Covid-19 fear scale – translation and validation into brazilian portuguese


  • Marcella Moreira Aguiar Federal University of Bahia (UFBA), Vitória da Conquista, Bahia. Student at the Master of Health Psychology at the Federal University of Bahia [ORCID]:
  • Monalisa Nascimento dos Santos Barros State University of Southwest Bahia (UESB), Department of Natural Sciences - Vitória da Conquista, Bahia. University of Coimbra, Coimbra, Portugal. Postdoctoral student at the Institute of Medical Psychology of the University of Coimbra. Adjunct Professor of Medi-cine and Psychology at the State University of Southwest Bahia. PhD in Psychology.
  • Antonio Macedo University of Coimbra, Portugal. Director of the Institute of Medical Psychology; Full Pro-fessor at the Faculty of Medicine of the University of Coimbra. Doctor of Medicine
  • Maria Inês Rosselli Puccia FMABC University Center, Santo André, São Paulo. Assistant professor. PhD in Sciences
  • Ana Telma Pereira University of Coimbra, Portugal. Assistant Researcher at the Institute of Medical Psychol-ogy of the Faculty of Medicine of the University of Coimbra. PhD in Health Sciences



COVID-19, fear, psychometry, validation study


Introduction: fear is one of the main factors associated with psychopathological disor-ders evidenced in the context of the COVID-19 pandemic.

Objective: translate and validate Fear of COVID–19 Scale (FCV-19S) into Portuguese Brazilian version, named Covid-19 Fear Scale (EMC-19).

Methods: cross-sectional study with 364 individuals recruited through social networks, considering as inclusion criteria: being over 18 years old and fluent in Portuguese. After participant consentment an electronic form was completed, which included the prelimi-nary Portuguese version and EMC-19, in addition to sociodemographic variables. Data processing was performed using the SPSS 26 version. For parametric measures, Pear-son’s coefficient and Student’s T were used, and for non-parametric measures the U of Mann Whitney. The magnitude of the correlation coefficients was classified according to Cohen’s criteria and the confirmatory factor analysis using AMOS 26.0. For internal con-sistency, Cronbach’s alpha.

Results: mean age of 33.11 years (±10,047), most of them female (n=332; 91,2%), with higher education (n=286; 78,6%), married (n=225, 61,8 %) and with children (n=300, 82,4%). Exploratory factorial analysis/EFA and confirmatory factor analysis/CFA made. Only one component emerged from the CFA, with an explained variance of 55,49%, re-sulting in a one-dimensional model with satisfactory adjustment indexes (X2/gl=2,135; RMSEA=0,061; CFI, TLI, GFI<0,095). Cronbach’s alpha coefficient is 876.

Conclusions: the construct validity of the one-dimensional structure of the EMC-19 was demonstrated, as well as its good internal consistency.


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World Health Organization [Internet]. Copenhagen (DK): Mental health and COVID-19. c2020 [cited 2020 Mai 20]. Available from:

Basso M. [Internet]. Brasil: Subnotificação dificulta combate à COVID-19 no Brasil. c2020 [acesso 2020 abr 1]. Deutsche Welle. [about 1 screen]. Available form:ção-dificulta-combate-à-covid-19-no-brasil/a-52919120

Brasil. Ministério da Saúde [internet]. Brasilia (DF): COVID-19 - Painel Coronavírus. c2021 – [cited 2021 Aug 25]. Available from:

Coronavirus Resource Center [Internet]. Baltimore (MD): Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. c2021- [cited 2021 Aug 25]. Available from:

Reliefweb [Internet]. Conpenhagen (DK): Mental health and psychosocial consider-ations during COVID-19 outbreak; c Jun 14 2020 [cited 2020 Jul 28]. Office for the Coordination of Humanitarian Affairs (OCHA); [about 1 screen]. Available from:

Ornell F, Schuch JB, Sordi AO, Kessler FHP. “Pandemic fear” and COVID-19: men-tal health burden and strategies. Brazilian Journal of Psychiatry. 2020; 42(3): 232-235.

