Olfactory-related quality of life impacts psychological distress in people with COVID-19: The affective implications of olfactory dysfunctions

BACKGROUND

Coronavirus disease 2019 (COVID-19) often causes chemosensory impairment, and olfactory dysfunctions may have negative consequences on psychological distress. This study aimed at assessing which dimension of perceived olfactory disfunctions (i.e., subjective olfactory capability, smell-related problems, or olfactory-related quality of life [QoL]) was most associated with psychological distress in people diagnosed with COVID-19.

METHODS

364 participants (65 men and 299 women) diagnosed with COVID-19 on average 7 months prior to the beginning of the study were recruited between June 5 and 21, 2021, to take part in an online cross-sectional survey. Participants answered questions on demographics, clinical factors, perceived olfactory functioning, and psychological distress. Hierarchical multiple linear regression analysis was conducted, assessing the role of demographics, clinical factors, and perceived olfactory functioning dimensions on psychological distress.

RESULTS

More than half of the participants met the cut-off for all perceived olfactory dysfunctions scales and psychological distress. Being women, smoker, with comorbidities, and greater severity of COVID-19 symptoms were associated with higher scores on psychological distress. Among perceived olfactory functioning scales, only impairment in olfaction QoL was associated with psychological distress.

LIMITATIONS

Limitations concerned the cross-sectional nature of the study and the unbalanced sample in terms of gender.

CONCLUSIONS

The study confirmed the core intertwining between mood, perceived QoL, and olfactory functioning, showing how impairments in olfactory processing are strongly correlated with psychological distress through the impact they have on the perceived QoL.

Breaches and buffers: Can meaningful work impact turnover during COVID-19 pandemic?

The fear and uncertainty created by the ongoing COVID-19 pandemic have strained the employer-employee relationship. This research seeks to understand how psychological contract breach shapes employees' perspectives of meaningful work and its influence on turnover intention. Drawing on event systems theory, we investigated how objective events in the environment (e.g., global pandemic) impact employees. We also argue that the career shock caused by the COVID-19 pandemic affected employees' choices based on their job fit and psychological resources. Findings indicate that experiencing meaningful work reduced turnover intention, especially for those that experienced less psychological contract breach. Also, experiencing meaningful work reduced turnover intention most for individuals whose working hours were not impacted by the COVID-19 pandemic. These findings show that experiencing meaningful work in a relatively stable job reduces employees' potential turnover during exogenous shocks. The study also highlights the importance of meaningful work and why organizations should collaborate and assist their employees in making work more meaningful.

Human odor exploration behavior is influenced by olfactory function and interest in the sense of smell

Olfaction plays an important role in social interaction. This study examined the influence of chemosensory and cognitive abilities on conscious odor sniffing behaviors in humans. Participants (N = 349) were surveyed using a questionnaire for the frequency of behaviors in terms of odor exploration from intrinsic and external sources. Chemosensory functions (e.g., odor identification, trigeminal sensitivity, taste functions, and nasal patency), self-reported olfactory function, and the subjective importance of olfaction were assessed. Hierarchical regression analyses demonstrate a strong impact of olfactory importance on odor exploration behavior. Both female gender and chemosensory function (odor identification ability and trigeminal sensitivity) had a positive impact on odor exploration behavior from individuals' own body and from external sources. Moreover, participants with dysosmia compared to those with normosmia showed less frequent odor exploration behaviors, while their behaviors were partly predicted by nasal patency. In conclusion, conscious olfactory exploration behaviors reflect the interest in the sense of smell and is strongly modulated by chemosensory function. In turn, individuals with lower olfactory sensitivity invest less in olfactory explorations.

Judgements of attractiveness of the opposite sex and nostril differences in self-rated mood: The effects of androstenol

Androstenol has been reported to influence judgements of attractiveness and to affect participants' mood. In the present study, participants were asked to sniff androstenol or a control odour (pure ethanol) unilaterally with the left or right nostril. Subsequently, they rated the attractiveness of photographs of the opposite sex and their own feelings on four mood scales. Participants rated the photographs as significantly more attractive after sniffing androstenol compared with the control odour. This did not depend upon androstenol being perceived as pleasant. Androstenol made male participants feel more lively, and both male and female participants more sexy, when sniffed through the right compared with the left nostril. Participants rated themselves as more irritable and aggressive when exposed to androstenol through the left nostril. The findings are discussed in relation to the effects of arousal on attraction and in the context of current theories of hemispheric differences in emotion.

Olfactory impairment and close social relationships. A narrative review

Olfactory impairment is one of the more unique symptoms of COVID-19 infection and has therefore enjoyed increased public attention in recent months. Olfactory impairment has various implications and consequences ranging from difficulty detecting dangerous pathogens to hindering social functioning and social behaviors. We provide an overview of how olfactory impairment can impact 3 types of close social relationships: family relationships, friendships, and romantic relationships. Evidence is divided into several categories representing potential mechanisms by which olfactory impairment can impact close social relationships: bonding disruptions, decreased social support, missed group-eating experiences, hygiene concerns, and altered sexual behaviors. We conclude with a discussion of emerging future research questions.

Scent of a Woman-Or Man: Odors Influence Person Knowledge

First impressions of social traits are regularly, rapidly, and readily determined from limited information about another individual. Relatively little is known about the way that olfactory information, particularly from scents that are not body odors, alters a first impression. Can the attributes of an odorant be conferred onto a person associated with that scent? To explore this, 101 participants were asked to form an impression of a hypothetical person based on the following stimuli: A gender-neutral silhouette, a list of six personal characteristics, and one of five odorants. Participants then rated the likelihood that the hypothetical person possessed each of 51 personality traits that were determined a priori as falling into six attribute categories. Participants also directly rated all odorants for the six categories and intensity. A T-test showed that ratings of the hypothetical person were less disparate from the odor that was presented during impression formation than from other odors. ANOVA revealed that the effects were heterogeneous, with odorants varying in their effectiveness in associating the hypothetical person with categories. The present data suggest that a hypothetical person can be imbued with the specific attributes of an odor and that some odors are better at contributing to impressions than others.

Effects of COVID-19 on Sense of Smell: Human Factors/Ergonomics Considerations

OBJECTIVE

We review the effects of COVID-19 on the human sense of smell (olfaction) and discuss implications for human-system interactions. We emphasize how critical smell is and how the widespread loss of smell due to COVID-19 will impact human-system interaction.

BACKGROUND

COVID-19 reduces the sense of smell in people who contract the disease. Thus far, olfaction has received relatively little attention from human factors/ergonomics professionals. While smell is not a primary means of human-system communication, humans rely on smell in many important ways related to both quality of life and safety.

METHOD

We briefly review and synthesize the rapidly expanding literature through September 2020 on the topic of smell loss caused by COVID-19. We interpret findings in terms of their relevance to human factors/ergonomics researchers and practitioners.

RESULTS

Since March 2020 dozens of articles have been published that report smell loss in COVID-19 patients. The prevalence and duration of COVID-19-related smell loss is still under investigation, but the available data suggest that it may leave many people with long-term deficits and distortions in sense of smell.

CONCLUSION

We suggest that the human factors/ergonomics community could become more aware of the importance of the sense of smell and focus on accommodating the increasing number of people with reduced olfactory performance.

APPLICATION

We present examples of how olfaction can augment human-system communication and how human factors/ergonomics professionals might accommodate people with olfactory dysfunction. While seemingly at odds, both of these goals can be achieved.