The moderating role of perceived efficacy of COVID-19 prevention measures on the relation between perceived risk and perceived mental health

  1. Cuadrado, Esther 1
  2. Farhane-Medina, Naima Z 1
  3. Tabernero, Carmen 2
  4. Gutiérrez-Domingo, Tamara 1
  5. Villaécija, Joaquín 1
  1. 1 Universidad de Córdoba
    info

    Universidad de Córdoba

    Córdoba, España

    ROR https://ror.org/05yc77b46

  2. 2 University of Salamanca, Spain
Journal:
Anales de psicología

ISSN: 0212-9728 1695-2294

Year of publication: 2024

Issue Title: January - April

Volume: 40

Issue: 1

Pages: 12-19

Type: Article

DOI: 10.6018/ANALESPS.515681 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Anales de psicología

Sustainable development goals

Abstract

The pandemic situation caused by COVID-19 led countries to adopt harsh and prolonged (over time) measures that—along with the high number of infections and deaths and continuous negative information—have affected the mental health of individuals. In this study, the impact on mental health of the COVID-19 health crisis in Spain was explored through the perceived efficacy of pandemic containment measures as a moderator of the relationship that COVID-19 perceived risk establishes with stress and depression. A questionnaire composed of scales conceived to measure COVID-19 perceived risk, perceived efficacy of COVID-19 prevention measures, stress, and depression was completed by 478 adults living in Spain (66.9% females, Mage = 36.30, SD = 15.32) between May 16, 2021, and June 6, 2021. The results confirmed the moderating role of perceived efficacy. Perceived efficacy acted as a protective factor for stress and depression by decreasing the negative impact that perceived risk had on both variables related to mental distress. Also, the perception that participants had about the effectiveness of prevention measures appeared to be a relevant protective factor regarding mental health during the pandemic. This study highlights the relevance of psychological interventions and government policies that improve positive risk communication and provide adequate information regarding the effectiveness of health-prevention measures.

