Non-compliance with COVID-19 Health Recommendations: Five- and Ten-Month Effects on Mental Health and Academic Self-efficacy Among University Students in Sweden.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL International Journal of Behavioral Medicine Pub Date : 2024-12-30 DOI:10.1007/s12529-024-10343-w

Claes Andersson, Anne H Berman, Petra Lindfors, Marcus Bendtsen

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Abstract

Background: Addressing the effects of non-compliance with health-related recommendations in pandemics is needed for informed decision-making. This longitudinal study investigated the effects of non-compliance on mental health and academic self-efficacy among university students in Sweden.

Methods: Baseline assessments were conducted in May 2020, with follow-ups after 5 and 10 months. Students (n = 3123) from 19 universities completed online questionnaires covering compliance, mental health, and academic self-efficacy. Effects of non-compliance were estimated using causal inference and multilevel multinomial regression.

Results: Non-compliant students constituted a minority, but their proportion increased over time. Regarding mental health and academic self-efficacy, few differences were observed between compliant and non-compliant students. When differences were identified, non-compliant students experienced fewer negative effects on mental health and academic self-efficacy than compliant students.

Conclusion: The findings may suggest that non-compliance may have involved a trade-off between increased individual freedom and mitigating negative outcomes. Addressing the research gap on non-compliance effects is crucial for informed decision-making and promoting the common good. This may guide strategies balancing individual autonomy and collective well-being during future pandemics.

Pre-registration: Center for Open Science (OSF), https://accounts.osf.io/login?service=https://osf.io/37dhm/ .

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不遵守COVID-19健康建议：瑞典大学生心理健康和学业自我效能的5个月和10个月影响

背景：需要处理大流行病中不遵守与健康有关建议的影响，以便作出知情决策。本研究旨在调查瑞典大学生不服从行为对心理健康和学业自我效能的影响。方法：于2020年5月进行基线评估，并于5个月和10个月后随访。来自19所大学的学生（n = 3123）完成了包括依从性、心理健康和学术自我效能的在线问卷。使用因果推理和多水平多项回归估计不依从性的影响。结果：不服从学生占少数，但其比例随着时间的推移而增加。在心理健康和学业自我效能方面，依从性学生和非依从性学生差异不大。当发现差异时，非顺从学生在心理健康和学业自我效能方面的负面影响比顺从学生少。结论：研究结果可能表明，不服从可能涉及增加个人自由和减轻负面结果之间的权衡。解决关于违规影响的研究差距对于知情决策和促进共同利益至关重要。这可以指导在未来大流行期间平衡个人自主和集体福祉的战略。预注册：开放科学中心（OSF）， https://accounts.osf.io/login?service=https://osf.io/37dhm/。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.