A mixed method sequential study explored the impact of COVID-19 by gaining an understanding of how the pandemic has impacted individual experiences as well as examining if these experiences existed across a wider population of residents. Previous research suggests that socio-economic factors have exacerbated the adverse impact of the pandemic, therefore this study sought to explore this, as well as attempt to identify what these implications could mean for COVID recovery.
The study was carried out in two phases. In phase one, semi-structured interviews were undertaken with eight participants, transcribed verbatim and an interpretative phenomenological analysis was conducted. Five themes emerged: self-evaluation and reflection, gratitude, uncertainty, social isolation, and lack of faith in the government were identified. In phase two, standardised measures were administered to assess elicited themes via an online questionnaire. Correlation and multiple regression analyses showed a strong relationship between social isolation, gratitude, uncertainty and HRQoL, with social isolated being a significant predictor.
Despite the limitation of a low variance, evidence of a strong correlation amongst disabled and low-income participants experiencing higher levels of social isolation was found. Uncertainty and levels of gratitude were also found to be correlated with social isolation and HRQoL. Therefore, addressing social isolation should be a priority for mental health services and should influence any future restrictions that may be implemented in a ‘third wave’ or future pandemic.

The Impact of COVID-19 on the Health-Related Quality of Life of Individuals Living in Scottish Communities with High Infection Rates
European Journal of Environment and Public Health, 2022, 6(1), em0099, https://doi.org/10.21601/ejeph/11502
ABSTRACT
KEYWORDS
CITATION (Harvard)
Campbell, D., and Davison, J. (2022). The Impact of COVID-19 on the Health-Related Quality of Life of Individuals Living in Scottish Communities with High Infection Rates. European Journal of Environment and Public Health, 6(1), em0099. https://doi.org/10.21601/ejeph/11502
APA
Campbell, D., & Davison, J. (2022). The Impact of COVID-19 on the Health-Related Quality of Life of Individuals Living in Scottish Communities with High Infection Rates. European Journal of Environment and Public Health, 6(1), em0099. https://doi.org/10.21601/ejeph/11502
Vancouver
Campbell D, Davison J. The Impact of COVID-19 on the Health-Related Quality of Life of Individuals Living in Scottish Communities with High Infection Rates. EUROPEAN J ENV PUBLI. 2022;6(1):em0099. https://doi.org/10.21601/ejeph/11502
AMA
Campbell D, Davison J. The Impact of COVID-19 on the Health-Related Quality of Life of Individuals Living in Scottish Communities with High Infection Rates. EUROPEAN J ENV PUBLI. 2022;6(1), em0099. https://doi.org/10.21601/ejeph/11502
Chicago
Campbell, Danielle, and Jenny Davison. "The Impact of COVID-19 on the Health-Related Quality of Life of Individuals Living in Scottish Communities with High Infection Rates". European Journal of Environment and Public Health 2022 6 no. 1 (2022): em0099. https://doi.org/10.21601/ejeph/11502
MLA
Campbell, Danielle et al. "The Impact of COVID-19 on the Health-Related Quality of Life of Individuals Living in Scottish Communities with High Infection Rates". European Journal of Environment and Public Health, vol. 6, no. 1, 2022, em0099. https://doi.org/10.21601/ejeph/11502
REFERENCES
- Algahtani, F. D., Hassan, S. U. N., Alsaif, B. and 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. https://doi.org/10.3390/ijerph18030847
- Bono, G., Reil, K. and Hescox, J. (2020). Stress and wellbeing in urban college students in the US during the COVID-19 pandemic: Can grit and gratitude help? International Journal of Wellbeing, 10(3), 39-57. https://doi.org/10.5502/ijw.v10i3.1331
- Bottesi, G., Ghisi, M., Novara, C., Bertocchi, J. et al. (2015). Intolerance of uncertainty scale (IUS-27 and IUS-12): Two preliminary studies. Psicoterapia Cognitiva e Comportamentale, 21(3), 345-365.
