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Andersson PA, Vartanova I, Västfjäll D, Tinghög G, Strimling P, Wu J, Hazin I, Akotia CS, Aldashev A, Andrighetto G, Anum A, Arikan G, Bagherian F, Barrera D, Basnight-Brown D, Batkeyev B, Berezina E, Björnstjerna M, Boski P, Bovina I, Huyen BTT, Čekrlija Đ, Choi HS, Contreras-Ibáñez CC, Costa-Lopes R, de Barra M, de Zoysa P, Dorrough AR, Dvoryanchikov N, Engelmann JB, Euh H, Fang X, Fiedler S, Foster-Gimbel OA, Fülöp M, Gardarsdottir RB, Gill CMHD, Glöckner A, Graf S, Grigoryan A, Gritskov V, Growiec K, Halama P, Hartanto A, Hopthrow T, Hřebíčková M, Iliško D, Imada H, Kapoor H, Kawakami K, Khachatryan N, Kharchenko N, Kiyonari T, Kohút M, Leslie LM, Li Y, Li NP, Li Z, Liik K, Maitner AT, Manhique B, Manley H, Medhioub I, Mentser S, Nejat P, Nipassa O, Nussinson R, Onyedire NG, Onyishi IE, Panagiotopoulou P, Perez-Floriano LR, Persson M, Pirttilä-Backman AM, Pogosyan M, Raver J, Rodrigues RB, Romanò S, Romero PP, Sakki I, San Martin A, Sherbaji S, Shimizu H, Simpson B, Szabo E, Takemura K, Teixeira MLM, Thanomkul N, Tiliouine H, Travaglino GA, Tsirbas Y, Widodo S, Zein R, Zirganou-Kazolea L, Eriksson K. Anger and disgust shape judgments of social sanctions across cultures, especially in high individual autonomy societies. Sci Rep 2024; 14:5591. [PMID: 38454068 PMCID: PMC10920647 DOI: 10.1038/s41598-024-55815-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 02/28/2024] [Indexed: 03/09/2024] Open
Abstract
When someone violates a social norm, others may think that some sanction would be appropriate. We examine how the experience of emotions like anger and disgust relate to the judged appropriateness of sanctions, in a pre-registered analysis of data from a large-scale study in 56 societies. Across the world, we find that individuals who experience anger and disgust over a norm violation are more likely to endorse confrontation, ostracism and, to a smaller extent, gossip. Moreover, we find that the experience of anger is consistently the strongest predictor of judgments of confrontation, compared to other emotions. Although the link between state-based emotions and judgments may seem universal, its strength varies across countries. Aligned with theoretical predictions, this link is stronger in societies, and among individuals, that place higher value on individual autonomy. Thus, autonomy values may increase the role that emotions play in guiding judgments of social sanctions.
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Affiliation(s)
- Per A Andersson
- Department of Behavioral Sciences and Learning, Linköping University, 581 83, Linköping, Sweden.
- JEDILab, Division of Economics, Department of Management and Engineering, Linköping University, Linköping, Sweden.
| | - Irina Vartanova
- Institute for Futures Studies, Box 591, 101 31, Stockholm, Sweden
| | - Daniel Västfjäll
- Department of Behavioral Sciences and Learning, Linköping University, 581 83, Linköping, Sweden
| | - Gustav Tinghög
- JEDILab, Division of Economics, Department of Management and Engineering, Linköping University, Linköping, Sweden
- JEDILab, Department of Health, Medicine and Caring Sciences, Linkoping University, Linkoping, Sweden
| | - Pontus Strimling
- Institute for Futures Studies, Box 591, 101 31, Stockholm, Sweden
- The Institute for Analytical Sociology, Linköping University, Linköping, Sweden
| | - Junhui Wu
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Lincui Road 16, Chaoyang District, Beijing, 100101, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Isabela Hazin
- Institute for Futures Studies, Box 591, 101 31, Stockholm, Sweden
- Department of Women's and Children's Health, University of Uppsala, Uppsala, Sweden
| | - Charity S Akotia
- Department of Psychology, University of Ghana, Legon, P.O. Box LG 84, Accra, Ghana
| | - Alisher Aldashev
- International School of Economics, Kazakh-British Technical University, 59 Tole Bi Street, 050000, Almaty, Kazakhstan
| | - Giulia Andrighetto
- Institute for Futures Studies, Box 591, 101 31, Stockholm, Sweden
- Mälardalen University, 721 23, Västerås, Sweden
- Institute of Cognitive Sciences and Technologies, National Research Council of Italy, 00185, Rome, Italy
| | - Adote Anum
- Department of Psychology, University of Ghana, Legon, P.O. Box LG 84, Accra, Ghana
| | - Gizem Arikan
- Department of Political Science, Trinity College Dublin, 2-3 College Green, Dublin 2, Ireland
| | - Fatemeh Bagherian
- Faculty of Education and Psychology, Shahid Beheshti University, Tehran, 1983969411, Iran
| | - Davide Barrera
- University of Turin and Collegio Carlo Alberto, Lungo Dora Siena 100, 10124, Turin, Italy
| | - Dana Basnight-Brown
- School of Humanities and Social Sciences, United States International University Africa, Box 14634 00800, Nairobi, Kenya
| | - Birzhan Batkeyev
- International School of Economics, Kazakh-British Technical University, 59 Tole Bi Street, 050000, Almaty, Kazakhstan
| | - Elizaveta Berezina
- Sunway University, No. 5, Jalan Universiti, Bandar Sunway, 47500, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | | | - Paweł Boski
- SWPS University, Chodakowska 19-31, 03-815, Warsaw, Poland
| | - Inna Bovina
- Moscow State University of Psychology and Education, Sretenka Str., 29, 127051, Moscow, Russia
| | - Bui Thi Thu Huyen
- Hanoi National University of Education, 136 Xuan Thuy Street, Cau Giay District, Hanoi, Vietnam
| | - Đorđe Čekrlija
- Faculty of Philosophy, University of Banja Luka, Vojvode Petra Bojovića 1A, 78000, Banja Luka, Bosnia and Herzegovina
- Institute of Psychology, University of Greifswald, Greifswald, Germany
| | - Hoon-Seok Choi
- Department of Psychology, Sungkyunkwan University, 25-2, Sungkyunkwan-Ro, Jongno-Gu, Seoul, 03063, Republic of Korea
| | - Carlos C Contreras-Ibáñez
- Departamento de Sociología, Universidad Autónoma Metropolitana-Unidad Iztapalapa, Av. Rafael Atlixco 186, Col. Vicentina, 09340, Ciudad de México, México
| | - Rui Costa-Lopes
- Instituto de Ciências Sociais, Universidade de Lisboa, Av. Prof. Anibal de Bettencourt, 9, 1600-189, Lisboa, Portugal
| | - Mícheál de Barra
- Center for Culture and Evolution, Brunel University London, Uxbridge, UB8 3PH, UK
| | - Piyanjali de Zoysa
- Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 8, Sri Lanka
| | - Angela R Dorrough
- Department of Psychology, University of Cologne, Richard-Strauss-Str. 2, 50931, Cologne, Germany
| | - Nikolay Dvoryanchikov
- Moscow State University of Psychology and Education, Sretenka Str., 29, 127051, Moscow, Russia
| | - Jan B Engelmann
- Center for Research in Experimental Economics and Political Decision Making (CREED), Amsterdam School of Economics, University of Amsterdam, P.O. Box 15867, 1001 NJ, Amsterdam, The Netherlands
| | - Hyun Euh
- Gies College of Business, University of Illinois at Urbana-Champaign, 1206 S 6Th St., Champaign, IL, 61820, USA
| | - Xia Fang
- Department of Psychology and Behavioral Sciences, Zhejiang University, 148 Tianmushan Road, Hangzhou, Zhejiang, China
| | - Susann Fiedler
- Vienna University of Economics and Business, Welthandelsplatz 1, 1020, Vienna, Austria
| | - Olivia A Foster-Gimbel
