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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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Self-citationA network perspective on real‐life threat, anxiety, and avoidance
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“The reason is that, in part, fear is generated by uncertainty (Mertens et al. 2020).”
BackgroundPašák, M., & Palcut, M. (2024) · Education Sciences · doi:10.3390/educsci14030241 · Cited by 2
Asif, M., Asad, S., Ahmed, Z., & Emmanuel, S. (2024) · Journal of Religion and Health · doi:10.1007/s10943-024-02015-6 · Cited by 2
“IU was revealed to be a significant predictor of psychological distress during the COVID-19 pandemic in several recent studies (Mertens et al., 2020; Rettie & Daniels, 2021).”
COVID-19 risk-perception in long-distance travel
Geržinič, N., van Dalen, M., & Cats, O. (2024) · European transport studies. · doi:10.1016/j.ets.2024.100003 · Cited by 2
“Numerous studies measured reported perceived risk directly (asking respondents about their risk perception) to understand its relation to other factors (Dryhurst et al., 2020; Kroesen et al., 2022; Mertens et al., 2020).”
BackgroundStudents' independent work in genetics in a multilingual education setting
Junussova, R., Doktorkhan, A., Maimatayeva, A., Amanbayeva, M. B., & Zhazira, Z. (2024) · Journal of Turkish Science Education · doi:10.36681/tused.2024.031 · Cited by 2
Liu, Y., Zhang, X., Yao, S., Zhang, W., Wang, Y., Chen, J., & Mu, Y. (2025) · Personality and Social Psychology Bulletin · doi:10.1177/01461672251335364 · Cited by 2
“Facing pandemic threats, individuals often perceive increased vulnerability and reduced control (Boyraz et al., 2020; Mertens et al., 2020; Smith & Judd, 2020; Šrol et al., 2021), which is associated with a weaker BJW (Fink & Wilkins, 1976; Lipkus, 1991; Rubin & Peplau, 1973; Zuckerman & Gerbasi,…”
Chen, A., & Lu, Y. (2026) · Journal of Management Information Systems · doi:10.1080/07421222.2025.2602395 · Cited by 2
“This study verifies that it shapes patients’ preventive behaviors [59].”
Systemic resilience of megacities against respiratory epidemics: A multi-scale coupled framework
Li, W., Cai, M., & Wang, W. (2026) · Reliability Engineering & System Safety · doi:10.1016/j.ress.2026.112941 · Cited by 2
Ünver, O., Dinç, H., ÇETİN, E., & Argan, M. (2021) · International Journal of Sport Exercise & Training Sciences · doi:10.18826/useeabd.830125 · Cited by 2
Gebelerde Koronavirüs Anksiyetesi ve Belirsizliğe Tahammülsüzlük Düzeyi İlişkisi
SELİMOĞLU, D. E., & Beydağ, K. D. (2022) · Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi · doi:10.46413/boneyusbad.1081578 · Cited by 2
Elif Beyza, A. Y. A. S., ÖZTÜRK, N., İnan, S., & Karakaş, G. S. (2022) · Afet ve Risk Dergisi · doi:10.35341/afet.1063478 · Cited by 2
Best selected forecasting models for COVID-19 pandemic
Fayomi, A., Nasir, J. A., Algarni, A., Rasool, M. S., Jamal, F., & Chesneau, C. (2022) · Open Physics · doi:10.1515/phys-2022-0218 · Cited by 2
Abdulla, B. M. O., Abdulah, D. M., & Liamputtong, P. (2023) · Health Security · doi:10.1089/hs.2022.0113 · Cited by 2
Saalwirth, C., & Leipold, B. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1129066 · Cited by 3
“, 2020), or the Fear of the Coronavirus Questionnaire (Mertens et al., 2020).”
BackgroundJudging Online Health Misinformation: Effects of Cyberchondria and Age
Xiang, H., Zhou, J., & Liu, M. (2023) · Lecture notes in computer science · doi:10.1007/978-3-031-34866-2_22 · Cited by 2
Are You Worried About Getting Covid-19 or About Losing Your Job?
Utz, S., Huff, M., & Said, N. (2023) · European Journal of Health Communication · doi:10.47368/ejhc.2023.305 · Cited by 2
“Searching for information on Covid-19 also can further increase health-related fears (Mertens et al., 2020).”
BackgroundAcil Servise Başvuran Hastalarda Covid-19 Korkusu ve Yaşam Doyumu İlişkisi
Türk, A., Şahan, H., & Engin, E. (2023) · Etkili Hemşirelik Dergisi · doi:10.46483/jnef.1375508 · Cited by 2
Searl, J. P., Genoa, K., Fritz, A. M., Kearney, A., Pandian, V., Brenner, M. J., & Doyle, P. C. (2023) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2023.104126 · Cited by 2
Alexiou, E., Wijk, H., Åkerström, M., Jónsdóttir, I. H., Innocenti, A. D., & Åhlström, L. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-080248 · Cited by 2
Türen, S., & Torun, O. (2024) · Yoğun Bakım Hemşireliği Dergisi · doi:10.62111/ybhd.1459122 · Cited by 2
Quality of life and psychopathology in different COVID-19 pandemic periods: A longitudinal study
Triantafillou, E., Tsellos, P., Christodoulou, N., Tzavara, C. K., & Christodoulou, G. N. (2024) · Psychiatriki · doi:10.22365/jpsych.2024.010 · Cited by 3
Verinita, V., Suryaningsih, I. B., Pratama, M. D., & Susanto, A. B. (2024) · Jurnal Ekonomi Bisnis dan Kewirausahaan · doi:10.26418/jebik.v12i3.67536 · Cited by 2
“The fear refers to an emotion as a response to prospective threats (Mertens, Gerritsen, Duijndam, Salemink, & Engelhard, 2020).”
BackgroundAmat, C. F., Alzugaray, F. J. Z., & Aranda, L. D. B. (2024) · Humanities and Social Sciences Communications · doi:10.1057/s41599-024-03340-7 · Cited by 7
“We therefore proceeded to follow the syntax model for parallel analysis as proposed by O ’ connor (2000) and replicated by researchers such as Mertens et al. (2020) or Krieglstein et al. (2023).”
Yu, H., & Alizadeh, F. (2024) · Psychology Research and Behavior Management · doi:10.2147/prbm.s462085 · Cited by 2
Atenas-Núñez, E., Muñoz-Yánez, M. J., Lizama-Lefno, A., Roco-Videla, Á., & Caviedes-Olmos, M. (2024) · Salud Ciencia y Tecnología · doi:10.56294/saludcyt20241179 · Cited by 2
Seeking Protection in the Heart of the Storm: Findings from a Grounded Theory Study
Shahmari, M., Nayeri, N. D., Palese, A., Dashti, S., & Manookian, A. (2024) · Journal of Nursing Management · doi:10.1155/2024/6185455 · Cited by 2
“…the pandemic, prioritizing healthcare worker protection and safety was paramount to ensure efective patient care management [9]; in this context, learning from the experience lived by deepening nurses’ perceptions, behaviors, and interactions related to staf protection and safety is crucial [10].”
Satellite fans’ nostalgia buffers negative emotions and increases well-being and travel intention
Cho, H., Wang, F.-J., & Chiu, W. (2024) · Humanities and Social Sciences Communications · doi:10.1057/s41599-024-03776-x · Cited by 2
“Previous studies have found that the pandemic is signi fi cantly related to various negative emotions (Mertens et al., 2020; Zheng et al., 2021).”
Baş, N. S., & Ayhan, H. (2024) · Nursing Open · doi:10.1002/nop2.70035 · Cited by 1
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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