COVID-19 Vaccination Acceptance: A Case of Interplay Between Political and Health Dimensions

Vaccines are essential for the eradication of diseases. Yet for many reasons, individuals do not embrace them completely. In the COVID-19 pandemic and with the possibility of the Brazilian population's immunization against the disease, both political and health-related dimensions might have had a role in individual COVID-19 vaccination acceptance. In two studies (n = 974), we tested the hypothesis that participants' vaccination acceptance is related to their past vote in the 2018 Brazilian presidential election (being or not being a Jair Bolsonaro voter) and their different levels of perceived vulnerability to disease (PVD). We further tested whether Bolsonaro's opposition or ambiguous messages towards vaccination (vs. control) increased vaccination rejection among those who have (vs. have not) voted for him and who are low (vs. high) in PVD. Results show that Bolsonaro (vs. non-Bolsonaro) voters accepted less vaccination, with higher rejection rates when participants expressed low (vs. high) PVD. Also, when primed either with Bolsonaro's opposed or ambiguous messages towards COVID-19 vaccination, such participants accepted less vaccines (vs. participants primed with neutral information). These findings are the first to show that the COVID-19 vaccine acceptance is related to their past vote and leadership influence but also different levels of perceived vulnerability to disease.     

Validating self-reported compliance with COVID-19 regulations: Demonstrating group-level sociodemographic self-reported compliance that mirrors actual morbidity rates

Using a novel approach, in this work, we establish an association between self-reported compliance with COVID-19 preventive behaviors and fear of the virus with morbidity rates (i.e., actual tests and their outcome). In two nationally representative samples that were collected in Israel during the first (April 2020: N = 507) and second (August 2020: N = 515) waves of the COVID-19 pandemic, participants responded to items assessing their compliance with the COVID-19 preventive behaviors and their fear of contracting the virus. Participants' compliance and fear self-reports served as a proxy for morbidity rates. Specifically, we assessed the association between sociodemographic variables (gender, age, or belonging to a minority group), self-reports, and morbidity rates (as reported in publicly open databases of the Israeli health ministry). We found that self-reports of compliance and fear were mirrored and aligned with actual morbidity rates across sociodemographic variables and studies. By establishing a clear connection between specific behavior (i.e., compliance with covid regulations) and emotion (i.e., fear of getting infected by the virus), self-reports and sociodemographic variables represent a real related phenomena (i.e., covid 19 morbidity rates), our findings overall validate numerous studies that used self-reports to assess compliance with COVID-19 preventive behaviors.     

From model minority to yellow peril: How threat perceptions and disgust predict anti-Asian prejudice during COVID-19

During the COVID-19 pandemic, hate crimes against Asians sharply increased in the United States. We investigated whether the threat of contracting COVID-19 and specific negative emotions (disgust, anxiety, fear, and anger) regarding COVID-19 predicted anti-Asian prejudice in a 3-wave longitudinal study of non-Asian American adults (N = 486) in the early days of the pandemic in 2020. In all 3 timepoints, participants who believed that they may have already contracted COVID and those who expressed greater disgust reported more anti-Asian attitudes, evaluated Asians as less than human, tolerated anti-Asian prejudice, and blamed Asians for spreading COVID-19. In a well-fitting longitudinal path model, we found longitudinal evidence for these associations, such that the belief that one had already contracted COVID-19 in March 2020 predicted greater disgust one month later, in April 2020, which in turn predicted greater anti-Asian prejudice in May 2020.     

Libertarian independent ideologies predict lower support for and participation in COVID-19 safety precautions among Americans

In the US, higher conservatism has consistently been linked to lower receptiveness toward COVID-19 safety precautions. The present studies extended these findings by examining how specific dimensions of conservatism contributed to this relationship. Three studies (total N = 1123) found that conservatives with higher Libertarian Independent attitudes reported less support for and participation in COVID-19 safety precautions. These effects remained robust after controlling for demographics, general political orientation, COVID-19 threat perception, and personality. These findings offer nuanced insight into how those with different conservative ideologies responded to COVID-19 safety precautions.     