Bibliographic References

  • American Psychological Association. (2021). APA Dictionary of Psychology. https://dictionary.apa.org/risk-perception
  • Ammar, A., Trabelsi, K., Brach, M., Chtourou, H., Boukhris, O., Masmoudi, L., Bouaziz, B., Bentlage, E., How, D., Ahmed, M., Mueller, P., Mueller, N., Hammouda, O., Paineiras-Domingos, L., Braakman-jansen, A., Wrede, C., Bastoni, S., Pernambuco, C., Mataruna, L., … Hoekelmann, A. (2021). Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: Insight from the ECLB-COVID19 multicenter study. Biology of Sport, 38(1), 9–21. https://doi.org/10.5114/biolsport.2020.96857
  • Ausín, B., González-Sanguino, C., Castellanos, M. Á., & Muñoz, M. (2021). Gender-related differences in the psychological impact of confinement as a consequence of COVID-19 in Spain. Journal of Gender Studies, 30(1), 29–38. https://doi.org/10.1080/09589236.2020.1799768
  • Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
  • Bults, M., Beaujean, D. J., de Zwart, O., Kok, G., van Empelen, P., van Steenbergen, J. E., Richardus, J. H., & Voeten, H. A. (2011). Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC Public Health, 11(1), 2. https://doi.org/10.1186/1471-2458-11-2
  • Cohen, J., & Kupferschmidt, K. (2020). Countries test tactics in ‘war’ against COVID-19. Science, 367(6484), 1287-1288. https://doi.org/10.1126/science.367.6484.1287
  • Coronavirus Resource Center. (2023). COVID-19 Dashboard by the Center for Systems Science and Enginee. Johns Hopkins University & Medicine.
  • Cuadrado, E., Arenas, A., Moyano, M., & La Gamma, M. (2023). Development and validation of the COVID-19 Worries and Fears Scale. International Journal of Public Health, 67. https://doi.org/10.3389/ijph.2022.1604600
  • Cuadrado, E., Arenas, A., Moyano, M., & Tabernero, C. (2021). Differential impact of stay‐at‐home orders on mental health in adults who are homeschooling or “childless at home” in time of COVID‐19. Family Process, famp.12698. https://doi.org/10.1111/famp.12698
  • Cuadrado, E., Rich-Ruiz, M., Gutiérrez-Domingo, T., Luque, B., Castillo-Mayén, R., Villaécija, J., & Farhane-Medina, N. Z. (2023). Regulatory emotional self-efficacy and anxiety in times of pandemic: a gender perspective. Health Psychology and Behavioral Medicine, 11(1). https://doi.org/10.1080/21642850.2022.2158831
  • Dai, W., Meng, G., Zheng, Y., Li, Q., Dai, B., & Liu, X. (2021). The Impact of Intolerance of Uncertainty on Negative Emotions in COVID-19: Mediation by Pandemic-Focused Time and Moderation by Perceived Efficacy. International Journal of Environmental Research and Public Health, 18(8), 4189. https://doi.org/10.3390/ijerph18084189
  • González-Sanguino, C., Ausín, B., Castellanos, M. A., Saiz, J., & Muñoz, M. (2021). Mental health consequences of the Covid-19 outbreak in Spain. A longitudinal study of the alarm situation and return to the new normality. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 107, 110219. https://doi.org/10.1016/j.pnpbp.2020.110219
  • Goodman, L. A. (1961). Snowball Sampling. The Annals of Mathematical Statistics, 32(1), 148-170. https://doi.org/10.1214/aoms/1177705148
  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. Guilford Press.
  • Helliwell, J. F., & Huang, H. (2008). How’s Your Government? International Evidence Linking Good Government and Well-Being. British Journal of Political Science, 38(4), 595-619. https://doi.org/10.1017/S0007123408000306
  • Herrero, M. J., Blanch, J., Peri, J. M., de Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. General Hospital Psychiatry, 25(4), 277–283. https://doi.org/10.1016/S0163-8343(03)00043-4
  • Hrynick, T., Ripoll, S., & Schmidt-Sane, M. (2020). Repaso rápido: Reticencia a las vacunas y desarrollo de la confianza en la vacunación contra el COVID-19 [Quick review: Vaccine hesitancy and building confidence in COVID-19 vaccination]. Briefing, Brighton: Social Science in Humanitarian Action (SSHAP). https://opendocs.ids.ac.uk/opendocs/bitstream/handle /20.500.12413/15794/SSHAP_Vaccine Hesitancy_LA.ES.pdf?sequen-ce=16&isAllowed=y
  • Lam, S. C., Arora, T., Grey, I., Suen, L. K. P., Huang, E. Y., Li, D., & Lam, K. B. H. (2020). Perceived risk and protection from infection and depressive symptoms among healthcare workers in mainland China and Hong Kong during COVID-19. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00686
  • Li, X., & Lyu, H. (2021). Epidemic risk perception, perceived stress, and mental health during COVID-19 pandemic: A moderated mediating model. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.563741
