新型冠状病毒肺炎疫情下普通民众焦虑的影响因素研究

为考察新型冠状病毒肺炎疫情下普通民众焦虑情绪的影响因素,采用自陈式问卷,对新型冠状病毒肺炎疫情防控下的1050位普通民众的疫情经历、媒体信息暴露时长及性质、疫情风险感知和焦虑进行调查。结果发现新型冠状病毒肺炎疫情防控当下民众焦虑情绪的发生率为18.0%,焦虑情绪的发生率在性别、年龄、受教育程度、婚姻状况和月收入等方面没有显著的差异;疫情经历、媒体信息暴露时长、负面信息暴露和感知疫情的严重性会增加焦虑情绪产生的可能性,正面信息暴露、对疫情熟悉度和可控度的感知可以减少焦虑情绪产生的可能性。这些结果说明了疫情经历、媒体信息暴露时长和性质、疫情风险感知是疫情防控当下民众焦虑出现的重要因素。     

iCOPE With COVID-19: A Brief Telemental Health Intervention for Children and Adolescents During the COVID-19 Pandemic

The COVID-19 pandemic has prompted extensive disruptions to the daily lives of children and adolescents worldwide, which has been associated with an increase in anxiety and depressive symptoms in youth. However, due to public health measures, in-person psychosocial care was initially reduced, causing barriers to mental health care access. This study investigated the feasibility, acceptability and preliminary effectiveness of iCOPE with COVID-19, a brief telemental health intervention for children and adolescents to address anxiety symptoms. Sessions were provided exclusively using videoconferencing technology. Feasibility and acceptability were measured with client satisfaction data. The main outcome measure for effectiveness was anxiety symptom severity measured using the Screen for Child Anxiety and Related Disorders (SCARED). Results indicated that the treatment was well accepted by participants. Significant reductions in anxiety were noted for social anxiety, and were observed to be trending towards a mean decrease for total anxiety. The findings suggest that this brief telemental health intervention focused on reducing anxiety related to COVID-19 is acceptable and feasible to children and adolescents. Future research using a large sample and with a longer follow-up period could inform whether symptom decreases are sustained over time.     

Fear and Anxiety in COVID-19: Preexisting Anxiety Disorders

The general population has experienced a significant elevation in fear and anxiety during COVID-19 both as a direct result of the virus but also due to measures taken to prevent it spreading, such as the need to stay inside and increase hand-washing. Lockdown has been used in many/most countries to prevent widespread infection. The advice and imposed actions are necessary to prevent the virus from spreading, but they might exacerbate the problems experienced by people with a preexisting anxiety-related disorder. The treatment of anxiety-related disorders can be provided while in quarantine. Staying at home in self-isolation does not preclude obtaining psychological treatment for anxiety-related disorders. Dealing with cognitive biases, over-estimations of threat, intolerance of uncertainty, inflated responsibility and excessive safety behavior, are useful clinical directions.     

风险容忍对飞行员驾驶安全行为的影响：风险知觉和危险态度的作用

采用问卷法调查了257名中国航线飞行教员、机长和副驾驶, 通过结构方程模型和层次回归分析探讨了风险容忍对飞行员驾驶安全行为的影响, 以及在这一影响过程中风险知觉和危险态度所发挥的作用。结果发现：(1)风险容忍对飞行员驾驶安全行为具有显著的负向影响, 高风险容忍飞行员的驾驶安全行为水平显著低于低风险容忍飞行员; (2)风险知觉在风险容忍对飞行员驾驶安全行为的影响过程中发挥了调节作用, 即高水平的风险知觉削弱了风险容忍对飞行员驾驶安全行为的负向影响。(3)危险态度在风险容忍对飞行员驾驶安全行为的影响过程中发挥了完全中介作用, 且这种中介作用的实现又受到风险知觉的调节, 即危险态度对飞行员驾驶安全行为的影响是有调节的中介效应。     

Safety behaviors were associated with greater anxious symptoms during the first year of the COVID-19 pandemic

