The Role of Resilience in Quality of Life in a Productive-Age Population During the COVID-19 Pandemic

Fajaria Nurcandra, Sudarto Ronoatmodjo, Budi Anna Keliat, Mondastri Korib Sudaryo


The COVID-19 pandemic has impacted various sectors and may trigger a decrease in quality of life (QoL), so resilience is urgently needed. This study aimed to analyze the role of resilience in the QoL of individuals during the second wave of the COVID-19 pandemic in East Jakarta, Indonesia. An explanatory sequential mixed methods study was conducted with a cross-sectional design. The QoL was measured using the Indonesian-HRQoL on 300 respondents through multistage cluster sampling. The explanatory qualitative approach involved Focus Group Discussions and in-depth interviews. A Cox regression was used to analyze the quantitative data. The proportion of poor QoL was 26.30%. Poor resilience (individual, family, and community) contributed to poor QoL during the pandemic. Realistic perceptions determined the role of individual resilience in QoL concerning gratitude, sincerity, patience, mutual reinforcement, accepting circumstances, implementing health protocols, cognitive emotion regulation, adaptability, and optimism. The age of family decision-makers, social support, and self-control determined the role of individual resilience in QoL. The role of community resilience in mental-emotional disorders and QoL was determined by the stability of the education system, health system, political/government system, and pandemic management system.


COVID-19; pandemic; quality of life; resilience

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  1. World Health Organization. Coronavirus Disease (COVID-19) Weekly Epidemiological Updates and Monthly Operational Updates: Situation Reports March 2020. Geneva: World Health Organization; 2020.

  2. Manuhutu R. Situasi Terkini Perkembangan Coronavirus Disease (COVID-19) 14 April 2021. Jakarta: Kementerian Kesehatan Republik Indonesia; 2021.

  3. Keliat BA, Marliana T. 1. Dukungan Kesehatan Jiwa dan Psikososial (Mental Health and Psychosocial Support): Keperawatan Jiwa. 1st ed. Depok: Perpustakaan Nasional; 2018.

  4. Lau JTF, Yang X, Tsui HY, et al. Positive mental health-related impacts of the SARS epidemic on the general public in Hong Kong and their associations with other negative impacts. J Infect. 2006; 53 (2): 114–124.

  5. Vinkers CH, van Amelsvoort T, Bisson JI, et al. Stress resilience during the coronavirus pandemic. Eur Neuropsychopharmacol. 2020; 35: 12–16.

  6. Ortu G, Mounier-Jack S, Coker R. Pandemic influenza preparedness in Africa is a profound challenge for an already distressed region: Analysis of national preparedness plans. Health Policy Plan. 2008; 23 (3): 161–169.

  7. van Ballegooijen H, Goossens L, Bruin RH, et al. Concerns, quality of life, access to care and productivity of the general population during the first 8 weeks of the coronavirus lockdown in Belgium and the Netherlands. BMC Health Serv Res. 2021; 21: 227.

  8. An Y, Yang Y, Wang A, et al. Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. J Affect Disord. 2020; 276: 312–315.

  9. Iqlima, Endarti D, Wiedyaningsih C, Haris RNH. Measurement of Health Related Quality of Life in General Population in IndonesiausingEQ-5D-5L with Online Survey. Int J Pharma Sci Res. 2019; 10 (6): 175–81.

  10. Putra JS. Keterkaitan Rasa Syukur dengan Health-Related Quality of Life pada Masyarakat Ekonomi Rendah di Masa Pandemi COVID-19. Nathiqiyyah J Psikol Islam. 2020; 3 (2): 137-143.

  11. Zhang Y, Ma ZF. Impact of the COVID-19 pandemic on mental health and quality of life among local residents in Liaoning Province, China: A cross-sectional study. Int J Environ Res Public Health. 2020; 17 (7): 2381.

  12. Morton MJ, Lurie N. Community resilience and public health practice. Am J Public Health. 2013; 103 (7): 1158–1160.

  13. Rivany R. (Ina-Hrqol) Model on Cost Utility Analysis. Int J Soc Sci [Internet]. 2014; 21 (1): 1–10.

  14. Connor D. The Connor-Davidson Resilience Scale. CD-RISC: The Connor-Davidson Resilience Scale; 2003.

  15. Endarti AT. Pengaruh Ketangguhan Masyarakat terhadap Kualitas Hidup di Daerah Rawan Bencana Pascaerupsi Gunungapi Kelud 2014 [Dissertation]. Depok: Universitas Indonesia; 2016.

  16. Merl P, August T. Analysis of Resilience in Communities to Disasters: An assessment of resilience to Disasters in Balaka, Machinga and Mangochi Districts Report. Washington DC: United States Agency for International Development; 2018.

  17. Aguilera DC. Crisis Intervention; Theory and Methodology. 8th ed. Maryland Heights, Misouri: Mosby; 1998.

  18. Manove EE. Validation of the Post-Traumatic Growth Inventory: Relationships Between Perceived Post-Traumatic Growth And Measured Pre- to Post-Disaster Changes in Analogous Constructs in A Sample of Low-Income Mothers Who Survived Hurricane Katrina [Thesis]. Boston, MA: University of Massachusetts; 2014.

  19. St. Myers WM. Complex trauma and post-traumatic growth: An autoethnography on relational post-traumatic growth using experiential personal construct psychology [Dissertation]. Pittsburgh, PA: Point Park University; 2021.

  20. McCubbin HI, McCubbin MA. Typologies of resilient families: Emerging roles of social class and ethnicity. Fam Relat. 1988; 37 (3): 247–254.

  21. Eales L, Ferguson GM, Gillespie S, et al. Family Resilience and Psychological Distress in the COVID-19 Pandemic: A Mixed Methods Study. Dev Psychol. 2021; 57 (10): 1563–1581.

  22. Walsh F. A family resilience framework: Innovative practice applications. Fam Relat. 2004; 51 (2): 130–137.

  23. Prime H, Wade M, Browne DT. Risk and resilience in family well-being during the COVID-19 pandemic. Am Psychol. 2020; 75 (5): 631–643.

  24. Rela IZ, Ramli Z, Firihu MZ, et al. COVID-19 Risk Management and Stakeholder Action Strategies: Conceptual Frameworks for Community Resilience in the Context of Indonesia. Int J Environ Res Public Health. 2022; 19 (15): 8908.

  25. Valliani K, Mughal FB. Human Emotions During COVID-19: A Lens Through Kubler-Ross Grief Theory. Psychol Trauma. 2022; 14 (2): 247–249.

  26. Tarnoff KA, Bostwick ED, Barnes KJ. Assessment resistance: using Kubler-Ross to understand and respond. Organ Manag J. 2021; 18 (5): 176–186.



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