Chung Seockhoon, Lee Han-Sung, Jang Soomin, Shin Yong-Wook, Kim Jeong-Hyun, Jun Jin Yong
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Psychiatry Investig. 2023 Sep;20(9):826-833. doi: 10.30773/pi.2023.0165. Epub 2023 Sep 19.
This study aimed to explore the feasibility of cognitive-behavioral model hypochondriasis regarding coronavirus disease-2019 (COVID-19) among firefighters. In addition, we examined the possible role of their grief reaction and intolerance of uncertainty in the model of COVID-related hypochondriasis.
An anonymous online survey was done on October 27-28, 2022, among firefighters who witnessed people's death. Demographic characteristics were collected, and their psychological states were assessed using rating scales such as the Obsession with COVID-19 Scale (OCS), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Fear of COVID-19 Scale (FCV-19S), Pandemic Grief Scale (PGS), and Intolerance of Uncertainty Scale-12 (IUS-12).
Their OCS score was expected by the CRBS (β=0.30, p<0.001), FCV-19S (β=0.10, p<0.001), PGS (β=0.29, p<0.001), and IUS12 (β=0.04, p=0.024) (F=134.5, p<0.001). The COVID-related cognitive-behavioral model of hypochondriasis was feasible among firefighters who witnessed people's death. Their pandemic grief reaction and intolerance of uncertainty directly influenced their preoccupation with coronavirus, and viral anxiety and coronavirus reassurance-seeking behavior mediated the relationship.
Firefighters' viral anxiety and coronavirus reassurance-seeking behavior mediated the influence of pandemic grief reaction or intolerance of uncertainty on the preoccupation with coronavirus.
本研究旨在探讨针对消防员群体的2019冠状病毒病（COVID-19）疑病症认知行为模型的可行性。此外，我们还考察了他们的悲伤反应和对不确定性的不耐受在COVID相关疑病症模型中的可能作用。
2022年10月27日至28日，对目睹人员死亡的消防员进行了一项匿名在线调查。收集了人口统计学特征，并使用诸如COVID-19痴迷量表（OCS）、冠状病毒寻求安慰行为量表（CRBS）、对COVID-19的恐惧量表（FCV-19S）、大流行悲伤量表（PGS）和不确定性不耐受量表-12（IUS-12）等评定量表评估了他们的心理状态。
CRBS（β=0.30，p<0.001）、FCV-19S（β=0.10，p<0.001）、PGS（β=0.29，p<0.001）和IUS12（β=0.04，p=0.024）可预测他们的OCS得分（F=134.5，p<0.001）。在目睹人员死亡的消防员中，与COVID相关的疑病症认知行为模型是可行的。他们的大流行悲伤反应和对不确定性的不耐受直接影响了他们对冠状病毒的过度关注，而病毒焦虑和冠状病毒寻求安慰行为介导了这种关系。
消防员的病毒焦虑和冠状病毒寻求安慰行为介导了大流行悲伤反应或对不确定性的不耐受对冠状病毒过度关注的影响。
