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Open Access Special Issue

Anxiety level in context of chosen pro-health attitudes of male students during COVID-19 pandemic

  • Dorota Ortenburger1
  • Jacek Wąsik1
  • Iuliia Pavlova2
  • Dariusz Mosler1

1Department of Kinesiology and Health Prevention, Jan Dlugosz University of Czestochowa, 42-200 Częstochowa, Poland

2Theory and Methods of Physical Culture Department, Lviv State University of Physical Culture, 79007 Lviv, Ukraine

DOI: 10.31083/jomh.2021.093 Vol.17,Issue 4,September 2021 pp.109-116

Submitted: 25 May 2021 Accepted: 08 July 2021

Published: 30 September 2021

(This article belongs to the Special Issue COVID-19 impact on men's mental health)

*Corresponding Author(s): Jacek Wąsik E-mail:


Background and objective: Assessing the impact of different factors on anxiety level is a complex and challenging problem, especially during pandemic or similar life threatening situations. Stress can affect dietary and eating behaviors. The aim of this study is to extend knowledge concerning the relation between increased anxiety level during pandemic and attitude towards dietary and eating behaviors in the context of social situation and support of relatives and friends. This study was conducted in 2020 during COVID-19 pandemic.

Methods: State-Trait Anxiety Inventory alongside auxiliary questions about social relations and eating habits were asked to the male students from different universities and courses in Eastern Europe. To assess differences and dynamics of anxiety level, multiple regression models were used.

Results: Multiple regression models between state anxiety level with context to the following factors: paying particular attention to one's diet, namely, the way of nutrition during severe anxiety felt during the pandemic and factors such as strong social support and type of university course was R = 0.41 (p = 0.00). For trait-anxiety the same model returned R = 0.39 (p = 0.00). Analysis of variance revealed that support of relatives is significant factor for state anxiety level, whereas this factor is insignificant for trait anxiety level.

Conclusions: Models obtained from this study indicated that there are significant relations between anxiety level of male students and social support, which is expressed in the form of proper eating, therefore pro-health habits are revealed during elevated prolonged stress state such as COVID-19 pandemic.


State anxiety; Trait anxiety; COVID-19; Social relations; Eating habits

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Dorota Ortenburger,Jacek Wąsik,Iuliia Pavlova,Dariusz Mosler. Anxiety level in context of chosen pro-health attitudes of male students during COVID-19 pandemic. Journal of Men's Health. 2021. 17(4);109-116.


[1] Ceklarz J. Revision of the Conception of Antoni Kępiński’s Informa-tion Metabolism. Psychiatria Polska. 2018; 52: 165–173.

[2] Endler NS, Kocovski NL. State and trait anxiety revisited. Journal of Anxiety Disorders. 2001; 15: 231–245.

[3] Pacesova P, Smela P, Kracek S. Personal well-being as part of the quality of life: Is there a difference in the personal well-being of women and men with higher level of anxiety trait regarding their sport activity? Physical Activity Review. 2019; 7: 201–208.

[4] Reinholdt-Dunne ML, Mogg K, Bradley BP. Attention control: relationships between self-report and behavioural measures, and symptoms of anxiety and depression. Cognition and Emotion. 2013; 27: 430–440.

[5] Proios I, Batsiou S, Bebetsos E, Malliou P, Fotiadou E, Proios

M. Achievement goal orientations profile in people with physical disability. Physical Activity Review. 2019; 7: 9–17.

[6] Blakey SM, Abramowitz JS. The effects of safety behaviors during exposure therapy for anxiety: Critical analysis from an inhibitory learning perspective. Clinical Psychology Review. 2016; 49: 1–15.

[7] Spielberger CD. State-Trait Anxiety Inventory. 2010. Available at: (Accessed: 5 May 2021).

[8] Spielberger C, Gorsuch R, Lushene R, Vagg PR, Jacobs G. Manual for the State-Trait Anxiety Inventory (Form Y1–Y2). CA: Consulting Psychologists Press. 1983.

[9] Taylor DJ, Lichstein KL, Durrence HH, Reidel BW, Bush AJ. Epidemiology of insomnia, depression, and anxiety. Sleep. 2005; 28: 1457–1464.

