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Nonverbal Mechanisms Predict Zoom Fatigue and Explain Why Women Experience Higher Levels than Men

Nonverbal Mechanisms Predict Zoom Fatigue and Explain Why Women
Experience Higher Levels than Men
Géraldine Fauville1*, Mufan Luo2, Anna C. M. Queiroz2,3, Jeremy N. Bailenson2,
Jeffrey Hancock2
1Department of Education, Communication and Learning, University of Gothenburg, Sweden.
2Department of Communication, Stanford University, USA.
3Lemann Center, Stanford University, USA.
† These authors contributed equally to this work.
There is little data on Zoom Fatigue, the exhaustion that follows video conference meetings. This
paper tests associations between Zoom Fatigue and five theoretical nonverbal mechanisms (mirror
anxiety, being physically trapped, hyper gaze from a grid of staring faces, and the cognitive load
from producing and interpreting nonverbal cues) with 10,591 participants from a convenience
sample. We show that daily usage predicts the amount of fatigue, and that women have longer
meetings and shorter breaks between meetings than men. Moreover, women report greater fatigue
than men, and we replicate this effect with an online sample. The five nonverbal mechanisms
predict Zoom fatigue, and we confirm that mirror anxiety, measured both by self-report and by
linguistic analysis of open-ended responses, mediates the gender difference in fatigue.
Exploratory research shows that race, age, and personality relate to fatigue. We discuss avenues
for future research and strategies to decrease Zoom fatigue.
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Over the last year, billions of conversations that would otherwise have taken place face to
face in work meetings, classrooms or social gatherings took place instead over video
conferencing. Video conferencing platforms like Zoom have provided tremendous value
during the pandemic, allowing us to connect with one another socially and maintain
productivity at work. This massive transition from physical to digital interactions,
however, has raised concerns about the psychological effects of ‘Zoom fatigue,’ which
refers to the feeling of exhaustion associated with using video conferencing (we use Zoom
as a generalized term for all video conferencing). Zoom fatigue may be caused by the
complexity of the specific spatial dynamics taking place in video conferences or by the
additional cognitive effort to interact with others in this context (1, 2).
Given that video conferencing is likely to remain an important part of the future of work
(3), and as a way to stay connected with friends and family, it is important to understand
the factors that may lead to Zoom fatigue. It is also important to examine whether Zoom
fatigue is affecting different parts of the population more than others. For example,
according to the Global Gender Gap Report 2021 (4), the COVID-19 pandemic has
impacted women more severely than men, leading to the intensifying of pre-existing
gender inequities in employment, productivity (5,6), childcare (7,8) and mental health. For
example, researchers (8) found that women have struggled more with body image anxiety
and regulating diet and exercise. Since the pandemic has impacted women more than men
in many domains, does Zoom fatigue also have a gender component?
Nonverbal mechanisms of Zoom fatigue
Given that the concept of Zoom fatigue appeared only recently with the pandemic, the
empirical research concerning its causes and consequences is still in the early stages. In a
recent paper, Bailenson (9) theorized about five specific nonverbal mechanisms unique to
current implementations of video conferences that may cause Zoom fatigue. The first
mechanism is mirror anxiety, which can be triggered by the self-view in video conferences
that acts as an omnipresent mirror during social interactions. Psychological research
suggests that exposure to digital and physical mirrors can heighten self-focused attention
(10, 11), which can lead to negative affect, including anxiety and depression (12). The
second mechanism is a sense of being physically trapped because of the need to stay
within the field of view of the camera frustrum to stay centered within the video stream. In
face-to-face meetings people can pace, move and stretch, but on video conferences their
mobility is reduced to within a narrow cone. Research shows that reduced mobility can
undermine cognitive performance (13). The third mechanism, hyper gaze, refers to the
perceptual experience of constantly having peoples’ eyes in your field of view. During in-
person meetings, the speaker tends to draw the gaze of others, but during video
conferences all participants get the direct eye-gaze of one-another, regardless of who is
speaking. Being stared at while speaking, even by digital faces, causes physiological
arousal and anxiety (14).
The last two mechanisms are related to the increased cognitive load of managing
nonverbal behavior in this novel communication environment. The availability and
proximity of nonverbal cues contribute to interpersonal communication, social judgment
and task performance (15). While nonverbal communication can be nonconscious and
spontaneous during in person interactions (16, 17), video conferences require intentional
effort and attention to both produce and interpret nonverbal communication. Attending to
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the production of nonverbal behaviors that normally occur naturally, such as head nodding
at appropriate times or exaggerating gestures so they can be seen on the screen, can
increase cognitive load in video conferences (18). Interpreting other people’s nonverbal
cues can also be challenging given that cues, such as eye gaze, can be distorted by the
placement of the camera or the location of the video on a person’s screen. This leads to
situations where audio only interactions can be more successful in terms of synchronicity
and collaboration than video-based interactions (19).
