Prediction of Commitment to Social Distancing by Post-Traumatic Stress Disorder Symptoms and Corona Anxiety during Social Distancing Period in Iran

Document Type : Original Article

Authors

1 Department of Clinical Psychology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran

3 Department of Psychology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

10.30491/ijbs.2021.271674.1473

Abstract

Introduction: After the outbreak of the coronavirus disease, social distancing was recommended in order to prevent its spread. The current investigation was carried out to study whether commitment to social distancing could be predicted by corona-related anxiety and posttraumatic-stress disorder symptoms.
Method: The cross sectional study was carried out on 595 individuals, who completed the questionnaires online. Convenience sampling was used for this purpose. The used questionnaires included the Impact of Event Scale (IES), Corona Disease Anxiety Scale (CDAS) and the Commitment to Social Distancing Scale (CSDS). The data analysis was done in two sections: descriptive and inferential. In the descriptive section, frequency, percentage, mean, standard deviation, independent t-test, and one-way ANOVA were utilized. In inferential section, exploratory factor analysis, Cronbach’s alpha, Pearson correlation and multiple regression were utilized. The data were analyzed using SPSS-24.
Results: The results indicated that there was significant correlation between the impacts of all the components of the impact of event scale, except for avoidance with commitment to social distancing. Regression analysis showed that the total model was significant (adjusted r2= 0.099, f= 15.05, Sig= 0.01), and corona anxiety (β=0.319; p<0.05) and hyper-arousal subscale of the IES (β= 0.211; p<0.05) can significantly predict commitment to social distancing.
Conclusion: Informing the society of the importance of adherence to health instructions cannot solely lead to social distancing, therefore, policymakers need to combine public awareness with a little anxiety and alertness so that people follow health guidelines.

