COVID-19 Anxiety Research Articles

Trends and factors influencing the mental health of college students in the post-pandemic: four consecutive cross-sectional surveys.

The long-term impact of COVID-19 on the mental health and well-being of college students, specifically trends over time after full removal of COVID-19 restrictions, has not been well-studied. Four consecutive cross-sectional surveys were conducted in December 2022 (N = 689), March 2023 (N = 456), June 2023 (N = 300), and November 2023 (N = 601) at a university in Sichuan Province, China. The proportion of students with COVID-19 panic decreased from 95.1 to 77.3% (p < 0.001). The prevalence of moderate anxiety and above decreased from 18 to 13.6% (p < 0.001), and the prevalence of moderate and above depression decreased from 33.1 to 28.1% (p < 0.001), while the prevalence of post-traumatic stress disorder (PTSD) increased from 21.5 to 29.6% (p < 0.005). Further, the proportion of suicidal thoughts increased from 7.7 to 14.8% (p < 0.001). Suicidal thoughts and self-injuries were significantly associated with COVID-19 panic, depression, anxiety, and PTSD. Students who reported being in close contact with COVID-19 patients in the past were more likely to develop PTSD. Further, COVID-19-induced panic was a risk factor for self-injury. One year after the COVID-19 pandemic, the overall mental health of college students was not optimal. Hence, we can conclude that the long-term impacts of COVID-19 on the mental health of college students may have already occurred. To mitigate this impact and prepare for the next major public health event, strengthening college students' mental health curricula and promoting healthy behaviors among college students should be a priority for universities and education authorities.

Exploring the Impact of Personal and Social Media-Based Factors on Judgments of Perceived Skepticism of COVID-19

Skepticism of COVID-19 has consequences for public health. We examined several variables that we reasoned were related to skepticism, including demographic factors, people’s perceptions and experiences related to COVID-19, and social media usage. The sample consisted of 294 participants recruited in April of 2020. Participants filled out a survey that included questions related to demographics, social media use, COVID-19 anxiety, COVID-19 interference, and COVID-19 skepticism. In the main, biological sex, ethnicity, and social media use were not significantly associated with skepticism regarding COVID-19. Alternatively, older participants and those who experienced greater anxiety related to the pandemic were less skeptical of COVID-19. Interestingly, people who experienced more interference in their lives because of COVID-19 were more skeptical of the pandemic. Finally, social media use moderated the influence of anxiety and interference on skepticism. The negative effect of anxiety on skepticism became weaker as people’s use of social media increased. The positive effect of interference related to COVID-19 on skepticism became stronger as people used more social media. Our findings underscore the importance of personal beliefs, attitudes, and experiences when explaining skepticism of the pandemic.

Misinformation as a Determinant of Response to COVID 19

Abstract Most of the micro and macro effects of the COVID-19 pandemic on the global economy have been investigated in the past two years. Few studies have examined COVID disinformation in non-Western countries. India produced the most social media disinformation, probably due to its high internet penetration, increased social media consumption, and low internet literacy (Al-Zaman, 2022a). To quantify the influence of disinformation on pandemic response, this study used mixed methods. The variables were examined through in-depth interviews. As they use digital media more than others, participants under 40 provided quantifiable data (The Future of India Foundation. (2022). Politics of disinformation: Why the current approaches are geared to fail and possible path forward. Retrieved from https://futureofindia.in/reports). It is mainly collected from metro cities of India. Moderation analysis using PLS-SEM examined whether self-perceived media literacy moderates the link between fake social media news and COVID-19 anxiety. The study findings have been linked to the theoretical foundation, the availability heuristic. This study holds significance as its implications will be beneficial in tackling the challenges associated with misinformation and its influence on response to pandemics that might be experienced in the future.

Exploration and analysis of anxiety and sleep disorders among medical personnel in medical observation and isolation sites

