The Relationship between Psychological Distress, Loneliness and Quality of Life in Adults during the COVID-19 Pandemic: A Cross-Sectional Research
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DOI:
https://doi.org/10.5281/zenodo.13622352Keywords:
Adults, COVID-19, Loneliness, Psychological Distress, Quality of LifeAbstract
Objective: This cross-sectional study aimed to determine the relationships between psychological distress, loneliness, and quality of life in adults during the COVID-19 pandemic.
Method: The study was conducted in Turkey with 488 adults, ages 18-64, between August and December 2020. Data were collected online, using a sociodemographic information form and COVID-19 questionnaire, the Short Form Health Survey (SF-36), the Kessler Psychological Distress Scale (K10), and the UCLA Loneliness Scale (ULS-8). Data were analyzed using descriptive statistics, Pearson correlation analysis, and Hierarchical Regression Analyses.
Results: It was determined that 19.7% of the participants were at risk for mild, 13.5% for moderate and 34.4% for severe psychological distress. A significant relationship was found between the physical component of quality of life and gender, income status, decreased income during the pandemic, chronic disease, mental illness, physical activity, sleep duration, psychological distress, and loneliness (R²=0.391, p<0.001). A significant relationship was found between the mental component of quality of life and age, gender, income status, mental illness, fear of COVID-19, taking personal precautions in the pandemic, physical activity, psychological distress and loneliness (R²=0.359, p<0.001). The level of psychological distress and loneliness were significant determinants of both the physical and mental components of the quality of life, and the quality of life decreased as the level of psychological distress and loneliness increased.
Conclusion: It is thought that various interventions (advanced epidemic management policies, psychosocial and mental health services) should be organized to improve mental health and quality of life, both of which are affected by the COVID-19 pandemic process.
References
Al Dhaheri, A. S., Bataineh, M. A. F., Mohamad, M. N., Ajab, A., Al Marzouqi, A., Jarrar, A. H., ... & Cheikh Ismail, L. (2021). Impact of COVID-19 on mental health and quality of life: Is there any effect? A cross-sectional study of the MENA region. PloS one, 16(3), e0249107.
Altun, Y., Özen, M., & Kuloğlu, M. M. (2019). Turkish adaptation of Kessler Psychological Distress Scale: validity and reliability study. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 20.
Algahtani, F. D., Hassan, S. U. N., Alsaif, B., & Zrieq, R. (2021). Assessment of the quality of life during COVID-19 pandemic: a cross-sectional survey from the Kingdom of Saudi Arabia. International journal of environmental research and public health, 18(3), 847.
Arafa, A., Mohamed, A., Saleh, L., & Senosy, S. (2021). Psychological impacts of the COVID-19 pandemic on the public in Egypt. Community mental health Journal, 57(1), 64-69.
Boursier, V., Gioia, F., Musetti, A., & Schimmenti, A. (2020). Facing loneliness and anxiety during the COVID-19 isolation: the role of excessive social media use in a sample of Italian adults. Frontiers in psychiatry, 11, 586222.
Bostan, S., Erdem, R., Ozturk, Y. E., Kilic, T., & Yilmaz, A. (2020). The effect of COVID-19 pandemic on the Turkish society. Electron J Gen Med. 2020; 17 (6): em237.
Chen, K. Y., Li, T., Gong, F. H., Zhang, J. S., & Li, X. K. (2020). Predictors of health-related quality of life and influencing factors for COVID-19 patients, a follow-up at one month. Frontiers in psychiatry, 11, 668.
Butterworth, P., Watson, N., & Wooden, M. (2020). Trends in the prevalence of psychological distress over time: comparing results from longitudinal and repeated cross-sectional surveys. Frontiers in Psychiatry, 11, 595696. https://doi.org/10.3389/fpsyt.2020.595696
Demiral, Y., Ergor, G., Unal, B., Semin, S., Akvardar, Y., Kıvırcık, B., & Alptekin, K. (2006). Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC public health, 6, 1-8.
Doğan, T., Çötok, N. A., & Tekin, E. G. (2011). Reliability and validity of the Turkish Version of the UCLA Loneliness Scale (ULS-8) among university students.
Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet. Psychiatry, 7(4), 300.
Duran, S., & Erkin, Ö. (2021). Psychologic distress and sleep quality among adults in Turkey during the COVID-19 pandemic. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 107, 110254.
Esin, N. (2014). Sampling. In: S Erdoğan, N Nahçıvan, & MN Esin, (Eds.) Research in Nursing: Process, Application and Critic:186. Nobel Medical Bookstore. [in Turkish]
Ferreira, M. J., Sofia, R., Carreno, D. F., Eisenbeck, N., Jongenelen, I., & Cruz, J. F. A. (2021). Dealing with the pandemic of COVID-19 in Portugal: On the important role of positivity, experiential avoidance, and coping strategies. Frontiers in Psychology, 12, 647984.
