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Bilişsel Esneklik, Anksiyete Duyarlılığı ve COVİD-19 Fobisi Arasındaki İlişkinin İncelenmesi

Amaç: Bu çalışmada,Koronavirüs-19 (COVİD-19) fobisi ile transdiagnostik faktörler (anksiyete duyarlılığı ve bilişsel esneklik) arasındaki lişkinin incelenmesi amaçlanmıştır. Materyal/Metod: Araştırma için formlar sosyal medya üzerinden 4.000 ve 3.500 kişilik sosyal medya gruplarına gönderildi.Katılımcılar basit rastgele örnekleme yöntemi ile seçildi ,dahil edilme kriterlerini karşılayan 280 gönüllü kabul edildi.Çalışmada Sosyodemografik Veri Formu, Bilişsel Esneklik Envanteri (BEE), Anksiyete Duyarlılık İndeksi-3 (ASI-3), COVID-19 Fobi Ölçeği kullanıldı. Sonuç: Çalışmaya 161 erkek ve 101 kadın gönüllü katıldı. Her iki cinsiyet de yaş, medeni durum ve eğitim yılı açısından benzer özelliklere sahipti. Korelasyon analizlerinde, koronafobi ölçeği toplam puanları ile ASI-fiziksel (r=.584), ASI- bilişsel (r=.556), ASI- sosyal (r=.524), ASI-toplam (r=.609) arasında aqnalamı pozitif ilişki, BE-alternatifler (r=-.232), BEkontrol (r=-.375), BE-toplam (r=-.328) arasında anlamlı negatif lişki bulundu. Yapılan regresyon analizlerine göre, koronafobi puanlarını; ASI-fiziksel (β=.287), ASI-bilişsel (β= .178) puanlarının anlamlı pozitif ve BE-kontrol (β=-.148) puanlarının anlamlı negatif yordadığı saptandı. {F(7, 254) = 23.361, p < .01) , .R2:375 Tartışma: Sonuçlarımız, transdiagnostik faktörlerin bazı alt tiplerinin koronofobi ile daha yakından ilişkili olduğunu, koronafobiyi öngördüğünü gösterdi.

Relationship Between Cognitive Flexibility, Anxiety Sensitivity and Coronaphobia

Objective: In this study, it was aimed to determine relationship two transdiagnostic factors (anxiety sensitivity and cognitive flexibility) between Coronavirus-19 (COVİD-19) phobia. Method: For the study, the forms were sent to social media groups with 4,000 and 3,500 people on social media, and the participants were selected by the simple random sampling method. 280 volunteers who met the inclusion criteria were accepted. Sociodemographic Data Form, Cognitive Flexibility Inventory (CFI), Anxiety Sensitivity Index-3 (ASI-3), COVID-19 Phobia Scale was used to evaluate the volunteers. Result: 161 male and 101 female volunteers participated in the study. Both sexes have similar characteristics regarding age, marital status, and years of education. In the correlation analyses, positive correlations were found between coronaphobia scale total scores and ASI- physical (r=.584), ASI- cognitive (r=.556), ASI- social (r=.524), ASI-total (r=.609), whereas a negative correlation was found between coronaphobia scale total scores and CF-alternatives (r=- .232), CF-control (r=-.375), CF-total (r=-.328). Stepwise regression analysis was applied with ASI and CFI subscales to predict coronaphobia scale scores. According to the results, ASI-physical (β=.287), ASI-cognitive (β= .178) positive and CF-control (β=-.148) negatively predicted coronaphobia total scores significantly {F(7, 254) = 23,361, p < .01) , with an R2 of .375 Discussion: Our results were shown that sub-tpye of transdiagnostik factors were more closely related to coronophobia and even predicted.

