RESEARCH PAPER
The relationship between fear of COVID-19 infection, fear of COVID-19 vaccination and Big Five personality traits: a mediation model
 
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Faculty of Psychology, University of Warsaw, Warsaw, Poland
CORRESPONDING AUTHOR
Włodzimierz Oniszczenko   

Faculty of Psychology, University of Warsaw, Warsaw, Poland
Submission date: 2022-03-09
Final revision date: 2022-10-17
Acceptance date: 2022-10-20
Online publication date: 2022-11-28
 
 
KEYWORDS
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ABSTRACT
Background:
The primary objective of our correlational, cross-sectional study was to determine the relationship between fear of COVID-19 infection and fear of COVID-19 vaccination and the role of the Big Five personality traits in this relation-ship.

Participants and procedure:
The study sample consisted of 462 participants, including 286 women and 176 men, aged 18 to 75, recruited from the general population. The Big Five personality traits were diagnosed using the Polish version of the Ten-Item Per-sonality Inventory. We used an 11-point numerical rating scale to measure the intensity of fear of COVID-19 infection as well as fear of COVID-19 vaccination.

Results:
The results indicate that fear of infection has a weak positive correlation with fear of vaccination. Both types of fear have a weak negative correlation with emotional stability and openness to experience. People diagnosed with COVID-19 have significantly higher levels of fear of vaccination and lower levels of emotional stability compared to those without a COVID-19 diagnosis. Fear of infection proves a good predictor of fear of vaccination and a likely me-diator between emotional stability and fear of vaccination against COVID-19.

Conclusions:
The results may increase our understanding of the role of personality traits, such as emotional stability, in the fear of infection and COVID-19 vaccination hesitancy.

 
REFERENCES (55)
1.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). APA.
 
2.
Aschwanden, D., Strickhouser, J. E., Sesker, A. A., Lee, J. H., Luchetti, M., Stephan, Y., Sutin, A. R., & Terracciano, A. (2021). Psychological and behavioural responses to coronavirus disease 2019: The role of personality. Europe-an Journal of Personality, 35, 51–66. https://doi.org/10.1002/per.22....
 
3.
Barlow, D. H., Ellard, K. K., Sauer-Zavala, S., Bullis, J. R., & Carl, J. R. (2014). The origins of neuroticism. Perspec-tives on Psychological Science, 9, 481–496. https://doi.org/10.1177/174569....
 
4.
Bendau, A., Plag, J., Petzold, M. B., & Ströhle, A. (2021). COVID-19 vaccine hesitancy and related fears and anxie-ty. International Immunopharmacology, 97, 107724. https://doi.org/10.1016/j.inti....
 
5.
Cerda, A. A., & García, L. Y. (2022). Factors explaining the fear of being infected with COVID-19. Health Expecta-tions, 25, 506–512. https://doi.org/10.1111/hex.13....
 
6.
DeBell, M., Maisel, N., Brader, T., Wilson, C., & Jackman, S. (2022). Improving the measurement of “Big Five” per-sonality traits in a brief survey instrument. European Journal of Psychological Assessment, 38, 150–161. https://doi.org/10.1027/1015-5....
 
7.
Dong, F., Liu, H. L., Dai, N., Yang, M., & Liu, J. P. (2021). A living systematic review of the psychological problems in people suffering from COVID-19. Journal of Affective Disorders, 292, 172–188. https://doi.org/10.1016/j.jad.....
 
8.
Fernández, R. S., Crivelli, L., Guimet, N. M., Allegri, R. F., & Pedreira, M. E. (2020). Psychological distress associated with COVID-19 quarantine: Latent profile analysis, outcome prediction and mediation analysis. Journal of Af-fective Disorders, 277, 75–84. https://doi.org/10.1016/j.jad.....
 
9.
Fieselmann, J., Annac, K., Erdsiek, F., Yilmaz-Aslan, Y., & Brzoska, P. (2022). What are the reasons for refusing a COVID-19 vaccine? A qualitative analysis of social media in Germany. BMC Public Health, 22, 846. https://doi.org/10.1186/s12889....
 
10.
Fink, M., Bäuerle, A., Schmidt, K., Rheindorf, N., Musche, V., Dinse, H., Moradian, S., Weismüller, B., Schweda, A., Teufel, M., & Skoda, E. M. (2021). COVID-19-fear affects current safety behavior mediated by neuroticism-results of a large cross-sectional study in Germany. Frontiers in Psychology, 12, 671768. https://doi.org/10.3389/fpsyg.....
 
