Implicit theories of mental health predict anxiety and depression during the COVID-19 pandemic in China: The mediating effect of coping styles

This research investigated how implicit theories of mental health (ITMH) influence people's experience of anxiety and depression symptoms during the COVID-19 pandemic in China. Two thousand and 44 Chinese completed the study during an emergent outbreak of the COVID-19 pandemic in Shaanxi, China. The results suggested that ITMH significantly influence people's experience of anxiety and depression symptoms. Both active and passive coping styles significantly mediated the relationship between ITMH and anxiety/depression, with active coping style as a stronger mediator than passive coping style. Implications of the current research for improving people's mental health during pandemics of infectious diseases and directions for future research are discussed.     

Cultural influence on COVID-19 cognitions and growth speed: The role of collectivism

Major challenges faced by humans often require large-scale cooperation for communal benefits. We examined what motivates such cooperation in the context of social distancing and mask wearing to reduce the transmission intensity of the coronavirus pandemic (COVID-19). We hypothesized that collectivism, a cultural variable characterizing the extent that individuals see themselves in relation to others, contributes to people's willingness to engage in these behaviors. Consistent with preregistered predictions, across three studies (n = 2864), including a U.S. nationally representative sample, collectivist orientation was positively associated with intentions, positive beliefs, norm perceptions, and policy support for the preventive behaviors. Further, at a country level, more collectivist countries showed lower growth rates in both COVID-19 confirmed cases and deaths. Together, these studies demonstrate the role of collectivism in reducing COVID-19 transmission, and highlight the value of considering culture in public health policies and communications.     

In this together: Psychological wellbeing of foreign workers in the United Arab Emirates during the COVID-19 pandemic

The COVID-19 pandemic and the associated infection prevention and control measures (e.g. quarantine, lockdown and isolation), have had an adverse impact on mental health. To date, the mental health status and challenges of foreign workers during the pandemic have been neglected in the literature. This cross-sectional web-based survey assessed levels of post-traumatic stress, depression, anxiety and insomnia among an international sample of foreign workers (n = 319) resident in the United Arab Emirates (UAE). The majority of participants were female (76%), European (69%) and highly educated (83% had a bachelor's or higher degree). Results indicate high rates of post-traumatic stress, depression, anxiety, and insomnia, especially among women, younger individuals, and those with a previous diagnosis of a psychological disorder. Additionally, foreign workers' perceptions of pandemic severity in their home nations (mild, moderate, severe) were positively correlated with their symptom levels of depression, anxiety and insomnia. Overall, these findings may help inform future public mental health strategy and pandemic preparedness plans with reference to safeguarding the psychological wellbeing of foreign workers.     

An outbreak of xenophobia: Perceived discrimination and anxiety in Chinese American college students before and during the COVID-19 pandemic

Since the outbreak of the novel coronavirus (COVID-19) pandemic, reports of xenophobic and racist incidents directed at Chinese Americans have escalated. The present study adds further understanding to potential psychosocial effects of the COVID-19 pandemic by comparing self-reported questionnaire data from two groups of Chinese students attending a public university in western United States: the group who participated in the study before the outbreak of COVID-19 (Pre-COVID, N = 134), and the group who participated at the beginning (during-COVID, N = 64). The aim of the study was to: (a) compare mean differences in perceived discrimination and anxiety between the two groups, (b) test whether COVID-19 moderated the link between perceived discrimination and anxiety, and (c) examine whether media exposure portraying Chinese individuals negatively mediated relations between COVID-19 and discrimination. Results showed that the During-COVID group reported higher perceived discrimination and anxiety than the Pre-COVID group. The link between perceived discrimination and anxiety was stronger for the During-COVID group. Mediation analyses suggested that negative Chinese media exposure partly accounted for the group difference in perceived discrimination. Results suggest that future studies on the psychosocial implications of the COVID-19 pandemic should consider the role of discrimination in understanding the mental health of Chinese American college students.     

