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Journals / Akdeniz Tıp Dergisi / 2026 / Cilt: 12 Sayı: 1

The Relationship Between Fear Levels, Perception of Control, And Avoidance Attitudes in Individuals Under Suspicion of COVID-19

COVID-19 Şüphesiyle Takip Edilen Bireylerin Korku Düzeyleri, Kontrol Algısı ve Kaçınma Tutumları Arasındaki İlişki

İlkay Keser(AKDENİZ ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ, PSİKİYATRİ HEMŞİRELİĞİ ANABİLİM DALI)0000-0001-6595-4188
Şerife Bilge Duran(ANTALYA BELEK ÜNİVERSİTESİ MESLEK YÜKSEKOKULU)0000-0001-9343-8789
Sibel Çaynak(ANTALYA BİLİM ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ)0000-0002-1579-0696
Fatih Üzer(AKDENİZ ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, GÖĞÜS HASTALIKLARI ANABİLİM DALI)0000-0001-9318-0458
Tülay Özdemir(AKDENİZ ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, GÖĞÜS HASTALIKLARI ANABİLİM DALI)0000-0002-7012-3298
Pages
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Publication Date
2026-03-04
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results showed a positive and statistically significant correlation between the scores of the COVID-19 Fear Scale and the Cognitive Avoidance sub-dimension of the COVID-19 Avoidance Attitudes Scale.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to determine the presence of coronavirus and disease-related anxiety, assess the levels of perceived control and avoidance behaviors in individuals under suspicion of COVID-19 at the Chest Diseases Clinic, and investigate the relationship between disease-related anxiety, perception of control, and avoidance behaviors.
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Key Findings & Data:The data were collected through face-to-face interviews with individuals admitted to the hospital due to suspicion of COVID-19 and willing to participate in the study.
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Conclusion & Impact:The results showed a positive and statistically significant correlation between the scores of the COVID-19 Fear Scale and the Cognitive Avoidance sub-dimension of the COVID-19 Avoidance Attitudes Scale.
🔬Design:İnceleme Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:COVID-19 · KORKU · KONTROL ALGISI

Abstract

Objective: The aim of this study was to determine the presence of coronavirus and disease-related anxiety, assess the levels of perceived control and avoidance behaviors in individuals under suspicion of COVID-19 at the Chest Diseases Clinic, and investigate the relationship between disease-related anxiety, perception of control, and avoidance behaviors. Material and Methods: This study employed a descriptive and cross-sectional correlational design. The data were collected through face-to-face interviews with individuals admitted to the hospital due to suspicion of COVID-19 and willing to participate in the study. The data collection tools used in the study were the sociodemographic data form, the Coronavirus Fear Scale, the Perception of Control over COVID-19 Scale, and the Avoidance Attitudes related to COVID-19 Scale. Statistical analyses of the collected data were performed using the SPSS version 23.0. Results: A total of 135 individuals participated in the study, of whom 63 were female, and 38,5% were aged 65 and above. The results showed a positive and statistically significant correlation between the scores of the COVID-19 Fear Scale and the Cognitive Avoidance sub-dimension of the COVID-19 Avoidance Attitudes Scale. Additionally, there was a negative and statistically significant correlation between the scores of the COVID-19 Fear Scale and the Personal Control sub-dimension of the Perception of Control over COVID-19 Scale (p 0.05). Conclusions: The study revealed that as the fear levels related to COVID-19 increased in individuals under suspicion, their avoidance attitudes towards COVID-19 also increased, while their perception of control decreased. During the pandemic period, it is considered crucial for healthcare professionals to provide information to individuals, not only regarding physical health issues but also to evaluate their psychosocial status. In this context, it is recommended that training be provided on coping with stress, instilling hope, and crisis management in order to support individuals' physical and mental well-being; that interventions such as psychological counseling and support groups be implemented for individuals who have been psychosocially affected by the pandemic; and that studies be conducted to examine the effectiveness of these interventions in order to contribute to the literature.

