Relationship between coronavirus anxiety, resilience, and attitudes toward complementary and alternative treatment among patients admitted
to the COVID-19 Outpatient Clinic

Ahmet Karakoyun 1, Emel Bahadır Yılmaz 2 * , Arzu Yüksel 3
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1 Department of Physical Medicine and Rehabilitation at the Faculty of Medicine, Aksaray University, Aksaray, Turkey
2 Department of Psychiatric Nursing at the Faculty of Health Sciences, Giresun University, Giresun, Turkey
3 Department of Psychiatric Nursing at the Faculty of Health Sciences, Aksaray University, Aksaray, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 21, Issue 1, pp. 61-66. https://doi.org/10.23950/jcmk/14272
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Author Contributions
Conceptualization, E. S. B., S. B.; methodology, E. S. B., S. B.; validation, E. S. B., S. B.; formal analysis, E. S. B., S. B.; investigation, E. S. B., S. B.; resources, E. S. B., S. B.; data curation, E. S. B., S. B.; writing – original draft preparation, E. S. B., S. B.; writing – review and editing, E. S. B., S. B.; visualization, E. S. B., S. B.; supervision, – not
applicable; project administration – not applicable; funding acquisition – not applicable. All authors have read and agreed to the published version of the manuscript.

Data Availability
Data will be made available upon request.

ABSTRACT

Aim: During the COVID-19 pandemic, the studies showed an increase in complementary and alternative therapy use. This study aimed to determine the relationship between coronavirus anxiety, resilience, and attitudes toward complementary and alternative treatment among patients admitted to the COVID-19 outpatient clinic.
Material and methods: This is a descriptive and relational study. The sample consisted of 364 patients who applied to the pandemic outpatient clinic of a training and research hospital in Turkey. Data were collected using the Coronavirus Anxiety Scale, Brief Resilience Scale, and Scale for Attitudes toward Complementary and Alternative Medicine. The Mann–Whitney U test, the Kruskal–Wallis test, and the Spearman correlation test were used in data analysis.
Results: There was a moderate and negative correlation (r = −0.332) between attitudes toward complementary and alternative medicine and coronavirus anxiety, and a moderate and positive correlation (r = 0.348) between attitudes toward complementary and alternative medicine and resilience (p < 0.01). Additionally, there was a moderate and negative correlation between coronavirus anxiety and resilience (r = −0.667; p < 0.01).
Conclusion: In the COVID-19 pandemic process, it is essential to follow up on patients' complementary and alternative medicine use, inform them, and determine their causes.

CITATION

Karakoyun A, Bahadır Yılmaz E, Yüksel A. Relationship between coronavirus anxiety, resilience, and attitudes toward complementary and alternative treatment among patients admitted
to the COVID-19 Outpatient Clinic. J CLIN MED KAZ. 2024;21(1):61-6. https://doi.org/10.23950/jcmk/14272