[10] Pluess M, Conrad A, Wilhelm FH. Muscle tension in generalized anxiety disorder: a critical review of the literature. Journal of Anxiety Disorders. 2009; 23: 1–11.

[11] Pacheco-Unguetti AP, Acosta A, Callejas A, Lupiáñez J. Attention and Anxiety: Different Attentional Functioning Under State and Trait Anxiety. Psychological Science. 2010; 21: 298–304.

[12] Mussell M, Kroenke K, Spitzer RL, Williams JBW, Herzog W, Löwe B. Gastrointestinal symptoms in primary care: prevalence and association with depression and anxiety. Journal of Psychosomatic Research. 2008; 64: 605–612.

[13] Schulz S, Laessle RG. Associations of negative affect and eating behaviour in obese women with and without binge eating disorder. Eating and Weight Disorders. 2010; 15: e287–e293.

[14] Kim JY, Kang HL, Kim D, Kang SW, Park YK. Eating Habits and Food Additive Intakes are Associated with Emotional States Based on EEG and HRV in Healthy Korean Children and Adolescents. Journal of the American College of Nutrition. 2017; 36: 335–341.

[15] Yannakoulia M, Panagiotakos DB, Pitsavos C, Tsetsekou E, Fappa E, Papageorgiou C, et al. Eating habits in relations to anxiety symptoms among apparently healthy adults. a pattern analysis from the ATTICA Study. Appetite. 2008; 51: 519–525.

[16] Melanson KJ. Nutrition Review: Relationships of Nutrition with Depression and Anxiety. American Journal of Lifestyle Medicine. 2007; 1: 171–174.

[17] Bottemanne H, Morlaàs O, Fossati P, Schmidt L. Does the Coronavirus Epidemic Take Advantage of Human Optimism Bias? Frontiers in Psychology. 2020; 11: 2001.

[18] Mahmud MS, Talukder MU, Rahman SM. Does ‘Fear of COVID-19’ trigger future career anxiety? An empirical investigation considering depression from COVID-19 as a mediator. International Journal of Social Psychiatry. 2020; 67: 35–45.

[19] Mahmud MS, Rahman MM, Masud-Ul-Hasan M, Islam MA. Does ‘COVID-19 phobia’ stimulate career anxiety?: Experience from a developing country. Heliyon. 2021; 7: e06346.

[20] Servidio R, Bartolo MG, Palermiti AL, Costabile A. Fear of COVID-19, depression, anxiety, and their association with Internet addiction disorder in a sample of Italian students. Journal of Affective Disorders Reports. 2021; 4: 100097.

[21] Shafran R, Rachman S, Whittal M, Radomsky A, Coughtrey A. Fear and Anxiety in COVID-19: Preexisting Anxiety Disorders. Cognitive and Behavioral Practice. 2021. (in press)

[22] Timming AR, French MT, Mortensen K. Health anxiety versus economic anxiety surrounding COVID-19:an analysis of psychological distress in the early stages of the pandemic. Journal of Affective Disorders Reports. 2021; 5: 100152.

[23] Lin Y, Hu Z, Alias H, Wong LP. Knowledge, Attitudes, Impact, and Anxiety Regarding COVID-19 Infection Among the Public in China. Frontiers in Public Health. 2020; 8: 236.

[24] Davenport MH, Meyer S, Meah VL, Strynadka MC, Khurana R. Moms Are Not OK: COVID-19 and Maternal Mental Health. Frontiers in Global Women’s Health. 2020; 1: 1–6.

[25] Hessami K, Romanelli C, Chiurazzi M, Cozzolino M. COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis. Journal of Maternal-Fetal and Neonatal Medicine. 2020; 1–8.(in press)

[26] Esposito V, Rania E, Lico D, Pedri S, Fiorenza A, Strati MF, et al. Influence of COVID-19 pandemic on the psychological status of infertile couples. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2020; 253: 148–153.

[27] Nardone V, Reginelli A, Vinciguerra C, Correale P, Calvanese MG, Falivene S, et al. Mood Disorder in Cancer Patients Undergoing Ra-diotherapy During the COVID-19 Outbreak. Frontiers in Psychology. 2021; 12: 568839.

