Yoon Byeongha, Hong Jihoon, Chung Seockhoon
University of Ulsan College of Medicine, Ulsan, Republic of Korea.
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Psychiatry Investig. 2024 Aug;21(8):897-904. doi: 10.30773/pi.2024.0097. Epub 2024 Aug 2.
Amid the coronavirus disease 2019 (COVID-19) pandemic, the pervasive threat of infection has heightened public and individual 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 infected with COVID-19 and assessed whether dysfunctional self-focus were associated with the development of preoccupation.
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 Reassurance-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).
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 association primarily influenced by three mediating factors: viral anxiety, depression, and reassurance-seeking behavior.
Preoccupation with coronavirus is influenced by viral anxiety, depression, and reassurance-seeking behavior. Two mediation 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 psychological support in managing COVID-19 cases.
在2019年冠状病毒病（COVID-19）大流行期间，普遍存在的感染威胁加剧了公众和个人对健康的担忧。在不稳定的背景下，尽管自我关注的功能失调方面很突出，但对病毒感染的过度关注更为严重。本研究探讨了疑病症认知行为模型对COVID-19感染者的适用性，并评估了功能失调的自我关注是否与过度关注的发展有关。
2022年12月通过专业调查平台进行了一项匿名在线调查。收集了参与者的临床特征和对评分量表的回答，包括COVID-19强迫观念量表（OCS）、冠状病毒寻求安心行为量表（CRBS）、对病毒流行的压力和焦虑-6项量表（SAVE-6）、患者健康问卷-2项量表（PHQ-2）和功能失调的自我关注属性量表（DSAS）。
在265名参与者中，使用CRBS（β=0.60，p<0.001）、SAVE-6（β=0.20，p=0.007）和PHQ-2（β=0.13，p<0.001）得分预测了对COVID-19的过度关注。中介分析显示，病毒焦虑影响了这种对COVID-19的过度关注，这种关系由冠状病毒寻求安心行为介导。另一项分析表明，功能失调的自我关注对COVID-19的过度关注有显著的总体影响。然而，其直接影响在统计学上不显著，这种关联主要受三个中介因素影响：病毒焦虑、抑郁和寻求安心行为。
对冠状病毒的过度关注受病毒焦虑、抑郁和寻求安心行为的影响。两项中介分析表明，疑病症认知行为模型在COVID-19感染病例中是可行的，以及功能失调的自我关注与中介因素之间的关联。这一发现凸显了在管理COVID-19病例时提供个性化心理支持的必要性。