- Stern School of Business, New York University, 40 West 4Th Street, Tisch Hall, Suite 700, New York, NY, 10012, USA
| | - Márta Fülöp
- HUN-REN Institute of Cognitive Neuroscience and Psychology, Research Centre of Natural Sciences, Budapest, Hungary
- Károli Gáspár University of the Reformed Church, Bécsi Út 324, Budapest, 1034, Hungary
| | - Ragna B Gardarsdottir
- Faculty of Psychology, University of Iceland, Nyi Gardur, Saemundargata 12, IS-102, Reykjavík, Iceland
| | - C M Hew D Gill
- Sunway University, No. 5, Jalan Universiti, Bandar Sunway, 47500, Petaling Jaya, Selangor Darul Ehsan, Malaysia
- Universal College Bangladesh, Dhaka, Bangladesh
| | - Andreas Glöckner
- Department of Psychology, University of Cologne, Richard-Strauss-Str. 2, 50931, Cologne, Germany
- Max Planck Institute for Research on Collective Goods, Kurt-Schumacher-Str. 10, 53113, Bonn, Germany
| | - Sylvie Graf
- Institute of Psychology, Czech Academy of Sciences, Veveří 97, 602 00, Brno, Czech Republic
| | - Ani Grigoryan
- Department of Personality Psychology, Yerevan State University, Alex Manoogian 1, 0025, Yerevan, Armenia
| | - Vladimir Gritskov
- Saint Petersburg State University, 7-9 Universitetskaya Emb., St Petersburg, 199034, Russia
| | | | - Peter Halama
- Center for Social and Psychological Sciences, Slovak Academy of Sciences, Dubravska Cesta 9, 841 04, Bratislava, Slovakia
| | - Andree Hartanto
- School of Social Sciences, Singapore Management University, 90 Stamford Road, Singapore, 178903, Singapore
| | - Tim Hopthrow
- School of Psychology, University of Kent, Canterbury, CT2 7NP, UK
| | - Martina Hřebíčková
- Institute of Psychology, Czech Academy of Sciences, Veveří 97, 602 00, Brno, Czech Republic
| | - Dzintra Iliško
- Daugavpils University, Latvia, Parades Street 1, Room 432, Daugvapils, 5400, Latvia
| | - Hirotaka Imada
- Department of Psychology, Royal Holloway, University of London, Egham, TW20 0EX, UK
| | - Hansika Kapoor
- Department of Psychology, Monk Prayogshala, 4114, C Wing, Oberoi Garden Estates, Off Saki Vihar Road, Andheri East, Mumbai, Maharashtra, 400072, India
| | - Kerry Kawakami
- Department of Psychology, York University, 4700 Keele Street, Toronto, ON, Canada
| | - Narine Khachatryan
- Department of Personality Psychology, Yerevan State University, Alex Manoogian 1, 0025, Yerevan, Armenia
| | - Natalia Kharchenko
- Kyiv International Institute of Sociology, Voloska Str., 8/5, Build. 4, Kyiv, 04070, Ukraine
| | - Toko Kiyonari
- Aoyama Gakuin University, 5-10-1, Fuchinobe, Chuo-Ku, Sagamihara-City, Kanagawa, 252-5258, Japan
| | - Michal Kohút
- Faculty of Philosophy and Arts, University of Trnava, Hornopotočná 23, 918 43, Trnava, Slovakia
| | - Lisa M Leslie
- Stern School of Business, New York University, 40 West 4Th Street, Tisch Hall, Suite 700, New York, NY, 10012, USA
| | - Yang Li
- Melbourne School of Psychological Science, University of Melbourne, 1116 Redmond Barry Building, Melbourne, VIC, 3010, Australia
| | - Norman P Li
- School of Social Sciences, Singapore Management University, 90 Stamford Road, Singapore, 178903, Singapore
| | - Zhuo Li
- Department of Psychology, University of Western Ontario, 1151 Richmond St, London, ON, N6A 5C2, Canada
| | - Kadi Liik
- School of Natural Sciences and Health, Tallinn University, Narva Rd 25, 10120, Tallinn, Estonia
| | - Angela T Maitner
- Department of Psychology, American University of Sharjah, PO Box 26666, Sharjah, United Arab Emirates
| | - Bernardo Manhique
- Faculty of Arts and Social Sciences, Department of Sociology, Eduardo Mondlane University, Av. Julius Nyerere, 3453, Main Campus, Maputo, Mozambique
| | - Harry Manley
- Faculty of Behavioral Sciences, Education, & Languages, HELP University Subang 2, Subang Jaya, Malaysia
- Faculty of Psychology, Chulalongkorn University, 254 Phayathai Road, Pathumwan, Bangkok, 10330, Thailand
| | - Imed Medhioub
- Department of Finance, Imam Mohammad Ibn Saud Islamic University (IMSIU), P.O. Box 5701, Riyadh, Saudi Arabia
| | - Sari Mentser
- Department of Education and Psychology, The Open University of Israel, 1 University Road, 4353701, Raanana, Israel
| | - Pegah Nejat
- Faculty of Education and Psychology, Shahid Beheshti University, Tehran, 1983969411, Iran
| | - Orlando Nipassa
- Faculty of Arts and Social Sciences, Department of Sociology, Eduardo Mondlane University, Av. Julius Nyerere, 3453, Main Campus, Maputo, Mozambique
| | - Ravit Nussinson
- Department of Education and Psychology, The Open University of Israel, 1 University Road, 4353701, Raanana, Israel
- Institute of Information Processing and Decision Making, University of Haifa, Abba Khoushy Ave 199, 3498838, Haifa, Israel
| | - Nneoma G Onyedire
- Department of Psychology, University of Nigeria, Nsukka, 41000, Nigeria
| | - Ike E Onyishi
- Department of Psychology, University of Nigeria, Nsukka, 41000, Nigeria
| | - Penny Panagiotopoulou
- Department of Education and Social Work, University of Patras, 26500, Rion, Patras, Greece
| | - Lorena R Perez-Floriano
- Facultad de Economía y Empresa, Universidad Diego Portales, Av. Sta. Clara 797, Huechuraba, Región Metropolitana, Chile
| | - Minna Persson
- Institute for Futures Studies, Box 591, 101 31, Stockholm, Sweden
| | - Anna-Maija Pirttilä-Backman
- Faculty of Social Sciences, Social Psychology, University of Helsinki, PO Box 54 (Unioninkatu 37), 00014, Helsinki, Finland
| | - Marianna Pogosyan
- Leadership and Management, Amsterdam Business School, University of Amsterdam, PO Box 15953, 1001 NB, Amsterdam, The Netherlands
| | - Jana Raver
- Queen's University, Goodes Hall, Kingston, ON, K7L 3N6, Canada
| | - Ricardo Borges Rodrigues
- Instituto Universitário de Lisboa ISCTE-IUL, CIS, Avenida das Forças Armadas, 1649-026, Lisbon, Portugal
| | - Sara Romanò
- Department of Culture, Politics and Society, University of Turin, 10135, Turin, Italy
| | - Pedro P Romero
- Experimental and Computational Economics Lab (ECEL), School of Economics, Universidad San Francisco de Quito USFQ, Diego de Robles y Pampite, Quito, Ecuador
| | - Inari Sakki
- Faculty of Social Sciences, Social Psychology, University of Helsinki, PO Box 42 (Unioninkatu 33), 00014, Helsinki, Finland
| | - Alvaro San Martin
- IESE Business School, Camino del Cerro del Águila, 3, 28023, Madrid, Spain
| | - Sara Sherbaji
- Department of International Studies, American University of Sharjah, PO Box 26666, Sharjah, United Arab Emirates
- Department of Anthropology, University College London, Gower Street, London, WC1E 6BT, UK
| | - Hiroshi Shimizu
- Kwansei Gakuin University, 1-155 Uegahara 1Bancho, Nishinomiya, Hyogo, 662-8501, Japan
| | - Brent Simpson
- Department of Sociology, University of South Carolina, Columbia, SC, 29208, USA
| | - Erna Szabo
- Department of International Management, Johannes Kepler University, Altenberger Str. 69, 4040, Linz, Austria
| | - Kosuke Takemura
- Faculty of Economics, Shiga University, 1-1-1 Banba, Hikone, Shiga, 522-8522, Japan
| | - Maria Luisa Mendes Teixeira
- Mackenzie Presbyterian University, Business Administration Postgraduate Program, Consolação St, 930, São Paulo, CEP 01302-000, Brazil
| | - Napoj Thanomkul
- Faculty of Psychology, Chulalongkorn University, 254 Phayathai Road, Pathumwan, Bangkok, 10330, Thailand