11.
Fitzpatrick, K. M., Harris, C., & Drawve, G. (2020). Fear of COVID-19 and the mental health consequences in Amer-ica. Psychological Trauma, 12, S17–S21. https://doi.org/10.1037/tra000....
 
12.
Freeman, D., Lambe, S., Yu, L. M., Freeman, J., Chadwick, A., Vaccari, C., Waite, F., Rosebrock, L., Petit, A., Vanderslott, S., Lewandowsky, S., Larkin, M., Innocenti, S., McShane, H., Pollard, A. J., & Loe, B. S. (2021). Injec-tion fears and COVID-19 vaccine hesitancy. Psychological Medicine. https://doi.org/10.1017/S00332....
 
13.
Ganie, A., & Mukhter, I. (2022). Misinformation induced anxieties and fear affecting vaccination programs: Chal-lenge for COVID-19 vaccination program. Journal of Family Medicine and Primary Care, 11, 405–406. https://doi.org/10.4103/jfmpc.....
 
14.
Garcia, N. M., & Zoellner, L. A. (2017). Fear generalisation in individuals with high neuroticism: Increasing pre-dictability is not necessarily better. Cognition & Emotion, 31, 1647–1662. https://doi.org/10.1080/026999....
 
15.
Gosling, S., Rentfrow, P., & Swann, W., Jr. (2003). A very brief measure of the Big Five personality domains. Jour-nal of Research in Personality, 37, 504–528. https://doi.org/10.1016/S0092-....
 
16.
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach (2nd ed.). Guilford Press.
 
17.
Hettich, N., Beutel, M. E., Ernst, M., Schliessler, C., Kampling, H., Kruse, J., & Braehler, E. (2022). Conspiracy en-dorsement and its associations with personality functioning, anxiety, loneliness, and sociodemographic char-acteristics during the COVID-19 pandemic in a representative sample of the German population. PloS One, 17, e0263301. https://doi.org/10.1371/journa....
 
18.
Holzmann-Littig, C., Frank, T., Schmaderer, C., Braunisch, M. C., Renders, L., Kranke, P., Popp, M., Seeber, C., Fichtner, F., Littig, B., Carbajo-Lozoya, J., Meerpohl, J. J., Haller, B., Allwang, C., & on behalf of the CEOsys Con-sortium (2022). COVID-19 vaccines: Fear of side effects among German health care workers. Vaccines, 10, 689. https://doi.org/10.3390/vaccin....
 
19.
Ikizer, G., Kowal, M., Aldemir, İ. D., Jeftić, A., Memisoglu-Sanli, A., Najmussaqib, A., Lacko, D., Eichel, K., Turk, F., Chrona, S., Ahmed, O., Rasmussen, J., Kumaga, R., Uddin, M. K., Reynoso-Alcántara, V., Pankowski, D., & Coll-Martín, T. (2022). Big Five traits predict stress and loneliness during the COVID-19 pandemic: Evidence for the role of neuroticism. Personality and Individual Differences, 190, 111531. https://doi.org/10.1016/j.paid....
 
20.
Kabasawa, K., Tanaka, J., Komata, T., Matsui, K., Nakamura, K., Ito, Y., & Narita, I. (2021) Determination of specific life changes on psychological distress during the COVID-19 pandemic. PLoS One, 16, e0256481. https://doi.org/10.1371/journa....
 
21.
Kohút, M., Kohútová, V., & Halama, P. (2021). Big Five predictors of pandemic-related behavior and emotions in the first and second COVID-19 pandemic wave in Slovakia. Personality and Individual Differences, 180, 110934. https://doi.org/10.1016/j.paid....
 
22.
Kumar, V. V., & Tankha, G. (2022). The relationship between personality traits and COVID-19 anxiety: a mediating model. Behavioral Sciences, 12, 24. https://doi.org/10.3390/bs1202....
 
23.
Kumari, V., Ffytche, D. H., Das, M., Wilson, G. D., Goswami, S., & Sharma, T. (2007). Neuroticism and brain re-sponses to anticipatory fear. Behavioral Neuroscience, 121, 643–652. https://doi.org/10.1037/0735-7....
 
24.
Lee, M., & You, M. (2022). Direct and indirect associations of media use with COVID-19 vaccine hesitancy in South Korea: Cross-sectional web-based survey. Journal of Medical Internet Research, 24, e32329. https://doi.org/10.2196/32329.
 
25.
Lin, F. Y., & Wang, C. H. (2020). Personality and individual attitudes toward vaccination: a nationally representa-tive survey in the United States. BMC Public Health, 20, 1759. https://doi.org/10.1186/s12889....
 
