Cumulative Pandemic Stressors, Psychosocial Resources, and Psychological Distress: Toward a More Comprehensive Test of a Pandemic Stress Process

Although the mental health consequences of individual COVID-19 stressors (e.g., bereavement, job loss, or financial strain) have been well-documented, little is known about the cumulative toll of multiple pandemic stressors. Using national data from the Crime, Health, and Politics Survey (May–June 2021), we test whether the accumulation of pandemic stressors is associated with greater psychological distress. We also consider whether this association is moderated by psychosocial resources (i.e., mastery, self-esteem, and social support). Our findings suggest that individuals who report three or more pandemic stressors tend to exhibit greater psychological distress than those who report fewer pandemic stressors or no pandemic stressors. While mastery offsets the impact of pandemic stressors at higher levels of stress exposure (i.e., two or more COVID-19 stressors), social support and self-esteem played a stress-buffering role to a point, but became ineffective at the highest levels of pandemic stress. The current study provides new insights into the pandemic stress process by conceptualizing and operationalizing the cumulative impact of COVID-19 stressors. We also confirm the continued significance of traditional coping resources in the context of novel pandemic stressors.

Changes in Religiosity and Reliance on God During the COVID-19 Pandemic: A Protective Role Under Conditions of Financial Strain?

Background: The COVID-19 pandemic was one of the most devastating disasters of the twenty-first century and has exacted a steep health and economic toll. During times of suffering caused by the pandemic, religion/spirituality may prove to be a consistent and valuable coping resource. Purpose: We situate changes in religious importance and reliance on God as key aspects of religious life that may be important coping mechanisms in response to pandemic-related financial hardship, addressing a gap in the literature on religious coping during the pandemic and considering self-reported changes in religiosity. Methods: We use data from a nationally representative sample of Americans that was collected in 2021 (N = 1704) and employ a series of OLS Regression Models. Results: Our results suggest that relying more heavily on God was associated with lower psychological distress, and a stronger reliance on God buffered the deleterious consequences of financial strain on psychological distress. No such patterns were documented for religious importance. Conclusion and Implications: We discuss our findings within the broader religion and health literature as to whether secondary control via a divine power reduces or enhances individual agency and discuss religion/spirituality may be a consistent and valuable coping resource through adversity and suffering. Though it may be challenging to maintain, or increase, religious/spiritual beliefs in the face of adversity, that there were observed benefits to well-being for doing so could serve as insightful guidance for both religious leaders and R/S individuals.

Changes in Religiosity and Reliance on God During the COVID-19 Pandemic: A Protective Role Under Conditions of Financial Strain?

Background The COVID-19 pandemic was one of the most devastating disasters of the twenty-first century and has exacted a steep health and economic toll. During times of suffering caused by the pandemic, religion/spirituality may prove to be a consistent and valuable coping resource. Purpose We situate changes in religious importance and reliance on God as key aspects of religious life that may be important coping mechanisms in response to pandemic-related financial hardship, addressing a gap in the literature on religious coping during the pandemic and considering self-reported changes in religiosity. Methods We use data from a nationally representative sample of Americans that was collected in 2021 (N = 1704) and employ a series of OLS Regression Models. Results Our results suggest that relying more heavily on God was associated with lower psychological distress, and a stronger reliance on God buffered the deleterious consequences of financial strain on psychological distress. No such patterns were documented for religious importance. Conclusion and Implications We discuss our findings within the broader religion and health literature as to whether secondary control via a divine power reduces or enhances individual agency and discuss religion/spirituality may be a consistent and valuable coping resource through adversity and suffering. Though it may be challenging to maintain, or increase, religious/spiritual beliefs in the face of adversity, that there were observed benefits to well-being for doing so could serve as insightful guidance for both religious leaders and R/S individuals.

Using prosocial behavior to safeguard mental health and foster emotional well-being during the COVID-19 pandemic: A registered report of a randomized trial.

