Abstract

COVID-19 pandemic is a long-lasting process associated with dynamic changes within society and in individual psychological responses. Effective communication of measures by credible sources throughout the epidemic is one of the crucial factors for the containment of the disease, and the official communication about pandemics is straightforwardly directed toward changes in behavior via engagement in (self-)protective measures. Calls for the adherence to these measures are aimed at the general population, but people's reactions to these calls vary depending on, for example, their individual differences in cognitive and emotional responses to the situation. The focus of our study was the general narrative about the epidemic as conveyed by both state officials and media outlets in times of decreased social contacts due to the quarantine, in which relying on these sources of information is even more pivotal. Our aim was to explore the stability of the proposed mediational model during the course of the epidemic in Serbia. In the model, we tested the relationship between perceived credibility of information (PCI) and two types of protective behavior—the actual self-protective behavior (ASPB) and the hypothetical protective behavior (HPB), as well as the potential mediating role of alertness in these relationships time-wise. A cross-sectional study (N = 10,782, female = 79.1%) was being administered daily during the first epidemic wave and in three more 2-week time frames during the second wave. Based on the variability of these measures during the first epidemic wave, three stages of psychological responses were mapped (acute, adaptation, and relaxation stage), which were observed, with some deviations, also in the second wave. The mediational model was relatively robust after the initial few weeks, but the strength of pairwise relationships was more changeable. With both types of protective behaviors, the predictive power of PCI was partially mediated through alertness. This suggests that, while individual differences in cognitive and affective responses are important, so is coherent, focused, and credible communication in all stages of the epidemic, which emphasizes the communality aspect of the social containment of the infection. Our findings can thus be valuable in informing the planning of effective future communication.

Highlights

  • The epidemic of COVID-19 has been seriously affecting people’s daily lives (Wang et al, 2020) and continues to do so

  • Employing a serial cross-sectional design with daily measurements, our aim was to explore the differences in mean levels of perceived credibility of informational sources and alertness over the course of the pandemic, and how both could be utilized in predicting individual behavioral responses

  • While some studies are available that aimed at monitoring the unfolding of the COVID-19 outbreak, present study is the only one to our knowledge that comprises the whole duration of the state of the emergency in a single country and two full waves of the outbreak, offering information that expand on the findings of similar, albeit shorter studies on the dynamic of people’s perceptions and responses (Sibley et al, 2020)

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Summary

Introduction

The epidemic of COVID-19 has been seriously affecting people’s daily lives (Wang et al, 2020) and continues to do so. It has forced many countries around the world to adopt strict measures to contain the spread of the infection, including restricting social contacts, stopping public life, and keeping people under prolonged lock-downs. Global disease outbreaks are not one-time events, but longer-lasting processes associated with dynamic changes within society. Emotional and behavioral responses can change dramatically throughout the course of the outbreak, and especially after the occurrence of certain critical events or contextual changes (MHCC, 2012). People respond differently to health threats and these individual differences may affect their health behavior (Brewer et al, 2007; Ferrer and Klein, 2015), which is crucial in curbing the spread of the disease

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