Gender differences in nonverbal behavior
These nonverbal mechanisms may affect men and women differently. Nearly a century of
research in psychology has examined how gender influences nonverbal communication
(20, 21). One concern raised by Bailenson (9), for example, is that women may be more
affected by mirror anxiety than men. A meta-analysis of two decades of psychological
work examining how physical mirrors can trigger increased self-focused attention (12)
indicated a small effect size linking mirror image viewing with negative affect, but this
effect is larger for women than for men. Women are more likely than men to have greater
self-focused attention during real-time views of the self, and women are more likely to
experience negative affect as a consequence of that self-focus, especially in contexts that
are stressful (11). If this is also the case with the self-view in video conferencing, then
women may be more likely to suffer mirror anxiety during video conferencing, which in
turn could lead to higher levels of Zoom fatigue for men than women.
More generally, there are many gender effects in nonverbal communication that may be
related to the other nonverbal mechanisms in video conferencing. Women, for example
tend to display more facial expressions than men (21, 22), such as smiling more (21,23),
with evidence suggesting that this difference is associated with awareness of being
observed and feeling self-consciousness (24). In terms of interpreting nonverbal behavior,
women recall details about other people’s appearance and nonverbal behaviors better than
men (25, 26). These results have been corroborated by studies finding women more
accurate at judging emotions based on the eyes (27), recognizing neutral facial expressions
(28), and interpreting someone’s personality or thoughts and feelings (29, 30). Video
conferencing may increase the cognitive load associated with these nonverbal mechanisms
more for women than for men.
Present study
This study empirically tests four theoretical predictions (9) using the Zoom & Exhaustion
Fatigue (ZEF) scale (31). We predict that (a) fatigue is associated with high amounts of
video conference usage and (b) nonverbal mechanisms, that (c) women will have more
fatigue than men, and that (d) the mirror anxiety mediates the gender difference. To
triangulate the self-report data from the ZEF scale, we computationally analyzed the
language of the responses to the open-ended question concerning participants’ experience
with video conferencing. First, we used the meaning extraction method (MEM; 32, 33) to
conduct a topic modeling analysis to discover key themes in the open-ended responses.
We then examined gender differences in how frequently the topics were discussed.
Second, we analyzed the frequency of first-person singular pronouns (e.g., me, my, I),
which have long been used as a measure of self-awareness (34, 35). Prior work has
associated first person singular pronouns with both increased self-focused attention and
negative affect (36, 37). We therefore examined the production of first person singular in
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relation to mirror anxiety and its role in mediating fatigue gender effects. We examined
other individual differences, including age, race and personality (38). Finally, given the
increase of video conference use for social interactions - for example, as a
recommendation from the World Health Organization (39) to overcome the social
isolation imposed by the COVID-19 pandemic - we examined how fatigue differs between
social and work context.
Figure 1(A) shows the distribution of ZEF scores for women and men, and the distribution
of usage measures for frequency of meetings (B), duration of meetings (C) and burstiness
(i.e., time between video conference meetings) (D) by gender. All three measures of video
conferencing usage were positively correlated with fatigue (frequency, r = .17, p <.001;
duration, r = .11, p <.001; burstiness (i.e., less time between meetings), r = .18, p <.001;
see Table S1), suggesting that more frequent meetings, longer meetings, and less time
between meetings all corresponded to increased fatigue. A multiple regression with the
three VC usage measures predicting ZEF score was significant [F(3, 10444) = 226, p
<.001, Adj R2 = .06], with the largest coefficient for meeting duration (B = .16, SE = .01, p
<.001), followed by meeting frequency (B = .06, SE = .01, p <.001) and time between
meetings (B = .06, SE = .01, p <.001). Unstandardized coefficients are reported throughout
the regression analyses. This pattern suggests that meeting duration is more important than
frequency and burstiness for fatigue. The variance inflation factor (VIF) for the predictors
is below 2.00, which suggests the absence of multicollinearity.
Fig. 1. Density plot of ZEF score and histograms of video conference usage. Panel A
presents the density plot of ZEF score by gender (N = 10,332). Panels B, C and D
present by gender the three dimensions of video conference (VC) usage;
frequency, duration and burstiness as a measure of the amount of time between
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Gender differences in Zoom fatigue
Figure 1(A) shows the distribution of Zoom fatigue scores by gender of participants that
completed the ZEF scale (N = 10,332). Our next hypothesis predicted that women will
experience more Zoom fatigue than men. As predicted, women (M = 3.13, SD = .78)
reported a significantly higher level of Zoom fatigue than men (M = 2.75, SD = .81)
(t(5506) = -21.9, p <.001, d = .48). Compared to men, women reported 13.8% higher
Zoom fatigue.
