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Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020
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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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“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
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“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
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“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
In the citing paper
“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).”
From Fear of COVID-19, Stress, and Anxiety in University Undergraduate Students: A Predictive Model for Depression (2020) · cites this paper as Mertens et al., 2020
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Identifying healthcare professionals’ fear of covid-19 and their attitudes towards being vaccinated
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Promoting the psychological health of married career women in the post-Covid-19 era
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“Moreover, as excessive fear is also harmful (Mertens et al. 2020), it would be crucial to channel such fear in a positive way to trigger safety behaviors that can mitigate specific threats—which, in this case, would be transmission in future pandemics (Engelhard et al., 2015).”
Anxiety during the COVID-19 Pandemic: Prevalence, Effects and Predisposing Factors
Şebnem, A. K. A. N. (2023) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1263730 · Cited by 2
The Sexual Function, Desire, and Satisfaction of Couples during the Outbreak of COVID-19 in Qazvin
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“[11] Sexual pleasure in humans is mostly the product of the mind, and psychological factors play an essential role in sexual function and satisfaction.”
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“Mertens et al. found that the COVID-19 pandemic increased fear and anxiety (Mertens et al. 2020) Some studies found that women have higher COVID-19-related fear than men (Bakioğlu, Korkmaz, and Ercan 2020; Gencer 2020; Kong et al. 2020).”
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“This finding aligns with previous studies that have also highlighted the negative influence of social media on the mental well-being of younger individuals [22].”
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“…care to people diagnosed with this disease, suffering symptoms of health anxiety as well as suffering emotional fatigue at some level, were variables that were positively related to the presence of fear of contagion (Hu et al., 2020; Jackson et al., 2020; Liu et al., 2020; Mertens et al., 2020).”
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Butt, A. R., Rehman, H. U., Bashir, M. B., & Khan, S. (2024) · Asia-Pacific Journal of Pharmacotherapy & Toxicology · doi:10.32948/ajpt.2024.02.27 · Cited by 1
Predictors of Severe Anxiety Among Bumiputera Students
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Use of Meet Apps to Improve Student Achievement during the Pandemic
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PERFIL EPIDEMIOLÓGICO DE LESÕES AUTOPROVOCADAS NO ESTADO DO PIAUÍ ENTRE 2012 E 2022
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“The vast majority of people treated the outbreak of the pandemic as a catastrophic event which was not caused by intentional human action ( Mertens et al., 2020), but by pure chance.”
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“On the other hand, the anxiety and fear created by the COVID-19 outbreak caused patients with CKD to ignore or delay treatment and pay no attention to its potential risks (24).”
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“Social anxiety that arises in response to the Covid-19 Epidemic is inevitable (Dumas et al., 2020; Li et al., 2020; Mertens et al., 2020; Shiina et al., 2020).”
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Mazzo, D. M., Arpini, M., & Schleder, J. C. (2021) · Journal Health NPEPS · doi:10.30681/252610105481 · Cited by 1
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Khan, N., Khan, M. A., Khan, M. A., Ejaz, A., Warraitch, A., & Khan, H. J. (2021) · World Family Medicine Journal/Middle East Journal of Family Medicine · doi:10.5742/mewfm.2021.94156 · Cited by 1
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“This experience usually triggers security behaviors, such as hand washing, as a way to mitigate certain threats, in this case, fear of contamination [6].”
BackgroundTHE PROPOSITION OF CONSUMER SELF-CARE CONATION UNDER THE BACKDROP OF COVID-19
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“Similarly, a global sample of adults from March 2020 found that IU was associated with an increased fear of COVID-19 (Mertens et al., 2020).”
Percepción de tiempo, salud mental en tiempos de pandemia por COVID-19 y cuarentenas
Camargo, A., & Vargas, R. (2022) · Universidad y Salud · doi:10.22267/rus.222402.272 · Cited by 7
“Asimismo, el miedo y la incertidumbre ante la enfermedad, sensaciones reforzadas continuamente por medios de comunicación y redes sociales quien, en su afán de informar, con datos poco claros y a veces no verificados, confunden y refuerzan aún más los sentimientos de miedo, angustia, responsabilidad y culpa por el est…”
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“Studies on Zika virus and swine flu outbreaks have similarly reported that health anxiety, comorbidities, symptom burden, and belonging to a vulnerable group were the predictors of increasing fear related to the acquisition of these infections (Mertens et al., 2020; Shah et al., 2021).”
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FEARS AND ASSUMPTIONS IN THE PANDEMIC CRISIS IN HUNGARY
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“Fear of misinformation and fake news have been reported as a community concern during the Covid-19 pandemic [5].”
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Verma, S., Sahni, S. P., Pandehy, K. K., & Griffiths, M. D. (2022) · Journal of Concurrent Disorders · doi:10.54127/tzsj4223 · Cited by 1
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Has COVID-19 Pandemic Fear Affected Eurozone Stock Markets?
Velasco, C. G., & González-Fernández, M. (2022) · Springer eBooks · doi:10.1007/978-981-19-3296-0_8 · Cited by 1
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“Associated worrying due to health concerns might have led to a possible cycle of negative thoughts, which can increase COVID-19 anxiety (28, 29).”
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Virtual community during a pandemic: A case study
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FEAR AND STIGMATIZATION IN THE GENERAL POPULATION DURING THE COVID-19 PANDEMIC
Toska, A. G., Diamantopoulos, V., Mastrogiannis, D., Fradelos, Ε. C., Albani, E. N., Вус, В., & Saridi, M. (2023) · Polski Merkuriusz Lekarski · doi:10.36740/merkur202304102 · Cited by 2
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The adverse impact of consecutive COVID-19 waves on mental healthPreprint
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A Cross-Sectional Study On The Acceptance Of COVID-19 VaccinePreprint
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Immune system response to the Covid 19 virus and 3rd boosters
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Stigma Towards Health Care Providers Taking Care of COVID-19 Patients: A Multi-Country StudyPreprint
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The impact of pandemic-related worry on cognitive functioning and risk-takingPreprint
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How Urban Green Spaces Need to Change to Address the Public Post-Covid ExpectationsPreprint
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Knowledge and attitude of school students Regarding the COVID-19 pandemicPreprint
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O FARDO DA PANDEMIA: SAÚDE MENTAL NOS TEMPOS DO COVID-19
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“The review of literature found the following signs and symptoms displayed by persons during the COVID-19 pandemic: depression and depressive symptoms [19,21,22], stress [19-21], anxiety [19,21,22], lower psychological well-being [22], fear [5], and bereavement and grief of family members [7].”
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КАРДІОМІОПАТІЯ ТАКОЦУБО В УМОВАХ COVID-19
Дзига, С. В., Бакалець, О. В., & Behosh, N. B. (2021) · Bulletin Of Medical And Biological Research · doi:10.11603/bmbr.2706-6290.2021.1.12099
Metadata
- 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)
- PMC
- PMC7286280
- 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
- FWCI
- 106.45
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- 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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