Psychological Predictors of Health Anxiety in Response to the Zika Virus
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The threat of a United States (U.S.) Zika virus pandemic during 2015-2016 was associated with public anxiety. Such threats represent opportunities to examine hypotheses about health anxiety. The present study investigated psychological predictors of Zika-related anxiety during the 2015-2016 outbreak. U.S. adults (N = 216) completed a battery of measures assessing Zika-related anxiety as well as psychological variables hypothesized to predict anxious responding to the threat of a domestic Zika outbreak. Contrary to hypotheses, regression analyses indicated that only contamination severity overestimates and greater Zika knowledge significantly predicted Zika-related anxiety. Study limitations and clinical implications are discussed.
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Higher levels of anxiety sensitivity-physical concerns and intolerance of uncertainty were observed in the present sample compared with previous pandemic studies.
“As compared to previous pandemic studies, levels of AS-physical concerns in the present sample (M = 7.30, SD = 5.88) were significantly higher than those found by Wheaton et al. (2012): M = 3.63 (4.14), t(770) = 9.56, 95% CI [2.92, 4.42], p < .000; Blakey and Abramowitz (2017): M = 4.42 (4.52), t(671) = 6.36, 95% CI [1.99, 3.77], p < .000; and Blakey et al. (2015): M = 4.34 (4.29), t(562) = 4.91, 95% CI [1.78, 4.14], p < .001.”
From Anxiety Sensitivity Mediates Relations Between Mental Distress Symptoms and Medical Care Utilization During COVID-19 Pandemic. (2021) · cites this paper as Blakey and Abramowitz (2017)
The authors report that levels of health anxiety and depression, anxiety, and stress were significantly higher in the sample than in prior studies.
“Levels of health anxiety as measured by the SHAI also were significantly higher in the present sample (M = 16.84, SD = 8.08) as compared to Wheaton et al. (2012): M = 12.03 (6.75), t(770) = 8.68, 95% CI [3.72, 5.90], p < .000, and Blakey and Abramowitz (2017): M = 12.44 (5.75), t(671) = 7.19, 95% CI [3.20, 5.60], p < .000.”
From Anxiety Sensitivity Mediates Relations Between Mental Distress Symptoms and Medical Care Utilization During COVID-19 Pandemic. (2021) · cites this paper as Blakey and Abramowitz (2017)
Health anxiety as measured by the SHAI was significantly higher in the present sample than in two prior studies.
“Levels of health anxiety as measured by the SHAI also were significantly higher in the present sample (M = 16.84, SD = 8.08) as compared to Wheaton et al. (2012)”
From Anxiety Sensitivity Mediates Relations Between Mental Distress Symptoms and Medical Care Utilization During COVID-19 Pandemic. (2021) · cites this paper as Blakey and Abramowitz (2017)
In the present sample, anxiety sensitivity physical concerns were significantly higher than in three prior pandemic studies (Wheaton et al., 2012; Blakey and Abramowitz, 2017; Blakey et al., 2015).
“levels of AS-physical concerns in the present sample (M = 7.30, SD = 5.88) were significantly higher than those found by Wheaton et al. (2012)”
From Anxiety Sensitivity Mediates Relations Between Mental Distress Symptoms and Medical Care Utilization During COVID-19 Pandemic. (2021) · cites this paper as Blakey and Abramowitz (2017)
Existing literature suggests that obsessive-compulsive contamination and/or health anxiety symptoms are associated with greater anxiety about prior public health concerns among university-affiliated samples.
“existing literature suggests that obsessive-compulsive contamination and/or health anxiety symptoms are associated with greater anxiety about prior public health concerns among university-affiliated samples (Wheaton et al., 2012; Blakey et al., 2015; Blakey and Abramowitz, 2017).”
From Ahead of the Curve: Responses From Patients in Treatment for Obsessive-Compulsive Disorder to Coronavirus Disease 2019 (2020) · cites this paper as Blakey and Abramowitz, 2017
The COVID-19 Fear Index was created for the study to assess participants' fear concerning COVID-19.
“the CFI was constructed for the current study to assess participants’ level of fear concerning COVID-19.”
From Anxiety Sensitivity Mediates Relations Between Mental Distress Symptoms and Medical Care Utilization During COVID-19 Pandemic. (2021) · cites this paper as Blakey & Abramowitz, 2017
The Design > Main Outcome Measure passage describes an inventory for Zika-related anxiety, not a COVID-19 Fear Index. Searches for the COVID-19 Fear Index and a COVID-19 fear scale found no passage addressing whether the index was constructed for the citing study. Page numbers were not supplied. (LLM, conf=0.76)
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“…anxiety and related symptoms would be elevated as compared to “normal” (non-pandemic), the first remarkable finding was the significant elevation in all symptoms as compared to the findings of previous pandemic studies (e.g., Blakey & Abramowitz, 2017; Blakey et al., 2015; Wheaton et al., 2012).”
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- Authors
- Blakey, S. M., & Abramowitz, J. S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Blakey, Shannon M.
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2017-10-23
- Volume
- 24
- Issue
- 3-4
- Pages
- 270-278
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- PMC
- PMC7088051
- OpenAlex
- W2766680409
- Cited by
- 159
- References
- 56
- Citations by year
- 2025: 3 · 2024: 11 · 2023: 15 · 2022: 42 · 2021: 59 · 2020: 27 · 2019: 1 · 2018: 1
- FWCI
- 9.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Sociology and Political Science › Risk Perception and Management
- Keywords
- Zika virus, health anxiety, pandemic anxiety, health knowledge, psychological predictors, public health risk
- MeSH terms
- Zika Virus Infection, Zika Virus, Adolescent, Adult, Aged, Anxiety, Attitude to Health, Disease Outbreaks, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Surveys and Questionnaires, United States, Southeastern United States, Young Adult
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