Obedience to authorities is not unconditional: Differential effects of COVID-19 threat on three facets of RWA in Poland and Germany

Collective authoritarian responses to threat might differ depending on whether people trust collective authorities in reducing threat. Thus, we tested the differential effects of epidemic threat on three facets of right-wing authoritarianism, in Germany (a country with high authorities' efficacy in responses to COVID-19) and Poland (low authorities' efficacy context). Two representative sample longitudinal studies performed in Poland (N = 892) and Germany (N = 883) showed that in Germany feelings of COVID-19 threat explained increases in authoritarian submission and (to a lesser extent) authoritarian aggression, whereas in Poland such feelings of threat explained changes in authoritarian aggression and conventionalism after the pandemic, but did not alter authoritarian submission. These findings suggest that specific authoritarian reactions to threat (submissive vs. conventionalist) might depend on the general trust in authorities' ability to respond to crises.     

Extending the Common Sense Model to Explore the Impact of the Fear of COVID-19 on Quality of Life in an International Inflammatory Bowel Disease Cohort

The aim of this cross-sectional study was to use an extended common sense model (CSM) to evaluate the impact of fear of COVID-19 on quality of life (QoL) in an international inflammatory bowel disease cohort. An online study involving 319 adults (75% female, mean (SD) 14.06 (15.57) years of symptoms) completed the Gastrointestinal Symptom Rating Scale, Brief Illness Perceptions Questionnaire, Fear of Contracting COVID-19 Scale, Brief-COPE, Depression, Anxiety and Stress Scale, and the EUROHIS-QOL. The extended CSM had an excellent fit (χ² (9)?=?17.06, p?=?.05, χ²/N?=?1.90, RMSEA?=?0.05, SRMR?=?0.04, CFI?=?.99, TLI?=?.97, GFI?=?0.99), indicating the influence of gastrointestinal symptoms on QoL was mediated by illness perceptions, fear of COVID-19, adaptive and maladaptive coping, and psychological distress. Interventions targeting the fear of COVID-19 in the context of an individual’s perceptions will likely enhance QoL during the pandemic.

     

Framing COVID-19 as an existential threat predicts prejudice towards Chinese people via anxious arousal

We tested the hypothesis that perceived existential threat stemming from COVID-19 elicits anxious arousal, which can manifest in prejudice toward the perceived source of the threat (Chinese people). Americans (n = 474) were randomly assigned to a condition in which COVID-19 was framed as a high existential threat to the United States or to a condition in which COVID-19 was framed as a low existential threat to the United States. They then completed self-report measures of anxious arousal as well as subtle and blatant prejudice towards Chinese people. As expected, participants in the high threat (vs. low threat) condition reported greater anxious arousal which, in turn, predicted greater subtle and blatant prejudice. The high threat (vs. low threat) condition also indirectly predicted greater subtle and blatant prejudice via greater anxious arousal. Results advance knowledge on the reactions people had to perceiving COVID-19 as an existential threat during the early phase of the pandemic.     

A growth mindset intervention to improve mental health in adolescents during COVID-19

COVID-19 poses a considerable threat to adolescent mental health. We investigated depression rates in teens from pre to post-COVID. We also explored if leveraging a growth mindset intervention (“Healthy Minds”) could improve adolescent mental health outcomes during the pandemic, especially for adolescents experiencing the most distress. In Study 1, we recruited youth from schools in a rural southern community (N = 239) and used a pre-post design. In Study 2, we recruited an online sample (N = 833) and used a longitudinal randomized control trial design to test the effectiveness of Healthy Minds. Across both studies, there is evidence of higher rates of depression in youth during COVID-19, relative to pre-pandemic numbers. In Study 1, the intervention effectively changed psychological and behavioral processes related to mental health, especially for adolescents experiencing greater COVID-19 stress. However, in Study 2, the intervention failed to impact depression rates or symptoms at follow-up.     

The associations of cultural worldviews,political orientation,and trust with COVID-19 risk beliefs in the U.S.

Given that risk beliefs predict engagement in behaviors to prevent disease, it is important to understand the factors associated with risk beliefs. In the present paper, we conducted path analyses to investigate the associations of belief systems (political orientation and cultural worldviews of individualism and hierarchy) with COVID-19 risk beliefs (i.e., perceived likelihood, perceived severity, and worry about disease; Studies 1 and 2), and the indirect effect through trust in information sources in these relationships (Study 1). Two online panels of U.S. adults were surveyed at three timepoints during the COVID-19 pandemic (Study 1: baseline n = 1,667, 1-year follow-up n = 551; Study 2: n = 404). Results of path analyses indicated that, across studies and timepoints, when controlling for political orientation, trust, and demographic factors, greater individualism had consistent significant direct effects on lower perceived severity and worry about COVID-19, whereas greater hierarchy had consistent significant direct effects on lower perceived severity. However, after accounting for cultural worldviews of individualism and hierarchy (and trust and demographic factors), none of the associations among political orientation and any of the three COVID-19 risk beliefs were significant. The test of indirect effects indicated that individualism and hierarchy were indirectly associated with lower perceived severity of and worry about COVID-19 through less trust. The findings suggest that cultural worldviews of individualism and hierarchy play a role in shaping people's risk beliefs.     

