A Cross-Sectional Time Course of COVID-19 Related Worry, Perceived Stress, and General Anxiety in the Context of Post-Traumatic Stress Disorder-like Symptomatology
Abstract
:1. Introduction
2. Materials and Methods
2.1. Survey Participation
2.2. Measures
2.3. Data Analysis
3. Results
3.1. Demographics
3.2. COVID-19-Specific Questionnaire
Cross-Sectional Analysis of Individual COVID-19-Specific Questions
3.3. Factor Analysis for Subscale Generation
3.4. Threshold for Anxiety, Depression, and PTSD-like Symptomatology
3.4.1. Association between Generalized Anxiety and PTSD-like Symptomatology
3.4.2. Cross-Sectional Trajectory of Standard and COVID-19-Specific Measures
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Name | Items | Item Range | Scores | Score Range | Cronbach’s α |
---|---|---|---|---|---|
GAD-7 | 7 | 0–3 | Anxiety | 0–21 | 0.92 |
ASI | 16 | 0–4 | Anxiety sensitivity | 0–64 | 0.91 |
PHQ-9 | 9 | 0–3 | Depression | 0–27 | 0.90 |
SF-36 | 36 | 0–100 (extrapolated) | Physical functioning Physical health Emotional problems Energy/fatigue Emotional well-being Social functioning Pain general health | 0–100 0–100 0–100 0–100 0–100 0–100 0–100 0–100 | 0.93 0.88 0.86 0.83 0.85 0.86 0.85 0.83 |
Big 5 | 100 | 1–5 | Surgency Agreeableness Conscientiousness Stability Intellectual | 10–100 10–100 10–100 10–100 10–100 | 0.92 0.90 0.91 0.90 0.89 |
PSQ | 17 | 0–10 | Total pain sensitivity Moderate pain sensitivity Minor pain sensitivity | 0–140 0–70 0–70 | 0.93 0.91 0.87 |
PSS-14 | 14 | 0–4 | Perceived stress total | 0–56 | 0.89 |
IES-6 | 6 | 0–4 | PTSD-like symptomatology Intrusion Avoidance Hyperarousal | 0–4 (mean) 0–4 (mean) 0–4 (mean) 0–4 (mean) | 0.86 0.84 0.71 0.76 |
PSQI | 7 | 0–3 | Global sleep quality | 0–21 | 0.74 |
PILL | 54 | 0–4 | Somatization total | 0–216 | 0.94 |
SSS-8 | 8 | 0–4 | Somatization total | 0–32 | 0.80 |
SSD-12 | 12 | 0–4 | Somatization total Cognitive Affective Behavioral | 0–48 0–16 0–16 0–16 | 0.94 0.74 0.86 0.91 |
Demographic | N (%) or Mean ± SD |
---|---|
Total participants | 408 |
Age in years (range 17–85) | 34.1 ± 13.11 |
Sex | |
Female | 314(77%) |
Intersex | 1(0.2%) |
Male | 91(22.3%) |
Race | |
White | 293(71.8%) |
Native Hawaiian or Other Pacific Islander | 0(0%) |
Black or African | 39(9.6%) |
Asian American | 28(6.9%) |
American Indian or Alaska Native | 2(0.5%) |
Other | 33(8.1%) |
Refuse | 4(1%) |
Do Not Know | 7(1.7%) |
Q# | Dim.1 | Dim.2 | Scale | Question (Paraphrased) |
---|---|---|---|---|
61 | −0.36 | 0.16 | Concern | Wearing a mask when going outside. |
81 | 0.75 | 0.15 | Concern | Worry about contracting COVID-19 in the next month. |
82 | 0.75 | −0.12 | Concern | Concern about leaving residence due to COVID-19. |
84 | 0.44 | −0.23 | Concern | Frequency of watching news about COVID-19. |
85 | 0.74 | −0.05 | Concern | Concern over chronic disease-related COVID-19 vulnerability. |
