Evaluation of Phobia, Knowledge, Attitude and Practice about SARS-CoV-2 Infection, a Study on Healthcare Workers and Their 1st Degree Relatives

Evaluation of Phobia, Knowledge, Attitude and Practice about SARS-CoV-2 Infection, a Study on Healthcare Workers and Their 1st Degree Relatives

Authors

  • R. Hosseinzadeh
  • S. M. Hosseini
  • A. Karbasi
  • A. Maghari
  • A. Fathi-Ashtiani
  • M. Heiat
  • M. Bahardoust
  • R. Ranjbar
  • T. Badri

Keywords:

Phobia, knowledge, attitude, practice, COVID-19, healthcare workers

Abstract

Background. Phobia as a psychological disorder seems to be aggravated during health crises like the current COVID-19 outbreak. On the other hand, people’s knowledge about a situation can help decrease the resulting fear.

Study design. This is a cross-sectional analytical study to evaluate the COVID-19 related phobia and to measure knowledge, attitude, and practice of our target Iranian population about COVID-19.

Methods. In this study, DSM-5 specific phobia questionnaire, adapted to SARS-CoV2-19 infection, was used to evaluate the COVID-19 related phobia. Moreover, the knowledge, attitude, and practice (KAP) questionnaire, specific for SARS-CoV-2  infection, was applied.

Results. Phobia score was significantly higher in 1st-degree relatives of healthcare staff (20.38±5.82) than healthcare staff (18.36±5.68) (p=0.021). Females showed a significantly more severe phobia (20.27±5.41) than males (17.72±5.35, p=0.001). COVID-19 phobia was significantly more severe in those with past psychiatric conditions than in those without psychiatric history (p<0.05). The 1st-degree relatives of healthcare staff had a significantly lower level of knowledge about SARS-CoV-2 infection (8.19±1.65) than healthcare staff (9.08±1.28, p=0.001). Additionally, age had a positive significant correlation with knowledge and practice towards SARS-CoV-2 infection.

Conclusion. Both Iranian healthcare staff and 1st-degree relatives of healthcare workers are suffering from moderate COVID-19 phobia. Females are more concerned than males about COVID-19. Phobia is more severe in people with underlying psychiatric conditions than other people. The knowledge level of Iranian healthcare workers and 1st-degree relatives of healthcare staff about COVID-19 is acceptable but it needs improvement in certain areas.

References

1. To KK, Hung IF, Chan JF, Yuen KY. From SARS coronavirus to novel animal and human coronaviruses. J Thor Dis. 2013 Aug; 5(Suppl 2): S103-8.

doi: 10.3978/j.issn.2072-1439.2013.06.02.

2. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020 Apr 7; 323(13): 1239-42. doi: 10.1001/ jama.2020.2648.

3. Zhou P, Yang XL, Wang XG, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020 Mar; 579(7798): 270-3. doi: 10.1038/s41586-0202012-7. Epub 2020 Feb 3.

4. Paules CI, Marston HD, Fauci AS. Coronavirus infections-more than just the common cold. JAMA. 2020 Feb 25; 323(8): 707-8. doi: 10.1001/jama.2020.0757.

5. De Wit E, van Doremalen N, Falzarano D, Munster VJ. SARS and MERS: recent insights into emerging coronaviruses. Nature Rev Microbiol. 2016 Aug; 14(8): 523-34. doi: 10.1038/ nrmicro.2016.81. Epub 2016 Jun 27.

6. Peiris JS, Yuen KY, Osterhaus AD, Stöhr K. The severe acute respiratory syndrome. New Engl J Med. 2003 Dec; 349(25): 2431-41. doi: 10.1056/ NEJMra032498.

7. Zhong NS, Zheng BJ, Li YM, et al. Epidemiology and cause of severe acute respiratory syndrome (SARS) in Guangdong, People’s Republic of China, in February, 2003. Lancet. 2003 Oct 25; 362(9393): 1353-8. doi: 10.1016/ s0140-6736(03)14630-2.

