressure: an examination of both receiving and giving. Int J Psychophysiol. 2006;62(2):328–36.CrossRef Piferi RL, Lawler KA. Social support and ambulatory blood pressure: an examination of both receiving and giving. Int J Psychophysiol. 2006;62(2):328–36.CrossRef
60.
go back to reference Franks MM, Stephens MAP, Rook KS, Franklin BA, Keteyian SJ, Artinian NT. Spouses’ provision of health-related support and control to patients participating in cardiac rehabilitation. J Fam Psychol. 2006;20(2):311–8.CrossRef Franks MM, Stephens MAP, Rook KS, Franklin BA, Keteyian SJ, Artinian NT. Spouses’ provision of health-related support and control to patients participating in cardiac rehabilitation. J Fam Psychol. 2006;20(2):311–8.CrossRef
61.
go back to reference Lyyra TM, Heikkinen RL. Perceived social support and mortality in older people. J Gerontol B Psychol Sci Soc Sci. 2006;61(3):S147–52.CrossRef Lyyra TM, Heikkinen RL. Perceived social support and mortality in older people. J Gerontol B Psychol Sci Soc Sci. 2006;61(3):S147–52.CrossRef
62.
go back to reference Bhanot D, Singh T, Verma SK, Sharad S. Stigma and discrimination during COVID-19 pandemic. Front Public Health. 2021;12(8):577018.CrossRef Bhanot D, Singh T, Verma SK, Sharad S. Stigma and discrimination during COVID-19 pandemic. Front Public Health. 2021;12(8):577018.CrossRef
63.
go back to reference Chopra KK, Arora VK. Covid-19 and social stigma: role of scientific community. Indian Journal of Tuberculosis. 2020;67(3):284–5.CrossRef Chopra KK, Arora VK. Covid-19 and social stigma: role of scientific community. Indian Journal of Tuberculosis. 2020;67(3):284–5.CrossRef
64.
go back to reference Baldassarre A, Giorgi G, Alessio F, Lulli L, Arcangeli G, Mucci N. Stigma and discrimination (SAD) at the time of the SARS-CoV-2 pandemic. Int J Environ Res Public Health. 2020;17(17):6341.CrossRef Baldassarre A, Giorgi G, Alessio F, Lulli L, Arcangeli G, Mucci N. Stigma and discrimination (SAD) at the time of the SARS-CoV-2 pandemic. Int J Environ Res Public Health. 2020;17(17):6341.CrossRef
65.
go back to reference Pope C, Mays N. Qualitative research in health care. London: BMJ books; 2000. p. 168. Pope C, Mays N. Qualitative research in health care. London: BMJ books; 2000. p. 168.
66.
go back to reference Mills J, Birks M. Qualitative methodology: a practical guide. 1 Oliver’s yard, 55 City road London EC1Y 1SP: SAGE Publications, Inc.; 2014.CrossRef Mills J, Birks M. Qualitative methodology: a practical guide. 1 Oliver’s yard, 55 City road London EC1Y 1SP: SAGE Publications, Inc.; 2014.CrossRef
67.
go back to reference Öhman A. Qualitative methodology for rehabilitation research1. J Rehabil Med. 2005;37(5):273–80.CrossRef Öhman A. Qualitative methodology for rehabilitation research1. J Rehabil Med. 2005;37(5):273–80.CrossRef
68.
go back to reference Ratner C. Cultural psychology and qualitative methodology. Boston, MA: Springer US; 1997.CrossRef Ratner C. Cultural psychology and qualitative methodology. Boston, MA: Springer US; 1997.CrossRef
69.
go back to reference Qu G, Zhen Q, Wang W, Fan S, Wu Q, Zhang C, et al. Health-related quality of life of COVID-19 patients after discharge: a multicenter follow-up study. J Clin Nurs. 2021;30(11–12):1742–50.CrossRef Qu G, Zhen Q, Wang W, Fan S, Wu Q, Zhang C, et al. Health-related quality of life of COVID-19 patients after discharge: a multicenter follow-up study. J Clin Nurs. 2021;30(11–12):1742–50.CrossRef
70.