García-Fernández, L., Romero-Ferreiro, V., Padilla, S., López-Roldán, P. D., Monzó-García, M., & Rodriguez-Jimenez, R. (2021). The impact on mental health patients of COVID-19 outbreak in Spain. Journal of psychiatric research, 136, 127-131.
Kabeloğlu, V., & Gül, G. (2021). Investigation of sleep quality and associated social psychological factors during the COVID-19 outbreak. J Turk Sleep Med, 8(2), 97-104.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., ... & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological medicine, 32(6), 959-976. https://doi.org/10.1017/s0033291702006074
Khan, A. G., Kamruzzaman, M., Rahman, M. N., Mahmood, M., & Uddin, M. A. (2021). Quality of life in the COVID-19 outbreak: influence of psychological distress, government strategies, social distancing, and emotional recovery. Heliyon, 7(3), e06407. https://doi.org/10.1016/j.heliyon.2021.e06407
Kharshiing, K. D., Kashyap, D., Gupta, K., Khursheed, M., Shahnawaz, M. G., Khan, N. H., ... & Rehman, U. (2021). Quality of life in the COVID-19 pandemic in India: Exploring the role of individual and group variables. Community mental health journal, 57, 70-78. https://doi.org/10.1007/s10597-020-00712-6
Killgore, W. D., Taylor, E. C., Cloonan, S. A., & Dailey, N. S. (2020). Psychological resilience during the COVID-19 lockdown. Psychiatry research, 291, 113216. https://doi.org/10.1016/j.psychres.2020.113216
Kim, Y. J., & Kang, S. W. (2020). The quality of life, psychological health, and occupational calling of Korean workers: Differences by the new classes of occupation emerging amid the COVID-19 pandemic. International journal of environmental research and public health, 17(16), 5689.https://doi.org/10.3390/ijerph17165689
Koçyiğit, H., Aydemir, Ö., Ölmez, N., et al (1998). Short Form -36 Reliability and validity of SF-36 for Turkish: Study with a group of patients with rheumatic disease. 34. National Psychiatry Congress Scientific Study Summary Book. Kültür S, Küey L, (Eds.) İzmir Güneş Ofset:290-291. [in Turkish]
Kotwal, A. A., Holt‐Lunstad, J., Newmark, R. L., Cenzer, I., Smith, A. K., Covinsky, K. E., ... & Perissinotto, C. M. (2021). Social isolation and loneliness among San Francisco Bay Area older adults during the COVID‐19 shelter‐in‐place orders. Journal of the American Geriatrics Society, 69(1), 20-29.https://doi.org/10.1111/jgs.16865
Liu, X., Kakade, M., Fuller, C. J., Fan, B., Fang, Y., Kong, J., ... & Wu, P. (2012). Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Comprehensive psychiatry, 53(1), 15-23. https://doi.org/10.1016/j.comppsych.2011.02.003
Losada-Baltar, A., Jiménez-Gonzalo, L., Gallego-Alberto, L., Pedroso-Chaparro, M. D. S., Fernandes-Pires, J., & Márquez-González, M. (2021). “We are staying at home.” Association of self-perceptions of aging, personal and family resources, and loneliness with psychological distress during the lock-down period of COVID-19. The Journals of Gerontology: Series B, 76(2), e10-e16.https://doi.org/10.1093/geronb/gbaa048
Magalhaes, E., Stoner, A., Palmer, J., Schranze, R., Grandy, S., Amin, S., & Cheng, N. (2021). An assessment of mental health outcomes during the COVID-19 pandemic. Community mental health journal, 57, 1267-1277.
Official Gazette of the Republic of Turkiye (2020) No. 31078. "Attachment to Presidential Decision dated 24/3/2020 and numbered 2280". https://www.resmigazete.gov.tr/eskiler/2020/03/20200324M1.pdf. Accessed April 28, 2020. [in Turkish]
Ono, B. H. V. S., & Souza, J. C. (2020). Sleep and immunity in times of COVID-19. Revista da Associação Médica Brasileira, 66, 143-147.
Ozdemir, F., Cansel, N., Kizilay, F., Guldogan, E., Ucuz, I., Sinanoglu, B., ... & Cumurcu, H. B. (2020). The role of physical activity on mental health and quality of life during COVID-19 outbreak: A cross-sectional study. European journal of integrative medicine, 40, 101248.
Parfenova, A. (2020). Will you shake my hand? Factors of noncompliance with COVID-19 behavioral rules in the framework of enforced social isolation in Russia. International Journal of Sociology and Social Policy, 40(9/10), 1221-1235.
Pieh, C., Budimir, S., & Probst, T. (2020). The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. Journal of psychosomatic research, 136, 110186.
