Cited by 300COVID-19 and Mental HealthCommunication and COVID-19 ImpactImpact of Technology on Adolescents

Media use and acute psychological outcomes during COVID-19 outbreak in China

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Chao, Miao, Xue, Dini, Liu, Tour, Yang, Haibo, Hall, Brian J.·2020·Journal of Anxiety Disorders

Abstract

The COVID-19 outbreak in China led to an extraordinary threat to public health and wellbeing. This study examined the psychological impact of media use among people indirectly exposed to the disease during the initial phase of the outbreak. We conducted an internet-based survey on January 28, 2020 (one week after the official declaration of person-to-person transmission of the coronavirus). Media use (media forms, content of media exposure, and media engagement) related to the outbreak and psychological outcomes (positive and negative affect, anxiety, depression, and stress) of 917 Chinese adults was assessed. A series of multivariable regressions were conducted. The results showed that use of new media, rather than traditional media, was significantly associated with more negative affect, depression, anxiety, and stress. Viewing stressful content (i.e., severity of the outbreak, reports from hospital) was associated with more negative affect and depression. Media engagement was also associated with more negative affect, anxiety, and stress. However, viewing heroic acts, speeches from experts, and knowledge of the disease and prevention were associated with more positive affect and less depression. The study suggested new media use and more media engagement was associated with negative psychological outcomes, while certain media content was associated with positive psychological impact. The present study highlights the need for timely public health communication from official sources and suggests that reduced exposure to new media may be beneficial.

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Authors
Chao, M., Xue, D., Liu, T., Yang, H., & Hall, B. J.
Affiliations
  • Tianjin Normal University (CN)
  • University of Macau (MO)
Corresponding author
Liu, Tour
Venue
Journal of Anxiety Disorders
Publisher
Elsevier BV
Published
2020-08
Volume
74
Pages
102248
ISSN
0887-6185 (ISSN-L)
OpenAlex
W3029774798
Cited by
300
References
44
Citations by year
2026: 17 · 2025: 24 · 2024: 27 · 2023: 55 · 2022: 63 · 2021: 84 · 2020: 30
FWCI
21.87
Type
journal article
Language
en
Open access
Locations
  • Journal of Anxiety Disorders (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Tianjin Philosophy and Social Science Project (TJJX15-002, 18YJC190013)
  • Projects of Humanities and Social Sciences, Ministry of Education of China
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Communication › Communication and COVID-19 Impact
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Keywords
COVID-19 pandemic, media use, psychological outcomes, anxiety, depression, stress, negative affect, positive affect, new media, media engagement, public health communication, indirect exposure, Chinese adults
MeSH terms
COVID-19, Adult, Anxiety, China, Depression, Disease Outbreaks, Female, Health Education, Humans, Male, Pneumonia, Viral, Public Health, Surveys and Questionnaires, Stress, Psychological, Coronavirus Infections, Internet, Pandemics

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