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Daily Stress Processes in A Pandemic - The Effects of Worry
Daily Stress Processes in A Pandemic - The Effects of Worry
*Address correspondence to: Niccole A. Nelson, MA, Department of Psychology, University of Notre Dame, 390 Corbett Family Hall, Notre Dame,
IN 46556, USA. E-mail: nnelson4@nd.edu
Abstract
Background and Objectives: In March 2020, the World Health Organization declared the coronavirus disease 2019
(COVID-19) a pandemic. Given that such a global event might affect day-to-day stress processes, the current study examined
individuals’ daily stress reactivity and its moderators early in the COVID-19 pandemic.
Research Design and Methods: Two-level, multilevel models examined the daily relationship between perceived stress and
negative affect, or stress reactivity, as well as the moderating effects of daily pandemic worry, age, and daily positive affect
on this process. Participants included 349 individuals (age range = 26–89) from the Notre Dame Study of Health & Well-
being who completed a 28-day, daily diary study at the beginning of the COVID-19 pandemic.
Results: Older individuals were less stress-reactive than younger individuals. Within individuals, however, stress reactivity
was buffered by daily positive affect and exacerbated by daily pandemic worry. Finally, although daily positive affect
buffered daily stress reactivity, this effect was weaker on days individuals were more worried about the COVID-19 pandemic.
Discussion and Implications: The mobilization of positive emotion may be a promising avenue for buffering stress reactivity
during the COVID-19 pandemic, although this may be limited on days individuals are particularly concerned about the
pandemic.
Keywords: Coronavirus, COVID-19, Emotions, Hierarchical linear modeling
On March 11, 2020, the World Health Organization Considering the COVID-19 pandemic is ongoing,
declared the coronavirus disease 2019 (COVID-19) a pan- and daily stress reactivity predicts long-term health and
demic. In a matter of weeks, 95% of the U.S. population well-being (Charles et al., 2013; Piazza et al., 2013), it is
was under statewide stay-at-home orders that necessitated paramount to identify risk and protective factors for stress
numerous lifestyle changes (Mervosh et al., 2020). Although reactivity amidst the pandemic. Although the COVID-
individuals experience a myriad of stressors under typ- 19 pandemic profoundly disrupted the daily routines of
ical circumstances, contextual factors like the COVID-19 individuals from all walks of life, there were notable in-
pandemic may drive individuals to appraise typically in- dividual differences in pandemic worry (Barber & Kim,
nocuous events as threatening or harmful (Almeida, 2005; 2020). Such differences may not only affect stress reac-
Folkman, 2008). Indeed, grappling with chronic stressors tivity during this time but also its potential moderators.
like the COVID-19 pandemic may deplete individuals’ Specifically, although age (Blaxton et al., 2020; Scott et al.,
coping resources, ultimately increasing their stress reac- 2013) and positive affect (Folkman, 2008; Leger et al.,
tivity, or immediate negative emotional responses to stress. 2020; Ong et al., 2006) influence stress reactivity under
© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. 196
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The Gerontologist, 2021, Vol. 61, No. 2 197
typical circumstances, it is unknown how these factors Whitehead, 2020). This had implications for behavioral
might affect stress reactivity during a pandemic. Therefore, changes (Barber & Kim, 2020), as well as perceived
the current study examined the moderating effects of daily stress and negative affect (Whitehead, 2020). Taken to-
pandemic worry, age, and daily positive affect on daily gether, despite universal experience, the COVID-19 pan-
stress reactivity immediately following the enactment of demic did not uniformly influence day-to-day routines
stay-at-home orders intended to slow the spread of the and stress processes (Barber & Kim, 2020; Whitehead,
COVID-19 pandemic. 2020). Rather, those who were more worried about the
pandemic or expected the pandemic to have long-term
effects on daily life were most affected.
