The inflexible mind: A critical factor in understanding and addressing COVID-19 vaccine hesitancy

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2024-09-23 DOI:10.1016/j.jpsychires.2024.09.028

L. Pellegrini , A. Clarke , N.A. Fineberg , K.R. Laws

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引用次数: 0

Abstract

Background

Vaccine hesitancy has gained heightened relevance amid the COVID-19 pandemic, underscoring the urgency of understanding its determinants. This study explores the association between Covid-19 vaccine hesitancy, mental health variables and inflexible thinking.

Methods

A convenience sample of 252 UK adults was assessed online between June 2021–July 2022 (when Covid-19 lockdown restrictions had finally eased). We assessed participants using the Oxford Covid Vaccine Hesitancy Scale (OCVHS), various aspects of mental health, using: the Obsessive-Compulsive Inventory-Revised (OCI-R), Compulsive Personality Assessment Scale (CPAS), Depression, Anxiety, and Stress scale (DASS-21), and finally, performance on a computerized version of the Wisconsin Card Sort Task (WCST). This study was preregistered at the Open Science Framework (https://osf.io/xd5wz).

Results

Multiple regression analyses showed that only cognitive inflexibility, and specifically the WCST item of perseverative errors, significantly predicted vaccine hesitancy.

Conclusion

Our exploratory analysis provides the first evidence that cognitive inflexibility, measured using an objective task, is an independent risk-factor for vaccine hesitancy. Public health strategies should consider the impact of an inflexible thinking style on the decision-making of those most at risk of vaccine hesitancy and adapt interventions accordingly.

查看原文本刊更多论文

不灵活的头脑：理解和解决 COVID-19 疫苗犹豫不决问题的关键因素。

背景：在 COVID-19 疫苗大流行的背景下，疫苗接种犹豫变得更加重要，这凸显了了解其决定因素的紧迫性。本研究探讨了Covid-19疫苗犹豫不决、心理健康变量和思维不灵活之间的关联：在 2021 年 6 月至 2022 年 7 月期间（Covid-19 封闭限制最终放松），我们对 252 名英国成年人进行了在线评估。我们使用牛津Covid疫苗犹豫不决量表（OCVHS）对参与者进行了评估，并使用强迫症清单修订版（OCI-R）、强迫性人格评估量表（CPAS）、抑郁、焦虑和压力量表（DASS-21）对心理健康的各个方面进行了评估，最后还评估了威斯康星卡片分类任务（WCST）计算机化版本的表现。本研究已在开放科学框架（https://osf.io/xd5wz）上进行了预先注册：多元回归分析表明，只有认知不灵活，特别是 WCST 的锲而不舍错误项目，才能显著预测疫苗接种犹豫：我们的探索性分析首次证明，使用客观任务测量的认知不灵活是导致疫苗接种犹豫的一个独立风险因素。公共卫生策略应考虑缺乏灵活性的思维方式对疫苗接种犹豫不决高危人群决策的影响，并相应地调整干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;