The effects of information-seeking behaviours on prevention behaviours during the COVID-19 pandemic: the mediating effects of anxiety and fear in Korea
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OBJECTIVES: Identifying determinants of prevention behaviours during the emergence of a new infectious disease is important. We investigated the associations between information-seeking and prevention behaviours during the coronavirus disease 2019 (COVID-19) pandemic and mediating effects of psychiatric factors. METHODS: In total, 1,970 participants from the Cardiovascular and Metabolic Etiology Research Center cohort participated in an online survey 55 days after the first COVID-19 case in Korea was diagnosed. Time spent seeking information related to COVID-19; information sources; psychiatric factors, including anxiety, depression, post-traumatic stress symptoms (PTSS), and the fear of COVID-19; and prevention behaviours were examined. The mediating effect of psychiatric factors was estimated using mediation analysis. RESULTS: Time spent seeking information and information sources affected several behavioural responses. In men, anxiety mediated associations between information-seeking and prevention behaviours, including purchasing sanitary supplies (effect size [ES], 0.038; 95% confidence interval [CI], 0.002 to 0.095) and hoarding (ES, 0.029; 95% CI, 0.002 to 0.068). The fear of COVID-19 also mediated associations between information-seeking and prevention behaviours including refraining from going out (men: ES, 0.034; 95% CI, 0.009 to 0.068; women: ES, 0.052; 95% CI, 0.030 to 0.080), wearing face masks (men: ES, 0.085; 95% CI, 0.031 to 0.184), avoiding public transportation (men: ES, 0.020; 95% CI, 0.000 to 0.044; women: ES, 0.031; 95% CI, 0.015 to 0.051), hoarding (women: ES, 0.051; 95% CI, 0.029 to 0.792), and trying alternative remedies (men: ES, 0.024; 95% CI, 0.004 to 0.053). Depressive symptoms and PTSS did not have any mediating effects. CONCLUSIONS: While the availability of information related to COVID-19 can help prevent infections, it can also promote anxiety and fear, leading to negative behaviours such as hoarding and trying unverified alternative treatments.
Abstract
OBJECTIVES: Identifying determinants of prevention behaviours during the emergence of a new infectious disease is important. We investigated the associations between information-seeking and prevention behaviours during the coronavirus disease 2019 (COVID-19) pandemic and mediating effects of psychiatric factors. METHODS: In total, 1,970 participants from the Cardiovascular and Metabolic Etiology Research Center cohort participated in an online survey 55 days after the first COVID-19 case in Korea was diagnosed. Time spent seeking information related to COVID-19; information sources; psychiatric factors, including anxiety, depression, post-traumatic stress symptoms (PTSS), and the fear of COVID-19; and prevention behaviours were examined. The mediating effect of psychiatric factors was estimated using mediation analysis. RESULTS: Time spent seeking information and information sources affected several behavioural responses. In men, anxiety mediated associations between information-seeking and prevention behaviours, including purchasing sanitary supplies (effect size [ES], 0.038; 95% confidence interval [CI], 0.002 to 0.095) and hoarding (ES, 0.029; 95% CI, 0.002 to 0.068). The fear of COVID-19 also mediated associations between information-seeking and prevention behaviours including refraining from going out (men: ES, 0.034; 95% CI, 0.009 to 0.068; women: ES, 0.052; 95% CI, 0.030 to 0.080), wearing face masks (men: ES, 0.085; 95% CI, 0.031 to 0.184), avoiding public transportation (men: ES, 0.020; 95% CI, 0.000 to 0.044; women: ES, 0.031; 95% CI, 0.015 to 0.051), hoarding (women: ES, 0.051; 95% CI, 0.029 to 0.792), and trying alternative remedies (men: ES, 0.024; 95% CI, 0.004 to 0.053). Depressive symptoms and PTSS did not have any mediating effects. CONCLUSIONS: While the availability of information related to COVID-19 can help prevent infections, it can also promote anxiety and fear, leading to negative behaviours such as hoarding and trying unverified alternative treatments.
