Anxiety and safety behavior usage during the COVID-19 pandemic: The prospective role of contamination fear.

Anxiety and safety behavior usage during the COVID-19 pandemic: The prospective role of contamination fear.
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DOI:
10.1016/j.janxdis.2020.102323
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发表时间:
2021-01
影响因子:
10.3
通讯作者:
Olatunji BO
Olatunji BO
中科院分区:
医学2区
文献类型:
--
作者:
Knowles KA;Olatunji BO

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首次对新冠肺炎大流行期间的污染恐惧进行前瞻性研究。新冠肺炎期间,强迫洗涤症状有所增加。2020年3月,冠状病毒相关焦虑高于流感相关焦虑。对污染的恐惧并不能预测新冠肺炎焦虑或流感相关焦虑。对污染的恐惧预示着新冠肺炎和流感的安全行为。冠状病毒(新冠肺炎)的大流行广泛增加了焦虑,改变了个人行为。然而,检验大流行相关变化的预测因素的研究有限,而且现有的大多数研究都是横截面性质的,这限制了因果推断。鉴于与疾病避免过程的功能联系,个体对污染恐惧的差异可能在预测对新冠肺炎的反应方面特别相关。因此,本研究前瞻性地检验了污染恐惧和强迫洗涤症状作为新冠肺炎反应的焦虑和安全行为的预测因子在学生样本(N = 108)。为了检查特异性、焦虑和对季节性流感的反应的安全行为也进行了检查。在大流行的早期阶段(2020年3月),冠状病毒相关焦虑高于流感相关焦虑(d = 1.38)。强迫性洗涤症状也比大流行前有所增加(d = 0.4%)。尽管基线污染恐惧和强迫洗涤症状不能显著预测冠状病毒相关焦虑,但污染恐惧确实显著预测新冠肺炎和流感的安全行为使用。在全球新冠肺炎大流行的背景下,以及更广泛的关于安全行为在焦虑中的作用的文献中,讨论了污染恐惧和安全行为使用之间预期关联的特殊性。
First prospective study of contamination fear during the COVID-19 pandemic. Obsessive-compulsive washing symptoms have increased during COVID-19. In March 2020, coronavirus-related anxiety was higher than flu-related anxiety. Contamination fear did not predict COVID-19 anxiety or flu-related anxiety. Contamination fear predicted safety behaviors in response to both COVID-19 and flu. The coronavirus (COVID-19) pandemic has broadly increased anxiety and changed individual behavior. However, there is limited research examining predictors of pandemic-related changes, and the majority of existing research is cross-sectional in nature, which limits causal inference. Given functional links with disease avoidance processes, individual differences in contamination fear may be especially relevant in predicting responses to COVID-19. Accordingly, the present study prospectively examines contamination fear and obsessive-compulsive washing symptoms as predictors of anxiety and safety behaviors in response to COVID-19 in a student sample (N = 108). To examine specificity, anxiety and safety behaviors in response to seasonal influenza are also examined. In the early stages of the pandemic (March 2020), coronavirus-related anxiety was higher than flu-related anxiety (d = 1.38). Obsessive-compulsive washing symptoms also increased from before the pandemic (d = 0.4). Although baseline contamination fear and obsessive-compulsive washing symptoms did not significantly predict coronavirus-related anxiety, contamination fear did significantly predict safety behavior usage in response to both COVID-19 and influenza. The specificity of the prospective association between contamination fear and the use of safety behaviors are discussed in the context of the global COVID-19 pandemic and the broader literature on the role of safety behaviors in anxiety.
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