| | - Habib Tiliouine
- Labo-PECS, Faculty of Social Sciences, Université d'Oran 2, 31000, Oran, Algeria
| | - Giovanni A Travaglino
- Department of Law and Criminology, Institute for the Study of Power, Crime, and Society, Royal Holloway, University of London, Egham, TW20 0EX, UK
| | - Yannis Tsirbas
- Department of Political Science and Public Administration, University of Athens, 6 Themistokleous Street, 10678, Athens, Greece
| | - Sita Widodo
- Department of Psychology, Universitas Airlangga, Kampus B Unair Jalan Airlangga 4-6, Surabaya, 60286, Indonesia
| | - Rizqy Zein
- Department of Psychology, Universitas Airlangga, Kampus B Unair Jalan Airlangga 4-6, Surabaya, 60286, Indonesia
| | - Lina Zirganou-Kazolea
- Department of Political Science and Public Administration, University of Athens, 6 Themistokleous Street, 10678, Athens, Greece
| | - Kimmo Eriksson
- Institute for Futures Studies, Box 591, 101 31, Stockholm, Sweden
- Mälardalen University, 721 23, Västerås, Sweden
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Benjet C, Albor Y, Alvis-Barranco L, Contreras-Ibáñez CC, Cuartas G, Cudris-Torres L, González N, Cortés-Morelos J, Gutierrez-Garcia RA, Medina-Mora ME, Patiño P, Vargas-Contreras E, Cuijpers P, Gildea SM, Kazdin AE, Kennedy CJ, Luedtke A, Sampson NA, Petukhova MV, Zainal NH, Kessler RC. Internet-delivered cognitive behavior therapy versus treatment as usual for anxiety and depression among Latin American university students: A randomized clinical trial. J Consult Clin Psychol 2023; 91:694-707. [PMID: 38032621 PMCID: PMC11078571 DOI: 10.1037/ccp0000846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
OBJECTIVE Untreated mental disorders are important among low- and middle-income country (LMIC) university students in Latin America, where barriers to treatment are high. Scalable interventions are needed. This study compared transdiagnostic self-guided and guided internet-delivered cognitive behavioral therapy (i-CBT) with treatment as usual (TAU) for clinically significant anxiety and depression among undergraduates in Colombia and Mexico. METHOD 1,319 anxious, as determined by the Generalized Anxiety Disorder-7 (GAD-7) = 10+ and/or depressed, as determined by the Patient Health Questionnaire-9 (PHQ-9) = 10+, undergraduates (mean [SD] age = 21.4 [3.2]); 78.7% female; 55.9% first-generation university student) from seven universities in Colombia and Mexico were randomized to culturally adapted versions of self-guided i-CBT (n = 439), guided i-CBT (n = 445), or treatment as usual (TAU; n = 435). All randomized participants were reassessed 3 months after randomization. The primary outcome was remission of both anxiety (GAD-7 = 0-4) and depression (PHQ-9 = 0-4). We hypothesized that remission would be higher with guided i-CBT than with the other interventions. RESULTS Intent-to-treat analysis found significantly higher adjusted (for university and loss to follow-up) remission rates (ARD) among participants randomized to guided i-CBT than either self-guided i-CBT (ARD = 13.1%, χ12 = 10.4, p = .001) or TAU (ARD = 11.2%, χ12 = 8.4, p = .004), but no significant difference between self-guided i-CBT and TAU (ARD = -1.9%, χ12 = 0.2, p = .63). Per-protocol sensitivity analyses and analyses of dimensional outcomes yielded similar results. CONCLUSIONS Significant reductions in anxiety and depression among LMIC university students could be achieved with guided i-CBT, although further research is needed to determine which students would most likely benefit from this intervention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Corina Benjet
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Yesica Albor
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | | | | | - Gina Cuartas
- Facultad de Psicología, Universidad Cooperativa de Colombia, Medellin, Colombia
| | - Lorena Cudris-Torres
- Programa de Psicología, Fundación Universitaria del Area Andina, Valledupar, Colombia
| | - Noé González
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Jacqueline Cortés-Morelos
- Departamento de Psiquiatría y Salud Mental, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | | | - Maria Elena Medina-Mora
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Pamela Patiño
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Eunice Vargas-Contreras
- Facultad de Ciencias Administrativas y Sociales, Universidad Autónoma de Baja California, Ensenada, Mexico
| | - Pim Cuijpers
- Department of Clinical, Neuro-, and Developmental Psychology, Vrije Universiteit, Amsterdam, The Netherlands
- Babeș-Bolyai University, International Institute for Psychotherapy, Cluj-Napoca, Romania
| | - Sarah M. Gildea
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - Alan E. Kazdin
- Department of Psychology, Yale University, New Haven, CT, USA
| | - Chris J. Kennedy
- Center for Precision Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Alex Luedtke
- Department of Statistics, University of Washington, Seattle, WA, USA
- Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
| | - Nancy A. Sampson
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - Maria V. Petukhova
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - Nur Hani Zainal
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - Ronald C. Kessler
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
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Benjet C, Zainal NH, Albor Y, Alvis-Barranco L, Carrasco-Tapias N, Contreras-Ibáñez CC, Cudris-Torres L, de la Peña FR, González N, Guerrero-López JB, Gutierrez-Garcia RA, Jiménez-Peréz AL, Medina-Mora ME, Patiño P, Cuijpers P, Gildea SM, Kazdin AE, Kennedy CJ, Luedtke A, Sampson NA, Petukhova MV, Kessler RC. A Precision Treatment Model for Internet-Delivered Cognitive Behavioral Therapy for Anxiety and Depression Among University Students: A Secondary Analysis of a Randomized Clinical Trial. JAMA Psychiatry 2023; 80:768-777. [PMID: 37285133 PMCID: PMC10248814 DOI: 10.1001/jamapsychiatry.2023.1675] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 04/10/2023] [Indexed: 06/08/2023]
Abstract
Importance Guided internet-delivered cognitive behavioral therapy (i-CBT) is a low-cost way to address high unmet need for anxiety and depression treatment. Scalability could be increased if some patients were helped as much by self-guided i-CBT as guided i-CBT. Objective To develop an individualized treatment rule using machine learning methods for guided i-CBT vs self-guided i-CBT based on a rich set of baseline predictors. Design, Setting, and Participants This prespecified secondary analysis of an assessor-blinded, multisite randomized clinical trial of guided i-CBT, self-guided i-CBT, and treatment as usual included students in Colombia and Mexico who were seeking treatment for anxiety (defined as a 7-item Generalized Anxiety Disorder [GAD-7] score of ≥10) and/or depression (defined as a 9-item Patient Health Questionnaire [PHQ-9] score of ≥10). Study recruitment was from March 1 to October 26, 2021. Initial data analysis was conducted from May 23 to October 26, 2022. Interventions Participants were randomized to a culturally adapted transdiagnostic i-CBT that was guided (n = 