  • Mækelæ, M. J., Reggev, N., Dutra, N., Tamayo, R. M., Silva-Sobrinho, R. A., Klevjer, K., & Pfuhl, G. (2020). Perceived efficacy of COVID-19 restrictions, reactions and their impact on mental health during the early phase of the outbreak in six countries. Royal Society Open Science, 7(8), 200644. https://doi.org/10.1098/rsos.200644
  • Mendoza-Llanos, R., & Moyano-Díaz, E. (2019). Hacia la validación del SUSESO ISTAS 21 versión breve en trabajadores de hospitales públicos [Towards the validation of SUSESO ISTAS 21 short version in public hospital workers]. Terapia Psicológica, 37(1), 15–23. https://doi.org/10.4067/S0718-48082019000100015
  • Meng, G., Li, Q., Yuan, X., Zheng, Y., Hu, K., Dai, B., & Liu, X. (2023). The roles of risk perception, negative emotions and perceived efficacy in the association between COVID-19 infection cues and preventive behaviors: a moderated mediation model. BMC Public Health, 23(1), 109. https://doi.org/10.1186/s12889-022-14870-7
  • Moncada, S., Llorens, C., Andrés, R., Moreno, N., & Molinero, E. (2014). Manual del método CoPsoQ-istas21 (versión 2) para la evaluación y la prevención de los riesgos psicosociales [Manual of the CoPsoQ-istas21 method (version 2) for the evaluation and prevention of psychosocial risks]. https://copsoq.istas21.net/ficheros/documentos/v2/manual%20Copsoq%202(24-07-2014).pdf
  • Mouso, J. (2021). España se quita la mascarilla en la calle en un paso más hacia la normalidad [Spain takes off the mask in the street in a step towards normality]. El País. https://elpais.com/sociedad/2021-06-26/espana-se-quita-la-mascrilla-en-la-calle-401-dias-despues.html
  • Mumtaz, A., Manzoor, F., Jiang, S., & Anisur Rahaman, M. (2021). COVID-19 and mental health: A study of stress, resilience, and depression among the older population in Pakistan. Healthcare, 9(4), 424. https://doi.org/10.3390/healthcare9040424
  • Pieh, C., Budimir, S., Humer, E., & Probst, T. (2021). Comparing mental health during the COVID-19 lockdown and 6 months after the lockdown in Austria: A longitudinal study. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.625973
  • Pierce, M., McManus, S., Hope, H., Hotopf, M., Ford, T., Hatch, S. L., John, A., Kontopantelis, E., Webb, R. T., Wessely, S., & Abel, K. M. (2021). Mental health responses to the COVID-19 pandemic: a latent class trajectory analysis using longitudinal UK data. The Lancet Psychiatry, 8(7), 610–619. https://doi.org/10.1016/S2215-0366(21)00151-6
  • Serpas, D. G., & Ignacio, D. A. (2022). COVID-19 fear mediates the relationship between perceived risk and preventive behaviors: the moderating role of perceived effectiveness. Psychology & Health, 37(12), 1457-1470. https://doi.org/10.1080/08870446.2021.1980566
  • Sheeran, P., Harris, P. R., & Epton, T. (2014). Does heightening risk appraisals change people’s intentions and behavior? A meta-analysis of experimental studies. Psychological Bulletin, 140(2), 511-543. https://doi.org/10.1037/a0033065
  • Sicouri, G., March, S., Pellicano, E., De Young, A. C., Donovan, C. L., Cobham, V. E., Rowe, A., Brett, S., Russell, J. K., Uhlmann, L., & Hudson, J. L. (2023). Mental health symptoms in children and adolescents during COVID-19 in Australia. Australian & New Zealand Journal of Psychiatry, 57(2), 213–229. https://doi.org/10.1177/00048674221090174
  • Tull, M. T., Edmonds, K. A., Scamaldo, K. M., Richmond, J. R., Rose, J. P., & Gratz, K. L. (2020). Psychological outcomes associated with stay-at-home orders and the perceived impact of COVID-19 on daily life. Psychiatry Research, 289, 113098. https://doi.org/10.1016/j.psychres.2020.113098
  • van der Linden, S., Roozenbeek, J., & Compton, J. (2020). Inoculating against fake news about COVID-19. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.566790
  • Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729
  • Yıldırım, M., Arslan, G., & Özaslan, A. (2020). Perceived risk and mental health problems among healthcare professionals during COVID-19 pandemic: Exploring the mediating effects of resilience and coronavirus fear. International Journal of Mental Health and Addiction, 20, 1035-1045. https://doi.org/10.1007/s11469-020-00424-8
  • Yıldırım, M., & Güler, A. (2021). Positivity explains how COVID-19 perceived risk increases death distress and reduces happiness. Personality and Individual Differences, 168, 110347. https://doi.org/10.1016/j.paid.2020.110347