Factors associated with fears due to COVID-19: A Scleroderma Patient-centered Intervention Network (SPIN) COVID-19 cohort study.
J Psychosom Res
; 140: 110314, 2021 01.
Article
in English
| MEDLINE | ID: covidwho-970052
ABSTRACT
INTRODUCTION:
No studies have examined factors associated with fear in any group of people vulnerable during COVID-19 due to pre-existing medical conditions.OBJECTIVE:
To investigate factors associated with fear of consequences of COVID-19 among people living with a pre-existing medical condition, the autoimmune disease systemic sclerosis (SSc; scleroderma), including country.METHODS:
Pre-COVID-19 data from the Scleroderma Patient-centered Intervention Network (SPIN) Cohort were linked to COVID-19 data collected in April 2020. Multivariable linear regression was used to assess factors associated with continuous scores of the 10-item COVID-19 Fears Questionnaire for Chronic Medical Conditions, controlling for pre-COVID-19 anxiety symptoms.RESULTS:
Compared to France (Nâ¯=â¯156), COVID-19 Fear scores among participants from the United Kingdom (Nâ¯=â¯50) were 0.12 SD (95% CI 0.03 to 0.21) higher; scores for Canada (Nâ¯=â¯97) and the United States (Nâ¯=â¯128) were higher, but not statistically significant. Greater interference of breathing problems was associated with higher fears due to COVID-19 (Standardized regression coefficientâ¯=â¯0.12, 95% CI 0.01 to 0.23). Participants with higher financial resources adequacy scores had lower COVID-19 Fear scores (Standardized coefficientâ¯=â¯-0.18, 95% CI -0.28 to -0.09).CONCLUSIONS:
Fears due to COVID-19 were associated with clinical and functional vulnerabilities in this chronically ill population. This suggests that interventions may benefit from addressing specific clinical issues that apply to specific populations. Financial resources, health policies and political influences may also be important. The needs of people living with chronic illness during a pandemic may differ depending on the social and political context in which they live.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Scleroderma, Systemic
/
Fear
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
North America
/
Europa
Language:
English
Journal:
J Psychosom Res
Year:
2021
Document Type:
Article
Affiliation country:
J.jpsychores.2020.110314
Similar
MEDLINE
...
LILACS
LIS