When and Why People Conceal Infectious Disease.

People sick with infectious illnesses face negative social outcomes, like exclusion, and may take steps to conceal their illnesses from others. In 10 studies of past, current, and projected illness, we examined the prevalence and predictors of infection concealment in adult samples of U.S. university students, health-care employees, and online crowdsourced workers (total N = 4,110). About 75% reported concealing illness in interpersonal interactions, possibly placing others in harm's way. Concealment motives were largely social (e.g., wanting to attend events like parties) and achievement oriented (e.g., completing work objectives). Disease characteristics, including potential harm and illness immediacy, also influenced concealment decisions. People imagining harmful (vs. mild) infections concealed illness less frequently, whereas participants who were actually sick concealed frequently regardless of illness harm, suggesting state-specific biases underlying concealment decisions. Disease concealment appears to be a widely prevalent behavior by which concealers trade off risks to others in favor of their own goals, creating potentially important public-health consequences.

Keep your distance: Different roles for knowledge and affect in predicting social distancing behavior.

The current study examines predictors of social distancing behavior across populations (students and community members) and across time in the early months of the COVID-19 pandemic, focusing on two factors commonly associated with risk perception and prevention: knowledge and affect. Results showed that, despite similar levels of social distancing, student distancing was predicted only by feelings of threat about COVID-19, whereas community distancing was predicted by both feeling informed and threatened. Examining longitudinal effects, which were limited to students only, students became more informed about COVID-19 over time, and increases in being informed (but not feeling threatened) predicted more distancing.

The Association of Perceived Vulnerability to Disease with Cognitive Restraint and Compensatory Behaviors.

Individual differences exist in perceived vulnerability to disease (PVD). PVD is associated with negative responses (e.g., disgust) towards individuals with obesity and heightened sensitivity regarding personal appearance. Through increasing fear of fat (FOF), PVD may be associated with cognitive restraint and compensatory behaviors. We utilized an adult sample (n = 247; 53.3% male sex assigned at birth) recruited through Amazon's MTurk prior to the COVID-19 pandemic to investigate associations between PVD, cognitive restraint and compensatory behaviors. Participants completed the Perceived Vulnerability to Disease Scale, Eating Disorder Diagnostic Scale, Dutch Eating Behaviors Questionnaire, and Goldfarb's Fear of Fat Scale. Mediation analyses were used to test our hypotheses. Perceived infectability (PVD-Infection) was associated with cognitive restraint and compensatory behaviors through increased FOF. Perceived germ aversion (PVD-Germ) was associated with cognitive restraint, but FOF did not mediate this association. Sex-stratified analyses revealed no significant sex differences. PVD may be an overlooked factor associated with cognitive restraint and compensatory behaviors in males and females. FOF was an important mediating factor in these associations. Increased engagement in cognitive restraint and compensatory behaviors may reflect attempts to reduce FOF. Future longitudinal research should explore whether PVD is a risk factor for cognitive restraint and compensatory behaviors.

Under-standing: How embodied states shape inference-making.

How do embodied states influence the inferences people make about the meaning that is intended by communicators? We propose that embodied states encourage mental representation of certain meanings while inhibiting others, thereby facilitating or hindering comprehension in social interactions and potentially causing miscommunication. Four experiments demonstrate that bodily postures incompatible with the intended meaning of a sentence attenuated inferences of those meanings, especially when the intended meaning was not articulated directly and required more extensive inference-making effort. Participants were faster at responding to sentences containing verbs inferring a sitting position when they were sitting than when they were standing, and vice versa. Participants were also more likely to interpret the intended meaning of sentences as relevant to sitting when participants were themselves sitting, and relevant to standing when participants were standing. These outcomes were especially evident when the sentences required higher-interpretive effort (e.g., used indirect language) than lower-interpretive effort (e.g., used literal language). These results suggest that embodied states shape inference-making and can thereby influence comprehension and affect communication success, especially when inferences are more effortful to make.

COVID-19 stress and eating and drinking behaviors in the United States during the early stages of the pandemic.

