The Relationship Between Anxiety, Stress, Purpose in Life, and Spirituality During the COVID-19 Pandemic


This study aimed to identify the relationship between anxiety, stress, purpose in life and spirituality during the COVID-19 pandemic. This cross-section study involved 384 respondents above 18 years old, who lived in the Gunung Kidul area, and could speak Bahasa Indonesia. They were selected using the purposive sampling method. The assessment included the Anxiety and Stress Scale, The Purpose of Life, and the Daily Spiritual Experiences Scale questionnaire. Anxiety was significantly negatively correlated with spirituality, while stress was significantly negatively correlated with spirituality and meaning in life was significantly positively correlated with spirituality. Respondents who had lower anxiety and stress levels during the pandemic tended to have a high spiritual level, or, during the pandemic, their spiritual activities were higher. Likewise, on the meaning in life, respondents who had a high level of purpose in life also tended to have a high spirituality level.

Keywords: Anxiety, Stress, Meaning in Life, Spirituality, COVID–19

[1] Algahtani FD, Alsaif B, Ahmed AA, Almishaal AA, Obeidat ST, Mohamed RF, et al. Using Spiritual Connections to Cope With Stress and Anxiety During the COVID-19 Pandemic. Front Psychol. 2022 Jul;13( July):915290.

[2] Arslan G, Y??ld??r??m M. Meaning-Based Coping and Spirituality During the COVID- 19 Pandemic: Mediating Effects on Subjective Well-Being. Front Psychol. 2021 Apr;12(April):646572.

[3] Bishara AJ, Hittner JB. Testing the significance of a correlation with nonnormal data: comparison of Pearson, Spearman, transformation, and resampling approaches. Psychol Methods. 2012 Sep;17(3):399–417.

[4] Csabonyi M, Phillips LJ. Meaning in Life and Substance Use. J Humanist Psychol. 2020;60(1):3–19.

[5] Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020 Mar;91(1):157–60.

[6] Dhar N, Chaturvedi SK, Nandan D. Spiritual health, the fourth dimension: a public health perspective. WHO South-East Asia J Public Health. 2013;2(1):3–5.

[7] Fauziah W, Kato M, Shogenji M, Tsujiguchi H, Taniguchi Y. Factors Associated With Depression Among Family Caregivers of Patients With Stroke in Indonesia: A Cross- Sectional Study. J Nurs Res. 2022 Oct;30(5):e231.

[8] Kementrian Kesehatan Republik Indonesia. Situasi Terkini Perkembangan (COVID- 19). Kemenkes. 2021;Oktober:1– situasi-terkini-perkembangan-coronavirus-disease-covid-19-31-maret- 2020

[9] Rathakrishnan B, Singh SS, Yahaya A, Kamaluddin MR, Aziz SF. The Relationship Among Spirituality, Fear, and Mental Health on COVID-19 Among Adults: An Exploratory Research. Front Psychol. 2022 Jan;12( January):815332.

[10] Razak A, Mansyur AY, Jalal NM. Program Bimbingan Psiko-Sosio-Spiritual Berbasis Online Bagi Masyarakat Di Tengah Pandemi Covid-Seminar Nasional Hasil Pengabdian Kepada Masyarakat: Peluang Dan Tantangan Pengabdian Masyarakat Yang Inovatif Di Era Kebiasaan Baru. 2020;509–514.

[11] Rias YA, Rosyad YS, Chipojola R, Wiratama BS. E ffects of Spirituality, Knowledge, Attitudes, and Practices toward Anxiety Regarding COVID-19 among the General Population. INDONESIA : A Cross-Sectional Study. 2020;19, 1–16.

[12] Rinaldi MR, Yuniasanti R. (2020). Kecemasan pada Masyarakat Saat Masa Panddemi Covid-19 di Indonesia. Santoso DH, Santosa A (Eds.). LPPM Mercubuana .1st ed. pp. 137–150. MBridge Press. uploads/2020/07/BUKU-RAPID-RESEARCH-COVID-UPDATE-1.pdf

[13] Rosyad YS, Malini H, Sarfika R. Validity and reliability the Meaning in Life Questionnaire (MLQ); Men who have sex with men at West Sumatera Indonesia. Riset Informasi Kesehatan. 2019;8(1):16.

[14] Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018 May;126(5):1763–8.

[15] Scholten S, Velten J, Bieda A, Zhang XC, Margraf J. Testing measurement invariance of the Depression, Anxiety, and Stress Scales (DASS-21) across four countries. Psychol Assess. 2017 Nov;29(11):1376–90.

[16] Shofiah N. Peran spritualitas di masa pandemi Covid-19. http://repository.uinmalang.

[17] Sitanggang FP, Wirawan GB, Wirawan IM, Lesmana CB, Januraga PP. Determinants of mental health and practice behaviors of general practitioners during covid-19 pandemic in Bali, Indonesia: A cross-sectional study. Risk Manag Healthc Policy. 2021 May;14:2055–64.

[18] Steger MF, Frazier P, Kaler M, Oishi S. The meaning in life questionnaire: assessing the presence of and search for meaning in life. J Couns Psychol. 2006;53(1):80–93.

[19] Underwood LG. The Daily Spiritual Experience Scale: Overview and Results. 2011;29–

[20] Villani D, Sorgente A, Iannello P, Antonietti A. The role of spirituality and religiosity in subjective well-being of individuals with different religious status. Front Psychol. 2019 Jul;10( JULY):1525.

[21] WHO. COVID-19 Weekly Epidemiological Edition 41.2011. p.1– 19—25-may-2021

[22] Y??ld??r??m M, K??z??lgeçit M, Seçer I, Karabulut F, Ang??n Y, Dagc?? A, et al. Meaning in Life, Religious Coping, and Loneliness During the Coronavirus Health Crisis in Turkey. J Relig Health. 2021 Aug;60(4):2371–85.

[23] Yudhawati D. Penguatan Spritualitas dalam Komunitas Resimen Mahasiswa. Wacana. 2020;12(1):50–64.

[24] Zhang H, Hook JN, Hodge AS, Coomes SP, Davis CW, Tongeren DR, et al. Religious and Spiritual Struggles and Coping Amidst the COVID-19 Pandemic: A Qualitative Study. Spiritual Clin Pract. 2021;8(4):245–61.