445), self-guided (n = 439), or treatment as usual (n = 435). Main Outcomes and Measures Remission of anxiety (GAD-7 scores of ≤4) and depression (PHQ-9 scores of ≤4) 3 months after baseline. Results The study included 1319 participants (mean [SD] age, 21.4 [3.2] years; 1038 women [78.7%]; 725 participants [55.0%] came from Mexico). A total of 1210 participants (91.7%) had significantly higher mean (SE) probabilities of joint remission of anxiety and depression with guided i-CBT (51.8% [3.0%]) than with self-guided i-CBT (37.8% [3.0%]; P = .003) or treatment as usual (40.0% [2.7%]; P = .001). The remaining 109 participants (8.3%) had low mean (SE) probabilities of joint remission of anxiety and depression across all groups (guided i-CBT: 24.5% [9.1%]; P = .007; self-guided i-CBT: 25.4% [8.8%]; P = .004; treatment as usual: 31.0% [9.4%]; P = .001). All participants with baseline anxiety had nonsignificantly higher mean (SE) probabilities of anxiety remission with guided i-CBT (62.7% [5.9%]) than the other 2 groups (self-guided i-CBT: 50.2% [6.2%]; P = .14; treatment as usual: 53.0% [6.0%]; P = .25). A total of 841 of 1177 participants (71.5%) with baseline depression had significantly higher mean (SE) probabilities of depression remission with guided i-CBT (61.5% [3.6%]) than the other 2 groups (self-guided i-CBT: 44.3% [3.7%]; P = .001; treatment as usual: 41.8% [3.2%]; P < .001). The other 336 participants (28.5%) with baseline depression had nonsignificantly higher mean (SE) probabilities of depression remission with self-guided i-CBT (54.4% [6.0%]) than guided i-CBT (39.8% [5.4%]; P = .07). Conclusions and Relevance Guided i-CBT yielded the highest probabilities of remission of anxiety and depression for most participants; however, these differences were nonsignificant for anxiety. Some participants had the highest probabilities of remission of depression with self-guided i-CBT. Information about this variation could be used to optimize allocation of guided and self-guided i-CBT in resource-constrained settings. Trial Registration ClinicalTrials.gov Identifier: NCT04780542.
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Affiliation(s)
- Corina Benjet
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Nur Hani Zainal
- Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
| | - Yesica Albor
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | | | | | | | - Lorena Cudris-Torres
- Programa de Psicología, Fundación Universitaria del Area Andina, Valledupar, Colombia
| | - Francisco R. de la Peña
- Unidad de Fomento a la Investigacion, Direccion de Servicios Clínicos, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Noé González
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | | | | | - Ana Lucía Jiménez-Peréz
- Facultad de Ciencias Administrativas y Sociales, Universidad Autónoma de Baja California, Ensenada, Mexico
| | - Maria Elena Medina-Mora
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Pamela Patiño
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Pim Cuijpers
- Department of Clinical, Neuro-, and Developmental Psychology, Vrije Universiteit, Amsterdam, the Netherlands
| | - Sarah M. Gildea
- Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
| | - Alan E. Kazdin
- Department of Psychology, Yale University, New Haven, Connecticut
| | - Chris J. Kennedy
- Center for Precision Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
| | - Alex Luedtke
- Department of Statistics, University of Washington, Seattle
- Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
| | - Nancy A. Sampson
- Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
| | - Maria V. Petukhova
- Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
| | - Ronald C. Kessler
- Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
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4
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Benjet C, Kessler RC, Kazdin AE, Cuijpers P, Albor Y, Carrasco Tapias N, Contreras-Ibáñez CC, Durán González MS, Gildea SM, González N, Guerrero López JB, Luedtke A, Medina-Mora ME, Palacios J, Richards D, Salamanca-Sanabria A, Sampson NA. Study protocol for pragmatic trials of Internet-delivered guided and unguided cognitive behavior therapy for treating depression and anxiety in university students of two Latin American countries: the Yo Puedo Sentirme Bien study. Trials 2022; 23:450. [PMID: 35658942 PMCID: PMC9164185 DOI: 10.1186/s13063-022-06255-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 03/29/2022] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Major depressive disorder (MDD) and generalized anxiety disorder (GAD) are highly prevalent among university students and predict impaired college performance and later life role functioning. Yet most students do not receive treatment, especially in low-middle-income countries (LMICs). We aim to evaluate the effects of expanding treatment using scalable and inexpensive Internet-delivered transdiagnostic cognitive behavioral therapy (iCBT) among college students with symptoms of MDD and/or GAD in two LMICs in Latin America (Colombia and Mexico) and to investigate the feasibility of creating a precision treatment rule (PTR) to predict for whom iCBT is most effective. METHODS We will first carry out a multi-site randomized pragmatic clinical trial (N = 1500) of students seeking treatment at student mental health clinics in participating universities or responding to an email offering services. Students on wait lists for clinic services will be randomized to unguided iCBT (33%), guided iCBT (33%), and treatment as usual (TAU) (33%). iCBT will be provided immediately whereas TAU will be whenever a clinic appointment is available. Short-term aggregate effects will be assessed at 90 days and longer-term effects 12 months after randomization. We will use ensemble machine learning to predict heterogeneity of treatment effects of unguided versus guided iCBT versus TAU and develop a precision treatment rule (PTR) to optimize individual student outcome. We will then conduct a second and third trial with separate samples (n = 500 per arm), but with unequal allocation across two arms: 25% will be assigned to the treatment determined to yield optimal outcomes based on the PTR developed in the first trial (PTR for optimal short-term outcomes for Trial 2 and 12-month outcomes for Trial 3), whereas the remaining 75% will be assigned with equal allocation across all three treatment arms. DISCUSSION By collecting comprehensive baseline characteristics to evaluate heterogeneity of treatment effects, we will provide valuable and innovative information to optimize treatment effects and guide university mental health treatment planning. Such an effort could have enormous public-health implications for the region by increasing the reach of treatment, decreasing unmet need and clinic wait times, and serving as a model of evidence-based intervention planning and implementation. TRIAL STATUS IRB Approval of Protocol Version 1.0; June 3, 2020. Recruitment began on March 1, 2021. Recruitment is tentatively scheduled to be completed on May 30, 2024. TRIAL REGISTRATION ClinicalTrials.gov NCT04780542 . First submission date: February 28, 2021.
