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Associations of risk perception of COVID-19 with emotion and mental health during the pandemic.


ABSTRACT:

Background

Although there are increasing concerns on mental health consequences of the COVID-19 pandemic, no large-scale population-based studies have examined the associations of risk perception of COVID-19 with emotion and subsequent mental health.

Methods

This study analysed cross-sectional and longitudinal data from the PsyCorona Survey that included 54,845 participants from 112 countries, of which 23,278 participants are representative samples of 24 countries in terms of gender and age. Specification curve analysis (SCA) was used to examine associations of risk perception of COVID-19 with emotion and self-rated mental health. This robust method considers all reasonable model specifications to avoid subjective analytical decisions while accounting for multiple testing.

Results

All 162 multilevel linear regressions in the SCA indicated that higher risk perception of COVID-19 was significantly associated with less positive or more negative emotions (median standardised ?=-0.171, median SE=0.004, P<0.001). Specifically, regressions involving economic risk perception and negative emotions revealed stronger associations. Moreover, risk perception at baseline survey was inversely associated with subsequent mental health (standardised ?=-0.214, SE=0.029, P<0.001). We further used SCA to explore whether this inverse association was mediated by emotional distress. Among the 54 multilevel linear regressions of mental health on risk perception and emotion, 42 models showed a strong mediation effect, where no significant direct effect of risk perception was found after controlling for emotion (P>0.05).

Limitations

Reliance on self-reported data.

Conclusions

Risk perception of COVID-19 was associated with emotion and ultimately mental health. Interventions on reducing excessive risk perception and managing emotional distress could promote mental health.

SUBMITTER: Han Q 

PROVIDER: S-EPMC7834977 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Publications

Associations of risk perception of COVID-19 with emotion and mental health during the pandemic.

Han Qing Q   Zheng Bang B   Agostini Maximilian M   Bélanger Jocelyn J JJ   Gützkow Ben B   Kreienkamp Jannis J   Reitsema Anne Margit AM   van Breen Jolien A JA   Collaboration PsyCorona P   Leander N Pontus NP  

Journal of affective disorders 20210126


<h4>Background</h4>Although there are increasing concerns on mental health consequences of the COVID-19 pandemic, no large-scale population-based studies have examined the associations of risk perception of COVID-19 with emotion and subsequent mental health.<h4>Methods</h4>This study analysed cross-sectional and longitudinal data from the PsyCorona Survey that included 54,845 participants from 112 countries, of which 23,278 participants are representative samples of 24 countries in terms of gend  ...[more]

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