{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:46:35Z","timestamp":1747172795414,"version":"3.40.5"},"reference-count":71,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"unspecified","delay-in-days":250,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789323001180_as1\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Restrictions to minimize social contact was necessary to prevent the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus but may have impacted individuals\u2019 mental well-being. Emotional responses are modulated by contextual information. Living abroad during the coronavirus disease 2019 (COVID-19) pandemic may have boosted the feeling of isolation as the context is unfamiliar.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323001180_as2\">\n\t    <jats:title>Objectives:<\/jats:title>\n\t    <jats:p>This study compared the psychological impact of social distancing in national students (living in a familiar context) versus international students (living in an unfamiliar context).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323001180_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>During March\/April 2020 (first lockdown in the Netherlands), 850 university students completed an online survey. Structural equation modeling (SEM) was conducted to compare how students\u2019 responses to the virus were predicted by health anxiety, emotional distress, and personal traits.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323001180_as4\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>Compared with national students, international students showed higher levels in 4 identified factors (COVID-19-related worry, perceived risk of infection, distance from possibly contaminated objects, distance from social situations). The factors were mainly predicted by health anxiety across international students, while emotional distress and individual traits (eg, intolerance of uncertainty) played a role across national students.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323001180_as5\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>In the familiar context, individual characteristics (traits) predicted the responses to the virus, while the unfamiliar context drove individuals\u2019 health-focused responses. Living in a foreign country is associated with psychological burdens and this should be considered by universities for more pronounced social support and clear references to health-related institutions.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2023.118","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T07:42:55Z","timestamp":1694158975000},"source":"Crossref","is-referenced-by-count":1,"title":["Context-Dependent Responses to the Spread of COVID-19 Among National and International Students During the First Lockdown: An Online Survey"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1217-8266","authenticated-orcid":false,"given":"Marta","family":"Andreatta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joran","family":"Jongerling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias 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