26.
MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding and suppres-sion effect. Prevention Science, 1, 173–181. https://doi.org/10.1023/a:1026....
 
27.
Malesza, M., & Kaczmarek, M. C. (2021). Predictors of anxiety during the COVID-19 pandemic in Poland. Person-ality and Individual Differences, 170, 110419. https://doi.org/10.1016/j.paid....
 
28.
Mertens, G., Lodder, P., Smeets, T., & Duijndam, S. (2022). Fear of COVID-19 predicts vaccination willingness 14 months later. Journal of Anxiety Disorders, 88, 102574. https://doi.org/10.1016/j.janx....
 
29.
Millroth, P., & Frey, R. (2021). Fear and anxiety in the face of COVID-19: Negative dispositions towards risk and uncertainty as vulnerability factors. Journal of Anxiety Disorders, 83, 102454. https://doi.org/10.1016/j.janx....
 
30.
Mo, P. K., Luo, S., Wang, S., Zhao, J., Zhang, G., Li, L., Li, L., Xie, L., & Lau, J. (2021). Intention to receive the COVID-19 vaccination in China: Application of the diffusion of innovations theory and the moderating role of open-ness to experience. Vaccines, 9, 129. https://doi.org/10.3390/vaccin....
 
31.
Nguyen, K. H., Chen, S., Morris, K., Chui, K., & Allen, J. D. (2022). Mental health symptoms and association with COVID-19 vaccination receipt and intention to vaccinate among adults, United States. Preventive Medicine, 154, 106905. https://doi.org/10.1016/j.ypme....
 
32.
Nikčević, A. V., Marino, C., Kolubinski, D. C., Leach, D., & Spada, M. M. (2021). Modelling the contribution of the Big Five personality traits, health anxiety, and COVID-19 psychological distress to generalised anxiety and de-pressive symptoms during the COVID-19 pandemic. Journal of Affective Disorders, 279, 578–584. https://doi.org/10.1016/j.jad.....
 
33.
Nürnberger, P., von Lewinski, D., Rothenhäusler, H. B., Braun, C., Reinbacher, P., Kolesnik, E., & Baranyi, A. (2022). A biopsychosocial model of severe fear of COVID-19. PloS One, 17, e0264357. https://doi.org/10.1371/journa....
 
34.
Oniszczenko, W. (2021). The association between BIS/BAS and fear of COVID-19 infection among women. Current Issues in Personality Psychology, 9, 237–245. https://doi.org/10.5114/cipp.2....
 
35.
Paul, E., Steptoe, A., & Fancourt, D. (2021). Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications. The Lancet Regional Health – Europe, 1, 100012. https://doi.org/10.1016/j.lane....
 
36.
Pimenta, I., de Sousa Mata, Á. N., Braga, L. P., de Medeiros, G., de Azevedo, K., Bezerra, I., de Oliveira Segundo, V. H., de França Nunes, A. C., Santos, G. M., Grosseman, S., Nicolás, I. M., & Piuvezam, G. (2020). Media and scientific communi-cation about the COVID-19 pandemic and the repercussions on the population’s mental health: a protocol for a systematic review and meta-analysis. Medicine, 99, e23298. https://doi.org/10.1097/MD.000....
 
37.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavioral Research Methods, 40, 879–891. https://doi.org/10.3758/BRM.40....
 
38.
Proto, E., & Zhang, A. (2021). COVID-19 and mental health of individuals with different personalities. Proceedings of the National Academy of Sciences of the United States of America, 118, e2109282118.
 
40.
Reynaud, E., El Khoury-Malhame, M., Rossier, J., Blin, O., & Khalfa, S. (2012). Neuroticism modifies psychophysio-logical responses to fearful films. PloS One, 7, e32413. https://doi.org/10.1371/journa....
 
41.
Salerno, L., Craxì, L., Amodio, E., & Lo Coco, G. (2021). Factors affecting hesitancy to mRNA and viral vector COVID-19 vaccines among college students in Italy. Vaccines, 9, 927. https://doi.org/10.3390/vaccin....
 
42.
Scrima, F., Miceli, S., Caci, B., & Cardaci, M. (2022). The relationship between fear of COVID-19 and intention to get vaccinated. The serial mediation roles of existential anxiety and conspiracy beliefs. Personality and Indi-vidual Differences, 184, 111188. https://doi.org/10.1016/j.paid....
 
