The Impact of Coronavirus-2019 On General Health Anxiety Among Students of Iranian Medical Sciences
Abstract
Background: During the Coronavirus 2019 (COVID-19) outbreak, Iranian medical sciences students were at higher risk of contracting this virus because they were in infected environments. So, they are predisposed to high levels of anxiety that could worsen their lives. The determent of factors and levels of anxiety could be helpful to reduce anxiety and control its worse effects. Hence, this study aimed to measure the anxiety index and its factors among medical sciences students during the COVID-19 pandemic in Iran. Materials and Methods: In this cross-sectional study, an online survey was sent to students from 27 medical sciences universities in Iran from 20th December 2020 to 10th March 2021. The online survey consists of the Health Anxiety Inventory (HAI) for measured general health anxiety as well as the baseline characteristics of students. Results: 723 students responded, including 483 (66.8%) females and mean HAI score was 16.76 ± 8.35. Based on our findings, gender, past medical, and drug history were significantly related to the high level of anxiety. However, there was no coloration between HAI scores with age, the field of study, study duration, university location, and attendance in the hospital and/or COVID-19 ward (P˃0.05). Conclusions: Students with notable past medical history and/or drug history and female students more than others were predisposed to anxiety in a pandemic such as COVID-19. Hence, in a pandemic situation, psychological care should concern them.References
Mahamid FA, Veronese G, Bdier D. Fear of coronavirus (COVID-19) and mental health outcomes in Palestine: The mediating role of social support. Curr Psychol. 2021:1-10.
https://doi.org/10.1007/s12144-021-02395-y
PMCid:PMC8527283
Hall RC, Hall RC, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. 2008;30(5):446-52.
https://doi.org/10.1016/j.genhosppsych.2008.05.003
PMid:18774428 PMCid:PMC7132410
Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19 pandemic: stress experience of healthcare workers-a short current review. Psychiatr Prax. 2020;47(4):190-7.
https://doi.org/10.1055/a-1159-5551
PMid:32340048 PMCid:PMC7295275
Shah SMA, Mohammad D, Qureshi MFH, Abbas MZ, Aleem S. Prevalence, psychological responses and associated correlates of depression, anxiety and stress in a global population, during the coronavirus disease (COVID-19) pandemic. Community Ment Health J. 2021;57(1):101-10.
https://doi.org/10.1007/s10597-020-00728-y
PMid:33108569 PMCid:PMC7590908
Ferguson E. A taxometric analysis of health anxiety. Psychol Med. 2009;39(2):277-85.
https://doi.org/10.1017/S0033291708003322
PMid:18485260
Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry. 2020;11:306.
https://doi.org/10.3389/fpsyt.2020.00306
PMid:32346373 PMCid:PMC7171048
Janzen Claude JA, Hadjistavropoulos HD, Friesen L. Exploration of health anxiety among individuals with diabetes: Prevalence and implications. J Health Psychol. 2014;19(2):312-22.
https://doi.org/10.1177/1359105312470157
PMid:23349403
Hadjistavropoulos HD, Craig KD, Hadjistavropoulos T. Cognitive and behavioral responses to illness information: the role of health anxiety. Behav Res Ther. 1998;36(2):149-64.
https://doi.org/10.1016/S0005-7967(98)00014-X
PMid:9613022
Yalçın İ, Boysan M, Eşkisu M, Çam Z. Health anxiety model of cyberchondria, fears, obsessions, sleep quality, and negative affect during COVID-19. Curr Psychol. 2022:1-18.
https://doi.org/10.1007/s12144-022-02987-2
PMCid:PMC8919165
Ay DS, Kühne F, Weck F. The assessment of cognitive‐behavioral therapy skills in patients diagnosed with health anxiety: Development and pilot study on an observer‐based rating scale. Clin Psychol Psychother. 2019;26(6):639-49.
https://doi.org/10.1002/cpp.2387
PMid:31218759
McDonnell WM, Nelson DS, Schunk JE. Should we fear "flu fear" itself? Effects of H1N1 influenza fear on ED use. Am J Emerg Med. 2012;30(2):275-82.
https://doi.org/10.1016/j.ajem.2010.11.027
PMid:21208765
Zhang Y, Li P, Ma Y, Mao S, Li G, Zheng A, et al. Investigation of health anxiety and related factors in Chinese patients with physical disease. Perspect Psychiatr Care. 2018;54(2):185-91.
https://doi.org/10.1111/ppc.12220
PMid:28374488
Trindade Júnior SC, Sousa LFFd, Carreira LB. Generalized anxiety disorder and prevalence of suicide risk among medical students. Rev bras educ med. 2021;45(02):1-9.
https://doi.org/10.1590/1981-5271v45.2-20200043.ing
Salkovskis PM, Rimes KA, Warwick H, Clark D. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843-53.
https://doi.org/10.1017/S0033291702005822
PMid:12171378
Nargesi F, Izadi F, Kariminejad K, Rezaei Sharif A. The investigation of the reliability and validity of Persian version of health anxiety questionnaire in students of Lorestan University of Medical Sciences. J Educ Meas. 2017;7(27):147-60.Al-Rabiaah A, Temsah M-H, Al-Eyadhy AA, Hasan GM, Al-Zamil F, Al-Subaie S, et al. Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infect Public Health. 2020;13(5):687-91.
https://doi.org/10.1016/j.jiph.2020.01.005
PMid:32001194 PMCid:PMC7102651
Bahmaei H, Nasab MB, Maniati M, Afshari P, Haghighizadeh M. Health anxiety of Iranian medical students during the COVID-19 pandemic. Neuropsychiatry neuropsychol behav neurol. 2022;17(1):115-21.
https://doi.org/10.5114/nan.2022.117962
Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, Hasan GM, Al-Zamil F, Al-Subaie S, Alsohime F, Jamal A, Alhaboob A, Al-Saadi B, Somily AM. Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. Journal of infection and public health. 2020 May 1;13(5):687-91.
https://doi.org/10.1016/j.jiph.2020.01.005
PMid:32001194 PMCid:PMC7102651
Akbas M, Sulu R, Gozuyesil E. Female's health anxiety and psychological wellbeing during the COVID-19 pandemic A descriptive study. Sao Paulo Med J. 2021;139(0):496-504.
https://doi.org/10.1590/1516-3180.2021.0155.r1.22042021
PMid:34378738 PMCid:PMC9632532
Safa F, Anjum A, Hossain S, Trisa TI, Alam SF, Rafi MA, et al. Immediate psychological responses during the initial period of the COVID-19 pandemic among Bangladeshi medical students. Child Youth Serv Rev. 2021;122:105912.
https://doi.org/10.1016/j.childyouth.2020.105912
PMid:33390637 PMCid:PMC7769705
Shahdad S, Mohammadi MT. Psychological effects of the development of Covid-91 disease on the mental health status of community members: A review study. Mil Med. 2021;22:981-12.
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