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      Emotional responses to prosocial messages increase willingness to self-isolate during the COVID-19 pandemic

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          Abstract

          The COVID-19 pandemic may be one of the greatest modern societal challenges that requires widespread collective action and cooperation. While a handful of actions can help reduce pathogen transmission, one critical behavior is to self-isolate. Public health messages often use persuasive language to change attitudes and behaviors, which can evoke a wide range of negative and positive emotional responses. In a U.S. representative sample ( N = 955), we presented two messages that leveraged either threatening or prosocial persuasive language, and measured self-reported emotional reactions and willingness to self-isolate. Although emotional responses to the interventions were highly heterogeneous, personality traits known to be linked with distinct emotional experiences (extraversion and neuroticism) explained significant variance in the arousal response. While results show that both types of appeals increased willingness to self-isolate (Cohen's d = 0.41), compared to the threat message, the efficacy of the prosocial message was more dependent on the magnitude of the evoked emotional response on both arousal and valence dimensions. Together, these results imply that prosocial appeals have the potential to be associated with greater compliance if they evoke highly positive emotional responses.

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          Most cited references47

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          Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being.

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            Fearing the unknown: a short version of the Intolerance of Uncertainty Scale.

            Intolerance of uncertainty is the tendency of an individual to consider the possibility of a negative event occurring unacceptable, irrespective of the probability of occurrence. It is a key component of worry, state anxiety, and related anxiety pathologies. The 27-item Intolerance of Uncertainty Scale (IUS) was developed to measure intolerance of uncertainty. Previous psychometric analyses of the IUS have suggested both four- and five-factor models. High inter-item correlations, factor instability, and previous theoretical research support the development of a reduced measure. The present study used two undergraduate samples and evaluated a psychometrically stable 12-item two-factor version of the IUS. The reduced measure (IUS-12) retained exemplary internal consistency, while correlating extremely well with the original IUS and related measures of anxiety and worry. The IUS-12 also demonstrated a stable two-factor structure, representing both anxious and avoidance components of intolerance of uncertainty. Directions for future research and potential applications for assessment are discussed.
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              COVID-19, unemployment, and suicide

              The COVID-19 pandemic has led to the introduction of strong restrictive measures that are having a substantial effect on the global economy, including an increase in the unemployment rate worldwide. 1 In a previous study, 2 we modelled the effect of unemployment on suicide on the basis of global public data from 63 countries, and we observed that suicide risk was elevated by 20–30% when associated with unemployment during 2000–11 (including the 2008 economic crisis). We have now used this model to predict the effects of the currently expected rise in the unemployment rate on suicide rates. Close to 800 000 people die by suicide every year. 3 We used our core model's estimates (intercept, sex, age group, and unemployment) 2 to describe the non-linear connection between unemployment and suicide. We applied the overall estimates to World Bank Open Data (ie, worldwide number in the labour force in 2019, unemployment rate [modelled estimate from the International Labour Organization] for 2019, and male and female populations in 2018 in the four age groups). Because the model predicted only 671 301 suicides with this data, instead of 800 000, we added a correction term of 0·17 to address differences in space (194 vs 63 countries) and time (2020 vs 2000). The expected number of job losses due to COVID-19 were taken from the International Labour Organization's press release from March 18, 2020, 1 reporting a decline of 24·7 million jobs as a high scenario and 5·3 million jobs lost as a low scenario. In the high scenario, the worldwide unemployment rate would increase from 4·936% to 5·644%, which would be associated with an increase in suicides of about 9570 per year. In the low scenario, the unemployment would increase to 5·088%, associated with an increase of about 2135 suicides. According to WHO, each suicide in a population is accompanied by more than 20 suicide attempts. 3 Thus, the number of mentally distressed people who might seek help from mental health services can be expected to increase in the context of the COVID-19 pandemic. Data from the economic crisis of 2008 showed that the increase in suicides preceded the actual rise in the unemployment rate. 2 We therefore expect an extra burden for our mental health system, and the medical community should prepare for this challenge now. Mental health providers should also raise awareness in politics and society that rising unemployment is associated with an increased number of suicides. The downsizing of the economy and the focus of the medical system on the COVID-19 pandemic can lead to unintended long-term problems for a vulnerable group on the fringes of society. It is important that various services, such as hotlines and psychiatric services, remain able to respond appropriately.
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                Author and article information

                Journal
                Pers Individ Dif
                Pers Individ Dif
                Personality and Individual Differences
                Elsevier Ltd.
                0191-8869
                0191-8869
                15 October 2020
                15 February 2021
                15 October 2020
                : 170
                : 110420
                Affiliations
                [a ]Department of Cognitive, Linguistic, Psychological Sciences, Brown University, Providence, RI 02912, United States of America
                [b ]Carney Institute for Brain Science, Brown University, Providence, RI 02912, United States of America
                Author notes
                [* ]Corresponding author at: Brown University, 190 Thayer St., Providence, RI 02912, United States of America.
                Article
                S0191-8869(20)30611-5 110420
                10.1016/j.paid.2020.110420
                7561320
                33082614
                bda1fbf7-1acd-46dc-a932-bc0cf4ab66cc
                © 2020 Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 4 July 2020
                : 19 September 2020
                : 27 September 2020
                Categories
                Article

                Clinical Psychology & Psychiatry
                emotion,covid-19,public health messaging,response efficacy,persuasion,extraversion,neuroticism

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