Abstract
Who embraces directions to socially distance, boost hygiene, and protect others during a pandemic of contagious respiratory disease? Do differently phrased public-health messages appeal to different people? I based predictions on the five-factor, triarchic psychopathy, and Dark Triad models of normal-range and dark traits; the extended parallel process model (EPPM); and schema-congruence theory. In a survey of 502 online participants, normal-range traits (esp agreeableness and conscientiousness) predicted endorsement of social distancing and hygiene, as well as the appeal of health messages in general. Consistent with the EPPM, conscientiousness and neuroticism had an interaction. Dark traits (esp psychopathy, meanness, and disinhibition) predicted low endorsement of health behaviors and the intent to knowingly expose others to risk. Most participants preferred a message appealing to compassion (“Help protect the vulnerable…”), but dark traits predicted lower appeal of that message. Personality appears relevant to epidemiology and public-health communication in a contagious-disease context.
On March 11, 2020, the World Health Organization (WHO) announced a pandemic of
Personality predicts health and health behaviors broadly (Strickhouser et al., 2017), and disease avoidance may be one reason why traits like cautiousness, conformity, and social withdrawal have evolved (Lukaszewski & von Rueden, 2015; Schaller & Murray, 2008). Yet little is known about personality’s links to protective versus risk behavior germane to infectious disease, nor is there research on personality and responses to
Health Behavior and Normal-Range Personality
Early in the pandemic, authorities appealed to people’s responsibility (e.g., “wash your hands”), compassion and cooperation (e.g., “protect others, even if your risk is low”), and fear (e.g., by emphasizing COVID-19’s lethality). Such appeals do not presume individual differences yet call for behaviors that map readily onto the normal-range personality domains from the
One such domain,
More narrowly, personal hygiene’s links to personality have hardly been studied. Personality-bound processes like disease worrying (Liao et al., 2011) seemed to predict hygiene during an influenza pandemic, implicating neuroticism. Extroversion and (low) neuroticism may predict oral hygiene (Kressin et al., 1999).
Research on nonrespiratory communicable diseases and the FFM may inform predictions about responses to contagious SARS. Aspects of neuroticism, (low) conscientiousness, and (low) agreeableness may predict HIV risk behavior (Trobst et al., 2002) and sexually transmitted infection (Mõttus et al., 2012). Would this generalize to SARS?
Furthermore, conscientiousness and agreeableness may predict adaptive behavior in a pandemic synergistically, as they interact in academic and job performance (Witt et al., 2002). Additionally, the
Health Behavior and Dark Personality
Apart from the FFM, clinical conceptualizations of maladaptive personality may explain people’s diverse reactions. Sensation seeking and neuroticism’s clinical manifestations predict many risk behaviors, including HIV-risk sexual behavior (Kalichman et al., 1998; Razei et al., 2017), so do antisocial and borderline personality disorder features (Adams et al., 2016; Kelley & Petry, 2000; Ladd & Petry, 2003). Because it relates to these disorders and sensation seeking, such findings implicate psychopathy.
Psychopathy and, to some extent, narcissism and Machiavellianism predict not only antisocial tendencies (including aggression and violence) but also various health behaviors and outcomes (Hudek-Knezevic et al., 2016; Jonason et al., 2015; Malesza & Kaczmarek, 2019), including HIV-risk sexual behavior (Hudek-Knezevic et al., 2007). Like the FFM’s normal-range traits, the Dark Triad has not been studied in relation to PHMs or health-related behaviors in a SARS pandemic.
Dark Personality and Harm to Others’ Health
If maladaptive personality partially explains reactions to the pandemic and to PHMs, it matters to public health. For example, it may explain who intentionally spreads, or threatens to spread, disease—which raises societal concern (Dryer, 2020). Sensation seeking’s link to HIV-risk behavior in infected persons has such implications (Kalichman et al., 2008; Shuper et al., 2014). Findings link psychopathy to deliberately misleading sex partners about one’s HIV-positive status (Benotsch et al., 2012) and narcissism to knowingly putting others at risk of HIV (Martin et al., 2013). More generally, psychopathy and the Dark Triad correlate with endorsement of unethical behavior (Pletti et al., 2017; Roeser et al., 2016). During a pandemic, dark personality may predispose people to dismiss or act contrary to PHMs and endanger others.
