RT journal article T1 Beyond emotions: Social cognitive predictors of COVID-19 vaccination intentions before and after vaccine roll-out A1 Manoli, Athina A1 Kyprianidou, Maria A1 Lamnisos, Demetris A1 Lubenko, Jelena A1 Presti, Giovambattista A1 Squatrito, Valeria A1 Constantinou, Marios A1 Nicolaou, Christiana A1 Papacostas, Savvas A1 Aydin, Gökçen A1 Yu Chong, Yuen A1 Chien, Wai Tong A1 Cheng, Ho Yu A1 Ruiz, Francisco A1 Garcia-Martin, Maria B. A1 Obando-Posada, Diana P. A1 Segura-Vargas, Miguel A. A1 Vasiliou, Vasilis S A1 McHugh, Louise A1 Höfer, Stefan A1 Baban, Adriana A1 Neto, David Dias A1 da Silva, Ana Nunes A1 Monestès, Jean-Louis A1 Álvarez Gálvez, Javier A1 Paez-Blarrina, Marisa A1 Montesinos, Francisco A1 Valdivia-Salas, Sonsoles A1 Ori, Dorottya A1 Kleszcz, Bartosz A1 Lappalainen, Raimo A1 Ivanovic´, Iva A1 Gosar, David A1 Dionne, Frederick A1 Merwin, Rhonda M. A1 Karekla, Maria A1 Gloster, Andrew T. A1 Kassianos, Angelos P. A2 Economía General K1 VALIDATION AB Understanding the drivers of COVID-19 vaccination intentions remains relevant as public health systems prepare for future pandemics. This study examined how emotional and social-cognitive factors influence COVID-19 vaccination intentions during two key phases of the COVID-19 pandemic: before (April-June 2020) and after (January-February 2021) vaccination rollout. A total of 586 adults completed an online survey assessing beliefs about COVID-19, self-efficacy to adhere to protective behaviours, perceived stress, affect, psychological flexibility, and prosociality. Self-efficacy, prosociality, psychological flexibility and positive affect significantly declined after vaccination rollout. Higher self-efficacy and perceived severity of the disease consistently predicted stronger vaccination intentions across time points. Perceived susceptibility was negatively associated with vaccination intention before, but not after rollout. The psychological variables were not significant predictors of intentions. These findings underscore the importance of social-cognitive factors, especially self-efficacy and perceived severity, in shaping vaccination-related decisions, with implications for designing effective communication strategies in future health emergencies. PB PUBLIC LIBRARY SCIENCE SN 2767-3375 YR 2026 FD 2026 LK http://hdl.handle.net/10498/40518 UL http://hdl.handle.net/10498/40518 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 05-nov-2026