Health Psychology and Behaviors during COVID-19

A special issue of Behavioral Sciences (ISSN 2076-328X).

Deadline for manuscript submissions: closed (31 January 2025) | Viewed by 13169

Special Issue Editors

1. Department of Non-Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK
2. Ageing Epidemiology Research Unit, School of Public Health, Imperial College London, London W6 8RP, UK
Interests: neuroepidemiology; public health; COVID-19; biostatistics; mental health
Special Issues, Collections and Topics in MDPI journals
Department of Social Policy and Intervention, University of Oxford, Oxford OX1 2ER, UK
Interests: health psychology; mental health; intervention; behavioral science; COVID-19
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Ageing Epidemiology Research Unit, School of Public Health, Imperial College London, London W6 8RP, UK
Interests: stress; sleep; sex differences; risk factors; biomarkers; cognitive impairment
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The long-lasting COVID-19 pandemic has dramatically changed our lives over the past three years. It is not only a threat to people’s physical health but also a challenge to the mental health and psychological wellbeing of both infected and non-infected individuals. The psychological and behavioral influences of this worldwide public health emergency are multifold and warrant multidisciplinary research. The lockdown and social distancing measures introduced for reducing the spread of infections could lead to short-term or long-term emotional distress and mental health issues in the general population. People’s health behaviors, such as physical activity, diet, and sleep, could also be affected by the emotional burden, risk perception, or lockdown restrictions during the pandemic. In addition, it is essential to investigate the influencing factors and psychological determinants of people’s preventive behaviors (e.g., handwashing, mask wearing, vaccination) for COVID-19 to facilitate pandemic control and communications. Emerging studies have also focused on COVID-19 patients and investigated the impact of long COVID or post-COVID-19 sequelae on their mental health and quality of life. Papers addressing these topics are invited for this Special Issue. Original research articles, systematic reviews, and narrative reviews are welcome.

You may choose our Joint Special Issue in International Journal of Environmental Research and Public Health.

Dr. Bang Zheng
Dr. Qing Han
Dr. Chinedu Udeh-Momoh
Guest Editors

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Keywords

  • COVID-19
  • lockdown
  • psychological consequences
  • risk perception
  • mental health
  • preventive behaviors
  • vaccination
  • health behaviors
  • healthy lifestyle
  • long COVID

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Related Special Issue

Published Papers (7 papers)

