Development and Validation of Corona Virus Anxiety Scale (CVAS)
DOI:
https://doi.org/10.48048/wjst.2020.9878Keywords:
Coronavirus Anxiety Scale (CVAS), Development, Reliability, Validity, Self-reportAbstract
Background and Objectives: The advent of 2020 was eclipsed by an epidemic crisis of COVID-19. The swift spread of fatal viruses creates paralyzing apprehensions among all human beings and has produced a need to develop a sound psychometric scale to measure anxiety related to COVID-19.
Methods: Items for a Corona Virus Anxiety Scale (CVAS) emerged from literature reviews, a SARS fear scale, and qualitative analysis of interviews. After successive item modifications and pilot-testing, the 17-item self-reported CVAS was administered to (N = 256) participants. A sample of (N = 45) individuals was recruited for determination of CVAS construct validity with the Impact of Event Scale-Revised (IES-R).
Results: Exploratory factor analysis (EFA) showed 3 factors with 57.46 % variance, Fear of Infection and Death (FOIAD), Social Isolation (SI), and Loss of Control and Helplessness (LOCAH). Item-total correlation values ranged from (r = 0.46 to 0.63, p < 0.01). Overall, CVAS showed a high-value Cronbach alpha reliability (α = 0.896); alpha reliabilities for subscales also lay in acceptable ranges. The relationship between CVAS and IES-R suggests significant and positive correlation values (r = 0.477, **p < 0.01), demonstrating the construct validity of the newly-developed CVAS.
Interpretation and Conclusions: CVAS is a reliable and valid self-reporting tool for screening of anxieties about COVID-19 among the general population.
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NS Zhong, BJ Zheng, YM Li, Poon, ZH Xie, KH Chan, PH Li, SY Tan, Q Chang, JP Xie, XQ Liu, J Xu, DX Li, KY Yuen, Peiris and Y Guan. Epidemiology and cause of severe acute respiratory syndrome (SARS) in Guangdong, People’s Republic of China, in February, 2003. Lancet 2003; 362, 1353-8.
MN Al-Ahdal, AA Al-Qahtani and S Rubino. Coronavirus respiratory illness in Saudi Arabia. J. Infect. Dev. Ctries. 2012; 6, 692-4.
E Mahase. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ 2020; 368, m408.
H Nishiura, SM Jung, NM Linton, R Kinoshita, Y Yang, K Hayashi, T Kobayashi, B Yuan and AR Akhmetzhanov. The extent of transmission of novel coronavirus in Wuhan, China, 2020. J. Clin. Med. 2020; 9, 330.
S Perlman. Editorial: Another decade, another coronavirus. N. Engl. J. Med. 2020; 382, 760-2.
YT Xiang. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatr. 2020, 7, 228-9.
TB Liu, XY Chen, GD Miao, L Zhang, Q Zhang and T Cheung. Recommendations on diagnostic criteria and prevention of SARS-related mental disorders. J. Clin. Psychol. Med. 2003; 13, 188-91.
R Maunder, J Hunter, L Vincent, J Bennett, N Peladeau, M Leszcz, J Sadavoy, LM Verhaeghe, R Steinberg and T Mazzulli. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. Can. Med. Assoc. J. 2003; 168, 1245-51.
RCW Hall and MJ Chapman. The 1995 Kikwit Ebola outbreak: Lessons hospitals and physicians can apply to future viral epidemics. Gen. Hosp. Psychiatr. 2008, 30, 446-52.
GJ Rubin, HWW Potts and S Michie. The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: Results from 36 national telephone surveys in the UK. Health Tech. Assess 2010, 14, 183-266.
TV Bortel. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull. World Health Organ. 2016, 94, 210-4.
A Patel and DB Jernigan. Initial public health response and interim clinical guidance for the 2019 novel coronavirus outbreak-United States, 31 December 2019 - 4 February 2020. MMWR Morb. Mortal. Wkly. Rep. 2020, 69, 140-6.
SA Lee. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020; 44, 393-401.
Government of Pakistan. Coronavirus in Pakistan, Available at: http://covid.gov.pk/stats/Pakistan, accessed June 2020.
K Hamilton. The politics of fear: Médecins Sans Frontières and the West African Ebola epidemic. Emerg. Infect. Dis. 2017; 23, 1934.
DK Kilgo, J Yoo and TJ Johnson. Spreading Ebola Panic: Newspaper and social media coverage of the 2014 Ebola Health Crisis. Health Commun. 2019; 34, 811-7.
MS Sinha and WE Parmet. The Perils of Panic: Ebola, HIV, and the intersection of global health and law. Am. J. Law. Med. 2016; 42, 223-55.
SM Ho, RS Kwong-Lo, CW Mak and JS Wong. Fear of severe acute respiratory syndrome (SARS) among health care workers. J. Consult. Clin. Psychol. 2005; 73, 344-9.
J Wretman. Reflections on Probability vs Nonprobability Sampling. Official Statistics in Honour of Daniel Thorburn, 2010, p. 29-35.
