ArticleInternational journal of environmental research and public health2020
The Mediating Role of Internalized Stigma and Shame on the Relationship between COVID-19 Related Discrimination and Mental Health Outcomes among Back-to-School Students in Wuhan.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 40 citations in OpenAlex.
- Correlation Between Chinese Surgical Nurses' Perception of Holistic Humanistic Caring and Their Experience of Workplace Violence: A Cross-Sectional Study.Journal of nursing management · 2026Article
- Psychometric testing of the theory of planned behavior-based self-employment intention scale and its application among Chinese undergraduate nursing students.BMC nursing · 2025Article
- Discrimination and Mental Health Among Black and Latino People Living with HIV: Understanding the Role of Religion and Spirituality.AIDS and behavior · 2025Article
- The knowledge, attitudes, and practices of thoracic surgical nurses towards postoperative pulmonary rehabilitation.BMC pulmonary medicine · 2025Article
- Healthcare professionals' knowledge, attitude and practice towards ischemic bowel disease.World journal of gastrointestinal surgery · 2025Article
- Knowledge, Attitude, and Belief of Healthcare Professionals Toward Obesity Stigmatization.Journal of multidisciplinary healthcare · 2025Article
- Role of Stigma in Moderating the Effects of Loneliness on Mental Health Problems Among Patients With COVID-19 in South Korea.Psychiatry investigation · 2024Article
- Mediating role of resilience in the relationship between COVID-19 related stigma and mental health among COVID-19 survivors: a cross-sectional study.Infectious diseases of poverty · 2023Article
- Article
- Nursing Clinical Teachers' Knowledge, Attitudes, and Practices about Nursing Students Suffering from Workplace Violence in China: A Cross-Sectional Survey.Journal of nursing management · 2023Article
- Academic performance and mental health among Chinese middle and high school students after the lifting of COVID-19 restrictions.Frontiers in psychiatry · 2023Article
- Can a brief session of the online coronavirus disease 2019 destigmatization program reduce stigma among survivors? A randomized controlled trial.Frontiers in psychiatry · 2023Article
- The differential roles of shame and guilt in the relationship between self-discrepancy and psychological maladjustment.Frontiers in psychology · 2023Article
- The dynamic impact of Joint Awareness on Quality of Life after Total Knee Arthroplasty: a longitudinal study.Journal of orthopaedic surgery and research · 2022Article
- Has the COVID-19 pandemic affected nursing students' career self-efficacy and professional calling? The mediating impact of professional identity.BMC medical education · 2022Article
- COVID-19 related stigma among the general population in Iran.BMC public health · 2022Article
- The Illness Experience of Long COVID Patients: A Qualitative Study Based on the Online Q&A Community Zhihu.International journal of environmental research and public health · 2022Article
- Relationship between COVID-19-specific occupational stressors and mental distress in frontline and non-frontline staff.Heliyon · 2022Article
- Development and psychometric validation of new questionnaires assessing experienced discrimination and internalised stigma among people with Covid-19.Epidemiology and psychiatric sciences · 2022Article
- Relation of perceived discrimination with depression, insomnia and post-traumatic stress in COVID-19 survivors.Psychiatry research · 2022Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Outbreaks of an epidemic, such as coronavirus disease 2019 (COVID-19), always brings about far-ranging discrimination and stigmatization to the epicenter. This was a cross-sectional survey conducted to assess experienced discrimination, internalized stigma, shame, and mental health (anxiety, depression, distress, insomnia) among college students who merely had a perceived linkage with COVID-19, and explore the linkage between discrimination and negative mental health outcomes through the mediating effects of shame and internalized stigma. A total of 995 participants (53% female) were involved in this study, in which 40.9% of college students were reported to be discriminated against because of their experience in Wuhan. The experience of COVID-19-related discrimination is indirectly associated with anxiety, depression, and insomnia, in which shame and internalized stigma play a complete mediating effect. Meanwhile, it is both directly and indirectly associated with distress through shame and internalized stigma. The findings of this study suggest that COVID-19-related discrimination is associated with shame and internalized stigma, which in turn predict psychological symptoms over time.
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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.