Investigating the Links Between Cultural Values and Belief in Conspiracy Theories: The Key Roles of Collectivism and Masculinity

Research suggests that belief in conspiracy theories (CT) stems from basic psychological mechanisms and is linked to other belief systems (e.g., religious beliefs). While previous research has extensively examined individual and contextual variables associated with CT beliefs, it has not yet investigated the role of culture. In the current research, we tested, based on a situated cultural cognition perspective, the extent to which culture predicts CT beliefs. Using Hofstede's model of cultural values, three nation-level analyses of data from 25, 19, and 18 countries using different measures of CT beliefs (Study 1, N = 5323; Study 2a, N = 12,255; Study 2b, N = 30,994) revealed positive associations between masculinity, collectivism, and CT beliefs. A cross-sectional study among U.S. citizens (Study 3, N = 350), using individual-level measures of Hofstede's values, replicated these findings. A meta-analysis of correlations across studies corroborated the presence of positive links between CT beliefs, collectivism, r = .31, 95% CI = [.15; .47], and masculinity, r = .39, 95% CI = [.18; .59]. Our results suggest that in addition to individual differences and contextual variables, cultural factors also play an important role in shaping CT beliefs.     

Community cohesion during the first peak of the COVID-19 pandemic: A social antidote to health anxiety and stress

Social support gained through community ties has been pivotal in dealing with stressful events. A cross-sectional community sample (N = 2,329) was gathered to assess community cohesion buffering against heath anxiety and perceived stress during the first peak of the pandemic in the UK, using structural equation modeling analyses. Community cohesion acted as a protective mechanism against both health anxiety and stress during the first national lockdown. A strong positive association was also found between health anxiety and stress. Stress and health anxiety scores peaked in the first weeks of the imposed quarantine; as the lockdown was extended, participants reported lower stress, health anxiety and community cohesion scores. The reduction of community cohesion scores was greater for those younger than 45 while the positive association between stress and health anxiety was stronger among males during the lockdown. While community cohesion effects against health anxiety were enhanced for females, community's buffering against stress were greater for males. Strengthening citizens' psychological sense of community through the publicization and support of local initiatives and mutual-aid groups and utilizing methodically green (and blue) spaces to boost neighborhood attraction might be viable strategies within which stress and health anxiety can be suppressed. Conversely, allowing community, regional and national cracks to deepen can exacerbate the impact of stressful events experienced during the COVID-19 pandemic.     

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.     

How mask gap impacts discrimination and anxiety during COVID-19: A study on overseas Chinese during the first outbreak in 2020

The outbreak of the COVID-19 pandemic brought unrelenting waves of xenophobia against people representing vulnerable populations, among them those identified as Asians or more specifically as Chinese. Although previous studies have found that some discriminatory actions against overseas Chinese were closely related to mask use during the pandemic, there is not much evidence that explicates what might be the social-cultural triggers or impact of self-other mask discrepancy. The current study aims to examine how a mask use gap impacts perceived discrimination and anxiety during the first outbreak of COVID-19, and how perceived discrimination mediates the mask gap–anxiety relationship. This was operationalized by developing a new “mask gap” variable to capture the incongruent mask use norms between Chines and others around them in the host country. Data were collected from a cross-sectional sample of Chinese (n = 745) residing in 21 countries from March to May 2020 during the first wave of the pandemic. Results showed the newly explicated “mask gap” variable was associated with a higher level of anxiety. In addition, perceived discrimination mediated the mask gap-anxiety relationship. These findings advance both theoretical and practical understandings of how incongruent social norms impact discrimination and mental health during health threat events like the COVID-19 pandemic. The results also suggest important implications for both societal responses and the mental health of sojourners or immigrants during pandemics.     

Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies

Introduction: COVID-19 pandemic, declared on March 11, 2020, constitute an extraordinary health, social and economic global challenge. The impact on people's mental health is expected to be high. This paper sought to systematically review community-based studies on depression conducted during the COVID-19 and estimate the pooled prevalence of depression. Method: We searched for cross-sectional, community-based studies listed on PubMed or Web of Science from January 1, 2020 to May 8, 2020 that reported prevalence of depression. A random effect model was used to estimate the pooled proportion of depression. Results: A total of 12 studies were included in the meta-analysis, with prevalence rates of depression ranging from 7.45% to 48.30%. The pooled prevalence of depression was 25% (95% CI: 18% ? 33%), with significant heterogeneity between studies (I² = 99.60%, p < .001). Conclusions: Compared with a global estimated prevalence of depression of 3.44% in 2017, our pooled prevalence of 25% appears to be 7 times higher, thus suggesting an important impact of the COVID-19 outbreak on people's mental health. Addressing mental health during and after this global health crisis should be placed into the international and national public health agenda to improve citizens’ wellbeing.     