Given that video conferencing usage is a strong predictor of fatigue, we examined if
patterns of video conference usage between men and women accounted for the gender
effect. Women reported having the same number of meetings per day as men, but
women’s meetings were significantly longer (p < .001, d = .27) and were more bursty (i.e.,
had less time in between) (p < .001, d = .10). To examine if the longer duration with
shorter breaks that characterized women’s meetings accounted for the gender fatigue
effect, we conducted a regression that included the usage measures and gender as
predictors of fatigue. The model was significant [F(4, 10190) = 281, p <.001, Adj R2 =
.10] and was significantly improved compared to the use measure only regression model
[Adj R2 = .06; F(1, 250) = 423, p <. 001]. Results revealed that the gender effect on
fatigue persisted (B = .35, SE = .02, p <.001), suggesting that even when controlling for
differences in meeting duration and time between meetings, women’s fatigue is higher
than men.
The text analysis of the language provided by participants in the open-ended question (N =
5359) revealed a gender effect consistent with women having longer meetings and
experiencing greater fatigue than men. The Meaning Extraction Method (MEM, 33)
identified three factors, or topics: (a) terms related to scheduling and fatigue, (b) video
conferencing terms and (c) terms related to social connection (see Table 1). The
scheduling and fatigue topic correlated significantly with participant ZEF scores (r = .13,
p < .001), suggesting that people who wrote more about scheduling and fatigue also had
higher ZEF scores. The other topics did not correlate with ZEF scores. Women more
frequently used language related to scheduling and fatigue than men [t(2520) = 5.96, p
<.001, d = .18)]. In contrast, women and men did not differ in how often they used terms
related to video conferencing [t(2288) = .93, p = .35] or social connection [t(2503) = .87, p
= .39].
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Table 1. Meaning Extraction Method (MEM) Factors, Terms and Loadings. This
table provides the eigenvalues (λ) for each factor (or topic), percent variance
explained (%) by the topic, the loadings for each term on that topic. The last row
describes the mean and (standard deviation) by gender of each participant’s
standardized composite score of the factor loadings (e.g., someone who has a 2.0
score on component 1 is 2 SD's above the mean on how frequently they used terms
from that topic).
Topic 1
Topic 2
Topic 3
Scheduling and Fatigue
Video Conferencing
Social Connection
.05 (1.02)
-.13 (.90)
.01 (1.00)
-.02 (1.00)
.01 (1.02)
-.02 (.92)
Mechanisms of Zoom fatigue
Our next hypothesis concerned the mechanisms that lead to Zoom fatigue. To test the
degree to which the five nonverbal mechanisms predicted Zoom fatigue we fitted a
multiple linear regression with mirror anxiety, physically trapped, hyper gaze, producing
and interpreting nonverbal cues as predictors. We analyzed the subset of data for which
we had the mechanisms questions (N = 7,846). The model was significant [F(5, 7841) =
641, p < .001] and accounted for 29% of the variance in fatigue scores. The largest
predictor of fatigue was being physically trapped (B = .32, SE = .01, p <.001) followed by
mirror anxiety (B = .17, SE = .06, p <.001), hyper gaze (B = .09, SE = .01, p <.001),
producing nonverbal cues (B = .06, SE = .01, p <.001) and interpreting nonverbal cues (B
= .06, SE = .01, p <.001). Gender influenced the degree to which participants reported
concerns with each of the nonverbal mechanisms. Compared to men, women reported
significantly higher levels of mirror anxiety (p < .001, d = .57), physically trapped (p <
.001, d = .40), hyper gaze (p < .001, d = .33), and producing nonverbal cues (p < .001, d =
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To test our hypothesis that increased self-focused attention for women underlies the
gender fatigue effect, we conducted a mediation analysis with mirror anxiety as the
mediator, gender as the predictor and fatigue score as the dependent variable using the
“mediation” package in R that also controlled for video conference usage. Using bootstrap
estimation (1000 samples) the analysis revealed that, as predicted, the fatigue gender
effect was significantly mediated by mirror anxiety (ACME = .19, 95% CI = [.16, .20]),
suggesting that women’s increased self-focused attention substantially mediated the
gender effect, accounting for 53% of the effect. A computational analysis of the use of
first-person singular pronouns (e.g., I, me, my) in the open-ended responses, which is a
linguistic marker of self-focused attention (36), was consistent with the mediation pattern
in the self-report data. Women used more first-person singular pronouns than men, and
first person singular pronouns were correlated with both mirror anxiety (r = . 09, p < .001)
and fatigue scores (r = .06, p < .001). The mediation analysis revealed that first person
singular significantly mediated the gender difference in fatigue (ACME = .01, 95% CI =
[0, .02], p < .01) (see Table S3).
Given the gender differences for the other nonverbal mechanisms, to understand how
these gender differences played a role in the fatigue gender effect, we ran a mediation
analysis with multiple mediators using the “lavaan” package in R. Using bootstrap
estimation (1000 samples), the analysis revealed significant indirect effects of gender on
Zoom fatigue through mirror anxiety, physically trapped, hyper gaze, and producing
nonverbal cues (see Figure 2). The total indirect effect including all the mediators and
covariates was significant (B = .23, SE = .01, 95% CI = [.20, .25]), and accounted for
approximately 66% of the total effect (B = .35, SE = .02, 95% CI [.31, .39]). The multiple
mediation analysis revealed that in addition to mirror anxiety, physically trapped (B = .08,
SE = .01, 95% CI = [.07, .09]), hyper gaze (B = .04, SE = .004, 95% CI = [.03, .04]), and
producing nonverbal cues (B = .01, SE = .01, 95% CI = [.01, .02]) were also significant
mediators. The indirect effects of mirror anxiety and being physically trapped were
significantly larger than hyper gaze or producing nonverbal cues (X2(1) > 44.4, p’s <.001).