Research shows that people who use safety behaviors are at greater risk factor for anxiety than people who do not use safety behaviors. However, the perception of some safety behaviors changed during the COVID-19 pandemic; behaviors that were once considered unnecessary or excessive were now commonplace (e.g., monitoring bodily symptoms, avoiding crowds). The purpose of this study was to determine the degree to which the pandemic changed the status of health-related safety behaviors as a risk factor for symptoms of anxiety. To this end, we tested the effect of safety behavior use on anxious symptoms during the first year of the pandemic using a longitudinal design with 8 time points and participants (n = 233) from over 20 countries. Despite possible changes in their perception, those engaging in high levels of safety behaviors reported the greatest levels of anxious symptoms throughout the pandemic year. However, the outcomes for safety behavior users were not all negative. Safety behavior use at baseline was the only predictor of participants' willingness to receive the COVID-19 vaccine (measured one year later).     

健康焦虑的产生、分型及其治理

健康焦虑来源于健康的不确定性风险和风险感知。伴随风险社会中健康不确定性风险的日渐增多,公众对健康风险的感知越来越强,健康焦虑普遍存在于各类群体。基于健康焦虑产生的不确定性风险来源发现,健康焦虑可以分为由生活和劳动环境变化产生的环境型健康焦虑,由外部社会发展变化产生的结构型健康焦虑,突发事件导致的应激型健康焦虑,身体机能变化而来的生理型健康焦虑。以健康优先为原则推动个体和社会发展,降低环境健康风险,提升公众健康素养是缓解健康焦虑的应对之策。

     

Mental Health Inequalities During COVID-19 Outbreak: The Role of Financial Insecurity and Attentional Control

The COVID-19 pandemic and subsequent lockdowns negatively impacted the mental health of populations. This impact is not equally distributed and increases existing mental health inequalities. Indeed, government restrictions and the economic consequences of the pandemic affect more the less educated and less wealthy people. However, psychological processes implicated in this increase of mental health inequalities during the COVID-19 pandemic remain unexplored. The present study (N=591) tested the role of financial insecurity and attentional control in the relation between socioeconomic status and mental health, along with the influence of trait anxiety. Based on Structural Equation Modelling, findings showed a mediation effect of financial insecurity, but not of attentional control, in the relationship between socioeconomic status and mental health. In addition, exploratory analyses suggested that financial insecurity also mediated the effect of attentional control on mental health. Results of the present research point at the importance of understanding psychological processes implicated in the effect of economic crises on mental health inequalities.     

Treating Social Anxiety in an Era of Social Distancing: Adapting Exposure Therapy for Youth During COVID-19

The novel coronavirus (COVID-19) pandemic has caused widespread disruption to our traditional way of life and mental health therapy has not been spared. A combination of increased anxiety, diminished social opportunities, and the shift to telehealth service provision presents particular challenges for the treatment of social anxiety in youth, which relies heavily on exposures to social situations with peers, adults, or other feared social stimuli. The objective of this commentary is to provide guidance to clinicians working with youth with social anxiety on how to maintain ethical, evidence-informed provision of exposure therapy in light of these unusual circumstances. We first present an overview of how COVID-19 may uniquely impact youth with social anxiety and highlight the importance of continuing to provide exposure-based treatments during this time. We then discuss guiding principles for delivering exposure therapy during COVID-19. We focus on providing practical examples of how common social anxiety exposures can be adapted and delivered successfully through telehealth while abiding by COVID-19 social distancing guidelines. Finally, we discuss key recommendations to assist clinicians in moving treatment forward while considering changing safety guidelines pertaining to COVID-19.     

