An analysis of the epidemiology of Coronavirus anxiety and the demographic factors related to It

Document Type : Original Article


1 M.A. in general psychology, Bou-Ali University of Hamedan, Iran.

2 M.A in clinical psychology, Mohaghegh Ardabili University, Iran

3 M.A in general psychology, Bou-Ali University of Hamedan, Iran.


Purposes: The purpose of this study was to determine the epidemiology of coronavirus anxiety and the demographic factors related to it in Qazvin, Iran. Method: The method used in this study was descriptive-survey. Its statistical population included all Qazvin citizens in the spring of 2020. A total number of 1167 participants were recruited by convenient sampling and via an online questionnaire distributed on social media. They answered the demographic features and corona disease anxiety scale (CDAS) questionnaires.Their data were imported into the statistical software SPSS 25 and analyzed using the descriptive and inferential statistical tests like frequency test, percentile frequency, and Kruskal Wallis. results: The results of the analyses showed that the prevalence of coronavirus anxiety among Qazvin citizens was 13.54%. There was no significant difference between coronavirus anxiety level and its related factors in different “gender” and “educational background” groups. But still, in different “age” and “marital status” groups, a significant difference was found.
Discussion: The results of the current study show that as people grow older,coronavirus anxiety level and its related factors increases. Conclusion: it can be concluded that coronavirus anxiety level and its related factors is higher among the older people when compared with the younger ones.