Memory lapses during a pandemic: Differential associations between COVID-stress and daily memory lapses?

The policies related to COVID-19 pandemic such as stay at home orders and social distancing increased daily stress and associated impairments in mental health. This study examines the association between COVID-related stress and cognitive functioning by examining two different types of daily memory lapses, those related to prospective memory (i.e., memory for future plans) and retrospective memory (i.e., memory for past information) as well as the perceived emotional and functional consequences of daily memory problems. As part of a larger study, 58 adults (18 men; 22 ± 3 years) completed a web-based version of the daily inventory of stressful events including stress related to COVID-19 and positive/negative affect for eight consecutive days between 8 September 2020 and 11 November 2020. Findings showed that prospective lapses were positively correlated with COVID-19 stressors (r = 0.41, p = 0.002). At the within-person level, daily COVID-19 stressors were significantly associated with the number of prospective lapses (b = 0.088, SE = 0.040). COVID-19-related stressors were not significantly related to retrospective lapses (all ps > 0.05). Our findings suggested that more daily COVID-19 stressors were related to greater numbers of prospective lapses in daily life even among healthy younger adults. Thus, future research should address long term relations of COVID-19 stress and cognitive functioning in addition to the specific cognitive impairments related to COVID-19 infection.     

Fear of missing out and depressive symptoms during the COVID-19 pandemic

During the early stages of the COVID-19 pandemic, governments issued public health safety measures (e.g., “stay-at-home” ordinances), leaving many people “missing out” on integral social aspects of their own lives. The fear of missing out, popularly shortened as, “FoMO,” is a felt sense of unease one experiences when they perceive they may be missing out on rewarding and/or enjoyable experiences. Among 76 participants (ages M = 69.36, SD = 5.34), who were at risk for hospitalization or death if infected with COVID-19, we found that FoMO was associated with depressive symptoms at Time 1, even when controlling for perceived stress, loneliness, and fear of COVID-19. However, FoMO did not predict future depressive symptoms, about 1 week later, when controlling for Time 1 depressive symptoms. These findings provide further evidence that FoMO is associated with depressive symptoms in a short period of time even when accounting for other powerful social factors such as loneliness. Future research should explore the potential causal relationships between FoMO and depression, especially those that may establish temporal precedence.     

Disparagement humor permits unsafe COVID-19 behaviors: A prejudiced norm perspective

Extending prejudiced norm theory, we hypothesized that memes diminishing the severity of the COVID-19 pandemic promote tolerance of unsafe pandemic behaviors (as in contrary to contemporary advice of public health agencies, i.e., not wearing a protective mask) by establishing a perceived norm of tolerance for such behaviors. In Spring 2021, members of several Reddit communities (n = 106) reported their perceived threat of COVID-19 and then completed a roleplay exercise in which they imagined they were with a group of friends in a church setting. In this context, participants viewed memes shared among their friends that belittled COVID-19 (COVID-19 disparagement condition) or memes unrelated to COVID-19 (control condition). Then, participants responded to a vignette describing a woman confronting an usher about a couple who violated protocol by not wearing masks. The results supported our hypothesis. First, participants in the COVID-19 disparagement condition perceived a greater norm of tolerance of the mask protocol violation among others in the immediate context compared to those in the control condition. Second, for participants who viewed COVID-19 as a low threat, that local norm resulted in greater personal tolerance of the mask protocol violation. However, for participants who view COVID-19 as a high threat, the local norm had no impact on their personal tolerance.     

