The Daily Populous Thursday March 25th, 2021 day edition
Authored by journals.plos.org and submitted by mvea

Abstract Personality traits have been found to be related to a variety of health outcomes. The aim of this study was to examine how personality traits were associated with adjustment to the COVID pandemic in college students. The sample included 484 first-year university students (76% female) attending a northeastern university who completed the Big Five Inventory (BFI) personality assessment at the beginning of a semester that was disrupted by the COVID pandemic. Using a phone-based app, students completed daily ratings of mood, perceived stress levels, and engagement in a number of health promotion activities (exercise, mindfulness, adequate sleep, etc.) throughout the semester both before and after the onset of the pandemic (e.g., a within-person longitudinal design). Results, as expected, showed that mood and wellness indices generally declined during the COVID period, although stress levels actually decreased. Further, irrespective of COVID, improved mood, less perceived stress and greater participation in health promotion activities were significantly associated with a number of personality traits including neuroticism (lower), extraversion (higher), agreeableness (higher), and conscientiousness (higher). Of primary interest, mixed-effects models were used to test how major personality traits interacted with any changes in daily ratings from the pre-COVID to COVID period. Significant interactions terms were found suggesting differential impacts of the COVID epidemic for students with low versus high levels of particular traits. Higher levels of extraversion, for example, were found to be related to decreases in mood as the pandemic progressed in contrast to those with lower extraversion, for whom there was a slight increase in mood over time. These data support the conclusion that personality traits are related to mental health and can play a role in a person’s ability to cope with major stressful events. Different traits may also be more adaptive to different types of stressors.

Citation: Rettew DC, McGinnis EW, Copeland W, Nardone HY, Bai Y, Rettew J, et al. (2021) Personality trait predictors of adjustment during the COVID pandemic among college students. PLoS ONE 16(3): e0248895. https://doi.org/10.1371/journal.pone.0248895 Editor: Frantisek Sudzina, Aalborg University, DENMARK Received: October 30, 2020; Accepted: March 5, 2021; Published: March 17, 2021 Copyright: © 2021 Rettew et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability: We are unable to present a public dataset due to sensitive personality and mental health data from an identifiable university in a small state. Data are available from the University of Vermont Institutional Data Access / Ethic Committee (contact via Gordon Jenson, Senior Associate Dean for Research) for researchers who meet the criteria for access to confidential data. The contact information for Dr. Jenson is gordon.jensen@med.uvm.edu and his phone number is (802) 656-8961. Funding: This work was supported by a grant to Dr. Jim Hudziak from the Conrad Hilton Foundation (https://www.hiltonfoundation.org/). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: Dr. Rettew receives royalties from Oxford University Press and Psychology Today and is a consultant to Happy Health, Inc. Dr. Hudziak is a consultant to Happy Health Inc.. The other authors report that no competing interests exist. These interests do not alter our adherence to PLOS ONE policies on sharing data and materials. There are no patents, products in development or marketed products associated with this research to declare.

