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Americans’ COVID-19 Stress, Coping, and Adherence to CDC Guidelines
Open accessAbstract
Importance Documenting Americans' stress responses to an unprecedented pandemic and their degree of adherence to CDC guidelines is essential for mental health interventions and policy-making.Objective To provide the first snapshot of immediate impact of COVID-19 on Americans' stress, coping, and guideline adherence.Design Data were collected from an online workers' platform for survey research (Amazon's Mechanical Turk) from April 7 to 9, 2020. The current data represents the baseline of a longitudinal study. Best practices for ensuring high-quality data were employed.Participants Individuals who are 18 years of age or older, living in the USA, and English-speaking were eligible for the study. Of 1086 unique responses, 1015 completed responses are included.Setting Population-based.Main outcomes Exposure to and stressfulness of COVID-19 stressors, coping strategies, and adherence to CDC guidelines.Results The sample was 53.9% women (n = 547), with an average age of 38.9 years (SD = 13.50, range = 18-88), most of whom were White (n = 836, 82.4%), non-Hispanic (n = 929, 91.5%), and straight/heterosexual (n = 895, 88.2%); 40% were currently married (n = 407), and 21.6% (n = 219) were caregivers. About half (50.5%) endorsed having at least "mostly" enough money to meet their needs. Respondents' locations across the USA ranged from 18.5% in the Northeast to 37.8% in the South. The most commonly experienced stressors were reading/hearing about the severity and contagiousness of COVID-19, uncertainty about length of quarantine and social distancing requirements, and changes to social and daily personal care routines. Financial concerns were rated most stressful. Younger age, female gender, and caregiver status increased risk for stressor exposure and greater degree of stressfulness. The most frequently reported strategies to manage stress were distraction, active coping, and seeking emotional social support. CDC guideline adherence was generally high, but several key social distancing and hygiene behaviors showed suboptimal adherence, particularly for men and younger adults.Conclusions and relevance Americans have high COVID-19 stress exposure and some demographic subgroups appear particularly vulnerable to stress effects. Subgroups less likely to adhere to CDC guidelines may benefit from targeted information campaigns. these findings may guide mental health interventions and inform policy-making regarding implications of specific public health measures.
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“Research conducted during the initial lockdown period found that American adults commonly dealt with stress through distraction, active coping, and seeking emotional support [31]”
From Gender Differences in Coping and Psychological Adaptation during the COVID-19 Pandemic (2023) · cites this paper as [31]
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Cites
The need to belong: Desire for interpersonal attachments as a fundamental human motivation.
Baumeister, R. F., & Leary, M. R. (1995) · Psychological Bulletin · doi:10.1037//0033-2909.117.3.497 · Cited by 23,245
The Psychological Impact of Quarantine and How to Reduce It: Rapid Review of the Evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · doi:10.2139/ssrn.3532534 · Cited by 16,394
The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30460-8 · Cited by 16,378 · cited 1×
“Time-sensitive research has identified diverse stressors in previous geographically limited quarantines, including fears of infection, disruptions to work/learning, and daily self-care routines, in addition to lack of access to reliable information and resources.(2) However, little is known about these stressors in th…”
BackgroundWang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17051729 · Cited by 9,923
You want to measure coping but your protocol’ too long: Consider the brief cope
Carver, C. S. (1997) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0401_6 · Cited by 7,361
Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020) · General Psychiatry · doi:10.1136/gpsych-2020-100213 · Cited by 4,307 · cited 1×
“D.(3), Lucy Finkelstein-Fox, MS(1), Morica Hutchison, MFT(2), and Jessica Becker, MSW(3)”
Evaluating Online Labor Markets for Experimental Research: Amazon.com's Mechanical Turk
Berinsky, A. J., Huber, G. A., & Lenz, G. S. (2012) · Political Analysis · doi:10.1093/pan/mpr057 · Cited by 4,008
Galea, S., Merchant, R. M., & Lurie, N. (2020) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2020.1562 · Cited by 2,089 · cited 1×
“Based on responses to previous disasters, expectations are of substantial long-term mental health problems.(27) These data, collected as the COVID-19 pandemic was gaining steam nationally, underscore the need for more resources to help individuals create healthy and safe coping responses as the virus continues to spre…”
BackgroundZhang, Y., & Ma, Z. F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17072381 · Cited by 1,477
Huff, C., & Tingley, D. (2015) · Research & Politics · doi:10.1177/2053168015604648 · Cited by 903
Kees, J., Berry, C., Burton, S., & Sheehan, K. (2017) · Journal of Advertising · doi:10.1080/00913367.2016.1269304 · Cited by 902
Best practice recommendations for data screening
DeSimone, J. A., Harms, P. D., & DeSimone, A. J. (2014) · Journal of Organizational Behavior · doi:10.1002/job.1962 · Cited by 690
Mortensen, K., & Hughes, T. L. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4246-0 · Cited by 441
Social Media and Emergency Preparedness in Response to Novel Coronavirus
Merchant, R. M., & Lurie, N. (2020) · JAMA · doi:10.1001/jama.2020.4469 · Cited by 425
Crowdsourcing research: Data collection with Amazon’s Mechanical Turk
Sheehan, K. B. (2018) · Communication Monographs · doi:10.1080/03637751.2017.1342043 · Cited by 408
Is well-being associated with the quantity and quality of social interactions?
