Kim Harin, Chung Seockhoon
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Life Care Center for Cancer Patient, Asan Medical Center Cancer Institute, Asan Medical Center, Seoul, Republic of Korea.
Psychiatry Investig. 2025 Jun;22(6):722-729. doi: 10.30773/pi.2024.0393. Epub 2025 Jun 16.
The aim of the present study was to evaluate the reliability and validity of the Korean version of the Obsession with COVID-19 Scale (OCS) and the feasibility of cognitive-behavioral models of COVID-related hypochondriasis among patients with cancer. Furthermore, we explored whether intolerance of uncertainty and cancer-related dysfunctional beliefs about sleep could be incorporated into this model.
An online survey was conducted among patients who visited a cancer treatment center from March to June 2022. Responses were collected for questionnaires including the OCS, Coronavirus Reassurance-seeking Behaviors Scale (CRBS), Stress and Anxiety to Viral Epidemics-6 items (SAVE-6), Cancer-related Dysfunctional Beliefs and Attitudes about Sleep-14 items (C-DBAS-14) scale, and Intolerance of Uncertainty-12 items (IUS-12) scale.
A total of 154 patients with cancer were included. The OCS was a reliable and valid measure for coronavirus-related concerns among cancer patients, and it was significantly correlated with CRBS (p<0.01), SAVE-6 (p<0.01), IUS-12 (p<0.01), and C-DBAS-14 (p<0.01). Linear regression revealed that OCS was expected by CRBS (p<0.001), SAVE-6 (p=0.032), and IUS-12 (p=0.003). The mediation analysis revealed that dysfunctional beliefs about sleep did not directly affect coronavirus-related concerns. Instead, this relationship was fully mediated by anxiety toward coronavirus, coronavirus reassurance-seeking behavior, and intolerance of uncertainty.
The cognitive-behavioral model of COVID-related hypochondriasis is feasible for patients with cancer. Anxiety toward coronavirus, coronavirus reassurance-seeking behavior, and intolerance of uncertainty are positively correlated with coronavirus-related concerns. Additionally, dysfunctional beliefs about sleep may mediate this relationship.
本研究旨在评估《COVID-19强迫观念量表》（OCS）韩语版的信效度，以及癌症患者中与COVID相关的疑病症认知行为模型的可行性。此外，我们还探讨了对不确定性的不耐受和与癌症相关的睡眠功能失调信念是否可以纳入该模型。
对2022年3月至6月期间前往癌症治疗中心就诊的患者进行了一项在线调查。收集了包括OCS、冠状病毒寻求安慰行为量表（CRBS）、病毒流行应激与焦虑-6项量表（SAVE-6）、癌症相关睡眠功能失调信念与态度-14项量表（C-DBAS-14）以及对不确定性的不耐受-12项量表（IUS-12）在内的问卷回复。
共纳入154名癌症患者。OCS是评估癌症患者对冠状病毒相关担忧的可靠且有效的指标，并且与CRBS（p<0.01）、SAVE-6（p<0.01）、IUS-12（p<0.01）和C-DBAS-14（p<0.01）显著相关。线性回归显示，CRBS（p<0.001）、SAVE-6（p=0.032）和IUS-12（p=0.003）可预测OCS。中介分析表明，睡眠功能失调信念并未直接影响对冠状病毒相关的担忧。相反，这种关系完全由对冠状病毒的焦虑、寻求冠状病毒安慰行为以及对不确定性的不耐受所介导。
与COVID相关的疑病症认知行为模型对癌症患者是可行的。对冠状病毒的焦虑、寻求冠状病毒安慰行为以及对不确定性的不耐受与对冠状病毒相关的担忧呈正相关。此外，睡眠功能失调信念可能介导这种关系。
