Social Cognition Approaches to Understanding and Changing COVID-19 Preventive Behaviors

Until pharmacological measures are rolled out on a global scale, reducing the transmission of COVID-19 and preventing future outbreaks require the continued promotion of behaviors known to effectively limit the spread of infections (e.g., physical distancing, hand hygiene practices). The success of such behavioral measures, however, relies on widespread compliance, highlighting the importance of theory-and evidence-based behavior change interventions targeting COVID-19 preventive behaviors. Theories of social cognition have recently been applied to COVID-19 preventive behaviors to identify the key modifiable determinants of behavior that can be targeted by strategies or techniques in interventions. The identification of key modifiable determinants of COVID-19 preventive behaviors permits the matching of evidence-based behavior change strategies or techniques proposed to affect change in the targeted determinants. The goal of this chapter is to provide an overview of the social cognition literature and interventions targeting key psychological constructs as means to adopt and maintain COVID-19 preventive behaviors. The chapter also provides example materials used in behavior change interventions based on social cognition theory, which may have application across a broad range of COVID-19 preventive behaviors. First, the chapter provides an overview of social cognition theories that have been used to explain and predict health and social behavior and how behavior change occurs. Next, the emerging research evidence of potentially modifiable social cognition determinants of COVID-19 preventive behaviors are reviewed. Finally, a step-by-step example of how interventionists might develop a theory-based intervention targeting change in an important COVID-19 preventive behavior is provided. The chapter concludes with a summary of some key challenges and future directions in moving forward behavior change research in this area. Overall, this chapter provides information useful to the design and development of effective behavior change interventions targeting the adoption and maintenance of COVID-19 preventive behaviors which are relevant to current and future pandemic contexts. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Social emotional processes during the third wave of COVID-19: Results from a close replication study in a Turkish sample.

Until recently, for almost 3 years, we used face masks to protect against COVID-19. Face masks disrupted our perception of socially relevant information, and impacted our social judgements as a result of the new social norms around wearing masks imposed by the pandemic. To shed light on such pandemic-induced changes in social emotional processes, Calbi et al. analysed data from an Italian sample collected in Spring 2020. They assessed valence, social distance and physical distance ratings for neutral, happy and angry male and female faces covered with a scarf or a mask. A year later, we used the same stimuli to investigate the same measures in a Turkish sample. We found that females attributed more negative valence ratings than males to angry faces, and that angry and neutral faces of females were rated more negatively than those of males. Scarf stimuli were evaluated more negatively in terms of valence. Participants attributed greater distance to more negative faces (angry > neutral > happy) and to scarf than the mask stimuli. Also, females attributed greater social and physical distance than males. These results may be explained by gender-stereotypic socialisation processes, and changes in people's perception of health behaviours during the pandemic.

Where to Look? Alcohol, Affect, and Gaze Behavior During a Virtual Social Interaction.

COVID-19 forced social interactions to move online. Yet researchers have little understanding of the mental health consequences of this shift. Given pandemic-related surges in emotional disorders and problematic drinking, it becomes imperative to understand the cognitive and affective processes involved in virtual interactions and the impact of alcohol in virtual social spaces. Participants (N=246) engaged in an online video call while their gaze behavior was tracked. Prior to the interaction, participants were randomly assigned to receive an alcoholic or control beverage. Participants' affect was repeatedly assessed. Results indicated that a proportionally larger amount of time spent gazing at oneself (vs. one's interaction partner) predicted significantly higher negative affect after the exchange. Further, alcohol independently increased self-directed attention, failing to demonstrate its typically potent social-affective enhancement in this virtual context. Results carry potential implications for understanding factors that increase risk for hazardous drinking and negative affect in our increasingly virtual world.