Slaikeu KA, Mejía MC, López MEG. Intervención en crisis: Manual para práctica e investigación. 2a ed. México: Manual Moderno; 1996.

Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P et al. Psychiat-ric and neuropsychiatric presentations associated with severe coronavirus infec-tions: A systematic review and meta-analysis with comparison to the COVID-19 pandemic. The Lancet Psychiatry. 2020; 7(7): 611-627.

Patel V, Saxena S, Lund C, Thornicroft G, Baingana F, Bolton P, et al. The Lancet Commissions: The Lancet Commission on global mental health and sustainable development. The Lancet. 2018; 392(10157):1553-1598.

Galea S, Merchant RM, Lurie N. The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention. JAMA Internal Medicine. 2020; 180 (6): 817-818.

Mamun MA, Griffiths MD. First COVID-19 suicide case in Bangladesh due to fear of COVID-19 and xenophobia: Possible suicide prevention strategies. Asian Journal of Psychiatry. 2020; 51: 102073.

Troyer EA, Kohn JN, Hong S. Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19? Neuropsychiatric symptoms and potential immunologic mechanisms. Brain, behavior, and immunity. 2020; 87: 34-39.

World Health Organization [Internet]. Copenhagen (DK): Mental health and COVID-19. c2020 [cited 2020 Mai 20]. Available from:

Carbone, SR. Flattening the curve of mental ill-health: The importance of primary prevention in managing the mental health impacts of COVID-19. Mental Health & Prevention. 2020; 19:200185.

Goyal K, Chauhan P, Chhikara K, Gupta P, Singh, MP. Fear of COVID 2019: First suicidal case in India! Asian journal of psychiatry. 2020; 49:101989.

Griffiths MD, Mamun MA. COVID-19 suicidal behavior among couples and suicide pacts: Case study evidence from press reports. Psychiatry Research. 2020; 289: 113105.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evi-dence. The Lancet Psychiatry. 2020; 395: 912–920.

Van Bavel JJ, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M et al. Using social and behavioural science to support COVID-19 pandemic response. Nature Human Behaviour. 2020; 4: 460–471.

de Hoog N, Stroebe W, de Wit JB. The processing of fear-arousing communications: How biased processing leads to persuasion. Social Influence. 2008; 3(2): 84–113.

Delumeau J. História do medo no ocidente: 1300-1800, uma cidade sitiada. São Paulo, Brasil: Companhia das Letras; 1989.

Pappas G, Kiriaze IJ, Giannakis P, Falagas ME. (2009). Psychosocial consequences of infectious diseases. Clinical Microbiology and Infection. 2009; 15(8), 743–747. 0691.2009.02947.x

Gunnell D, Appleby L, Arensman E, Hawton K, John A, Kapur N et al. Suicide risk and prevention during the COVID-19 pandemic. The Lancet Psychiatry. 2020; 7 (6), 468-471.

Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and initial validation. International Journal of Mental Health and Addiction. 2020; 1-9.

Pakpour AH, Griffiths MD. The fear of COVID-19 and its role in preventive behav-iors. Journal of Concurrent Disorders. 2020; 2(1): 58–63.

Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psy-chiatry. 2020; 7(3): 228–229.

Harper CA, Satchell LP, Fido D, Latzman RD. Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction. 2020; 1-14.

Witte K, Allen M. (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education & Behavior. 2020; 27(5): 591-615.

Soraci P, Ferrari A, Abbiati FA, Del Fante E, De Pace R, Urso A et al. Validation and psychometric evaluation of the Italian Version of the Fear of COVID-19 Scale. Inter-national Journal of Mental Health and Addiction. 2020; 1-10.

Winter T, Riordan BC, Pakpour AH, Griffiths MD, Mason A, Poulgrain JW et al. Evaluation of the English Version of the Fear of COVID-19 Scale and Its Relation-ship with Behavior Change and Political Beliefs. International Journal of Mental Health Addiction. 2020; 1-11.

Reznik A, Gritsenko V, Konstantinov V, Khamenka N, Isralowitz R. COVID-19 fear in Eastern Europe: validation of the Fear of COVID-19 Scale. International Journal of Mental Health and Addiction. 2020; 1-6.

Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the Fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. In-ternational Journal of Mental Health and Addiction. 2020.

Huarcaya-Victoria J, Villarreal-Zegarra D, Podestà A, Luna-Cuadros MA. Psycho-metric properties of a Spanish version of the Fear of COVID-19 Scale in general population of Lima, Peru. International Journal of Mental Health and Addiction. 2020; 1-14.

Bitan DT, Grossman-Giron A, Bloch Y, Mayer Y, Shiffman N, Mendlovic S. Fear of COVID19 scale: Psychometric characteristics, reliability and validity in the Israeli population. Psychiatry Research. 2020; 289:113100.

Alyami M, Henning M, Krägeloh CU, Alyami H. Psychometric evaluation of the Ara-bic version of the Fear of COVID-19 Scale. International Journal of Mental Health and Addiction. 2020; 1-14.

Martínez-Lorca M, Martínez-Lorca A, Criado-Álvarez JJ, Armesilla MDC, Latorre JM. The Fear of COVID-19 Scale: Validation in Spanish university students. Psychiatry Research. 2020; 293: 113350.

Mailliez M, Griffiths MD, Carre A. Validation of the French Version of the Fear of COVID-19 Scale and its Associations with Depression, Anxiety and Differential Emotions. Research Square. 2020. DOI: 10.21203/

Kaiser HF. The varimax criteria for analytical rotation in factor analysis. Psychometrica. 1958: 23:141-5.

Cattel, RB. The scree test for the number of factors. Multivariate behavioral research. 1966; 1 (2): 245-276.

Kline P. The handbook of psychological testing. 2a ed. London and New York: Routledge; 2000.

Pestana MH, Gageiro JN. Análise de Dados para Ciências Sociais: A Complementaridade do SPSS. 6a ed. Lisboa: Edições Sílabo; 2014.

Marôco J. Análise Estatística com o SPSS Statistics. 7a ed. Pêro Pinheiro, Portugal: ReportNumber; 2018.

Sun N, Wei L, Shi S, Jiao D, Song R, Ma L et al. A qualitative study on the psycho-logical experience of caregivers of COVID-19 patients. American Journal of Infec-tion Control. 2020; 48(6): 592-598.

Faro A, Bahiano MDA, Nakano TDC, Reis C, Silva BFPD, & Vitti LS. COVID-19 e saúde mental: A emergência do cuidado. Estudos de Psicologia (Campinas). 2020. 37: 1-14.

Bakioğlu F, Korkmaz O, & Ercan H. Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction. (2020).

Doshi D, Karunakar P, Sukhabogi JR, Prasanna JS, & Mahajan SV. Assessing coronavirus fear in indian population using the Fear of COVID-19 Scale. Interna-tional Journal of Mental Health and Addiction. 2020.

Tsipropoulou V, Nikopoulou VA, Holeva V, Nasika Z, Diakogiannis I, Sakka S, Par-lapani E. Psychometric properties of the Greek Version of FCV-19S. International Journal of Mental Health and Addiction. 2020; 1–10.

Sakib N, Bhuiyan AKMI, Hossain S, Al Mamun F, Hosen I, Abdullah AH, Mamun MA. Psychometric validation of the Bangla Fear of COVID-19 Scale: Confirmatory factor analysis and Rasch analysis. International Journal of Mental Health and Ad-diction. 2020.

Raio CM, & Phelps EA. The influence of acute stress on the regulation of condi-tioned fear. Neurobiology of Stress. 2015; 1: 134-146.

Benito KG, Walther M. Therapeutic process during exposure: Habituation model. Journal of Obsessive- Compulsive and Related Disorders. 2015; 6:147–57.

Kabat-Zinn, Jon. Viver a catástrofe total. 2ª.Ed. São Paulo: Palas Athena; 2019.

Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, & Benedek, DM. Public re-sponses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health con-sequences and target populations. Psychiatry and Clinical Neurosciences. 2020; 74(4): 281.

Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):300-302.

Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the corona-virus (COVID-19): Predictors in an online study conducted in March. Journal of Anx-iety Disorders. 2020; 74:102258.