Keywords


  1. Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. Journal of medical virology. 2020;92(4):401-2.
  2. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet. 2020;395(10223):507-13.
  3. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama. 2020;323(11):1061-9.
  4. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet. 2020;395(10223):497-506.
  5. Mahase E. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ: British Medical Journal (Online). 2020;368.
  6. Cao Z, Zhang Q, Lu X, Pfeiffer D, Jia Z, Song H, et al. Estimating the effective reproduction number of the 2019-nCoV in China. MedRxiv. 2020.
  7. WHO. World health organization quality of life (WHOQOL)–BREF Switzerland, Geneva2004.
  8. Schabas R. Severe acute respiratory syndrome: Did quarantine help? Canadian Journal of Infectious Diseases and Medical Microbiology. 2004;15.
  9. Greenberger M. Better prepare than react: reordering public health priorities 100 Years after the Spanish flu epidemic. American journal of public health. 2018;108(11):1465-8.
  10. Webster RK, Brooks SK, Smith LE, Woodland L, Wessely S, Rubin GJ. How to improve adherence with quarantine: Rapid review of the evidence. Public Health. 2020.
  11. Everett JA, Colombatto C, Chituc V, Brady WJ, Crockett M. The effectiveness of moral messages on public health behavioral intentions during the COVID-19 pandemic. 2020.
  12. Pollak Y, Dayan H, Shoham R, Berger I. Predictors of adherence to public health instructions during the COVID-19 pandemic. medRxiv. 2020.
  13. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. 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. 2020;17(5):1729.
  14. Felix G. Mediating Effect of Coping Strategies between Personality and Anxiety during COVID-19. International Journal of Behavioral Sciences. 2021;14(4):225-31.
  15. Ojiaku CM, Iorfa S, Mefoh PC, Ezeuzo O, Odinko IC. COVID-19-Induced Anxiety and Covid-19 Precautionary Measures as Predictors of Mental Wellbeing of Nigerians. International Journal of Behavioral Sciences. 2020;14(3):149-54.
  16. Zhang W-r, Wang K, Yin L, Zhao W-f, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and psychosomatics. 2020;89(4):242-50.
  17. Torales J, O’Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry. 2020:0020764020915212.
  18. Xu K, Cai H, Shen Y, Ni Q, Chen Y, Hu S, et al. Management of corona virus disease-19 (COVID-19): the Zhejiang experience. Journal of Zhejiang University (medical science). 2020;49(1):0-.
  19. Jiang X, Deng L, Zhu Y, Ji H, Tao L, Liu L, et al. Psychological crisis intervention during the outbreak period of new coronavirus pneumonia from experience in Shanghai. Psychiatry Research. 2020:112903.
  20. Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian journal of psychiatry. 2020;51:102076.
  21. González-Sanguino C, Ausín B, Castellanos MÁ, Saiz J, López-Gómez A, Ugidos C, et al. Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain, behavior, and immunity. 2020;87:172-6.
  22. Cava MA, Fay KE, Beanlands HJ, McCay EA, Wignall R. Risk perception and compliance with quarantine during the SARS outbreak. Journal of Nursing Scholarship. 2005;37(4):343-7.
  23. Soper D. A-priori sample size calculator for multiple regression [Software]. Avaliable from http://www danielsoper com/statcalc (20/11/2017). 2015.
  24. Weiss DS. The impact of event scale: revised. Cross-cultural assessment of psychological trauma and PTSD: Springer; 2007. p. 219-38.
  25. Panaghi L, Mogadam JA. Persian version validation in impact of event Scale-Revised. Tehran University Medical Journal TUMS Publications. 2006;64(3):52-60.
  26. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY. 2020;8(32):163-75.
  27. Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerging infectious diseases. 2004;10(7):1206.
  28. Mohammadpour M, Ghorbani V, Khoramnia S, Ahmadi SM, Ghvami M, Maleki M. Anxiety, Self-Compassion, Gender Differences and COVID-19: Predicting Self-Care Behaviors and Fear of COVID-19 Based on Anxiety and Self-Compassion with an Emphasis on Gender Differences. Iranian Journal of Psychiatry. 2020;15(3):213.
  29. Atchison CJ, Bowman L, Vrinten C, Redd R, Pristera P, Eaton JW, et al. Perceptions and behavioural responses of the general public during the COVID-19 pandemic: A cross-sectional survey of UK Adults. MedRxiv. 2020.
  30. Kwok KO, Li KK, Chan HH, Yi YY, Tang A, Wei WI, et al. Community responses during the early phase of the COVID-19 epidemic in Hong Kong: risk perception, information exposure and preventive measures. MedRxiv. 2020.
  31. Liao Q, Cowling B, Lam WT, Ng MW, Fielding R. Situational awareness and health protective responses to pandemic influenza A (H1N1) in Hong Kong: a cross-sectional study. PLoS one. 2010;5(10):e13350.
  32. Park J-H, Cheong H-K, Son D-Y, Kim S-U, Ha C-M. Perceptions and behaviors related to hand hygiene for the prevention of H1N1 influenza transmission among Korean university students during the peak pandemic period. BMC infectious diseases. 2010;10(1):1-8.
  33. Pouyan Fard S, Taheri AA, Ghvami M, Ahmadi SM, Mohammadpour M. Individual, gender differences and corona: The relationship between personality traits and gender differences with corona self care behaviour. Shenakht journal of psychology & psychiatry. 2020;7(4):67-77.
  34. Teh B, Olsen K, Black J, Cheng AC, Aboltins C, Bull K, et al. Impact of swine influenza and quarantine measures on patients and households during the H1N1/09 pandemic. Scandinavian journal of infectious diseases. 2012;44(4):289-96.
  35. Hsu C-C, Chen T, Chang M, Chang Y-K. Confidence in controlling a SARS outbreak: experiences of public health nurses in managing home quarantine measures in Taiwan. American journal of infection control. 2006;34(4):176-81.
  36. Johal SS. Psychosocial impacts of quarantine during disease outbreaks and interventions that may help to relieve strain. 2009.
  37. GÜNER HR, Hasanoğlu I, Aktaş F. COVID-19: Prevention and control measures in community. Turkish Journal of Medical Sciences. 2020;50(SI-1):571-7.
  38. Tang W, Hu T, Hu B, Jin C, Wang G, Xie C, et al. Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. Journal of affective disorders. 2020.