Contextualizing Stress Reactivity: Chronic
Stress and Pandemic Worry
Contextual factors like chronic stress shape individuals’ Stress Reactivity, Age, and Pandemic Worry
Stress Reactivity, Positive Affect, and reactivity (Blaxton et al., 2020; Serido et al., 2004; Sliwinski
Pandemic Worry et al., 2009; Stawski et al., 2008), individuals may be par-
ticularly vulnerable to daily stressors amidst navigating life
Scholars have also long recognized the role of posi-
in a pandemic. Furthermore, although stress reactivity typ-
tive emotions in the stress and coping process (Folkman,
ically depends on age and positive affect (Blaxton et al.,
2008; Leger et al., 2020; Ong et al., 2006). Specifically,
2020; Leger et al., 2020; Mroczek & Almeida, 2004; Ong
after individuals experience negative emotion in re-
et al., 2006; Scott et al., 2013), such effects may have
sponse to stress, they often engage in meaning-focused
depended on not only each other, but also the extent to
coping (Folkman, 2008). Meaning-focused coping, which
which individuals were worried about the COVID-19 pan-
entails reappraising a threatening or harmful (i.e., nega-
demic. To examine these effects on daily stress reactivity,
tive) situation as challenging (i.e., potentially positive) by
we conducted a 28-day, daily diary burst study beginning
finding or reminding oneself of a “bright-side,” changing
11 days after the stay-at-home order of the COVID-19 pan-
or reprioritizing one’s goals, and/or searching for posi-
demic was enacted. Using two-level, multilevel modeling,
Note: Model A = main effects model; Model B = two-way interaction effects model; Model C = three-way interaction effects model; BP = between-person;
PA = positive affect; WP = within-person; Stress = perceived stress; Worry = pandemic worry.
***p < .001, **p < .01, *p < .05.
Figure 1. PSS = perceived stress; PA = positive affect; two-way, within- Figure 2. PSS = perceived stress; two-way, within-person interac-
person interaction effect between daily perceived stress and daily posi- tion effect between daily perceived stress and daily pandemic worry.
tive affect. Although individuals experienced a higher negative affect on Although individuals experienced a higher negative affect on days that
days that they experienced higher perceived stress, indicating stress re- they experienced higher perceived stress, indicating stress reactivity,
activity, when individuals also experienced higher positive affect, they when individuals also experienced higher pandemic worry, they expe-
experienced weaker stress reactivity. rienced higher stress reactivity.
and daily positive affect (β̂60 = 0.01, p = .146). Finally, pandemic worry and daily positive affect (β̂61 = −0.000,
there was a significant cross-level interaction effect be- p = .778). There was a significant three-way, within-
tween age and daily perceived stress, indicating that person interaction effect among daily perceived stress,
older individuals were less stress-reactive than younger daily pandemic worry, and daily positive affect, however,
individuals (β̂21 = −0.005, p < .001; Figure 3). There were indicating that on days individuals were more worried
no significant cross-level interaction effects between age about the pandemic, positive affect’s buffering effect on
and either daily positive affect (β̂41 = 0.000, p = .890) or stress reactivity was weaker (β̂80 = 0.01, p < .01; Figure 4).
daily pandemic worry (β̂31 = −0.001, p = .654).
Finally, Model C tested three-way interaction effects.
Notably, there were no significant cross-level interaction
effects. There were no age differences in the interaction Discussion
effect between daily perceived stress and daily positive In summary, the current findings indicated that early in
affect (β̂51 = −0.000, p = .261), daily perceived stress and the COVID-19 pandemic, individuals’ daily stress reac-
daily pandemic worry (β̂71 = 0.001, p = .452), or daily tivity was moderated by age, daily pandemic worry, and/
202 The Gerontologist, 2021, Vol. 61, No. 2
directives were continually renewed and updated, and there more stressful by the COVID-19 pandemic and its related
was widespread uncertainty in terms of when the pandemic disruptions to daily life (Klaiber et al., 2020). Indeed, stress
and its associated restrictions would end (Whitehead & and context are inextricably tied; thus, COVID-19-related
Torossian, 2020). Perhaps individuals were less worried stressors cannot be truly separated from non–COVID-19-
about the pandemic on days they did not attend to such in- related stressors.
formation, which ultimately freed up coping resources that
supported a more robust buffering effect of positive affect
on stress reactivity (Folkman, 2008). Thus, engagement in Conclusions
behaviors that not only mobilize positive affect, but also The mobilization of positive affect may be one avenue for
decrease pandemic worry, may have been important coping intervention in daily stress processes during the COVID-19
behaviors early in the COVID-19 pandemic. This causal pandemic. Its daily effectiveness on this process, however,
mechanism, however, remains to be tested. varies with pandemic worry. Indeed, on days individuals
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