ABSTRACT

Excessive fear and worry in response to the COVID-19 pandemic (e.g., COVID stress syndrome) is prevalent and associated with various adverse outcomes. Research from the current and past pandemics supports the association between transdiagnostic constructs—anxiety sensitivity (AS), disgust, and intolerance of uncertainty (IU)—and pandemic-related distress. Recent research suggests a moderating effect of disgust on the relationship of AS-physical concerns and COVID-19-related distress, suggesting that transdiagnostic constructs underlie individual differences in activation of the behavioral immune system (BIS). No previous study has examined the independent and conjoint effects of pre-COVID-19 AS-physical concerns, disgust propensity (DP), disgust sensitivity (DS), and IU in this context; thus, we did so using longitudinal survey data (N = 3,062 Canadian and American adults) with simple and moderated moderations controlling for gender, mental health diagnosis, and COVID-19 diagnosis. Greater AS-physical concerns, DP, and DS predicted more severe COVID stress syndrome assessed one month later. Either DP or DS further amplified the effect of AS-physical concerns on COVID stress syndrome, except danger and contamination fears. IU did not interact with AS-physical concerns and DS or DP. Theoretical and clinical implications pertaining to delivery of cognitive behavioural therapy for pandemic-related distress are discussed.

摘要

应对COVID-19大流行（例如，COVID压力综合症）的过度恐惧和担忧很普遍，并与各种不良后果相关。当前和过去的大流行流行病学研究都支持跨诊断结构（焦虑敏感性（AS），厌恶和不确定性的不耐受性（IU））与大流行性疾病相关。最近的研究表明，厌恶情绪对AS生理问题和COVID-19相关困扰的关系具有缓和作用，这表明转诊结构是行为免疫系统（BIS）激活的个体差异的基础。在此背景下，之前没有研究研究过COVID-19之前AS生理问题，厌恶倾向（DP），厌恶敏感性（DS）和IU的独立和联合作用；因此，我们使用纵向调查数据（N = 3，062加拿大和美国成年人使用简单和中等的方式控制性别，心理健康诊断和COVID-19诊断。更强烈的AS生理问题，DP和DS预测一个月后评估的更严重的COVID压力综合症。除危险和污染恐惧外，DP或DS进一步放大了AS生理问题对COVID压力综合症的影响。IU没有与AS物理​​问题和DS或DP交互。讨论了与大流行性疾病相关的认知行为治疗有关的理论和临床意义。除危险和污染恐惧外，DP或DS进一步放大了AS生理问题对COVID压力综合症的影响。IU没有与AS物理​​问题和DS或DP交互。讨论了与大流行性疾病相关的认知行为治疗有关的理论和临床意义。除危险和污染恐惧外，DP或DS进一步放大了AS生理问题对COVID压力综合症的影响。IU没有与AS物理​​问题和DS或DP交互。讨论了与大流行性疾病相关的认知行为治疗有关的理论和临床意义。