REFERENCES

  • Fernandes PMP, Mariani AW. Life post-COVID-19: Symptoms and chronic complications. Sao Paulo Med J. 2021; 139(1): 1-2. https://doi.org/10.1590/1516-3180.2021.139104022021.
  • Şenyiğit A. COVID-19 pandemic; clinical findings, diagnosis, treatment and prevention. Dicle Medical Journal. 2021; 48(special issue): 176-186. https://doi.org/10.5798/dicletip.1005418.
  • Alosaimi B, AlFayyad I, Alshuaibi S, Almutairi G, Alshaebi N, Alayyaf A, et al. Cardiovascular complications and outcomes among athletes with COVID-19 disease: A systematic review. BMC Sports Sci Med Rehabil. 2022; 14: 74. https://doi.org/10.1186/s13102-022-00464-8.
  • Yazdanpanah N, Rezaei N. Autoimmune complications of COVID‐19. J Med Virol. 2022; 94(1): 54-62. https://doi.org/10.1002/jmv.27292.
  • Ang L, Song E, Lee HW, Lee MS. Herbal medicine for the treatment of coronavirus disease 2019 (COVID-19): a systematic review and meta-analysis of randomized controlled trials. J Clin Med. 2020; 9(5): 1583. https://doi.org/10.3390/jcm9051583.
  • Shankar A, Dubey A, Saini D, Prasad CP. Role of complementary and alternative medicine in prevention and treatment of COVID-19: an overhyped hope. Chin J Integr Med. 2020; 26(8): 565–7. https://doi.org/10.1007/s11655-020-2851-y.
  • Panyod S, Ho CT, Sheen LY. Dietary therapy and herbal medicine for COVID-19 prevention: a review and perspective. J Tradit Complement Med. 2020; 10: 420–7. https://doi.org/10.1016/j.jtcme.2020.05.004.
  • Charan J, Bhardwaj P, Dutta S, Kaur S, Bist SK, Detha MD, et al. Use of complementary and alternative medicine (CAM) and home remedies by COVID-19 patients: a telephonic survey. Indian J Clin Biochem. 2021; 36(1): 108–11. https://doi.org/10.1007/s12291-020-00931-4.
  • Khadka D, Dhamala MK, Li F, Aryal PC, Magar PR, Bhatta S, et al. The use of medicinal plant to prevent COVID-19 in Nepal. J Ethnobiol Ethnomed. 2020. https://doi.org/10.21203/rs.3.rs-88908/v1.
  • Ahmed I, Hasan M, Akter R, Sarkar BK, Rahman M, Sarker S, et al. Behavioral preventive measures and the use of medicines and herbal products among the public in response to Covid-19 in Bangladesh: a cross-sectional study. PLoS One. 2020; 15(12): e0243706. https://doi.org/10.1371/journal.pone.0243706.
  • Satici SA, Kayis AR, Satici B, Griffiths MD, Can G. Resilience, hope, and subjective happiness among the Turkish population: fear of COVID-19 as a mediator. Int J Ment Health Addiction. 2020. https://doi.org/10.1007/s11469-020-00443-5.
  • Aktürk Z, Acemoğlu H. Sağlık çalışanları için araştırma ve pratik istatistik: örnek problemler ve SPSS çözümleri (2nd ed.). İstanbul, Turkey: Anadolu Ofset; 2011. (in Turkish).
  • Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020; 44(7): 393–401. https://doi.org/10.1080/07481187.2020.174848116.
  • Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to COVID-19: a Turkish validation study of the Coronavirus Anxiety Scale. Death Stud. 2022; 46(5): 1052-1058. https://doi.org/10.1080/07481187.2020.1774969.
  • Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Jennifer Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008; 15(3): 194–200. https://doi.org/10.1080/10705500802222972.
  • Doğan T. Kısa Psikolojik Sağlamlık Ölçeği’nin Türkçe uyarlaması: geçerlik ve güvenirlik çalışması. The Journal of Happiness & Well-Being. 2015; 3(1): 93–102.
  • Araz A, Harlak H. Developing a scale for attitudes towards complementary and alternative medicine. Turk J Public Health. 2006; 4(2): 47–54.
  • Lee SA, Jobe MC, Mathis AA. Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychol Med 2021;51(8):1403-1404. https://doi.org/10.1017/S003329172000121X.
  • Islam S, Ferdous Z, Potenza MN. Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: an online pilot survey early in the outbreak. J Affect Disord. 2020; 276: 30–7. https://doi.org/10.1016/j.jad.2020.06.049.
  • Karadag E, Ugur O, Mert H, Erunal M. The relationship between psychological resilience and social support levels in hemodialysis patients. J Basic Clin Health Sci. 2019; 3(1): 9–15. https://doi.org/10.30621/jbachs.2019.469.