Objective: This study aims to assess the mental well-being and factors that influence medical personnel engaged in safeguarding tasks at medical observation and isolation sites amid COVID-19 prevention efforts in Qingpu District, Shanghai. The findings will provide evidence to inform the development of effective preventive strategies. Methods: A survey employing the Self-Rating Anxiety Scale (SAS), Pittsburgh Sleep Quality Index (PSQI), and a custom basic information questionnaire was conducted among medical personnel stationed at medical observation isolation sites in Qingpu District, Shanghai, during COVID-19 pandemic. Results: Out of the 379 medical personnel surveyed, 132 individuals (34.8%) exhibited symptoms of anxiety, while 252 individuals (66.5%) reported sleep disorders. The multivariate logistic regression analysis revealed that sex (OR=2.44, 95%CI: 1.28-4.65) and living with elderly (OR=1.64, 95%CI: 1.03-2.62) significantly affected the anxiety levels among healthcare workers. Although five variables including age, marital status, professional title, living with children, and living with elderly were examined for their impact on sleep quality, none of these factors showed statistically significant differences. Conclusions: During the COVID-19 pandemic, anxiety symptoms and sleep disorders among medical personnel stationed at medical observation isolation sites varied based on sex, age, marital status, education level, professional title, and living arrangements. These findings underscore the importance of addressing these concerns and implementing measures to enhance and alleviate anxiety and sleep disorders among medical personnel in isolation settings.

COVID-19 Fear and COVID-19 Anxiety as Predictors of Exercise Benefit-Barrier Perception in Type 2 Diabetes Patients in the COVID-19 process

COVID-19 Fear and COVID-19 Anxiety as Predictors of Exercise Benefit-Barrier Perception in Type 2 Diabetes Patients in the COVID-19 process

Direct Losses and Media Exposure to Death: The Long-Term Effect of Mourning during the COVID-19 Pandemic.

Background: The social distancing policies adopted during the COVID-19 pandemic forced many individuals to confront their mortality and worry about losing loved ones, making it impossible to say goodbye to them properly. Those not directly experiencing loss were inundated with information about COVID-19-related deaths throughout social media, leading to vicarious grief. This study delved into the long-term effects of direct and vicarious mourning on people's mental health during the COVID-19 pandemic. Method: A sample of 171 adults (65% female) aged 19-66 years (Mage = 25.8, SD = 8.57) voluntarily participated in an online survey assessing self-reported psychological measures of complicated grief, stress, depression, dispositional neuroticism, trait anxiety, and situational anxiety. Results: MANOVAs revealed that direct mourning experiences had an extremely severe impact on anxiety, stress, and fear of COVID-19, and a moderate effect on those without personal losses. Indeed, participants reporting high media exposure showed higher scores of depression and stress. Conclusions: Findings from the current study displayed that during the COVID-19 pandemic, people engaged more in proximal defenses than distal ones, taking health-protective measures, experiencing increased anxiety levels toward virus infection, and feeling distressed. Additionally, vicarious mourning was more strongly associated with depression due to emotional empathy with others.

The effect of COVID-19 anxiety on nurses' productivity determinants through perceived workload and individual job performance: A Bayesian mediation analysis

This study aims to predict how COVID-19 anxiety affects productivity determinants by examining the role of perceived workload and individual job performance as mediators using Bayesian mediation analysis. To achieve the study's objectives, all nurses working at Imam Reza Hospital were recruited to participate. To gather data, all eligible and voluntary nurses were asked to complete questionnaires that included the Corona Disease Anxiety Scale (CDAS), Individual Job Performance Questionnaire (IJPQ), NASA Task Load Index (NASA-TLX), and Workforce Productivity Questionnaire. Of the total number of nurses employed, 222 (126 women and 96 men) nurses fully completed the questionnaires. Out of these, 140 individuals were married and 82 were single. The mean ± standard deviation (SD) of the age and experience were 28.56 ± 5.78 and 8.49 ± 6.50, respectively. GeNIe software version 2.0 utilized to analyze the Bayesian network. The results showed that for the high COVID-19 anxiety and high workload states, with a probability of 100 %, the probability of high evaluation and high environment increased by 16.6 % and 16.3 %, respectively, but low evaluation and low environment decreased by 22.4 % and 22 %, respectively. In the high COVID-19 anxiety and low IJP states with a probability of 100 %, most change was related to the high ability (6 % increase), low evaluation (3.9 % increase), high incentive (3.8 % increase), low ability (4.6 % decrease) and low support (2 % decrease). Regarding COVID-19 anxiety (high 100 %), workload (high 100 %) and IJP (low 100 %), most of the increase was related to high environment and high evaluation by an increase of 17.3 and 17.2 %, respectively. Also, the value of low evaluation and low environment was reduced by 24 and 23.4 %, respectively. The study's findings confirm that nurses have been more productive during the COVID-19 pandemic, despite facing high workloads and the COVID-19 anxiety.