A Shorten and C Moorley. Selecting the sample. Evid. Based. Nurs. 2014; 17, 32-3.
DS Weiss and CR Marmar. The Impact of Event Scale - Revised. In: JP Wilson and TM Keane (Eds.). Assessing Psychological Trauma and PTSD. Guilford Press, New York, 1997, p. 399-411.
SM Ho, RS Kwong-Lo, CW Mak and JS Wong. Fear of severe acute respiratory syndrome (SARS) among health care workers. J. Consult. Clin. Psychol. 2005; 73, 344-9.
EM Kean, K Kelsay, F Wamboldt and MZ Wamboldt. Posttraumatic stress in adolescents with asthma and their parents. J. Am. Acad. Child. Adolesc. Psychiatr. 2006; 45, 78-86.
T Yonemoto, K Kamibeppu, T Ishii, S Iwata, Y Hagiwara and S Tatezaki. Psychosocial outcomes in long-term survivors of high-grade osteosarcoma: A Japanese single-center experience. Anticancer Res. 2009; 29, 4287-90.
ML Gillies, J Barton and AD Gallo. Follow-up of young road accident victims. J. Trauma. Stress 2003; 16, 523-6.
I Schäfer, C Barkmann, P Riedesser and M Schulte-Markwort. Posttraumatic syndromes in children andadolescents after road traffic accidents: A prospective cohort study. Psychopathology 2006; 39, 159-64.
YT Xiang, Y Yang, W Li, L Zhang, Q Zhang, T Cheung and CH Ng. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatr. 2020; 7. 228-9.
MA Cava, KE Fay, HJ Beanlands, EA McCay and R Wignall. The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nurs. 2005; 22, 398-406.
S Lee, LY Chan, AM Chau, KP Kwok and A Kleinman. The experience of SARS-related stigma at Amoy Gardens. Soc. Sci. Med. 2005; 61, 2038-46.
R Keil and H Ali. Multiculturalism, racism and infectious disease in the global city: The experience of the 2003 SARS outbreak in Toronto. Topia 2006; 16, 10.
Y Bai, CC Lin, CY Lin, JY Chen, CM Chue and P Chou. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004; 55, 1055-7.
RJ Blendon, JM Benson, CM DesRoches, E Raleigh and K Taylor-Clark. The public’s response to severe acute respiratory syndrome in Toronto and the United States. Clin. Infect. Dis. 2004; 38, 925-31.
A Braunack-Mayer, R Tooher, JE Collins, JM Street and H Marshall. Understanding the school community’s response to school closures during the H1N1 2009 influenza pandemic. BMC Public Health 2013; 13, 344.
DL Reynolds, JR Garay, SL Deamond, MK Moran, W Gold and R Styra. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiol. Infect. 2008; 136, 997-1007.
E Robertson, K Hershenfield, SL Grace and DE Stewart. The psychosocial effects of being quarantined following exposure to SARS: A qualitative study of Toronto health care workers. Can. J. Psychiatr. 2004; 49, 403-7.
Wilken JA, Pordell P, Goode B, et al. Knowledge, attitudes, and practices among members of households actively monitored or quarantined to prevent transmission of Ebola virus disease-Margibi County, Liberia: February-March 2015. Prehosp. Disaster Med. 2017; 32, 673-8.
L Hawryluck, WL Gold, S Robinson, S Pogorski, S Galea and R Styra. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg. Infect. Dis. 2004; 10, 1206-12.
M Mihashi, Y Otsubo, X Yinjuan, K Nagatomi, M Hoshiko and T Ishitake. Predictive factors of psychological disorder development during recovery following SARS outbreak. Health Psychol. 2009; 28, 91-100.
MA Cava, KE Fay, HJ Beanlands, EA McCay and R Wignall. The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nurs. 2005; 22, 398-406.
S Liu, L Yang, C Zhang, YT Xiang, Z Liu, S Hu and B Zhang. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatr. 2020; 7, e17-e18.
J Axelrod. CBS News, March 2, 2020: Coronavirus may infect up to 70 % of world’s population, expertwarns. https://www.cbsnews.com/news/coronavirus-infection-outbreak-worldwide-virus-expert-warning-today-2020-03-02, accessed June 2020.
S Taylor, MJ Zvolensky, BJ Cox, B Deacon, RG Heimberg, DR Ledley, JS Abramowitz, RM Holaway, B Sandin, SH Stewart, M Coles, W Eng, ES Daly, WA Arrindell, M Bouvard and SJ Cardenas. Robust dimensions of anxiety sensitivity: Development and initial validation of the anxiety sensitivity index-3. Psychol. Assess. 2007; 19, 176-88.
PM Salkovskis, KA Rimes, HM Warwick and DM Clark. The health anxiety inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol. Med. 2002; 32, 843-53.
M Antony, PJ Bieling, BJ Cox, MW Enns, RP Swinson. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and community a sample. Psychol. Assess. 1998; 10, 176-81.
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