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1)Duan, L., Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 7(4), 300-302.
2) Bao, Y., Sun, Y., Meng, S., Shi, J., Lu, L. (2020). 2019-nCoV epidemic: Address mental health care to empower society. Lancet, 395(10224), e37–e38. doi: 10.1016/S0140-6736(20)30309-3.
3) Rothan, H. A., Byrareddy, S. N. (2020). The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of autoimmunity, 109, 102433.
4) Colorado, E. E. (2017). A mixed method study of aid workers in Sierra Leone during the 2014 - 2015 Ebola epidemics: Exploring psychological distress, trauma, resilience, and doping [Doctoral dissertation]. The Chicago School of Professional Psychology, Chicago, IL, USA.
5) Hossain, M. M., Sultana, A., Purohit, N. (2020). Mental health outcomes of quarantine and isolation for infection prevention: A systematic umbrella review of the global evidence. SSRN Electronic Journal. http://dx.doi.org/10.2139/ssrn.3561265
6) Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID -19 epidemic: Implications and policy recommendations. General Psychiatry, 33(2), e100213.
7) Taylor, S. (2014) Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety.Routledge.
8) Wheaton, M. G., Deacon, B. J., McGrath, P. B., Berman, N. C., & Abramowitz, J. S. (2012a). Dimensions of anxiety sensitivity in the anxiety disorders: Evaluation of the ASI-3. Journal of Anxiety Disorders. 26(3), 401–408.
9) Allan, N. P., Capron, D. W., Raines, A. M., Schmidt, N. B. (2014). Unique relations among anxiety sensitivity factors and anxiety, depression, and suicidal ideation. Journal of Anxiety Disorders, 28(2), 266–275.
10) Baek, I. C., Lee, E. H., Kim, J. H. (2019). Diferences in anxiety sensitivity factors between anxiety and depressive disorders. Depression and Anxiety, 36(10), 968–LO0974.
11) Zvolensky, M. J., Goodie, J. L., Ruggiero, K. J., Black, A. L., Larkin, K. T., Taylor, B. K. (2002). Perceived stress and anxiety sensitivity in the prediction of anxiety-related responding: A multichallenge evaluation. Anxiety, Stress & Coping, 15(3), 211–229.
12) Warren, A. M., Zolfaghari, K., Fresnedo, M., Bennett, M., Pogue, J., Waddimba, A., ... & Powers, M. B. (2021). Anxiety sensitivity, COVID-19 fear, and mental health: results from a United States population sample. Cognitive Behaviour Therapy, 1-13.
13) Dennis J.P., Vander Wal J.S. (2010) The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive Therapy Research; 34:241-253.
14) Stevens, A. D. (2009). Social problem-solving and cognitive flexibility: Relations to social skills and problem behavior of at-risk young children. Unpublished doctoral thesis Available from ProOuest Dissertations and Theses database. (UMI No. 3359050)
15) Troy A.S., Shallcross A.J., Mauss I.B. (2013). A person-by-situation approach to emotion regulation: Cognitive reappraisal can either help or hurt, depending on the context. Psychological Science. Dec; 24 (12):2505–14
16) Bonanno G.A., Burton C.L. (2013) Regulatory flexibility: An individual differences perspective on coping and emotion regulation. Perspectives on Psychological Science; 8(6):591–612
17) Ochsner K.N., Gross J.J. (2008) Cognitive emotion regulation: Insights from social cognitive and affective neuroscience. Current Directions in Psychological Science.
18) Kalia, V., Knauft, K., Hayatbini, N. (2020). Cognitive flexibility and perceived threat from COVID-19 mediate the relationship between childhood maltreatment and state anxiety. PLoS one, 15(12), e0243881.
19) Gülüm, I. V., Dağ, İ. (2012). Tekrarlayıcı Düşünme Ölçeği ve Bilişsel Esneklik Envanterinin Türkçeye uyarlanması, geçerliliği ve güvenilirliği. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 13(3).
20) Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., ... Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176–188.
21) Mantar, A., Yemez, B., Alkin, T. (2010). The validity and reliability of the Turkish version of the anxiety sensitivity index-3. Turk Psikiyatri Dergisi, 21(3), 225-234.
22) Dilbaz, N., Noyan, O. C., Alpar, G., & Kazan, O. K. (2020). Development of the COVID-19 Phobia Scale: Validity and Reliability Study. The Journal of Neurobehavioral Sciences, 7(3), 142.
23) Paluszek, M. M., Asmundson, A. J., Landry, C. A., McKay, D., Taylor, S., & Asmundson, G. J. (2021). Effects of anxiety sensitivity, disgust, and intolerance of uncertainty on the COVID stress syndrome: a longitudinal assessment of transdiagnostic constructs and the behavioural immune system. Cognitive Behaviour Therapy, 1-13.
24) Hashemi, S. G. S., Hosseinnezhad, S., Dini, S., Griffiths, M. D., Lin, C. Y., Pakpour, A. H. (2020). The mediating effect of the cyberchondria and anxiety sensitivity in the association between problematic internet use, metacognition beliefs, and fear of COVID-19 among Iranian online population. Heliyon, 6(10), e05135.
25) McKay, D., Yang, H., Elhai, J., & Asmundson, G. J. (2020). Anxiety regarding contracting COVID-19 related to interoceptive anxiety sensations: The moderating role of disgust propensity and sensitivity. Journal of Anxiety Disorders, 73, 102233.
26) Horenstein, A., Potter, C. M., Heimberg, R. G. (2018). How does anxiety sensitivity increase risk of chronic medical conditions? Clinical Psychology: Science and Practice, 25(3), e12248.
27) Lane, J. D., Seskevich, J. E., Pieper, C. F. (2007). Brief meditation training can improve perceived stress and negative mood. Alternative Therapies in Health & Medicine, 13(1).
28) McCracken, L. M., Keogh, E., (2009). Acceptance, mindfulness, and values-based action may counteract fear and avoidance of emotions in chronic pain: an analysis of anxiety sensitivity. The Journal of Pain, 10(4), 408-415.
29) Afshari, A., Hashemikamangar, S., Hashemikamangar, S. S. (2021). The correlation of perceived stress and professional concerns during COVID-19 pandemic among Iranian dentists: the mediating role of cognitive flexibility. Dentistry 3000, 9(1).