Fig. 2. Multiple mediation model. The coefficients are unstandardized coefficients. ***p
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Exploratory individual factor analysis
Table 2 describes the association of several other individual factors with Zoom fatigue.
We found that age was negatively correlated with fatigue, suggesting that younger
individuals reported higher levels of fatigue. Both extraversion and emotional stability
were negatively correlated with fatigue, suggesting that more extroverted and emotionally
stable individuals reported lower levels of fatigue compared to more introverted and less
emotionally stable individuals.
Race was a significant predictor of ZEF scores, F(8, 10554) = 5.82, p <.001, though the
effect size was very small, Adj R2 = .004. Pairwise comparisons revealed that people
identifying as White had significantly lower ZEF scores than other categories of race (p’s
<.05), except for those identifying as Native Hawaiian, Pacific Islander or other (p’s = 1)
(see Figure 3).
Table 2. Bivariate correlations between ZEF scores, personality traits and age.
1. ZEF score
2. Extraversion
3. Agreeableness
4. Conscientiousness
5. Emotional stability
6. Openness
7. Age
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Fig. 3. ZEF score by race. This figure illustrates the average ZEF score for the nine
reported categories of race. The error bars denote 95% confidence intervals.
A multiple regression examining the gender effect on fatigue while controlling for age,
race, and personality was significant [F(8, 3158) = 54.3, p < .001], accounting for 12.1%
of the variance in fatigue scores, and revealed that the gender effect on fatigue (B = .27,
SE = .03, p <.001) persisted. Adding an interaction between age (mean-centered) and
gender to the multiple regression significantly improved the model (F(1, 7.1) =11.1, p
<.001). While women exhibit higher fatigue than men (B = .26, SE = .03) and age is
negatively associated with fatigue (B = -.02, SE = 0), the slope for age regressed on
fatigue for women is significantly smaller than the slope for men (B = .01, SE = 0),
suggesting that women report higher fatigue than men across the age span, but the
difference becomes larger as age increases (see Figure 4).
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Fig. 4. ZEF score across age and gender.
A subset of 2704 participants were randomly assigned to consider their experience with
either social or work video conferencing contexts (see Supplementary Materials). A two-
way ANOVA comparing the two groups revealed lower levels of fatigue after social video
conferences (M = 2.59, SE = .03) than work ones (M = 3.01, SE = .02) [F(1, 2690) =
46.75, p <.001, d = .48]. The gender effect, however, persisted across both contexts [F(1,
2690) = 42.67, p <.001, d = .40], with women reporting higher levels of fatigue than men
after both social and work video conferences, and gender did not interact with context.
Out of sample replication
To replicate the gender effect observed in our large convenience sample, we ran an out-of-
sample replication. A power analysis suggested a new sample of 788 participants to detect
a small effect size (d = .20) with 80% power, using a two-sample t-test with alpha at .05.
A total of 1,203 participants (located in the US) were recruited online through Amazon’s
Mechanical Turk worker system with a minimum HIT approval rate of 97%.
After data exclusion using the same criteria as the main study, 778 responses (464 men
and 314 women; Mage = 35.59, SD = 9.89) were included in the statistical analysis. The
distribution of races was: 10.5% of African or African-American or Black (n =82), 9.1%
of Asian or Asian-American (n = 71), 4.8% of Hispanic or LatinX (n = 37), .5% of
Indigenous or Native American (n = 4), .4% of Middle Eastern (n = 3), .4% of Native
Hawaiian or Pacific Islander (n = 3), 68.8% of White (n = 535), 5% of participants
identifying with more than one ethnic background (n = 39), .5% identified as an ethnic
background not listed or decline to answer (n = 4).
To minimize selection bias, participants were recruited to answer a survey on their usage
of video conferencing tools rather than on Zoom fatigue. The online survey included
questions about demographics and video conference usage along with the ZEF scale.
Women (M = 2.64, SD = .98) reported a significantly higher level of Zoom fatigue than
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men (M = 2.49, SD = .98) (t(776) = -2.24, p = .02, d = .16), which replicated the gender
effect found in the convenience sample.
In this study, using a large-scale, convenience sample of over ten thousand people, we
confirmed a number of hypotheses. First, Zoom fatigue increased with frequency, duration
of meetings, and burstiness (i.e., shorter time between meetings). Nonverbal mechanisms
were related to fatigue, and explained almost a third of the variance in the ZEF Score.
Women experienced more fatigue than men, even after controlling for differences in
usage, demographics and personality. In support of this gender fatigue effect from the ZEF
Scale, the text analysis revealed that women also were more likely than men to use terms
related to scheduling and fatigue when describing their video conference experience in
their open-ended responses.
