Perceived Threat of COVID-19 Contagion and Frontline Paramedics' Agonistic Behaviour: Employing a Stressor-Strain-Outcome Perspective

Int J Environ Res Public Health. 2020 Jul 15;17(14):5102. doi: 10.3390/ijerph17145102.

Abstract

Historically, infectious diseases have been the leading cause of human psychosomatic strain and death tolls. This research investigated the recent threat of COVID-19 contagion, especially its impact among frontline paramedics treating patients with COVID-19, and their perception of self-infection, which ultimately increases their agonistic behaviour. Based on the stressor-strain-outcome paradigm, a research model was proposed and investigated using survey-based data through a structured questionnaire. The results found that the perceived threat of COVID-19 contagion (emotional and cognitive threat) was positively correlated with physiological anxiety, depression, and emotional exhaustion, which led toward agonistic behaviour. Further, perceived social support was a key moderator that negatively affected the relationships between agonistic behaviour and physiological anxiety, depression, and emotional exhaustion. These findings significantly contributed to the current literature concerning COVID-19 and pandemic-related effects on human behaviour. This study also theorized the concept of human agonistic behaviour, which has key implications for future researchers.

Keywords: COVID-19; agonistic behaviour; anxiety; depression; social support.

MeSH terms

  • Adult
  • Agonistic Behavior*
  • Allied Health Personnel / psychology*
  • Anxiety / psychology
  • Betacoronavirus / pathogenicity*
  • COVID-19
  • Coronavirus Infections / psychology
  • Coronavirus Infections / transmission*
  • Coronavirus Infections / virology
  • Female
  • Humans
  • Male
  • Pandemics
  • Pneumonia, Viral / psychology
  • Pneumonia, Viral / transmission*
  • Pneumonia, Viral / virology
  • SARS-CoV-2
  • Surveys and Questionnaires