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Journal of Clinical and
            Basic Psychosomatics                                                Psychological COVID-19 gastrointestinal



            sample size is sufficient for preliminary research, it may   Acknowledgments
            not fully represent the variation among various clinical
            or demographic subgroups within Central Macedonia,   The authors would like to thank their families, their
            Greece, thereby limiting the generalizability of the findings.   patients, physicians, and nurses of the COVID-19 clinics.
            Third, there is a potential for reporting bias, as both GI and   Funding
            emotional symptoms were based on self-reported data.
            Finally, while not taken into account in this study, external   None.
            variables, such as media exposure during the pandemic,
            social isolation, or past mental health history, may have   Conflict of interest
            affected participants’ psychological states.       Kalliopi Megari is the Youth Editorial Board Member of
              To our knowledge, no prior studies have specifically   this journal, but was not in any way involved in the editorial
            examined the association between emotional states and   and peer-review process conducted for this paper, directly
            different GI symptoms in COVID-19  patients, nor the   or indirectly. Separately, other authors declared that they
            relationship between GI symptoms and responses to   have no known competing financial interests or personal
            psychological tests. Our findings provide novel insights that   relationships that could have influenced the work reported
            may have significant implications for understanding the   in this paper.
            quality of life and daily functioning of COVID-19 patients   Author contributions
            experiencing GI symptoms. Future research should further
            explore  these  associations  in  larger  and  more  diverse   Conceptualization: Kalliopi Megari
            populations, paving the way for targeted interventions that   Formal  analysis: Kalliopi Megari, Efthymia Efthymiou,
            improve patient outcomes.                             Alexandros Argyriadis
                                                               Investigation: Evanthia Thomaidou, Dimitra V. Katsarou,
            5. Conclusion                                         Eugenia I. Toki
            Emotional disturbances, such as stress, anxiety, depression,   Methodology:  Kalliopi Megari, Evangelos Mantsos,
            and insomnia, are prevalent among COVID-19 patients 13,14    Soultana Papadopoulou
            and play an important role in shaping patient outcomes.   Writing – original draft: Kalliopi Megari, Evanthia
            Diarrhea, in particular, has emerged as an important GI   Thomaidou
            symptom  associated  with  negative  mood,  heightened   Writing – review & editing: Kalliopi Megari, Evanthia
            anxiety, and depressive symptoms. Early recognition and   Thomaidou
            management of emotional distress in COVID-19 patients
            with  GI  symptoms  are  essential  for  improving  clinical   Ethics approval and consent to participate
            outcomes and overall well-being.                   All procedures involving human subjects/patients were
              Among COVID-19 survivors, psychiatric sequelae are   approved by the Bioethics and Ethics Committee of
            commonly observed, with at least one disorder frequently   AHEPA University Hospital, School of Medicine, Aristotle
            reaching pathological levels. The prevalence of PTSD,   University of Thessaloniki, Greece, under the approval
            major  depressive  disorder,  and  anxiety  in survivors   number 34191. Human subjects were involved, and written
            is anticipated to be higher than average. These three   permission was obtained from each of the subjects to
            extremely burdensome, non-communicable conditions are   participate in the study.
            all associated with disability. Additionally, depression has   Consent for publication
            been linked to a significantly increased risk of both cause-
            specific and overall mortality. 23                 Human  subjects  were  involved, and  written  permission

              COVID-19 infection has profound and concerning   was obtained from each of the subjects to publish their
            effects on mental health.  In efforts to mitigate the long-term   data and/or images.
                              23
            impact of the disease, particularly among those with pre-  Availability of data
            existing mental health conditions, systemic assessments of
            psychopathological symptoms in COVID-19 survivors are   Data cannot be shared publicly due to the sensitive nature
            recommended. Continuous monitoring  of psychological   of the research.
            adjustment and quality of life over time is crucial. Given
            its central role in recovery, quality of life should be a key   References
            consideration in both  clinical management and  future   1.   Jin S, Lu X, Xu C. COVID-19 induces gastrointestinal
            research efforts. 38-40                               symptoms and affects patients’ prognosis.  J  Int Med Res.


            Volume 3 Issue 4 (2025)                         82                         doi: 10.36922/JCBP025040007
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