Decision-Making during the Pandemic: Compassion, Trust, and the Altruistic Paradox

The occurrence of breakthrough infections with SARS-CoV-2 in vaccinated individuals argues against abandoning mitigation efforts such as social distancing. Some public health messages, however, promote vaccination by increasing psychological distress, which interferes with social distancing. Prosocial messages present an alternative approach that may avoid this problem. Accordingly, the present study examined the relation of pandemic mitigation with scores on prosocial personality traits (i.e., altruism, sympathy, and trust) and vaccination intentions. Regression analyses indicated that while vaccination intentions increased significantly with an increase in trust, distancing increased significantly with increases in altruism and sympathy. Because older adults are much more vulnerable to COVID-19 than younger adults, these findings reveal an altruistic paradox, in which older adults, perhaps the most altruistic portion of the population, may be dependent on the altruistic behavior of younger adults, who may be the least altruistic portion. The challenge for public health messaging will be to motivate younger adults to take the consequences of their mitigation decisions for others into account.