Novel Framework for Neurocognitive Covid-19 Assessment

Background The neurotrophic effects of Covid-19 are becoming increasingly recognized, with altered mental state now being the second most common presenting complaint insert numbers. A key question is whether this has long term consequences. Cognitive problems are commonly reported in patients 3 months after acute infection as part of the so called Long-Covid syndrome. However, the underlying cause is not well understood. Candidate explanations include legacy from encephalitis and stroke;however, other complications such as the sequelae, delirium, remain underexplored. Furthermore, little consideration has been given to functional cognitive disorders and the cognitive consequences of depression, anxiety and fatigue. Aims We propose a structured approach to clinical assessment for clinicians reviewing late cognitive complaints after COVID 19. Methods We created our own unique framework for neurocognitive Covid assessment based upon a review of the literature. Results Covid status- Any positive test. If not review of core symptoms such as breathlessness, headache, anosmia, nasal obstruction, cough, myalgia, or gustatory dysfunction;duration, extent of exposure to Covid confirmed cases. Consider rapid antibody testing. Neuropsychiatric history- Part 1 symptoms at onset- in particular disruptions of consciousness and altered mental state. Acute memory impairment, anterograde/retrograde and with/ without a temporal gradient. neurocognitive function. ITU admission and oxygen requirements. Part 2 Current cognitive and mental state- in addition to standard history seek evidence of internal inconsistency of memory symptoms and attentional dysregulation. Has social cognition and meta-cognition been affected. Note attribution bias i.e. no Im not depressed, I cant enjoy anything because of my symptoms Background history- subtle suggestion of neurodegeneration and depression, anxiety and functional symptoms should be explored. MRI findings- signal changes in the medial temporal lobe, nonconfluent multifocal white matter hyperintense lesions, and isolated white matter microhemorrhages. Novel biomarkers IL-6, MCP-1, and IP-10. Conclusion Cognitive symptoms are common after confirmed and assumed COVID exposure. We propose a framework for neuropsychiatric assessment and the use of adjuvant imaging and potential biomarkers.

The effect of face masks on the stereotype effect in emotion perception

The accurate and swift decoding of emotional expressions from faces is fundamental for social communication. Yet, emotion perception is prone to error. For example, the ease with which emotions are perceived is affected by stereotypes (Bijlstra, Holland, & Wigboldus, 2010). Moreover, the introduction of face masks mandates in response to the Covid-19 pandemic additionally impedes accurate emotion perception by introducing ambiguity to the emotion perception process. Predictive coding frameworks of visual perception predict that in such situations of increased ambiguity of the sensory input (i.e., faces with masks), people increasingly rely on their prior beliefs (i.e., their stereotypes). Using specification curve analysis, we tested this prediction across two experiments, featuring different social categories (Study 1: Gender;Study 2: Ethnicity) and corresponding emotion stereotypes. We found no evidence that face masks increase reliance on prior stereotypes. In contrast, in Study 1 (but not in Study 2), we found preliminary evidence that face masks decrease reliance on prior stereotypes. We discuss these findings in relation to predictive coding frameworks and dual process models and emphasize the need for up-to-date analytic methods in social cognition research. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Physiotherapy results of a patient with critical illness polyneuropathy due to COVID-19: A case report

The aim of this study is to examine the results of physiotherapy in a patient with critical illness polyneuropathy (CIP) due to coronavirus disease 2019 (CO-VID-19). The 48-year-old male patient with CIP due to COVID-19 was enrolled in a physiotherapy program for 3 months with 5 sessions/week. Pain intensity, motor skills, daily living activities, fatigue level, cognitive status, and decubitus ulcer were evaluated with a visual analogue scale, the Medical Research Coun-cil-Sum Score, the Functional Independence Scale, the Fatigue Severity Scale, the Standardized Mini-Mental Test, and pressure wound staging, respectively. Positive improvements were achieved in functional level, fatigue, pain, and pressure sores with the physiotherapy program for this patient with CIP due to COVID-19. This report provides an idea about the effects of physiotherapy programs for COVID-19-related CIP to academics and clinicians working in this field.Copyright © 2022, Derman Medical Publishing. All rights reserved.

Dealing with the COVID-19 pandemic: How defense strategies relate to empathic reactions during lockdowns

The COVID-19 pandemic with its substantial changes to social life affects social cognitions, which are important for solidarity during a global crisis. We investigated how distal defense strategies for dealing with threat, perceived threat, and contact experiences relate to people's empathic reactions during lockdowns in two countries. In three studies (N = 1,332), we found that more experienced threat is associated with higher personal distress. In Germany, but not in the United Kingdom, people who applied social defenses reported more empathic concern. Additionally, general positive contact experiences related positively to empathic concern and perspective taking. These other-directed empathic reactions correlated highly with solidarity with others across all studies. The findings indicate that people's empathy changes with their social experiences during this global crisis. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Need for metacognition and critical thinking in the e-learning ecosystem: The new normal in post Covid era

Present paper aims to extend the legitimacy of social cognition theory in the context of e-learning by examining the relationship between metacognition and critical thinking. In addition, we test the moderating effect of internet self-efficacy. We contextualize this study to e-learning as digital medium has become the new normal in post-Covid era. A sample set of 357 management professionals who have participated in e-learning recently was obtained, and collected data were analyzed using regression analysis. Our analysis confirms that metacognition is positively associated to critical thinking. The findings establish the need to provide management professionals with tools to develop metacognition as it promotes critical thinking prowess in the context of e-learning. © 2023 Wiley Periodicals LLC.