  • Ciaffi J, Brusi V, Lisi L, Mancarella L, D’Onghia M, Quaranta E, et al. Living with arthritis: a “training camp” for coping with stressful events? A survey on resilience of arthritis patients following the COVID-19 pandemic. Clin Rheumatol. 2020; 39: 3163–70. https://doi.org/10.1007/s10067-020-05411-x.
  • Carriedo A, Cecchini JA, Fernandez-Rio J, Mendez-Gimenez A. Resilience and physical activity in people under home isolation due to COVID-19: a preliminary evaluation. Ment Health Phys Act. 2020a; 19: 100361. https://doi.org/10.1016/j.mhpa.2020.100361.
  • Coronado PJ, Fasero M, Otero B, Sanchez S, de la Viuda E, Ramirez-Polo I, et al. Health-related quality of life and resilience in peri- and postmenopausal women during Covid-19 confinement. Maturitas. 2021; 144: 4–10. https://doi.org/10.1016/j.maturitas.2020.09.004.
  • Carriedo A, Cecchini JA, Fernandez-Rio J, Mendez-Gimenez A. COVID-19, psychological well-being and physical activity levels in older adults during the nationwide lockdown in Spain. Am J Geriatr Psychiatry. 2020b; (11): 1146–55. https://doi.org/10.1016/j.jagp.2020.08.007.
  • Li Y, Li J, Zhong D, Zhang Y, Guo Y, Clarke M, et al. Clinical practice guideliness and experts’ consensuses of traditional Chinese herbal medicine for novel coronavirus (COVID-19): protocol of a systematic review. Chin. J. Integr. Med. 2020; 26(10): 786–93. https://doi.org/10.1186/s13643-020-01432-4.
  • World Health Organization. WHO supports scientifically-proven traditional medicine. Available from https://www.afro.who.int/news/who-supports-scientifically-proven-traditional-medicine. Accessed November 11, 2021.
  • Konakci G, Ozgursoy-Uran BN, Erkin O. In the Turkish news: coronavirus and “alternative & complementary” medicine methods. Complement Ther Med. 2020; 53: 102545. https://doi.org/10.1016/j.ctim.2020.102545.
  • Mosheva M, Hertz‐Palmor N, Ilan SD, Matalon N, Pessach IM, Afek A, et al. Anxiety, pandemic-related stress and resilience among physicians during the COVID-19 pandemic. Depress Anxiety. 2020; 37(10): 965–71. https://doi.org/10.1002/da.23085.
  • Labraque LJ, De los Santos JAA. COVID-19 anxiety among front-line nurses: predictive role of organisational support, personal resilience and social support. J Nurs Manag. 2020; 28: 1653–61. https://doi.org/10.1111/jonm.13121.
  • Barzilay R, Moore TM, Greenberg DM, DiDomenico GE, Brown LA, White LK, et al. Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Transl Psychiatry. 2020; 10: 291. https://doi.org/10.1038/s41398-020-00982-4.
  • Havnen A, Anyan F, Hjemdal O, Solem S, Riksfjord MG, Hagen K. Resilience moderates negative outcome from stress during the COVID-19 pandemic: a moderated-meditation approach. Int J Environ Res Public Health. 2020; 17: 6461. https://doi.org/10.3390/ijerph17186461.
  • Ran L, Wang W, Ai M, Kong Y, Chen J, Kuang L. Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: a study of the general population in China at the peak of its epidemic. Soc Sci Med. 2020; 262: 113261. https://doi.org/10.1016/j.socscimed.2020.113261.
  • Öz F, Bahadır-Yılmaz E. Ruh sağlığının korunmasında önemli bir kavram: psikolojik sağlamlık. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi. 2009; 16(3): 82–9.
  • Jang A, Kang DH, Kim DU. Complementary and alternative medicine use and its association with emotional status and quality of life in patients with a solid tumor: a cross-sectional study. J Altern Complement Med. 2017; 23(5): 362–9. https://doi.org/10.1089/acm.2016.0289.
  • Kalender ME, Buyukhatıpoglu H, Balakan O, Suner A, Dirier A, Sevinc A, et al. Depression, anxiety and quality of life through the use of complementary and alternative medicine among breast cancer patients in Turkey. J Cancer Res Ther. 2014; 10(4): 962–6. https://doi.org/10.4103/0973-1482.138010.
  • Seifert G, Jeitler M, Stange R, Michalsen A, Cramer H, Brinkhaus B, et al. The relevance of complementary and integrative medicine in the COVID-19 pandemic: a qualitative review of the literature. Front Med. 2020; 7: 587749. https://doi.org/10.3389/fmed.2020.587749/.