86 | 0.59 | −0.02 | Concern | Perceived risk for serious COVID-19-related illness. |
54 | −0.32 | 0.56 | Exposure | Stay home to avoid infection. |
58 | −0.24 | 0.66 | Exposure | People within 6 feet. |
59 | −0.19 | 0.62 | Exposure | People in physical contact. |
60 | −0.29 | 0.67 | Exposure | Left place of residence last week. |
63 | 0.06 | −0.66 | Exposure | Employed as Essential Worker. |
64 | 0.13 | 0.54 | Exposure | Able to perform job remotely. |
80 | −0.32 | −0.52 | Exposure | Contact with COVID-19-infected person in past week. |
70 | 0.27 | 0.44 | Symptoms | Taking temperature in the past week. |
71 | 0.48 | 0.19 | Symptoms | Cough in the past week. |
72 | 0.52 | 0.22 | Symptoms | Breathing trouble in the past week. |
74 | 0.37 | 0.14 | Symptoms | Chills in the past week. |
75 | 0.34 | 0.18 | Symptoms | Lost sense of smell in the past month. |
78 | 0.38 | 0.15 | Symptoms | Consulted Doctor about COVID-19 in past month. |
79 | −0.36 | −0.33 | Symptoms | Contracted COVID-19 in the past month. |
Measure | N | Mean ± SD | 95% CI | MAR |
---|---|---|---|---|
COVID-19-Specific Questionnaire: | ||||
Concern | 347 | 51.37 ± 15.84 | 49.7–53.04 | 4.1% |
Exposure | 347 | 41.91 ± 14.46 | 40.38–43.43 | 1.2% |
Symptoms | 347 | 34.56 ± 6.75 | 33.84–35.27 | 2.1% |
Anxiety: | ||||
GAD-7 total | 319 | 10.39 ± 6.4 | 9.69–11.1 | 0.6% |
ASI total | 213 | 19.88 ± 13.69 | 18.03–21.73 | 0.4% |
Personality/Neuroticism: | ||||
Big 5 Surgency | 213 | 100.17 ± 28.4 | 96.34–104.01 | 1.6% |
Big 5 Agreeableness | 213 | 132.11 ± 22.81 | 129.03–135.19 | 2.0% |
Big 5 Conscientiousness | 213 | 123.28 ± 24.21 | 120.01–126.55 | 2.0% |
Big 5 Emotional Stability | 213 | 90.75 ± 26.09 | 87.22–94.27 | 1.7% |
Big 5 Intellect | 213 | 133.56 ± 22.8 | 130.48–136.64 | 1.9% |
Somatization: | ||||
PILL total | 213 | 57.44 ± 32.68 | 53.03–61.86 | 0.9% |
SSS-8 total | 319 | 10.66 ± 6.47 | 9.95–11.37 | 0.9% |
SSD-12 total | 319 | 16.39 ± 11.09 | 15.17–17.61 | 0.1% |
SSD-12 cognition | 319 | 5.13 ± 3.51 | 4.75–5.52 | 0.2% |
SSD-12 affective | 319 | 6.16 ± 4.08 | 5.71–6.61 | 0.0% |
SSD-12 behavioral | 319 | 5.31 ± 4.45 | 4.82–5.8 | 0.1% |
Depression: | ||||
PHQ-9 total | 313 | 12.57 ± 7.13 | 11.77–13.36 | 1.0% |
PTSD-like Symptomatology: | ||||
IES-6 total | 330 | 1.85 ± 1 | 1.74–1.96 | 0.1% |
IES-6 Intrusion | 330 | 1.82 ± 1.12 | 1.7–1.94 | 0.2% |
IES-6 Avoidance | 330 | 1.71 ± 1.13 | 1.58–1.83 | 0.0% |
IES-6 Hyperarousal | 330 | 2.02 ± 1.26 | 1.88–2.15 | 0.2% |
Perceived Stress: | ||||
PSS-14 total | 214 | 31.21 ± 9.93 | 29.87–32.55 | 0.3% |
General Health: | ||||
SF-36 Physical Functioning | 214 | 84.25 ± 22.55 | 81.21–87.29 | 1.7% |
SF-36 Physical Role Limitations | 214 | 62.97 ± 41.16 | 57.42–68.51 | 2.1% |
SF-36 Emotional Role Limitations | 214 | 31.91 ± 41.17 | 26.36–37.46 | 2.5% |
SF-36 Energy/Fatigue | 214 | 31.64 ± 21.84 | 28.69–34.58 | 1.8% |
