How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know

Asmundson, Gordon J.G.; Taylor, Steven

doi:10.1016/j.janxdis.2020.102211

Cited by 643 publications

(663 citation statements)

References 10 publications

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“…On the other hand, anxiety is another critical public health concern because it could lead to impairments in social, emotional and physical functioning, resulted in higher level of health care service utilization [25]. Glover et al revealed that increased anxiety in pregnancy period had signi cant relationship with plasma and amniotic cortisol levels [26].…”

Section: Discussionmentioning

confidence: 99%

Depression and Anxiety Among Pregnant Mothers in the Initial Stage of the Coronavirus Disease (COVID-19) Pandemic in Southwest of Iran

Maharlouei

Keshavarz

Lankarani

2020

Preprint

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‌Background: Women are at higher risk for depression progression especially during pregnancy. So, we aimed to investigate depression, anxiety, and stress level of pregnant mothers in the initial stage of the COVID-19 infection in Southwest of Iran. Methods: This cross-sectional study conducted during March and April, 2020 in Shiraz, Iran. Pregnant mothers registered in maternity clinics affiliated to Shiraz University of Medical Sciences were included. An online self-administered checklist was used. It included socio-demographic, obstetric and medical history, and the short form of Depression Anxiety Stress Scales (DASS-21) for evaluation of depression, anxiety, and stress. P-value < 0.05 was considered significant.Results: 540 pregnant mothers answered the questionnaire. 83.5% had no comorbidity. Abnormal depression score was significantly higher in those who did not have any insurance (OR= 2.5) and in those with poor self-rated health (SRH) (OR= 27.8). Pregnant mothers with lower SRH and two or more comorbidities had higher chance of having abnormal level of anxiety subscale; 6.9, 3.7 times, retrospectively. Conclusion: The study revealed that that abnormal level of depression was associated with SRH and medical insurance status. Moreover, the number of comorbidities and poor SRH were significantly increased the chance of achieving abnormal anxiety level in pregnant mothers during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Depression and Anxiety Among Pregnant Mothers in the Initial Stage of the Coronavirus Disease (COVID-19) Pandemic in Southwest of Iran

Maharlouei

Keshavarz

Lankarani

2020

Preprint

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“…People especially the patient tend to misinterpret benign bodily sensations and changes as dangerous. This will increase their anxiety, in uence their ability to make rational decisions, and impact their behavior [18]. As we have known, Baduanjin exercise is a lowintensity, aerobic exercise and several studies have demonstrated other bene ts of Baduanjin exercise, including relieving pain and stiffness, and improving sleep quality and psychological well-being [11,19,20].…”

Section: Discussionmentioning

confidence: 99%

Baduanjin Exercise May Improve the Anxiety and Insomnia in COVID-2019 Patients: A Case-Control Study

Chen¹,

Qiu²,

Chen³

et al. 2020

Preprint

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Background: Since December 2019, an epidemic caused by novel coronavirus(2019-nCoV) infection has occurred unexpectedly in China. Because of the sudden nature of the outbreak and the infectious power of the virus, it will inevitably cause people anxiety and other stress reactions. Previous studies showed that Baduanjin exercise was effective for people in anxiety and insomnia. The purpose of this study was to evaluate the potential benefits of Baduanjin exercise on the anxiety and insomnia in COVID-2019 patients.Methods: This is a Case-Control Study. The COVID-2019 patients including 39 Baduanjin exercises or willing to do Baduanjin exercises and 39 age-and gender-matched nonexercising controls. The anxiety and insomnia in COVID-2019 patients were measured by using the GAD-7 and SMH Sleep Questionnaire at baseline and discharge.Results: In the study, the Paired T-test showed that two groups had improved the GAD-7 scores and SMH Sleep Questionnaire compared with baseline at discharge. Baseline results showed there were no significant differences in the GAD-7 scores and SMH Sleep Questionnaire between the two groups. However, the significant differences found in the Baduanjin group included a 43.9% lower (p<0.001) in the GAD-7 score and an approximately 75.9% higher (p=0.003) in SMH Sleep Questionnaire score compare with the control group at discharge.Conclusion: The Baduanjin exercise may improve the anxiety and insomnia in COVID-2019 patients. It can also be used as a form of rehabilitation exercise for discharged patients or patients isolated at home.Trial Registration: ChiCTR2000030528.

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“…One study estimated the frequencies of individual mental health symptoms and predicted anxiety to be the most common (Rajkumar 2020). While appropriate levels of anxiety about viral contagion are associated with adaptive behaviors like handwashing, physical distancing, and getting vaccinated (Taylor 2019), high levels of anxiety also tend to be associated with socially disruptive behaviors (e.g., panicbuying, exaggerated interpretation of minor symptoms) (Asmundson and Taylor 2020). High levels of anxiety also appear together with other psychopathologies in populations affected by COVID-19 (Liu et al 2020), as was the case in previous viral pandemics (Maunder et al 2003).…”

Section: Introductionmentioning

confidence: 99%

“…High levels of anxiety also appear together with other psychopathologies in populations affected by COVID-19 (Liu et al 2020), as was the case in previous viral pandemics (Maunder et al 2003). Although the symptoms manifested by individuals during the COVID-19 pandemic may be similar to those in generalized anxiety, research indicated that many people display speci c forms of anxiety-related distress responses during viral outbreaks (Asmundson and Taylor 2020). For example, studies found that despite taking safety precautions and practicing social distancing, people tended to display excessive fear of becoming infected and continuously worry about family members contracting the disease or dying (Wang et al 2020).…”

Section: Introductionmentioning

confidence: 99%

Coronavirus Pandemic Anxiety Scale (CPAS-11): Development and Initial Validation

Bernardo

Mendoza

Simon

et al. 2020

Preprint

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The mental health impact of the COVID-19 pandemic will increase as the outbreak continues and persist even after the pandemic passes. We developed a 11-item Coronavirus Pandemic Anxiety Scale (CPAS-11) to measure symptoms of anxiety related to the COVID-19 pandemic to help identify individuals who might need mental health services. In developing the scale items, we considered previous research and theory on anxiety symptoms and symptoms reported by clinically referred cases in the Philippines. The scale was validated in a Filipino sample (N=925). Exploratory factor analysis indicated two factors corresponding to somatic and non-somatic symptoms; confirmatory factor analysis showed good fit for the two-factor model. CPAS-11 showed good internal consistency, convergent and divergent validity, and screening accuracy. A cutoff score of 15 showed adequate sensitivity and specificity to distinguish GAD-7 screened participants. The results support the viability of CPAS-11 as a screening tool to identify individuals experiencing COVID-19-related anxiety.

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How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know

Cited by 643 publications

References 10 publications

Depression and Anxiety Among Pregnant Mothers in the Initial Stage of the Coronavirus Disease (COVID-19) Pandemic in Southwest of Iran

Depression and Anxiety Among Pregnant Mothers in the Initial Stage of the Coronavirus Disease (COVID-19) Pandemic in Southwest of Iran

Baduanjin Exercise May Improve the Anxiety and Insomnia in COVID-2019 Patients: A Case-Control Study

Coronavirus Pandemic Anxiety Scale (CPAS-11): Development and Initial Validation

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