“…Hacimusalar et al explored the level of anxiety and hopelessness in the groups with and without HWs ( n = 1121: HWs, 52%) and found a higher level of hopelessness and anxiety in the group with HWs and a positive relationship between hopelessness and anxiety and argued that anxiety and uncertainty can exacerbate the level of hopelessness (Hacimusalar et al, 2020). The literature has citations that hopelessness is associated with reduced physical function and lower physical activity in people with heart disease (Botterman, 2021), HWs with a high level of hopelessness attribute less meaning to life, which aggravates depression (Güngör & Uçman, 2020), there is a positive significant relationship between health anxiety and hopelessness seen in the early stages of the COVID-19 pandemic (r = 0.35, p < 0.01) (Kazan Kızılkurt et al, 2021), hopelessness is negatively correlated with life satisfaction (Kliem et al, 2018), and a negative predictor of resilience to stressful events (Saricali et al, 2020). In this study, as the state anxiety levels of HWs increased, the quality of life in the physical, psychological, and environmental health areas increased; however, as the hopelessness increased, the quality of life in the physical, psychological, social well-being, and environmental health areas decreased.…”