8. Al-Ahdal MN, Al-Qahtani AA, Rubino S. Coronavirus respiratory illness in Saudi Arabia. J Infect Dev Ctries. 2012 Oct 19; 6(10): 692-4. doi: 10.3855/jidc.3084.

9. Zaki AM, van Boheemen S, Bestebroer TM, Osterhaus AD, Fouchier RA. Isolation of a novel coronavirus from a man with pneumonia in Saudi Arabia. New Eng J Med. 2012 Nov 14; 367(19): 1814-20. doi: 10.1056/NEJMoa1211721. Epub 2012 Oct 17. Erratum in: N Engl J Med. 2013 Jul 25; 369(4): 394.

10. Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004 Jul; 10(7): 1206-12. doi: 10.3201/eid1007.030703.

11. Worldometers. Confirmed Cases and Deaths by Country, Territory, or Conveyance. Available on: https://wwwworldometersinfo/coronavirus/. 2020. [Last accessed: 2021 Apr 29].

12. Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus‚ infected pneumonia. N Engl J Med. 2020. Mar 26; 382(13): 1199-207. doi: 10.1056/NEJMoa2001316. Epub 2020 Jan 29.

13. Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. New Engl J Med. 2020 Mar 5; 382(10): 970-1. doi: 10.1056/ NEJMc2001468. Epub 2020 Jan 30.

14. Ryu S, Chun BC; Korean Society of Epidemiology 2019-nCoV Task Force Team. An interim review of the epidemiological characteristics of 2019 novel coronavirus. Epidemiol Health. 2020; 42: e2020006. doi: 10.4178/epih. e2020006. Epub 2020 Feb 6.

15. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15; 395(10223): 497-506. doi: 10.1016/S01406736(20)30183-5. Epub 2020 Jan 24.

16. Zhao S, Musa SS, Lin Q, et al. Estimating the unreported number of novel coronavirus (2019nCoV) cases in China in the first half of January 2020: a data-driven modelling analysis of the early outbreak. J Clin Med. 2020 Feb 1; 9(2): 388. doi: 10.3390/jcm9020388.

17. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020 Feb 15; 395(10223): 507-13. doi: 10.1016/S0140-6736(20)30211-7. Epub 2020 Jan 30.

18. Jernigan DB. Update: public health response to the coronavirus disease 2019 outbreak‚ United States, February 24, 2020. MMWR Morb Mortal Wkly Rep. 2020 Feb 28; 69(8): 216-9. doi: 10.15585/mmwr.mm6908e1.

19. Holshue ML, DeBolt C, Lindquist S, et al. First case of 2019 novel coronavirus in the United States. N Engl J Med. 2020 Mar 5; 382(10): 929-36. doi: 10.1056/NEJMoa2001191. Epub 2020 Jan 31.

20. Nishiura H, Kobayashi T, Yang Y, et al. The rate of underascertainment of novel coronavirus (2019-nCoV) infection: estimation using Japanese passengers data on evacuation flights. J Clin Med. 2020 Feb; 9(2): 419. doi: 10.3390/ jcm9020419.

21. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clinical Neurosci. 2020 Apr; 74(4): 281-2.

doi: 10.1111/pcn.12988. Epub 2020 Feb 23.

22. Hall RC, Hall RC, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. 2008 Sep-Oct; 30(5): 44652. doi: 10.1016/j.genhosppsych.2008.05.003. Epub 2008 Jul 23.

23. Van Bortel T, Basnayake A, Wurie F, et al. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull World Health Organ. 2016 Mar 1; 94(3): 210-4. doi: 10.2471/BLT.15.158543. Epub 2016 Jan 21.

24. Janz NK, Becker MH. The health belief model: A decade later. Health Educ Q. 1984 Spring; 11(1): 1-47. doi: 10.1177/109019818401100101.

