Fear, Perceived Threat, and Anxiety During COVID-19 Pandemic: The Mediating Role of Cognitive Control/Flexibility and Intolerance of Uncertainty

• Published in: Turk psikiyatri dergisi = Turkish journal of psychiatry Vol. 35; no. 1; pp. 24 - 33
• Main Authors: Akgül, Özge, Uzgan, Betül Önder, Tetik, Melike, Aykaç, Cansu
• Format: Journal Article
• Language: English
• Published: Turkey Turkiye Sinir ve Ruh Sagligi Dernegi (Turkish Association of Nervous and Mental Health) 01.01.2024; Turkish Association of Nervous and Mental Health
• Subjects: Adolescent; Adult; Anxiety; Anxiety - psychology; Cognition; COVID-19; COVID-19 - epidemiology; COVID-19 - psychology; Fear - psychology; Flexibility; Humans; Middle Aged; Pandemics; Regression analysis; Uncertainty; Young Adult; Anxiety; İntolerance To Uncertainty; Cognitive Control; Flexibility; Perceived Threat COVID-19
• ISSN: 1300-2163; 2651-3463
• DOI: 10.5080/u27017

In this study, we aimed to evaluate the relationship between fear of COVID-19, perceived threat of COVID-19, anxiety, cognitive control/flexibility, and intolerance to uncertainty. In addition, the mediating role of cognitive control/flexibility and intolerance to uncertainty were investigated. 224 volunteers aged between 18-55 years were included in the study. Cognitive Control and Felxibility Scale, Intolerance of Uncertainty Scale, Fear of COVID-19 Scale, Perceived COVID-19 Threat Form and Beck Anxiety Scales were administered to all participants via an online environment. In this context, Pearson correlation, linear regression, and mediation analyzes were performed. There were significant relationships among Cognitive Control and Flexibility, Intolerance of Uncertainty, Beck Anxiety, fear of COVID-19, perceived COVID-19 threat (p<0,01). Linear regression analysis showed that the Beck Anxiety Scale, Intolerance of Uncertainty and Cognitive Control/ Flexibility Scale scores significantly predicted fear of COVID-19 and the perceived threat of COVID-19 (p<0,001). In addition, mediation analysis revealed that intolerance to uncertainty and cognitive control/flexibility are mediating factors between anxiety and the perceived threat of COVID-19 (p<0,01). There is a relationship between fear of COVID-19 and perception of threat, anxiety, intolerance of uncertainty, and cognitive control mechanisms. In accordance with these findings, psychosocial support and therapy programs can be created based on cognitive control/flexibility and intolerance of uncertainty in order to increase the mental health well-being of individuals.