Consistent with psychological research on self-focused attention and negative affect (11),
women experienced more mirror anxiety associated with the self-view in video
conferencing than men, and mirror anxiety was a primary mediator for the gender effect
on fatigue. Importantly, this mediation pattern was observed in both the self-report and
linguistic data, with women using more first-person singular pronouns than men, and this
pronoun difference mediated the gender fatigue effect. Given that production of first-
person singular has been used extensively as a measure of self-focused attention (34, 35,
43), these are compelling behavioral data that women were more self-focused when
describing their video conference experience than men. In addition to mirror anxiety, the
nonverbal mechanisms of hyper gaze and feeling physically trapped also mediated the
gender effect of fatigue, as did producing nonverbal behavior, although to a lesser degree.
Finally, exploratory analyses showed less fatigue for extraverts than for introverts, for
older people than for younger people, for social contexts than for work contexts, and for
white people compared to other races. The greater fatigue for women compared to men,
however, remained even when controlling for these additional variables.
The current research has several limitations. First, participants were recruited through
word of mouth, social media, and news media outlets publishing about Zoom fatigue. In
this way, the sample is not representative of the population and likely resulted in a sample
already holding an interest in the topic, which may have biased ZEF scores to be higher
than the average population. In this study, the mean ZEF scores for women and men are
respectively 3.13 and 2.75. This gender effect was observed again in the out of sample
replication although the scores were slightly lower than in our main study. This difference
might be expected because participants in the convenience sample were drawn to the topic
and may be particularly high in virtual meeting fatigue.
Another limitation is our reliance on self-report measures of Zoom fatigue and video
conference usage as opposed to behavioral measures given that several studies have found
people tend to overestimate media use when self-reporting (44, 45). Although in some
cases our linguistic measures correlated with their self-report counterparts. For example,
the frequency of first-person singular pronouns in the open-ended responses were not only
correlated with self-reported mirror anxiety, they also mediated the gender effect on
fatigue in the same way that mirror anxiety did.
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Finally, the mechanisms accounting for the cognitive load associated with interpreting and
producing nonverbal cues were each measured with a single item, as opposed to a scale
consisting of multiple items. Moreover, the mechanism around being physically trapped
had a low reliability for the three items (alpha = .56). It will be important in future studies
to strengthen the measurement tools used to quantify the different mechanisms.
Future directions
Zoom allows us to stay socially connected with family and friends and to work remotely
with colleagues, and provides an incredibly useful service. As the world transitions to the
post-pandemic era, in which the future of work is likely to be hybrid (3), it will be
important to maximize the benefits of video conferencing while reducing the
psychological costs, especially given that these costs are born unequally across society. As
the research on Zoom fatigue is in its infancy, more research is needed to understand the
causes and consequences of Zoom fatigue. First, video conferences are one of many types
of meetings and as the population returns to increasingly hybrid workspaces it is important
to study video conferences in comparison to face-to-face or phone meetings to uncover the
benefits and drawbacks of each of these meeting types. The longitudinal aspects of Zoom
fatigue have not been explored yet and following individuals’ Zoom fatigue during a
working week would provide insight into how Zoom fatigue accumulates and dissipates
over time, which would provide important information for organizing video conferencing
schedules. The findings on race, in which non-white respondents reported higher levels of
fatigue than white participants, were not predicted in this study and deserve urgent
research attention. The effect size was small--race accounted for less than one half one
percent of the variance in the ZEF Score--but nonetheless our research group is currently
working with scholars who specialize in race and media to explore this finding further.
Finally, given that these effects were observed with adults, it is imperative that future
research examine Zoom fatigue with children given that many children have been required
to use video conferencing for school and to maintain family and friend relationships.
Several researchers have already pointed at the disproportionate negative impact of
COVID on women such as greater economic hardships (46) heavier childcare load than
men (8), and also increased struggles with body image (47). In this way, our findings add
to the body of knowledge showing the disproportionate negative impact of the COVID
pandemic on women. While Zoom fatigue is an emerging concept that appeared during
the COVID pandemic due to the sudden increased reliance on video conferences to engage
in daily tasks, very little is known about its causes and consequences, leading to limited
knowledge concerning how to mitigate this new form of fatigue. Confirming the role
played by the nonverbal mechanisms such as mirror anxiety, feeling physically trapped,
hyper gaze and cognitive load associated with producing and interpreting nonverbal cues,
offers an opportunity to address these challenges.
Communication systems can be designed to allow for natural nonverbal behavior (48).
Individually, video conference users can take some time to assess their working station
and adapt their environment to alleviate mechanisms, such as feeling physically trapped
by, for example, using a standing desk or increasing the space between them and the
camera. The burden of reducing Zoom fatigue, however, should not be placed solely on
individuals as this can intensify inequities (e.g., not everyone can afford a standing desk).