Analysis of Parental Stress and Anxiety Symptoms during COVID-19 Pandemic in Khulna City

Abstract Introduction: The COVID-19 pandemic tremendously increases mental health risk among parents due to extreme anxiety and stress. This study focuses on examining the variables related to parental stress and anxiety amid the COVID-19 epidemic. Methods: A cross-sectional survey was conducted among 118 parents in three wards (18, 27, and 28) of Khulna city, Bangladesh. Parental stress and anxiety during the COVID-19 pandemic were measured using the GAD-7 and PSS-10 scales. Socioeconomic and demographic data were also collected from households. The association between stress and anxiety and their contributing factors was analyzed using the Chi-square test and binary logistic regression. Results: The results showed that 27.5% of parents aged over 40 years and 35.6% of those who faced unemployment during COVID-19 experienced severe stress and anxiety. The regression analysis results confirmed this result. Furthermore, educational status, type of family, marital status, and total household income were found to be significant factors affecting parental stress and anxiety symptoms. The study demonstrated a significant impact of COVID-19 on elderly parents. Conclusions: These findings suggest that COVID-19 has significantly impacted elderly parents. Therefore, the study highlights an urgent need for mental health support to assist this vulnerable group in urban areas of Bangladesh.

An exploratory analysis of the association between coronavirus anxiety and teacher burnout

This study was an exploration of COVID-19 anxiety and its relationship with teacher burnout. The study was a cross-sectional survey research design with a convenience sample drawn from a population of K-12 public school teachers. A non-parametric statistical test, Kruskal-Wallis, showed a statistically significant difference in teacher burnout across the three grade levels: χ2 (2, N = 61) = 6.20, p = .045. Teacher burnout was lowest amongst elementary school teachers (M = 47.00) when compared to middle school (M = 74.00) and high school teachers (M = 71.00). Implications include a need for increased administrative support and decreased stress levels for teachers.

Association of COVID-19 vaccination and anxiety symptoms: A Scleroderma Patient-centered Intervention Network (SPIN) Cohort longitudinal study

ObjectiveSymptoms of anxiety increased early in the COVID-19 pandemic among people with systemic sclerosis (SSc) then returned to pre-pandemic levels, but this was an aggregate finding and did not evaluate whether vaccination may have contributed to reduced anxiety symptom levels. We investigated whether being vaccinated for COVID-19 was associated with reduced anxiety symptoms among people with SSc. MethodsThe longitudinal Scleroderma Patient-centered Intervention Network (SPIN) COVID-19 Cohort was launched in April 2020 and included participants from the ongoing SPIN Cohort and external enrollees. Participants completed measures bi-weekly through July 2020, then every 4 weeks afterwards through August 2022 (32 assessments). We used linear mixed models to evaluate longitudinal trends of PROMIS Anxiety 4a v1.0 anxiety domain scores and their association with vaccination. ResultsAmong 517 participants included in analyses, 489 (95%) were vaccinated by September 2021, and no participants were vaccinated subsequently. Except for briefly at the beginning, when few had received a vaccine, and end, when only 28 participants remained unvaccinated, anxiety symptom trajectories were largely overlapping. Participants who were never vaccinated had higher anxiety symptoms by August 2022, but there were no other differences, and receiving a vaccination did not appear to change anxiety symptom trajectories meaningfully. ConclusionVaccination did not appear to influence changes in anxiety symptoms among vulnerable people with SSc during the COVID-19 pandemic. This may be due to people restricting their behavior when they were unvaccinated and returning to more normal social engagement once vaccinated to maintain a steady level of anxiety symptoms.

Mental health and co-existence with COVID-19: quality of life, fear, anxiety and burnout in the early endemic phase in Malaysia

ABSTRACT After nearly three years of COVID-19 and multiple lockdowns, Malaysia entered the early endemic phase in April 2022. This transition brought new challenges and required continued adaptation, with mental health concerns rising due to the uncertainties of living with the virus. This study thus sought to examine, within the context of the early endemic phase, the quality of life among Malaysians, the mediating effect of fear arising from COVID-19, and how it results in anxiety and burnout. A cross-sectional online survey was conducted among 462 respondents (Mean age = 24.42; S.D.= 7.88), utilizing validated measures including the Malay versions of the COVID-19 Anxiety Scale, COVID-19 Burnout Scale, Fear of COVID-19 Scale, and the abbreviated WHO Quality of Life Scale. Results showed that quality of life negatively predicted an individual’s fear and burnout, but not anxiety. Fear arising from COVID-19 mediated the relationship between anxiety and burnout. While co-existing with COVID-19, it is important to consider the psychological impacts of this co-existence in promoting good health and individual well-being. Governments can use this data to implement risk management programs and policies to improve individuals’ quality of life. Post-pandemic, recognizing and addressing fear is essential for effective interventions.