go back to reference Logue JK, Franko NM, McCulloch DJ, McDonald D, Magedson A, Wolf CR, et al. Sequelae in adults at 6 months after COVID-19 infection. JAMA Netw Open. 2021;4(2):e210830.CrossRef Logue JK, Franko NM, McCulloch DJ, McDonald D, Magedson A, Wolf CR, et al. Sequelae in adults at 6 months after COVID-19 infection. JAMA Netw Open. 2021;4(2):e210830.CrossRef
71.
go back to reference Stavem K, Ghanima W, Olsen MK, Gilboe HM, Einvik G. Persistent symptoms 1.5–6 months after COVID-19 in non-hospitalised subjects: a population-based cohort study. Thorax. 2021;76(4):405–7.CrossRef Stavem K, Ghanima W, Olsen MK, Gilboe HM, Einvik G. Persistent symptoms 1.5–6 months after COVID-19 in non-hospitalised subjects: a population-based cohort study. Thorax. 2021;76(4):405–7.CrossRef
72.
go back to reference Ocsovszky Z, Otohal J, Berényi B, et al. The associations of long-COVID symptoms, clinical characteristics and affective psychological constructs in a non-hospitalized cohort [published online ahead of print, 2022 May 16]. Physiol Int. 2022. https://doi.org/10.1556/2060.2022.00030. Ocsovszky Z, Otohal J, Berényi B, et al. The associations of long-COVID symptoms, clinical characteristics and affective psychological constructs in a non-hospitalized cohort [published online ahead of print, 2022 May 16]. Physiol Int. 2022. https://​doi.​org/​10.​1556/​2060.​2022.​00030.
73.
go back to reference Moretti F, van Vliet L, Bensing J, Deledda G, Mazzi M, Rimondini M, et al. A standardized approach to qualitative content analysis of focus group discussions from different countries. Patient Educ Couns. 2011;82(3):420–8.CrossRef Moretti F, van Vliet L, Bensing J, Deledda G, Mazzi M, Rimondini M, et al. A standardized approach to qualitative content analysis of focus group discussions from different countries. Patient Educ Couns. 2011;82(3):420–8.CrossRef
74.
go back to reference Phillips N, Hardy C. Discourse analysis. Investigating processes of social construction. Thousand Oaks CA: SAGE; 2002. p. 104. Phillips N, Hardy C. Discourse analysis. Investigating processes of social construction. Thousand Oaks CA: SAGE; 2002. p. 104.
75.
go back to reference Bavel JJ van, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav 2020;4(5):460–471. Bavel JJ van, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav 2020;4(5):460–471.
76.
go back to reference Teti M, Schatz E, Liebenberg L. Methods in the time of COVID-19: the vital role of qualitative inquiries. Int J Qual Methods. 2020;1(19):160940692092096.CrossRef Teti M, Schatz E, Liebenberg L. Methods in the time of COVID-19: the vital role of qualitative inquiries. Int J Qual Methods. 2020;1(19):160940692092096.CrossRef
77.
go back to reference Seligman MEP. Flourish: a visionary new understanding of happiness and well-being. Choice Reviews Online. 2011;48(12):48–7217. Seligman MEP. Flourish: a visionary new understanding of happiness and well-being. Choice Reviews Online. 2011;48(12):48–7217.
78.
go back to reference Hwu YJ. The impact of chronic illness on patients. Rehabil Nurs. 1995;20(4):221–5.CrossRef Hwu YJ. The impact of chronic illness on patients. Rehabil Nurs. 1995;20(4):221–5.CrossRef
79.
go back to reference Bury M. Chronic illness as biographical disruption. Sociol Health Illn. 1982;4(2):167–82.CrossRef Bury M. Chronic illness as biographical disruption. Sociol Health Illn. 1982;4(2):167–82.CrossRef
81.
go back to reference Humphreys H, Kilby L, Kudiersky N, Copeland R. Long COVID and the role of physical activity: a qualitative study. BMJ Open. 2021;11(3):e047632.CrossRef Humphreys H, Kilby L, Kudiersky N, Copeland R. Long COVID and the role of physical activity: a qualitative study. BMJ Open. 2021;11(3):e047632.CrossRef
83.
go back to reference Charmaz K. Loss of self: a fundamental form of suffering in the chronically ill. Sociol Health Illn. 1983;5(2):168–95.CrossRef Charmaz K. Loss of self: a fundamental form of suffering in the chronically ill. Sociol Health Illn. 1983;5(2):168–95.CrossRef
86.
go back to reference Barker KK. The fibromyalgia story: medical authority and Women’s worlds of pain. Philadelphia: Temple University; 2005. Barker KK. The fibromyalgia story: medical authority and Women’s worlds of pain. Philadelphia: Temple University; 2005.
