"I Am Not the Same as I Was Before": A Qualitative Analysis of COVID-19 Survivors

Int J Behav Med. 2023 Oct;30(5):663-672. doi: 10.1007/s12529-022-10129-y. Epub 2022 Oct 13.

Abstract

Background: Little is known about the illness experience of patients' long-term emotional and physical recovery from severe COVID-19 infection. This study aimed to expand upon the recovery process of COVID-19 survivors up to 6 months after hospital discharge.

Methods: Qualitative analysis of free-response answers from a cohort study of 152 patients ≥ 18 years hospitalized with laboratory-confirmed SARS-CoV-2 surveyed at 1-month post hospital discharge and 6-months post hospital discharge. Responses were analyzed with a grounded theory approach to identify overarching themes.

Results: Participants described persistent complications, both physical and mental, that have affected their recovery from COVID-19. Five overarching themes of post-acute patient experiences were generated: (1) an increased awareness of a mind and body connection, (2) feelings of premature aging, (3) an overall decline in quality of life, (4) a continued fear of infection, and (5) methods of coping.

Conclusions: Patients described lasting changes to their mental health and overall quality of life in connection to physical complications after severe COVID-19 infection. Patients' reports of their experience call for a greater awareness of the psychological aspects of COVID-19 recovery to provide both physical and psychological rehabilitation services. Additional resources such as education around re-infection and financial resources are needed.

Keywords: Chronic COVID-19; Long COVID; Post-acute COVID-19; Qualitative study.

MeSH terms

  • COVID-19*
  • Cohort Studies
  • Humans
  • Quality of Life / psychology
  • SARS-CoV-2
  • Survivors