ABSTRACT

The COVID-19 pandemic has resulted in unprecedented consequences. Transdiagnostic factors, such as anxiety sensitivity, could be an important component to understand how individuals experience COVID-19 specific fear, depression and anxiety. A US representative sample (5,023) completed measures including the Anxiety Sensitivity Index-3, the Fear of COVID-19 Scale, the Generalized Anxiety Disorder-7 and the Patient Health Questionnaire-8. Analyses controlled for age, sex, race, marital status, education level, working status, household income, and COVID-19 exposure. Results were consistent with prediction. First, higher ASI-3 Total scores were associated with above average COVID-19 fear (β = 0.19). Second, the ASI-3 physical concerns subscale was the strongest predictor of COVID-19 fear; one SD increase on the ASI-3 physical concerns subscale was associated with almost a twofold risk of reaching above average levels of COVID-19 (OR = 1.93). Third, higher ASI-3 Total scores were associated with higher anxiety (β = 0.22) and depression (β = 0.20). Finally, COVID-19 fear mediated the relationship between ASI-3 Total scores and anxiety (17% of effect mediated) as well as ASI-3 Total scores and depression (16% of effect mediated). These data support the role of anxiety sensitivity in predicting fear of COVID-19 and resulting mental health.

摘要

COVID-19大流行导致了前所未有的后果。诸如焦虑敏感性之类的转诊因素可能是了解个人如何体验COVID-19特定恐惧，抑郁和焦虑的重要组成部分。美国代表样本（5,023）完成了包括焦虑敏感性指数3，对COVID-19的恐惧量表，广义焦虑症7和患者健康问卷8在内的测量。对年龄，性别，种族，婚姻状况，受教育程度，工作状况，家庭收入和COVID-19暴露进行控制的分析。结果与预测一致。首先，较高的ASI-3总评分与高于平均水平的COVID-19恐惧相关（β= 0.19）。其次，ASI-3身体关注分量表是COVID-19恐惧的最强预测因子。ASI-3身体不适量表的SD升高与达到COVID-19的平均水平以上（OR = 1.93）的几乎两倍的风险相关。第三，较高的ASI-3总分与较高的焦虑感（β= 0.22）和抑郁症（β= 0.20）相关。最后，COVID-19恐惧介导了ASI-3总分与焦虑之间的关系（介导的效果为17％），以及ASI-3总分与抑郁之间的关系（介导的效果为16％）。这些数据支持了焦虑敏感性在预测对COVID-19的恐惧以及由此产生的心理健康方面的作用。COVID-19恐惧介导了ASI-3总分与焦虑之间的关系（介导为效果的17％）以及ASI-3总分与抑郁之间的关系（介导为效果的16％）。这些数据支持了焦虑敏感性在预测对COVID-19的恐惧以及由此产生的心理健康方面的作用。COVID-19恐惧介导了ASI-3总分与焦虑之间的关系（介导为效果的17％）以及ASI-3总分与抑郁之间的关系（介导为效果的16％）。这些数据支持了焦虑敏感性在预测对COVID-19的恐惧以及由此产生的心理健康方面的作用。