Instead, these findings can help companies become aware of the extra Zoom fatigue
experienced by women and adapt their policies and culture at the institutional level. For
example, companies could prohibit the use of video in a subset of meetings, and provide
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guidelines on how frequent and long meetings should be, along with recommendations for
intervals between meetings. Companies could also support the use of asynchronous
nonverbal communication tools that have been argued to be beneficial for interpersonal
interaction (49). Finally, these findings can contribute to the design process of video
conference platforms companies, for example the default should be that the self-view is
hidden. Given that mirror anxiety accounted for a substantial amount of the gender effect,
changing the default self-view could help reduce the increased fatigue women report
relative to men.
Materials and Methods
Between February 22nd and March 12th, we recruited participants through word of mouth
with friends and colleagues, through social media, and also through news media outlets
who published a link to the ZEF Scale in their stories. A convenience sample of 14,760
individuals completed an online survey. Informed consent was obtained after the nature
and possible consequences of the studies were explained. Data analyses included only
responses from participants who (a) reported using video conferences on a daily basis, (b)
passed the attention check question (see Supplementary Materials), (c) were between 18
and 85 years old, and (d) had a minimum completion rate of 90% of the items for the
survey. These criteria resulted in a dataset of 10,591 responses with a completion rate over
During the month-long data collection, additional items were included at two time points
to the survey, leading to three subsets of data. For all three subsets, the survey included (a)
demographic questions: gender, age, and race, (b) the Zoom & Fatigue (ZEF) scale, (c)
video conference usage items and (d) open-ended responses about their video conference
experience. The second and third subsets also included items related to the five nonverbal
mechanisms. The third subset also included the Ten Item Personality Inventory
personality questionnaire.
The data analyses included responses from 10,591 participants, with 68.8% of women (n =
7284), 28.8% of men (n = 3048), .85% identifying as neither women nor men (n = 90),
and 1.6% declining to answer (n = 167). The age ranged between 18 and 85 years old (M
= 43.6, SD = 12.99). The distribution of races was: 2.3% of African or African-American
or Black (n =246), 7.2% of Asian or Asian-American (n = 764), 4.2% of Hispanic or
LatinX (n = 443), .3% of Indigenous or Native American (n = 30), .8% of Middle Eastern
(n = 80), .3% of Native Hawaiian or Pacific Islander (n = 26), 74.5% of White (n = 7892),
5.7% of participants identifying with more than one ethnic background (n = 602), 4.8%
identified as an ethnic background not listed or decline to answer (n = 508). ¨
Scales and items
Zoom Fatigue. The Zoom Exhaustion & Fatigue (ZEF) Scale is a 15-item scale (Fauville
et al., 2021) addressing five dimensions of fatigue (three items each): general, visual,
emotional, social and motivational. The items are answered on a 5-point Likert scale
ranging from 1 = “not at all” to 5 = “extremely” or from 1 = “never” to 5 = “always”. The
items inquire how respondents feel after video conferencing with sample items for the
respective five aspects of fatigue being “I feel tired”, “my eyes feel irritated”, “I feel
irritable”, “I avoid social situations”, and “I dread having to do things”. The ZEF score is
measured by computing the mean of the 15 items (M = 3.02, SD = .81, alpha = .94).
Video conference usage. The video conference usage was measured through three items,
namely frequency, duration and burstiness. To measure frequency, participants were asked
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to indicate “On a typical day, how many video conferences do you participate in” on a 7-
point Likert-scale ranging from 1 = “1” to 7 = “7 and more” (M = 3.69, SD = 1.77). To
measure duration, participants were asked to indicate “on a typical day, how long does a
typical video conference last” on a 5-point Likert-scale ranging from 1 = “Less than 15
minutes”, 2 = “15 to 30 minutes”, 3 = “30 to 45 minutes”, 4 = “45 minutes to an hour”,
and 5 = “More than an hour” (M = 3.93, SD = .80). To measure burstiness, participants
were asked to indicate “on a typical day, how much time do you have between your video
conferences?” As frequency, duration and burstiness are used to measure the level of
intensity of the video conferences experience, burstiness was reversed coded as less time
between meetings indicating high burstiness. The response options range from 1 = “More
than an hour”, 2 = “45 minutes to an hour”, 3 = “30 to 45 minutes”, 4 = “15 to 30
minutes”, and 5 = “Less than 15 minutes” (M = 3.47, SD = 1.51).
Open-ended question. The participants were invited to write down anything they wanted
to share about their experience with video conferences. A total of 5,359 participants
completed the open-ended question (word count: M = 54.5, SD = 51.06).
Mirror anxiety. This measure aimed to investigate how self-viewing while video
conferencing would associate with Zoom fatigue. This mechanism was measured by three
items on a 5-point Likert-scale from 1 = “not at all” to 5 = “extremely”. These items were
“During a video conference, how concerned do you feel about seeing yourself?”, “During
a video conference, how concerned do you feel about what people think of your
appearance?” and “During a video conference, how distracting is it to see yourself?” (M =
3.16, SD = .99, alpha= .79).