Trust in God: The COVID-19 Pandemic's Impact on Religiosity in China

Emerging research shows the COVID-19 pandemic has made substantial changes to the religious climate of several nations. Surprisingly, China, the outbreak center of the pandemic, has been scarcely researched. Our study investigates how the COVID-19 pandemic has evoked new religious disaster responses and provided psychological coping mechanisms during the pandemic. We also explore how the pandemic explains surprising rates of religiosity in China. Scholars have long proposed that religious resurgence in China has been a result of individuals seeking stability in turbulent times. We bridge parallel Literatures in these areas and treat the pandemic as a natural experiment for evaluating religious behavior over time as conditioned by heightened risk perception. Utilizing a difference-in-differences estimation strategy with panel data, our study reveals that the pandemic has led to a significant increase in religiosity in China, particularly in religious areas most affected by the pandemic. We propose that even in a highly regulative religious environment, with most of its population being religiously unaffiliated, religion is a significant resource for coping in China. We take an innovative approach to demonstrate this by utilizing online search data. Our research speaks to the sociology of religion, the social psychology of risk perception, and makes application to emerging research on the unfolding COVID-19 pandemic.     

Comparative optimism and well-being during the COVID-19 pandemic

Past research suggests that being comparatively optimistic about one's risk for disease is associated with benefits to mental health, such as lowered stress and anxiety. However, few studies have longitudinally examined whether comparative optimism has the same protective benefits during the COVID-19 pandemic. The current study examined levels of comparative optimism, changes in comparative optimism over time, and the association between comparative optimism and COVID-related mental and physical health outcomes among a US adult sample during the COVID-19 pandemic. Participants completed online surveys at four timepoints, over the course of four weeks in May and June of 2020. Results from paired-samples t-tests revealed that comparative optimism was present, such that participants estimated their risk for COVID-19 as being significantly lower than that of others their age and sex. Results from linear mixed models suggested that people who were more comparatively optimistic reported lower anxiety, depression, and stress. However, at times when people were more comparatively optimistic, they also reported greater depression and poorer sleep quality. Together, the findings suggest that the relationship between comparative optimism and health may be more complex than previously anticipated and further research is needed to examine the potential pathways through which comparative optimism affects health.     

恋爱中大学生依恋焦虑与心理健康的关系：恋爱关系质量的中介和调节作用

依恋焦虑与个体心理健康存在密切关联,恋爱关系质量可能在二者关系中发挥着重要作用。本文以595名处于恋爱关系中的大学生为被试,探讨了恋爱关系质量在大学生依恋焦虑与心理健康关系中的作用。结果表明,恋爱关系质量在大学生依恋焦虑与心理健康的关系中既发挥着中介作用,也发挥着调节作用。一方面,依恋焦虑能够通过影响恋爱关系质量对心理健康造成影响,另一方面,高质量的恋爱关系能够缓解依恋焦虑对心理健康的消极影响。     

The effects of COVID-19 stressors and family life on anxiety and depression one-year into the COVID-19 pandemic

The purpose of this study was to examine the effects of Coronavirus (COVID-19)-related stressors and family health on adult anxiety and depressive symptoms 1 year into the pandemic. The sample consisted of 442 adults living in the United States who were recruited via Amazon Mechanical Turk. Data were analyzed using multiple logistic regression. Results indicated that compared to a sample 1 month into the pandemic, participants in the current sample reported worse family health and increases in both positive and negative perceptions of the pandemic on family life and routines. COVID-19 stressors and perceived negative effects of the pandemic on family life increased the odds for moderate-to-severe depression and anxiety while having more family health resources decreased the odds for depression and anxiety symptoms. Participants reported lower odds for worse depression and anxiety since the beginning of the pandemic when they reported more positive family meaning due to the pandemic. The results suggest a need to consider the impact of family life on mental health in pandemics and other disasters.     

The Role of Psychology in Media During the COVID-19 Pandemic: A Cross-National Study

Dealing with COVID-19 and with the preventative measures that have been taken to mitigate the transmission of the virus causing the pandemic has posed a great challenge to the population. While psychologists have expertise with regard to preventive behavior change and to dealing with the mental health impact of measures, their expertise needs to be effectively communicated to the public. Mass media play a critical role in times of crisis, in many cases being the only source of information. While most research focuses on the importance of information content as a factor affecting psychological responses to a collective traumatic event, the way information is framed in the media is likely to influence the way health professionals are perceived as trustworthy. This study aimed to analyze the media framing of information from psychology during the COVID-19 pandemic in six countries from America and Europe, identifying the most recurrent topics in the news (n news items = 541) related to psychology and mental health. In all six countries the media address the psychological needs of the population, which vary depending on the imposed restrictions. The news content is influenced by the scientific sources used by the media. While the most prevalent topics focus on psychological risk and the need to seek mental health care, the least prevalent topics relate to counseling and behavioral guidelines for managing the psychological consequences of the pandemic. The study findings provide insight into how psychological knowledge contributes to the understanding and mitigation of COVID-19 consequences in different countries and identified fields where psychologists were consulted to respond to a health emergency. They also show a preference to consult other experts when searching for contextual or more macro-social explanations of critical situation.     

