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1.
Nat Hum Behav ; 4(5): 460-471, 2020 05.
Article in English | MEDLINE | ID: mdl-32355299

ABSTRACT

The COVID-19 pandemic represents a massive global health crisis. Because the crisis requires large-scale behaviour change and places significant psychological burdens on individuals, insights from the social and behavioural sciences can be used to help align human behaviour with the recommendations of epidemiologists and public health experts. Here we discuss evidence from a selection of research topics relevant to pandemics, including work on navigating threats, social and cultural influences on behaviour, science communication, moral decision-making, leadership, and stress and coping. In each section, we note the nature and quality of prior research, including uncertainty and unsettled issues. We identify several insights for effective response to the COVID-19 pandemic and highlight important gaps researchers should move quickly to fill in the coming weeks and months.


Subject(s)
Coronavirus Infections/prevention & control , Coronavirus , Health Knowledge, Attitudes, Practice , Human Activities , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Quarantine , Adaptation, Psychological , Betacoronavirus , COVID-19 , Communicable Disease Control , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Decision Making , Epidemiological Monitoring , Global Health , Humans , Leadership , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Public Health , SARS-CoV-2 , Social Media , Stress, Psychological
3.
Science ; 352(6287): 787-94, 2016 May 13.
Article in English | MEDLINE | ID: mdl-27174981

ABSTRACT

Civil wars divide nations along social, economic, and political cleavages, often pitting one neighbor against another. To restore social cohesion, many countries undertake truth and reconciliation efforts. We examined the consequences of one such effort in Sierra Leone, designed and implemented by a Sierra Leonean nongovernmental organization called Fambul Tok. As a part of this effort, community-level forums are set up in which victims detail war atrocities, and perpetrators confess to war crimes. We used random assignment to study its impact across 200 villages, drawing on data from 2383 individuals. We found that reconciliation had both positive and negative consequences. It led to greater forgiveness of perpetrators and strengthened social capital: Social networks were larger, and people contributed more to public goods in treated villages. However, these benefits came at a substantial cost: The reconciliation treatment also worsened psychological health, increasing depression, anxiety, and posttraumatic stress disorder in these same villages. For a subset of villages, we measured outcomes both 9 months and 31 months after the intervention. These results show that the effects, both positive and negative, persisted into the longer time horizon. Our findings suggest that policy-makers need to restructure reconciliation processes in ways that reduce their negative psychological costs while retaining their positive societal benefits.


Subject(s)
Anxiety Disorders/epidemiology , Depressive Disorder/epidemiology , Forgiveness , Mental Health , Social Capital , Stress Disorders, Post-Traumatic/epidemiology , Warfare , Humans , Organizations , Random Allocation , Residence Characteristics , Sierra Leone/epidemiology , Social Networking , Violence
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