{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:17:47Z","timestamp":1768263467796,"version":"3.49.0"},"reference-count":55,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u201cDouble Top\u201d of Yunnan University, the National Key R&amp;D Program of China","award":["2017YFE0103700"],"award-info":[{"award-number":["2017YFE0103700"]}]},{"name":"\u201cThe Mental Rehabilitation Program\u201d of Kunming Psychiatric Hospital","award":["2017YFE0103700"],"award-info":[{"award-number":["2017YFE0103700"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: fear of COVID-19 is widespread among the population, especially among college students because of their increased exposure to the media information overload of the COVID-19 outbreak. The Fear of COVID-19 scale (FCV-19 S) is a relatively short instrument used to evaluate fears surrounding the COVID-19 pandemic. However, the validity and reliability of the Fear of COVID-19 Scale have not been fully investigated in Chinese university student groups. Objectives: this study assessed the cross-cultural adaptability and reliability of the FCV-19S for Chinese university students. Methods: a Chinese version of Fear of COVID-19 Scale (C-FCV-19S) was generated using the translation-backward translation method. Psychometric properties of the C-FCV-19S, including internal consistency, split-half reliability, construct reliability, convergent validity, and diagnostic accuracy, were evaluated. The Patient Health Questionnaire (PHQ) and Generalized Anxiety Disorder Questionnaire (GAD-7) scales were also used to evaluate participants for depression and anxiety. Results: the C-FCV-19S has acceptable internal consistency (Cronbach\u2019s alpha: 0.872) and satisfactory split-half reliability (correlation coefficient: 0.799). Using the exploratory factor analysis (EFA), we examined the construct reliability (KMO = 0.920). The confirmatory factor analysis (CFA) confirmed that the bifactor model of scale (including general factor, factor1: the awareness of COVID-19 and physiological arousal, factor 2: fear-related thinking) had a good fit index (\u03c72\/df =6.18, RMSEA= 0.067, SRMR = 0.028, GFI = 0.986, TLI = 0.970 and CFI= 0.988). Using depression-positive and anxiety-positive scores as reference criteria, we found that the areas under the curve were 0.70 and 0.68, respectively, and that the optimal cutoff scores of the C-FCV-19S was 17.5 (sensitivity: 66.3% and 58.7%, respectively). Conclusions: the validity and reliability of C-FCV-19S are satisfactory, and the optimal cutoff point was 17.5. The C-FCV-19S can be applied adopted in Chinese university students.<\/jats:p>","DOI":"10.3390\/ijerph19148624","type":"journal-article","created":{"date-parts":[[2022,7,17]],"date-time":"2022-07-17T22:57:06Z","timestamp":1658098626000},"page":"8624","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Cross-Cultural Adaptation and Validation of the Fear of COVID-19 Scale for Chinese University Students: A Cross-Sectional Study"],"prefix":"10.3390","volume":"19","author":[{"given":"Wanqiu","family":"Yang","sequence":"first","affiliation":[{"name":"The Mental Health Center, Yunnan University, Kunming 650091, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Li","sequence":"additional","affiliation":[{"name":"Faculty of Education, Yunnan Normal University, Kunming 650500, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yubo","family":"Huang","sequence":"additional","affiliation":[{"name":"The Mental Health Center, Yunnan University, Kunming 650091, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao","family":"Yang","sequence":"additional","affiliation":[{"name":"Kunming Psychiatric Hospital, Kunming 650225, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Mu","sequence":"additional","affiliation":[{"name":"The Mental Health Center, Yunnan University, Kunming 650091, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wangwei","family":"Jing","sequence":"additional","affiliation":[{"name":"Kunming Psychiatric Hospital, Kunming 650225, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaohong","family":"Ma","sequence":"additional","affiliation":[{"name":"West China Hospital of Sichuan University, Chengdu 610044, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangyang","family":"Zhang","sequence":"additional","affiliation":[{"name":"CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/S0140-6736(20)30183-5","article-title":"A novel coronavirus outbreak of global health concern","volume":"395","author":"Huang","year":"2020","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.ijid.2020.01.009","article-title":"The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health-The latest 2019 novel coronavirus outbreak in Wuhan, China","volume":"91","author":"Hui","year":"2020","journal-title":"Int. J. Infect. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/S2215-0366(20)30046-8","article-title":"Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed","volume":"7","author":"Xiang","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.1016\/S2215-0366(20)30047-X","article-title":"The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus","volume":"7","author":"Kang","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1177\/0972063420935544","article-title":"Mental Health and Psychosocial Aspects of COVID-19 in India: The Challenges and Responses","volume":"22","author":"Das","year":"2020","journal-title":"J. Health Manag."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/S0140-6736(20)30460-8","article-title":"The psychological impact of quarantine and how to reduce it: Rapid review of the evidence","volume":"395","author":"Brooks","year":"2020","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1537","DOI":"10.1007\/s11469-020-00270-8","article-title":"The Fear of COVID-19 Scale: Development and Initial Validation","volume":"20","author":"Ahorsu","year":"2020","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1007\/s11469-020-00414-w","article-title":"Mental Health Screening for COVID-19: A Proposed Cutoff Score for the Greek Version of the Fear of COVID-19 Scale (FCV-19S)","volume":"20","author":"Nikopoulou","year":"2020","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"678979","DOI":"10.3389\/fpsyg.2021.678979","article-title":"The Factor Structure and Rasch Analysis of the Fear of COVID-19 Scale (FCV-19S) Among Chinese Students","volume":"12","author":"Chen","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"113100","DOI":"10.1016\/j.psychres.2020.113100","article-title":"Fear of COVID-19 scale: Psychometric characteristics, reliability and validity in the Israeli population","volume":"289","author":"Bloch","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Moreta-Herrera, R., Lopez-Calle, C., Caycho-Rodriguez, T., Cabezas Guerra, C., Gallegos, M., Cervigni, M., Martino, P., Bares, I., and Calandra, M. (2021). Is it possible to find a bifactor structure in the Fear of COVID-19 Scale (FCV-19S)? Psychometric evidence in an Ecuadorian sample. Death Stud.","DOI":"10.1080\/07481187.2021.1914240"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1007\/s11469-020-00441-7","article-title":"Psychometric Evaluation of the Fear of COVID-19 Scale Among Chinese Population","volume":"20","author":"Chi","year":"2021","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1007\/s11469-020-00283-3","article-title":"COVID-19 Fear in Eastern Europe: Validation of the Fear of COVID-19 Scale","volume":"19","author":"Reznik","year":"2020","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1038\/s41393-019-0384-z","article-title":"Validation and psychometric evaluation of the Italian version of the Spinal Cord Injury Secondary Conditions Scale","volume":"58","author":"Conti","year":"2020","journal-title":"Spinal Cord"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.1007\/s11469-020-00316-x","article-title":"Psychometric Evaluation of the Arabic Version of the Fear of COVID-19 Scale","volume":"19","author":"Alyami","year":"2020","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.bbi.2020.05.049","article-title":"Can COVID-19 related mental health issues be measured?","volume":"88","author":"Ransing","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.bbi.2020.06.006","article-title":"Assessing the fear of COVID-19 among different populations: A response to Ransing et al. (2020)","volume":"89","author":"Pakpour","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.micinf.2020.02.004","article-title":"Lessons learned from the 2019-nCoV epidemic on prevention of future infectious diseases","volume":"22","author":"Pan","year":"2020","journal-title":"Microbes Infect."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Deng, S.Q., and Peng, H.J. (2020). Characteristics of and Public Health Responses to the Coronavirus Disease 2019 Outbreak in China. J. Clin. Med., 9.","DOI":"10.3390\/jcm9020575"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"112934","DOI":"10.1016\/j.psychres.2020.112934","article-title":"The psychological impact of the COVID-19 epidemic on college students in China","volume":"287","author":"Cao","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e181","DOI":"10.1017\/S2045796020000931","article-title":"Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China","volume":"29","author":"Ma","year":"2020","journal-title":"Epidemiol. Psychiatr. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"100213","DOI":"10.1136\/gpsych-2020-100213","article-title":"A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations","volume":"33","author":"Qiu","year":"2020","journal-title":"Gen. Psychiatr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"2024","DOI":"10.3389\/fpsyg.2020.02024","article-title":"COVID-19 in Guangdong: Immediate Perceptions and Psychological Impact on 304, 167 College Students","volume":"11","author":"Li","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Wang, C., Cheng, Z., Yue, X.G., and McAleer, M. (2020). Risk Management of COVID-19 by Universities in China. J. Risk Financ. Manag., 13.","DOI":"10.3390\/jrfm13020036"},{"key":"ref_25","first-page":"1","article-title":"Investigation and analysis of negative emotion among university students during home quarantine of COVID-19","volume":"41","author":"Han","year":"2020","journal-title":"J. Xi\u2019an Jiaotong Univ. (Med. Sci.)"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Zhao, B., Kong, F., Aung, M.N., Yuasa, M., and Nam, E.W. (2020). Novel Coronavirus (COVID-19) Knowledge, Precaution Practice, and Associated Depression Symptoms among University Students in Korea, China, and Japan. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17186671"},{"key":"ref_27","first-page":"171","article-title":"Mental health status and its influencing factors among college students during the epidemic of COVID-19","volume":"40","author":"Chang","year":"2020","journal-title":"Nan Fang Yi Ke Da Xue Xue Bao"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e2025591","DOI":"10.1001\/jamanetworkopen.2020.25591","article-title":"Factors associated with mental health disorders among university students in France confined during the COVID-19 pandemic","volume":"3","author":"Wathelet","year":"2020","journal-title":"JAMA Netw. Open."},{"key":"ref_29","unstructured":"The Chinese People\u2019s Health Commission (2020, January 27). A Notification on Intervention of Emergency Psychological Crisis during the Prevention and Control of New Coronavirus Pneumonia (in Chinese), Available online: http:\/\/www.gov.cn\/xinwen\/2020-01\/27\/content_5472433.htm."},{"key":"ref_30","unstructured":"The Ministry of Education of the People\u2019s Republic of China (2020, February 02). A Notification on Several Matters Related to Teachers\u2019 Affairs during the Prevention and Control of New Coronavirus Pneumonia, Available online: http:\/\/www.gov.cn:8080\/zhengce\/zhengceku\/2020-02\/14\/content_5478554.htm."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1080\/00401706.1993.10485363","article-title":"A First Course in Factor Analysis","volume":"35","author":"Price","year":"1993","journal-title":"Technometrics"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"Lowe, Bernd. A brief measure for assessing generalized anxiety disorder","volume":"166","author":"Kroenke","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.sbspro.2013.07.114","article-title":"Analysis of Instruments Measuring Values of Mathematics Education","volume":"90","author":"Pa","year":"2013","journal-title":"Procedia-Soc. Behav. Sci."},{"key":"ref_35","first-page":"1","article-title":"Cronbach\u2019s Alpha: A Tool for Assessing the Reliability of Scales","volume":"37","author":"Santos","year":"1999","journal-title":"J. Ext."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1080\/10705511.2012.687667","article-title":"Principles and Practice of Structural Equation Modeling by Rex B. Kline","volume":"19","author":"Markus","year":"2012","journal-title":"Struct. Equ. Modeling: A Multidiscip. J."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1177\/002224378101800312","article-title":"Evaluating structural equation models with unobservable variables and measurement error: A comment","volume":"18","author":"Bagozzi","year":"1981","journal-title":"J. Market. Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/014662169501900203","article-title":"Fitting Polytomous Item Response Theory Models to Multiple-Choice Tests","volume":"19","author":"Drasgow","year":"1995","journal-title":"Appl. Psychol. Meas."