Dating during the time of COVID-19: Risk perceptions and political ideology

This study examined predictors of single people's beliefs about COVID prevention behaviors, intentions to engage in COVID prevention behaviors while dating, and actual dating behavior during the pandemic. Results revealed that single participants engaged in “riskier” dating behaviors (i.e., in-person unmasked) more frequently than “safer” dating behaviors (i.e., remote, or in-person masked/distanced). Individuals who perceived greater (vs. lesser) risk associated with COVID more strongly endorsed beliefs about social distancing (self and other) and were more likely to personally (or request others) engage in COVID prevention behaviors while dating. However, perceived risk did not predict actual dating behaviors. Conservatives (vs. liberals) less strongly endorsed beliefs about social distancing (for others, but not the self) and were less likely to personally (or request others) engage in COVID prevention behaviors while dating. Conservatives also reported meeting potential romantic partners more frequently than liberals. However, political ideology did not predict actual dating behaviors. Results suggest there is a disconnect between college students' beliefs/intentions and their actual dating behavior. These results demonstrate the importance of developing public health interventions that take into account the disconnect between college students' health-related intentions and actual behaviors, particularly in the context of dating.     

Uncertainty and risk during the COVID-19 pandemic: A latent profile analysis

In the present study, we examine how subgroups of people are characterized by different profiles of uncertainty surrounding COVID-19, susceptibility, and recovery. Participants (N = 199) were U.S. residents recruited online for a longitudinal study during the summer of 2020. We first, identified groups using latent profile analysis (LPA) and then examined whether these profiles predicted differences in COVID-related risky and preventative behaviors. LPA identified five distinct profiles of people representing a combination of low and high uncertainty and low, moderate, and high risk perceptions. Results revealed that latent-profile group membership predicted intention to interact with others outside of the household, intention to engage in non-essential shopping, intention to attend an in-person religious gathering, intention to wear a mask in public, and self-reported physical distancing in the past week. Profile membership did not predict intentions to: dine out, go to the nail/hair salon, go to the gym, nor physically distance from others in the future, nor did it predict handwashing in the past week.     

Risk perception,illusory superiority and personal responsibility during COVID-19: An experimental study of attitudes to staying home

Little is known about how different government communication strategies may systematically affect people’s attitudes to staying home or going out during the COVID-19 pandemic, nor how people perceive and process the risk of viral transmission in different scenarios. In this study, we report results from two experiments that examine the degree to which people’s attitudes regarding the permissibility of leaving one’s home are (1) sensitive to different levels of risk of viral transmission in specific scenarios, (2) sensitive to communication framings that are either imperative or that emphasize personal responsibility, or (3) creating ‘loopholes’ for themselves, enabling a more permissive approach to their own compliance. We find that the level of risk influences attitudes to going out, and that participants report less permissive attitudes to going out when prompted with messages framed in imperative terms, rather than messages emphasizing personal responsibility; for self-loopholes, we find no evidence that participants’ attitudes towards going out in specific scenarios are more permissive for themselves than for others. However, participants report they are more rigorous in staying home than others, which may cause moral licensing. Additionally, we find that age is negatively associated with permissive attitudes, and that male participants are more permissive to going out. Thus, during phases where it is important to promote staying home for all scenarios, including those perceived to be low-risk, imperative communication may be best suited to increase compliance.     