25. Heiat M, Heiat F, Halaji M, et al. Phobia and Fear of COVID-19: origins, complications and management, a narrative review. Ann Ig. 2021 Jul-Aug; 33(4): 360-70. doi: 10.7416/ai.2021.2446.

26. Li Y, Liang M, Gao L, et al. Face masks to prevent transmission of COVID-19: A systematic review and meta-analysis. Am J Infect Control.

2021 Jul; 49(7): 900-6.

doi: 10.1016/j.ajic.2020.12.007. Epub 2020 Dec 19. 27. Lima-Costa MF, Mambrini JVM, Andrade FB, Peixoto SWV, Macinko J. Social distancing, use of face masks and hand washing among participants in the Brazilian Longitudinal Study of Aging: the ELSI-COVID-19 initiative. Cad Saude Publica. 2020 Oct 12; 36 Suppl 3(Suppl 3): e00193920. English, Portuguese. doi: 10.1590/0102-311X00193920.

28. Shahnazi H, Ahmadi-Livani M, Pahlavanzadeh B, Rajabi A, Hamrah MS, Charkazi A. Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infect Dis Poverty. 2020 Nov 17; 9(1): 157. doi: 10.1186/ s40249-020-00776-2.

29. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. APA, 2013.

30. Arpaci I, Karataş K, Baloğlu M. The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S). Pers IndividDif. 2020 Oct 1; 164: 110108. doi: 10.1016/j.

paid.2020.110108. Epub 2020 May 11.

31. Erfani A, Shahriarirad R, Ranjbar K, Mirahmadizadeh A, Moghadami M. Knowledge, attitude and practice toward the novel coronavirus (COVID-19) outbreak: a population-based survey in Iran. [Preprint]. Bull World Health Organ. E-pub 2020 Mar 30. doi: http://dx.doi.

org/10.2471/BLT.20.256651

32. Asmundson GJG, Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak. J Anxiety Disord. 2020 Mar; 70: 102196. doi: 10.1016/j.

janxdis.2020.102196. Epub 2020 Feb 10.

33. Ren SY, Gao RD, Chen YL. Fear can be more harmful than the severe acute respiratory syndrome coronavirus 2 in controlling the corona virus disease 2019 epidemic. World J Clin Cases. 2020 Feb 26; 8(4): 652-7. doi: 10.12998/wjcc.v8.i4.652.

34. Liu X, Luo WT, Li Y, et al. Psychological status and behavior changes of the public during the COVID-19 epidemic in China. Infect Dis Poverty. 2020 May 29; 9(1): 58. doi: 10.1186/ s40249-020-00678-3.

35. Toprak Celenay S, Karaaslan Y, Mete O, Ozer Kaya D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int. 2020 Dec; 37(12): 1778-85. doi: 10.1080/07420528.2020.1815759. Epub 2020 Sep 3.

36. Cihan FG, Gökgöz Durmaz F. Evaluation of COVID‚Äê19 Phobia and the Feeling of Loneliness in the Geriatric Age Group. Int J Clin Pract. 2021 Feb 11: e14089. doi: 10.1111/ijcp.14089. Epub ahead of print.

37. Geldsetzer P. Knowledge and perceptions of COVID-19 among the general public in the United States and the United Kingdom: A crosssectional online survey. Ann Intern Med. 2020 Jul 21; 173(2): 157-60. doi: 10.7326/M20-0912.

Epub 2020 Mar 20.

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Published

2025-09-04

Issue

Section

Original research

How to Cite

1.
Hosseinzadeh R, Hosseini SM, Karbasi A, et al. Evaluation of Phobia, Knowledge, Attitude and Practice about SARS-CoV-2 Infection, a Study on Healthcare Workers and Their 1st Degree Relatives. Ann Ig. 2025;34(6):547-557. doi:10.7416/ai.2022.2512