Ping, W., Zheng, J., Niu, X., Guo, C., Zhang, J., Yang, H., & Shi, Y. (2020). Evaluation of health-related quality of life using EQ-5D in China during the COVID-19 pandemic. PloS one, 15(6), e0234850.
Prout, T. A., Zilcha-Mano, S., Aafjes-van Doorn, K., Békés, V., Christman-Cohen, I., Whistler, K., ... & Di Giuseppe, M. (2020). Identifying predictors of psychological distress during COVID-19: a machine learning approach. Frontiers in psychology, 11, 586202.
Potas, N., Koçtürk, N., & Toygar, S. A. (2021). Anxiety effects on quality of life during the COVID-19 outbreak: A parallel-serial mediation model among nurses in Turkey. Work, 69(1), 37-45.
Qi, M., Li, P., Moyle, W., Weeks, B., & Jones, C. (2020). Physical activity, health-related quality of life, and stress among the Chinese adult population during the COVID-19 pandemic. International journal of environmental research and public health, 17(18), 6494.
Rebuplic of Turkiye Ministry of the Interior (RTMI) (2020). The 2-Day Curfew Ends Tonight At 24.00. https://www.icisleri.gov.tr/2-gun-sokaga-cikma-yasagi-bu-gece-saat-2400-itibariyla-sona-eriyor. Accessed April 28, 2020. [in Turkish]
Rebuplic of Turkiye Ministry of the Interior (RTMI) (2020). Exceptions for Young People aged 18 to 20 with Curfews. https://www.icisleri.gov.tr/sokaga-cikma-yasagi-bulunan-18---20-yas-arasindaki-genclerle-ilgili-istisnalar. Accessed April 29, 2020. [in Turkish]
Rebuplic of Turkiye Ministry of the Interior (RTMI) (2021). Partial Closing Circular Has Been Sent To 81 Provincial Governorships.https://www.icisleri.gov.tr/81-il-valiligine-kismi-kapanma-genelgesi-gonderildi. Accessed May 03, 2021. [in Turkish]
Rebuplic of Turkiye Ministry of the Interior (RTMI) (2021). Coronavirus Supplementary Measures Circular 04/11/2020. https://www.icisleri.gov.tr/koronavirus-ek-tedbirleri-genelgesi. Accessed August 02, 2021. [in Turkish]
Rebuplic of Turkiye Ministry of the Interior (RTMI) (2021) The fight against Coronavirus 07/08/2020. https://www.icisleri.gov.tr/koronavirusle-mucadele. Accessed August 02, 2021. [in Turkish]
Rehman U, Shahnawaz MG, Khan NH, Kharshiing KD, Khursheed M, Gupta K, et al (2021) Depression, anxiety and stress among Indians in times of COVID-19 lockdown. Community Mental Health Journal; 57(1):42-48.
Kasar, K. S., & Karaman, E. (2021). Life in lockdown: Social isolation, loneliness and quality of life in the elderly during the COVID-19 pandemic: A scoping review. Geriatric Nursing, 42(5), 1222-1229. https://doi.org/10.1016/j.gerinurse.2021.03.010
Suryavanshi, N., Kadam, A., Dhumal, G., Nimkar, S., Mave, V., Gupta, A., ... & Gupte, N. (2020). Mental health and quality of life among healthcare professionals during the COVID‐19 pandemic in India. Brain and behavior, 10(11), e01837.
Taylor, S., Landry, C. A., Paluszek, M. M., Groenewoud, R., Rachor, G. S., & Asmundson, G. J. (2020). A proactive approach for managing COVID-19: the importance of understanding the motivational roots of vaccination hesitancy for SARS-CoV2. Frontiers in psychology, 11, 575950.
Usher, K., Jackson, D., Durkin, J., Gyamfi, N., & Bhullar, N. (2020). Pandemic‐related behaviours and psychological outcomes; A rapid literature review to explain COVID‐19 behaviours. International Journal of Mental Health Nursing, 29(6), 1018-1034.
Wilder-Smith, A., & Freedman, D. O. (2020). Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. Journal of travel medicine, 27(2), 1-4.
Wenham, C., Smith, J., & Morgan, R. (2020). COVID-19: the gendered impacts of the outbreak. The lancet, 395(10227), 846-848.
Wu, K. K., Chan, S. K., & Ma, T. M. (2005). Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS). Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 18(1), 39-42.
WHO (1996). Quality of Life Assessment Group. What quality of life? / The WHOQOL Group. World Health Forum 17(4):354-356.
Yetim, B., & Celik, Y. (2020). What predicts the quality of life in Turkey: The results of a country representative study. Health & social care in the community, 28(2), 431-438.
Zhou, Q., Lai, X., Zhang, X., & Tan, L. (2020). Compliance measurement and observed influencing factors of hand hygiene based on COVID-19 guidelines in China. American journal of ınfection control, 48(9), 1074-1079.
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