Adjustment Disorder in the Face of COVID-19 Outbreak: The Impact of Death Anxiety, Media Exposure, Fear of Contagion and Hypochondriasis Symptoms

Omega (Westport). 2023 Sep;87(4):1189-1206. doi: 10.1177/00302228211034372. Epub 2021 Jul 29.

Abstract

Based on the theoretical view of Terror Management Theory, the current research examines whether higher levels of death anxiety symptoms, in the face of the COVID-19 outbreak, increase the extent to which participants are exposed to information regarding the spread of the pandemic, as well as the fear of contagion and symptoms of hypochondriasis, which all in turn increase symptoms of adjustment disorder. A total number of 302 participants filled out self-report questionnaires regarding death anxiety, adjustment disorder, the extent of exposure to information regarding COVID-19, fear of contagion, hypochondriasis, and demographic information. Structural Equation Modeling analysis indicated a very good fit of the theoretical model with the data, confirming the mediation effect of exposure to information, fear of contagion, and symptoms of hypochondriasis on the association between death anxiety and adjustment disorder symptoms. Implications for practice are discussed.

Keywords: adults and death; coping/adaptation; death anxiety; disaster; disease.

MeSH terms

  • Adjustment Disorders
  • Anxiety
  • COVID-19*
  • Fear
  • Humans
  • Hypochondriasis* / diagnosis
  • Pandemics