Personality and Health Communications
Above, I theorized links between personality and health-related behavior during the COVID-19 pandemic. Additionally, personality may have applied implications (Ferguson, 2013), particularly for communicating health advice (Dutta-Bergman, 2003). It may partly explain what PHMs are persuasive to different people. According to
The Current Study
Given the paucity of research on personality in relation to SARS-protective and risk behaviors during a pandemic, I tested such relationships using a survey. Measuring actual behaviors would be preferable, yet self-reported current and intended behaviors provide a starting point to probe the boundaries of personality theory.
Among the constructs discussed above, conscientiousness, agreeableness, (low) extroversion, neuroticism, (low) boldness, and (low) disinhibition emerged as candidates to predict self-reported ongoing SD. Conscientiousness, agreeableness, neuroticism, low boldness, disinhibition, and psychopathy may predict endorsement of intent for future SD (presumably because of growing knowledge and PHMs about the pandemic). Conscientiousness, agreeableness, (low) disinhibition, and (low) meanness are likely to predict intent for future hygiene (to protect not only the self but also others). Psychopathy, meanness, disinhibition, and Machiavellianism may predict endorsing the willingness to infect others.
Additionally, conscientiousness and agreeableness, and conscientiousness and neuroticism would interact in predicting current SD and future intent for SD (as per prior research cited above and the EPPM).
Per schema-congruence theory, as outlined above, differently phrased PHMs’ appeal would correlate with personality dimensions: (a) for a “self-centered” message, with narcissism, meanness, Machiavellianism, and psychopathy; (b) for a “responsible” message, with conscientiousness and (low) disinhibition; (c) for a “compassionate” message, with agreeableness, conscientiousness, (low) narcissism, (low) Machiavellianism, (low) psychopathy, and (low) meanness; (d) for an “avoidant” message, with neuroticism and (low) boldness; and (e) for a “sociable” message, with extroversion, boldness, and openness.
Method
After preregistering the study on March 20, I collected data from March 20 to 23, just after California and New York (followed by other states) issued shelter-at-home orders. At that time, Americans had varied and evolving opinions about the pandemic, whether it posed risk to them and whether the public was overreacting (Rakich, 2020).
Participants
U.S. Mechanical Turk (MTurk) workers with master status (
Measures
Based on WHO and Centers for Disease Control and Prevention advice for preventing COVID-19’s spread, I listed 10 health behaviors coinciding with widely popularized advice (Nierenberg, 2020). Conceptually, they represent SD and
Current health behavior (CHB; 10 items) asked participants how much they currently did each behavior as a precaution against COVID-19 (e.g., “Limit contact with people as much as possible…”) on a 4-point scale from
FHB (14 items) asked participants to rate on a 5-point scale from
Carrier scenario (CS; 18 items) asked participants to rate on a 4-point scale (from
PHM appeal
Participants viewed, in a randomized order, five PHMs written to appeal to different personalities: self-centered, responsible, compassionate, avoidant, and sociable (Appendix SA). They rated from 0 to 100 how much each message (a) was persuasive to them, (b) was likely for them to take seriously, and (c) was likely to affect their behavior. Each PHM’s composite score was internally consistent (α = .93 to .95). Participants also viewed distinctive lines from each message with instructions to rank order the PHMs based on personal appeal.
