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Table 1 Characteristics of the 18 included studies

From: Instruments to measure fear of COVID-19: a diagnostic systematic review

Study

Instrument

Setting, target group, and participant description

Language

Test accuracy or validity methodsa

Ahorsu et al. [25]

FCV-19S (Fear of COVID-19 Scale) – development paper

Iran

N = 717 general population

Mean age: 31.25 years (SD 12.68),

Female: 42.0%

COVID-19 characteristics: NR

Socioeconomic: 8.9 years of education (SD 4.1)

Iranian, with English translation provided

Convergent validity (HADS Anxiety, HADS Depression, PVDS).

Internal consistency reliability.

Alyami et al. [38]

FCV-19S

Saudi Arabia

N = 639 general population

Mean age: 34.75 years (SD 11.80)

Female: 42.1%

COVID-19 characteristics: NR

Socioeconomic: 70% university qualification; 50.2% employed, 15.6% unemployed, 27.4% student

Arabic

Convergent validity (HADS total score, HADS Anxiety, HADS Depression).

Internal consistency reliability.

Arpaci et al. [39]

COVID-19 Phobia Scale (C19P-S) – development paper

Turkey

Study 1: N = 1250 general population

Mean age: 37.53 years (SD = 16.94)

Female: 61.2%

COVID-19 characteristics: 0.4% positive

Socioeconomic: 1.8% high, 21.3% middle-high, 57.5% middle, 14.6% low.

Study 2: N = 2143 general population

Mean age: 39.66 years (SD 16.87)

Female: 60–3%

COVID-19 characteristics: 0.5% positive

Socioeconomic: 1.5% high, 20.2% middle-high, 60.1% middle, 12.7% middle-low, 12.7% low

Turkish, with English translation provided

Reference test: COVID-19 infection vs not.

Internal consistency reliability.

Bitan et al. [40]

FCV-19S

Israel

N = 649

Mean age: NR

Female: 84.8%

COVID-19 characteristics: 52.9% unemployed during lockdown, 58.3% main career during COVID-19, 18.0% in risk group for COVID-19 mortality and 77.0% not in risk group, 4.1% direct contact with COVID-19 patient, 0.6% COVID-19 death in family

Socioeconomic: 33.2% above average, 45.6% below average, 21.1% average

Hebrew

Convergent validity (DASS-21), internal consistency reliability.

Chang et al. [41]

FCV-19S

Taiwan

N = 400 adults receiving inpatient or outpatient treatment for psychiatric disorder

Mean age: 46.91 years (SD 10.92)

Female: 44.5%

COVID-19 status: NR

Socioeconomic: Mean education years 11.31 (SD 2.98)

Chinese

Internal consistency reliability.

Feng et al. [42]

Scale of COVID-19 related psychological distress in healthy public (CORPD) – development paper

China

N = 652 uninfected healthy people

Mean age: NR

Female: 67.3%

COVID-19 status: NR

Socioeconomic: 82.8% had college degree or above, 56.4% had a monthly income of more than 4000 yuan

Chinese

Convergent validity (SCL-90), internal consistency reliability:

Haktanir et al. [43]

FCV-19S

Turkey

N = 668 general population

Mean age: NR

Female: 72.0%

COVID-19 status: NR

Socioeconomic: 31.4% high, 61.4% middle, 7% low 

Turkish

Convergent validity (BRS), internal consistency reliability.

Huarcaya-Victoria et al. [44]

FCV-19S

Peru

N = 832 general population

Mean age: 38.37 years (SD 12.75)

Female: 65.6%

COVID-19 status: 68.4% without any symptoms of COVID-19, 21.0% with one symptom, 6.5% with two symptoms, 3.5% with three symptoms, 0.6% with four or more symptoms

Socioeconomic: 76.4% with university education, 66.9% with formal employment

Spanish

Convergent validity (GAD-7, PHQ-9, IES-R), internal consistency reliability:

Mejia et al. [45]

