Cited by 1,264COVID-19 and Mental HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesCommunication and COVID-19 Impact

Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020

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Mertens, Gaëtan, Gerritsen, Lotte, Duijndam, Stefanie, Salemink, Elske, Engelhard, Iris M.·2020·Journal of Anxiety Disorders

Published version of a preprint

Abstract

Fear is an adaptive response in the presence of danger. However, when threat is uncertain and continuous, as in the current coronavirus disease (COVID-19) pandemic, fear can become chronic and burdensome. To identify predictors of fear of the coronavirus, we conducted an online survey (N = 439) three days after the World Health Organization declared the coronavirus outbreak a pandemic (i.e., between March 14 and 17, 2020). Fear of the coronavirus was assessed with the newly developed Fear of the Coronavirus Questionnaire (FCQ) consisting of eight questions pertaining to different dimensions of fear (e.g., subjective worry, safety behaviors, preferential attention), and an open-ended question. The predictors included psychological vulnerability factors (i.e., intolerance of uncertainty, worry, and health anxiety), media exposure, and personal relevance (i.e., personal health, risk for loved ones, and risk control). We found four predictors for the FCQ in a simultaneous regression analysis: health anxiety, regular media use, social media use, and risks for loved ones (R2 = .37). Furthermore, 16 different topics of concern were identified based participants’ open-ended responses, including the health of loved ones, health care systems overload, and economic consequences. We discuss the relevance of our findings for managing people’s fear of the coronavirus.

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Crossref · 10.1016/j.janxdis.2020.102258

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  • People vary in their COVID-19 concerns and in their vulnerability to the pandemic's psychosocial effects.

    “In addition, individual differences exist in the level of COVID-19 related concerns and therefore in the vulnerability to the psychosocial effects of the pandemic (Mertens, Gerritsen, et al., 2020; Taylor et al., 2021; Vos et al., 2021).”

    From The association between facets of mindfulness and COVID-19 related distress: A cross-sectional study (2023) · cites this paper as Mertens, Gerritsen, et al., 2020

    The Discussion (page not specified in our copy) reports a wide range of coronavirus concerns and finds that anxiety-related individual differences were associated with greater fear. It does not establish that differing levels of concern cause differing vulnerability to the pandemic’s broader psychosocial effects; the Discussion also cautions that the cross-sectional study cannot establish directionality. (LLM, conf=0.84)

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  • Children with chronic illnesses appear especially vulnerable to IU's adverse effects.

    “Children with chronic illnesses appear especially vulnerable to IU’s adverse effects (Mertens et al., 2020).”

    From Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm (2022) · cites this paper as Mertens et al., 2020

    The Introduction (page unavailable) describes intolerance of uncertainty (IU) as a general vulnerability factor for anxiety-related disorders, and the Discussion (page unavailable) reports a trend linking IU to greater fear of coronavirus. Neither passage establishes that children with chronic illnesses are especially vulnerable to IU’s effects; the Discussion’s mention of chronic diseases concerns coronavirus risk, not IU. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Enhanced fear of the virus may be a risk factor for the mental health consequences of COVID-19.

    “A potential risk factor for the mental health consequences of COVID-19 could be enhanced fear related to the virus (Mertens, Gerritsen, et al., 2020; Taylor et al., 2020b).”

    From The association between facets of mindfulness and COVID-19 related distress: A cross-sectional study (2023) · cites this paper as Mertens, Gerritsen, et al., 2020

  • Most studies using the FCV-19S detected a link between fear of COVID-19 and anxiety and, to a lesser extent, depression.

    “Most of these studies also detected a link between fear of COVID-19 and anxiety (Mertens et al., 2020) and, to a lesser extent, depression, using both the Hospital Anxiety and Depression Scale (HADS; Ahorsu et al., 2020; Alyami et al., 2020) and the Depression and Anxiety Stress Scale (DASS-21).”

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Authors
Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I. M.
Affiliations
  • Utrecht University (NL)
  • Tilburg University (NL)
Corresponding author
Mertens, Gaëtan
Venue
Journal of Anxiety Disorders
Publisher
Elsevier BV
Published
2020-08
Volume
74
Pages
102258
ISSN
0887-6185 (ISSN-L)
OpenAlex
W3020284447
Cited by
1,264
References
51
Citations by year
2026: 28 · 2025: 45 · 2024: 120 · 2023: 209 · 2022: 350 · 2021: 410 · 2020: 100 · 2016: 1
FWCI
106.45
Type
journal article
Language
en
Open access
Locations
  • Journal of Anxiety Disorders (publishedVersion, cc-by)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research portal (Tilburg University) (submittedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • PsyArXiv (OSF Preprints) (submittedVersion)
  • PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
Funders
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
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 › Communication › Communication and COVID-19 Impact
Keywords
fear of COVID-19, COVID-19 pandemic, predictors of fear, health anxiety, intolerance of uncertainty, worry, media exposure, social media use, personal relevance, safety behavior, economic impact
MeSH terms
COVID-19, Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Fear, Female, Humans, Male, Middle Aged, Pneumonia, Viral, Surveys and Questionnaires, Stress, Psychological, Coronavirus Infections, Internet, Uncertainty, Young Adult, Pandemics, Social Media

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