Risk Perception and Maternal Prenatal Depressive Symptoms in the Early Stage of COVID-19 Pandemic in China: Role of Negative Emotions and Family Sense of Coherence.

Prenatal depression is associated with adverse health outcomes for both mothers and their children. The worldwide COVID-19 pandemic has presented new risks and challenges for expectant mothers. The aims of the study were to investigate the underlying mechanism between COVID-19 risk perception of Chinese pregnant women and their prenatal depressive symptoms and potential protective factors such as family sense of coherence (FSOC). A total of 181 Chinese pregnant women (Mage = 31.40 years, SD = 3.67, ranged from 23 to 43) participated in an online survey from April 22 to May 16, 2020. Risk perception and negative emotions (fear and anxiety) related with COVID-19, FSOC, and prenatal depressive symptoms were assessed. The experience of maternal COVID-19 related negative emotion fully mediated the positive relationship between COVID-19 risk perception and prenatal depressive symptoms of pregnant women (β = 0.12, 95% CI [0.06, 0.19]). When confronting COVID-19 related fear and anxiety, expectant mothers from higher coherent families experienced a significantly lower level of prenatal depressive symptoms. Contextual negative emotional experience was demonstrated to explain how risk perception impacts depressive symptoms during severe public health crisis for pregnant women. FSOC may be a psychological resource protecting pregnant women from experiencing adverse psychological outcomes during COVID-19 pandemic.

An Exploration for the Post-Pandemic Period of the Religious Lives of Individuals in Turkey Who Had Severe COVID-19 and Death Anxiety

Religion has emerged as a strong coping mechanism that has been employed by many people around the world during the chaotic atmosphere of the pandemic, and numerous studies have been conducted to investigate the relationship between religion and COVID-19. However, there is need for more studies examining how COVID-19 and death anxiety impacted individuals’ religious lives in the post-COVID-19 period. This phenomenological investigation examines the post-Covid-19 effects on the religious lives of individuals in Turkey who experienced severe Covid-19 and fear of death. The analyses of the research revealed that experiencing severe COVID-19 and death anxiety seem to contribute to strengthen religious commitments among the participants. According to research analyses, due to the severe COVID-19 and death anxiety, the participants reported that they (a) had a better understanding of human helplessness and the power of God, have tended to deepen their religious commitments; (b) gained a more robust understanding of the transient and mortal nature of the world; and (c) experienced a fear of dying as a sinner and considered the rest of their lives as a second chance given by God. All three of these factors appear to contribute to the involvement of religion in participants' lives in the post-COVID-19 period.

Adapting and Validating the Covid-19 Anxiety Scale (CAS-7) in Indonesia

Adapting and Validating the Covid-19 Anxiety Scale (CAS-7) in Indonesia

Differential Anxiety Responses in Acute Myocardial Infarction vs. COVID-19 Pneumonia Patients.

Background and Objectives: Amidst the COVID-19 pandemic, concerns about the psychological impact of disease-related anxiety on public health have risen. This study aims to compare general and death anxiety levels between acute coronary artery syndrome and COVID-19 pneumonia patients. Materials and Methods: A cross-sectional study of 132 individuals, including acute myocardial infarction (MI), COVID-19 pneumonia patients, and healthy volunteers from Trakya University Hospital (Turkey), was analyzed. Validated scales like the Beck Anxiety Inventory (BAI), Coronavirus Anxiety Scale Short Form, and Thorson-Powell Death Anxiety Scale (TPDAS) were employed. Demographic data such as age, gender, income levels, employment status, presence of a close relative with COVID-19, and whether participants followed COVID-19-related news were collected and compared across groups with significance level of 0.05 set for all analyses. Results: Among 41 COVID-19, 41 MI, and 50 healthy subjects, the pneumonia group showed highest COVID-19 anxiety (p = 0.01) and BAI scores (p = 0.008). Both COVID-19 and MI patients had significantly higher BAI and TPDAS scores compared to healthy controls (p < 0.001). Factors like female gender (p = 0.004), low education (p = 0.003), current employment (p = 0.008), and low income (p = 0.002) correlated with higher BAI scores. Low income (p = 0.001) and COVID-19 news exposure (p = 0.002) correlated with higher TPDAS scores. Males and married patients had lower anxiety scores (p = 0.008). High income, education, and employment reduced anxiety levels (p = 0.008). TPDAS scores decreased with higher income (p = 0.001), but increased in the MI group (p = 0.002) with COVID-19 news exposure. The multivariate linear regression analysis found that MI and COVID-19 pneumonia were associated with TPDAS; female gender, university education, and COVID-19 pneumonia with the Beck scale; and COVID-19 pneumonia with anxiety scores on the COVID-19 Anxiety scale. Conclusions: This research showcases differing anxiety patterns between illnesses such as MI and COVID-19 pneumonia amidst the pandemic, emphasizing the amplifying influence of media coverage on death-related anxieties. It underscores the imperative of targeted interventions and socioeconomic considerations in managing psychological consequences and formulating responsive public health strategies.