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Affiliation(s)
- Corina Benjet
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Ronald C. Kessler
- Department of Health care Policy, Harvard Medical School, Boston, MA USA
| | | | - Pim Cuijpers
- Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Yesica Albor
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | | | | | | | - Sarah M. Gildea
- Department of Health care Policy, Harvard Medical School, Boston, MA USA
| | - Noé González
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz and School of Psychology, UNAM, Mexico City, Mexico
| | | | - Alex Luedtke
- Department of Statistics, University of Washington, Seattle, WA USA
| | - Maria Elena Medina-Mora
- Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz and School of Psychology, UNAM, Mexico City, Mexico
| | - Jorge Palacios
- SilverCloud Health, Dublin, Ireland
- E-mental Health Group, School of Psychology, University of Dublin, Trinity College Dublin, Dublin, Ireland
| | - Derek Richards
- SilverCloud Health, Dublin, Ireland
- E-mental Health Group, School of Psychology, University of Dublin, Trinity College Dublin, Dublin, Ireland
| | - Alicia Salamanca-Sanabria
- Future Health Technologies Programme, Campus for Research Excellence and Technological Enterprise, Singapore-ETH Centre, Singapore, Singapore
| | - Nancy A. Sampson
- Department of Health care Policy, Harvard Medical School, Boston, MA USA
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5
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Eriksson K, Strimling P, Gelfand M, Wu J, Abernathy J, Akotia CS, Aldashev A, Andersson PA, Andrighetto G, Anum A, Arikan G, Aycan Z, Bagherian F, Barrera D, Basnight-Brown D, Batkeyev B, Belaus A, Berezina E, Björnstjerna M, Blumen S, Boski P, Bou Zeineddine F, Bovina I, Huyen BTT, Cardenas JC, Čekrlija Đ, Choi HS, Contreras-Ibáñez CC, Costa-Lopes R, de Barra M, de Zoysa P, Dorrough A, Dvoryanchikov N, Eller A, Engelmann JB, Euh H, Fang X, Fiedler S, Foster-Gimbel OA, Fülöp M, Gardarsdottir RB, Gill CMHD, Glöckner A, Graf S, Grigoryan A, Gritskov V, Growiec K, Halama P, Hartanto A, Hopthrow T, Hřebíčková M, Iliško D, Imada H, Kapoor H, Kawakami K, Khachatryan N, Kharchenko N, Khoury N, Kiyonari T, Kohút M, Linh LT, Leslie LM, Li Y, Li NP, Li Z, Liik K, Maitner AT, Manhique B, Manley H, Medhioub I, Mentser S, Mohammed L, Nejat P, Nipassa O, Nussinson R, Onyedire NG, Onyishi IE, Özden S, Panagiotopoulou P, Perez-Floriano LR, Persson MS, Pheko M, Pirttilä-Backman AM, Pogosyan M, Raver J, Reyna C, Rodrigues RB, Romanò S, Romero PP, Sakki I, San Martin A, Sherbaji S, Shimizu H, Simpson B, Szabo E, Takemura K, Tieffi H, Mendes Teixeira ML, Thanomkul N, Tiliouine H, Travaglino GA, Tsirbas Y, Wan R, Widodo S, Zein R, Zhang QP, Zirganou-Kazolea L, Van Lange PAM. Perceptions of the appropriate response to norm violation in 57 societies. Nat Commun 2021; 12:1481. [PMID: 33674587 PMCID: PMC7935962 DOI: 10.1038/s41467-021-21602-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 01/29/2021] [Indexed: 11/23/2022] Open
Abstract
Norm enforcement may be important for resolving conflicts and promoting cooperation. However, little is known about how preferred responses to norm violations vary across cultures and across domains. In a preregistered study of 57 countries (using convenience samples of 22,863 students and non-students), we measured perceptions of the appropriateness of various responses to a violation of a cooperative norm and to atypical social behaviors. Our findings highlight both cultural universals and cultural variation. We find a universal negative relation between appropriateness ratings of norm violations and appropriateness ratings of responses in the form of confrontation, social ostracism and gossip. Moreover, we find the country variation in the appropriateness of sanctions to be consistent across different norm violations but not across different sanctions. Specifically, in those countries where use of physical confrontation and social ostracism is rated as less appropriate, gossip is rated as more appropriate. Little is known about people’s preferred responses to norm violations across countries. Here, in a study of 57 countries, the authors highlight cultural similarities and differences in people’s perception of the appropriateness of norm violations.
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Affiliation(s)
- Kimmo Eriksson
- Center for Cultural Evolution, Stockholm University, Stockholm, Sweden. .,Mälardalen University, Västerås, Sweden.
| | | | - Michele Gelfand
- Department of Psychology, University of Maryland, College Park, MD, USA
| | - Junhui Wu
- CAS Key Laboratory of Behavioral Sciences, Chinese Academy of Sciences, Chaoyang District, Beijing, China
| | - Jered Abernathy
- Department of Sociology, University of South Carolina, Columbia, SC, USA
| | - Charity S Akotia
- Department of Psychology, University of Ghana, P.O. Box LG 84 Legon, Accra, Ghana
| | - Alisher Aldashev
- New School of Economics, Satbayev University, Almaty, Kazakhstan
| | - Per A Andersson
- Center for Cultural Evolution, Stockholm University, Stockholm, Sweden.,Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden
| | - Giulia Andrighetto
- Mälardalen University, Västerås, Sweden.,Institute for Futures Studies, Box 591, Stockholm, Sweden.,Institute of Cognitive Sciences and Technologies, National Research Council of Italy, Rome, Italy
| | - Adote Anum
- Department of Psychology, University of Ghana, P.O. Box LG 84 Legon, Accra, Ghana
| | - Gizem Arikan
- Department of Political Science, Trinity College Dublin, Dublin 2, Ireland
| | - Zeynep Aycan
- Koç University, Rumelifeneri, Sarıyer Rumelifeneri Yolu, Istanbul, Turkey
| | - Fatemeh Bagherian
- Department of Psychology and Education, Shahid Beheshti University, Tehran, Iran
| | - Davide Barrera
- University of Turin and Collegio Carlo Alberto, Turin, Italy
| | - Dana Basnight-Brown
- United States International University - Africa, Box 14634 00800, Nairobi, Kenya
| | - Birzhan Batkeyev
- International School of Economics, Kazakh-British Technical University, Almaty, Kazakhstan
| | - Anabel Belaus
- Instituto de Investigaciones Psicológicas (IIPsi), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), CABA, República Argentina.,Universidad Nacional de Córdoba (UNC). Facultad de Psicología (UNC), Ciudad Universitaria, Bv. de la Reforma esquina, Enfermera Gordillo s/n, Córdoba, Argentina
| | - Elizaveta Berezina
- Sunway University, No. 5, Jalan Universiti, Bandar Sunway, Selangor, Darul Ehsan, Malaysia
| | | | - Sheyla Blumen
- Departamento de Psicología, Pontificia Universidad Católica del Perú, San Miguel, Lima, Peru
| | - Paweł Boski
- SWPS University of Social Sciences and Humanities, Warsaw, Chodakowska, Poland
| | | | - Inna Bovina
- Moscow State University of Psychology and Education, Moscow, Russia
| | - Bui Thi Thu Huyen
- Hanoi National University of Education, Cau Giay District, Hanoi, Vietnam
| | | | - Đorđe Čekrlija
- Faculty of philosophy, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
| | - Hoon-Seok Choi
- Department of Psychology, Sungkyunkwan University, Seoul, Republic of Korea
