Central Institute of Psychiatry, Ranchi, 834006 Jharkhand, India.
C. M. College, Lalit Narayan Mithila University, Darbhanga 846004, Bihar, India; Indian Institute of Technology Kharagpur, Kharagpur 721302, West Bengal, India.
Asian J Psychiatr. 2020 Dec;54:102384. doi: 10.1016/j.ajp.2020.102384. Epub 2020 Sep 6.
COVID-19 pandemic, in addition to being a global health emergency, has multiple socioeconomic and psychological ramifications. COVID-19 research and media reports have revealed a rise in fears related to contracting the virus. Though fear is a common psychological outcome during pandemics, the COVID-19 pandemic is a continuously evolving disease outbreak and has unique risk factors. Therefore, fear related to COVID-19 might manifest in not only fear and anxiety related to disease contraction and dying, but also associated sociooccupational stress. We attempt to understand the psychosocial process of the development of coronaphobia and postulate what constitutes coronaphobia, a new emerging phobia specific to COVID-19. We present a conceptual model delineating the risk factors causing coronaphobia and the underlying mechanisms, for a better understanding of its developmental process. From review of relevant research, the factors identified are, an unforeseen reality, unending uncertainties, need of acquiring new practices and avoidance behavior, loss of faith in health infrastructure, contraction of COVID-19 by head of states, cautionary statements from international bodies, and infodemia. These factors are assumed to cause interference with routine life, catastrophizing interpretation of benign symptoms, and social amplification of risk which lead to coronaphobia. The conceptualization of coronaphobia and the model will aid future research in developing psychometric measure of coronaphobia for use in clinical and research settings and design of policies and interventions for mitigating risk factors.
新冠疫情不仅是一场全球卫生紧急事件,还带来了多种社会经济和心理影响。新冠疫情的研究和媒体报道揭示了人们对感染该病毒的恐惧有所增加。虽然在大流行期间恐惧是一种常见的心理反应,但新冠疫情是一种不断演变的疾病爆发,具有独特的风险因素。因此,与新冠相关的恐惧不仅可能表现为对感染和死亡的恐惧和焦虑,还可能与社会职业压力有关。我们试图了解产生“新冠恐惧症”的心理社会过程,并推测出构成新冠恐惧症的因素,这是一种针对新冠的新出现的特定恐惧症。我们提出了一个概念模型,阐述了导致“新冠恐惧症”的风险因素和潜在机制,以更好地理解其发展过程。通过对相关研究的回顾,确定的因素包括:无法预见的现实、无尽的不确定性、需要采用新的实践和避免行为、对卫生基础设施的信心丧失、国家元首感染新冠病毒、国际机构的警告声明以及信息泛滥。这些因素可能会干扰日常生活,对良性症状进行灾难性解释,以及放大风险,从而导致“新冠恐惧症”。“新冠恐惧症”的概念化和模型将有助于未来的研究,开发用于临床和研究环境的“新冠恐惧症”心理测量工具,并设计减轻风险因素的政策和干预措施。