Links between rational and irrational beliefs,trait anxiety and fear of COVID 19

IntroductionOur beliefs and knowledge influence the way we act, react, or adapt to an aversive situation such as the current COVID-19 pandemic. The purpose of this study is to explore factors that may influence perceived fear of COVID-19.MethodologyThree hundred and forty-two people from the general population participated in this study. The participants completed an online anamnestic questionnaire that included questions regarding feelings of vulnerability to illness, fear of COVID-19, rational and irrational beliefs about COVID-19, and trait anxiety.ResultsA stepwise regression analysis showed that trait anxiety, irrational and rational beliefs, and having comorbidities linked to severe forms of the disease were associated with perceived vulnerability concerning health and fear of COVID-19.DiscussionThis study seems to underline the importance of pre-existing vulnerabilities that were exacerbated during the pandemic.     

Patterns of attention to threat across tasks in behaviorally inhibited children at risk for anxiety

Although attention bias towards threat has been causally implicated in the development and maintenance of fear and anxiety, the expected associations do not appear consistently. Reliance on a single task to capture attention bias, in this case overwhelmingly the dot‐probe task, may contribute to this inconsistency. Comparing across attentional bias measures could help capture patterns of behavior that have implications for anxiety. This study examines the patterns of attentional bias across two related measures in a sample of children at temperamental risk for anxiety. Children (Mean_age = 10.19 ± 0.96) characterized as behaviorally inhibited (N = 50) or non‐inhibited (N = 64) via parent‐report completed the dot‐probe and affective Posner tasks to measure attentional bias to threat. Parent‐report diagnostic interviews assessed children's social anxiety. Behavioral inhibition was not associated with performance in the dot‐probe task, but was associated with increased attentional bias to threat in the affective Posner task. Cross‐task convergence was dependent on temperament, such that attention bias across the two tasks was only related in behaviorally inhibited children. Finally, children who were consistently biased across tasks (showing high or low attentional bias scores in both tasks, rather than high in one but low in the other) had higher levels of anxiety. Convergence across attention bias measures may be dependent on individuals' predispositions (e.g. temperament). Moreover, convergence of attention bias across measures may be a stronger marker of information processing patterns that shape socioemotional outcomes than performance in a single task.     

Psychological impact of coronavirus-related social isolation in Colombia after a year of lockdown

Several repercussions of the COVID-19 pandemic and its subsequent isolation period have been reported worldwide. In this paper, we analyze the behavioral and emotional effects of 1 year of coronavirus-related lockdown in Colombia. A cross-sectional correlational design was used on a sample of 1853 participants from different regions, and with different levels of education, income, and employment situations. We applied the fear of coronavirus scale, the use of preventive behaviors scale, and a scale to measure pleasant and unpleasant emotions based on the circumplex model of affect. Our data shows that women, participants who were unemployed during the lockdown, and participants that study or work in legal, computational, or related fields, have been more affected in terms of unpleasant emotions. In addition, we observed a trend towards a relation between higher income and educational levels with lower degrees of fear, higher degrees of pleasant emotions, and a greater use of preventive behaviors related to the pandemic.     

Couple Adjustment and Differentiation of Self in the United States,Italy, and Spain: A Cross-Cultural Study

This study comprises a first attempt to explore a cross-cultural application of Bowen family systems theory and examines the relationship between differentiation of self and couple adjustment using measurement invariance. A sample of 2,141 individuals (n = 915 from the United States; n = 635 from Italy; n = 591 from Spain) completed measures of differentiation of self (DSI-R; Skowron & Schmitt, J Marital Fam Ther, 29, 2003, 209) and couple adjustment (DAS; Spanier, J Marriage Fam, 38, 1976, 15). Results showed evidence of partial measurement equivalence for the DSI-R across the three samples. Additionally, results from latent regression showed that less emotional cutoff predicted greater couple adjustment in the United States, Spain, and Italy, whereas greater emotional reactivity predicted poorer couple adjustment only in the more collectivistic cultures, Spain and Italy. Our findings are consistent with prior empirical studies, which suggest that emotional cutoff is a strong predictor of relationship adjustment. The use of measurement invariance provides a foundation for future studies to continue employing rigorous statistical methods when examining constructs across different cultures. The findings highlight culture-specific similarities and differences in differentiation that may benefit practitioners by informing psychotherapy with individuals, couples, or families from diverse populations.     

