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Incremental validity of coronaphobia: Coronavirus anxiety explains depression, generalized anxiety, and death anxiety
Open accessAbstract
The adverse psychological effects of COVID-19 have increased globally. Moreover, the psychological toll may be worsening for this health crisis due to the growing numbers of mass deaths and unemployment levels. Coronaphobia, a relatively new pandemic-related construct, has been shown to be strongly related to functional impairment and psychological distress. However, the extent to which coronaphobia is uniquely accountable for the psychological distress experienced during the COVID-19 crisis has not been systematically investigated. The current study examined this question of incremental validity using online data from 453 adult MTurk workers in the U.S. The results of a series of hierarchical multiple regression analyses demonstrated that coronaphobia explained additional variance in depression, generalized anxiety, and death anxiety, above sociodemographics, COVID-19 factors, and the vulnerability factors of neuroticism, health anxiety, and reassurance-seeking behaviors. These findings suggest that health professionals should be aware of coronaphobia as this expression of pandemic-related stress has reliably demonstrated incremental validity in accounting for major indicators of psychological distress.
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“Death anxiety is thought to be associated with mental disorders, such as panic, generalized anxiety, and depressive disorders (Iverach et al., 2014; Lee et al., 2020).”
From Mediator role of presence of meaning and self-esteem in the relationship of social support and death anxiety (2022) · cites this paper as Lee et al., 2020
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InfluentialVargová, L., Kačmár, P., Lačný, M., & Baník, G. (2023) · Current Psychology · doi:10.1007/s12144-023-04277-x · Cited by 3
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InfluentialAl-Hashimi, M., & AL-Sayed, H. (2022) · Studies in computational intelligence · doi:10.1007/978-3-030-93921-2_33 · Cited by 3
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“…the OCS identifies persistent and disturbed thinking related to COVID-19 (Lee, 2020), the CRBS measures reassurance-seeking behaviors associated with concerns over COVID-19 infection (Lee et al., 2020), and the CAS assesses dysfunctional anxiety related to the COVID-19 pandemic (Lee, 2020).”
Cho, E., Hong, J., Kim, H., Park, C. H. K., Hong, Y., Park, J., Jun, J. Y., & Chung, S. (2023) · Journal of Korean Medical Science · doi:10.3346/jkms.2023.38.e282 · Cited by 2
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Influentialde Cajamarca, U. N., Aguilar, N. G. O., Romero-Casanova, M. C., de Cajamarca, U. N., Aguilar, V. A. O., Vallejo, U. C., Gutiérrez, V. R. O., & Vallejo, U. C. (2021) · REVISTA MÉDICA VALLEJIANA/ Vallejian Medical Journal · doi:10.18050/revistamedicavallejiana.v10i2.03 · Cited by 2
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“It is suggested that this emergency situation in public health could generate not only negative emotional reactions, but also a lack of compliance with public health directives and the genesis of unhealthy behaviors such as excessive use of substances [7].”
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Adaptation and psychometric evaluation of the COVID-19 stress scales in Turkish sample
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“We expect to find strong evidence of relations between coronaphobia and GAD (e.g., Lee et al., 2020).”
BackgroundMethodResultInfluentialDeath Anxiety, Mental Health and Meaning in Life During COVID-19
Temel, M., Ok, E., & Boyacıoğlu, N. E. (2023) · Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi · doi:10.21020/husbfd.1185854 · Cited by 2
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“The CRBS is a self-reported scale that measures reassur-ance-seeking behaviors, 26 which lead to a cycle of anxiety and reassurance seeking.”
BackgroundDEATH DISTRESS AND END OF LIFE IN OLDER ADULTS LIVING ALONE
Şahin, D. S., Demir, M., Pekesen, M., & Büken, N. Ö. (2024) · The Turkish Journal of Geriatrics · doi:10.29400/tjgeri.2024.406 · Cited by 1
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InfluentialCheng, W., Wang, M., Zhou, C., & Li, M. (2025) · Brain Circulation · doi:10.4103/bc.bc_107_24 · Cited by 1
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Understanding the Effect of Mental Health: The Mediation of Patience and Enxiety
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“Anxiety that arose during this pandemic had an effect on functional disorders and psychological stress[5].”
