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Journal of Clinical and

                                                                   Basic Psychosomatics




                                        ORIGINAL RESEARCH ARTICLE
                                        Psychological features and emotional

                                        well-being in COVID-19 patients with
                                        gastrointestinal symptoms



                                                     1,2
                                        Kalliopi Megari * , Dimitra V. Katsarou 3  , Evangelos Mantsos 4  ,
                                        Soultana Papadopoulou 5  , Efthymia Efthymiou 6  , Alexandros Argyriadis 7  ,
                                        Eugenia I. Toki 5  , and Evanthia Thomaidou 8

                                        1 Department of Psychology, CITY College, University of York Europe Campus, Thessaloniki, Greece
                                        2 Department of Psychology, School of Social Sciences and Humanities, University of  Western
                                        Macedonia, Florina, Greece
                                        3 Department of Preschool Education Sciences and Educational Design, School of Humanities,
                                        University of the Aegean, Rhodes, Greece
                                        4 Department of Physical Education and Sport Science, School of Physical Education, Sport Science
                                        and Dietetics, University of Thessaly, Trikala, Greece
                                        5 Department of Speech Therapy, School of Health Sciences, University of Ioannina, Dodoni, Greece
                                        6 College of Interdisciplinary Studies, Zayed University, Dubai, United Arab Emirates
                                        7 Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, Heraklion,
                                        Crete, Greece
                                        8 Department  of  Anesthesiology  and  Intensive  Care,  School  of  Medicine,  Aristotle  University  of
                                        Thessaloniki, AHEPA Hospital, Thessaloniki, Greece





            *Corresponding author:      Abstract
            Kalliopi Megari
            (kmegari@psy.auth.gr)       The prevalence of gastrointestinal (GI) symptoms in COVID-19 patients is more than
            Citation: Megari K, Katsarou DV,   20%. Research has revealed that the incidence of GI symptoms, including anorexia,
            Mantsos E, et al. Psychological   nausea, vomiting, and abdominal pain, can be as high as 79.1%, and that diarrhea,
            features and emotional well-  as the main symptom, can be present in 49.5% of the cases. Among these patients,
            being in COVID-19 patients with   the psychological impact of various GI symptoms poses an essential consideration
            gastrointestinal symptoms. J Clin
            Basic Psychosom. 2025;3(4):76-84.   in the quality of life after hospital discharge and recovery. In this study, 102 patients
            doi: 10.36922/JCBP025040007  hospitalized for COVID-19, with GI symptoms, were divided into two groups: The GI
            Received: January 25, 2025  group (n = 54), with the predominant GI symptoms of anorexia, nausea, vomiting, and
                                        abdominal pain, and the D group (n = 48), with the predominant symptom of diarrhea.
            Revised: April 19, 2025     Questionnaires assessing positive and negative moods, anxiety, and depression were
            Accepted: May 9, 2025       administered to all patients, and psychological evaluation took place 3 months after
                                        the first positive polymerase chain reaction test for COVID-19. The results demonstrate
            Published online: May 27, 2025
                                        that patients in the GI group exhibited lower scores in the negative mood, anxiety, and
            Copyright: © 2025 Author(s).   depression tests, and higher scores in the positive mood test, compared to the patients
            This is an Open-Access article   in the D group. In conclusion, emotions play an important role in the outcome of COVID-
            distributed under the terms of the
            Creative Commons Attribution   19 patients with different GI symptoms. Notably, diarrhea is an important symptom
            License, permitting distribution,   associated with negative mood, anxiety, and depression. Understanding the emotional
            and reproduction in any medium,   impact of specific GI symptoms on COVID-19 patients is essential for developing a
            provided the original work is
            properly cited.             comprehensive approach to the care and well-being of COVID-19 patients.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Psychological features; COVID-19 patients; Digestive system; Gastrointestinal
            regard to jurisdictional claims in   effects; Diarrhea; Anxiety
            published maps and institutional
            affiliations.

            Volume 3 Issue 4 (2025)                         76                         doi: 10.36922/JCBP025040007
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