Introduction The COVID19 pandemic has had a major negative impact on mental health. Its effect was first documented in China but recently has been documented more globally [1, 2]. According to an April 2020 survey, more than a quarter of American adults meet criteria for “serious mental distress,” an eightfold increase since 2018 [3]. Data from the Healthline Mental Health Index indicates that up to 45% of US adults have elevated levels of depression and anxiety [4]. Not surprisingly, college students may be particularly vulnerable to the mental health effects of the COVID pandemic given the magnitude of the stressor during a period characterized by still developing emotional regulatory networks in the brain [5, 6]. A recent study that surveyed students across 195 U.S. colleges found that 71% of the sample reported increased anxiety due to the pandemic [7]. While major personality traits are not inherently good or bad, general patterns have been found between levels of traits and a number of outcomes such as overall wellness, happiness, educational and financial success, and mental health problems [8]. In general, more positive outcomes have been associated with high levels of extraversion, agreeableness, and conscientiousness and lower levels of neuroticism [9–11]. Similar patterns of associations have been found when it comes to resilience and coping after stressful events [12]. One recent meta-analysis examining the link between personality traits and mental health found that high levels of extraversion were most closely aligned with general “coping” [13]. In studies with children, temperament dimensions related to improved regulatory abilities (similar to the trait of conscientiousness) and reactivity (similar to the trait of neuroticism) have been found to buffer the impact of high-risk environments [14, 15]. Indeed, a personality profile that includes a lower level of anxiety and worry and higher levels of persistence and ambitiousness has been deemed the “resilient” profile in a study of medical students [16]. In studying the associations between personality traits and response to stressors, however, it is important not to assume that certain traits are universally more adaptive for all types of stressful circumstances. When it comes specifically to the COVID pandemic, there may be some relatively unusual qualities of this particular stressor that could lead to different traits being associated with better adjustment than what is typically found. High levels of extraversion, for example, which describe people who prefer increased levels of stimulation and social contact, could well find the mandated isolation and reduction in activities to be particularly difficult. Similarly, individuals with high levels of neuroticism might generally be less troubled with being confined at home and not having to navigate the everyday stressors of “normal” life, although this effect could be counterbalanced by increased worries about contracting the virus. To examine how personality traits may be related to adjustment during the pandemic, the present investigation took advantage of a disruption in a study that was prospectively following a group of college students at a northeastern university. While the intent of the overall study was to examine the emotional health and wellness of students on campus, the COVID pandemic forced students to leave the university mid-semester. Consequently, a battery of mental health measures was collected in January 2020 prior to the epidemic (which will be referred to as pre-COVID). Students also completed daily mental health ratings using a smartphone app that began at the start of the semester in January and continued after mid-March until May when students were sent home (referred to as the COVID period). We hypothesized that, similar to many previous studies, major personality dimensions would be associated with indicators of mental health pre-COVID in the typical pattern of better mental health being related to lower levels of neuroticism and higher levels of extraversion, agreeableness, and consciousness. Regarding the change in mental health indicators between pre-COVID and the COVID period, however, we predicted students high in extraversion would have a poorer adjustment to the pandemic relative to their less extraverted peers. We also predicted that many students with high neuroticism would not find the COVID period to be more stressful compared to the pre-COVID period. To our knowledge, this is the first study to examine the relations between personality traits and mental health functioning specifically through the COVID pandemic using a within-person longitudinal design.

Materials and methods Participants Eligible subjects for this study were first-year students in the 2019–2020 academic year at the University of Vermont who were willing to participate in yearlong study examining wellness activities, risk behaviors, and mental health. Students were recruited via on-campus posters, in-class presentations, and social media. Approximately two-thirds of these students were enrolled in the UVM Wellness Environment (WE), a residential and educational program designed to encourage students to make healthy decisions and limit substance use [17]. Inclusion criteria also included age between 18 and 25 and having an IPhone 5 or newer in order to complete assessments via an app. This study was approved by the University of Vermont’s IRB and all subjects provided written consent. Additional description of the sample can be found elsewhere [18]. As mentioned, students completed a baseline assessment at the start of the spring semester in January 2020 and began doing their brief daily check-ins using their phones. By mid-March, the COVID pandemic had struck the northeastern United States and students were told on short notice to leave the university, return home, and finish their semester through remote online learning. Most did not have an opportunity to take all of their belongings with them. Despite these changes, participants continued to complete their daily mental health ratings by phone through the end of the semester in May (see Fig 1). Of the 675 students who completed the beginning of the spring assessment, 485 (84%) first-year students completed at least 50% of the nightly surveys across the spring semester. Those that routinely completed the daily surveys were not different in terms of gender, race/ethnicity, age, WE status, or subjective social status from those that did not. PPT PowerPoint slide

