| Literature DB >> 35255106 |
Mahdi Rezapour1, Arash Dehzangi2, Farzaneh Saadati3.
Abstract
The pandemic has posed an intense threat to the mental health of younger adults. Despite significant efforts in studying various aspects of COVID-19, there is a dearth of evidence on how negative emotions are associated with behaviors. A comparison across associated factors to different negative emotions by means of a unified model is especially missing from the literature. This study was conducted by using the results of a survey conducted across 2,534 students enrolled in 7 states in the US. Various feelings such as sad, irritable, stress and guilt were analyzed in a unified model by means of seemingly unrelated regression (SUR). Questions were asked related to rationally limiting the spread of virus, and questions related to behaviors that seem to be extreme. Irrational behaviors, such as limiting exercise at home due to COVID-19 could be due to experiencing negative emotions, which distort the meaning of events for the students. That behavior, for instance, was found to be positively associated with various negative feelings. In addition, the results highlighted significant differences across emotions in terms of demographic characteristics such as gender and age, and various precautionary actions that students take, such as limiting outdoor activities or limiting social gathering. For instance, it was highlighted while avoiding a large group of people, in spite of its importance in curbing the spread of virus, is negatively associated with various negative emotions, taking a possible nonconsequential precaution of completely limiting all people outside the immediate family result in a higher level of negative emotions. Also, it was found that having a higher body mass index (BMI), self-rated worse health conditions, and limiting outdoor activities have detrimental effects on the mental health of students.Entities:
Mesh:
Year: 2022 PMID: 35255106 PMCID: PMC8901067 DOI: 10.1371/journal.pone.0264985
Source DB: PubMed Journal: PLoS One ISSN: 1932-6203 Impact factor: 3.240
Descriptive statistics of important predictors considered in the analysis.
| Coef. | Mean | Var | Min | Max | Type |
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| How sad do you feel when you think about COVID-19? | 61.12 | 725.575 | 0 | 100 | Likert, Continuous |
| How afraid do you feel when you think about COVID-19? | 50.55 | 742.89 | 0 | 100 | Likert, Continuous |
| How irritable do you feel when you think about COVID-19? | 59.43 | 791.26 | 0 | 100 | Likert, Continuous |
| How stressed do you feel when you think about COVID-19? | 64.03 | 693.92 | 0 | 100 | Likert, Continuous |
| How guilty do you feel when you think about COVID-19? | 24.36 | 657.680 | 0 | 100 | Likert, Continuous |
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| Gender, male | 0.61 | 0.233 | 0 | 1 | Binary |
| Respondents’ highest level of education, graduate versus under grad | 0.196 | 0.158 | 0 | 1 | Binary |
| Age, 18–24 years old, versus others | 0.77 | 0.178 | 0 | 1 | Binary |
| Health in general | 3.32 | 1.03 | 1 | 5 | Likert |
| BMI group | 2.38 | 0.490 | 1 | 4 | Likert |
| Precautionary actions: avoid travel | 4.52 | 0.616 | 1 | 5 | Likert |
| Precautionary actions: limit outdoor activities | 3.15 | 1.727 | 1 | 5 | Likert |
| Precautionary actions: limit exercising at home | 2.32 | 1.538 | 1 | 5 | Likert |
| Precautionary actions: Avoiding large group of people | 4.16 | 0.793 | 1 | 5 | Likert |
| Precautionary actions: avoid people outside of your immediate family | 4.72 | 0.416 | 1 | 5 | Likert |
| Spend a lot of time thinking about COVID-19 | 4.34 | 3.051 | 1 | 7 | Likert |
| Income relative to others in the US | 3.31 | 1.224 | 1 | 5 | Likert |
| Any infected individual among friends/family, yes versus no | 0.25 | 0.176 | 0 | 1 | Binary |
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| Number of hours in front of the screen | 7.74 | 7.21 | 0 | 12 | Discrete |
| Limiting exercise at the gym | 4.65 | 0.938 | 0 | 5 | Discrete |
* Reference category.
Results of the SUR for associations between emotions and other factors in a unified model.
| Coef. | Sad | SE | p-value | Afraid | SE | p-value | Irritable | SE | p-value | Stressed | SE | p-value | Guilty | SE | p-value |
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| (Intercept) | 19.68 | 5.32 | <0.005 | -2.15 | -1.11 | 0.05 | 50.81 | 0.84 | <0.005 | 31.13 | 0.857 | <0.005 | 10.00 | 0.46 | 0.00 |
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| Gender | 6.93 | 4.995 | 0.17 |
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| Respondents’ highest level of education | 0.67 | 6.058 | 0.91 |
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| -0.16 | 0.665 | 0.81 |
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| Age | 5.27 | 4.784 | 0.27 |
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| 1.42 | 1.269 | 0.26 |
| Health in general | -1.38 | 5.565 | 0.80 |
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| -1.67 | 1.002 | 0.09 |
| BMI group | -1.19 | 0.989 | 0.23 | -0.43 | 0.46 | 0.36 |
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| 0.36 | 0.598 | 0.55 | -0.92 | 1.166 | 0.43 |
| Family income, relative to others in the US | -1.66 | 1.367 | 0.23 |
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| -0.77 | 0.482 | 0.11 |
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| Avoid travel |
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| 0.02 | 0.179 | 0.92 |
| Limit outdoor activities | 1.08 | 1.127 | 0.34 |
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| 0.22 | 0.441 | 0.62 |
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| 0.25 | 0.168 | 0.14 |
| Precautionary actions: limit exercising at home | -0.06 | 0.89 | 0.95 | 0.68 | 0.52 | 0.19 | 0.15 | 0.429 | 0.73 | 0.28 | 0.259 | 0.28 |
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| Avoiding large group of people | -0.30 | 1.035 | 0.77 | 0.03 | 0.69 | 0.97 |
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| -0.50 | 0.314 | 0.11 |
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| Precautionary actions: avoid people outside of your immediate family | 2.20 | 1.2 | 0.07 |
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| 0.55 | 0.489 | 0.26 |
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| spend a lot of time thinking about COVID |
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| Any infected individual among friends/family |
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| -0.78 | 0.585 | 0.18 |
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| Smooth | DF | P(chi) | DF | P(chi) | DF | P(chi) | DF | P(chi) | DF | P(chi) | |||||
| S (hours in front of screen) |
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| -0.35 | 2.9 | 0.46 | 0.10 | 2.9 | 0.13 | -0.11 | 2.9 | 0.51 |
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| S (limiting exercise at the gym) | -0.62 | 2.9 | 0.59 | -0.18 | 2.9 | 0.12 |
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* Bolds are significant values at 0.05 significance level.
Fig 1Associations between various negative emotions and students behaviors, and characteristics, positive, negative and no associations are highlighted by “+”,”-“, and “×”.
Correlations across models’ error terms.
| Afraid | Irritable | Stress | Guilty | |
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| Sad | 0.41 | 0.301 | 0.465 | 0.26469 |
| Afraid | ----------- | 0.143 | 0.47 | 0.2457 |
| Irritable | --------- | --------- | 0.36 | 0.12 |
| Stress | --------- | --------- | ------ | 0.213 |