43.
Sekizawa, Y., Hashimoto, S., Denda, K., Ochi, S., & So, M. (2022). Association between COVID-19 vaccine hesitancy and generalized trust, depression, generalized anxiety, and fear of COVID-19. BMC Public Health, 22, 126. https://doi.org/10.1186/s12889....
 
44.
Sigorski, D., Sobczuk, P., Osmola, M., Kuć, K., Walerzak, A., Wilk, M., Ciszewski, T., Kopeć, S., Hryń, K., Rutkowski, P., Stec, R., Szczylik, C., & Bodnar, L. (2020). Impact of COVID-19 on anxiety levels among patients with cancer actively treated with systemic therapy. ESMO Open, 5, e000970. https://doi.org/10.1136/esmoop....
 
45.
Sorokowska, A., Słowińska A., Zbieg A., & Sorokowski, P. (2014). Polska adaptacja testu Ten Item Personality In-ventory (TIPI) – TIPI-PL [Polish adaptation of the Ten Item Personality Inventory (TIPI) – TIPI-PL]. WrocLab.
 
46.
Sirois, F. M., & Owens, J. (2021). Factors associated with psychological distress in health-care workers during an infectious disease outbreak: a rapid systematic review of the evidence. Frontiers in Psychiatry, 11, 589545. https://doi.org/10.3389/fpsyt.....
 
47.
Stamm, T. A., Partheymüller, J., Mosor, E., Ritschl, V., Kritzinger, S., & Eberl, J. M. (2022). Coronavirus vaccine hesitancy among unvaccinated Austrians: Assessing underlying motivations and the effectiveness of interven-tions based on a cross-sectional survey with two embedded conjoint experiments. The Lancet Regional Health – Europe, 17, 100389. https://doi.org/10.1016/j.lane....
 
48.
Tahir, A. I., Ramadhan, D. S., Taha, A. A., Abdullah, R. Y., Karim, S. K., Ahmed, A. K., & Ahmed, S. F. (2021). Public fear of COVID-19 vaccines in Iraqi Kurdistan region: a cross-sectional study. Middle East Current Psychiatry, 28, 46. https://doi.org/10.1186/s43045....
 
49.
Troisi, A., Nanni, R. C., Riconi, A., Carola, V., & Di Cave, D. (2021). Fear of COVID-19 among healthcare workers: The role of neuroticism and fearful attachment. Journal of Clinical Medicine, 10, 4358. https://doi.org/10.3390/jcm101....
 
50.
Yang, Z., Luo, X., & Jia, H. (2021). Is it all a conspiracy? Conspiracy theories and people’s attitude to COVID-19 vaccination. Vaccines, 9, 1051. https://doi.org/10.3390/vaccin....
 
51.
Yanto, T. A., Octavius, G. S., Heriyanto, R. S., Ienawi, C., Nisa, H., & Pasai, H. E. (2021). Psychological factors affect-ing COVID-19 vaccine acceptance in Indonesia. The Egyptian Journal of Neurology, Psychiatry and Neurosur-gery, 57, 177. https://doi.org/10.1186/s41983....
 
52.
Yeşiltepe, A., Aslan, S., & Bulbuloglu, S. (2021). Investigation of perceived fear of COVID-19 and vaccine hesitancy in nursing students. Human Vaccines & Immunotherapeutics, 17, 5030–5037. https://doi.org/10.1080/216455....
 
53.
Zacher, H., & Rudolph, C. W. (2021). Big Five traits as predictors of perceived stressfulness of the COVID-19 pan-demic. Personality and Individual Differences, 175, 110694. https://doi.org/10.1016/j.paid....
 
54.
Zawadzki, B., Kaczmarek, M., & Strelau, J. (2009). Reaktywność emocjonalna a nasilenie objawów zaburzenia stresowego pourazowego (PTSD) u ofiar powodzi: efekt patoplastyczności, spektrum, podatności czy kompli-kacji? [Emotional reactivity and the severity of symptoms of post-traumatic stress disorder (PTSD) in flood vic-tims: Pathoplasticity, spectrum, susceptibility or complications?] In J. Strelau, B. Zawadzki, & M. Kaczmarek (Eds.), Konsekwencje psychiczne traumy. Uwarunkowania i terapia [Psychological consequences of trauma. Conditions and therapy] (pp. 77–104). Wydawnictwo Naukowe Scholar.
 
55.
Zhou, L., Ampon-Wireko, S., Xu, X., Quansah, P. E., & Larnyo, E. (2022). Media attention and vaccine hesitancy: Examining the mediating effects of fear of COVID-19 and the moderating role of trust in leadership. PloS One, 17, e0263610. https://doi.org/10.1371/journa....
 
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