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Research

21 pages, 343 KiB  
Article
Workers’ Psychological Distress During the Early Months of the COVID-19 Pandemic in Brazil: A Cross-Sectional Study
by Melissa Spröesser Alonso, Maria Cristina Pereira Lima, Adriano Dias, Hélio Rubens de Carvalho Nunes, Carlos Ruiz-Frutos, Javier Fagundo-Rivera, Juan Gómez-Salgado and João Marcos Bernardes
Behav. Sci. 2025, 15(3), 358; https://doi.org/10.3390/bs15030358 - 13 Mar 2025
Viewed by 496
Abstract
The COVID-19 pandemic significantly impacted the mental health of workers. This study aimed to assess the prevalence of psychological distress among Brazilian workers during the early months of the pandemic and explore its associated factors. A cross-sectional study was conducted using an online [...] Read more.
The COVID-19 pandemic significantly impacted the mental health of workers. This study aimed to assess the prevalence of psychological distress among Brazilian workers during the early months of the pandemic and explore its associated factors. A cross-sectional study was conducted using an online questionnaire administered to 2903 Brazilian workers, including 1752 non-healthcare workers (NHCWs) and 1151 healthcare workers (HCWs), between April and May 2020. Snowball sampling was employed for participant recruitment, and the research questionnaire was adapted for use with the Brazilian population through a process of translation and cultural adaptation, based on an instrument initially created and validated for use in Spain. Differences between NHCWs and HCWs were tested using the chi-square or Fisher’s Exact test and Mann–Whitney test followed by effect size measurement. Multiple linear regression models were used to analyze the association between psychological distress and the predictor variables. Psychological distress was observed in 72.6% (95% CI 70.1–74.2%) of the participants, with no significant difference observed between NHCWs and HCWs. Although 32 variables showed statistically significant differences between NHCWs and HCWs, only 7 demonstrated clinical–epidemiological relevance, primarily related to occupational factors. Work-related stress was positively associated with psychological distress, but this relationship diminished in the absence of family members infected with COVID-19. Conversely, a higher sense of coherence was protective against psychological distress, although this effect weakened in the absence of family members infected with COVID-19. The study highlights the high prevalence of psychological distress among Brazilian workers during the pandemic’s early months. Work stress played a significant role, while sense of coherence appeared to mitigate mental health challenges. These findings highlight the need for targeted mental health interventions, particularly for workers facing both professional and family-related stressors during crises. Full article
(This article belongs to the Special Issue Health Psychology and Behaviors during COVID-19)
14 pages, 1621 KiB  
Article
The Impact of the COVID-19 Pandemic on the Development of Motor Skills of German 5- to 6-Year-Old Children
by Aileen Kotzsch, Andy Papke and Angela Heine
Behav. Sci. 2025, 15(3), 353; https://doi.org/10.3390/bs15030353 - 13 Mar 2025
Viewed by 480
Abstract
The closure of educational institutions, playgrounds, and sports facilities has had a significant impact on children’s levels of physical activity during the COVID-19 pandemic. Currently, there are only a few studies available that address the consequences of these pandemic-related restrictions on the development [...] Read more.
The closure of educational institutions, playgrounds, and sports facilities has had a significant impact on children’s levels of physical activity during the COVID-19 pandemic. Currently, there are only a few studies available that address the consequences of these pandemic-related restrictions on the development of motor skills in younger children. The aim of the present study was to gain insights into the impact of the COVID-19 pandemic on the development of children’s fine and gross motor skills by comparing cohorts of German preschoolers. For this purpose, data from annual (years 2015 to 2018 and 2020 to 2024) routine examinations of children’s (n = 1426; mean age: 5.46 ± 0.29 years) motor development conducted in the child daycare centers of the SportService des Landessportbund Brandenburg e.V. [Federal Sports Association of Brandenburg, Germany] were subjected to a secondary analysis. While no effects on overall motor performance as measured by the MOT 4–6, a standardized motor skills test, were found for the groups of preschoolers, a more detailed analysis revealed that the cohorts of children differed with respect to certain motor domains, i.e., jumping performance and fine motor skills. The findings are relevant for designing targeted remedial measures for children affected by the pandemic-related restrictions. Full article
(This article belongs to the Special Issue Health Psychology and Behaviors during COVID-19)
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16 pages, 703 KiB  
Article
How Power from the Network Is Associated with Post-Traumatic Growth During COVID-19: The Mediating Roles of Gratitude and Cognitive Reappraisal
by Xiangxing Hao, Yimeng Cui, Mingyu Zhao, Yanling Chen, Zhi Ren and Lin Zhang
Behav. Sci. 2025, 15(3), 335; https://doi.org/10.3390/bs15030335 - 10 Mar 2025
Viewed by 628
Abstract
Background: The COVID-19 pandemic has posed significant psychological challenges worldwide, but individuals may also experience post-traumatic growth (PTG)—positive psychological changes following adversity. Identifying factors associated with PTG during global public health crises is crucial for advancing trauma recovery research and informing evidence-based interventions. [...] Read more.