참고문헌 (50)
- Chen N, "Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China : a descriptive study", Lancet, 395, pp.507~513 (2020)
- Dong E, "An interactive web-based dashboard to track COVID-19 in real time", Lancet Infect Dis, 20, pp.533~534 (2020)
- Duong D, "What’s important to know about the new COVID-19variants?", CMAJ, 193, pp.E141~E142 (2021)
- Reluga TC, "Game theory of social distancing in response to an epidemic", PLoS Comput Biol, 6, pp.e1000793~ (2010)
- Cowling BJ, "Facemasks and hand hygiene to prevent influenza transmission in households : a cluster randomized trial", Ann Intern Med, 151, pp.437~446 (2009)
- Raude J, "Lay perceptions of the pandemic influenza threat", Eur J Epidemiol, 24, pp.339~342 (2009)
- Walter D, "Risk perception and information-seeking behaviour during the 2009", 10influenza A(H1N1)pdm09 pandemic in Germany, 2012, pp.17, 20131~
- Rubin GJ, "Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak:cross sectional telephone survey", BMJ, 339, pp.b2651~ (2009)
- Taylor S, "Current directions in the treatment of hypochondriasis", J Cogn Psychother, 19, pp.285~304 (2015)
- Rubin GJ, "Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak:cross sectional telephone survey", BMJ, 339, pp.b2651~ (2009)
- Thompson RR, "Distress, worry, and functioning following a global health crisis : a national study of Americans’ responses to Ebola", Clinl Psychol Sci, 5, pp.513~521 (2017)
- Taha SA, "H1N1 was not all that scary : uncertainty and stressor appraisals predict anxiety related to a coming viral threat", Stress Health, 30, pp.149~157 (2014)
- Fischhoff B, "Public understanding of Ebola risks : mastering an unfamiliar threat", Risk Anal, 38, pp.71~83 (2018)
- Nekliudov NA, "Excessive media consumption about COVID-19is associated with increased state anxiety : outcomes of a large online survey in Russia", J Med Internet Res, 22, pp.e20955~ (2020)
- Trnka R, "Fear, anger, and media-induced trauma during the outbreak of COVID-19 in the Czech Republic", Psychol Trauma, 12, pp.546~549 (2020)
- Bendau A, "Associations between COVID-19 related media consumption and symptoms of anxiety, depression and COVID-19related fear in the general population in Germany", Eur Arch Psychiatry Clin Neurosci, 271, pp.283~291 (2021)
- The Lancet Infectious Diseases, "The COVID-19 infodemic", Lancet Infect Dis, 20, pp.875~ (2020)
- Bults M, "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, pp.2~ (2011)
- Liu PL, "COVID-19 information seeking on digital media and preventive behaviors : the mediation role of worry", Cyberpsychol Behav Soc Netw, 23, pp.677~682 (2020)
- Steimer T, "The biology of fear-and anxiety-related behaviors", Dialogues Clin Neurosci, 4, pp.231~249 (2002)
- 심지선, "Cohort Profile: The Cardiovascular and Metabolic Diseases Etiology Research Center Cohort in Korea", Yonsei Medical Journal, 60(8), pp.804~810 (2019), 연세대학교의과대학[DOI]
- Piretti I, "TV or not TV? Health information, anxiety and stress during the initial stage of COVID-19epidemic in Italy", Eur Psychiatry, 64(S1), pp.S271~S271 (2021)
- Rondung E, "Symptoms of depression and anxiety during the early phase of the COVID-19 pandemic in Sweden", Front Public Health, 9, pp.562437~ (2021)
- Wong FH, "Consuming information related to COVID-19 on social media among older adults and its association with anxiety, social trust in information, and covid-safe behaviors : cross-sectional telephone survey", J Med Internet Res, 23, pp.e26570~ (2021)
- Basch CH, "Health information seeking behavior among college students", J Community Health, 43, pp.1094~1099 (2018)