Individualism–collectivism and organ donation intentions

This article investigates the impact of individualism–collectivism on a person's willingness to donate organs. In Study 1, an online survey showed that individualism–collectivism was significantly and positively associated with participants' willingness to register as organ donors while perceived benefit mediated this relationship. Study 2 demonstrated the causal effect of individualism–collectivism on organ donation intentions using a priming technique. Participants primed with collectivism were more likely to register as organ donors than those primed with individualism. Our findings provide unique insights into whether cultural values (i.e., individualism–collectivism) can predict people's organ donation intentions.     

The impact of living in a bio-secure bubble on mental health: An examination in elite cricket

The COVID-19 pandemic has had a profound impact on many people’s lives, including the use of bio-secure environments to facilitate the continuation of professional sport. Although it is well documented that the pandemic has negatively impacted mental health, the impact of bio-bubbles on mental health is yet to be investigated. In the present study we sought to identify the impact of bio-bubbles on the mental health of those residing within, and then to explore the underlying mechanism of any such impact. Individuals (n = 68) who resided in England and Wales Cricket Board (ECB) created bio-bubbles between March 2020 and April 2021 provided data, regarding their time inside and outside of bio-bubbles, on measures of mental health and basic psychological need satisfaction and frustration. Analysis revealed that bio-bubbles increased anxiety and depression and reduced wellbeing. Additionally, MEMORE mediation analyses revealed that autonomy frustration mediated the relationship between bubble status and all mental health markers. Furthermore, compared to men, women were more likely to experience elevated levels of anxiety and depression inside the bubble. The findings suggest that bio-bubbles negatively impact mental health and further suggest that satisfaction and frustration of basic psychological needs is a contributing factor. Findings suggest organizations tasked with creating bio-bubbles would do well to tailor their environment with an awareness of the importance of basic psychological needs and sex differences in relation to mental health. To the best of our knowledge, this research represents the first investigation of the impact of bio-bubbles on mental health.     

Differentiation of self and trait anxiety: A cross‐cultural perspective

Cultural differences are likely to affect the ability to deal with anxiety. We investigated this issue among four cultural groups—Germans and Italians (Europeans living in South Tyrol, Italy), Jews and Arabs (Israelis)—in terms of their levels of differentiation of self, trait anxiety and somatic symptoms. We also examined the relationship of differentiation of self to trait anxiety and somatic symptoms. The sample consisted of 824 students: 387 Israelis (mean age 23.6) and 437 Europeans (mean age 22.3). Israeli participants reported lower levels of trait anxiety than European students. Jewish students reported lower trait anxiety than Arab students (mean difference = ?.14, p < .009), while there was no difference between German and Italian students (mean difference = .03, p > .99). Jews reported a significantly lower level of emotional cutoff than Arabs (mean difference = ?.45, p < .001), and Germans reported a significantly lower level of emotional reactivity than Italians (mean difference = .29, p < .001). Emotional reactivity and I‐position predicted all participants' trait anxiety. On the whole, results point to the importance of examining differentiation of self when trying to reduce trait anxiety, as well as some important cultural differences.     

Putting the social back into physical distancing: The role of digital connections in a pandemic crisis

During the COVID-19 pandemic, physical distancing is necessary to reduce the spread of the coronavirus. To compensate for the lack of social encounters, people have been advised to connect with others via digital communication channels. Drawing on a psychological framework combined with assumptions from communication science, we therefore investigated whether technology-mediated communication can actually meet individuals' social needs to foster compliance with distancing measures and whether there are differences between distinct communication channels. Based on an online survey (N = 301) during the first national lockdown in Germany, we found that the impact of audio-visual communication is limited. Instead, the data showed that text-based communication indirectly fostered willingness to adhere to physical distancing through the pathway of increased feelings of social support and life satisfaction. Three follow-up surveys (N = 180) revealed that while feelings of social support increased, people's technology-based communication and willingness to adhere to distancing measures decreased. Our results challenge the assumption that audio-visual communication compensates for lack of physical contact more effectively than text-based communication. This study highlights the potential of text-based communication to increase feelings of social support, which may be particularly important during a pandemic.     