[1] Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, Spitters C, Ericson K,                         Wilkerson S, Tural A, Diaz G. First case of 2019 novel coronavirus in the United States. New         England Journal of Medicine. 2020 Jan 31. DOI: 10.1056/NEJMoa2001191
[2] Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet. 2020 Feb 15;395(10223):497-506.
[3]  Word Health Organization.2020.
[4] Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, Zimmer T, Thiel V, Janke C, Guggemos W, Seilmaier M. Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. New England Journal of Medicine. 2020 Mar 5;382(10):970-1. DOI: 10.1056/NEJMc2001468
[5] Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, Xing F, Liu J, Yip CC, Poon RW, Tsoi HW. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The Lancet. 2020 Feb 15;395(10223):514-23.
[6] CSSE J. Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). 2020-03-15]. https://gisanddata. maps. arcgis. com/apps/opsdashboard/index. html#/bda7594740fd40 299423467b48e9ecf6. 2020.
[7]Perlman, S. (2020). Another decade, another coronavirus. The New Eng- land Journal of Medicine, 382, 760–762.DOI: 10.1056/NEJMe2001126 DOI: 10.1056/NEJMe2001126
[8] Xiaoyun C, Fenglan L. The relationships among insecure attachment, social support and psychological experiences in family caregivers of cancer inpatients. European Journal of Oncology Nursing. 2020 Feb 1;44:101691.
[9] Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health. 2020 Jan;17(5):1729.
 [10] Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry. 2020 Apr 8:102083.
[11] Banerjee D. The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian journal of psychiatry. 2020 Mar 20;50:102014.
[12] Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry. 2020 Apr 1;7(4):300-2.
[13 [ Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020 Feb 26.
[14]Chang EC. Relationship between loneliness and symptoms of anxiety and depression in African American men and women: Evidence for gender as a moderator. Personality and Individual Differences. 2018 Jan 1;120:138-43.
 [15] Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry research. 2020 Apr 12:112954.
[16] Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian journal of psychiatry. 2020 Apr 18:102076.
[17]  Moghadasi AN. One Aspect of Coronavirus disease (COVID-19) Outbreak in Iran: High Anxiety among MS Patients. Multiple Sclerosis and Related Disorders. 2020 Jun 1. doi: 10.1016/j.msard.2020.102138. [persion]
[18] Ghazanfarpour M, Ashrafinia F, Zolala S, Ahmadi A, Jahani Y, Hosseininasab A. Investigating the Effectiveness of Tele-Counseling on Mental Health of Staff in Coronavirus Reference Clinics and Hospitals. Available at SSRN 3572898. 2020 Apr 7. [persion]
 [19 ]Alipour, A., et al., Preliminary validation of the Corona disease anxiety scale(CDAS) in the iranian sample. healtth psychology, 2020. 8(32): p. 163-175. [persion]
[19] Rubin GJ, Wessely S. The psychological effects of quarantining a city. Bmj. 2020 Jan 28;368.
[21]Tang TL, Ibrahim AH, West WB. Effects of war-related stress on the satisfaction of human needs: The United States and the Middle East. International Journal of Management Theory and Practices. 2002;3(1):35-53.
[22]Menec VH, Chipperfield JG, Perry RP. Self-perceptions of health: A prospective analysis of mortality, control, and health. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 1999 Mar 1;54(2):P85-93.
[23]Fischhoff, B. (2020). Speaking of Psychology: Coronavirus Anxiety. In:
[24]Looper KJ, Kirmayer LJ. Hypochondriacal concerns in a community population. Psychological Medicine. 2001 May;31(4):577-84.
[25]Davoudi I, Nargesi F,  Mehrabizadeh Honarmand M. Gender Differences in Health Anxiety and Its Related Dysfunctional Beliefs: with Control of Age. Journal of Health Psychology, 2013 January., 1 (3), 30-38[Persian].
[26]MacSwain KL, Sherry SB, Stewart SH, Watt MC, Hadjistavropoulos HD, Graham AR. Gender differences in health anxiety: An investigation of the interpersonal model of health anxiety. Personality and Individual Differences. 2009 Dec 1;47(8):938-43.
[27] Tamres LK, Janicki D, Helgeson VS. Sex differences in coping behavior: A meta-analytic review and an examination of relative coping. Personality and social psychology review. 2002 Feb;6(1):2-30.
[28]Taylor S, Asmundson GJ. Treating health anxiety: A cognitive-behavioral approach. Guilford Press; 2004 Feb 13.
[29]Jahanshahi AA, Dinani MM, Madavani AN, Li J, Zhang SX. The distress of Iranian adults during the Covid-19 pandemic–More distressed than the Chinese and with different predictors. Brain, Behavior, and Immunity. 2020 Jan 1. Brain Behav Immun. doi: 10.1016/j.bbi.2020.04.081
[30]Jarge M, Yalfani A, Nazem F, Jarge M. Survey on the Efficacy of Cardiac Rehabilitation Programs on Anxiety and Depression Control in Coronary Artery Bypass Grafting Patients (Short Report). JRUMS. 2012; 11 (3) :293-298[Persian].
[31]Moudi S, Bijani A, Tayebi M, Habibi S. Relationship between Death Anxiety and Mental Health Status among Nurses in Hospitals Affiliated to Babol University of Medical Sciences. 2017; 19 (2) :47-53[Persian].
[32]Bajema KL, Oster AM, McGovern OL, Lindstrom S, Stenger MR, Anderson TC, Isenhour C, Clarke KR, Evans ME, Chu VT, Biggs HM. Persons evaluated for 2019 novel coronavirus—United States, January 2020. Morbidity and Mortality Weekly Report. 2020 Feb 14;69(6):166. doi: 10.15585/mmwr.mm6906e1
[33]]Esmaeili A, Shahrabadi M, Adib H. Body dysmorphic disorder and anxiety in patients of in orthodontic clinics of Birjand University of Medical Sciences in 2014-2015. Journal of Birjand University of Medical Sciences. 2017 Aug 10;24(2):147-53. [Persian].
[34]Bandari R, Heravi-Karimooi M, Rejeh N, Zayeri F, Mirmohammadkhani M, Montazeri A. Anxiety prevalence and its associated demographic factors in family members of patients hospitalized in the intensive care unit: a cross-sectional study in Tehran Two Monthly Medical Journal, 2013 March., 20 (103), 101 [Persian].
[35] Ali MORROWATISHARIFABAD M, SERVAT F, SOTOUDEH A, ASSADIAN A, EISAPAREH K, GHASEMIE R, MIRFAKHRAEE F. Depression, Anxiety, Stress, Workers, Petrochemical Industry. Occupational Hygiene and Health Promotion Journal. 2018 Nov 10;2(3):234-44. [Persian]. DOI: 10.18502/ohhp.v2i3.149
[36]Liu K, Chen Y, Wu D, Lin R, Wang Z, Pan L. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complementary Therapies in Clinical Practice. 2020 Mar 6:101132.