Personality dimensions
The Mini-International Personality Item Pool (IPIP) (MIP; Donnellan et al., 2006) is 20-item form of the IPIP (Goldberg, 1992, 1999) developed to maximize short-form validity and factor separation. It captures the FFM’s general trait domains (agreeableness, conscientiousness, etc.). Participants responded on a 5-point scale from
The Abbreviated Measure of Psychopathy (AMP; Semel, 2018) operationalizes the triarchic psychopathy model with 33 items as a parsimonious alternative to Patrick’s (2010) longer instrument. It has a 4-point scale from
The Short Dark Triad (SD3; Jones & Paulhus, 2014) is a 27-item measure yielding scores on narcissism (e.g., “Many group activities tend to be dull without me”), Machiavellianism (e.g., “I like to use clever manipulation to get my way”), and psychopathy (e.g., “Payback needs to be quick and nasty”). Participants responded on a 5-point scale from
Additional considerations
To minimize the effects of global response sets, I keyed the measures’ scales both ways. Additionally, about half of the MIP and multiple AMP and SD3 items were reverse keyed. Personality questionnaire names were disguised.
I planned to control for gender, age, and presence of health conditions that increase risk from COVID-19. These could be expected to covary with both personality and pandemic-related behavior. Extreme responses are of interest when studying maladaptive behavior, so I did not plan deleting outliers. I adopted α = .01 (one-tailed) for 37 partial-correlation hypotheses (as noted earlier) and α = .05 for four interaction hypotheses.
Results
CHB
As predicted, agreeableness (
Partial Correlations Between Health Behavior Endorsement and Normal Personality Domains.
*
Contrary to prediction, boldness did not predict CHB: SD (
Partial Correlations Between Health Behavior Endorsement and Dark Personality Traits.
*
FHB
As predicted, conscientiousness correlated with FHB: SD (
As predicted, disinhibition (
Regarding FHB: hygiene (H), the hypotheses for agreeableness (
Also supported were the predictions that meanness (
In EAs, FHB: venturous behavior correlated especially with disinhibition (
CS: HB
As predicted, meanness (
Interactions
As predicted, conscientiousness and neuroticism interacted (β = −.11,
Tests of Interactions Between Conscientiousness and Agreeableness, and Conscientiousness and Neuroticism, in Predicting Social Distancing Endorsement.
*
The hypothesis that conscientiousness and agreeableness interact to predict FHB: SD received support at α = .05 (β = .09,
PHMs
All PHMs received high mean ratings (Table S10). The mean appeal of the compassionate (highest,
The hypotheses that PHM1: self-centered’s appeal would correlate
Partial Correlations Between Public-Health Message Appeal and Personality Traits.
*
The hypotheses that PHM2: Responsible’s appeal would correlate with conscientiousness (
The hypotheses that PHM3: Compassionate’s appeal would be predicted by agreeableness (
As predicted, neuroticism correlated with PHM4: avoidant’s appeal (
No support emerged for the hypotheses that PHM5: sociable’s appeal would correlate with extroversion (
Post Hoc Analyses
Unplanned regression analyses clarified the relative unique contributions of normal-range and dark traits to key health-related variables (Tables S19–S21
PHM: compassionate was participants’ top choice by far (
Discussion
This research extends personality theory to differences in people’s reactions to a pandemic of communicable SARS. The five-factor, triarchic psychopathy, and Dark Triad models informed such questions as: What traits predict intent for SD and hygiene, endorsement of behavior that risks others’ health, and the appeal of differently phrased PHMs? Such knowledge may aid individual risk prediction (Chapman et al., 2019). It may have applied implications when a minority of people dismisses conventional PHMs (de Bruin et al., 2020).
Twenty-four of the 40 hypotheses received support. This was true particularly for hypotheses using trait theory to predict people’s self-reported current and intended FHB, as well as risks they may create for others. Although most correlations were small (a few were medium), they may reflect meaningful patterns in behavior over time. Self-reported traits predict trait-relevant behavior (Fleeson & Gallagher, 2009), including health behaviors sampled in real time (Kroencke et al., 2019). Furthermore, behavioral intentions likely predict actual behavior (Webb & Sheeran, 2006). The results probably reflect true trait–behavior connections.