larger image TIFF original image Download: Fig 1. Study enrollment and attrition. https://doi.org/10.1371/journal.pone.0248895.g001 Measures Personality traits. Big Five Inventory (BFI). The BFI is a 44-item self-report personality scale based on Five-Factor Model of personality [19, 20]. Participants rate their agreement of each item along a 5-point Likert scale. The scale assesses five primary dimensions of personality, namely neuroticism, extraversion, openness, agreeableness, and consciousness. Neuroticism refers to the degree of emotional sensitivity and a tendency to experience negative emotions like fear and sadness. Extraversion describes those who like to be active, outgoing, and around other people. The dimension of openness relates to being creative and receptive to new experiences and ideas, while agreeableness captures a person’s level of compassion for others and willingness to cooperate in groups to avoid conflict. Conscientiousness, finally, refers to someone’s level of goal orientation, regulatory abilities, and organization. The BFI has been shown to have good psychometric properties and strong reliabilities with longer personality instruments that utilize a similar “Big Five” framework [21, 22]. For this study, The BFI was administered to all participants at the beginning of the semester, pre-COVID. Mental health and wellness. Participants each day gave a daily rating of their overall mood and stress level on a slider that was converted to a score of between 0 and 10. This information was collected from an app that was open daily from 7pm to 11:59pm. A daily wellness score, reflecting the level of participation in five healthy behaviors (i.e., minutes of exercise, limiting screen time, nutritional quality of meals, hours of sleep, and amount of water consumed) was also calculated by first dichotomizing the responses to indicate absence or presence of the wellness behavior and then summed to get an overall index. Each of the three daily survey measures (mood, stress, and wellness) was standardized for comparability. Of the 675 students who completed the beginning of the spring assessment, 485 (72%) first-year students completed at least 50% of the nightly surveys across the spring semester. Those that routinely completed the daily surveys were not different in terms of gender, race/ethnicity, age, WE status, or subjective social status from those that did not. Analysis A series of mixed-effect, or multilevel, regression models were tested with MIXED in SPSS 26 to predict standardized scores for mood, stress, and wellness behavior. These models included a random intercept to account for repeated, correlated observations within individuals of daily survey items. Each outcome was predicted from baseline personality scores, COVID Status (before vs. during), and an interaction term between personality and COVID status. Covariates included enrollment in the wellness program, age, sex, subjectively rated socioeconomic status, semester week, and race/ethnicity. All analyses included the full range of personality scores. To illustrate findings visually in the figures only (see Fig 2), subjects with high or low levels of each trait (defined as being 0.6 standard deviations above or below the mean) were grouped together. PPT PowerPoint slide

larger image TIFF original image Download: Fig 2. Mental health indicators from pre-COVID to COVID by students with high or low levels of Big 5 personality traits. Visualizations of Interactions using only extreme groups of standardized personality traits (y axis: low-solid lines; high-dashed lines) by COVID status (x-axis: before versus during)* = statistically significant interaction. https://doi.org/10.1371/journal.pone.0248895.g002