BACKGROUND: The COVID-19 pandemic, the accompanying lockdown measures, and their possible long-term effects have made mental health a pressing public health concern. Acts that focus on benefiting others-known as prosocial behaviors-offer one promising intervention that is both flexible and low cost. However, neither the range of emotional states prosocial acts impact nor the size of those effects is currently clear-both of which directly influence its attractiveness as a treatment option. OBJECTIVE: To assess the effect of prosocial activity on emotional well-being (happiness, belief that one's life is valuable) and mental health (anxiety, depression). METHODS: 1,234 respondents from the United States and Canada were recruited from Amazon's Mechanical Turk and randomly assigned (by computer software) to perform prosocial (N = 411), self-focused (N = 423), or neutral (N = 400) behaviors three times a week for three weeks. A follow-up assessment was given two weeks after the intervention. Participants were blind to alternative conditions. Analyses were based on 1052 participants (Nprosocial = 347, Nself = 365, Nneutral = 340). FINDINGS: Those in the prosocial condition did not differ on any outcome from those in the self-focused or neutral acts conditions during the intervention or at follow-up, nor did prosocial effects differ for those who had been negatively affected socially or economically by the pandemic (all p's > 0.05). Exploratory analyses that more tightly controlled for study compliance found that prosocial acts reduced anxiety relative to neutral acts control (ß = -0.12 [95% CI: -0.22 to -0.02]) and increased the belief that one's life is valuable (ß = 0.11 [95% CI: 0.03 to 0.19]). These effects persisted throughout the intervention and at follow-up. CONCLUSION: Prosocial acts may provide small, lasting benefits to emotional well-being and mental health. Future work should replicate these results using tighter, pre-registered controls on study compliance.

Religious/spiritual struggles and well-being during the COVID-19 pandemic: Does "talking religion" help or hurt?

Background: Research to date has suggested that religion might be a source of comfort and strength in times of crisis brought about by the COVID-19 pandemic, but it may also be a form of stress if spiritual struggles are experienced. We posit the discussion of religious and spiritual matters as a potential feature of religious life that may be helpful or harmful for dealing with the impacts of spiritual struggles. Purpose: This study has two objectives. First, we assess the association between religious/spiritual struggles and both perceptions of psychological distress and self-rated health, affording attention to the prevalence of religious struggles during this time. Second, drawing from social penetration theory, we consider both the potential helpful and harmful role of discussing religion with friends and family members for the well-being of those experiencing various degrees of religious/spiritual struggles. Methods: Using data from a nationally representative sample of Americans collected in January 2021, nearly a year after the onset of the pandemic (N = 1,711), we conduct a series of OLS and ordinal logistic regression models. Results: Results suggest that religious/spiritual struggles were somewhat common among Americans during COVID-19 and were associated with greater psychological distress and worse perceived self-rated health during the pandemic. In the context of high R/S struggles, both psychological distress and perceived self-rated health were more favorable when religious and spiritual matters were discussed very frequently, several times a week or more. Unlike for psychological distress, however, we found no evidence that discussion of religious matters in the face of greater R/S struggles exacerbated their ill effect on health. Supplemental analyses showed that these findings are not being driven by religious denominational differences across our focal variables. Conclusions and implications: Encouraged by discussions of faith with close network confidants, people experiencing R/S struggles might seek help in the form of counseling in both secular and/or religious settings. Exploring potential resilience factors, such as religious discussion, may help inform broader or more local strategies aimed at economic recovery. Our results therefore invite future investigation into the role of religious coping in mitigating the health effects of pandemic hardship.

Age Differences in Mental Health During the COVID-19 Pandemic: Assessing the Moderating Role of Attachment to God.

Objectives: This study examined age differences in mental health problems (depression and anxiety) during the COVID-19 pandemic using nationally representative data from the United States. Drawing from a life course perspective, we also assessed if a secure attachment to God conditioned the relationship between age and mental health. Methods: Data were from the 2021 Values and Beliefs of the American Public Study (N = 1168), collected roughly 1 year into the pandemic. Results: Older adults (61 years and over) reported lower depression and anxiety than respondents 18-30 years of age. However, stronger perceptions of attachment to God significantly closed the age gap in anxiety between these age groups. Discussion: Though absolute levels of religiosity tend to be higher for older adults, secure attachment to God was more protective of the mental health of younger adults during the pandemic. We reflect on our findings through a life course lens.

Religious/spiritual struggles and well-being during the COVID-19 pandemic: Does “talking religion” help or hurt?

