Daneshvar Medicine

Daneshvar Medicine

Structural equation model of Coronavirus anxiety with death anxiety and intolerance of uncertainty in medical students

Document Type : Original Article

Authors
Maryam Rahmati
Hajar Tarverdizadeh
Roya Kochakentezar
Department of General Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
10.22070/daneshmed.2023.18037.1382
Abstract
Background and Objective: Ambiguous situations related to health such as the coronavirus pandemic produce various types of anxiety in people, which can be called death anxiety, after that, intolerance of uncertainty. This study aimed to investigate the relationship between Coronavirus anxiety and death anxiety and intolerance of uncertainty in medical students.
Materials and Methods: This was a descriptive-correlational study based on the structural equation method, which was designed and implemented in the academic year 2021-2022. The statistical population of this research included all medical students of Shahid Beheshti University of Medical Sciences. Accordingly, 350 students (with the educational background of interns or interns and students who went to the ward and at the patient's bedside) were selected as available sampling. The participants responded to Qabadian-Qadikalai's Corona Anxiety Scale, Templer's Death Anxiety Scale, and Freeston et al. Uncertainty Intolerance Questionnaire. The data were analyzed through SPSS-26 and AMOS-25.
Results: Death anxiety and uncertainty intolerance have a direct and significant effect on coronavirus anxiety (P<0.001). In other words, GFI (0.892) and AGFI (0.882) and NFI (0.629) obtained indicated that the structural equation model between coronavirus anxiety and death anxiety and intolerance of uncertainty has a good fit.
Conclusion: Based on the obtained results, it seems that medical students due to their lack of experience in their job, were very anxious in front of the spread of the coronavirus. Therefore, it is suggested that in future studies, researchers should conduct this study using these tools or similar variables on other samples such as nurses and experienced physicians.
Keywords
Death anxiety
Uncertainty intolerance
Coronavirus anxiety
Medical students
Subjects
  1. Banerjee DD. The other side of COVID-19: Impact on obsessive compulsive disorder (OCD) and hoarding. Psychiatry Research, 2020; 288:112-117.
  2. Li Q, MiaobXin Y, Clifford Z, Tarimoa S, WuaJian C. Prevalence and factors for anxiety during the coronavirus disease 2019 (COVID-19) epidemic among the teachers in China. Journal of Affective Disorders 2020; 277(1): 153-158.
  3. Bagheri M, Tajik Esmaeili A, Farzad V, Abdollahi MH, Raiisi F. The role of experiential avoidance with the mediation of distress tolerance in predicting corona anxiety in the period of covid-19 outbreak: structural equation model. Shenakht Journal of Psychology and Psychiatry 2023; 10(1):116-127.
  4. Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: A study on active Weibo users. International Journal of Environmental Research and Public Health 2020; 17(6): 1-9.
  5. Özgüç S, Kaplan Serin E, Tanriverdi D. Death Anxiety Associated with Coronavirus (COVID-19) Disease: A Systematic Review and Meta-Analysis. Omega 302228211050503. 2021. Advance online publication.
  6. blewski N, Breitenbach N, Gomez K, McNeer J. Psychological Morbidities in Adolescent and Young Adult Blood Cancer Patients During Curative-Intent Therapy and Early Survivorship. Cancer 2016; 15;122(6):954-61.
  7. Neto M, Almeida H, Esmeraldo J. When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak. Psychiatry Research 2020; 288:112972.
  8. Asghari Ebrahim Abad MJ, Shirkhani M, Mazloomzadeh M, Maghsoudi S, Salayani F. Relationship between fear of coronavirus and death anxiety: Mediating role of behavioral inhibition system. Journal of Fundamentals of Mental Health 2021; 23(3):171-180.
  9. Mirhosseini S, Nouhi S, Janbozorgi M, Mohajer H, Naseryfadafan, M. The Role of Spiritual Health and Religious Coping in Predicting Death Anxiety among Patients with Coronavirus. Studies in Islam and Psychology 2020; 14(26): 29-42.
  10. Bavolar J, Kacmar P, Hricova M, Schrötter J, Kovacova-Holevova B, Köverova M, Raczova B. Intolerance of uncertainty and reactions to the COVID-19 pandemic. The Journal of general psychology 2021.
