When altruists cannot help: The influence of altruism on mental health during COVID-19 pandemic

Abstract Background The positive predictive effect of altruism on physical and psychological well-being has been extensively demonstrated in previous studies, but few studies have examined the effect of altruism on negative mental health outcomes when altruists cannot perform altruistic behaviors. This study explored the influence of altruism on negative affect and mental health (anxiety and depression) during the outbreak of the COVID-19 pandemic, when people self-isolated at home in China.Method: College students were recruited via a cross-sectional online survey during the outbreak of COVID-19 in China. Self-reported perceived risk, altruism, negative affect, anxiety and depressive symptoms were measured using the Self-Report Altruism Scale (SRA), the Positive and Negative Affect Schedule (PANAS), the 7-item Generalized Anxiety Disorder Scale (GAD-7) and the 9-item PHQ depression scale (PHQ-9). A structural equation model was used to analyze the mediating and moderating effects on mental health.Results The final sample comprised 1346 Chinese participants (Mage = 19.76 ± 2.23 years, 73% female). Overall, the higher risk people perceived, the more negative affect they exhibited (β = 0.16, p < .001); thus, the more anxious and depressed they felt (β = 0.134, p < .001), but this relationship between risk perception and negative affect was moderated by altruism. Paradoxical to previous studies, the increase in negative affect associated with increased perceived risk was pronounced among individuals with high altruism ( t = 7.68, p < .001).Conclusions Individuals with high altruism exhibited more negative affect, indirectly increasing their anxiety and depressive symptoms. The findings enrich the theory of altruism and provide valuable insight into the influence of altruism on mental health during the COVID-19 outbreak.