| | - Carlos C Contreras-Ibáñez
- Departamento de Sociología, Universidad Autónoma Metropolitana - Unidad Iztapalapa, Ciudad de México, Mexico
| | - Rui Costa-Lopes
- Instituto de Ciências Sociais, Universidade de Lisboa, Lisboa, Portugal
| | - Mícheál de Barra
- Center for Culture and Evolution, Brunel University London, Uxbridge, UK
| | | | - Angela Dorrough
- Department of Psychology, University of Cologne, Cologne, Germany
| | | | - Anja Eller
- Facultad de Psicología, Universidad Nacional Autónoma de México. Av. Universidad 3004, Ciudad Universitaria, Ciudad de México, Mexico
| | - Jan B Engelmann
- Center for Research in Experimental Economics and Political Decision Making (CREED), Amsterdam School of Economics, University of Amsterdam, P.O. Box 15867, Amsterdam, NJ, The Netherlands
| | - Hyun Euh
- Department of Psychology, University of Minnesota, Minneapolis, MN, 55455, USA
| | - Xia Fang
- Department of Psychology, York University, Toronto, ON, Canada
| | - Susann Fiedler
- Max Planck Institute for Research on Collective Goods, Bonn, Germany
| | | | - Márta Fülöp
- Institute for Cognitive Neuroscience and Psychology, Research Centre of Natural Sciences, Budapest, Hungary.,Eötvös Loránd University, Faculty of Psychology and Education, Budapest, Hungary
| | | | - C M Hew D Gill
- Sunway University, No. 5, Jalan Universiti, Bandar Sunway, Selangor, Darul Ehsan, Malaysia
| | - Andreas Glöckner
- Department of Psychology, University of Cologne, Cologne, Germany.,Max Planck Institute for Research on Collective Goods, Bonn, Germany
| | - Sylvie Graf
- Institute of Psychology, Czech Academy of Sciences, Brno, Czech Republic
| | - Ani Grigoryan
- Department of Personality Psychology, Yerevan State University, Yerevan, Armenia
| | | | - Katarzyna Growiec
- SWPS University of Social Sciences and Humanities, Warsaw, Chodakowska, Poland
| | - Peter Halama
- Center for Social and Psychological Sciences, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Andree Hartanto
- School of Social Sciences, Singapore Management University, Singapore, Singapore
| | - Tim Hopthrow
- School of Psychology, University of Kent, Canterbury, UK
| | - Martina Hřebíčková
- Institute of Psychology, Czech Academy of Sciences, Brno, Czech Republic
| | | | - Hirotaka Imada
- School of Psychology, University of Kent, Canterbury, UK
| | | | - Kerry Kawakami
- Department of Psychology, York University, Toronto, ON, Canada
| | - Narine Khachatryan
- Department of Personality Psychology, Yerevan State University, Yerevan, Armenia
| | | | | | - Toko Kiyonari
- Aoyama Gakuin University, Sagamihara-city, Kanagawa, Japan
| | - Michal Kohút
- Faculty of Philosophy and Arts, University of Trnava, Trnava, Slovakia
| | - Lê Thuỳ Linh
- National Economics University, Hai Ba Trung, Dong Tam District, Hanoi, Vietnam
| | - Lisa M Leslie
- New York University, Stern School of Business, New York, NY, 10012, USA
| | - Yang Li
- Nagoya University, Furo-cho, Chikusa-ku, Nagoya, Aichi, Japan.,Melbourne School of Psychological Science, University of Melbourne, Parkville, VIC, Australia
| | - Norman P Li
- School of Social Sciences, Singapore Management University, Singapore, Singapore
| | - Zhuo Li
- Department of Psychology, University of Western Ontario, London, ON, Canada
| | - Kadi Liik
- School of Natural Sciences and Health, Tallinn University, Tallinn, Estonia
| | - Angela T Maitner
- Department of International Studies, American University of Sharjah, PO Box 26666, Sharjah, United Arab Emirates
| | - Bernardo Manhique
- Eduardo Mondlane University, Faculty of Arts and Social Sciences, Department of Sociology, Maputo, Mozambique
| | - Harry Manley
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand
| | - Imed Medhioub
- Department of Finance and Investment, Al Imam Mohammad Ibn Saud Islamic University (IMSIU), P.O. Box 5701, Riyadh, Saudi Arabia
| | | | - Linda Mohammed
- Institute of Criminology and Public Safety, Valsayn Campus, Graver Road, Valsayn, University of Trinidad and Tobago, Arima, Trinidad and Tobago
| | - Pegah Nejat
- Department of Psychology and Education, Shahid Beheshti University, Tehran, Iran
| | - Orlando Nipassa
- Eduardo Mondlane University, Faculty of Arts and Social Sciences, Department of Sociology, Maputo, Mozambique
| | - Ravit Nussinson
- The Open University of Israel, Raanana, Israel.,University of Haifa, Haifa, Israel
| | - Nneoma G Onyedire
- Department of Psychology, University of Nigeria Nsukka, Nsukka, Nigeria
| | - Ike E Onyishi
- Department of Psychology, University of Nigeria Nsukka, Nsukka, Nigeria
| | - Seniha Özden
- Koç University, Rumelifeneri, Sarıyer Rumelifeneri Yolu, Istanbul, Turkey
| | | | | | | | - Mpho Pheko
- Department of Psychology, University of Botswana, Private Bag UB 00705, Gaborone, Botswana
| | - Anna-Maija Pirttilä-Backman
- University of Helsinki, Faculty of Social Sciences, Social Psychology, PO Box 54 (Unioninkatu 37), Helsinki, Finland
| | - Marianna Pogosyan
- Politics, Psychology, Law and Economics (PPLE), University of Amsterdam, PO Box 15575, Amsterdam, The Netherlands
| | - Jana Raver
- Queen's University, Goodes Hall, Queen's University, Kingston, ON, Canada
| | - Cecilia Reyna
- Instituto de Investigaciones Psicológicas (IIPsi), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), CABA, República Argentina
| | | | - Sara Romanò
- Department of Culture, Politics and Society, University of Turin, Turin, Italy
| | - Pedro P Romero
- Experimental and Computational Economics Lab (ECEL), School of Economics, Universidad San Francisco de Quito, Diego de Robles y Pampite, Quito, Ecuador
| | - Inari Sakki
- University of Eastern Finland, Department of Social Sciences, P.O. Box 162770211, Kuopio, Finland
| | | | - Sara Sherbaji
- Department of International Studies, American University of Sharjah, PO Box 26666, Sharjah, United Arab Emirates
| | | | - Brent Simpson
- Department of Sociology, University of South Carolina, Columbia, SC, USA
| | - Erna Szabo
- Department of International Management, Johannes Kepler University, Linz, Austria
| | - Kosuke Takemura
- Faculty of Economics, Shiga University, Hikone, Shiga, Japan
| | - Hassan Tieffi
- Université Félix Houphouët-Boigny Cocody-Abidjan, Centre Ivoirien d'Etude et de Recherche en Psychologie Appliquée (CIERPA), Abidjan, Côte d'Ivoire
| | | | - Napoj Thanomkul
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand
| | - Habib Tiliouine
- Labo-PECS, Faculty of Social Sciences, Université d'Oran 2, Oran, Algeria
| | - Giovanni A Travaglino
- School of Psychology, University of Kent, Canterbury, UK.,School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, Longgang District, Shenzhen, P. R. China
| | - Yannis Tsirbas
- University of Athens, Department of Political Science and Public Administration, Athens, Greece
| | - Richard Wan
- Department of International Management, Johannes Kepler University, Linz, Austria
| | - Sita Widodo
- Department of Personality and Social Psychology, Universitas Airlangga, Surabaya, Indonesia
| | - Rizqy Zein
- Department of Personality and Social Psychology, Universitas Airlangga, Surabaya, Indonesia
| | - Qing-Peng Zhang