Sun, J., Harris, K., & Vazire, S. (2019) · Journal of Personality and Social Psychology · doi:10.1037/pspp0000272 · Cited by 363
Main, A., Zhou, Q., Ma, Y., Luecken, L. J., & Liu, X. (2011) · Journal of Counseling Psychology · doi:10.1037/a0023632 · Cited by 361
Bartneck, C., Duenser, A., Moltchanova, E., & Zawieska, K. (2015) · PLOS ONE · doi:10.1371/journal.pone.0121595 · Cited by 317
Stress, Coping, and Development
&NA; (1996) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199604000-00018 · Cited by 284
Butler, L. D., Blasey, C. M., Garlan, R. W., McCaslin, S. E., Azarow, J., Chen, X.-H., Desjardins, J. C., DiMiceli, S., Seagraves, D. A., Hastings, T. A., et al. (2005) · Traumatology · doi:10.1177/153476560501100405 · Cited by 236
Amazon's Mechanical Turk for Academics: The HIT Handbook for Social Science Research
Sheehan, K. B., & Pittman, M. (2016) · Cited by 126
Kaniewska, P., Chan, C. K., Kline, D. I., Ling, E. Y. S., Rosic, N. N., Edwards, D., Hoegh‐Guldberg, O., & Dove, S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0139223 · Cited by 102
Distraction coping predicts better cortisol recovery after acute psychosocial stress
Janson, J., & Rohleder, N. (2017) · Biological Psychology · doi:10.1016/j.biopsycho.2017.07.014 · Cited by 82 · cited 1×
“, 9/11)(23) and can be helpful in situations of low control.(24) Perhaps relying on distraction reflects limitations in what people can do given social distancing practices (including shelter in place and nonessential business closures in many communities).”
BackgroundPowell‐Wiley, T. M., Miller, P. E., Agyemang, P., Agurs‐Collins, T., & Reedy, J. (2014) · Public Health Nutrition · doi:10.1017/s1368980014000196 · Cited by 78
Control-coping goodness-of-fit and chronic illness: a systematic review of the literature
Finkelstein‐Fox, L., & Park, C. L. (2018) · Health Psychology Review · doi:10.1080/17437199.2018.1560229 · Cited by 58
Self-citationPlease participate in Part 2: Maximizing response rates in longitudinal MTurk designs
Stoycheff, E. (2016) · Methodological Innovations · doi:10.1177/2059799116672879 · Cited by 32
Cohen, J., & Wiebe, G. D. (1955) · American Psychologist · doi:10.1037/h0049373 · Cited by 17
Research works printed but not linked: 1
- Hitlin, H. Research in the crowdsourcing age, a case study: How scholars, companies and workers are using Mechanical Turk, a ‘gig economy’ platform, for tasks computers can’t handle. Pew Research Center, July 2016. (http://www.pewinternet.org/2016/07/11/research-in-the-crowdsourcing-age-a-case-study/).
Cited by
Sorted by citations
Russell, B. S., Hutchison, M., Tambling, R. R., Tomkunas, A. J., & Horton, A. L. (2020) · Child Psychiatry & Human Development · doi:10.1007/s10578-020-01037-x · Cited by 778
“Similarly, we note significantly higher rates of reported caregiver burden among the nearly half of the sample who indicate a lack of financial resources adequate to meet needs, highlighting the potential heightened mental health needs of known economically vulnerable segments of the population noted by similar COVID-…”
BackgroundInfluentialSelf-citationConnor, J., Madhavan, S., Mokashi, M., Amanuel, H., Johnson, N. R., Pace, L. E., & Bartz, D. (2020) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.113364 · Cited by 555
Asmundson, G. J. G., Paluszek, M. M., Landry, C. A., Rachor, G. S., McKay, D., & Taylor, S. (2020) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2020.102271 · Cited by 451
Nivette, A., Ribeaud, D., Murray, A., Steinhoff, A., Bechtiger, L., Hepp, U., Shanahan, L., & Eisner, M. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.113370 · Cited by 575
Parents Are Stressed! Patterns of Parent Stress Across COVID-19
Adams, E. L., Smith, D. I., Caccavale, L. J., & Bean, M. K. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.626456 · Cited by 398
Metadata
- Authors
- Park, C. L., Russell, B. S., Fendrich, M., Finkelstein-Fox, L., Hutchison, M., & Becker, J.
- Affiliations
- University of Connecticut (US)
- Corresponding author
- Park, Crystal L.
- Venue
- Journal of General Internal Medicine
- Published
- 2020-05-29
- Volume
- 35
- Issue
- 8
- Pages
- 2296-2303
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC7259430
- OpenAlex
- W3031875368
- Cited by
- 728
- References
- 26
- Citations by year
- 2026: 10 · 2025: 31 · 2024: 74 · 2023: 120 · 2022: 219 · 2021: 224 · 2020: 49
- FWCI
- 61.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (1R34AA027455)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
- Social Sciences › Communication › Communication and COVID-19 Impact
- Keywords
- COVID-19 pandemic, psychological stress, coping strategies, social distancing, hygiene practices, financial stress, caregiver burden, gender differences, age differences, social support, mental health
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adaptation, Psychological, Adult, Centers for Disease Control and Prevention, U.S., Female, Humans, Male, Mental Health, Pneumonia, Viral, Public Health, Surveys and Questionnaires, Stress, Psychological, United States, Guidelines as Topic, Coronavirus Infections, Disease Transmission, Infectious, Guideline Adherence, Pandemics
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