Fear Perception and Magnitude of the Issue (MED-COVID-19) – development paper

Peru

N = about 400 public employees

Mean age: NR

Female: NR

COVID-19 status: NR

Socioeconomic: NR

Spanish, Portuguese

Internal consistency reliability

Nguyen et al. [35]

FCV-19S

Vietnam

N = 5423 university students

Mean age: 22.0 years (SD 2.0)

Female: 52.0%

COVID-19 status: 18.9% with suspected symptoms, 81.0% without suspected symptoms

Socioeconomic: 53.9% with very or fairly easy ability to pay for medication, 46.0% very or fairly difficult ablity to pay

Vietnamese

Reference test: AUC to distinguish GAD ≥8. Internal consistency reliability:

Pang et al. [46]

FCV-19S

Malaysia

N = 228 university students

Mean age: NR

Female: 71.1%

COVID-19 status: NR

Socioeconomic: 1.8% doctoral degree, 5.7% master degree, 56.1% bachelor degree, 26.8% diploma, 9.6% high school

Malay

Convergent validity (DASS-21), internal consistency reliability.

Perz et al. [47]

FCV-19S

United States

N = 237 university students

Mean age: 30.3 years (SD 10.2)

Female: 73.0%

COVID-19 status: 29% know someone with COVID-19 symptoms

Socioeconomic: 73% negative financial impact by COVID-19 or response

English

Convergent validity (GAD-7), internal consistency validity

Reznik et al. [48]

FCV-19S

Belarus and Russia

N = 850 university students/ graduates

Mean age: 34.8 (SD 13.0)

Female: 73.2%

COVID-19 status: NR

Socioeconomic: 65.4% university graduate, 28.4% university student, 6.2% primary or secondary school education

Russian

internal consistency reliability

Sakib et al. [49]

FCV-19S

Bangladesh

N = 8550 general population

Mean age: 26.5 years (SD 9.1)

Female: 44.0%

COVID-19 status: NR

Socioeconomic: 82.0% educated at tertiary level, 59.6% student, 3.7% unemployed

Bangal

Convergent validity (PHQ-9), internal consistency reliability

Satici et al. [50]

FCV-19S

Turkey

N = 1304 general population

Mean age: NR

Female: 70.3%

COVID-19 status: 1.7% symptoms, 12.9% partial symptoms, 85.4% no symptoms

Socioeconomic: 10.0% graduate degree, 79.8% bachelor degree, 3.8% associate degree, 5.0% high school, 1.4 less than high school

Turkish

Convergent validity (DASS-21, SWLS), internal consistency reliability

Soraci et al. [51]

FCV-19S

Italy

N = 249 general population

Mean age: 34.50 years (SD 12.21)

Female: 92%

COVID-19 status: NR

Socioeconomic: 58.7% university-level degree, 39% high school degree, 2.4% lower-level educational degree

Italian

Convergent validity (HADS, SMSP-A), internal consistency reliability

Tsipropoulou et al. [52]

FCV-19S

Greece

N = 2970 general population

Mean age: NR

Female: 72.5%

COVID-19 status: NR

Socioeconomic: 45.4% university degree, 29.8% high school degree, 1.5% less than high school. 8.9% health care provider.

Greek

Convergent validity (PHQ-9, GAD-7), internal consistency reliability

Zolotov et al. [36]

FCV-19S

Israel

N = 370 university students

Mean age: 25.2 (SD 3.1)

Female: 78.1%

COVID-19 status: NR

Socioeconomic: NR

Hebrew

Reference test: convergent validity to single items regarding COVID-19-related depression, anxiety, nervousness, loneliness, and exhaustion. Internal consistency reliability:

  1. NR Not reported. Other instruments: HADS Hospital Anxiety and Depression Scale, SMSP-A Severity Measure for Specific Phobia— Adult, PHQ-9:, DASS.21:, GAD-7 Generalized Anxiety Disorder scale, BRS Brief Resilience Scale, SCL-90 Symptom Checklist-90, PVDS Perceived Vulnerability to Disease Scale
  2. aConvergent validity is displayed in forest plots in Figs. 2, 3, 4 and 5. Other validity assessments are in Additional file 1