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. 2020 May 29;35(8):2296–2303. doi: 10.1007/s11606-020-05898-9

Table 2.

Prevalence and Stressfulness of COVID-19-Related Stressors

N endorsed (%) Group differences in stressor prevalence Mean stress appraisal (SD) Group differences in stress appraisal
Infection-related
1. Risk of becoming infected 576 (56.8%) e1 (r = − .09) 3.06 (1.03) a1 (d = − 0.26); b (d = 0.20); e1 (r = − .09)
2. Self-monitoring of symptoms 440 (43.4%) c1 (h = 0.36); e1 (r = − .07) 2.43 (1.13) b (d = 0.36); d1 (r = − .18); e1 (r = − .18); f (d = 0.28)
3. Risk of loved ones becoming infected 622 (61.3%) a1 (h = − 0.14) 3.65 (1.01) a1 (d = − 0.23); b (d = 0.21); e1 (r = − .21)
4. Risk of unintentionally infecting other people 246 (24.3%) d1 (r = − .12); e1 (r = − .07) 3.26 (1.08) e1 (r = − .16)
5. Read or heard others talk about the severity and contagiousness of COVID-19 980 (96.6%) d2 (r = .07) 3.07 (1.08) a1 (d = − 0.23); d1 (r = − .09); e1 (r = − .15)
6. Stigma, shame, discrimination, or social exile related to quarantine or working in a high-risk area (e.g., others shunning you because you work in healthcare)? 66 (6.5%) b (h = 0.23); d1 (r = − .12) 3.53 (0.96) b (d = 0.53)
7. Stigma, shame, or discrimination related to being in a certain age group (e.g., negative statements about Millennials or Generation Z) 158 (15.6%) c1 (h = 0.20); d1 (r = − .22); e1 (r = − .10) 2.57 (1.13) b (d = 0.40)
8. Uncertainty about how long quarantine and/or social distancing requirements will last? 896 (88.3%) a1 (h = − 0.13) 3.26 (1.08) a1 (d = − 0.25); d1 (r = − .20); e1 (r = − .17)
Activity-related
9. Changes to daily personal care routines (e.g., cooking, cleaning, exercise/relaxation, hobbies) 811 (80.1%) d1 (r = − .08) 2.76 (1.12) a1 (d = − 0.15); b (d = 0.17); d1 (r = − .20); e1 (r = − .22)
10. Changes to daily work routines (e.g., unable to earn money, attend full- or part-time work schedule) 608 (60.3%) d1 (r = − .18); e1 (r = − .15) 3.46 (1.16) a1 (d = − 0.32); d1 (r = − .17); e1 (r = − .39)
11. Changes to daily education routines (e.g., online instruction) 233 (23.0%) a1 (h = − 0.25); b (h = 0.43); d1 (r = − .20) 3.16 (1.13) d1 (r = − .13)
12. Changes to social routines (e.g., spending free time with friends/loved ones) 849 (83.7%) - 2.91 (1.12) a1 (d = − 0.22); d1 (r = − .10); e1 (r = − .13)
13. Changed responsibilities to care for dependents (e.g., childcare, eldercare) 246 (24.3%) b (h = 1.02); c2 (h = − 0.26) 2.10 (1.17) d1 (r = − .23); e1 (r = − .18)
14. Cancelation of planned or scheduled celebrations, entertainment, vacations, or trips (e.g., graduations, birthdays, concerts) 696 (68.7%) a1 (h = − 0.27); b (h = 0.25); d1 (r = − .07) 2.95 (1.15) d1 (r = − .11)
15. Cancelation of meaningful personal or religious rituals (e.g., funerals, religious services) 266 (26.3%) b (h = 0.32); c2 (h = − 0.42); d2 (r = .08); f (h = 0.16) 2.94 (1.19) a1 (d = − 0.34); e1 (r = − .18)
16. Inability to travel (e.g., cancelation of vacations, weekend trips) 565 (55.8%) e2 (r = .07) 2.90 (1.12) d1 (r = − .12)
17. Increased contact with close others or loved ones (e.g., increased conflict, co-worrying) 438 (43.3%) b (h = 0.20); c1 (h = 0.24) 2.60 (1.17) a1 (d = − 0.28); c1 (d = 0.27); d1 (r = − .19); e1 (r = − .22)
18. Pressure to “make the most of” COVID-19 or “find a silver lining” while quarantining (e.g., social media fitness challenges, encouragement to increase productivity) 502 (49.7%) a1 ( h = − 0.24); b (h = 0.18); c1 (h = 0.20); d1 (r = − .11) 2.41 (1.20) a1 (d = − 0.28); d1 (r = − .19); e1 (r = − .18)
Financial/resource-related
19. Loss of current job security or income (e.g., inability to earn money)? 339 (33.6%) a1 (h = − 0.11); c1 (h = 0.20); d1 (r = − .11); e1 (r = − .37) 4.09 (0.96) d1 (r = − .16); e1 (r = − .32)
20. Loss of current job training opportunities or education benchmarks (e.g., certification, apprenticeship, internship or degree completion) 121 (12.0%) d1 (r = − .22); e1 (r = − .13) 3.52 (1.18) a1 (d = − 0.42); e1 (r = − .33)
21. Potential changes to the national or global economy (e.g., future job prospects, loss of investments) 643 (63.6%) - 3.45 (1.05) a1 (d = − 0.20); d1 (r = − .12); e1 (r = − .19)
22. Difficulty accessing important resources for daily life (e.g., healthcare, food, clothes, water, housing, medical supplies or prescriptions) 501 (49.5%) a1 (h = − 0.21); e1 (r = − .23) 3.36 (1.04) a1 (d = − 0.28); d1 (r = − .18); e1 (r = − .20)
23. Inadequate access to reliable information about COVID-19 (including your personal risk of illness) 176 (17.4%) d1 (r = − .10); e1 (r = − .15) 3.50 (1.09) e1 (r = − .23)

a1, reported more by women vs. men; a2, reported more by men vs. women; b, reported more by caregivers vs. non-caregivers; c1, reported more by non-heterosexual participants; c2, reported more by heterosexual participants; d1, negatively associated with older age; d2, positively associated with older age; e1, negatively associated with having needs met; e2, positively associated with having needs met; f, reported more often by non-White participants (all two-tailed p’s < .05). Two-tailed independent samples t tests were used for categorical group comparisons; bivariate correlations were used for continuous predictors (age and financial needs met) to retain maximal variance. Average stress appraisals apply only for participants who endorsed experiencing each item; participants who did not endorse a given item did not report on stress appraisals. Standardized effect sizes differ by statistical test used (h = Cohen’s h (0.20 = small, 0.50 = medium, 0.80 = large); d = Cohen’s d (0.20 = small, 0.50 = medium, 0.80 = large); r = bivariate correlation (0.1 = small, 0.3 = medium, 0.5 = large))