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. 2022 Jul 15;10:819231. doi: 10.3389/fpubh.2022.819231

Table 1.

The OPAS-C.

Number Item Domain
1 I am having trouble relaxing because of the virus Stress
2 I cannot control worrying about the virus. Stress
3 I think about the virus more than I would like. Stress
4 Thoughts of the virus pop into my head even when I do not want them to. Stress
5 I have trouble concentrating because I think about the virus so much. Stress
6 I check the news or online sources for updates on the virus more than I would like. Stress
7 I am having trouble sleeping because I am thinking about the virus. Stress
8 I am afraid of getting the virus myself. Fear
9 I am afraid of a family member getting the virus. Fear
10 I feel isolated from other people in the pandemic. Loneliness
11 With the pandemic, I feel like I cannot connect to other people. Loneliness
12 I feel close to other people. Community
13 I feel part of a larger community of people. Community
14 I think the pandemic is a hoax. Exaggerated
15 I think people are getting too excited about the pandemic. Exaggerated
16 I am wearing a face covering or mask when I am around people. NPIs
17 I am social distancing. NPIs
18 I am washing my hands frequently. NPIs
19 I would take the coronavirus vaccine when it becomes available. Vaccine
20 I would have my children or parents take the vaccine when it comes out. Vaccine

All answer choices are rated using a 5-point Likert scale (strongly disagree though strongly agree). For questions 1–13, strongly agree is scored as 5, while for questions 14–20 strongly agree is scored as a 1 (reverse scoring). Higher values reflect a greater burden, and the total score therefore ranges from 20 to 100.