An investigation of patterns of association between anxiety symptom clusters and mask-wearing during the COVID-19 pandemic in Canada

Several measures have been implemented to reduce the spread of the COVID-19, with mask-wearing among the most widely used measures. Yet, the barriers to mask-wearing are unclear. This study examined whether different types of anxiety symptom clusters (i.e., symptoms of claustrophobia, physical anxiety sensitivity, and social anxiety sensitivity) are associated with mask-wearing tendencies during the COVID-19 pandemic and investigated how anxiety symptom clusters relate to mask-wearing discomfort and self-isolation distress. A total of 556 Canadian adults were recruited online between January and February of 2021. The study was administered online via Qualtrics. Participants completed questionnaires measuring symptoms of claustrophobia, anxiety sensitivity, and isolation distress, along with a measure of mask-wearing behaviours. Linear regression analyses revealed that elevated anxiety symptoms across all symptom clusters predicted more physical and emotional discomfort related to mask-wearing, as well as reduced likelihood of leaving the home due to mask-related discomfort. Leaving home less often due to mask-related discomfort was significantly associated with more self-isolation distress and poorer coping overall. Differential patterns of mask-wearing behaviours across anxiety symptom clusters were not detected. These findings suggest that anxiety symptoms (i.e., including claustrophobia, physical anxiety sensitivity, and social anxiety sensitivity) are positively associated with mask-related distress. This, in turn, may lead people to avoid leaving their home and consequently experience increased self-isolation distress. Furthermore, these findings suggest that people with heightened anxiety symptoms tend to experience more discomfort with mask-wearing, which may perpetuate a cycle of avoidance and poorer coping overall. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (French) Plusieurs mesures ont ete mises en oeuvre pour reduire la propagation de la COVID-19, le port du masque etant l'une des mesures les plus utilisees. Pourtant, les obstacles au port du masque ne sont pas clairs. Cette etude a examine si differents types de groupes de symptomes d'anxiete (c'est-a-dire les symptomes de claustrophobie, de sensibilite a l'anxiete physique et de sensibilite a l'anxiete sociale) etaient associes aux tendances de port du masque pendant la pandemie de COVID-19 et a etudie comment les groupes de symptomes d'anxiete sont lies a l'inconfort du port de masque et a la detresse liee a l'isolement. Un total de 556 adultes canadiens ont ete recrutes en ligne entre janvier et fevrier 2021. L'etude a ete administree en ligne via Qualtrics. Les participants ont rempli des questionnaires mesurant les symptomes de claustrophobie, la sensibilite a l'anxiete et la detresse liee a l'isolement, ainsi qu'une mesure des comportements lies au port du masque. Les analyses de regression lineaire ont revele que des symptomes d'anxiete eleves dans tous les groupes de symptomes predisaient un plus grand inconfort physique et emotionnel lie au port du masque, ainsi qu'une probabilite reduite de quitter le domicile en raison de l'inconfort lie au port du masque. Le fait de quitter le domicile moins souvent en raison d'un inconfort lie au port du masque etait significativement associe a une plus grande detresse liee a l'isolement et a une moins bonne adaptation globale. Il n'a pas ete possible de detecter des comportements differents en matiere de port de masque selon les groupes de symptomes d'anxiete. Ces resultats indiquent que les symptomes d'anxiete (y compris la claustrophobie, la sensibilite a l'anxiete physique et la sensibilite a l'anxiete sociale) sont positivement associes a la detresse liee au port du masque. Cela peut conduire les personnes a eviter de quitter leur domicile et, par consequent, a eprouver une detresse accrue liee a l'isolement. De plus, ces resultats suggerent que les personnes presentant des symptomes d'anxiete eleves ont tendance a eprouver plus d'inconfort lie au port du masque, ce qui peut perpetuer un cycle d'evitement et une moins bonne adaptation globale. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement The findings suggest that anxiety symptoms may interfere with engagement in this important public health measure, informing policy-makers of at-risk groups in the population. Moreover, those who experience higher mask-related anxiety are more likely to stay at home, leading to increased self-isolation and isolation-related distress. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Non-Pathological Psychological Distress among Mainland Chinese in Canada and Its Sociodemographic Risk Factors amidst the Pandemic.

The COVID-19 pandemic has exacerbated health inequalities, with a potentially heightened mental health risk for Mainland Chinese in Canada, given the rising anti-Chinese discrimination, and barriers in assessing health services. In this context, this study aimed to assess non-pathological psychological distress towards COVID-19 and identify its sociodemographic risk factors among Mainland Chinese in Canada at the early stages of the pandemic. METHODS: A sample of 731 Mainland Chinese aged 16 or older completed an on-line survey to examine their attitudes, behavioural, and psychological responses towards COVID-19. Non-pathological psychological distress was assessed with a 7-item self-report scale to capture common emotional reactions towards COVID-19. RESULTS: A factor analysis revealed a single-factor structure of the 7-item COVID-19 psychological distress scale (Eigen λ = 3.79). A composite psychological distress index (PDI) score was calculated from these items and used as the outcome variable. Multivariate regression models identified age, financial satisfaction, health status, and perceived/experienced discrimination as significant predictors of psychological distress (ps ≤ 0.05). CONCLUSIONS: Mainland Chinese in Canada who were over 25, in poor financial/health status, or with perceived/experienced discrimination were at a higher risk for COVID-19-related psychological distress. The health inequity across these factors would inform the services to mitigate mental health risk in minority groups.

Perceived and Experienced Anti-Chinese Discrimination and Its Associated Psychological Impacts Among Chinese Canadians During the Wave 2 of the COVID-19 Pandemic.

The current study examined the sociodemographic factors associated with perceived and experienced anti-Chinese discrimination and discrimination as a predictor of psychological distress and loneliness among Chinese Canadians. A cross-sectional online survey was conducted in early 2021 with a sample of 899 Chinese Canadians (i.e., immigrants, citizens, visitors, and international students) during the Wave 2 of the COVID-19 pandemic. Overall, anti-Chinese discrimination was generally associated with younger age and poor financial or health status. Christianity/Catholicism believers were less likely to report perceived discrimination, whereas being married/partnered and living with family reduced the incidences of experienced discrimination. Most importantly, hierarchical linear regression models showed that both perceived and experienced discrimination predicted higher psychological distress (ßs = 4.90-7.57, ps ≤ .001) and loneliness (ßs = .89-1.73, ps ≤ .003), before and after controlling for all related sociodemographic covariates. Additionally, older age, higher education, better financial or health status could all buffer psychological distress, whereas living with family or in a house and better financial or health status could mitigate feeling of loneliness. The results suggested that discrimination has a robust detrimental impact on mental health conditions among Chinese Canadians.