Lost and changed meaning in life of people with Long Covid: a qualitative study

Int J Qual Stud Health Well-being. 2024 Dec;19(1):2289668. doi: 10.1080/17482631.2023.2289668. Epub 2023 Dec 6.

Abstract

Long Covid (LC) has been called the greatest mass-disabling event in human history. For patients, LC not only has implications for quality of life but also for meaning in life: how one's life and the world are understood and what is seen as valuable in one's life. This qualitative empirical study used a Constructivist Grounded Theory approach to investigate the meaning in life of people struggling with LC through ten patient interviews. This study shows that patients lose their prior understanding of life and come to a changed meaning in life, in part due to the experienced (social) isolation and loss of (both physical and cognitive) abilities caused by LC. Moreover, patients struggled with acceptance, uncertainty, and the inherent incomprehensibility and uncontrollability that living with LC entails, though this simultaneously co-existed with hope, optimism and acceptance. Additionally, dimensions of meaning intersect; a patient having some understanding of their illness (dimension of meaning: comprehension) required an understanding Other (dimension of meaning: connection). Emerging from lockdown brought the challenge and isolation of adjusting to chronic illness in society as usual (albeit divided about COVID-19 measures). This study thus offers novel insights regarding changed, present, and sought meaning in life for LC patients.

Keywords: Long Covid; Meaning in life; chronic illness; epistemic injustice; meaning-making.

MeSH terms

  • COVID-19*
  • Chronic Disease
  • Communicable Disease Control
  • Humans
  • Post-Acute COVID-19 Syndrome*
  • Qualitative Research
  • Quality of Life