The COVID-19 pandemic has unhinged the lives of employees across the globe, yet there is little understanding of how COVID-19 health anxiety (CovH anxiety)-that is, feelings of fear and apprehension about having or contracting COVID-19-impacts critical work, home, and health outcomes. In the current study, we integrate transactional stress theory (Lazarus & Folkman, 1984) with self-determination theory (Deci & Ryan, 2000) to advance and test a model predicting that CovH anxiety prompts individuals to suppress emotions, which has detrimental implications for their psychological need fulfillment. In turn, lack of psychological need fulfillment hinders employees' abilities to work effectively, engage with their family, and experience heightened well-being. Our model further predicts that handwashing frequency-a form of problem-focused coping-will mitigate the effects of CovH anxiety. We test our propositions using a longitudinal design that followed 503 employees across the first four weeks that stay-at-home and social distancing orders were enacted. Consistent with predictions, CovH anxiety was found to impair critical work (goal progress), home (family engagement) and health (somatic complaints) outcomes due to increased emotion suppression and lack of psychological need fulfillment. Further, individuals who frequently engage in handwashing behavior were buffered from the negative impact of CovH anxiety. Combined, our work integrates and extends existing theory and has a number of important practical implications. Our research represents a first step to understanding the work-, home-, and health-related implications of this unprecedented situation, highlighting the detrimental impact of the anxiety stemming from the COVID-19 pandemic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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在大流行中工作：探索 COVID-19 健康焦虑对工作、家庭和健康结果的影响。

COVID-19 大流行已经扰乱了全球员工的生活，但人们对 COVID-19 健康焦虑（CovH 焦虑）——即对感染或感染 COVID-19 的恐惧和忧虑——的影响至关重要知之甚少工作、家庭和健康结果。在当前的研究中，我们将交易压力理论 (Lazarus & Folkman, 1984) 与自我决定理论 (Deci & Ryan, 2000) 相结合，以推进和测试一个模型，该模型预测 CovH 焦虑会促使个人抑制情绪，这对他们的心理需求得到满足。反过来，缺乏心理需求的满足会阻碍员工有效工作、与家人相处以及体验更高幸福感的能力。我们的模型进一步预测，洗手频率——一种以问题为中心的应对方式——将减轻 CovH 焦虑的影响。我们使用纵向设计来测试我们的主张，该设计在颁布居家令和保持社交距离命令的前四个星期跟踪了 503 名员工。与预测一致，CovH 焦虑被发现会损害关键工作（目标进度）、家庭（家庭参与）和健康（躯体投诉）结果，因为情绪抑制增加和缺乏心理需求满足。此外，经常进行洗手行为的人免受 CovH 焦虑的负面影响。结合起来，我们的工作整合并扩展了现有理论，并具有许多重要的实践意义。我们的研究代表了了解工作、家庭、这种前所未有的情况对健康的影响，突出了 COVID-19 大流行引起的焦虑的不利影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。