{'fraction_non_alphanumeric': 0.04732636754763368, 'fraction_numerical': 0.03687768899815612, 'mean_word_length': 4.6923076923076925, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
The association between stress and illness anxiety during the corona-virus outbreak in China in 2019

Background: The Corona-virus (COVID-19) outbreak in China in 2019 can cause psychological traumatic reaction; it can be a risk factor for illness anxiety. The predictors of severe illness anxiety have not yet been explored. Methods: The present research was a cross-sectional study. The Impact of Event Scale-Revised (IES-R) was used to evaluate stress reaction, and Whiteley Index-7 (WI-7) was applied to measure illness anxiety. Participants with scores above the median WI-7 score were categorized as severe illness anxiety and those with scores lower than the median WI-7 score were categorized as non-severe illness anxiety. Logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (CI). Stress level was divided into mild, moderate, and severe, which were included in the logistic model to estimate the association of stress and illness anxiety. Results: After adjusting for covariates, the OR of mild, moderate, and severe stress reaction level was 3.32 (95% CI: 2.21, 4.99), 6.01 (95% CI: 2.99, 12.05), and 14.54 (95% CI: 7.99, 26.47), respectively. The P for trend was less than 0.001 across the levels of stress reaction. Conclusion: Severe stress reaction has been associated with severe illness anxiety during the outbreak of COVID-19 in China. The corona crisis intensifies the experience of personal stress that in turn increases the fear of the COVID-19 illness in China. Further qualitative and follow-up studies are essential to illustrate the development of illness anxiety.