• Louise E Smith, Bobby Duffy, Vivienne Moxham-Hall, Lucy Strang, Simon Wessely, and G James Rubin.
• Institute of Psychiatry, Psychology & Neuroscience, King's College London, London SE5 9RJ, UK.
• J R Soc Med. 2021 Feb 1; 114 (2): 779077-90.

ObjectivesTo investigate factors associated with anger or confronting others due to COVID-19.DesignOnline cross-sectional survey.SettingData were collected between 17 and 20 July 2020.ParticipantsA total of 2237 participants living in the UK aged 16-75 years.Main Outcome MeasuresReporting having had arguments, felt angry or fallen out with others because of COVID-19. Reporting having confronted or reported someone to the authorities, or that you had been confronted or reported to the authorities, for not wearing a face covering; not keeping your distance from others or being in too large a group; or alternatively following recommended measures too carefully. We used logistic regression analyses to identify factors associated with anger and confrontation.ResultsMost participants reported having had arguments, feeling angry or fallen out with others because of COVID-19 (56%, n = 1255). Twenty-two percent (n = 500) of participants reported that they had confronted or reported someone. Fourteen percent (n = 304) of participants reported that they had been confronted or reported by someone. Confronting someone, having been confronted and feeling angry or having had arguments were strongly associated with each other. Anger and confrontation were associated with younger age, greater likelihood of experiencing significant financial difficulties due to the pandemic, greater perceived risk of COVID-19 and getting information about COVID-19 from social media.ConclusionsMeasures put in place to prevent the spread of COVID-19 have caused considerable strain. Increased support, clear messaging on the rationale for easing restrictions and combatting misinformation on social media may all help decrease tension.

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