The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical Students

ObjectivesHealthcare workers experienced great psychological burden due to the continuation of the COVID-19 pandemic. During the pandemic, medical healthcare workers experienced greater instances of insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms than the general popul...

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Main Authors: Hyun Sub Kim, Junseok Ahn, Jukab Lee, Youjin Hong, Changnam Kim, Jangho Park, Seockhoon Chung
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.899266/full
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author Hyun Sub Kim
Junseok Ahn
Jukab Lee
Youjin Hong
Changnam Kim
Jangho Park
Seockhoon Chung
author_facet Hyun Sub Kim
Junseok Ahn
Jukab Lee
Youjin Hong
Changnam Kim
Jangho Park
Seockhoon Chung
author_sort Hyun Sub Kim
collection DOAJ
description ObjectivesHealthcare workers experienced great psychological burden due to the continuation of the COVID-19 pandemic. During the pandemic, medical healthcare workers experienced greater instances of insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms than the general population. This study aimed to explore the association between viral anxiety and obsession with COVID-19 among medical students with reassurance-seeking behavior as a mediator.MethodsIn October 2021, an online survey was conducted among medical students at the University of Ulsan College of Medicine. The clinical characteristics of 162 participants and their responses to rating scales, including stress and anxiety to viral Epidemics-6 items (SAVE-6), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Patient Health Questionnaire-9 items (PHQ-9), and Obsession with COVID-19 scale were collected.ResultsMedical students' obsession with COVID-19 was based on the PHQ-9 (β = 0.15, p = 0.01), SAVE-6 (β = 0.43, p < 0.001), and CRBS (β = 0.38, p < 0.001) scores (adjusted R2 = 0.49, F = 39.9, p < 0.001). Mediation analysis showed that medical students' viral anxiety and depression directly influenced their obsession with COVID-19, and their reassurance-seeking behavior partially mediated the effects of depression or viral anxiety on obsession with COVID-19.ConclusionsMedical students' viral anxiety and depression may affect their obsession with COVID-19, and reassurance-seeking behaviors may mediate this. Therefore, medical students should adopt adaptive coping strategies to prevent high levels of viral anxiety and recurrent reassurance-seeking behavior.
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spelling doaj.art-8924f5a62ef84759bb44a3771bf543d62022-12-22T00:35:55ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-06-011310.3389/fpsyt.2022.899266899266The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical StudentsHyun Sub Kim0Junseok Ahn1Jukab Lee2Youjin Hong3Changnam Kim4Jangho Park5Seockhoon Chung6Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South KoreaDepartment of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South KoreaDepartment of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South KoreaDepartment of Psychiatry, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung, South KoreaDepartment of Psychiatry, Samsung Changwon Hospital, Sungkyunkwan University of Medicine, Changwon, South KoreaDepartment of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South KoreaDepartment of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South KoreaObjectivesHealthcare workers experienced great psychological burden due to the continuation of the COVID-19 pandemic. During the pandemic, medical healthcare workers experienced greater instances of insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms than the general population. This study aimed to explore the association between viral anxiety and obsession with COVID-19 among medical students with reassurance-seeking behavior as a mediator.MethodsIn October 2021, an online survey was conducted among medical students at the University of Ulsan College of Medicine. The clinical characteristics of 162 participants and their responses to rating scales, including stress and anxiety to viral Epidemics-6 items (SAVE-6), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Patient Health Questionnaire-9 items (PHQ-9), and Obsession with COVID-19 scale were collected.ResultsMedical students' obsession with COVID-19 was based on the PHQ-9 (β = 0.15, p = 0.01), SAVE-6 (β = 0.43, p < 0.001), and CRBS (β = 0.38, p < 0.001) scores (adjusted R2 = 0.49, F = 39.9, p < 0.001). Mediation analysis showed that medical students' viral anxiety and depression directly influenced their obsession with COVID-19, and their reassurance-seeking behavior partially mediated the effects of depression or viral anxiety on obsession with COVID-19.ConclusionsMedical students' viral anxiety and depression may affect their obsession with COVID-19, and reassurance-seeking behaviors may mediate this. Therefore, medical students should adopt adaptive coping strategies to prevent high levels of viral anxiety and recurrent reassurance-seeking behavior.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.899266/fullCOVID-19medical studentsobsessionreassurance-seeking behaviorSAVE-6
spellingShingle Hyun Sub Kim
Junseok Ahn
Jukab Lee
Youjin Hong
Changnam Kim
Jangho Park
Seockhoon Chung
The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical Students
Frontiers in Psychiatry
COVID-19
medical students
obsession
reassurance-seeking behavior
SAVE-6
title The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical Students
title_full The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical Students
title_fullStr The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical Students
title_full_unstemmed The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical Students
title_short The Mediating Effect of Reassurance-Seeking Behavior on the Influence of Viral Anxiety and Depression on COVID-19 Obsession Among Medical Students
title_sort mediating effect of reassurance seeking behavior on the influence of viral anxiety and depression on covid 19 obsession among medical students
topic COVID-19
medical students
obsession
reassurance-seeking behavior
SAVE-6
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.899266/full
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