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1037\/1082-989X.7.1.64","article-title":"Principles and practice in reporting structural equation analyses","volume":"7","author":"McDonald","year":"2002","journal-title":"Psychol. Methods"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"Hu","year":"1999","journal-title":"Struct. Equ. Modeling Multidiscip. J."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1037\/0033-2909.88.3.588","article-title":"Significance tests and goodness of fit in the analysis of covariance structures","volume":"88","author":"Bentler","year":"1980","journal-title":"Psychol. Bull."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1177\/0013164411416976","article-title":"Adjusting the Adjusted \u03c72\/df Ratio Statistic for Dichotomous Item Response Theory Analyses","volume":"72","author":"Tay","year":"2011","journal-title":"Educ. Psychol. Meas."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1177\/8756479308317006","article-title":"Measures of Association: How to Choose?","volume":"24","author":"Khamis","year":"2008","journal-title":"J. Diagn. Med. Sonogr."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/BF02291817","article-title":"A second-generation little jiffy","volume":"35","author":"Kaiser","year":"1970","journal-title":"Psychometrika"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"113350","DOI":"10.1016\/j.psychres.2020.113350","article-title":"The Fear of COVID-19 Scale: Validation in Spanish university students","volume":"293","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_46","first-page":"389","article-title":"Validation and Psychometric Properties of the Japanese Version of the Fear of COVID-19 Scale Among Adolescents","volume":"20","author":"Masuyama","year":"2020","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"668407","DOI":"10.3389\/fphar.2021.668407","article-title":"Potential Mechanisms of Action of Chinese Patent Medicines for COVID-19: A Review","volume":"12","author":"Yang","year":"2021","journal-title":"Front. Pharmacol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1038\/s41562-020-0884-z","article-title":"Using social and behavioural science to support COVID-19 pandemic response","volume":"4","author":"Bavel","year":"2020","journal-title":"Nat. Hum. Behav."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1093\/jpepsy\/jsaa122","article-title":"Physical Distancing Behavior: The Role of Emotions, Personality, Motivations, and Moral Decision-Making","volume":"46","author":"Alivernini","year":"2021","journal-title":"J. Pediatric Psychol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1027\/2512-8442\/a000083","article-title":"Adolescents at a distance: The importance of socio-cognitive factors in preventive behavior during the COVID-19 pandemic","volume":"28","author":"Cavicchiolo","year":"2021","journal-title":"Eur. J. Health Psychol."},{"key":"ref_51","first-page":"e41","article-title":"Epidemiological and clinical aspects of COVID-19: A narrative review","volume":"8","author":"Kolifarhood","year":"2020","journal-title":"Arch. Acad. Emerg. Med."},{"key":"ref_52","first-page":"186","article-title":"Marsh. Structural equation model testing: Cutoff criteria for goodness of fit indices and chi-square test","volume":"36","author":"Wen","year":"2004","journal-title":"Acta Psychol. Sin."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1037\/1082-989X.3.4.424","article-title":"Fit Indices in Covariance Structure Modeling: Sensitivity to under Parameterized Model Misspecification","volume":"3","author":"Hu","year":"1998","journal-title":"Psychol. Methods"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1207\/s15328007sem1103_2","article-title":"In Search of Golden Rules: Comment on Hypothesis-Testing Approaches to Setting Cutoff Values for Fit Indexes and Dangers in Overgeneralizing Hu and Bentler\u2019s (1999) Findings","volume":"11","author":"Marsh","year":"2004","journal-title":"Struct. Equ. Modeling Multidiscip. J."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1080\/07481187.2020.1773026","article-title":"Adaptation and evaluation of Turkish version of the fear of COVID-19 Scale","volume":"46","author":"Haktanir","year":"2020","journal-title":"Death Stud."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/14\/8624\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:51:17Z","timestamp":1760140277000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/14\/8624"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,15]]},"references-count":55,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["ijerph19148624"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19148624","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,15]]}}}