Like a virus. Similes for a pandemic

The Covid-19 pandemic has had a great impact on the life of every inhabitant of the planet. During 2020 and 2021 a significant amount of work on how the pandemic is being conceptualized and communicated has been done. Most work has focused on the role of metaphor in the construal of specific cognitive frames. In this paper, we turn to a similar but different conceptualization mechanism, i.e. simile. Drawing from recent socio-cognitive and discursive empirical approaches to similes, this paper focuses on "target is like source" constructions in English and Spanish containing (corona)virus either as target or source of the simile. The analysis is based on 200 examples found in the digital media during the first wave of the pandemic in 2020. First, the constructions, conceptualizations and mappings are analyzed. Second, the relevant discourse features (genre type, relation to subjectivity, text location and structuring properties) are described. Finally, the cross-linguistic English-Spanish analysis shows that, despite the many coincidences in both datasets, there are different tendencies as for the use of culture-specific mappings and the genres where the similes occur in. The study aims at testing to what extent the general features characterizing similes also hold in the case of (corona)virus, both as source and as target. The corpus analysis contributes, in addition, to the emerging line of research on the use of figuration in the communication of the pandemic, as well as to the study of the discursive dimensions of similes in real settings. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Healthcare Workers and COVID-19-Related Moral Injury: An Interpersonally-Focused Approach Informed by PTSD.

The COVID-19 pandemic has resulted in a still-unfolding series of novel, potentially traumatic moral and ethical challenges that place many healthcare workers at risk of developing moral injury. Moral injury is a type of psychological response that may arise when one transgresses or witnesses another transgress deeply held moral values, or when one feels that an individual or institution that has a duty to provide care has failed to do so. Despite knowledge of this widespread exposure, to date, empirical data are scarce as to how to prevent and, where necessary, treat COVID-19-related moral injury in healthcare workers. Given the relation between moral injury and post-traumatic stress disorder (PTSD), we point here to social and interpersonal factors as critical moderators of PTSD symptomology and consider how this knowledge may translate to interventions for COVID-19-related moral injury. Specifically, we first review alterations in social cognitive functioning observed among individuals with PTSD that may give rise to interpersonal difficulties. Drawing on Nietlisbach and Maercker's 2009 work on interpersonal factors relevant to survivors of trauma with PTSD, we then review the role of perceived social support, social acknowledgment and social exclusion in relation to potential areas of targeted intervention for COVID-19-related moral injury in healthcare workers. Finally, building on existing literature (e.g., Phoenix Australia-Centre for Posttraumatic Mental Health and the Canadian Centre of Excellence-PTSD, 2020) we conclude with individual and organizational considerations to bolster against the development of moral injury in healthcare workers during the pandemic.

Face masks drive increased rational decision-making.

Face masks play a pivotal role in the control of respiratory diseases, such as the novel coronavirus (COVID-19). Despite their widespread use, little is known about how face masks affect human social interaction. Using unique experimental data collected early on in the pandemic, we investigate how facial occlusion by face masks alters socio-economic exchange. In a behavioral economics study (N = 481), individuals accepted more monetary offers and lower offer amounts when interacting with a masked versus unmasked opponent. Importantly, this effect was mainly driven by faces covered with surgical masks relative to bandana-type masks. In the first weeks of mask use during the COVID-19 pandemic, motive attributions further moderated this effect: Participants who believed that mask wearers were seeking to protect others showed the highest acceptance rates. Overall, we describe a new phenomenon, the face-mask effect on socio-economic exchange, and show that it is modulated by contextual factors.

"What Is Hidden behind the Mask?" Facial Emotion Recognition at the Time of COVID-19 Pandemic in Cognitively Normal Multiple Sclerosis Patients.