Drinking to Cope With the COVID-19 Pandemic Mediates Pathways From COVID-19 Anxiety to Alcohol Use and Alcohol Myopia Consequences

Objective People may consume alcohol to cope with the stressors and anxieties of the COVID-19 pandemic. The present study applied the self-medication hypothesis, tension reduction hypothesis, and alcohol myopia theory to understand COVID-19 alcohol coping as a mediator of the pathways from COVID-19 anxiety to alcohol use and alcohol consequences. Methods Participants (N = 477) were undergraduate college students. The mean age was 22.14 (SD = 5.66) years. Gender distribution included 73% females, 26% males, and 1% transgender. Racial categories included 70% White, 11% Latino, 5% Black, 5% Asian, and 9% multiracial. They completed the Coronavirus Anxiety Scale, the COVID-19 Alcohol Coping Scale developed and validated in the present study, measures of drinking frequency and drinking quantity, and the Alcohol Myopia Scale to assess alcohol consequences. Results First, confirmatory factor analysis supported the measurement structure of the COVID-19 Alcohol Coping Scale. Second, a general structural equation model containing only latent factors provided evidence for the following pathways: COVID-19 anxiety to COVID-19 alcohol coping to overall alcohol use to alcohol myopia consequences. Third, a specific structural equation model separated the overall alcohol use factor into two measures of drinking frequency and drinking quantity. Results found that COVID-19 alcohol coping uniquely explained drinking frequency (but not drinking quantity), indicating that the pursuit of alcohol to cope with the pandemic was related to more frequent days of alcohol use but not more concentrated use on drinking days. Tests of indirect effects corroborated the mediational pathways in the explanatory models. Conclusions The research offers insights into understanding that the risk connections from COVID-19 anxiety to alcohol behavioral outcomes are mediated by alcohol use to cope with the pandemic.

Anxiety and fear of COVID-19 as potential mechanisms to explain vaccine hesitancy among adults.

Vaccine hesitancy is a significant global problem resulting from the interaction of multiple factors, including mental health factors. However, the association of COVID-19 vaccine hesitancy with mental health has not been well-examined, especially in Arab culture. This study aims to identify the correlation between anxiety/fear of COVID-19 and vaccine hesitancy among Saudi adults. An online-based survey was administered to 558 participants from all regions of Saudi Arabia using the snowball technique. However, this sample may not be representative of the Saudi adult population. Participants responded to the Questionnaire of Vaccine Hesitancy, the COVID-19-Anxiety Questionnaire (C-19-A), and the Fear of COVID-19 Scale (FCV-19S). Data were analyzed on vaccine uptake, vaccine hesitancy, coronavirus infection, and demographic variables. The predictive factors of vaccine hesitancy were examined in one model using multiple regression analysis by the Enter method (P= 0.05). COVID-19 anxiety and fear have significant correlations with vaccine hesitancy (Phi=0.33, P=0.017; Phi=0.29, P=0.013, respectively). Anxiety and fear were higher among unhesitating participants (t =2.469, P=0.014; t=2.025, P=0.043, respectively). Participants who had previously been infected with coronavirus were more likely to be hesitant (X2=23.126, P=0.000). Participants who scored high in anxiety were more likely to be vaccinated (F=3.979, P=0.019) and have a secondary school or college education (F=4.903 P=0.002). COVID-19 anxiety, gender, and coronavirus infection significantly predicted vaccine hesitancy. Anxiety and fear of COVID-19 are among the most important factors correlated with vaccine hesitancy; unhesitant people are more likely to have anxiety and fear. COVID-19 anxiety significantly predicted vaccine hesitancy. We recommend integrating psychological care into vaccination plans to help increase the uptake rate during potential subsequent pandemics. Relevant intervention programs can be designed to help increase vaccine acceptance, deal with vaccine hesitancy, and relieve psychological symptoms during major pandemics. Psychologists can provide awareness messages, counselling seminars, online mentoring, or telemental health outreach.