Discussion This study aimed to examine the link between major personality dimensions and change in mental health functioning through the COVID pandemic in a group of college students. We utilized daily ratings of subjective mood, stress levels, and engagement in wellness activities such as mindfulness, healthy eating, and exercise obtained from a smartphone app that started before students were sent home due to COVID concerns and then continued as they completed the semester at home. As has been reported in many studies examining the association between personality traits and various indices of well-being and functioning, we found robust associations with many of the higher-order personality traits. Lower levels of neuroticism and higher levels of extraversion were generally found to be related to improved mood, lower stress levels and more engagement in healthy activities. Higher levels of openness, agreeableness, and conscientiousness were also significantly related to better mood and more wellness engagement but were not significantly related to stress levels. Some of these significant main effects need to be interpreted with caution given the interactions found for some of these traits as levels changed between the pre-COVID and COVID period. High levels of agreeableness and conscientiousness showed particularly strong associations with better mood across the study period while higher levels of neuroticism were prominently and expectedly related to higher levels of perceived stress. High conscientiousness was significantly related to more participation in wellness activities and healthy activities. Conscientiousness refers to the tendency to be both goal oriented and to abilities that help people obtain goals such as reliability and organization. As such, this trait has often been associated with better health and well-being [23] and has been called the “most valuable psychological asset” a person can have when it comes to major personality traits [10]. The COVID pandemic also appeared to have a negative impact on our mental health indicators, although not as uniformly as we had expected. Comparing ratings between the pre-COVID and COVID period, mood and engagement in wellness activities generally decreased. Stress levels, however, significantly fell across the study period, although the magnitude of this drop was quite modest. Such a drop was hypothesized for students high in the trait of neuroticism but was found more globally. These results underscore how stressful college life can feel for some students [24]. It also may suggest some independence between mood and stress, the latter of which may be described more closely as anxiety. While mood and anxiety levels typically are found to move together–so much so that the two areas in combination are considered the core of “internalizing” problems [25], the COVID pandemic may present an important example of conditions that can separate the two domains. The college experience for many students provides engagement and relationships but, as has been well documented of late, can also be quite challenging and anxiety provoking [26]. With many exceptions, it is possible that the college environment, for those who do not find the experience overwhelming, represents an example of “good stress” that might contribute to a higher mood [27]. The COVID pandemic brought more isolation and inactivity but also some relief from the regular stresses of this environment and this may have overall depressed both mood and perceived levels of stress. Of course, it is possible that a more prolonged duration of disruption in regular life from COVID, as is now occurring, will result in perceived stress levels to rise. Further investigations with this sample and others will help reveal the long-term impact of COVID on experienced stress levels. For the most part, associations between personality traits and mental health/wellness were preserved across the time period from before the COVID pandemic in January 2020 through the end of the semester in May. As previously mentioned, however, some interactions effects were found, suggesting a differential response to the COVID epidemic based on levels of specific traits. The dimension of extraversion was especially involved, with significant interaction effects found for mood, stress, and wellness participation. For mood, we found that those with higher levels of extraversion experienced a decrease in their mood as the COVID period progressed while mood ratings among those with lower levels of extraversion rose slightly. When it came to stress levels, however, those in the high extraversion groups felt decreased stress during the COVID period while those with lower extraversion experienced slightly more. There isn’t a straightforward interpretation of this combination of findings, but we speculate that, as hypothesized, more extraverted people might find the stimulation and challenges of busy academic life to be more rewarding. Leaving this environment for home isolation thus could have resulted in feeling less stressed but more bored and lonely, resulting in a decrease in mood. This finding partially supported our hypothesis, although it is important to note that students with higher levels of extraversion, despite having a clear decrease in mood with COVID, still reported an overall more positive mood than their low extraversion peers. A similar, though less pronounced, pattern was found with neuroticism in which those with lower levels experienced a larger drop in mood levels with COVID compared to students with high neuroticism (although the higher neuroticism group continued to report lower mood overall). It is possible that this finding comes from a “floor effect” as students with higher levels of neuroticism had a lower mood at baseline. Alternatively, it is possible that the disruption from COVID represented a relatively bigger “loss” for those with lower levels of neuroticism. These findings need to be interpreted with appreciation for some of the limitations of this study. First, these data were obtained from college students at a single university. As such, the generalizability of this study to other populations may be limited. Secondly, it is also not possible to prove with these data that is was the COVID pandemic and not another unmeasured factor that was responsible for any changes in the mental health ratings. Small but meaningful changes in personality have been documented in college students under “normal” conditions, although this has generally been found to occur over longer periods of time [28]. Finally, we note that both the personality and mental health assessments were obtained from self-report. This study, however, also has some noticeable strengths. The use of daily ratings of our mental health indices may have provided a more valid assessment of these parameters over time and minimized bias inherent in more retrospective reporting. Personality assessment was also performed using a well-validated instrument based on a widely accepted and researched personality model.

Conclusion In summary, this study focused on changes in mood, perceived stress levels, and engagement in healthy behaviors in a group of college students as the COVID pandemic forced this group to leave campus. Personality traits assessed prior to this stressor were found to be strong predictors of these mental health indices both prior to and during the pandemic. While many of these associations are consistent with prior research on personality and mental health, we also found indications that the COVID pandemic presents some challenges to groups with specific personality characteristics, such as high levels of extraversion, that typically are associated with increased resilience. While more research to understand the relations between personality dimensions and adjustment to the COVID pandemic and other stressors is needed, these data suggest a more complicated picture when it comes to how various personality traits may provide risk or buffers when it comes to coping with major stressors.

achievercheech on March 25th, 2021 at 08:16 UTC »

I concur + absolutely enjoyed the 0% pressure to be anywhere at any given time.

NOTE, this is a rather specific, if not skewed dataset over-representing females as the study, "included 484 first-year university students (76% female) attending a northeastern university". Also self-selected into the study and 18 yrs average age...so this does not speak to the people who attrited (quit) the study early. Likely different predictors there and perhaps diff outcomes.

As a lady who went to uni...and likely wouldve self selected into the same study, still some interesting, self-affirming findings!

T-Mau5 on March 25th, 2021 at 08:01 UTC »

I feel like through this past year so many people who have never had an experience with mental health issues now have. Naturally this sucks, but hopefully it will also lead to further understanding of what so many people go through on the regular.

HansProleman on March 25th, 2021 at 07:50 UTC »

A lot of people seem to be conflating introversion and social avoidance. I'm introverted, but I enjoy some socialising. It just costs me a lot of energy.

There was definitely a novelty to not having any social obligations, but it's thoroughly worn off by now.