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. 2021 Nov 29;13(11):e19999.
doi: 10.7759/cureus.19999. eCollection 2021 Nov.

COVID-19-Related Concerns and Symptoms of Anxiety: Does Concern Play a Role in Predicting Severity and Risk?

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COVID-19-Related Concerns and Symptoms of Anxiety: Does Concern Play a Role in Predicting Severity and Risk?

Tarek Benzouak et al. Cureus. .

Abstract

Objective Rates of anxiety have increased during the coronavirus disease 2019 (COVID-19) pandemic, partially attributable to the experience of COVID-19 related concerns. It remains pivotal to determine the implications of such concerns on the severity of anxiety as they may represent opportune _targets for public health preventative or therapeutic efforts. The current study evaluated COVID-19 related concerns as predictors of anxiety symptom severity. It also assessed the relative risk associated with sub-types of COVID-19 concerns, the role of age, sex, and minority status as potential moderators; and the unique contribution of COVID-19 concerns beyond sociodemographics, perceived stress, and self-reported general mental health. Methods The data source was obtained from the publicly available "Crowdsourcing: Impacts of COVID-19 on Canadians-Your Mental Health survey" conducted by Statistics Canada. Participants were Canadians aged 15 and older living in ten provinces or three territories. Only participants that completed the self-reported sociodemographics, COVID-19 concerns, and general anxiety symptoms measures were included (n = 44549). Multivariate linear regression was used to evaluate continuous reports of anxiety symptoms, and the relative risk of meeting anxiety cut-off levels was determined using chi-square non-parametric testing. Results Within the sample, 29.1% met cut-off levels of anxiety. Levels of coping and security (R2 = 0.205, p < 0.001), distal (R2 = 0.043, p < 0.001), and proximal concerns (R2 = 0.122, p < 0.001) were found to predict the severity of anxiety experiences, which was determined to be robust to statistical control for sociodemographics, perceived stress and self-reported general mental health (ΔR2 = 0.0625, p < 0.001). Minority status and sex were significant moderating variables, although the interaction accounted for less than 0.1% of the observed variance. Family stress from confinement, support during and after the crisis and personal health concerns significantly predicted more than a 200% increase in the risk of meeting anxiety cut-off levels. Conclusion The current study represents a novel examination of COVID-19-related concerns as risk factors for the experience of anxiety amongst a sizeable Canadian cohort. Coping and security-related concerns represented robust predictors of anxiety symptom experiences. Participants who experienced concerns relating to their proximal social groups were two times more at risk for meeting cut-off anxiety levels than individuals without such concerns. Longitudinal and evidence synthesis remains essential for identifying therapeutic _targets and developing pandemic-related public health prevention and care.

Keywords: anxiety; covid-19; epidemiology; mental health; pandemic; psychological stresses; sars-cov-2.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Moderating effects of sex on the association between COVID-19 concerns and anxiety symptoms.
Figure 2
Figure 2. Moderating effects of visible minority status on the association between COVID-19 concerns and anxiety symptoms.

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References

    1. Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis. Cénat JM, Blais-Rochette C, Kokou-Kpolou CK, et al. Psychiatry Res. 2021;295:113599. - PMC - PubMed
    1. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Salari N, Hosseinian-Far A, Jalali R, et al. Global Health. 2020;16:57. - PMC - PubMed
    1. COVID-19 Anxiety. Peteet JR. J Relig Health. 2020;59:2203–2204. - PMC - PubMed
    1. Clinical features and outcomes of discharged coronavirus disease 2019 patients: a prospective cohort study. Wang X, Xu H, Jiang H, et al. QJM. 2020;113:657–665. - PMC - PubMed
    1. Fear of the coronavirus (COVID-19): predictors in an online study conducted in March 2020. Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. J Anxiety Disord. 2020;74:102258. - PMC - PubMed

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