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“To assess or identify individuals’ levels of anxiety related to the COVID-19 pandemic, COVID-19 Anxiety Scale that was designed and developed by Lee et al. (Lee et al., 2020) and Turkish language validity and reliability was made by Evren et al. (Evren et al., 2020) was used.”
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COVID-19 Related Mental Health Effects in the Workplace: A Case of Fast-food Industry in Malaysia
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“The direct effect of the fear of COVID-19 on health anxiety is consistent with the studies of Lee et al. (2020) [24] and Ahorso et al.”
BackgroundResultInfluentialBagheri, M., Esmaeili, A. T., Farzad, V., Abdollahi, M. H., & Raiisi, F. (2023) · Shenakht Journal of Psychology and Psychiatry · doi:10.32598/shenakht.10.1.116 · Cited by 1
Dongaz, Ö. İ., Oruk, D. Ö., Güp, A. A., Koç, M., Bayar, B., & Bayar, K. (2023) · International Journal of Healthcare Management · doi:10.1080/20479700.2023.2210392 · Cited by 1
Alrafati, S. A., Zeilani, R., & Othman, E. H. (2023) · Current Psychology · doi:10.1007/s12144-023-04758-z · Cited by 1
“Death anxiety can result in job burnout, decreased work productivity, frequent absences, lower patient satisfaction, and higher turnover (Farhadi et al., 2021; Lee et al., 2020).”
Hao, R., Zuo, J., Jin, H., Wang, Y., Zhang, L., Zhu, Y., Wang, Y., Qi, Y., Qi, J., Xia, J., et al. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1043339 · Cited by 1
Şarlak, D., & Aslantaş, Y. (2023) · Turk Turizm Arastirmalari Dergisi · doi:10.26677/tr1010.2023.1253 · Cited by 2
Martínez, S. A. H. (2023) · LACCEI International Multi-Conference for Engineering, Education and Technology (LACCEI) · doi:10.18687/laccei2023.1.1.1651 · Cited by 1
Corona phobia among nurses: A narrative review
Gholampour, M. H., Zamani, F., Rashti, S. B., Hajehforoush, N.-S., Dadkhah-Tehrani, M., Zare‐Kaseb, A., & Nazari, A. M. (2023) · Journal of Nursing Reports in Clinical Practice · doi:10.32598/jnrcp.23.41 · Cited by 1
Windriyoningrum, A., & Sawitri, B. (2023) · World Journal of Advanced Research and Reviews · doi:10.30574/wjarr.2023.19.3.1828 · Cited by 1
“There are various indicators that someone is having COVID-19-related anxiety, according to Lee's COVID-19-related anxiety scale [4]: Reading about the coronavirus makes one feel lightheaded and as like they are going to pass out.”
InfluentialBulut, A., Yılmaz, E. B., & Yüksel, A. (2023) · Türk yoğun bakım derneği dergisi/Türk yoğun bakım dergisi · doi:10.4274/tybd.galenos.2023.60252 · Cited by 1
Gaitán-Padilla, M., Maldonado-Mejía, J. C., Múnera, M., Díaz, C. A. R., Pontes, M. J., Segatto, M. E. V., Monteiro, M. E., & Cifuentes, C. A. (2024) · World Congress on Medical Physics and Biomedical Engineering, September 7 - 12, 2009, Munich, Germany · doi:10.1007/978-3-031-49407-9_64 · Cited by 1
Sentimental Analysis on Twitter data using Deep Learning
Brindha, V., Shanthi, S., Bhavishya, C., Durgashree, V., Devi, K. N., & Jaganathan, P. (2024) · International Conference on Artificial Intelligence and Machine Learning Applications Theme: Healthcare and Internet of Things (AIMLA) · doi:10.1109/aimla59606.2024.10531618 · Cited by 1
Everyday Life in Great Britain and Poland During the Covid-19 Pandemic and Brexit
Dziekońska, M., & Winiecka, K. (2024) · Studia Migracyjne – Przegląd Polonijny · doi:10.4467/25444972smpp.24.003.19601 · Cited by 1
Health beliefs about COVID-19: Instrument for assessment and expression of beliefs
Živković, T., Stanojević, D. Z., & Radović, O. (2021) · Zbornik radova Filozofskog fakulteta u Pristini · doi:10.5937/zrffp51-29837 · Cited by 1
Review on Anxiety Disorders During Covid-19 Pandemic:
Gilla, D., Ahammed, J., Akhila, A. L., & Sreelakshmy, S. R. (2021) · International Journal of High Dilution Research · doi:10.51910/ijhdr.v20i2-3.1066 · Cited by 1
“, fear of Coronavirus disease, is a relatively new pandemic-related construct that is strongly related to functional impairment and psychological distress [5].”