Physically trapped. To investigate how the restricted movements imposed by the need to
be in front of the camera while video conferencing would associate with Zoom fatigue, the
following three items were asked: “During a video conference, how often do you need to
stay seated?”, “During a video conference, how often do you feel you need to stay within
the camera’s frame?” and “During a video conference, how physically constrained do you
feel?” on a 5-point Likert scale from 1 = “never” to 5 = “not at all” and from 1 = “not at
all” to 5 = “extremely” (M = 4.12, SD = .69, alpha= .56).
Hyper gaze. A single-item scale was used to measure the perceived gaze of other
participants. Participants were asked to indicate “During a video conference, how often do
you feel like people are staring at you?” on a 5-point Likert from 1 = “never” to 5 =
“always” (M = 3.10, SD = 1.21).
Cognitive load linked to producing nonverbal cues. To account for the additional
cognitive load required to produce nonverbal cues, we asked “During a video conference,
how much do you need to think about your body language?” (M = 3.36, SD = 1.09),
answered through a 5-point Likert scale from 1 = “not at all” to 5 = “extremely”.
Cognitive load associated with interpreting nonverbal cues. To measure the cognitive load
associated with decoding other participants’ nonverbal cues, participants were asked to
indicate “During a video conference, how easy is it to interpret other people’s body
language?” (M = 3.62, SD = .90), on a 5-point Likert scale from 1 = “not at all” to 5 =
Personality traits. The Ten Item Personality Inventory (TIPI, 38) measures the following
five personality domains: extraversion, agreeableness, conscientiousness, emotional
stability, and openness to experience. Each domain was measured by two couples of
adjectives (e.g., for the extraversion dimension: “extraverted and enthusiastic” and
“reserved and quiet”). The participants were asked to indicate how much they saw
Electronic copy available at:
themselves in 10 couples of adjectives on a 5-point Likert scale ranging from 1 = “not at
all” to 5 = “extremely”. Moreover, for participants completing the TIPI, participants were
randomly assigned to one of the two conditions: (a) in the Work condition, participants
were asked to answer the survey from the perspective of their work-related video
conference calls (e.g., having a work meeting or taking/giving a class); (a) in the Social
condition, the participants were prompted to answer the survey from their experience with
video conference calls for social purposes (e.g., virtual parties with friends).
Statistical analysis
All the data analyses were conducted in R (version 4.0.2). Bivariate correlations were
conducted in Pearson correlation, and Spearman rank correlation when necessary (in
Supplementary Materials). Multiple linear regressions used the standard regression R
package. Single-mediator analysis of mirror anxiety was non-parametrically estimated
using the R package mediation. The multiple-mediation model was estimated using a path
analysis in the R package lavaan.
For the computational text analysis, we used a standard analytic tool Linguistic Inquiry
and Word Count (LIWC; 40) to quantify the use of first-person singular pronouns (e.g.,
me, my, I) as a percentage of total word count, which we used as a measure of self-
focused attention (34). We also employed the Meaning Extraction Method (MEM, 33) that
uses a factor analytic approach to identify meaningful word clusters within a corpus of
text (41). A basic assumption of MEM is that different words that reflect a common topic
will cluster together to form a relevant topic category amenable for subsequent analysis
(42). The MEM is a two-step process: In step one, the text of each participant's open-
ended response was entered into the Meaning Extraction Helper, Version 2 (32) for basic
data preparation procedures, including segmentation, lemmatization, and frequency
counts. We excluded any participant responses that were less than five words long, and
following Chung and Pennebaker’s criteria (33), only root words that were used in at least
5.0% of the responses were retained. In step two, we conducted a principal components
analysis with varimax rotation, and we retained terms that loaded at .20 or higher.
The results of the MEM analysis (Kaiser-Meyer-Olkin (KMO) = . 659, Bartlett’s test =
16322.03, p < .001) revealed three factors that accounted for 11.7% of the variance (see
Table 1). The first factor, scheduling and fatigue, detailed words related to meeting
schedules “long” “meeting” “break” and feeling tired “exhausted”. The second factor,
video conferencing, included terms that related to video conferencing generally versus the
platform “Zoom” specifically. The third factor, social connection, identified relationships
“friend” “family” and the terms “social” and “connect.”
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We are thankful for assistance in this research from Tobin Asher, Sunny Liu, Carlyn
Strang, David Markowitz and Jet Toner. Thanks also to Tobin Asher, Norah Dunbar, Amy
Gonzales, Eugy Han, Sabrina Huang, Hanseul Jun, Hannah Mieczkowski, David Miller,
Andrea Stevenson Won and Rabindra Ratan for their helpful feedback on an earlier draft
of this paper.
Knut och Alice Wallenberg grant 20170440
National Science Foundation grant IIS-1800922
National Science Foundation grant CMMI-1840131
National Science Foundation grant CHS-1901329
Author contributions:
Conceptualization: GF, ML, AQ, JB, JH
Methodology: GF, ML, AQ, JB, JH
Formal analysis: ML
Data curation: GF, ML
Writing: GF, ML, AQ, JB, JH
Supervision: JB, JH
Competing interests: All other authors declare they have no competing interests.
