Psychological impact of the COVID-19 pandemic on people with asthma: A co-produced mixed-methods study

Tracy Jackson, Kirstie McClatchey*, Amy Hai Yan Chan, Noelle Morgan, Emma Kinley, Hilary Pinnock

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Objective: When COVID-19 was declared a pandemic there was concern that people living with asthma were at high-risk of poor outcomes. We aimed to explore the psychological impact of living with asthma in the United Kingdom during the pandemic.
Methods and Measures: Our mixed methods study, co-designed with patient and public involvement colleagues, included an online survey to detect anxiety/depression/post-traumatic stress disorder (PTSD) and health beliefs; and qualitative interviews. We recruited 849 participants for the survey and interviewed 26 between May and June 2020. Audio-recorded interviews were transcribed verbatim, and analysed thematically.
Results: The survey identified that 77% of respondents were experiencing symptoms of anxiety, 77% were experiencing symptoms of depression, and PTSD was of concern for 61%. Two-thirds of respondents felt the pandemic had changed how they managed their asthma (n=568, 66.9%), and over half felt that they had not been given adequate health information about COVID-19 (n=495, 58.3%). Qualitative interviews identified five themes 1) health communication 2) interaction with healthcare 3) COVID-19 related concerns 4) impact on mental health 5) behaviour change.
Conclusion: Psychological distress was prevalent in people with asthma during the early stage of the pandemic. Understanding this may be useful to inform future healthcare/policy planning.
COVID-19; coronavirus; asthma; anxiety; depression; mental health; lockdown; survey; qualitative; mixed methods; patient experience
Original languageEnglish
Number of pages23
JournalPsychology & Health
Early online date11 Sept 2023
Publication statusE-pub ahead of print - 11 Sept 2023

Keywords / Materials (for Non-textual outputs)

  • COVID-19
  • coronavirus
  • asthma
  • anxiety
  • depression
  • mental health
  • lockdown
  • survey
  • qualitative
  • mixed methods
  • patient experience


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