Social cognition deficits have been described in people with multiple sclerosis (PwMS), even in absence of a global cognitive impairment, affecting predominantly the ability to adequately process emotions from human faces. The COVID-19 pandemic has forced people to wear face masks that might interfere with facial emotion recognition. Therefore, in the present study, we aimed at investigating the ability of emotion recognition in PwMS from faces wearing masks. We enrolled a total of 42 cognitively normal relapsing-remitting PwMS and a matched group of 20 healthy controls (HCs). Participants underwent a facial emotion recognition task in which they had to recognize from faces wearing or not surgical masks which of the six basic emotions (happiness, anger, fear, sadness, surprise, disgust) was presented. Results showed that face masks negatively affected emotion recognition in all participants (p < 0.001); in particular, PwMS showed a global worse accuracy than HCs (p = 0.005), mainly driven by the "no masked" (p = 0.021) than the "masked" (p = 0.064) condition. Considering individual emotions, PwMS showed a selective impairment in the recognition of fear, compared with HCs, in both the conditions investigated ("masked": p = 0.023; "no masked": p = 0.016). Face masks affected negatively also response times (p < 0.001); in particular, PwMS were globally hastier than HCs (p = 0.024), especially in the "masked" condition (p = 0.013). Furthermore, a detailed characterization of the performance of PwMS and HCs in terms of accuracy and response speed was proposed. Results from the present study showed the effect of face masks on the ability to process facial emotions in PwMS, compared with HCs. Healthcare professionals working with PwMS at the time of the COVID-19 outbreak should take into consideration this effect in their clinical practice. Implications in the everyday life of PwMS are also discussed.

Predicting physical distancing over time during COVID-19: testing an integrated model.

Objective: We applied an integrated social cognition model to predict physical distancing behavior, a key COVID-19 preventive behavior, over a four-month period. Design: A three-wave longitudinal survey design. Methods: Australian and US residents (N = 601) completed self-report measures of social cognition constructs (attitude, subjective norm, moral norm, perceived behavioral control [PBC]), intention, habit, and physical distancing behavior on an initial occasion (T1) and on two further occasions one week (T2) and four months (T3) later. Results: A structural equation model revealed that subjective norm, moral norm, and PBC, were consistent predictors of physical distancing intention on all three occasions. Intention and habit at T1 and T2 predicted physical distancing behavior at T2 and T3, respectively. Intention at T2 mediated effects of subjective norm, moral norm, and PBC at T2 on physical distancing behavior at T3, and habit at T1 and T2 mediated effects of behavior at T1 and T2 on follow-up behavior at T2 and T3, respectively. Conclusion: Normative (subjective and moral norms) and capacity (PBC) constructs were consistent predictors of physical distancing intention, and intention and habit were consistent predictors of physical distancing behavior. Interventions promoting physical distancing should target change in normative and personal capacity beliefs, and habit.Supplemental data for this article is available online at https://doi.org/10.1080/08870446.2021.1968397 .

Prosociality and health: Identification with all humanity is a replicable predictor of prosocial motivation for health behaviors.

The acute phase of the COVID-19 pandemic may have passed, but the pandemic remains a major worldwide health concern that demands continued vigilance. Are there individual differences that predict the motivation to continue to wear masks and to create physical distance in public? Previous research conducted early in the pandemic had suggested that a particular social identity-identification with all humanity-is one underlying factor that contributes to people's cooperation with health behavior guidelines. This highlights that the pandemic is not only an issue to be tackled with the tools of immunology and epidemiology. It also requires the tools from psychology-to measure the representations people have about themselves and others and how these representations drive values and decisions related to health. Here we report work on U.S. respondents that examined whether individuals' level of identification with all humanity predicts their prosocial health behaviors aimed at mitigating the spread of COVID-19. In 3 convergent studies (total N = 1,580), we find that identification with all humanity predicted the prosocial motivation to wear masks and to engage in physical distancing when in public without a mask. The results were obtained while controlling for a host of covariates, including demographics, educational attainment, and Big Five personality dimensions. We find that some people have a marked drive to care for the health of strangers, which is significantly linked to their concern for all humanity rather than being restricted to their care for their community or country. Discussion focuses on this social identification with humanity and its enduring, replicable role in predicting the motivation to engage in prosocial health behaviors. We note key implications for theories in social and developmental psychology as well as for research that may lead to practical applications for lessening the human toll of the current and future pandemics.

