ArticleBehavioral sciences (Basel, Switzerland)2020
The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic.
Article in Behavioral sciences (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Meta-analytic evidence of depression and anxiety in Eastern Europe during the COVID-19 pandemic.European journal of psychotraumatology · 2022Pooled it
- The use of recommended vaccinations among patients with chronic diseases in relation to attitudes toward vaccination and anxiety levels.BMC infectious diseases · 2025Observational
- Trauma Exposure, Insomnia, and Fatigue: A Cross-Sectional Study of the Pathways to Burnout Among South African First Responders.Health science reports · 2025Article
- Experience of pre-suicidal suffering: insights from suicide attempt survivors.International journal of qualitative studies on health and well-being · 2024Article
- Gender sensitivity of the COVID-19 mental health research in Europe: a scoping review.International journal for equity in health · 2024Article
- Exploring Burnout, Work Addiction, and Stress-Related Growth among Prehospital Emergency Personnel.Behavioral sciences (Basel, Switzerland) · 2024Article
- Impact of COVID-19-Induced Academic Stress on Insomnia and Suicidal Ideation among Taiwanese Health Trainees and Junior Doctors.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Residency training programs in anesthesiology, intensive care and emergency medicine: from curriculum to practice.Frontiers in medicine · 2024Article
- Does engagement help to reduce insomnia when workers are emotionally exhausted?Sleep and biological rhythms · 2023Article
- The Mediation Chain Effect of Cognitive Crafting and Personal Resources on the Relationship between Role Ambiguity and Dentists' Emotional Exhaustion.International journal of environmental research and public health · 2022Article
- The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic.Healthcare (Basel, Switzerland) · 2022Review
- Assessment of Professional Quality of Life Among Critical Care Nurses During the COVID-19 Pandemic in Saudi Arabia.Journal of healthcare leadership · 2022Article
- Association between sleep disturbance and mental health of healthcare workers: A systematic review and meta-analysis.Frontiers in psychiatry · 2022Review
- Validity and reliability of the Secondary Traumatic Stress Scale-Japanese version.Neuropsychopharmacology reports · 2021Article
- The Role of Healthcare Professionals' Passion in Predicting Secondary Traumatic Stress and Posttraumatic Growth in the Face of COVID-19: A Longitudinal Approach.International journal of environmental research and public health · 2021Article
- Infodemia: Another Enemy for Romanian Frontline Healthcare Workers to Fight during the COVID-19 Outbreak.Medicina (Kaunas, Lithuania) · 2020Article
- The Moderating Role of Personal Resources Between Demands and Ill-Being of Romanian Healthcare Professionals in the COVID-19 Pandemic.Frontiers in public healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The outbreak of coronavirus disease (COVID-19) brought significant psychological implications for healthcare professionals. We aimed to investigate the serial mediation effect of insomnia and exhaustion in the relationship between secondary traumatic stress (STS) and mental health complaints among the frontline healthcare professionals during the COVID-19 pandemic. In this cross-sectional study, 126 frontline healthcare workers from Romania completed validated surveys between March and April 2020. PROCESS macros were used to test the proposed hypotheses of the three-path mediation model. We computed the models for insomnia as the first mediator (M1) and exhaustion (M2) as our second mediator. STS was significantly related to insomnia. Insomnia was significantly related to exhaustion, and STS was positively related to exhaustion. In the third model, exhaustion was strongly and positively related to mental health complaints. The total indirect effect was positive, and the sequential indirect impact of STS on mental health complaints via both mediators in series (insomnia and exhaustion) was significant. Secondary traumatic stress had a positive direct effect on mental health complaints. In our limited sample, the results show that frontline medical staff during the COVID-19 outbreak have high STS, which are related to mental health complaints through insomnia and exhaustion.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.