The Effect of Fear of COVID-19 Infection and Anxiety on Loneliness: Moderated Mediation Effects of Gratitude
	    		
		   		
		   			
		   		
	    	
    	- Author:
	        		
		        		
		        		
			        		Seong-Eun JEON
			        		
			        		
			        		
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			        		;
		        		
		        		
		        		
			        		Seunghyong RYU
			        		
			        		;
		        		
		        		
		        		
			        		Ju-Yeon LEE
			        		
			        		;
		        		
		        		
		        		
			        		Jae-Min KIM
			        		
			        		;
		        		
		        		
		        		
			        		Sung-Wan KIM
			        		
			        		;
		        		
		        		
		        		
			        		Young-Shin KANG
			        		
			        		
		        		
		        		
		        		
			        		
			        		Author Information
			        		
 - Publication Type:Original Article
 - From:Psychiatry Investigation 2023;20(9):870-879
 - CountryRepublic of Korea
 - Language:English
 - 
		        	Abstract:
			       	
			       		
				        
				        	 Objective:This study was conducted to identify factors related to loneliness during the coronavirus disease-2019 (COVID-19) pandemic and focused on how the fear of COVID-19 infection affects loneliness and the conditional effect of gratitude as a moderator in the relationship among the fear of COVID-19, anxiety, and loneliness. 
				        	
Methods:For the analysis of this study, a survey was conducted among 1,500 individuals aged 19 to 69 years living in three metropolitan areas in South Korea. Questionnaires included sociodemographic data, psychological experience and stress associated with COVID-19, Generalized Anxiety Disorder Scale–7, UCLA Loneliness Scale–3, and Gratitude Questionnaire–6. An analysis was conducted by applying SPSS PROCESS macro models 4 and 7.
Results:First, anxiety mediated the relationship between the fear of COVID-19 infection and loneliness. Second, the effect of the fear of COVID-19 infection on loneliness through anxiety was moderated by gratitude. The higher the gratitude, the more the fear of COVID-19 infection is buffered in the path to anxiety, and the lower the indirect effect on loneliness.
Conclusion:This suggests that in the context of the COVID-19 pandemic, interventions for psychological problems such as anxiety and loneliness can be carried out through gratitude, a significant protective variable. 
            