- British Psychological Society. (2014). BPS code of human research ethics (2nd ed.). Available at: https://www.bps.org.uk/news-and-policy/bps-code-human-research-ethics-2nd-edition-2014
- Cornwell, E. Y. and Waite, L. J. (2009) Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31-48. https://doi.org/10.1177/002214650905000103
- Diessner, R. and Lewis, G. (2007). Further validation of the gratitude, resentment, and appreciation test (GRAT). The Journal of Social Psychology, 147(4), 445-447. https://doi.org/10.3200/SOCP.147.4.445-448
- Eurofound. (2017). European quality of life survey 2016. Available at: https://www.eurofound.europa.eu/sites/default/files/ef_publication/field_ef_document/ef1733en.pdf
- Ferreira, L. N., Pereira, L. N., da Fé Brás, M. and Ilchuk, K. (2021). Quality of life under the COVID-19 quarantine. Quality of Life Research, 30(5), 1389-1405. https://doi.org/10.1007/s11136-020-02724-x
- Gao, J., Zheng, P., Jia, Y., Chen, H. et al. (2020). Mental health problems and social media exposure during COVID-19 outbreak. PLoS One, 15(4), e0231924. https://doi.org/10.1371/journal.pone.0231924
- Grant, A., Franklin, J. and Langford, P. (2002). The self-reflection and insight scale: A new measure of private self-consciousness. Social Behavior and Personality: An International Journal, 30, 821-835. https://doi.org/10.2224/sbp.2002.30.8.821
- Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I. et al. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action formental health science. Lancet Psychiat, 7, 547-560. https://doi.org/10.1016/S2215-0366(20)30168-1
- Iacobacci, G. (2020). COVID-19: Deprived areas have the highest death rates in England and Wales. BMJ, 2020, 369. https://doi.org/10.1136/bmj.m1810
- Iob, E., Steptoe, A. and & Fancourt, D. (2020). Abuse, self-harm and suicidal ideation in the UK during the COVID-19 pandemic. The British Journal of Psychiatry, 217(4), 543-546. https://doi.org/10.1192/bjp.2020.130
- Lazarus, J. V., Ratzan, S., Palayew, A., Billari, F. C. et al. (2020). COVID-SCORE: A global survey to assess public perceptions of government responses to COVID-19 (COVID-SCORE-10). PLoS One, 15(10), e0240011. https://doi.org/10.1371/journal.pone.0240011
- Patel, J. A., Nielsen, F., Badiani, A. A., Assi, S. et al. (2020). Poverty, inequality and COVID-19: The forgotten vulnerable. Public Health, 183, 110-111. https://doi.org/10.1016/j.puhe.2020.05.006
- Ping, W., Zheng, J., Niu, X., Guo, C. et al. (2020). Evaluation of health-related quality of life using EQ-5D in China during the COVID-19 pandemic. PLoS One, 15(6), e0234850. https://doi.org/10.1371/journal.pone.0234850
- Sandelowski, M. (2000). Combining qualitative and quantitative sampling, data collection and analysis techniques in mixed-method studies. Research in Nurse & Health, 23(3), 246-255. https://doi.org/10.1002/1098-240X(200006)23:3<246::AID-NUR9>3.0.CO;2-H
- Scottish Government. (2021). Coronavirus (COVID-19): Modelling the epidemic (Issue no. 19). Available at: https://www.gov.scot/publications/coronavirus-COVID-19-modelling-epidemic-issue-no-19/
- Smith, J. A. and Osborn, M. (2012). Interpretative phenomenological analysis. In H. Cooper, P. M. Camic, D. L. Long, A. T. Panter et al. (Eds.), APA handbook of research methods in psychology (Vol. 2., pp. 73-82). American Psychological Association. https://doi.org/10.1037/13620-005
- The Scottish Health Survey. (2019). Scottish Government Health Directorates. Available at: https://www.gov.scot/collections/scottish-health-survey/
- Watkins, P. C., Woodward, K., Stone, T. and Kolts, R. L. (2003). Gratitude and happiness: Development of a measure of gratitude, and relationships with subjective well-being. Social Behavior and Personality, 31(5), 431-451. https://doi.org/10.2224/sbp.2003.31.5.431
- Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W. et al. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. The Journal of Affective Disorders, 277, 55-64. https://doi.org/10.1016/j.jad.2020.08.001
- Yapp, R. and Forham, E. (2021). Coronavirus (COVID-19) infection survey, UK: 3 September 2021. Available at: https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/coronavirusCOVID19infectionsurveypilot/3september2021
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