Background Research to date has suggested that religion might be a source of comfort and strength in times of crisis brought about by the COVID-19 pandemic, but it may also be a form of stress if spiritual struggles are experienced. We posit the discussion of religious and spiritual matters as a potential feature of religious life that may be helpful or harmful for dealing with the impacts of spiritual struggles. Purpose This study has two objectives. First, we assess the association between religious/spiritual struggles and both perceptions of psychological distress and self-rated health, affording attention to the prevalence of religious struggles during this time. Second, drawing from social penetration theory, we consider both the potential helpful and harmful role of discussing religion with friends and family members for the well-being of those experiencing various degrees of religious/spiritual struggles. Methods Using data from a nationally representative sample of Americans collected in January 2021, nearly a year after the onset of the pandemic (N = 1,711), we conduct a series of OLS and ordinal logistic regression models. Results Results suggest that religious/spiritual struggles were somewhat common among Americans during COVID-19 and were associated with greater psychological distress and worse perceived self-rated health during the pandemic. In the context of high R/S struggles, both psychological distress and perceived self-rated health were more favorable when religious and spiritual matters were discussed very frequently, several times a week or more. Unlike for psychological distress, however, we found no evidence that discussion of religious matters in the face of greater R/S struggles exacerbated their ill effect on health. Supplemental analyses showed that these findings are not being driven by religious denominational differences across our focal variables. Conclusions and implications Encouraged by discussions of faith with close network confidants, people experiencing R/S struggles might seek help in the form of counseling in both secular and/or religious settings. Exploring potential resilience factors, such as religious discussion, may help inform broader or more local strategies aimed at economic recovery. Our results therefore invite future investigation into the role of religious coping in mitigating the health effects of pandemic hardship.

Give Thanks in All Circumstances? Gratitude Toward God and Health in Later Life After Major Life Stressors

Gratitude is foundational to well-being throughout the life course, and an emerging body of work suggests that older adults may be more inclined to attribute gratitude to a non-human target (God). Drawing on life course theory and Erikson’s lifespan development framework, we use data from a national sample of Christian older adults from the United States (N = 1,005) to examine whether gratitude towards God buffers the noxious health effects of the death of a loved one or personal illness. Results suggest that gratitude towards God tends to predict better age-comparative and global self-rated physical health in the aftermath of stress, a moderation effect which is partially mediated by stronger beliefs in God-mediated control (that God is a collaborative partner in dealing with problems). We conclude by proposing some interventions for clinicians and counselors centered around gratitude and religiosity that may assist older adults in coping with major life stressors.

A protective rung on the ladder? How past and current social status shaped changes in health during COVID-19.

An emerging body of work has started to document population health consequences of the social and economic transformations during the COVID-19 pandemic. We consider an individual's relative social position in the stratification system-subjective social status (SSS)-and assess how past (childhood) and current SSS predict change in self-rated health during the pandemic. Using two waves of data from the Canadian Quality of Work and Economic Life Study, we follow respondents between the onset of lockdown measures in March and May of 2020 (N = 1886). Drawing from the life course perspective and stress process model, we find that lower current SSS predicts a greater likelihood of being in stable poor health and reporting declining health. Lower past SSS predicts a higher chance of being in stable poor health indirectly through current SSS. And lower cumulative SSS that sums both past and present SSS also predicts stable poor health, while perceived upward mobility over time is associated with stable good health. This robust relationship between SSS and health in such a short time period of two months at the start of the COVID-19 pandemic provides an important glimpse into the influence that SSS has on population health.

Trust in God and/or Science? Sociodemographic Differences in the Effects of Beliefs in an Engaged God and Mistrust of the COVID-19 Vaccine.

At present, COVID-19 vaccines are widely available in the USA, but large proportions of the American populace remain unvaccinated. One possible source of COVID-19 vaccine hesitancy is a lack of trust in science. In this study, drawing from the large literature at the intersection of science and religion, we ask whether beliefs in an engaged God (the belief that God is involved in daily human affairs) predict mistrust of the COVID-19 vaccine and whether any observed association differs across race, gender, and education. Using nationally representative data from Wave 6 of the Baylor Religion Survey (2021), our results suggest that beliefs in an engaged God were associated with greater mistrust in the COVID-19 vaccine. This association was amplified for Hispanic and lower educated Americans. We argue that beliefs in an engaged God may promote a distrust of science, reduce motivation to get vaccinated, and derive comfort and strength by placing control over one's life in the hands of a loving, involved deity. We also situate our findings within an emerging body of work on the "dark side" of religion and reflect on their implications for understanding the broader religion/health connection.

Socially Distant? Social Network Confidants, Loneliness, and Health during the COVID-19 Pandemic

In the wake of the COVID-19 pandemic, many nations around the world instituted strict social distancing measures. Although necessary to deter the spread of the virus, these measures may also have had adverse health repercussions by increasing social isolation. Using a national longitudinal study from Canada, in which respondents were surveyed in March 2020 at the beginning of stay-at-home orders and again two months later in May, we show that, at baseline, loneliness was inversely associated with perceptions of self-rated health, and there was a beneficial indirect association between respondents? number of social network confidants and perceived health through lower levels of loneliness. Between March and May, social network confidants decreased and loneliness increased;these changes were independent of each other and contributed to declines in self-rated health. Greater loneliness at baseline was also associated with declines in self-rated health. Our observations suggest that social distancing during the COVID-19 pandemic impaired social connectedness, thereby resulting in declines in perceptions of health. We conclude by discussing several policy-related implications of our findings.