Data and materials availability: Data and material are available at
Electronic copy available at:
... Others have found that the use and presence of smartphones may become habitual or non-habitual "digital distractions" that students must learn to minimize (Aagaard, 2021;Swar & Hameed, 2018). Furthermore, some studies have pointed out how, despite its positive effects, the use of web cameras can add to one's cognitive load and contribute to the development of different forms of social anxiety, such as mirror anxiety, owing to increased selffocus (e.g., Castelli & Sarvary, 2021;Fauville et al., 2021). All in all, more work is needed to gain an in-depth understanding of the different sides of (dis)engagement and the factors that contribute to students' positive and negative feelings, attitudes, and experiences in online learning environments. ...
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... While for some students and in some situations, it facilitated engagement in the situation, for others it presented challenges, such as mirror anxiety (cf. Fauville et al., 2021) induced by a heightened awareness of one's own appearance. This conflicts somewhat with the wish to be visible (and thereby socially "maximally" present and connected), and emotionally engaged. ...
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This chapter provides an overview of building and improving upon a psychiatry training program didactic curriculum. It explores how to include the didactic elements required by the ACGME while aligning with the goals and values of the specific training program, institution, and community served. It provides options for developing one’s own curriculum and supplementing with nationally developed curricula on different topics. The chapter considers who is appropriate to teach the training program didactics, when to hold didactics, and offers tips for different types of learning activities. Finally, it outlines how to appropriately assess and improve the curriculum over time.
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COVID-19 has caused dramatic effects on the world economy, business activities, and people. But digitization is also helping many companies to adapt and overcome the current situation caused by COVID-19. The growth in the use of technology in the daily lives of people and companies to face this exceptional situation is an evidence of the digital acceleration process. This exploratory study analyzes the impact of digital transformation processes in three business areas: labor and social relations, marketing and sales, and technology. The impact of digitalization is expected to be transversal to each area and will encourage the emergence of new digital products and services based on the principle of flexibility. Additionally, new ways of working will foster the demand for new talent regardless of people's geographical location. Moreover, cybersecurity and privacy will become two key elements that will support the integrated development of the Internet of Things technology solutions, artificial intelligence, big data, and robotics.
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The COVID-19 pandemic has resulted in school closures and distancing requirements that have disrupted both work and family life for many. Concerns exist that these disruptions caused by the pandemic may not have influenced men and women researchers equally. Many medical journals have published papers on the pandemic, which were generated by researchers facing the challenges of these disruptions. Here we report the results of an analysis that compared the gender distribution of authors on 1893 medical papers related to the pandemic with that on papers published in the same journals in 2019, for papers with first authors and last authors from the United States. Using mixed-effects regression models, we estimated that the proportion of COVID-19 papers with a woman first author was 19% lower than that for papers published in the same journals in 2019, while our comparisons for last authors and overall proportion of women authors per paper were inconclusive. A closer examination suggested that women’s representation as first authors of COVID-19 research was particularly low for papers published in March and April 2020. Our findings are consistent with the idea that the research productivity of women, especially early-career women, has been affected more than the research productivity of men.
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How might nonverbal synchrony naturally evolve in a social virtual reality environment? And how can avatar embodiment affect how participants coordinate nonverbally with each other? In the following pre-registered between-subjects experiment, we tracked the movements of pairs of users during a collaborative or competitive task in immersive virtual reality. Each conversational partner controlled either a customized avatar body or an abstract cube that responded to their movements. We compared the movements of the actual user pairs between the two conditions, and to an artificial "pseudosynchrony" dataset composed of the movements of randomly combined participant pairs who did not actually interact. We found stronger positive and negative correlations between real pairs compared to pseudosynchronous pairs, providing evidence for naturally occurring nonverbal synchrony between pairs in virtual reality. We discuss this in the context of the relationships between avatar appearance, task success, social closeness and social presence.
“Zoom fatigue”—theorized here as part of a larger experience with computer-mediated communication (CMC) exhaustion—has emerged as a common negative experience through prolonged use of CMC platforms. Despite CMC exhaustion’s ubiquity, the relatively novel phenomenon has caused much speculation for its root causes with little information pinpointing why it occurs. Utilizing research, observations, and personal accounts, this article explores synchronous online consultations (SOCs) within writing centers as matching sites to ponder the basis for CMC exhaustion. In doing so, third skins are proposed to account for how nuanced differences in space between SOCs and face-to-face exchanges mean participants are not engaged as human actors but “flattened” into a totality of third skin comprising person, background, and technology. The resulting transformation and our bodies exerting substantial cognitive efforts to interact with this transformation are theorized to produce CMC exhaustion. The implications for this are twofold: 1) for readers interested in the underlying causes of CMC exhaustion, this work presents a framework to test the ideas proposed and develop mitigating strategies, and 2) for readers who study SOCs, third skins might explain previously observed limitations in the effectiveness of visuality in CMC.