Romantic relationship quality during the COVID-19 pandemic: The longitudinal associations with relationship loneliness and depression

The COVID-19 pandemic created significant strain on both mental health and romantic relationships. Therefore, we examined longitudinal associations between romantic relationship quality, relationship loneliness, and depressive symptoms over 6 months of the COVID-19 pandemic. We surveyed 122 couples (n = 244 individuals) in approximately May, September, and November 2020. Using a dyadic mediation model, findings indicated that relationship quality at Time 1 was positively associated with depression at Time 3 for men, but not for women. A significant indirect effect of relationship quality on depression via relationship loneliness at Time 2 was found for both men and women. Self-mastery, or feeling in control of one's life circumstances, was an important covariate of women's depressive symptoms. Overall, these findings highlight relationship loneliness as particularly salient for mental health and demonstrate the importance of high-quality relationships for promoting well-being during stressful events, such as global pandemics.     

The effects of social belonging and kindness on stress and well-being during the COVID-19 pandemic: A longitudinal experiment

Because the ongoing COVID-19 pandemic has introduced significant stressors to people's lives, more research on self-directed strategies to cope with pandemic-related stress is needed. In the current longitudinal experiment (N = 614), we investigated the emotional benefits of two self-directed strategies—belonging affirmation and recalling kindness—during the Delta (October 2021) and Omicron (February 2022) waves of the pandemic. Participants were randomly assigned to one of three activity conditions (belonging affirmation, recalling kindness, or control), which they performed weekly for 4 weeks. Contrary to our pre-registered hypothesis, belonging affirmation and recalling kindness did not promote greater well-being overall; however, belonging affirmation led to well-being improvements indirectly via increases in positive emotions. Furthermore, the benefits of belonging affirmation were moderated by pandemic wave. That is, during the Omicron wave, but not the Delta wave, belonging affirmation led to improved life satisfaction, positive emotions, and connectedness, decreased loneliness and negative emotions, and marginally reduced perceived stress and anxiety. These results provide preliminary evidence for the well-being benefits of belonging affirmation and suggest the importance of evaluating coping strategies throughout different stages of a long-term stressor.     

To Flourish or Languish,that is the question: Exploring the mental health profiles of Danish elite athletes

ObjectivesThe purpose of this study was (a) to investigate mental well-being and the prevalence of anxiety and depressive symptoms in Danish male and female elite athletes, (b) to identify latent profiles in athletes based on their mental health and ill health, and (c) to examine whether the different profiles vary in selected protective and risk factors concerning mental health.MethodsA total of 612 Danish athletes (M = 18.99, SD = 4.29) from 18 different sports completed an online version of the Holistic Athlete Mental Health Survey that assessed well-being, depression, and anxiety together with potential risk and protective factors (e.g., injuries, stress, sleep, social support, sport environment).ResultsOverall, 13.9% of athletes reported moderate or severe anxiety symptoms while 21.1% reported moderate or severe depressive symptoms. Female athletes had a significantly higher prevalence of anxiety and depressive symptoms and lower mental well-being scores than male athletes. Through a latent profile analysis, three distinctive mental health profiles (flourishing, moderate mental health, languishing) were discovered. MANOVA following Kruskal-Wallis tests revealed substantial differences between these profiles regarding their perception of social support, sport environment, and stressors from different life domains.Conclusions: Danish elite athletes display similar levels of anxiety and depressive symptoms as the Danish general population. Flourishing athletes report lower stress levels, receive higher support from the private and sport domain, and perceive their sport environment as more supportive than athletes who are languishing. A tailored approach is proposed to support athletes' mental health.     