BackgroundObsessive-compulsive disorder during the SARS-CoV-2 pandemic (case report)
Тювина, Н. А., Maksimova, T. N., Прохорова, С. В., & Vysokova, V. O. (2021) · Neurology neuropsychiatry Psychosomatics · doi:10.14412/2074-2711-2021-5-134-139 · Cited by 1
Lee, K., Shin, N., & Kang, Y. (2021) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.21111 · Cited by 1
Mendes, T. B. B., Araújo, J. V. S., Botelho, T. A., Nascimento, M. R. A., Pessoa, I. M. D. S., Viana, G. S., de Sousa, Y. B., de Oliveira, R. S., de Assis, P. C., & Pinheiro, F. D. (2021) · Revista Eletrônica Acervo Saúde · doi:10.25248/reas.e9341.2021 · Cited by 1
Lee, S. A., & Jobe, M. C. (2022) · Clinical Medicine Insights: Psychiatry · doi:10.1177/11795573211069912
“Accordingly, research during this pandemic has shown that both death anxiety and coronavirus anxiety are both positively correlated with depression and generalized anxiety.(8,9) Moreover, past(7) and current research(3,10) has shown that neuroticism is strongly tied to pandemic-related fears and psychopathology.”
BackgroundSelf-citationO choque da Covid-19: Teremos um transtorno da década?
de Santana, A. N., & Roazzi, A. (2022) · Psicologia - Teoria e Prática · doi:10.5935/1980-6906/eptpcp13893.pt · Cited by 1
Covid-19 shock: Will we have a disorder of the decade?
de Santana, A. N., & Roazzi, A. (2022) · Psicologia - Teoria e Prática · doi:10.5935/1980-6906/eptpcp13893.en
“…due to its greater probability of happening, dismantling the defenses that human beings have built over time against it and that prevent them from reaching a fundamental understanding of the meaning of life itself with death (Lee et al., 2020; Pyszczynski et al., 2020; Yildirim & Güler, 2021).”
Coronavirus-19 phobia and health literacy in adults: A descriptive-correlational study
İster, E. D., & Taş, F. (2022) · Journal of Clinical Medicine of Kazakhstan · doi:10.23950/jcmk/12260 · Cited by 1
Rostami, H., Behrouzian, F., & Asl, E. M. (2022) · Iranian Journal of Psychiatry and Clinical Psychology · doi:10.32598/ijpcp.28.3.2146.2 · Cited by 1
Metadata
- Authors
- Lee, S. A., Jobe, M. C., Mathis, A. A., & Gibbons, J. A.
- Affiliations
- Christopher Newport University (US)
- Corresponding author
- Lee, Sherman A.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 74
- Pages
- 102268
- ISSN
- 0887-6185 (ISSN-L)
- PMC
- PMC7328548
- OpenAlex
- W3039080593
- Cited by
- 392
- References
- 23
- Citations by year
- 2026: 13 · 2025: 30 · 2024: 35 · 2023: 92 · 2022: 82 · 2021: 107 · 2020: 32
- FWCI
- 31.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Anxiety Disorders (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 › Communication › Communication and COVID-19 Impact
- Keywords
- fear of COVID-19, COVID-19 pandemic, incremental validity, depression, generalized anxiety disorder, fear of death, psychological distress, pandemic stress, health anxiety, reassurance seeking, neuroticism, healthcare workers
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adult, Anxiety, Depression, Disease Outbreaks, Fear, Humans, Pneumonia, Viral, Stress, Psychological, Coronavirus, Coronavirus Infections, Pandemics
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