[28] Di Tella M, Romeo A, Benfante A, Castelli L. Mental health of healthcare workers during the COVID-19 pandemic in Italy. Journal of Evaluation in Clinical Practice. 2020; 26: 1583–1587.

[29] Miniati M, Marzetti F, Palagini L, Marazziti D, Orrù G, Conversano C, et al. Eating Disorders Spectrum during COVID Pandemic: a systematic review. MedRxiv. 2021. (in press)

[30] Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A, et al. Rapid Systematic Review: the Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. Journal of the American Academy of Child & Adolescent Psychiatry. 2020; 59: 1218–1239. e3.

[31] Ma Z. Towards an Extended Evolutionary Game Theory with Survival Analysis and Agreement Algorithms for Modeling Uncertainty, Vulnerability, and Deception. Berlin, Heidelberg: Springer. 2009.

[32] Ayran G, Köse S, Küçükoğlu S, Aytekin Özdemir A. The effect of anxiety on nicotine dependence among university students during the COVID-19 pandemic. Perspectives in Psychiatric Care. 2021. (in press)

[33] García-González J, Ruqiong W, Alarcon-Rodriguez R, Requena-Mullor M, Ding C, Ventura-Miranda MI. Analysis of Anxiety Levels of Nursing Students Because of e-Learning during the COVID-19 Pandemic. Healthcare. 2021; 9: 252.

[34] Yang H, Chen Z, Fan Y, Hu X, Wu T, Kang S, et al. Knowledge, attitudes and anxiety toward COVID-19 among domestic and overseas Chinese college students. Journal of Public Health. 2021; fdaa268. (in press)

[35] Lasheras I, Gracia-García P, Lipnicki DM, Bueno-Notivol J, López-Antón R, de la Cámara C, et al. Prevalence of Anxiety in Medical Students during the COVID-19 Pandemic: A Rapid Systematic Review with Meta-Analysis. International Journal of Environmental Research and Public Health. 2020; 17: 6603.

[36] Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Academic Medicine. 2006; 81: 354–373.

[37] Jahrami H, BaHammam AS, Bragazzi NL, Saif Z, Faris M, Vitiello

MV. Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis. Journal of Clinical Sleep Medicine. 2021; 17: 299–313.

[38] Bielecki A, Nowak D. A Multi-agent System Based on the Information Metabolism Theory. Parallel Processing and Applied Mathematics. 2004; 72: 439–446.

[39] Britton G, Bailey H. Attention bias modification effects on interpretive bias for fear of positive and negative evaluation in social anxiety. Clinical Neuropsychiatry Journal of Treatment Evaluation. 2018; 15: 94–104.

[40] Geiker NRW, Astrup A, Hjorth MF, Sjödin A, Pijls L, Markus CR. Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa?Obesity Reviews. 2018; 19: 81–97.

[41] Steimer T. The biology of fear- and anxiety-related behaviors. Dialogues in Clinical Neuroscience. 2002; 4: 231–249.

[42] Kerr-Gaffney J, Harrison A, Tchanturia K. Social anxiety in the eating disorders: a systematic review and meta-analysis. Psychological Medicine. 2018; 48: 2477–2491.

[43] Cauberghe V, Van Wesenbeeck I, De Jans S, Hudders L, Ponnet K. How Adolescents Use Social Media to Cope with Feelings of Lone-liness and Anxiety during COVID-19 Lockdown. Cyberpsychology, Behavior, and Social Networking. 2021; 24: 250–257.

[44] Every-Palmer S, Jenkins M, Gendall P, Hoek J, Beaglehole B, Bell C, et al. Psychological distress, anxiety, family violence, suicidality, and wellbeing in New Zealand during the COVID-19 lockdown: A cross-sectional study. PLoS ONE. 2020; 15: e0241658.

[45] Pavlova I, Zikrach D, Mosler D, Ortenburger D, Gora T, Wasik J. Determinants of anxiety levels among young males in a threat of experiencing military conflict-Applying a machine-learning algorithm in a psychosociological study. PLoS ONE. 2020; 15: e0239749.

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