Associations between COVID-19-related disruptions and psychological adjustment in a sample of young adults

We examined the relations between disruptions experienced by young adults in the US during the COVID-19 pandemic and their psychological adjustment. An online sample (N = 180, M_age = 24.8) reported on the impact of the pandemic on their living arrangements, work status, and finances; their psychological adjustment overall and with specific reference to the pandemic; and whether they lived alone and, if living with others, there were children in the home. Results indicated a moderate association between financial strain and poor overall adjustment and a small association between job-related problems and sleep disruption. Women experienced negative effects of pandemic-related disruptions on their adjustment. Men were particularly vulnerable to the negative effects of financial strain. The results show the negative psychological effects of disruptions brought about by the COVID-19 pandemic on young adults' mental health.     

Outcomes in clients transitioning from in-person counselling to telehealth counselling with trainees

The onset of the 2020 COVID-19 pandemic necessitated a rapid transition of mental health services from in-person to telehealth counselling. Despite the far-reaching impact of this transition, we know little about the impact of this transition on outcomes for clients working with counsellor trainees. The present study utilised longitudinal data collected from a counselling training centre at a major U.S. university to compare client ratings of depression, anxiety and working alliance across 1) in-person services delivered (i.e. pre-pandemic) and 2) telehealth services delivered after the pandemic began (i.e. intra-pandemic) among the same group of clients. Results support our hypothesis that changes in clients' self-reports would be generally equivalent across in-person and telehealth services. Depression and anxiety symptoms decreased, and working alliance tended to increase during both in-person and telehealth care; however, these trends were only statistically significant during telehealth services. Limitations related to sample size (N = 15 clients; up to 17 sessions per client) and low statistical power are discussed. Nonetheless, this study supports the growing body of literature supporting the efficacy of telehealth counselling services. We provide suggestions for future telehealth research and discuss implications for counsellor training.     

Mental health symptoms,well-being and experiences of the COVID-19 pandemic: A mixed-methods practice-based study

The COVID-19 pandemic necessitated abrupt and substantial changes in daily life, and public health strategies intended to protect physical health can negatively affect mental health and well-being, especially for individuals with pre-existing mental health challenges. For this study, we surveyed a sample of clients (N = 94) in the summer of 2020 from a community mental health clinic in the northeast United States. A mixed-methods, concurrent triangulation design was used to (a) identify client subgroups on indicators of mental health (i.e. anxious and depressive symptoms) and emotional, psychological, and social well-being using latent profile analysis (LPA), and (b) within these subgroups, examine qualitative, thematic patterns in self-described challenges, benefits and learning related to the pandemic. The LPA revealed five distinct subgroups with various levels of symptoms and well-being, including Stagnant (moderate symptoms/moderate well-being), Languishing (high symptoms/low well-being), Flourishing (low symptoms, high well-being), Fortitudinous (high symptoms, moderate well-being) and Mobilized (moderate symptoms, high well-being). These divergent subgroups support the need to conceptualise mental health symptoms apart from well-being and assess for heterogeneous constellations of such constructs among psychotherapy clients. Thematic analysis offered additional insight into pandemic experiences within each subgroup, including attention to psychological, emotional, behavioural/lifestyle, relational, physical and ecological/contextual dimensions of self-experience, as well as the ways clients had adjusted to the pandemic's circumstances. Findings support nuanced conceptualisations of positive mental health and offer insight into coping and adaptation during this public health crisis.     

Can a pandemic make people more socially conservative? Political ideology,gender roles,and the case of COVID-19

The first months of 2020 rapidly threw people into a period of societal turmoil and pathogen threat with the COVID-19 pandemic. By promoting epistemic and existential motivational processes and activating people's behavioral immune systems, this pandemic may have changed social and political attitudes. The current research specifically asked the following question: As COVID-19 became pronounced in the United States during the pandemic's emergence, did people living there become more socially conservative? We present a repeated-measures study (N = 695) that assessed political ideology, gender role conformity, and gender stereotypes among U.S. adults before (January 25–26, 2020) versus during (March 19–April 2, 2020) the pandemic. During the pandemic, participants reported conforming more strongly to traditional gender roles and believing more strongly in traditional gender stereotypes than they did before the pandemic. Political ideology remained constant over time. These findings suggest that a pandemic may promote the preference for traditional gender roles.