Sense of purpose and food insecurity during the COVID-19 pandemic

The COVID-19 pandemic brought new attention to the issues of food insecurity faced by individuals throughout the United States, a stressor exacerbated by disruptions to work status and supply chains. The burden of food insecurity likely carries consequences for whether individuals feel capable of pursuing their broad goals and life engagements; put differently, food insecurity may pose a threat to people perceiving a sense of purpose in life. The current study tested this claim across three samples taken during 2020 (n = 2009), 2021 (n = 1666), and 2022 (n = 1975). Participants completed inventories for perceived food insecurity, sense of purpose, depressive symptoms, and anxiety, among other measures. Results found consistent negative associations between food insecurity and sense of purpose across all three samples. In addition, food insecurity moderated associations between sense of purpose and depressive or anxiety symptoms. Sense of purpose was more strongly negatively associated with depressive and anxiety symptoms for those participants who reported no food insecurity. That said, sense of purpose remained negatively associated with psychological distress even among those reporting food insecurity.     

Does authenticity always breed mental health? A cross-cultural comparison between the United States and China

Numerous studies on Western cultures have suggested a strong linkage between authenticity and mental health. However, little is known about whether such an association can be generalized to Eastern cultures. This study aimed to conduct a cross-cultural comparison on the association between three dimensions of authenticity (authentic living, self-alienation, and accepting external influence) and two factors of mental health (negative and positive) across Western and Eastern cultures. Measurement invariance tests were carried out and multigroup structural regression models developed on two college samples from the US (n = 392) and China (n = 281). Results suggested that the associations between authenticity and the negative factor of mental health were consistent across cultures, where both self-alienation and accepting external influence were positively associated with anxiety. However, the associations between authenticity and the positive factor of mental health were different in the US and Chinese samples. Specifically, both authentic living and accepting external influence were significantly associated with life satisfaction in the US sample but not in the Chinese sample. Findings stress that having a nondistorted perception of the true self is critically related to lower levels of anxiety across cultures and highlighted the need to identify culture-specific promotive factors for life satisfaction.     

The protective role of social network factors during the COVID-19 pandemic in the United States

The present study examined the relationship between COVID-19 threat perception, isolating health precautions, and loneliness. As a test of the stress-buffering hypothesis (Cohen & Wills, 1985), this study also examined if social network factors representing various aspects of social support moderated, or weakened, the relationship between threat perception, isolating health precautions, and loneliness. Participants (N = 1149) provided information about themselves, as well as 15 other people they know via an online survey. We found that structural and compositional social network factors, density, number of close alters, network threat perception, network covid cautiousness and number of vaccinated alters all negatively related to loneliness. Further, using moderated mediation analyses, we found that network threat perception and network covid cautiousness moderated the indirect relationship between threat perception and loneliness through precautions. At high levels of these factors, the mediation was less likely to be significant suggesting that the social network factors may buffer people from the loneliness that sometimes comes with engaging in isolating health precautions in response to the perceived threat of COVID-19.     

A little shot of humility: Intellectual humility predicts vaccination attitudes and intention to vaccinate against COVID-19

Vaccinations remain a critical, albeit surprisingly controversial, health behavior, especially with the promise of widely available COVID-19 vaccine. Intellectual humility, a virtue characterized by nonjudgmental recognition of one's own intellectual fallibility, may counter rigidity associated with anti-vaccination attitudes and help promote vaccine-related behaviors. This study investigated whether intellectual humility is related to anti-vaccination attitudes and intentions to vaccinate against COVID-19, and whether intellectual humility can predict unique variance in these outcomes beyond participant demographic and personal factors. Participants (N = 351, 57.23% male, mean age = 37.41 years, SD = 11.51) completed a multidimensional measure for intellectual humility, the anti-vaccination attitudes (VAX) scale, and a two-item COVID-19 vaccination intention scale. Bivariate correlations demonstrated that intellectual humility was negatively related with anti-vaccination attitudes overall, r(349) = −.46, p < .001, and positively related to intentions to vaccinate against COVID-19, r(349) = .20, p < .001. Hierarchical multiple regression revealed that intellectual humility predicted all four types anti-vaccination attitudes, overall anti-vaccination attitudes, and COVID-19 vaccination intentions above and beyond demographic and personal factors (i.e., sex, race/ethnicity, age, education, socioeconomic status, and political orientation), ΔR² between .08 and .18, ps < .001. These results bolster intellectual humility as a malleable psychological factor to consider in efforts to combat anti-vaccination attitudes and promote COVID-19 vaccination uptake.