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. 2021 Jan:77:102323.
doi: 10.1016/j.janxdis.2020.102323. Epub 2020 Oct 20.

Anxiety and safety behavior usage during the COVID-19 pandemic: The prospective role of contamination fear

Kelly A Knowles  1 , Bunmi O Olatunji  2
Affiliations

Anxiety and safety behavior usage during the COVID-19 pandemic: The prospective role of contamination fear

Kelly A Knowles et al. J Anxiety Disord. 2021 Jan.

Abstract

The coronavirus (COVID-19) pandemic has broadly increased anxiety and changed individual behavior. However, there is limited research examining predictors of pandemic-related changes, and the majority of existing research is cross-sectional in nature, which limits causal inference. Given functional links with disease avoidance processes, individual differences in contamination fear may be especially relevant in predicting responses to COVID-19. Accordingly, the present study prospectively examines contamination fear and obsessive-compulsive washing symptoms as predictors of anxiety and safety behaviors in response to COVID-19 in a student sample (N = 108). To examine specificity, anxiety and safety behaviors in response to seasonal influenza are also examined. In the early stages of the pandemic (March 2020), coronavirus-related anxiety was higher than flu-related anxiety (d = 1.38). Obsessive-compulsive washing symptoms also increased from before the pandemic (d = 0.4). Although baseline contamination fear and obsessive-compulsive washing symptoms did not significantly predict coronavirus-related anxiety, contamination fear did significantly predict safety behavior usage in response to both COVID-19 and influenza. The specificity of the prospective association between contamination fear and the use of safety behaviors are discussed in the context of the global COVID-19 pandemic and the broader literature on the role of safety behaviors in anxiety.

Keywords: Anxiety; COVID-19; Contamination fear; Safety behavior.

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Conflict of interest statement

None.

References

    1. Biggerstaff M., Cauchemez S., Reed C., Gambhir M., Finelli L. Estimates of the reproduction number for seasonal, pandemic, and zoonotic influenza: A systematic review of the literature. BMC Infectious Diseases. 2014;14(1):480. doi: 10.1186/1471-2334-14-480. - DOI - PMC - PubMed
    1. Blakey S.M., Abramowitz J.S. The effects of safety behaviors during exposure therapy for anxiety: Critical analysis from an inhibitory learning perspective. Clinical Psychology Review. 2016;49:1–15. doi: 10.1016/j.cpr.2016.07.002. - DOI - PubMed
    1. Blakey S.M., Reuman L., Jacoby R.J., Abramowitz J.S. Tracing ‘“Fearbola”’: Psychological predictors of anxious responding to the threat of Ebola. Cognitive Therapy and Research. 2015;39(6):816–825. doi: 10.1007/s10608-015-9701-9. - DOI - PMC - PubMed
    1. Burns G.L., Keortge S.G., Formea G.M., Sternberger L.G. Revision of the Padua Inventory of obsessive compulsive disorder symptoms: Distinctions between worry, obsessions, and compulsions. Behaviour Research and Therapy. 1996;34(2):163–173. - PubMed
    1. Centers for Disease Control and Prevention (CDC). (April 3, 2020). Recommendation Regarding the Use of Cloth Face Coverings, Especially in Areas of Significant Community-Based Transmission. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-fac....