Increased COVID-19-related fear and subjective risk perception regarding COVID-19 affects behavior in individuals with internal high-risk diseases.
Increased COVID-19-related fear and subjective risk perception regarding COVID-19 affects behavior in individuals with internal high-risk diseases.
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DOI：
10.1177/2150132721996898
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发表时间：
2021-01
影响因子：
3.6
通讯作者：
Skoda EM
中科院分区：
文献类型：
--
作者：
Kohler H;Bäuerle A;Schweda A;Weismüller B;Fink M;Musche V;Robitzsch A;Pfeiffer C;Benecke AV;Dörrie N;Führer D;Taube C;Rassaf T;Teufel M;Skoda EM
自2019年12月以来，冠状病毒病-2019(新冠肺炎)一直让世界悬而未决。已证实的导致严重新冠肺炎病程的危险因素是常见病，如糖尿病、高血压、心血管疾病或呼吸系统疾病。直到今天，人们对新冠肺炎这些高危疾病患者的心理负担知之甚少。这项研究的目的是确定冠状病毒大流行对新冠肺炎严重病程高危人群的行为和心理健康的影响。条目评估包括广泛性焦虑(GAD-7)、新冠肺炎相关恐惧、依从性/功能障碍的安全行为、关注症状、病程严重和因新冠肺炎而死亡的主观风险知觉。数据在患有高危疾病的参与者和没有这些疾病的人之间进行了比较。16983名受访者完成了这项研究。患有高危疾病的参与者普遍焦虑、新冠肺炎相关恐惧、依从性/功能失调的安全行为和主观风险感知增加。作为一种功能性担忧，新冠肺炎相关恐惧的增加是对严重病程风险增加的结论。恐惧的功能反映在人们对安全的需求增加，包括坚持和功能失调的安全行为的增加，这突显了心理支持策略的必要性。
Since December 2019, the coronavirus disease-2019 (COVID-19) has been keeping the world in suspense. Proven risk factors for a severe course of COVID-19 are common diseases like diabetes, hypertension, cardiovascular or respiratory disorders. Until today, little is known about the psychological burden of individuals suffering from these high-risk diseases regard to COVID-19. The aim of the study was to define the impact of the coronavirus pandemic on behavior and mental health in individuals at high risk for developing a severe COVID-19 course. Items assessed generalized anxiety (GAD-7), COVID-19-related fear, adherent/dysfunctional safety behavior, and the subjective risk perception of regarding symptoms, having a severe course and dying because of COVID-19. Data were compared between participants with the high risk diseases and individuals without any of those diseases. 16,983 respondents completed the study. Generalized anxiety, COVID-19-related fear, adherent/dysfunctional safety behavior and subjective risk perception were elevated in participants with high-risk diseases. The increased COVID-19-related fear as a functional concern is a conclusion on the increased risk of a severe course. The functionality of the fear is reflected in people’s increased need for security and includes an increase in both adherent and dysfunctional safety behavior that underlines the need for psychological support strategies.
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