The scales were intentionally designed so they could be readily adapted for future pandemics. The CSS were developed to better understand and assess COVID-19-related distress. We developed the 36-item COVID Stress Scales (CSS) to measure these features, as they pertain to COVID-19. Research and clinical observations suggest that during times of pandemic many people exhibit stress- or anxiety-related responses that include fear of becoming infected, fear of coming into contact with possibly contaminated objects or surfaces, fear of foreigners who might be carrying infection (i.e., disease-related xenophobia), fear of the socio-economic consequences of the pandemic, compulsive checking and reassurance-seeking regarding possible pandemic-related threats, and traumatic stress symptoms about the pandemic (e.g., nightmares, intrusive thoughts).
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