Stress, Anxiety and Depression in Survivors of COVID-19

Zikrina Istifarani, Gusti Ayu Maharatih


Introduction : Stress, anxiety and depression are the most common psychiatric disorders associated with patients infected wilth COVlD-19. The aim of this study was identify descriptions of differences in stress, anxiety and depression in survivors of COVlD-19 compared to non-survivors of COVID-19 and analyze the risk factors that most influence these events.

Method: This research is a descriptive analytic study with a cross sectional design. The population are survivors and non-survivors of COVlD-19 who followed the ketofastosis diet and joined the isoman group on the telegram application. The research subjects were COVlD-19 survivors and non-COVlD-19 survivors with a total of 379 subjects. Data collection from online questionnaire containing personal data and DASS 21, and then will be analyzed using Chi Square and logistic regression.

Results: The subjects of COVlD-19 survivors experienced anxiety 6,8%, depression 5,5%,and stress 1,6%. The subject of non survivor of COVlD-19 experienced anxiety 4,5%,depression 2,9%, and stress 1,3%. In the Chi Square analysis between stress, anxiety and depression compared to survivors of COVlD-19 and non-survivors of COVlD-19 were p =0.947, p = 0.335, p = 0.153. While the logistic regression analysis test results for risk factors from stress in COVlD-19 survivor were gender (OR=1.520) and having a chronic disease (OR=1.334), for anxiety were gender (OR= 1.743) and having a chronic disease (OR=1.641), then for depression with risk factors also for having chronic disease (OR=1.454) and gender (OR= 0.940).

Conclusion: There were no significant differences in stress, anxiety and depression in survivors of COVlD-19 compared to non-survivors of COVlD-19. The most influential risk factor for stress and anxiety in COVlD-19 survivors is gender while for depression is having a chronic disease.



stress; anxiety; depression; survivors of COVID-19.

Full Text:



1. World Health Organization. COVID-19 [Internet]. World Health Organization. 2022 [cited 2022 Jun 28]. Available from:

2. Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun [Internet]. 2020;2020(1):1–8. Available from: .

3. Liu D, Baumeister RF, Veilleux JC, Chen C, Liu W. Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China Dong. Psychiatry Res [Internet] . 2020;292(January). Available from : doi:10.1016/j.psychres.2020.113297

4. Wang C, Horby PW, Hayden FG, Gao GF. A Novel Coronavirus Outbreak Of Global Health Concern. Coping styles and affect. International Journal of Stress Management [Internet]. 2020;(2020) 16(2), 87–101. Available from : doi:10.1037/a0015731.

5. Mazza, M., De Lorenzo, R., Conte, C., Poletti, S., Vai, B., Bollettini, I., Benedetti,

F. Anxiety and depression in COVID-19 survivors: role of inflammatory and clinical predictors. Brain, Behavior, and

Immunity [Internet]. 2020;2020 (2). Available from : doi:10.1016/j.bbi.2020 .07.037.

6. Morrissey K, Kinderman P. The impact of financial hardship in childhood on depression and anxiety in adult life: Testing the accumulation, critical period and social mobility hypotheses. SSM - Popul Heal [Internet]. 2020;11(April):100592. Available from: doi: 10.1016/j.ssmph.2020.100592.

7. Gennaro M, Lorenzo R De, Conte C, Poletti S. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors Mario. Elsevier Journal, Brain Behav Immun [Internet]. 2020;89(January):594–6. Available from: doi: 10.1016/j.bbi.2020.07.037 .

8. Ahmed Z, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated Psychological Problems. Asian J Psychiatry. 2020;51(January).

9. Gualano MR, Lo Moro G, Voglino G, Bert F, Siliquini R. Effects of Covid-19 Lockdown on Mental Health and Sleep Disturbances in Italy. Int J Environ Res Public Health. 2020;17(13):1–13.

10. Liu YC, Kuo RL, Shih SR. COVID-19: The first documented coronavirus pandemic in history. Biomed J [Internet]. 2020;43(4):328–33. Available from: doi: 10.1016/

11. Sadock K&. Kaplan & sadock’s comprehensive textbook of psychiatry 10th ed. Wolters Kluwer Health; 2017.

12. Oginni OA, Oloniniyi IO, Ibigbami O, Ugo V, Amiola A, Ogunbajo A, et al. Depressive and anxiety symptoms and COVID-19-related factors among men and women in Nigeria. PLoS One [Internet]. 2021;16(8 August 2021):1–18. Available from: pone.0256690


  • There are currently no refbacks.