Multiple forms of mass anxiety in coronavirus disease-2019 pandemic.
Multiple forms of mass anxiety in coronavirus disease-2019 pandemic.
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DOI：
10.1016/j.jad.2021.05.034
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发表时间：
2021-08-01
影响因子：
6.6
通讯作者：
Chan L
中科院分区：
文献类型：
--
作者：
Cheng C;Wang HY;Chan L
在新冠肺炎大流行的早期阶段，人们观察到公众的焦虑加剧。我们的研究通过调查解释预防性健康行为的一般性焦虑和特定于大流行的焦虑，丰富了对这种大规模反应的学术理解。在我们的两阶段混合方法研究中，在2020年3月2日至8日的定性阶段引发的大流行特有焦虑项目随后在2020年3月16日至22日的定量阶段进行了测试。符合条件的参与者是年龄在18-65岁的美国或英国居民。在1400名参与者中，52%的人符合中度到重度焦虑的标准。除了对可能感染个人新冠肺炎的焦虑外，参与者还对他人的健康、他人的反应(如恐慌性购买、歧视)、社会问题(如经济放缓、医疗体系崩溃)和个人财务状况感到焦虑。一般焦虑与卫生实践频率之间的正相关可以用两种面向人际关系的大流行特有焦虑来解释：对他人健康的焦虑(b=0.0040，95%CI：0.0031-0.0050)和他人的反应(0.0031，0.0021-0.0042)。这项研究是在大流行的早期阶段与发达国家的参与者一起进行的，结果不一定可以推广到发展中国家或大流行的其他阶段。此外，卫生习惯是唯一令人感兴趣的行为，对于其他行为，研究结果可能不同。新的发现表明，采用一种微妙的方法，通过混合方法设计揭示焦虑的多方面性质是重要的。来自受新冠肺炎影响地区的个人经历了大流行特有的焦虑，因为不仅与个人有关，而且与人际关系有关。
Heightened public anxiety was observed at the early stage of the COVID-19 pandemic. Our study enriches scholarly understanding of this mass response by investigating both generic and pandemic-specific anxiety that explain preventive health behavior. In our two-phase, mixed-methods study, pandemic-specific anxiety items elicited during the qualitative phase from March 2–8, 2020 were then tested in the quantitative phase from March 16–22, 2020. Eligible participants were U.S. or U.K. residents aged 18–65. Of the 1,400 participants, 52% met the criteria for moderate to severe anxiety. In addition to anxiety over possible personal COVID-19 infection, participants were also anxious about others’ health, others’ reactions (e.g., panic-buying, discrimination), societal problems (e.g., economic slowdown, healthcare system breakdown), and personal finances. The positive association between generic anxiety and hygiene practice frequency was explained by two interpersonal-oriented forms of pandemic-specific anxiety: anxiety over others’ health (b = 0•0040, 95% CI: 0•0031–0•0050) and others’ reactions (0•0031, 0•0021–0•0042). The study was conducted with participants from developed countries at an early stage of the pandemic, and the results were not necessarily generalizable to developing countries or other stages of the pandemic. Also, hygiene practices was the sole behavior of interest, and the findings may differ for other behaviors. The new findings indicate the importance of adopting a nuanced approach that unveils the multifaceted nature of anxiety using a mixed-methods design. Individuals from COVID-19-affected regions experience pandemic-specific anxiety due to concerns related to not only personal but also interpersonal-oriented issues.
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