Özet

ÖZ Amaç: Bu çalışmada, Göğüs Hastalıkları Kliniği’nde COVID-19 şüphesi taşıyan bireylerde koronavirüsle ilişkili korku, kontrol algısı ve kaçınma tutumlarını değerlendirmek ve bu değişkenler arasındaki ilişkiyi değerlendirmek amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel ilişki arayıcı tipte olan çalışma, katılmayı onaylayan bireylerle, yüz yüze görüşme yoluyla veri toplanmıştır. Veri toplama araçları arasında sosyodemografik veri formu, Koronavirüs (COVID- 19) Korkusu Ölçeği, COVID-19’un Kontrolü Algısı Ölçeği (PCo-VCOVID-19), COVID-19’dan Kaçınma Tutumları Ölçeği (AA-COVID-19) yer almıştır. İstatistiksel analizler SPSS 23.0 ile yapılmıştır. Bulgular: Çalışmaya katılan 135 bireyin 63’ü kadın, %38,5’i 65 yaş ve üzerindedir. COVID-19 korku ölçeği ve COVID-19 Kaçınma Tutumları ölçeğinin Bilişsel Kaçınma alt boyutu puanları arasında pozitif yönlü istatistiksel olarak anlamlı düzeyde ilişki, COVID-19 Korku Ölçeği ve COVID-19 Kontrolü Algısı ölçeğinin Kişisel Kontrol alt boyutu toplam puanları arasında negatif yönlü anlamlı düzeyde ilişki olduğu, saptanmıştır (p 0,05). Sonuç: Katılımcıların korku düzeyleri arttıkça COVID-19’a yönelik kaçınma tutumlarının arttığı ve kontrol algılarının azaldığı görülmüştür. Sağlık profesyonellerinin yalnızca fiziksel sağlık konularında değil, bireylerin psikososyal durumlarını da değerlendirmesi önem arz etmektedir. Bu bağlamda, bireylerin fiziksel ve zihinsel iyilik hâlini desteklemek amacıyla stresle başa çıkma, ümit aşılama ve kriz yönetimi gibi eğitimleri verilmesi; pandemi nedeniyle psikososyal olarak etkilenen bireylere psikolojik danışmanlık ve destek grupları gibi müdahalelerin uygulanması; ayrıca literatüre katkı sağlamak için bu müdahalelerin etkililiğini inceleyen çalışmalar yapılması önerilmektedir.

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Cite This Article

Keser, İ., Duran, Ş. B., Çaynak, S., Üzer, F., Özdemir, T. (2026). The Relationship Between Fear Levels, Perception of Control, And Avoidance Attitudes in Individuals Under Suspicion of COVID-19. Akdeniz Tıp Dergisi, Cilt: 12 Sayı: 1. https://doi.org/10.53394/akd.1632846

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References (35)