Background: The COVID-19 pandemic has posed significant psychological challenges worldwide, but individuals may also experience post-traumatic growth (PTG)—positive psychological changes following adversity. Identifying factors associated with PTG during global public health crises is crucial for advancing trauma recovery research and informing evidence-based interventions. As interpersonal interactions increasingly move to virtual platforms, online social support has become a key source of psychological resilience. Yet, how online social support facilitates PTG remains unclear, especially in large-scale adversities, like the COVID-19 pandemic. Objective: This study investigates the association between online social support and post-traumatic growth (PTG) in the context of the COVID-19 pandemic and examines the mediating roles of gratitude and positive reappraisal. Method: A cross-sectional online survey was conducted in March 2022, recruiting 556 college students (70.83% female). Online social support, PTG, gratitude, and cognitive reappraisal were assessed using validated tools, including the College Students’ Online Social Support Testing Questionnaire, Post-Traumatic Growth Inventory (PTGI), Gratitude Adjective Checklist, and Cognitive Emotion Regulation Questionnaire (CERQ). Results: Participants reported moderate PTG levels. Online social support was positively associated with PTG and exerted both direct and indirect effects. The indirect effects occurred through a sequential mediation pathway, wherein online social support first enhanced gratitude, which in turn, promoted cognitive reappraisal, ultimately contributing to higher PTG levels. Conclusions: This study highlights the significant association between online social support and post-traumatic growth (PTG) during the COVID-19 pandemic, both directly and through the sequential mediating effects of gratitude and cognitive reappraisal. These findings underscore the importance of leveraging digital platforms to provide emotional and cognitive resources that support resilience and growth in times of large-scale adversity. Psychological interventions should prioritize cultivating gratitude and enhancing cognitive reappraisal skills as effective strategies to mitigate the negative psychological impacts of crises and facilitate PTG outcomes. Full article
(This article belongs to the Special Issue Health Psychology and Behaviors during COVID-19)
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13 pages, 1628 KiB  
Article
Association between COVID-19 and the Risk of Vascular Dementia: A Mendelian Randomisation Study of the Potential Cognitive Sequela of COVID-19
by Qing Han, Yue Ma and Wenting Ye
Behav. Sci. 2024, 14(6), 465; https://doi.org/10.3390/bs14060465 - 30 May 2024
Viewed by 1492
Abstract
A growing body of observational studies and Mendelian Randomisation analyses suggest an increased risk of Alzheimer’s disease and dementia following COVID-19 infection. However, evidence on the potential association between COVID-19 and vascular dementia, which is plausible given the vascular complications of COVID-19 infection, [...] Read more.
A growing body of observational studies and Mendelian Randomisation analyses suggest an increased risk of Alzheimer’s disease and dementia following COVID-19 infection. However, evidence on the potential association between COVID-19 and vascular dementia, which is plausible given the vascular complications of COVID-19 infection, is still limited. In this study, we conducted a two-sample Mendelian Randomisation analysis to examine the potential causal relationship between COVID-19 phenotypes and the risk of vascular dementia, using summary data from large-scale GWASs. The two-sample Mendelian Randomisation analysis did not detect any significant associations of COVID-19 infection, COVID-19 hospitalisation, or critical COVID-19 with the risk of vascular dementia, with weighted average β values of −0.29 (95% CI: −0.84, 0.26; p = 0.301), −0.12 (95% CI: −0.36, 0.13; p = 0.345), and −0.07 (95% CI: −0.23, 0.09; p = 0.374), respectively. Our findings do not support the hypothesis that vascular dementia is one of the long-term sequelae of COVID-19. Full article
(This article belongs to the Special Issue Health Psychology and Behaviors during COVID-19)
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10 pages, 555 KiB  
Article
Exposure to the Death of Others during the COVID-19 Pandemic: Growing Mistrust in Medical Institutions as a Result of Personal Loss
by Brian J. Gully, Hayley Treloar Padovano, Samantha E. Clark, Gabriel J. Muro and Mollie A. Monnig
Behav. Sci. 2023, 13(12), 999; https://doi.org/10.3390/bs13120999 - 7 Dec 2023
Viewed by 1872
Abstract
Background and aims: The prominence of death during the COVID-19 pandemic was heightened by the potential of personally knowing someone who lost their life to the virus. The terror management theory (TMT) suggests that the salient presence of death has a pronounced effect [...] Read more.
Background and aims: The prominence of death during the COVID-19 pandemic was heightened by the potential of personally knowing someone who lost their life to the virus. The terror management theory (TMT) suggests that the salient presence of death has a pronounced effect on behavior and may result in the ossification of beliefs and actions aligned with one’s worldview (i.e., the mortality salience hypothesis). In this study, we evaluated how death exposure early in the COVID-19 pandemic could enact the process of firming up held beliefs and attitudes related to health and safety. Specifically, we tested the hypothesis that exposure to a personal loss during the pandemic would strengthen participants’ baseline attitudes and behaviors regarding COVID-19 safety guidelines. Method: Data were analyzed from a prospective, regional survey administered at two time points during the