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Korean J Fam Med > Volume 45(6); 2024 > Article
Cho: Comprehensive Health Strategies for the Post-pandemic Era: Integrating Physical Health, Psychological Resilience, Lifestyle Choices, and Occupational Well-being
The coronavirus disease 2019 (COVID-19) pandemic has underscored the need for a holistic health perspective that considers the intersection of physical, mental, and social well-being [1]. Traditionally, healthcare has often approached these areas as separate domains, with physical health conditions ailments managed independently of mental health needs or social circumstances. However, the pandemic has revealed how deeply intertwined these domains are, as individuals worldwide face not only the physical threat of the virus but also widespread mental strain and social disruption [2]. Health challenges like long COVID further illustrate how physical symptoms can be persistent and unpredictable, often leading to psychological and social consequences for affected individuals [3]. This complex interdependence highlights the need for integrated healthcare strategies that address the full spectrum of individual health—physically, mentally, and socially—to foster resilience and well-being in a post-pandemic world.
As we continue to navigate the long-term health impacts of the pandemic, it is becoming increasingly clear that a comprehensive, multidimensional approach to healthcare is essential. This issue highlights four studies that explore these dimensions, each providing valuable insights into how an integrated approach to health can improve outcomes in the wake of the pandemic.
The first study by Merhavy et al. [4] provides an in-depth review of long COVID or post-acute sequelae of COVID-19, which has affected a significant portion of the population with persistent symptoms across multiple organ systems. Long COVID not only manifests physically, affecting the cardiovascular, respiratory, and neurological systems, but also exerts a considerable psychological toll. Patients often experience psychological health challenges alonside chronic physical symptoms, emphasizing the need for a multidisciplinary approach to care that addresses both physical and psychological sequelae.
Cho et al. [5] investigates the relationship between tobacco use and generalized anxiety disorder, finding that both combustible and non-combustible nicotine products have a significant association with increased anxiety. With tobacco use increasing during the pandemic [6], this research highlights how lifestyle factors can exacerbate mental health issues. Addressing lifestyle choices such as tobacco use is critical for comprehensive mental health management, especially for those more susceptible to anxiety in the post-pandemic world.
Kim et al. [7] examines psychological resilience and its role in mitigating cognitive decline in older adults, revealing that individuals with higher resilience are less likely to experience significant cognitive deterioration. Given that pandemic-related stress has contributed to mental health challenges and cognitive strain, this finding is particularly relevant. By promoting resilience as a protective factor, this study supports the notion that resilience-building interventions play a critical role in maintaining cognitive and psychological health in aging populations.
Hongsa et al. [8] addresses the issue of sickness presenteeism, which refers to when individuals attend work despite being unwell, focusing on Thai and foreign teachers following the COVID-19 pandemic. This study reveals high levels of sickness presenteeism among teachers, largely due to increased workload, financial stress, and work-related sleep disturbances. These findings align with other reports showing that healthcare and social service workers similarly affected by COVID-19 experience high rates of burnout and presenteeism due to intense work demands and lack of recovery opportunities [9]. The study suggests that maintaining occupational health and work-life balance is essential, particularly for educators who face added pressures in the aftermath of the pandemic. Policies to support mental and physical well-being in the workplace are crucial for reducing presenteeism and preventing burnout.
The studies presented in this issue highlight the interconnected pathways of physical health, mental resilience, lifestyle choices, and occupational health, all of which are crucial in the post-COVID landscape. Comprehensive health strategies that incorporate these dimensions can support individuals in achieving long-term wellbeing. By fostering resilience, managing lifestyle factors, addressing the impacts of long COVID, and promoting occupational health, individuals can be better equipped to thrive in the ongoing recovery from the pandemic. This holistic perspective will play a key role in enhancing quality of life and resilience as we adapt to new health challenges.

Notes

CONFLICT OF INTEREST

Su Hwan Cho has been an associate editor of the Korean Journal of Family Medicine but had no role in the decision to publish this review. Except for that, no other potential conflict of interest relevant to this article was reported.

REFERENCES

1. Vartanian K, Fish D, Kenton N, Gronowski B, Wright B, Robicsek A. Integrating patient-reported physical, mental, and social impacts to classify long COVID experiences. Sci Rep 2023;13:16288.
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2. Aiyegbusi OL, Hughes SE, Turner G, Rivera SC, McMullan C, Chandan JS, et al. Symptoms, complications and management of long COVID: a review. J R Soc Med 2021;114:428-42.
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3. Moens M, Duarte RV, De Smedt A, Putman K, Callens J, Billot M, et al. Health-related quality of life in persons post-COVID-19 infection in comparison to normative controls and chronic pain patients. Front Public Health 2022;10:991572.
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4. Merhavy ZI, Junor T, Gonzalez A, De Filippis SM, Oveisitork S, Rivera E, et al. Long COVID: a comprehensive overview of the signs and symptoms across multiple organ systems. Korean J Fam Med 2024;45:305-16.
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5. Cho S, Park JH, Kim DH, Choi H, Park Y, Kim HJ, et al. Association between combustible cigarettes and noncombustible nicotine or tobacco products and generalized anxiety disorder based on data from the 8th Korea National Health and Nutrition Examination Survey 2021. Korean J Fam Med 2024;45:317-23.
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6. Koopmann A, Georgiadou E, Reinhard I, Muller A, Lemenager T, Kiefer F, et al. The effects of the lockdown during the COVID-19 pandemic on alcohol and tobacco consumption behavior in Germany. Eur Addict Res 2021;27:242-56.
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7. Kim S, Won CW, Kim S, Park JH, Kim M, Kim B, et al. The effect of psychological resilience on cognitive decline in community-dwelling older adults: the Korean Frailty and Aging Cohort Study. Korean J Fam Med 2024;45:331-6.
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8. Hongsa T, Polyong CP. Prevalence and factors associated with sickness presenteeism among Thai and foreign teachers following the end of COVID-19 public health emergency of international concern. Korean J Fam Med 2024;45:337-45.
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9. Peters C, Dulon M, Westermann C, Kozak A, Nienhaus A. Long-term effects of COVID-19 on workers in health and social services in Germany. Int J Environ Res Public Health 2022;19:6983.
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