Psychological Inflexibility and Intolerance of Uncertainty Moderate the Relationship Between Social Isolation and Mental Health Outcomes During COVID-19

Overview

Journal J Contextual Behav Sci

Date 2020 Sep 21

PMID 32953435

Citations 50

Authors

Brooke M Smith

Alexander J Twohy

Gregory S Smith

Affiliations

Soon will be listed here.

Abstract

The COVID-19 pandemic has had an enormous impact on human activity worldwide, in part due to many governments issuing stay-at-home orders and limiting the types of social interactions in which citizens can engage. Previous research has shown that social isolation can contribute to psychological distress. The impact of increased social isolation on mental health functioning during the COVID-19 crisis, as well as potential mechanisms to buffer this impact, have yet to be investigated. The current study explored the moderating role of psychological flexibility and related constructs on the relationships between social isolation and mental health outcomes during the COVID-19 pandemic. Cross-sectional data from 278 participants, the majority residing in the United States, were collected during a 3-week period from mid-April to early May 2020 via online survey. A series of hierarchical linear regression analyses indicated statistically significant relationships between social isolation and psychological distress (depression, anxiety, and stress), well-being, and valued living. Psychological inflexibility, intolerance of uncertainty, and emotional suppression significantly moderated these relationships in a number of instances. Greater psychological flexibility and acceptance of difficult experiences appeared to act as a buffer against the negative effects of increased social isolation, while amplifying the benefits of social connectedness. Implications for promoting mental health and buffering against the harmful effects of social isolation during the COVID-19 pandemic and beyond are discussed.

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References

Teo A, Lerrigo R, Rogers M . The role of social isolation in social anxiety disorder: a systematic review and meta-analysis. J Anxiety Disord. 2013; 27(4):353-64. DOI: 10.1016/j.janxdis.2013.03.010. View

Pakenham K, Landi G, Boccolini G, Furlani A, Grandi S, Tossani E . The moderating roles of psychological flexibility and inflexibility on the mental health impacts of COVID-19 pandemic and lockdown in Italy. J Contextual Behav Sci. 2020; 17:109-118. PMC: 7370913. DOI: 10.1016/j.jcbs.2020.07.003. View

Remmerswaal D, Muris P . Children's fear reactions to the 2009 Swine Flu pandemic: the role of threat information as provided by parents. J Anxiety Disord. 2010; 25(3):444-9. DOI: 10.1016/j.janxdis.2010.11.008. View

Challands K, Lacherez P, Obst P . Does Online Social Connectedness Buffer Risk of Depression Following Driving Cessation? An Analysis of Older Drivers and Ex-Drivers. Cyberpsychol Behav Soc Netw. 2017; 20(4):232-237. DOI: 10.1089/cyber.2016.0377. View

Satici B, Saricali M, Satici S, Griffiths M . Intolerance of Uncertainty and Mental Wellbeing: Serial Mediation by Rumination and Fear of COVID-19. Int J Ment Health Addict. 2020; 20(5):2731-2742. PMC: 7228430. DOI: 10.1007/s11469-020-00305-0. View

Levula A, Harre M, Wilson A . The Association Between Social Network Factors with Depression and Anxiety at Different Life Stages. Community Ment Health J. 2017; 54(6):842-854. DOI: 10.1007/s10597-017-0195-7. View

Cruwys T, Dingle G, Haslam C, Haslam S, Jetten J, Morton T . Social group memberships protect against future depression, alleviate depression symptoms and prevent depression relapse. Soc Sci Med. 2013; 98:179-86. DOI: 10.1016/j.socscimed.2013.09.013. View

Kelson J, Rollin A, Ridout B, Campbell A . Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review. J Med Internet Res. 2019; 21(1):e12530. PMC: 6371070. DOI: 10.2196/12530. View

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho C . Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020; 17(5). PMC: 7084952. DOI: 10.3390/ijerph17051729. View

10.

Gross J, John O . Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003; 85(2):348-62. DOI: 10.1037/0022-3514.85.2.348. View

11.

Prati G, Pietrantoni L, Zani B . A social-cognitive model of pandemic influenza H1N1 risk perception and recommended behaviors in Italy. Risk Anal. 2010; 31(4):645-56. DOI: 10.1111/j.1539-6924.2010.01529.x. View

12.

Brown M, Glendenning A, Hoon A, John A . Effectiveness of Web-Delivered Acceptance and Commitment Therapy in Relation to Mental Health and Well-Being: A Systematic Review and Meta-Analysis. J Med Internet Res. 2016; 18(8):e221. PMC: 5039035. DOI: 10.2196/jmir.6200. View

13.

Bond F, Hayes S, Baer R, Carpenter K, Guenole N, Orcutt H . Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011; 42(4):676-88. DOI: 10.1016/j.beth.2011.03.007. View

14.

Liao K, Weng C . Gratefulness and subjective well-being: Social connectedness and presence of meaning as mediators. J Couns Psychol. 2018; 65(3):383-393. DOI: 10.1037/cou0000271. View

15.

Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M . The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003; 168(10):1245-51. PMC: 154178. View

16.

Teo A, Chan B, Saha S, Nicolaidis C . Frequency of social contact in-person vs. on Facebook: An examination of associations with psychiatric symptoms in military veterans. J Affect Disord. 2018; 243:375-380. DOI: 10.1016/j.jad.2018.09.043. View

17.

Liao K, Weng C, West L . Social connectedness and intolerance of uncertainty as moderators between racial microaggressions and anxiety among Black individuals. J Couns Psychol. 2015; 63(2):240-6. DOI: 10.1037/cou0000123. View

18.

Gonzalez-Fernandez S, Fernandez-Rodriguez C . Acceptance and Commitment Therapy in Cancer: Review of Applications and Findings. Behav Med. 2018; 45(3):255-269. DOI: 10.1080/08964289.2018.1452713. View

19.

Topp C, Ostergaard S, Sondergaard S, Bech P . The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015; 84(3):167-76. DOI: 10.1159/000376585. View

20.

Abramowitz J, Tolin D, Street G . Paradoxical effects of thought suppression: a meta-analysis of controlled studies. Clin Psychol Rev. 2001; 21(5):683-703. DOI: 10.1016/s0272-7358(00)00057-x. View