Cited by 59COVID-19 and Mental HealthCommunication and COVID-19 ImpactPosttraumatic Stress Disorder Research

Media Exposure to COVID-19 Predicted Acute Stress: A Moderated Mediation Model of Intolerance of Uncertainty and Perceived Social Support

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He, Xiangcai, Zhang, Yu, Chen, Meng, Zhang, Jihong, Zou, Weixing, Luo, Yu·2021·Frontiers in Psychiatry

Abstract

Background: Previous studies have found that disaster-related media exposure could predict acute stress responses. However, few studies have investigated the relationship between media exposure to COVID-19 and acute stress, and less is known about the mechanisms that translate media exposure to COVID-19 into acute stress. The current study explored the impact of media exposure to COVID-19 on acute stress, and examined the mediating role of intolerance of uncertainty (IU) and the moderating role of perceived social support (PSS). Methods: A total of 1,483 Chinese participants (Mage = 27.93 years, SD = 8.45) completed anonymous online questionnaires regarding media exposure to COVID-19, IU, PSS, and acute stress during the COVID-19 outbreak in China. Results: Media exposure to COVID-19 was positively related to acute stress, and IU partially mediated this relationship. The direct effect of media exposure to COVID-19 on acute stress, and the relationship between IU and acute stress, were both moderated by PSS. The impacts of both media exposure to COVID-19 and IU on acute stress were stronger for individuals with low PSS. Limitations: This study collected data in a shorter timeframe, and no assessments occurred during the follow-up, which may prevent us from detecting the changes of the relationships between variables over time. Meanwhile, the self-report method limited the validity of the data due to subjective reporting bias. Conclusions: These findings contribute to a better understanding of how and when pandemic-related media exposure affects acute stress, and provide new perspectives for the prevention to reduce psychological problems following traumatic events.

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  • During the COVID-19 pandemic, media exposure increased uncertainty-related anxiety in democratic countries, whereas in China, state-controlled media reduced coverage of negative outcomes, resulting in lower reported stress levels despite real risks.

    “For example, during the COVID-19 pandemic, studies found that media exposure increased uncertainty-related anxiety in democratic countries, whereas in China, state-controlled media reduced coverage of negative outcomes, resulting in lower reported stress levels despite real risks [102].”

    From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [102]

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  • IU partially mediated the relationship between media exposure to COVID-19 and acute stress.

    “and partially mediated the relationship between media exposure to COVID-19 and acute stress [102].”

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  1. [84]Li Y Chen C Application of stanford acute stress reaction questionnaire in trauma. CHS J Rehabil Theory Pract. (2015) 11: 717– 22. 10.3969/j.issn.1006-9771 · DOI
  2. [86]Liu P Zhou J Li A Li Y Zhang J Chen J Acute stress reaction and its influencing factors in patients with brain injury. CHS J Gerontology. (2019) 39: 3069– 72. 10.3969/j.issn.1005-9202.2019.12.074 · DOI

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Authors
He, X., Zhang, Y., Chen, M., Zhang, J., Zou, W., & Luo, Y.
Affiliations
Guizhou Normal University (CN)
Corresponding author
Luo, Yu
Venue
Frontiers in Psychiatry
Published
2021-02-10
Volume
11
Pages
613368-613368
ISSN
1664-0640 (ISSN-L)
OpenAlex
W3129150177
Cited by
59
References
105
Citations by year
2026: 3 · 2025: 8 · 2024: 10 · 2023: 14 · 2022: 13 · 2021: 9
FWCI
7.84
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Chengdu Medical College
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Communication › Communication and COVID-19 Impact
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
COVID-19 pandemic, media exposure, acute stress, intolerance of uncertainty, perceived social support, moderated mediation, Chinese participants

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