Influence of Intolerance of Uncertainty on Preoccupation With Coronavirus Disease 2019 Among Frontline Nursing Professionals: Mediating Role of Reassurance-Seeking Behavior and Adherence to Physical Distancing.

Autor:	Cho E; Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea., Hong J; University of Ulsan College of Medicine, Seoul, Korea., Kim H; University of Ulsan College of Medicine, Seoul, Korea., Park CHK; Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea., Hong Y; Department of Psychiatry, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea., Park J; Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea., Jun JY; Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. jyjun826@gmail.com., Chung S; Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. schung@amc.seoul.kr.
Jazyk:	angličtina
Zdroj:	Journal of Korean medical science [J Korean Med Sci] 2023 Sep 11; Vol. 38 (36), pp. e282. Date of Electronic Publication: 2023 Sep 11.
DOI:	10.3346/jkms.2023.38.e282
Abstrakt:	Background: This study investigated the relationship between preoccupation with coronavirus disease 2019 (COVID-19), reassurance-seeking behavior, viral anxiety, intolerance of uncertainty, and adherence to physical distancing among frontline nursing professionals working in COVID-19 inpatient wards. Additionally, the study aimed to determine whether the commitment to physical distancing mediates the influence of intolerance of uncertainty on viral anxiety. Methods: Frontline healthcare professionals working in the COVID-19 inpatient wards at three tertiary-level affiliated hospitals in Korea were surveyed between April 7 and 26, 2022. The survey included scales-such as the Obsession with COVID-19 Scale, Coronavirus Reassurance-Seeking Behaviors Scale, Fear of COVID-19 Scale, and Intolerance of Uncertainty Scale-12 and a questionnaire on adherence to physical distancing. A total of 256 responses were analyzed after excluding inappropriate or incomplete responses. Results: Pearson's correlation analysis found that age was significantly associated with the Obsession with COVID-19 Scale ( r = -0.12, P < 0.05) and adherence to physical distancing ( r = 0.27, P < 0.01). Linear regression analysis ascertained that age (β = -0.07, P = 0.002), Coronavirus Reassurance-Seeking Behaviors Scale (β = 0.35, P < 0.001), and Fear of COVID-19 Scale (β = 0.24, P < 0.001) were predictors of obsession with COVID-19 (Adjusted R² = 0.60, F = 78.1, P < 0.001). The indirect pathway by mediation analysis showed that reassurance-seeking and viral anxiety mediated the effect of intolerance of uncertainty on the preoccupation with COVID-19. Conclusion: During the pandemic, there may be a strong association between reassurance-seeking behavior, viral anxiety, and a heightened preoccupation with COVID-19 among frontline healthcare workers. Thus, from the early stages of infectious disease, a psychological support team for medical staff responding to the disease should be established, and periodic evaluations should be conducted to identify high-risk groups. Competing Interests: The authors have no potential conflicts of interest to disclose. (© 2023 The Korean Academy of Medical Sciences.)
Databáze:	MEDLINE
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