The Relationships of Social Capital with COVID-19 Anxiety and Aggression Among Nurses Caring for COVID-19 Patients in Two Hospitals in Southwestern Iran

Background: Health crises expose nurses to numerous psychological challenges and affect their daily interactions. Objectives: This study aimed to explore the relationship between social capital and psychological symptoms among nurses caring for COVID-19 patients. Methods: In this descriptive-analytical study using systematic random sampling, data from 207 nurses were collected through a demographic questionnaire, the Onyx and Bolen Social Capital Scale, the Corona Disease Anxiety Scale (CDAS), and the Buss Perry Aggression Questionnaire (BPAQ). Results: The mean ± SD age of the nurses was 33.6 ± 7.76 years. The mean ± SD scores for social capital, anxiety, and aggression among participants were moderate, low, and low, respectively. A significant inverse relationship was observed between social capital and both COVID-19 anxiety and aggression. Conclusions: It is recommended that officials work to empower the nursing care team by providing opportunities for the development of social capital and anger management skills.

Coronavirus disease 2019 status and related anxiety levels in cases undergoing total laryngectomy.

This study aimed to evaluate rate of the COVID-19 disease, its severity, mortality rate and anxiety levels in subjects who underwent total laryngectomy. The subjects who underwent total laryngectomy were included in the study. The data were first obtained retrospectively and then a telephone survey was applied. Anxiety levels was evaluated by the Coronavirus Anxiety Scale (CAS). A total of 54 subjects were included in the study. Nine (16.7%) males were reported to be infected with SARS-CoV-2. Five (55%) of them were hospitalized; 2 of them (22%) were taken to intensive care units, and one subject (11%) died. Although a tendency to increase risk of COVID-19 disease in the tracheoesophageal voice prosthesis users (23.1% vs 14.63%) was observed, statistically difference was not significant. The average total CAS score was significantly higher in those who had COVID-19. The data documented that people who underwent total laryngectomy developed more frequent and more severe COVID-19 disease and had a higher mortality rate. Although no obvious variable was found, our data suggest that using a tracheoesophageal voice prosthesis may be somewhat effective. Besides, our subjects presented very low anxiety about COVID-19.

Development and validation of the COVID-19 Anxiety Scale for Japanese elite athletes

Abstract: Introduction: Japanese elite athletes were affected by the spread of COVID-19 infection. Four years after the pandemic, COVID-19 is still spreading and subsiding, and it is expected that some athletes are still concerned about COVID-19. Therefore, we developed the COVID-19 Anxiety Scale for Elite Athletes (CAS-EA) to measure COVID-19 anxiety among Japanese elite athletes and to examine its reliability and validity. Method: This is an observational cross-sectional study. In study 1, a 35-item anxiety questionnaire about COVID-19 was administered to 100 elite athletes on 8/18-9/1/2020. In study 2, 296 elite athletes were asked to respond to the CAS-EA, the Japanese version of State-Trait Anxiety Inventory (STAI), and the Japanese version of the Fear of Coronavirus Virus Scale (FCV-19S) from 8/31-11/8/2022. Results: In study 1, an exploratory factor analysis was conducted to create CAS-EA, which consisted of 19 items with four factors: Restrictions, Sport, Practice and Athlete value. The reliability of the scales was examined, confirming a certain internal consistency. In addition, study 2 showed significant positive correlations with CAS-EA and related scales. In the COVID-19 disaster, psychological stress was more strongly associated with A-trait than physical stress, a result that could be explained by Spielberger’s Trait-state anxiety theory. Furthermore, CAS-EA scores were significantly higher for female than for male, which was consistent with the results of previous studies. Conclusion: An attempt was made to create a scale to measure anxiety about COVID-19 in Japanese elite athletes, and a 4-factor, 19-item CAS-EA was created. The reliability and validity of the scale were tested and confirmed successfully.