{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T09:44:22Z","timestamp":1769161462205,"version":"3.49.0"},"reference-count":62,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>China's early encounter with COVID\u201019 and protracted prevention policies, presents an ideal case to study psychological changes during a prolonged and evolving crisis. This study aims to examine the shifts in mental health symptoms, risk\u2010related perceptions, and associated coping behaviors within two large\u2010scale samples of Chinese respondents, spanning from the pandemic's onset to the relaxation of the zero\u2010COVID policy. Moreover, the study strives to identify protective factors that could potentially mitigate the pandemic's impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two online surveys were conducted during China's initial pandemic phase (February 25\u201328, 2020) and the relaxation of the zero\u2010COVID policy (March 30\u2013April 18, 2023). Participants' mental health indicators, risk\u2010related perceptions, and coping behaviors were assessed using the Depression, Anxiety, and Stress Scale\u201021 Items, the 9\u2010item Bergen Burnout Inventory, and other adopted scales. Multivariable linear models were employed to examine the enduring psychological impact of the pandemic and identify potential protective factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis of two datasets comprising 1946 and 1878 participants from the onset and the remission of China's COVID\u201019 pandemic revealed an upward trend in various mental health indicators of Chinese respondents between 2020 and 2023. Similarly, risk\u2010related perceptions, encompassing perceived severity, susceptibility, and self\u2010efficacy, and risk\u2010related information sharing witnessed an increase. Being female, single, residing in rural areas, having higher education, and lacking acquaintances with COVID\u201019 are protective factors against mental health risks. Additionally, being female, married, over 30, living in big cities, having higher education, and lacking personal or acquaintances' infection history are associated with engaging in protective behaviors and reduced information avoidance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study investigated the changes in mental health symptoms, risk\u2010related perceptions, and coping behaviors of Chinese respondents between 2020 and 2023 and identified protective factors against the pandemic's impact, including demographic (gender, age), social (education, marital status, residence), and exposure (infection history) elements. Understanding these fluctuations and protective elements is crucial for policymakers, as it can inform the development of targeted strategies to alleviate negative psychological impacts while effectively managing future pandemics.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23676","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T06:16:39Z","timestamp":1710569799000},"page":"1528-1551","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Evolving policies, enduring impacts: Cross\u2010sectional surveys of mental health, risk\u2010related perceptions, and coping behaviors throughout China's U\u2010turn in its stringent zero\u2010COVID policy"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3629-2116","authenticated-orcid":false,"given":"Shuguang","family":"Zhao","sequence":"first","affiliation":[{"name":"Research Center of Journalism and Social Development, School of Journalism and Communication Renmin University of China Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6318-1385","authenticated-orcid":false,"given":"Jue","family":"Zhou","sequence":"additional","affiliation":[{"name":"New Era International Communication Research Institute Renmin University of China Beijing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7944-0700","authenticated-orcid":false,"given":"Ting","family":"Wang","sequence":"additional","affiliation":[{"name":"New Era International Communication Research Institute Renmin University of China Beijing"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.17730\/humo.58.2.t5g838w7u1761868"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.5.469"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","DOI":"10.1891\/0889-8391.10.4.313","volume-title":"Self\u2010efficacy in changing societies","author":"Bandura A.","year":"1996"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-020-0884-z"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30729-7"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.11.031"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asoc.2020.106754"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000685"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-020-0909-7"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00390-1"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720004432"},{"key":"e_1_2_12_14_1","first-page":"162","volume-title":"In COVID\u201019","author":"Dryhurst S.","year":"2022"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.19686"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2020.89"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000875"},{"key":"e_1_2_12_18_1","unstructured":"Griffin R. 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