  1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao G, Phil D, Tan W. A novel coronavirus from patients with pneumonia in China, 2019. NEJM 2020; 382(8):727-33.
  2. Republic Of Turkey Ministry Of Health. Ministry of Health General Directorate of Public Health. COVID-19 (Sars-Cov-2 Infection- Scientific Committee Study) general ınformation, epidemiology and diagnosis. Scientific Advisory Board Work. Ankara: 2020. p. 7-17.
  3. Ghebreyesus TA. Addressing mental health needs: an integral part of COVID 19 response. WPA 2020; 19(2):129-30.
  4. Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: the importance of gender. Int. J. Soc. Psychiatry 2020; 66(5): 504-11.
  5. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict 2022; 20(3):1537-45.
  6. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J. The psychological impact of the COVID 19 epidemic on college students in China. Psychiatry Res 2020; 112934.
  7. Hyland P, Shevlin M, Mcbride O, Murphy J, Karatzias T, Bentall RP, Martinez A, Vallières F. Anxiety and depression in the republic of Ireland during the COVID‐19 pandemic. Acta Psychiatr. Scand 2020; 142(3): 249-56.
  8. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among chinese people in the COVID 19 epidemic: implications and policy recommendations. Gen. Psychiatry 2020; 33(2): e100213.
  9. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, Zhuang Q. Psychological impact and coping strategies of frontline medical staff in hunan between january and march 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Med Sci Monit 2020; 26: e924171.
  10. Liu YGA, Wilder-Smith A, Rocklov J. The reproductive number of COVID-19 is higher compared to SARS coronavirus. J. Travel Med 2020; 27(2):1-4.
  11. Yalçın I, Can N, Mançe Çalışır Ö, Yalçın S, Çolak B. Latent profile analysis of COVID-19 fear, depression, anxiety, stress, mindfulness, and resilience. Curr Psychol 2022;41: 459–469.
  12. Eman R Ghazawy, Ashraf A Ewis, Eman M Mahfouz, Doaa M Khalil, Ahmed Arafa, Zeinab Mohammed, El-Nabgha F Mohammed, Ebtesam E Hassan, Sarah Abdel Hamid, Somaya A Ewis, Abd El-Nassir S Mohammed, Psychological impacts of COVID-19 pandemic on the university students in Egypt, Health Promotion International 2021; 36 (4): 1116–1125.
  13. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, Ng CH. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020; 7:228-9.
  14. Piltch-Loeb R, Abramson D. Information-accessing behavior during zika virus outbreak, United States, 2016. Emerg Infect Dis 2020; 26:2290-2.
  15. Abdulmuhsin AA, Değirmenci B, Efendi̇oğlu İH, Durmaz Y. The perception of COVID-19 and avoidance behavior in Turkey: the role of income level, gender and education. Int. J. Emerg. Mark 2022; 17(10): 2558-83.
  16. Albott CS, Wozniak JR, McGlinch BP, Wall MH, Gold BS, Vinogradov S. Battle buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic. Anesth. Analg 2020; 131(1): 43-54.
  17. Çırakoğlu O. The ınvestigation of swine ınfl uenza (H1N1) pandemic related perceptions in terms of anxiety and avoidance variables. TPD 2011; 26:65-69.
  18. Covid- 19 Research Turkey. Republic Of Turkey Ministry Of Health. [Internet]. Access address: https://covid19.saglik.gov.tr [accessed 10 October 2021].
  19. Broche Perez Y, Fernandez Fleites Z, Jimenez Puig E, Fernandez-Castillo E, Rodriguez Martin BC. Gender and fear OF COVID-19 in a Cuban population sample. Int. J. Ment. Health Addict 2022; 20(1):83-91.
  20. Chen TH, Chiang LL, Ma CC, Chang CH. Impact of a banning ındoor dining policy on restaurant avoidance behavior during the COVID-19 outbreak. Int. J. Environ. Res. Public Health 2021; 18(14): 7268.
  21. Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: mediating role of intolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Addict 2020; 19(6):2369-82.
  22. Geniş B, Gürhan N, Koç M, Geniş Ç, Şirin B, Çırakoğlu OC, Coşar B. Development of perception and attitude scales related with COVID-19 pandemia. IEDSR Association 2020; 5(7): 306-328.
  23. Göksu Ö, Kumcağız H. Perceived Stress Level and Anxiety Levels in İndividuals in COVID-19 Outbreak. Turkish Studies 2020; 15(4): 463-79.
  24. Joos A. Psychosomatic medicine and COVID-19 pandemic. Psychother Psychosom 2020; 89: 263-4.
  25. De Hoog N, Stroebe W, De Wit J. The processing of fear‐arousing communications: how biased processing leads to persuasion. Social Influence 2008; 3(2): 84-113.
  26. Doğan MM, Düzel B. Fear and anxiety levels specific to Covid-19. Electronic Turkish Studies 2020; 15(4).
  27. Mahmood MM, Rehman J, Arif B, Rehman Z, Aasim M, Saeed MT. Knowledge, attitudes and practices of patients with chronic illnesses during the COVID-19 pandemic: a cross- sectional survey from Pakistan. Kronik Illn 2022; 18(3):608-619.
  28. Yıldırım TA, Gebeşoğlu N. Evaluation of the fear of Covid 19 and the use of health services in ındividuals with chronic disease. IGUSABDER 2022; 16:98-113.
  29. Gencer N. Coronavırus (COVID-19) fear of ındıvıduals durıng the pandemıa: Çorum sample. Int. J. Soc. Sci 2020; (4):1153-73.
  30. Kuşoğlu İ, Beydağ KD. Determining the relationship between Covid-19 fear and Covid-19 hygiene behaviors in adults. Balıkesir Journal of Health Sciences. 2023; 12(1): 151-159.
  31. Altınayak SÖ, Erkek ZY. Comparison of individuals’ fear of COVID-19 pandemic and perceived control in Turkey. Journal of Contemporary Medicine. 2021;11(6): 838-845.
  32. Kwok KO, Li KK, Chan HHH, Yi YY, Tang A, Wei WI, Wong SYS. Community Responses during Early Phase of COVID-19 Epidemic, Hong Kong. Emerg Infect Dis. 2020; 26(7):1575-1579.
  33. Conway KP, Bhardwaj K, Michel E, Paksarian D, Nikolaidis A, Kang M, Merikangas KR, Milham MP. Association between COVID-19 risk-mitigation behaviors and specific mental disorders in youth. Child and Adolescent Psychiatry and Mental Health. 2023; 17(14).
  34. Balkhi F, Nasir A, Zehra A, Riaz R. Psychological and behavioral response to the coronavirus (Covid-19) pandemic. Cureus. 2020; 12(5): 1–16.
  35. Koşunalp N, Kavurmaci M. Determination of anxiety, depression, avoidance and obsessions experienced by hemodialysis patients during the COVID‐19. Therapeutic apheresis and dialysis. 2023; 27(6): 1070-1078.