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      The effects of moral norms and anticipated guilt on COVID19 prevention behaviors

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          Abstract

          Studies have shown that older adolescents have a low perceived personal risk of COVID-19, and yet their ability and willingness to engage in COVID-19 prevention behaviors is imperative for community health. Thus, health communication scholars need to consider alternative psycho-social predictors of prevention behaviors that will assist in protecting others in a pandemic. Based on Schwartz’s Norms Activation Model (NAM; Schwartz, 1977), we examined the relationship between moral norms and COVID-19 prevention behaviors (mask wearing and physical distancing). We predicted that anticipated guilt would mediate the relationship between moral norms and intention to engage in prevention behaviors, and that collective orientation would strengthen the association between moral norms and anticipated guilt. We tested predictions with data from a cross-sectional survey with a probability-based sample of college students at a large land grant university. These data indicated that moral norms were associated with behavioral intention, and this relationship was mediated by anticipated guilt. Collective orientation was found to moderate the relationship between moral norms and anticipated guilt in the context of physical distancing but not mask wearing. These findings suggest that making moral norms salient when designing an intervention is an effective strategy for older adolescents.

          Supplementary information

          The online version contains supplementary material available at 10.1007/s12144-023-04477-5.

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          Most cited references66

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          Culture and the self: Implications for cognition, emotion, and motivation.

          Psychological Review, 98(2), 224-253
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            The Health Belief Model: a decade later.

            Since the last comprehensive review in 1974, the Health Belief Model (HBM) has continued to be the focus of considerable theoretical and research attention. This article presents a critical review of 29 HBM-related investigations published during the period of 1974-1984, tabulates the findings from 17 studies conducted prior to 1974, and provides a summary of the total 46 HBM studies (18 prospective, 28 retrospective). Twenty-four studies examined preventive-health behaviors (PHB), 19 explored sick-role behaviors (SRB), and three addressed clinic utilization. A "significance ratio" was constructed which divides the number of positive, statistically-significant findings for an HBM dimension by the total number of studies reporting significance levels for that dimension. Summary results provide substantial empirical support for the HBM, with findings from prospective studies at least as favorable as those obtained from retrospective research. "Perceived barriers" proved to be the most powerful of the HBM dimensions across the various study designs and behaviors. While both were important overall, "perceived susceptibility" was a stronger contributor to understanding PHB than SRB, while the reverse was true for "perceived benefits." "Perceived severity" produced the lowest overall significance ratios; however, while only weakly associated with PHB, this dimension was strongly related to SRB. On the basis of the evidence compiled, it is recommended that consideration of HBM dimensions be a part of health education programming. Suggestions are offered for further research.
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              Classification of the cutaneous manifestations of COVID‐19: a rapid prospective nationwide consensus study in Spain with 375 cases

              Summary Background Cutaneous manifestations of COVID‐19 disease are poorly characterized. Objectives To describe the cutaneous manifestations of COVID‐19 disease and to relate them to other clinical findings Methods Nationwide case collection survey of images and clinical data. Using a consensus, we described 5 clinical patterns. We later described the association of these patterns with patient demographics, timing in relation to symptoms of the disease, severity, and prognosis. Results Lesions may be classified as acral areas of erythema with vesicles or pustules (Pseudo‐chilblain) (19%), other vesicular eruptions (9%), urticarial lesions (19%), maculopapular eruptions (47%) and livedo or necrosis (6%). Vesicular eruptions appear early in the course of the disease (15% before other symptoms). The pseudo‐chilblain pattern frequently appears late in the evolution of the COVID‐19 disease (59% after other symptoms), while the rest tend to appear with other symptoms of COVID‐19. Severity of COVID‐19 shows a gradient from less severe disease in acral lesions to most severe in the latter groups. Results are similar for confirmed and suspected cases, both in terms of clinical and epidemiological findings. Alternative diagnoses are discussed but seem unlikely for the most specific patterns (pseudo‐chilblain and vesicular). Conclusions We provide a description of the cutaneous manifestations associated with COVID‐19 infection. These may help clinicians approach patients with the disease and recognize paucisymptomatic cases.
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                Author and article information

                Contributors
                mmturner@msu.edu
                jangyouj@msu.edu
                wade.661@osu.edu
                heoruth@msu.edu
                qijia.ye@asc.upenn.edu
                larry.hembroff@gmail.com
                limjong1@msu.edu
                Journal
                Curr Psychol
                Curr Psychol
                Current Psychology (New Brunswick, N.j.)
                Springer US (New York )
                1046-1310
                1936-4733
                24 March 2023
                : 1-13
                Affiliations
                [1 ]GRID grid.17088.36, ISNI 0000 0001 2150 1785, Present Address: Department of Communication, , Michigan State University, ; 404 Wilson Road, Room 444, MI 48824 East Lansing, USA
                [2 ]GRID grid.17088.36, ISNI 0000 0001 2150 1785, National Social Norms Center, , Michigan State University, ; MI East Lansing, USA
                [3 ]GRID grid.261331.4, ISNI 0000 0001 2285 7943, Present Address: School of Communication, , The Ohio State University, ; OH Columbus, USA
                [4 ]GRID grid.25879.31, ISNI 0000 0004 1936 8972, Annenberg School for Communication, , University of Pennsylvania, ; Philadelphia, USA
                Author information
                http://orcid.org/0000-0001-6106-2908
                Article
                4477
                10.1007/s12144-023-04477-5
                10036969
                8dc70d4f-ea10-47c1-96fe-fd7140bad7c9
                © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 27 February 2023
                Categories
                Article

                Clinical Psychology & Psychiatry
                moral norms,anticipated guilt,collective orientation,college students,covid-19

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