87.
go back to reference Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103(5):813–21.CrossRef Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103(5):813–21.CrossRef
88.
go back to reference Dreßing H, Meyer-Lindenberg A. Künftige Aufgaben der psychiatrischen Begutachtung bei Long-COVID. Nervenarzt. 2022;93(3):309–12.CrossRef Dreßing H, Meyer-Lindenberg A. Künftige Aufgaben der psychiatrischen Begutachtung bei Long-COVID. Nervenarzt. 2022;93(3):309–12.CrossRef
90.
go back to reference Cozzi G, Iacono A, Troisi A, Marchetti F. Salute mentale e pandemia nei bambini e adolescenti: quello che si rischia di etichettare come long-covid. Recenti Prog Med. 2022;7(113):172–6. Cozzi G, Iacono A, Troisi A, Marchetti F. Salute mentale e pandemia nei bambini e adolescenti: quello che si rischia di etichettare come long-covid. Recenti Prog Med. 2022;7(113):172–6.
92.
go back to reference Frostick C, Bertotti M. Social prescribing in general practice. Br J Gen Pract. 2019;69(688):538–9.CrossRef Frostick C, Bertotti M. Social prescribing in general practice. Br J Gen Pract. 2019;69(688):538–9.CrossRef
93.
go back to reference Morris SL, Gibson K, Wildman JM, Griffith B, Moffatt S, Pollard TM. Social prescribing during the COVID-19 pandemic: a qualitative study of service providers’ and clients’ experiences. BMC Health Serv Res. 2022;22(1):258.CrossRef Morris SL, Gibson K, Wildman JM, Griffith B, Moffatt S, Pollard TM. Social prescribing during the COVID-19 pandemic: a qualitative study of service providers’ and clients’ experiences. BMC Health Serv Res. 2022;22(1):258.CrossRef
94.
go back to reference Fixsen DA, Barrett DS, Shimonovich M. Supporting vulnerable populations during the pandemic: stakeholders’ experiences and perceptions of social prescribing in Scotland during Covid-19. Qual Health Res. 2022;32(4):670–82.CrossRef Fixsen DA, Barrett DS, Shimonovich M. Supporting vulnerable populations during the pandemic: stakeholders’ experiences and perceptions of social prescribing in Scotland during Covid-19. Qual Health Res. 2022;32(4):670–82.CrossRef
95.
go back to reference Younan HC, Junghans C, Harris M, Majeed A, Gnani S. Maximising the impact of social prescribing on population health in the era of COVID-19. J R Soc Med. 2020;113(10):377–82.CrossRef Younan HC, Junghans C, Harris M, Majeed A, Gnani S. Maximising the impact of social prescribing on population health in the era of COVID-19. J R Soc Med. 2020;113(10):377–82.CrossRef
96.
go back to reference Benedé Azagra CB, Magallón Botaya R, Martín Melgarejo T, del-Pino-Casado R, Vidal Sánchez MI. ¿Qué hacemos y qué podríamos hacer desde el sistema sanitario en salud comunitaria? Informe SESPAS 2018. Gac Sanit. 2018;32:22–5.CrossRef Benedé Azagra CB, Magallón Botaya R, Martín Melgarejo T, del-Pino-Casado R, Vidal Sánchez MI. ¿Qué hacemos y qué podríamos hacer desde el sistema sanitario en salud comunitaria? Informe SESPAS 2018. Gac Sanit. 2018;32:22–5.CrossRef
Metadata
Title
The emotional well-being of Long COVID patients in relation to their symptoms, social support and stigmatization in social and health services: a qualitative study
Authors
M. Samper-Pardo
B. Oliván-Blázquez
R. Magallón-Botaya
F. Méndez-López
C. Bartolomé-Moreno
S. León-Herrera
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2023
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-022-04497-8

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