Accumulation of economic hardship and health during the COVID-19 pandemic: Social causation or selection?

This study examines whether economic hardship during the COVID-19 pandemic is deleteriously associated with psychological distress and self-rated health. A social causation perspective suggests that exposure to economic hardship will harm well-being, but a social selection perspective suggests that the appearance of health effects of hardship during the pandemic are attributable to the increased risk of exposure to hardship associated with poor well-being at the start of the pandemic. We also propose a third perspective, economic selection, which suggests that economic hardship prior to the pandemic negatively affects health and increases risk of exposure to hardship during the pandemic; consequently, an association between health and economic hardship during the pandemic may be spurious, and entirely due to pre-existing levels of hardship. To test these competing perspectives, we use a longitudinal study based in Canada that began in late March of 2020 and followed respondents monthly in April, May, and June. Baseline psychological distress and self-rated health, as well as economic hardship prior to the pandemic, independently predict the accumulation of monthly periods of hardship from April to June. The accumulation of periods of hardship from April to June is deleteriously associated with psychological distress and self-rated health in June. Controls for prior economic hardship and baseline health weaken the association between accumulation of periods of hardship and psychological distress, while also eliminating the association between accumulation of hardship and self-rated health. These findings favor a social causation perspective for psychological distress and a social selection perspective for self-rated health, with less evidence found in support of economic selection. This study took place during the first months of the COVID-19 pandemic, though, and associations with self-rated health may have become more evident as hardship further wore on individual well-being over a longer period of time.

Using prosocial behavior to safeguard mental health and foster emotional well-being during the COVID-19 pandemic: A registered report protocol for a randomized trial.

The COVID-19 pandemic, the accompanying lockdown measures, and their possible long-term effects have made mental health a pressing public health concern. Acts that focus on benefiting others-known as prosocial behaviors-offer one promising intervention that is both flexible and low cost. However, neither the range of emotional states prosocial acts impact nor the size of those effects is currently clear, both of which directly influence its attractiveness as a treatment option. Using a large online sample from Canada and the United States, we will examine the effect of a three-week prosocial intervention on two indicators of emotional well-being (happiness and the belief that one's life is valuable) and mental health (anxiety and depression). Respondents will be randomly assigned to perform prosocial, self-focused, or neutral behaviors each week. Two weeks after the intervention, a final survey will assess whether the intervention has a lasting effect on mental health and emotional well-being. Our results will illuminate whether prosocial interventions are a viable approach to addressing mental health needs during the current COVID-19 pandemic, as well for those who face emotional challenges during normal times.

Keeping "In Touch": Demographic Patterns of Interpersonal Touch in Later Life.

Touch is an important element of human social interaction linked to various dimensions of well-being, but we know little of how it is distributed among older adults. This study considers whether greeting/affectionate touch is a function of characteristics such as race, gender, and socioeconomic status. Data come from Wave 1 (2005-2006) of the NSHAP study from the United States. Results reveal that women experienced more frequent touch relative to men, net of several features of the interpersonal environment. Mediation analyses revealed that gender differences in associations with touch were partially explained by women's greater participation in formal and informal social activity. No patterns were detected related to race, education, or wealth. This study situates greeting/affectionate touch as a form of corporeal non-verbal interaction that offers a unique lens into patterns of social connection. We close by considering what this form of interaction means in the wake of the COVID-19 pandemic.

Love thy Aged? A State-Level Analysis of Religiosity and Mobility in Aging Populations During the Novel Coronavirus (COVID-19) Pandemic.

Objectives: We test whether the association between state religiosity and distance traveled is moderated by population age during the novel coronavirus (COVID-19) pandemic. Methods: Mobility is operationalized as the state-level average median distance traveled from February 24 to May 4 across the contiguous United States. Shelter-in-place rates are operationalized as the state-level percentage of users staying home. State religiosity is measured with an index of aggregated religious identities, beliefs, and practices. Population age is indicated by the state percentage of adults aged 65 years and older. We model population mobility using regression with state clustered robust SEs. Results: We observe that religious states tend to travel more during the early stages of the pandemic. However, the behavioral risks associated with state religiosity are less pronounced in states with larger older populations. Discussion: We contribute to our understanding of the social patterning of pandemic mobility in aging populations.