pandemic, June–July 2020 and May 2021, in five United States northeastern states. Baseline and follow-up surveys were administered approximately 12 months apart, with adherence to public guidance and death exposure measured at both timepoints and other safety measures at follow-up only. Findings: Our results indicated that there were significant main effects of death exposure on guideline adherence and support for COVID-related public policy. Contrary to the mortality salience hypothesis, death exposures after baseline were related to higher medical mistrust at follow-up for those high in adherence at baseline, rather than those with low adherence. Conclusion: Our results offer some conflicting evidence to the mortality salience hypothesis. Rather than entrench people in their worldviews, death in the context of the COVID-19 pandemic appeared to sway people away from their initial stances. This finding has important implications for TMT literature and for the COVID-19 pandemic response. Full article
(This article belongs to the Special Issue Health Psychology and Behaviors during COVID-19)
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12 pages, 485 KiB  
Article
Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index
by Tianwen Li, Marie Fujimoto, Katsuma Hayashi, Asami Anzai and Hiroshi Nishiura
Behav. Sci. 2023, 13(11), 951; https://doi.org/10.3390/bs13110951 - 19 Nov 2023
Cited by 7 | Viewed by 4031
Abstract
Although the Japanese government removed mask-wearing requirements in 2023, relatively high rates of mask wearing have continued in Japan. We aimed to assess psychological reasons and the strength of habitual mask wearing in Japan. An Internet-based cross-sectional survey was conducted with non-random participant [...] Read more.
Although the Japanese government removed mask-wearing requirements in 2023, relatively high rates of mask wearing have continued in Japan. We aimed to assess psychological reasons and the strength of habitual mask wearing in Japan. An Internet-based cross-sectional survey was conducted with non-random participant recruitment. We explored the frequency of mask usage, investigating psychological reasons for wearing masks. A regression analysis examined the association between psychological reasons and the frequency of mask wearing. The habitual use of masks was assessed in the participant’s most frequently visited indoor space and public transport using the self-report habit index. The principal component analysis with varimax rotation revealed distinct habitual characteristics. Among the 2640 participants surveyed from 6 to 9 February 2023, only 4.9% reported not wearing masks at all. Conformity to social norms was the most important reason for masks. Participants exhibited a slightly higher degree of habituation towards mask wearing on public transport compared to indoor spaces. The mask-wearing rate was higher in females than in males, and no significant difference was identified by age group. Daily mask wearing in indoor spaces was characterized by two traits (automaticity and behavioral frequency). A high mask-wearing frequency has been maintained in Japan during the social reopening transition period. Mask wearing has become a part of daily habit, especially on public transport, largely driven by automatic and frequent practice. Full article
(This article belongs to the Special Issue Health Psychology and Behaviors during COVID-19)
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17 pages, 1222 KiB  
Article
The Impacts of Leaders’ Influence Tactics on Teleworkers’ Job Stress and Performance: The Moderating Role of Organizational Support in COVID-19
by Gukdo Byun, Jihyeon Rhie, Soojin Lee and Ye Dai
Behav. Sci. 2023, 13(10), 835; https://doi.org/10.3390/bs13100835 - 12 Oct 2023
Cited by 4 | Viewed by 2579
Abstract
With the outbreak of COVID-19, organizations have increased non-face-to-face work. This study aims to examine how leaders’ influence tactics affect employees’ psychological state and job performance in a non-face-to-face work (telework) setting. Moreover, based on substitutes for leadership theory, the study proposes that [...] Read more.
With the outbreak of COVID-19, organizations have increased non-face-to-face work. This study aims to examine how leaders’ influence tactics affect employees’ psychological state and job performance in a non-face-to-face work (telework) setting. Moreover, based on substitutes for leadership theory, the study proposes that teleworkers’ perceived organizational support moderates the relationship between leaders’ influence tactics and their job stress in telework settings. We collected data via time-lagged surveys among 208 full-time employees in South Korean organizations that began teleworking after the outbreak of the COVID-19 pandemic. The results showed that leaders’ soft tactics (i.e., behaviors used to elicit the followers’ voluntary acceptance of a request) and rational tactics (i.e., behaviors that exert influence by providing empirical evidence based on reason or logic) significantly reduced teleworkers’ job stress, which in turn lowered their turnover intention and increased their task performance. Moreover, these tactics and teleworkers’ perceived organizational support interact to influence the workers’ job stress. By examining how leaders’ influence tactics affect teleworkers’ psychological stress, task performance, and turnover intention in the wake of the COVID-19 pandemic, this study theoretically broadens the influence tactics literature, which previously focused primarily on face-to-face workers. The study concludes with a discussion about the implications of findings and limitations, along with areas for future research. Full article
(This article belongs to the Special Issue Health Psychology and Behaviors during COVID-19)
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