Viral Anxiety, Reassurance-Seeking Behavior, and Depression Mediate the Influence of Dysfunctional Self-Focus on Preoccupation With COVID-19 Among Infected Cases

• 발행기관: 대한신경정신의학회
• 저자명: Byeongha Yoon
• 간행물 정보: 『Psychiatry Investigation』제21권 제8호, 897~904쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2024.08.31

국문 초록

Objective Amid the coronavirus disease 2019 (COVID-19) pandemic, the pervasive threat of infection has heightened public and in-dividual health concerns. In the context of instability, although the dysfunctional aspect of self-focus was prominent, preoccupation with viral infection was greater. This study explored the applicability of a cognitive-behavioral model of hypochondriasis to individuals in-fected with COVID-19 and assessed whether dysfunctional self-focus were associated with the development of preoccupation. Methods An anonymous online survey was conducted via a professional survey platform in December 2022. Participants’ clinical characteristics and responses to rating scales were collected, including Obsession with COVID-19 Scale (OCS), Coronavirus Reassur-ance-Seeking Behaviors Scale (CRBS), Stress and Anxiety to Viral Epidemic-6 items (SAVE-6), Patient Health Questionnaire-2 items (PHQ-2), and Dysfunctional Self-focus Attributes Scale (DSAS). Results Among the 265 participants, preoccupation with COVID-19 was predicted using CRBS (β=0.60, p<0.001), SAVE-6 (β=0.20, p=0.007), and PHQ-2 (β=0.13, p<0.001) scores. Mediation analysis revealed that viral anxiety influenced this COVID-19 preoccupation, with the relationship mediated by coronavirus reassurance-seeking behavior. Another analysis indicated that dysfunctional self-focus had a significant total effect on preoccupation with COVID-19. However, its direct impact was statistically insignificant, with the associ-ation primarily influenced by three mediating factors: viral anxiety, depression, and reassurance-seeking behavior. Conclusion Preoccupation with coronavirus is influenced by viral anxiety, depression, and reassurance-seeking behavior. Two media-tion analyses showed that the application of the cognitive-behavioral model of hypochondriasis is feasible among COVID-19-infected cases and the association of dysfunctional self-focus with mediating factors. This finding highlights the need for personalized psycho-logical support in managing COVID-19 cases.

목차

INTRODUCTION

METHODS

RESULTS

키워드

COVID-19 Anxiety Preoccupation Stress