Childhood Abuse Types and Physical Health at the Age of 24: Testing Health Risk Behaviors and Psychological Distress as Mediators

This study examines whether adult psychological distress and health risk behaviors mediate the relationship between childhood abuse and physical health in adulthood. A randomly selected population-based sample, with oversampling to include a one-third subgroup of former child protection cases, completed a structured interview. Questions pertained to childhood exposure to abuse, adult psychological distress, physical health, and health risk behaviors. Previous research using this sample had identified three abuse typologies: emotional abuse, sexual abuse, and polyvictimization (physical abuse, emotional abuse, and neglect). All three typologies were significantly associated with poorer self-reported physical health. Psychological distress and health risk behaviors partially mediated the relationship between nonabuse, sexual abuse, polyvictimization, and physical health, and fully mediated the relationship between emotional abuse and physical health. The results of this study indicate that health risk behaviors and symptoms of psychological distress could contribute to some of the long-lasting consequences of childhood abuse on adult physical health.     

Rising to the Occasion of This COVID-19-Impacted Nation: Development,Implementation, and Feasibility of the Brief Assessment-Informed Skills Intervention for COVID-19 (BASIC)

The COVID-19 pandemic has had a profound impact on the global economy, physical health, and mental health. This pandemic, like previous viral outbreaks, has resulted in spikes in anxiety, depression, and stress. Even though millions of individuals face the physical health consequences of infection by COVID-19, even more individuals are confronted with the mental health consequences of this pandemic. This significantly increased demand for mental health services cannot be easily met by existing mental health systems, which often rely on courses of therapy to be delivered over months. Single session interventions (SSIs) may be one important approach to meeting this increased demand, as they are treatments designed to be delivered over the course of a single meeting. SSIs have been found to be effective for a range of mental health challenges, with durable effects lasting months to years later. Here, we describe an SSI designed for the COVID-19 pandemic. This Brief Assessment-informed Skills Intervention for COVID-19 (BASIC) program draws upon therapeutic skills from existing empirically supported treatments to target common presenting complaints due to this pandemic. We discuss the process of developing and implementing this intervention, as well as explore feasibility and initial clinical insights. In short, BASIC is an easy-to-adopt intervention that is designed to be effective in a single session, making it well-suited for handling the increased demand for mental health services due to COVID-19.     

Demand for mitigating the risk of COVID-19 infection in public transport: The role of social trust and fatalistic beliefs

The rapid surge of COVID-19 cases worldwide drew attention to COVID-19 infection as a new source of risk in transport. The virus introduced a need for viral transmission mitigation as a major priority when selecting a mode of travel, and caused a significant drop in public transport use. The recovery of public transport use in the post-COVID period requires that the transport authorities favourably address people’s demand for mitigation of the risk of COVID-19 transmission in public transport. The present study aims to explore the role of risk perception, worry and priority of COVID-19 risk reduction along with fatalistic beliefs and public trust in authorities in explaining public demand for risk mitigation. The present study is among the first to investigate the role of fatalistic beliefs, social trust and risk perception for public transport and public demand for risk mitigation. The link between priority of infection prevention and demand for risk mitigation has also been less explored in public transport research. An online survey was conducted among university students in Iran between 19th April and 16th June 2020, during the first wave of the pandemic, when the country was a major epicentre of the disease. A total of 271 out of 370 respondents whose dominant mode on university travels was public transport were included in the analysis. Results of structural equation modelling confirmed the paradox of trust, indicating that social trust is negatively associated with perceived risk of COVID-19 infection, which in turn may lead people to place less importance on COVID-19 prevention as a priority in travel mode choice, and consequently demand less risk mitigation efforts to prevent COVID-19 infection in public transport. Dissimilar to trust, however, the results revealed no relationship between fatalistic beliefs and risk perception, but a significant direct effect of fatalistic beliefs on demand for risk mitigation. To reinforce public demand for mitigating the risk of COVID-19 in public transport, the study calls on policymakers to exploit public trust resources for more effective risk communication, through disseminating the gradually accumulating evidence-based information regarding the infectivity and the virulence of COVID-19 and the scientific risk of infection. The study also underlined the potential importance of considering fatalistic beliefs when developing effective risk communication policies and practices to enhance public support for COVID-19 risk mitigation in public transport.