Normal-Range Personality
Regarding the FFM, 8 of the 11 hypotheses received support. In planned and EAs, agreeableness and conscientiousness predicted endorsement of SD and hygiene. This agrees with prior literature on health (Strickhouser et al., 2017), health behaviors (Roberts et al., 2005), and nonrespiratory contagions (Mõttus et al., 2012). Neuroticism may play a small role in hygiene intent, whereas extroversion’s negative links to SD and hygiene vanished after controlling for other traits. Consistent with the EPPM (Witte, 1992), conscientiousness and neuroticism interacted in predicting adaptive responses to the pandemic (perhaps by increasing susceptibility to PHMs). Somewhat consistent with prior research on work and school behavior, conscientiousness and agreeableness showed a trend toward a synergistic interaction.
If such findings replicate, future research should address mechanisms behind them. Such mechanisms may include the empathic concern for others and flexibility in interpersonal behavior entailed in agreeableness (Graziano & Tobin, 2017) and the industrious self-efficacy and self-regulation involved in conscientiousness (Jackson & Roberts, 2017).
Dark Personality
Regarding triarchic psychopathy and the Dark Triad, 9 of the 12 hypotheses received support. In planned and EAs, meanness and disinhibition (and overall psychopathy) as well as Machiavellianism (to a lesser extent) predicted lower intent for SD and hygiene. Together with boldness, the psychopathy traits predicted endorsement of risky, venturesome behavior (when participants were asked to imagine being disease carriers). This agrees with research on dark personality in relation to health risk (including nonrespiratory communicable disease; Malesza & Kaczmarek, 2019).
As predicted, meanness and disinhibition (and overall psychopathy, but not boldness) predicted endorsement of behavior that puts others at risk of infection (knowingly, and perhaps deliberately). This corroborates the link between psychopathy and unethical everyday behavior (Benotsch et al., 2012; Pletti et al., 2017). In EAs, disinhibition related to all undesirable behaviors, meanness was particularly implicated in putting others at risk, and boldness may be linked to (adaptive) intent for hygiene. This parallels research (in nonforensic samples), whereby boldness either does not predict maladaptive or predicts adaptive outcomes (Berg et al., 2017; Sörman et al., 2016).
Future research may ask whether similar mechanisms explain the links between the two sets of traits (maladaptive vs. adaptive) and health outcomes. Beyond this project’s scope (see Limitations section), the ability of dark traits to predict health risk behavior incrementally (over and above normal traits) merits investigation.
Appeal of PHMs
Knowledge of the kind presented above becomes useful if it can inform public-health interventions, for example, to limit a pandemic. As noted earlier, researchers are testing personality theory’s ability to inform the tailoring of effective communication in applied contexts. I tested whether personality predicted participant’s ratings of differently phrased PHMs.
This was, indeed, the case, but not always in the predicted manner. Only 8 of the 17 predictions received support. This may reflect methodological limitations. For example, the PHMs may not have been congruent with the self-schemas they were meant to match, or schema-congruence theory cannot encompass self-reported traits and trait-congruent PHMs (York et al., 2012b).
Agreeableness and conscientiousness predicted the appeal of the compassionate PHM (“Help protect the vulnerable!”), conscientiousness of the responsible message (“Take personal responsibility!”), and neuroticism of the avoidant message (“Avoid the disease!”). Psychopathy, meanness, and Machiavellianism negatively predicted the compassionate message’s appeal. However, such findings were message-nonspecific: Overall, adaptive traits predicted PHM’s appeal, and maladaptive traits predicted their nonappeal.