- Guangzhou University, Guangzhou Higher Education Mega Center, Guangzhou, P.R. China
| | - Lina Zirganou-Kazolea
- University of Athens, Department of Political Science and Public Administration, Athens, Greece
| | - Paul A M Van Lange
- VU Amsterdam, Department of Experimental and Applied Psychology, Institute for Brain and Behavior Amsterdam (IBBA), Amsterdam, Amsterdam, The Netherlands
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6
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Lieberoth A, Lin SY, Stöckli S, Han H, Kowal M, Gelpi R, Chrona S, Tran TP, Jeftić A, Rasmussen J, Cakal H, Milfont TL, Lieberoth A, Yamada Y, Han H, Rasmussen J, Amin R, Debove S, Gelpí R, Flis I, Sahin H, Turk F, Yeh YY, Ho YW, Sikka P, Delgado-Garcia G, Lacko D, Mamede S, Zerhouni O, Tuominen J, Bircan T, Wang AHE, Ikizer G, Lins S, Studzinska A, Cakal H, Uddin MK, Juárez FPG, Chen FY, Kowal M, Sanli AM, Lys AE, Reynoso-Alcántara V, González RF, Griffin AM, López CRC, Nezkusilova J, Ćepulić DB, Aquino S, Marot TA, Blackburn AM, Boullu L, Bavolar J, Kacmar P, Wu CKS, Areias JC, Natividade JC, Mari S, Ahmed O, Dranseika V, Cristofori I, Coll-Martín T, Eichel K, Kumaga R, Ermagan-Caglar E, Bamwesigye D, Tag B, Chrona S, Contreras-Ibáñez CC, Aruta JJBR, Naidu PA, Tran TP, Dilekler İ, Čeněk J, Islam MN, Ch'ng B, Sechi C, Nebel S, Sayılan G, Jha S, Vestergren S, Ihaya K, Guillaume G, Travaglino GA, Rachev NR, Hanusz K, Pírko M, West JN, Cyrus-Lai W, Najmussaqib A, Romano E, Noreika V, Musliu A, Sungailaite E, Kosa M, Lentoor AG, Sinha N, Bender AR, Meshi D, Bhandari P, Byrne G, Jeftic A, Kalinova K, Hubena B, Ninaus M, Díaz C, Scarpaci A, Koszałkowska K, Pankowski D, Yaneva T, Morales-Izquierdo S, Uzelac E, Lee Y, Lin SY, Hristova D, Hakim MA, Deschrijver E, Kavanagh PS, Shata A, Reyna C, De Leon GA, Tisocco F, Mola DJ, Shani M, Mahlungulu S, Ozery DH, Caniëls MCJ, Correa PS, Ortiz MV, Vilar R, Makaveeva T, Stöckli S, Pummerer L, Nikolova I, Bujić M, Szebeni Z, Pennato T, Taranu M, Martinez L, Capelos T, Belaus A, Dubrov D. Stress and worry in the 2020 coronavirus pandemic: relationships to trust and compliance with preventive measures across 48 countries in the COVIDiSTRESS global survey. R Soc Open Sci 2021; 8:200589. [PMID: 33972837 PMCID: PMC8074580 DOI: 10.1098/rsos.200589] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Accepted: 01/25/2021] [Indexed: 05/18/2023]
Abstract
The COVIDiSTRESS global survey collects data on early human responses to the 2020 COVID-19 pandemic from 173 429 respondents in 48 countries. The open science study was co-designed by an international consortium of researchers to investigate how psychological responses differ across countries and cultures, and how this has impacted behaviour, coping and trust in government efforts to slow the spread of the virus. Starting in March 2020, COVIDiSTRESS leveraged the convenience of unpaid online recruitment to generate public data. The objective of the present analysis is to understand relationships between psychological responses in the early months of global coronavirus restrictions and help understand how different government measures succeed or fail in changing public behaviour. There were variations between and within countries. Although Western Europeans registered as more concerned over COVID-19, more stressed, and having slightly more trust in the governments' efforts, there was no clear geographical pattern in compliance with behavioural measures. Detailed plots illustrating between-countries differences are provided. Using both traditional and Bayesian analyses, we found that individuals who worried about getting sick worked harder to protect themselves and others. However, concern about the coronavirus itself did not account for all of the variances in experienced stress during the early months of COVID-19 restrictions. More alarmingly, such stress was associated with less compliance. Further, those most concerned over the coronavirus trusted in government measures primarily where policies were strict. While concern over a disease is a source of mental distress, other factors including strictness of protective measures, social support and personal lockdown conditions must also be taken into consideration to fully appreciate the psychological impact of COVID-19 and to understand why some people fail to follow behavioural guidelines intended to protect themselves and others from infection. The Stage 1 manuscript associated with this submission received in-principle acceptance (IPA) on 18 May 2020. Following IPA, the accepted Stage 1 version of the manuscript was preregistered on the Open Science Framework at https://osf.io/g2t3b. This preregistration was performed prior to data analysis.
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Affiliation(s)
- Andreas Lieberoth
- School of Culture and Society (Interacting Minds Center), Aarhus University, Aarhus, Denmark
- Danish School of Education (DPU), Aarhus University, Aarhus, Denmark
| | - Shiang-Yi Lin
- Hong Kong Institute of Education, Education University of Hong Kong, New Territories, Hong Kong
| | | | - Hyemin Han
- Educational Psychology Program, University of Alabama, Tuscaloosa, AL, USA
| | - Marta Kowal
- Wroclaw University Institute of Psychology, Wroclaw 50-527, Poland
| | - Rebekah Gelpi
- Department of Psychology, University of Toronto, Toronto, Ontario, Canada
| | - Stavroula Chrona
- Department of European and International Studies, King's College London, London, UK
| | - Thao Phuong Tran
- Department of Psychology, Colorado State University, Fort Collins, CO, USA
| | - Alma Jeftić
- Peace Research Institute, International Christian University, Mitaka, Tokyo, Japan
| | - Jesper Rasmussen
- Department of Political Science, Aarhus University, Aarhus, Denmark
| | - Huseyin Cakal
- School of Psychology, Keele University, Keele, Staffordshire, UK
| | | | - Andreas Lieberoth
- Aarhus University, Danish School of Educaction (DPU) and Interacting Minds Center (IMC), Denmark
| | - Yuki Yamada
- Kyushu University, Faculty of Arts and Science, Japan
| | - Hyemin Han
- University of Alabama, Educational Psychology Program, USA
| | | | - Rizwana Amin
- Bahria University Islamabad, Dept of Professional Psychology, Pakistan
| | | | - Rebekah Gelpí
- University of Toronto, Department of Psychology, Canada
| | - Ivan Flis
- Catholic University of Croatia, Department of Psychology, Croatia
| | | | - Fidan Turk
- University of Sheffield, Department of Psychology, UK
| | - Yao-Yuan Yeh
- University of St. Thomas, Houston, Center for International Studies, USA
| | - Yuen Wan Ho
- Northeastern University, Psychology Department, USA
| | - Pilleriin Sikka
- University of Turku, Department of Psychology and Speech-Language Pathology, Finland; University of Skövde, Department of Cognitive Neuroscience and Philosophy, Sweden
| | | | - David Lacko
- Masaryk university, Faculty of Arts, Department of Psychology, Czech Republic
| | - Salomé Mamede
- University of Porto, Faculty of Psychology and Educational Sciences, Portugal
| | | | - Jarno Tuominen
- University of Turku, Department of Psychology and Speech-Language Pathology, Finland
| | - Tuba Bircan
- Vrije Universiteit Brussel, Interface Demography, Belgium
