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It is now recognized that the uncertainty caused by the international COVID-19 pandemic can lead to excessive, intense, and repeated mental health problems such as obsessive-compulsive traits and disturbed sleep quality. These psychological responses affect the well-being of individuals and can persist long after the outbreak. Health care workers can be viewed as more vulnerable to these psychological consequences, particularity the younger students such as the first academic year nursing students. Thus, the present study aimed to determine and explore the impact of fear of COVID-19 on obsessive-compulsive traits and sleep quality among the first-academic year nursing students. Design: A descriptive correlational design was used in this study. Setting: The study was conducted at the Faculty of Nursing, Alexandria University, Egypt. Subjects: A representative sample of 275 first-year undergraduate students. Tools: Online web-based electronic questionnaires were used including A socio-demographic and Academic Data, FCV-19S, AOCS and ISI. Results: Results of the study revealed that 61.1% of the studied students had a moderate level of fear of COVID-19 pandemic and 8.7% of them had a severe level. As well, 35.3% of those students had a moderate level of obsessive-compulsive (OC) traits and 4.7% of them had a severe level of OC traits. In addition, 14.2% of them had a moderate level of insomnia during COVID-19 pandemic. Regression analysis indicates that fear of COVID-19 pandemic was a predictor of both obsessive compulsive traits (P=0.000) and insomnia severity (P=0.052). Conclusion: level of fear of COVID- 19 pandemic can predict the OC traits and insomnia severity levels among studied nursing students. Hence, early detection, picking up and effectively treating students who have intense fears of COVID 19 are emphasized before they evolve to more complex and enduring obsessive-compulsive symptoms. Immediate interventions via multidisciplinary teams, including academic mental health professionals, to the vulnerable group of students are recommended.

Fear of COVID-19 Pandemic, Obsessive-Compulsive Traits and Sleep Quality among First Academic Year Nursing Students, Alexandria University, Egypt.