The coronavirus SARS-CoV-2 (COVID-19) pandemic has created widespread stress. Since many people cope with stress by eating, the current study investigated whether eating behaviors shifted among U.S. adults after the emergence of the pandemic. Data from national, crowdsourced surveys conducted on March 31st, 2020 and February 13th, 2019 were compared. Average levels of eating to cope and food addiction symptoms did not appear to shift during the early stages of the pandemic; however, U.S. adults ate about 14% more added sugars. Moreover, greater stress in response to the pandemic was associated with greater eating to cope, added sugars intake, food addiction symptoms, drinking to cope, and drinking frequency. These associations differed by the presence of state-level stay-at-home orders, perceived vulnerability to disease, age, U.S. political party affiliation, and gender. Although eating behaviors did not appear to majorly shift during the early stages of the pandemic, stress from the pandemic may intensify some maladaptive coping tendencies among U.S. adults.

A multimethod approach to measuring mental representations of threatening others.

How do people mentally represent distinct interpersonal threats? Across human history, interpersonal threats such as infectious disease and violence have posed powerful selection pressures. Such pressures selected for psychological systems that help identify and reduce threats posed by other people. In the case of infectious disease, psychology researchers have found that such systems respond to a variety of infection cues (e.g., rashes, swelling) as well as cues that merely resemble infection cues (e.g., birthmarks, obesity). Are such cues part of people's mental representations, and if so, are those cues unique to infection representations or are they included in representations of other threats? Using a multimethod approach, we find that when participants listed traits or drew mental representations of threat, they perceived infected and violent others to differ along threat-specific features. However, when using a data-driven, reverse correlation method that restricted participants from deliberating on and editing their representations, participants generated mental images that were similar on many of the features that both researchers and laypeople expect to distinguish infection and violence threats. These findings suggest that our understanding of threat processing may suffer from a potential disconnect between the threat cues derived from the expectations of researchers and those revealed when expectations are constrained. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Medication and substance use increases among people using cannabis medically during the COVID-19 pandemic.

BACKGROUND: The ongoing COVID-19 pandemic strains the medical system, limiting access to healthcare services. Many people use cannabis medically for chronic health conditions and as a substitute for other medications. As such, changes in cannabis access associated with COVID-19 may result in increased non-cannabis drug use. METHODS: We recruited N = 353 individuals through Amazon Mechanical Turk who reported current medical cannabis use in April and May of 2020. We assessed the effects of the COVID-19 pandemic on patterns of medication and substance use, as well as on cannabis use patterns. RESULTS: Over half of participants either started using or increased use of medications or substances because of the COVID-19 pandemic, most commonly alcohol and sleep aids. Over a third of participants increased cannabis use while 25% decreased cannabis use. Approximately 40% of participants who increased or started use of medications/substances (other than cannabis) reported doing so because of changed access to medical cannabis. CONCLUSION: The reported increase in drug use among people using medical cannabis is concerning. Because the pandemic will likely continue for months (or even years), having a better understanding of why this is occurring is critical for developing effective harm-reduction strategies in this population.

What Role Does Pathogen-Avoidance Psychology Play in Pandemics?

A substantial body of research has illuminated psychological adaptations motivating pathogen avoidance, mechanisms collectively known as the behavioral immune system. Can knowledge about these mechanisms inform how people respond to widespread disease outbreaks, such as the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [coronavirus disease 2019 (COVID-19)] pandemic? We review evidence suggesting that the evolutionary history of the behavioral immune system, and the cues that activate it, are distinct in many ways from modern human experiences with pandemics. Moreover, the behaviors engaged by this system may have limited utility for combating pandemic diseases like COVID-19. A better understanding of the points of distinction and points of overlap between our evolved pathogen-avoidance psychology and responses to pandemics may help us realize a more precise and intervention-ready science.

Interdependent self-construal predicts reduced sensitivity to norms under pathogen threat: An electrocortical investigation.

Prior evidence suggests that external threat motivates people to monitor norm violations. However, the effect of threat may be attenuated for those high in interdependent self-construal (SC) because this SC affords a sense of protection against the threat. Here, we tested this possibility by priming or not priming young American adults with a pathogen threat. We then had participants read norm-violating or normal behaviors while assessing two electrocortical markers: N400 (indexing the detection of norm violations) and suppression of upper α-band power (indexing vigilance to the violations). In the threat priming condition, interdependent SC predicted decreased responsiveness to norm violations. In the control priming condition, however, interdependent SC predicted increased responsiveness. Our work suggests that interdependent SC may provide a sense of security under threat.

