| Pandemic Grief Reaction and Intolerance of Uncertainty on the Cognitive-Behavioral Model of COVID-Related Hypochondriasis Among Firefighters |
Seockhoon Chung1 
, Han-Sung Lee2
, Soomin Jang3
, Yong-Wook Shin1
, Jeong-Hyun Kim4,5,6
, Jin Yong Jun7
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1Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
2Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
3Department of Psychiatry, SMG-SNU (Seoul National University) Boramae Medical Center, Seoul, Republic of Korea
4Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
5Department of Public Health Medical Services, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
6Institute of Human Behavioral Medicine, Seoul National University Medical Research Center, Seoul, Republic of Korea
7Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea |
Correspondence: Jeong-Hyun Kim ,Tel: +82-31-787-2025, Email: retrial3@hanmail.net
Correspondence: Jin Yong Jun ,Tel: +82-52-250-8945, Email: jyjun826@gmail.com
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Received: May 17, 2023 Accepted: June 18, 2023 Published online: September 19, 2023 |
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| Abstract |
Objective
This study aimed to explore the feasibility of cognitive-behavioral model hypochondriasis regarding coronavirus disease-2019 (COVID-19) among firefighters. In addition, we examined the possible role of their grief reaction and intolerance of uncertainty in the model of COVID-related hypochondriasis.
Methods
An anonymous online survey was done on October 27–28, 2022, among firefighters who witnessed people’s death. Demographic characteristics were collected, and their psychological states were assessed using rating scales such as the Obsession with COVID-19 Scale (OCS), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Fear of COVID-19 Scale (FCV-19S), Pandemic Grief Scale (PGS), and Intolerance of Uncertainty Scale–12 (IUS-12).
Results
Their OCS score was expected by the CRBS (β=0.30, p<0.001), FCV-19S (β=0.10, p<0.001), PGS (β=0.29, p<0.001), and IUS12 (β=0.04, p=0.024) (F=134.5, p<0.001). The COVID-related cognitive-behavioral model of hypochondriasis was feasible among firefighters who witnessed people’s death. Their pandemic grief reaction and intolerance of uncertainty directly influenced their preoccupation with coronavirus, and viral anxiety and coronavirus reassurance-seeking behavior mediated the relationship.
Conclusion
Firefighters’ viral anxiety and coronavirus reassurance-seeking behavior mediated the influence of pandemic grief reaction or intolerance of uncertainty on the preoccupation with coronavirus. |
| Key words
Firefighters; Anxiety; COVID-19; Pandemics; Grief |
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