| | | | - Gozde Ikizer
- TOBB University of Economics and Technology, Department of Psychology, Turkey
| | - Samuel Lins
- University of Porto, Faculty of Psychology and Educational Sciences, Portugal
| | - Anna Studzinska
- University of Economics and Human Sciences in Warsaw, Faculty of Psychology, Poland
| | | | | | | | | | - Marta Kowal
- University of Wrocłąw, Institute of Psychology, Poland
| | | | | | | | | | | | | | | | | | - Sibele Aquino
- Pontifical Catholic University of Rio de Janeiro, Brazil
| | - Tiago A. Marot
- Pontifical Catholic University of Rio de Janeiro, Brazil
| | | | | | - Jozef Bavolar
- Pavol Jozef Safarik University, Faculty of Arts, Department of Psychology, Slovakia
| | - Pavol Kacmar
- Pavol Jozef Safarik University, Faculty of Arts, Department of Psychology, Slovakia
| | | | - João Carlos Areias
- University of Porto, Faculty of Psychology and Educational Sciences, Portugal
| | | | | | - Oli Ahmed
- Department of Psychology, University of Chittagong, Bangladesh
| | - Vilius Dranseika
- Faculty of Social Sciences, Arts and Humanities, Kaunas University of Technology, Lithuania
| | - Irene Cristofori
- Department of Biology, University Claude Bernard Lyon 1/ Institute of Cognitive Sciences Marc Jeannerod CNRS UMR5229, France
| | - Tao Coll-Martín
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Kristina Eichel
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, United States of America
| | - Raisa Kumaga
- School of Health and Social Care,University of Essex, UK
| | | | | | | | - Stavroula Chrona
- King's College London, School of Politics and Economics, Department of European and International Studies (EIS), United Kingdom
| | | | | | | | | | - İlknur Dilekler
- TOBB University of Economics and Technology, Department of Psychology, Turkey
| | - Jiří Čeněk
- Mendel University in Brno, Faculty of Regional Development and International Studies, Czech Republic
| | | | - Brendan Ch'ng
- Department of Educational Psychology and Counselling, Faculty of Education, University of Malaya, Malaysia
| | | | - Steve Nebel
- Psychology of learning with digital media, Department of Media Research, Germany
| | - Gülden Sayılan
- Ankara Yıldırım Beyazıt University Department of Psychology, Turkey
| | - Shruti Jha
- Somerville School (Lott Carey Baptist Mission in India), Greater NOIDA, India
| | | | | | | | | | - Nikolay R. Rachev
- Sofia University St. Kliment Ohridski, Bulgaria, Department of General, Experimental, Developmental, and Health Psychology, Bulgaria
| | | | - Martin Pírko
- Institute of Lifelong Learning at Mendel University in Brno, Czech Republic
| | - J. Noël West
- University of Sheffield, Department of Philosophy, United Kingdom
| | | | - Arooj Najmussaqib
- Department of Professional Psychology, Bahria University Islamabad, Pakistan
| | - Eugenia Romano
- King's College London, Psychological Medicine, Institute of Psychiatry, Psychology and Neurosciences, UK
| | | | - Arian Musliu
- Department of Psychology, Ludwig Maximilian University, Munich, Kosovo
| | | | - Mehmet Kosa
- Tilburg University, Department of Cognitive Science and Artificial Intelligence, Netherlands
| | - Antonio G. Lentoor
- Sefako Makgatho Health Sciences University, Department of Clinical Psychology, School of Medicine, South Africa
| | - Nidhi Sinha
- Indian Institute of Technology, Hydera bad, India
| | - Andrew R. Bender
- Michigan State University, Department of Epidemiology and Biostatistics, East Lansing, USA
| | - Dar Meshi
- Michigan State University, Department of Advertising and Public Relations, USA
| | - Pratik Bhandari
- Department of Psychology, and Department of Language Science and Technology, Saarland University, Germany
| | - Grace Byrne
- Developmental Psychology, Vrije Universiteit Amsterdam, the Netherlands
| | - Alma Jeftic
- Peace Research Institute, International Christian University, Japan
| | - Kalina Kalinova
- Sofia University St. Kliment Ohridski, Bulgaria, Department of General, Experimental, Developmental, and Health Psychology, Bulgaria
| | | | - Manuel Ninaus
- Leibniz-Institut für Wissensmedien, Tübingen, Germany
| | | | - Alessia Scarpaci
- Independent Researcher, Psychology and Cognitive Neuroscience, Italy/UK
| | | | - Daniel Pankowski
- University of Economics and Human Sciences in Warsaw, Faculty of Psychology and University of Warsaw, Faculty of Psychology, Poland
| | - Teodora Yaneva
- Sofia University St. Kliment Ohridski, Bulgaria, Department of General, Experimental, Developmental, and Health Psychology, Bulgaria
| | | | - Ena Uzelac
- Faculty of Humanities and Social Sciences in Zagreb, Department of Psychology, Croatia
| | - Yookyung Lee
- The University of Texas at Austin, Educational Psychology, USA
| | - Shiang-Yi Lin
- the Education University of Hong Kong, Centre for Child and Family Sciences, Hong Kong SAR
| | | | - Moh Abdul Hakim
- Department of Psychology, Universitas Sebelas Maret, Indonesia
| | - Eliane Deschrijver
- Ghent University, Department of Experimental Psychology, Belgium; University of New South Wales (UNSW), School of Psychology, Belgium; Australia
| | | | - Aya Shata
- University of Miami, School of Communication, Egypt
| | - Cecilia Reyna
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba (UNC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | | | - Franco Tisocco
- Instituto de Investigaciones en Psicología, Facultad de Psicología, Universidad de Buenos Aires, Argentina
| | - Débora Jeanette Mola
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba (UNC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | | | - Samkelisiwe Mahlungulu
- Sefako Makgatho Health Sciences University, Department of Clinical Psychology, School of Medicine,
| | - Daphna Hausman Ozery
- California State University, Northridge, Department of Educational Psychology & Conseling, USA
| | | | - Pablo Sebastián Correa
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba (UNC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - María Victoria Ortiz
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba (UNC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Roosevelt Vilar
- Faculdades Integradas de Patos, Department of Psychology, Brazil
| | - Tsvetelina Makaveeva
- Sofia University St. Kliment Ohridski, Bulgaria, Department of General, Experimental, Developmental, and Health Psychology, Bulgaria
| | - Sabrina Stöckli
- Department Consumer Behavior, University of Bern, Switzerland
| | | | - Irina Nikolova
- Open University, Faculty of Management sciences, The Netherlands
| | - Mila Bujić
- Tampere University, Faculty of Information Technology and Communication Sciences, Finland
| | - Zea Szebeni
- University of Helsinki, Swedish School of Social Sciences, Finland
| | | | - Mihaela Taranu
- Aarhus University, Insitute for Culture and Society, Interacting Minds centre, Denmark
| | | | | | - Anabel Belaus
- Instituto de Investigaciones Psicológicas (IIPsi), Universidad Nacional de Córdoba (UNC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - Dmitrii Dubrov
- National Research University Higher School of Economics, Russian Federation
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