Every Tool in the Toolbox: Pursuing Multilevel Institutional Change in the DeLTA Project

For decades, educators and policy makers have called for reform in higher education, yet now the urgency is palpable. The COVID-19 pandemic and heightened attention to systemic racism have highlighted the fact that outdated teaching practices can stunt student learning and trust of science, maintain systemic biases, and prevent equitable education. Promoting change to outdated teaching practices requires fundamental shifts at each level of a university--among faculty, departments, and the institution as a whole. The Departmental and Leadership Teams for Action (DeLTA) project at the University of Georgia pursues transformative shifts in policies and practices related to undergraduate science, technology, engineering, and math (STEM) education. This article provides examples of how DeLTA applies various change perspectives to shift thinking, practices, and policies related to evaluating teaching.

Language Preparation of International Nursing Students: A Study of Learning Motivations and Decisions

Study abroad is not an easy decision for international students who cannot manage the local language and academic courses, particularly nursing students who need to communicate with their patients in clinical environments. This study aims to explore international nursing students' experiences of pre-sessional language prerequisite courses in South Korea. Three directions were categorised, including what are the motivations and reasons to come to South Korea, how do the international nursing students describe their Korean language courses as the prerequisite for their nursing programme at one of the South Korean universities, and why did the participants select South Korea as their destination for the nursing programme. Based on the Social Cognitive Career and Motivation Theory and a qualitative design, the researcher invited 12 participants who are taking the pre-sessional language courses before the nursing programme commencement. The results indicated that personal considerations, interest in career development, and financial considerations are three of the key elements. The outcomes of this study allowed the nursing school leaders and government agencies to polish their current curriculum plans, international students' recruitment strategies, and post-study career developments for international nursing students in the East Asian region.

Fake News and social Cognition During The SARSCOV- 2 Pandemic: Initial Approach Towards understanding Belief In Misinformation

Introduction: Infodemic is a new term which refers to rapidly spreading information from both reliable and unreliable sources in the form of news and publications regarding the COVID-19 pandemic, which requires proper management strategies on its own to prevent the spread of fake news. This is especially relevant in a global state of alert where the fear of contagion is a common denominator and is reflected upon people's behaviors within a crisis context. Van Bavel et al (2020) affirm Emerging research is using social science to understand and counter the spread of fake news, and furtherly emphasize on the limitations of Fact Checking as the main approach to hinder such spread Objectives: Test the association between sociomoral cognition, religiousness and political identity, and belief in COVID-19 Fake News. Method(s): Online-based survey applied through opportunity sampling. Demographic variables political and religious orientation, RMET and B-IRI, and two dimensional utilitarian dilemmas were used and independent variables, and a selection of true and fake news in order to measure participants' belief in the latter as a dependent variable. Result(s): Morality (R2 = 0.08, p < 0.001), social cognition (R2 = 0.05, p < 0.05), and political and religious orientation (R2 = 0.1, p < 0.000001) predicted belief in COVID-19 fake news. On the other hand, no variables were found to predict belief in fake news unrelated to the pandemic. Conclusion(s): Higher impartial beneficence and more years of formal education point toward an evidence-based reasoning, while religiousness and affinity with right-wing ideals has been associated with intuition-based reasoning, thus affecting judgement accuracy.

Deviancy Aversion and Social Norms.

We propose that deviancy aversion-people's domain-general discomfort toward the distortion of patterns (repeated forms or models)-contributes to the strength and prevalence of social norms in society. Five studies (N = 2,390) supported this hypothesis. In Study 1, individuals' deviancy aversion, for instance, their aversion toward broken patterns of simple geometric shapes, predicted negative affect toward norm violations (affect), greater self-reported norm following (behavior), and judging norms as more valuable (belief). Supporting generalizability, deviancy aversion additionally predicted greater conformity on accuracy-orientated estimation tasks (Study 2), adherence to physical distancing norms during COVID-19 (Study 3), and increased following of fairness norms (Study 4). Finally, experimentally heightening deviancy aversion increased participants' negative affect toward norm violations and self-reported norm behavior, but did not convincingly heighten belief-based norm judgments (Study 5). We conclude that a human sensitivity to pattern distortion functions as a low-level affective process that promotes and maintains social norms in society.