  11. Wheaton MG, Messner GR, Marks JB. Intolerance of uncertainty as a factor linking obsessive-compulsive symptoms, health anxiety and concerns about the spread of the novel coronavirus (COVID-19) in the United States. Journal of Obsessive-Compulsive Relative Disorder, 2021; 28: 100.
  12. Bottesi G, Ghisi M, Carraro E, Barclay N, Payne R, Freeston MH. Revising the Intolerance of Uncertainty Model of Generalized Anxiety Disorder: Evidence from UK and Italian Undergraduate Samples. Frontiers in Psychology, 2016; 7:1723.
  13. Knapp AA, Blumenthal H, Mischel ER, Badour CL, Leen-Feldner EW. Anxiety Sensitivity and Its Factors in Relation to Generalized Anxiety Disorder among Adolescents. Journal of Abnormal Child Psychology 2016; 44(2): 233-44.
  14. Alizadeh fard S, Alipour A. The Path analysis model in prediction of corona phobia based on intolerance of uncertainty and health anxiety. Journal of Research in Psychological Health, 2020; 14(1):16-27. [Persian]
  15. Del Valle MV, Andrés ML, Urquijo S, Yerro-Avincetto M, López-Morales H, Canet-Juric L. Intolerance of uncertainty over COVID-19 pandemic and its effect on anxiety and depressive symptoms. Revista Interamericana de Psicología, 2020;54(2).
  16. Kumar A, Somani A. Dealing with Corona virus anxiety and OCD. Asian Journal of Psychiatry, 2020; 51:102053.
  17. Tabachnik B. Fidel L. Using Multivariate Statistics. Allyn and Bacon, Needham Heights. 2011.
  18. Ghobadian Ghadikolaiee M. Designing and psychometric characteristics of Corona anxiety in nurses and its relationship with mental health questionnaire personal work. MSc Thesis. Azad Tehran University (Central Branch). 2022. [Persian]
  19. Templer DI. The construction and validation of a death anxiety scale. Journal of General Psychology, 1970; 82(2), 165.
  20. Ghasempour A, Sooreh J, Seid Tazehkand MT. Prediction death anxiety on the basis of emotion cognitive regulation strategies. Knowledge and Research in Applied Psychology, 2012; 13-2(48):65-72.
  21. Rajabi GH, Bohrani M. Item Factor Analysis of the death anxiety scale. Journal of Psychology, 2002; 54(20):331-344. [Persian]
  22. Freeston MH, Rhéaume J, Letarte H, Dugas MJ, Ladouceur R. Why do people worry? Personality and Individual Differences, 1994; 7:791-802.
  23. Buhr K, Dugas MJ. The Intolerance of Uncertainty Scale: psychometric properties of the English version. Behavior Research Therapy, 2002; 40(8): 931-45.
  24. Dugas MJ, Schwartz A, Francis K. Brief report: Intolerance of uncertainty, worry, and depression. Cognitive Therapy Research, 2004; 28:835-43.
  25. Hamidpour H, Dolatshai B, Pour shahbaz A, Dadkhah A. The Efficacy of Schema Therapy in Treating Women's Generalized Anxiety Disorder. Iranian Journal of Psychiatry and Clinical Psychology, 2011; 16(4):420-31. [Persian]
  26. Raiisi F, Riyassi M. Predicting the rate of procrastination of university students based on internet addiction and metaphorical perception of time during the Corona virus outbreak. Shenakht Journal of Psychology and Psychiatry, 2022; 9(1):73-83. [Persian]
  27. Graffeo MT, Albano G, Salerno L, Di Blasi M, Lo Coco G. Intolerance of Uncertainty and Risk Perception during the COVID-19 Pandemic: The Mediating Role of Fear of COVID-19. Psych, 2022; 4(2):269-76.
  28. Besharat MA, Atari M, Mirjalili RS. Transdiagnostic Processes in Generalized Anxiety Disorder and Obsessive-Compulsive Disorder: Worry, Cognitive Avoidance, Intolerance of Uncertainty, and Metacognitive Beliefs. Journal of Practice in Clinical Psychology, 2019; 7(4):281-90.
  29. Parlapani E, Holeva V, Nikopoulou VA, Sereslis K, Athanasiadou M, Godosidis A, et al. Intolerance of Uncertainty and Loneliness in Older Adults During the COVID-19 Pandemic. Frontiers in Psychiatry, 2020; 11: 842.
  30. Abdellahzadeh R, Maroufi M. Predicting the Improvement of Generalized Anxiety Disorder based on Distress Tolerance, Tolerance of Uncertainty, and Cognitive Avoidance. Qom University Medical Sciences Journal, 2022; 16(4):320-329. [Persian]
  31. Fardin MA. COVID-19 and Anxiety: A Review of Psychological Impacts of Infectious Disease Outbreaks. Achieves of Clinical Infectious Diseases, 2020; 15(COVID-19): e102779.
Daneshvar Medicine
Volume 31, Issue 4 - Serial Number 167
November and December 2023
Pages 28-37