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  • Predictors of changing patterns of adherence to containment measures during the early stage of COVID-19 pandemic: an international longitudinal study
    Publication . Chong, Yuen Yu; Chien, Wai Tong; Cheng, Ho Yu; Lamnisos, Demetris; Ļubenko, Jeļena; Presti, Giovambattista; Squatrito, Valeria; Constantinou, Marios; Nicolaou, Christiana; Papacostas, Savvas; Aydın, Gökçen; Ruiz, Francisco J.; Garcia-Martin, Maria B.; Obando-Posada, Diana P.; Segura-Vargas, Miguel A.; Vasiliou, Vasilis S.; McHugh, Louise Anita; Höfer, Stefan; Baban, Adriana; Neto, David Dias; Silva, Ana Nunes Da; Monestès, Jean-Louis; Alvarez-Galvez, Javier; PAEZ BLARRINA, MARISA; Montesinos, Francisco; Salas, Sonsoles Valdivia; Őri, Dorottya; Kleszcz, Bartosz; Lappalainen, Raimo; Ivanović, Iva; Gosar, David; Dionne, Frederick; Merwin, Rhonda M.; Gloster, Andrew; Kassianos, Angelos P.; Karekla, Maria
    ABSTRACT: Background Identifying common factors that afect public adherence to COVID-19 containment measures can directly inform the development of ofcial public health communication strategies. The present international longitu‑ dinal study aimed to examine whether prosociality, together with other theoretically derived motivating factors (selfefcacy, perceived susceptibility and severity of COVID-19, perceived social support) predict the change in adherence to COVID-19 containment strategies. Method In wave 1 of data collection, adults from eight geographical regions completed online surveys beginning in April 2020, and wave 2 began in June and ended in September 2020. Hypothesized predictors included prosociality, self-efcacy in following COVID-19 containment measures, perceived susceptibility to COVID-19, perceived sever‑ ity of COVID-19 and perceived social support. Baseline covariates included age, sex, history of COVID-19 infection and geographical regions. Participants who reported adhering to specifc containment measures, including physical distancing, avoidance of non-essential travel and hand hygiene, were classifed as adherence. The dependent variable was the category of adherence, which was constructed based on changes in adherence across the survey period and included four categories: non-adherence, less adherence, greater adherence and sustained adherence (which was designated as the reference category). Results In total, 2189 adult participants (82% female, 57.2% aged 31–59 years) from East Asia (217 [9.7%]), West Asia (246 [11.2%]), North and South America (131 [6.0%]), Northern Europe (600 [27.4%]), Western Europe (322 [14.7%]), Southern Europe (433 [19.8%]), Eastern Europe (148 [6.8%]) and other regions (96 [4.4%]) were analyzed. Adjusted
  • Corrigendum: Illness perceptions of COVID-19 in Europe: Predictors, impacts and temporal evolution
    Publication . Dias Neto, David; Nunes da Silva, Ana; Roberto, M. S.; Ļubenko, Jeļena; Constantinou, Marios; Nicolaou, Christiana; Lamnisos, Demetris; Papacostas, Savvas; Höfer, Stefan; Presti, Giovambattista; Squatrito, Valeria; S. Vasiliou, Vasilis; Anita McHugh, Louise; Monestès, Jean-Louis; Baban, Adriana; Alvarez-Galvez, Javier; PAEZ BLARRINA, MARISA; Montesinos, Francisco; Valdivia Salas, María Sonsoles; Dorottya, Őri; Lappalainen, Raimo; Kleszcz, Bartosz; Gloster, Andrew; Karekla, Maria; P. Kassianos, Angelos
  • To help or not to help? Prosocial behavior, its association with well-being, and predictors of prosocial behavior during the coronavirus disease pandemic
    Publication . Haller, Elisa; Ļubenko, Jeļena; Presti, Giovambattista; Squatrito, Valeria; Constantinou, Marios; Nicolaou, Christiana; Papacostas, Savvas; Aydın, Gökçen; Chong, Yuen Yu; Chien, Wai Tong; Cheng, Ho Yu; Ruiz, Francisco J.; García-Martín, María B.; Obando-Posada, Diana P.; Segura-Vargas, Miguel A.; Vasiliou, Vasilis S.; McHugh, Louise Anita; Höfer, Stefan; Baban, Adriana; Neto, David Dias; Silva, Ana Nunes Da; Monestes, Jean-Louis; Alvarez-Galvez, Javier; Paez Blarrina, Marisa; Montesinos, Francisco; Salas, María Sonsoles; Ori, Dorottya; Kleszcz, Bartosz; Lappalainen, Raimo; Ivanović, Iva; Gosar, David; Dionne, Frederick; Merwin, Rhonda M.; Karekla, Maria; Kassianos, Angelos P.; Gloster, Andrew
    The coronavirus disease (COVID-19) pandemic fundamentally disrupted humans’ social life and behavior. Public health measures may have inadvertently impacted how people care for each other. This study investigated prosocial behavior, its association well-being, and predictors of prosocial behavior during the first COVID-19 pandemic lockdown and sought to understand whether region-specific differences exist. Participants (N = 9,496) from eight regions clustering multiple countries around the world responded to a cross-sectional online-survey investigating the psychological consequences of the first upsurge of lockdowns in spring 2020. Prosocial behavior was reported to occur frequently. Multiple regression analyses showed that prosocial behavior was associated with better well-being consistently across regions. With regard to predictors of prosocial behavior, high levels of perceived social support were most strongly associated with prosocial behavior, followed by high levels of perceived stress, positive affect and psychological flexibility. Sociodemographic and psychosocial predictors of prosocial behavior were similar across regions.