Participants typically chose the compassionate message over others (including the self-centered one: “Keep yourself healthy!”). This parallels finding that appeals to altruism improve hygiene in analog (Betsch et al., 2013) and real-life (Grant & Hofmann, 2011) experiments. Yet, ranking the compassionate message as most effective was linked to lower meanness, disinhibition, narcissism, and Machiavellianism. Thus, appeals to altruism may work for most people but might
Limitations
The influential personality models that informed this study are not free of potentially controversial assumptions (e.g., Watts et al., 2017). For example, Machiavellianism and psychopathy may not be truly separable (Miller et al., 2016). Indeed, their scores were highly intercorrelated and had similar associations with health-behavior endorsement. The models imply separation between normal-range versus maladaptive traits. However, much of the personality variation they encompass may be due to a smaller set of underlying traits with wide ranges of intensity (Hyatt et al., 2020; Lynam & Miller, 2019).
The nonprobability sample and potentially unusual characteristics of MTurk participants may raise concerns. Reviews of studies on MTurk in personality research (e.g., Chandler & Shapiro, 2016; Miller et al., 2017) have been favorable regarding the measurement, factor structures, and construct validity of normal-range and maladaptive traits (including from five-factor, Dark Triad, and psychopathy-related models).
The sample included participants from across the United States. However, most represented were California (13%) and New York (6%), already heavily affected by the pandemic. In conjunction with the study’s timing, self-selection into research on COVID-19, and the participants’ relatively high education, the sample’s composition may have affected the results. The most likely impact is range restriction of the health and risk behavior scores. Indeed, consistent with polls, most participants highly endorsed health-protective behaviors. Thus, I may have underestimated the magnitude of trait–behavior correlations, perhaps promoting false negative results. This was countered by a respectably large sample. Future research, if using similar methods, may benefit from more sensitive rating scales to mitigate range restriction.
Screening out noncompliant and suspicious responses likely increased measurement reliability, thus promoting power to obtain true positive results. Conversely, screening may have limited the range of irresponsible, disinhibited, antagonistic, and deceptive (i.e., psychopathic) traits, making it harder to detect their links to other variables.
The self-report, cross-sectional, survey method using convenience sampling enabled rapid data collection at a unique historic moment. It also poses limitations, some of which (e.g., measuring intent instead of observing behavior; potential noncompliant responding) have been noted. I used brief personality measures for practicality; however, by limiting content validity and measurement reliability (Crede et al., 2012), this may have caused inaccurate estimation (most likely underestimation) of some correlations. Also by necessity, the health-behavior and PHM-appeal measures had not been pilot tested or previously validated. Besides age, gender, and health status, the study did not include potentially relevant predictors or suppressors, such as COVID-19 knowledge accuracy, misinformation susceptibility, political affiliation (Allyn & Sprunt, 2020), and regional policies. Furthermore, the measures were acontextual vis-à-vis interpersonal factors like kinship, in-group/out-group membership, and situational factors that may interact with personality.
Conclusion
In summary, early in the pandemic, prosocial traits likely facilitated SD and hygiene, and antagonistic traits likely detracted from adaptive behavior and promoted harm to people’s health. Distinctly antagonistic persons may have disregarded or acted contrary to public-health appeals for altruistic behavior.
This is an early demonstration that personality may matter in understanding communicable respiratory disease. More generally, personality has implications for contagious diseases and public-health communication. The findings, if replicated, may find applications in public-health messaging, individual risk prediction, and doctor–patient communication.
The results
Supplemental Material
Supplemental Material, manuscript-1.6-suppelemtary - Adaptive and Dark Personality in the COVID-19 Pandemic: Predicting Health-Behavior Endorsement and the Appeal of Public-Health Messages
Supplemental Material, manuscript-1.6-suppelemtary for Adaptive and Dark Personality in the COVID-19 Pandemic: Predicting Health-Behavior Endorsement and the Appeal of Public-Health Messages by Pavel S. Blagov in Social Psychological and Personality Science
Footnotes
Acknowledgment
The author would like to thank Alissa Cordner, PhD, Jean-Pierre Rolland, PhD, Nina Barzachka, PhD, and Kolby D. McKague.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Supplemental Material
The supplemental material is available in the online version of the article.
References
Supplementary Material
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