Preregistered Direct Replication of "Sick Body, Vigilant Mind: The Biological Immune System Activates the Behavioral Immune System".

The tendency to attend to and avoid cues to pathogens varies across individuals and contexts. Researchers have proposed that this variation is partially driven by immunological vulnerability to infection, though support for this hypothesis is equivocal. One key piece of evidence (Miller & Maner, 2011) shows that participants who have recently been ill-and hence may have a reduced ability to combat subsequent infection-allocate more attention to faces with infectious-disease cues than do participants who have not recently been ill. The current article describes a direct replication of this study using a sample of 402 individuals from the University of Michigan, the University of Glasgow, and Vrije Universiteit Amsterdam-more than 4 times the sample size of the original study. No effect of illness recency on attentional bias for disfigured faces emerged. Though it did not support the original finding, this replication provides suggestions for future research on the psychological underpinnings of pathogen avoidance.

Confidence is sexy and it can be trained: Examining male social confidence in initial, opposite-sex interactions.

OBJECTIVE: We investigated whether men's social confidence in an initial, opposite-sex chatting context can be improved through a video tutorial and the extent to which being perceived as socially confident results in being seen as more romantically desirable and worthy of future contact. METHOD: Women chatted with men who had received or not received a tutorial on how to handle speed-dating chats (Study 1: N = 129; Study 2: N = 60) or with male targets selected for having high versus moderate confidence in handling initial, opposite-sex encounters (Study 3: N = 46). RESULTS: Tutorial-trained men felt more confident going into the chats and they, as well as male targets selected for their confidence, were perceived by female chat partners to be higher in social confidence, status, and dominance. However, only perceptions of social confidence were further associated with being perceived as more romantically desirable (as a short-term mate) and worthy of future contact. CONCLUSIONS: Findings indicate that social confidence is trainable and that other-perceived social confidence can impact the outcomes of social interactions.

Common Academic Experiences No One Talks About: Repeated Rejection, Impostor Syndrome, and Burnout.

Academic life is full of learning, excitement, and discovery. However, academics also experience professional challenges at various points in their career, including repeated rejection, impostor syndrome, and burnout. These negative experiences are rarely talked about publicly, creating a sense of loneliness and isolation for people who presume they are the only ones affected by such setbacks. However, nearly everyone has these experiences at one time or another; therefore, talking about them should be a normal part of academic life. The goal of this article is to explore and destigmatize the common experiences of rejection, impostor syndrome, and burnout by sharing a collection of short personal stories from scholars at various stages of their careers with various types of academic positions. Josh Ackerman, Kate Sweeny, and Ludwin Molina discuss how they have dealt with repeated rejection. Linda Tropp, Nick Rule, and Brooke Vick share experiences with impostor syndrome. Finally, Bertram Gawronski, Lisa Jaremka, Molly Metz, and Will Ryan discuss how they have experienced burnout.

Ecological Sex Ratios and Human Mating.

The ratio of men to women in a given ecology can have profound influences on a range of interpersonal processes, from marriage and divorce rates to risk-taking and violent crime. Here, we organize such processes into two categories - intersexual choice and intrasexual competition - representing focal effects of imbalanced sex ratios.

What people believe about detecting infectious disease using the senses.

Do you believe you can tell if people are sick with infectious diseases by looking at, listening to, or smelling them? Research on pathogen detection and avoidance suggests that perceivers respond with caution both to true signs of infection and to cues only heuristically associated with infection threat. But what do perceivers actually believe about the effectiveness and use of specific sensory modalities for infection detection? In several studies, U.S. participants reported perceptions of effectiveness and likelihood of using each of the major senses to identify infection threat in two types of targets: people and food. Results revealed prioritization of sight and sound with person targets and prioritization of sight and smell with food targets. These patterns appear consistent with the use of "safe senses" (avoidance of cues involving high perceived transmission risk). Beliefs about sensory use also varied depending on the specific feature being examined, with different patterns of sensory beliefs associated with evaluation of pathogenic danger than with evaluation of desirability and fit with normative standards. We discuss these lay beliefs in the context of recent calls for descriptive research in psychology as well as their implications for current and future work on the behavioral immune system.