- 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도", 대한불안의학회지, 6(2), pp.119~124 (2010), 대한불안의학회
- Seo JG, "Validation of the Generalized Anxiety Disorder-7(GAD-7)and GAD-2 in patients with migraine", J Headache Pain, 16, pp.97~ (2015)
- 김종원, "월남전 참전 노인에서 한글판 외상후 스트레스 장애 체크리스트-5의 정신측정학적 특성", 대한불안의학회지, 13(2), pp.123~131 (2017), 대한불안의학회[DOI]
- Oh SH, "The effects of social media use on preventive behaviors during infectious disease outbreaks : the mediating role of self-relevant emotions and public risk perception", Health Commun, 36, pp.972~981 (2021)
- Superio DL, "The information-seeking behavior and levels of knowledge, precaution, and fear of college students in Iloilo, Philippines amidst the COVID-19 pandemic", Int J Disaster Risk Reduct, 62, pp.102414~ (2021)
- Yang JZ, "Who is afraid of the Ebola outbreak? The influence of discrete emotions on risk perception", J Risk Res, 21, pp.834~853 (2018)
- Charlson ME, "A new method of classifying prognostic comorbidity in longitudinal studies : development and validation", J Chronic Dis, 40, pp.373~383 (1987)
- 임선영, "한국판 벡 우울 척도 2판의 타당화 연구", 대한불안의학회지, 7(1), pp.48~53 (2011), 대한불안의학회
- Rouen PA, "The 2015-2020 dietary guidelines : overview and implications for nursing practice", Home Healthc Now, 35, pp.72~82 (2017)
- Cornwell B, "Social Networks in the NSHAP Study: rationale, measurement, and preliminary findings", J Gerontol B Psychol Sci Soc Sci, 64B(Suppl 1), pp.i47~i55 (2009)
- Liu N, "Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas : gender differences matter", Psychiatry Res, 287, pp.112921~ (2020)
- Hayes AF, "Conditional process analysis : concepts, computation, and advances in the modeling of the contingencies of mechanisms", Am Behav Sci, 64, pp.19~54 (2020)
- Kelso JK, "Simulation suggests that rapid activation of social distancing can arrest epidemic development due to a novel strain of influenza", BMC Public Health, 9, pp.117~ (2009)
- Sailer M, "Science knowledge and trust in medicine affect individuals’ behavior in pandemic crises", Eur J Psychol Educ (2021)[DOI]
- Bavel JJ, "Using social and behavioural science to support COVID-19pandemic response", Nat Hum Behav, 4, pp.460~471 (2020)
- Liao Q, "Situational awareness and health protective responses to pandemic influenza A(H1N1)in Hong Kong : a cross-sectional study", PLoS One, 5, pp.e13350~ (2010)
- Bonneux L, "An iatrogenic pandemic of panic", BMJ, 332, pp.786~788 (2006)
- Salkovskis PM, "Morbid preoccupations, health anxiety and reassurance : a cognitive-behavioural approach to hypochondriasis", Behav Res Ther, 24, pp.597~602 (1986)
- Taylor SE, "Biobehavioral responses to stress in females : tendand-befriend, not fight-or-flight", Psychol Rev, 107, pp.411~429 (2000)
- Roy D, "Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic", Asian J Psychiatr, 51, pp.102083~ (2020)
- Taylor S, "Treating health anxiety: a cognitive-behavioral approach", pp.1~18 (2004), Guilford Press
- Vaughan E, "Effective health risk communication about pandemic influenza for vulnerable populations", Am J Public Health, 99(Suppl 2), pp.S324~S332 (2009)
- Van Deursen AJ, "Rethinking Internet skills : the contribution of gender, age, education, Internet experience, and hours online to medium-and content-related Internet skills", Poetics, 39, pp.125~144 (2011)
- Jalali S, "Fitness information-seeking behavior among female university students : a qualitative study", PLoS One, 15, pp.e0237735~ (2020)
- Di Santo SG, "The effects of COVID-19 and quarantine measures on the lifestyles and mental health of people over 60 at increased risk of dementia", Front Psychiatry, 11, pp.578628~ (2020)