How the Stringency of the COVID-19 Restrictions Influences Motivation for Adherence and Well-Being: The Critical Role of Proportionality

Document Type : Original Article

Authors

1 Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium

2 Health Psychology, Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium

3 Institute for Research in the Psychological Sciences, Université Catholique de Louvain, Louvain-la-Neuve, Belgium

4 Faculty of Psychological Sciences and Education, Université libre de Bruxelles, Bruxelles, Belgium

5 Fund for Scientific Research (FRS-FNRS), Brussels, Belgium

Abstract

Background 
The stringency of the measures taken by governments to combat the COVID-19 pandemic varied considerably across countries and time. In the present study, we examined how the proportionality to the epidemiological situation is related to citizens’ behavior, motivation and mental health.

Methods 
Across 421 days between March 2020 and March 2022, 273 722 Belgian participants (M age = 49.47; 63.9% female; 33% single) completed an online questionnaire. Multiple linear mixed regression modeling was used to examine the interaction between the epidemiological situation, as indicated by the actual hospitalization numbers, and the stringency index to predict day-to-day variation in the variables of interest.

Results 
Systematic evidence emerged showing that disproportional situations, as opposed to proportional situations, were associated with a clear pattern of maladaptive outcomes. Specifically, when either strict or lenient measures were disproportional in relation to the epidemiological situation, people reported lower autonomous motivation, more controlled motivation and amotivation, less adherence to sanitary rules, higher perceived risk of infection, lower need satisfaction, and higher anxiety and depressive symptoms. Perceived risk severity especially covaried with the stringency of the measures. At the absolute level, citizens reported the highest need satisfaction and mental health during days with proportional lenient measures.

Conclusion 
Stringent measures are not per se demotivating or compromising of people’s well-being, nor are lenient measures as such motivating or enhancing well-being. Only proportional measures, that is, measures with a level of stringency that is aligned with the actual epidemiological situation, are associated with the greatest motivational, behavioral, and mental health benefits.

Keywords


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  • Receive Date: 11 March 2023
  • Revise Date: 30 June 2023
  • Accept Date: 23 September 2023
  • First Publish Date: 25 September 2023