  • Illness perceptions of COVID-19 in Europe: Predictors, impacts and temporal evolution
    Publication . Neto, David Dias; Silva, Ana Nunes Da; Roberto, M. S.; Ļubenko, Jeļena; Constantinou, Marios; Nicolaou, Christiana; Lamnisos, Demetris; Papacostas, Savvas; Höfer, Stefan; Presti, Giovambattista; Squatrito, Valeria; S. Vasiliou, Vasilis; Anita McHugh, Louise; Monestes, Jean-Louis; Baban, Adriana; Alvarez-Galvez, Javier; Paez Blarrina, Marisa; Montesinos, Francisco; Valdivia Salas, María Sonsoles; Dorottya, Őri; Lappalainen, Raimo; Kleszcz, Bartosz; Gloster, Andrew; Karekla, Maria; Kassianos, Angelos P.
    Objective: Illness perceptions (IP) are important predictors of emotional and behavioral responses in many diseases. The current study aims to investigate the COVID-19-related IP throughout Europe. The specific goals are to understand the temporal development, identify predictors (within demographics and contact with COVID-19) and examine the impacts of IP on perceived stress and preventive behaviors. Methods: This was a time-series-cross-section study of 7,032 participants from 16 European countries using multilevel modeling from April to June 2020. IP were measured with the Brief Illness Perception Questionnaire. Temporal patterns were observed considering the date of participation and the date recoded to account the epidemiological evolution of each country. The outcomes considered were perceived stress and COVID-19 preventive behaviors. Results: There were significant trends, over time, for several IP, suggesting a small decrease in negativity in the perception of COVID-19 in the community. Age, gender, and education level related to some, but not all, IP. Considering the self-regulation model, perceptions consistently predicted general stress and were less consistently related to Dias Neto et al. Illness Perceptions of COVID-19 preventive behaviors. Country showed no effect in the predictive model, suggesting that national differences may have little relevance for IP, in this context. Conclusion: The present study provides a comprehensive picture of COVID-19 IP in Europe in an early stage of the pandemic. The results shed light on the process of IP formation with implications for health-related outcomes and their evolution.
  • Contextual similarities in psychological flexibility: The Brazil-Portugal transcultural adaptation of Psy-Flex
    Publication . Neto, David Dias; Mouadeb, Daniella; Lemos, Nanci; Nunes da Silva, Ana; Gloster, Andrew; Perez, William
    Psychological Flexibility is an essential concept in Contextual Behavioural Sciences. The development of instruments is vital for its study, and it is an opportunity to reflect on this concept. Among the measures of this construct, Psy-Flex shows promise due to comprehensiveness in assessing the six facets of psychological flexibility and its pragmatic value. In the present study, we sought to translate Psy-Flex to Portuguese and adapt it transculturally for use in Portugal and Brazil. The translation was done independently by Brazilian and Portuguese researchers, and a consensus procedure was done to identify a synthesis. A total of 873 adults from Portugal and Brazil were involved in this study. The participants completed several questionnaires with ACT-related measures (e.g., cognitive fusion, mindful attention) and instruments measuring conceptually related variables (e.g., positive mental health). The results show good psychometric properties of PsyFlex. The one-factor structure of the original instrument was confirmed in both the Portuguese and Brazilian samples. Confirmatory factor analysis revealed a good fit of the model to the data (CFI = 0.985, RMSEA = 0.055) of both countries. Furthermore, the Psy-Flex showed convergent validity with related measures in a conceptually expected way. As a transcultural instrument, we argue that both the similarities and differences across samples suggest the broad human nature of psychological flexibility while retaining its context sensitivity.