SF-36 Emotional Well-being | 214 | 45.2 ± 23.53 | 42.03–48.37 | 1.6% |
SF-36 Social Functioning | 214 | 54.06 ± 33.04 | 49.61–58.51 | 2.3% |
SF-36 Pain | 214 | 71.41 ± 24.11 | 68.16–74.66 | 1.2% |
SF-36 General Health | 214 | 55.93 ± 22.8 | 52.86–59.01 | 0.7% |
Pain Sensitivity: | ||||
PSQ minimal | 212 | 19.04 ± 10.54 | 17.62–20.47 | 0.4% |
PSQ moderate | 212 | 31.35 ± 12.28 | 29.69–33.02 | 0.5% |
PSQ total | 212 | 50.4 ± 21.5 | 47.49–53.31 | 0.4% |
Sleep Quality: | ||||
PSQI Global score | 197 | 9.23 ± 4.4 | 8.61–9.85 | 2.6% |
Scale | df | F | p-Value (BH) | Change Point |
---|---|---|---|---|
PSS-14 total | 4, 207 | 10.98 | 0.00000 | March 2021 |
SSS-8 total | 4, 311 | 9.36 | 0.00001 | NA |
SF-36 energy/fatigue | 4, 207 | 8.12 | 0.00013 | June 2021 |
GAD-7 total | 4, 311 | 7.72 | 0.00018 | April 2021 |
SSD-12 behavioral | 4, 311 | 6.72 | 0.00097 | NA |
Concern | 4, 338 | 6.69 | 0.00119 | January 2021 |
SF-36 social functioning | 4, 207 | 6.68 | 0.00097 | June 2021 |
SSD-12 total | 4, 311 | 6.54 | 0.00119 | April 2021 |
PHQ-9 total | 4, 305 | 6.14 | 0.00263 | May 2021 |
Big 5 stability | 4, 206 | 6.11 | 0.00243 | June 2021 |
SSD-12 cognitive | 4, 311 | 5.99 | 0.00270 | NA |
SSD-12 affective | 4, 311 | 5.87 | 0.00319 | NA |
SF-36 emotional role limitations | 4, 207 | 5.67 | 0.00498 | June 2021 |
IES-6Avoidance | 4, 321 | 4.84 | 0.01684 | NA |
PILL total | 4, 206 | 4.52 | 0.02999 | November 2020 |
SF-36 physical role limitations | 4, 207 | 4.50 | 0.02999 | April 2021 |
ASI total | 4, 206 | 4.16 | 0.04965 | March 2021 |
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Mullins, R.J.; Meeker, T.J.; Vinch, P.M.; Tulloch, I.K.; Saffer, M.I.; Chien, J.-H.; Bienvenu, O.J.; Lenz, F.A. A Cross-Sectional Time Course of COVID-19 Related Worry, Perceived Stress, and General Anxiety in the Context of Post-Traumatic Stress Disorder-like Symptomatology. Int. J. Environ. Res. Public Health 2022, 19, 7178. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19127178
Mullins RJ, Meeker TJ, Vinch PM, Tulloch IK, Saffer MI, Chien J-H, Bienvenu OJ, Lenz FA. A Cross-Sectional Time Course of COVID-19 Related Worry, Perceived Stress, and General Anxiety in the Context of Post-Traumatic Stress Disorder-like Symptomatology. International Journal of Environmental Research and Public Health. 2022; 19(12):7178. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19127178
Chicago/Turabian StyleMullins, Roger J., Timothy J. Meeker, Paige M. Vinch, Ingrid K. Tulloch, Mark I. Saffer, Jui-Hong Chien, O. Joseph Bienvenu, and Frederick A. Lenz. 2022. "A Cross-Sectional Time Course of COVID-19 Related Worry, Perceived Stress, and General Anxiety in the Context of Post-Traumatic Stress Disorder-like Symptomatology" International Journal of Environmental Research and Public Health 19, no. 12: 7178. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19127178