Too many people, women, men? The psychological effects of population density and sex ratio.

Has your environment become more crowded over time? Do you find yourself surrounded by mostly men or mostly women? Here, we review recent work on the psychological effects of two key ecological dimensions: population density-the number of people in a given space-and sex ratio-the relative proportion of men to women in a group. Higher population densities are associated with a future-oriented psychology, increased educational investment, and a focus on 'quality over quantity' in family size and relationship preferences. Unequal sex ratios are associated with increased competition and risky behaviors amongst individuals of the more prevalent sex, and a general shift toward the relationship preferences of the scarcer sex.

I'm so touched! Self-touch increases attitude extremity via self-focused attention.

In everyday life, people often engage in behaviors like chin touching, hand clasping, and arm crossing. Such self-touching behaviors have been found to emerge under emotional stress and while performing tasks requiring concentration and focus. In contrast to work examining antecedents of self-touch, the current research experimentally investigates the causal outcomes of self-touch, specifically its influence on evaluative cognitions such as attitudes toward external objects and events. Four studies support the prediction that both instructed and spontaneous self-touch enhance focus on the self, resulting in greater attitude extremity toward evaluated targets. A last study demonstrates that people do not have a fully accurate understanding of the influence of self-touch on consequential outcomes such as self-focus and attitude extremity. Thus, this common behavior may incidentally influence a wide variety of judgments.

The Infectiousness of Crowds: Crowding Experiences Are Amplified by Pathogen Threats.

People sometimes perceive social environments as unpleasantly crowded. Previous work has linked these experiences to incidental factors such as being hungry or hot and to the relevance of the social environment for an individual's current goals. Here, we demonstrate that crowding perceptions and evaluations also depend on specific, active threats for perceivers. Eight studies test whether infectious disease threats, which are associated with crowded conditions, increase such reactions. Across studies, pathogen threat made dense social environments seem more crowded and generated more negative affect toward these environments. These perceptions and negative feelings were more influenced by pathogen threat relative to other threats of physical danger. Finally, reactions to pathogen threat affected people's choice of crowded versus uncrowded environments to inhabit. This research suggests that interpretations of social environments depend on the unique threats and opportunities those environments afford to individuals.

Infectious Disease and Imperfections of Self-Image.

Infectious disease is an ever-present threat in daily life. Recent literature indicates that people manage this threat with a suite of antipathogenic psychological and behavioral defense mechanisms, which motivate the avoidance of people and objects bearing cues to pathogen risk. Here, we demonstrate that self-image is also impacted by these mechanisms. In seven studies, pathogen cues led individuals chronically averse to germs to express greater concern about their own physical appearance. Correspondingly, these people exhibited behavioral intentions and decisions intended to conceal or improve their appearance, such as purchasing facial products, taking pharmaceuticals, and undergoing cosmetic surgery. This work opens a new area of investigation for infectious-disease psychology research and highlights the central role played by physical appearance in pathogen-related cognition.

Going All In: Unfavorable Sex Ratios Attenuate Choice Diversification.

When faced with risky decisions, people typically choose to diversify their choices by allocating resources across a variety of options and thus avoid putting "all their eggs in one basket." The current research revealed that this tendency is reversed when people face an important cue to mating-related risk: skew in the operational sex ratio, or the ratio of men to women in the local environment. Counter to the typical strategy of choice diversification, findings from four studies demonstrated that the presence of romantically unfavorable sex ratios (those featuring more same-sex than opposite-sex individuals) led heterosexual people to diversify financial resources less and instead concentrate investment in high-risk/high-return options when making lottery, stock-pool, retirement-account, and research-funding decisions. These studies shed light on a key process by which people manage risks to mating success implied by unfavorable interpersonal environments. These choice patterns have important implications for mating behavior as well as other everyday forms of decision making.