Evidence map›Paper›PMID 33411670›Full record

ArticleJournal of medical Internet research2021

Mental Health Among Medical Professionals During the COVID-19 Pandemic in Eight European Countries: Cross-sectional Survey Study.

Svenja Hummel, Neele Oetjen, Junfeng Du, Elisabetta Posenato, Rosa Maria Resende de Almeida, Raquel Losada, Oscar Ribeiro, Vincenza Frisardi, Louise Hopper, Asarnusch Rashid and 8 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06433544 (Evaluating the Effects of Online Mindfulness Therapy on Pandemic Fatigue and Resilience Among Nurses in COVID-19 Quarantine Wards), which is not on this map. Cited by 97 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 3 pooled it
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06433544 nacompletednot on this mapstarted 2022, after this paper: background citation

Evaluating the Effects of Online Mindfulness Therapy on Pandemic Fatigue and Resilience Among Nurses in COVID-19 Quarantine Wards

TypeinterventionalSponsorChimei Medical CenterRan2022 to 2023Enrolled60ConditionsMindfulness, Nurses in COVID-19, Pandemic Fatigue, ResilienceArms6-week online mindfulness course
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 3 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Pooled it
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  4. Psychometric validation of a cognition and social participation bolt-on for the EQ-5D-5L in SARS-CoV-2 infected German healthcare workers.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  6. Anxiety and depression among Moroccan radiographers working in radiotherapy.Environmental and occupational health practice · 2026
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 8 countries.

Svenja Hummel *Department of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-2081-7918
Neele Oetjen *Department of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-2816-7665
Junfeng DuDepartment of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-4803-7534
Elisabetta PosenatoDepartment of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-1350-1766
Rosa Maria Resende de AlmeidaIntras Foundation, Valladolid, Spain.ORCID 0000-0003-3721-7214
Raquel LosadaIntras Foundation, Valladolid, Spain.ORCID 0000-0002-1697-7655
Oscar RibeiroCenter for Health Technology and Services Research, Department of Education and Psychology, University of Aveiro, Aveiro, Portugal.ORCID 0000-0003-4740-7951
Vincenza FrisardiGeriatric and NeuroRehabilitation Department, AUSL-IRCCS Reggio Emilia, Emilia, Italy.ORCID 0000-0003-0764-7387
Louise HopperSchool of Psychology, Faculty of Science and Health, Dublin City University, Dublin, Ireland.ORCID 0000-0002-9382-5241
Asarnusch RashidZTM Bad Kissingen GmbH, Bad Kissingen, Germany.ORCID 0000-0003-1221-1828
Habib NasserR&D Department, RDIUP, Les Mureaux, France.ORCID 0000-0002-8135-5211
Alexandra KönigMemory Clinic, Institut Claude Pompidou, Nice, France.ORCID 0000-0001-9960-9657
Gottfried RudofskyClinic for endocrinology and metabolic disorders, Kantonspital Olten, Olten, Switzerland.ORCID 0000-0002-2576-7190
Steffi WeidtDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID 0000-0001-5267-8217
Ali ZafarDepartment of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-1305-7407
Nadine GronewoldDepartment of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-2811-948X
Gwendolyn MayerDepartment of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-5886-3226
Jobst-Hendrik SchultzDepartment of General Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-9433-3970
Heidelberg University · DEFundación INTRAS · ESAzienda Sanitaria Unità Locale di Reggio Emilia · ITCentre Pompidou · FRDublin City University · IEKantonsschule Olten · CHLaboklin (Germany) · DEUniversity of Aveiro · PTUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. COVID-19 has caused an immense psychological burden on the population, especially among doctors and nurses who are faced with high infection risks and increased workload.

objectiveThe aim of this study was to compare the mental health of medical professionals with nonmedical professionals in different European countries during the COVID-19 pandemic. We hypothesized that medical professionals, particularly those exposed to COVID-19 at work, would have higher levels of depression, anxiety, and stress. We also aimed to determine their main stressors and most frequently used coping strategies during the crisis.

methodsA cross-sectional online survey was conducted during peak COVID-19 months in 8 European countries. The questionnaire included demographic data and inquired whether the participants were exposed to COVID-19 at work or not. Mental health was assessed via the Depression Anxiety Stress Scales32 (23.53)-21 (DASS-21). A 12-item checklist on preferred coping strategies and another 23-item questionnaire on major stressors were completed by medical professionals.

resultsThe sample (N=609) consisted of 189 doctors, 165 nurses, and 255 nonmedical professionals. Participants from France and the United Kingdom reported experiencing severe/extremely severe depression, anxiety, and stress more often compared to those from the other countries. Nonmedical professionals had significantly higher scores for depression and anxiety. Among medical professionals, no significant link was reported between direct contact with patients with COVID-19 at work and anxiety, depression, or stress. "Uncertainty about when the epidemic will be under control" caused the most amount of stress for health care professionals while "taking protective measures" was the most frequently used coping strategy among all participants.

conclusionsCOVID-19 poses a major challenge to the mental health of working professionals as a considerable proportion of our participants showed high values for depression, anxiety, and stress. Even though medical professionals exhibited less mental stress than nonmedical professionals, sufficient help should be offered to all occupational groups with an emphasis on effective coping strategies.

Indexed as

COVID-19Cross-Sectional StudiesDepressionFemaleHealth PersonnelHumansInternetMaleMental HealthPandemicsSARS-CoV-2Stress, PsychologicalSurveys and QuestionnairesanxietycopingCOVID-19depressionEuropemedical professionalsmental healthstressstressors

Identifiers

PMID33411670
PMCPMC7817254
OpenAlexW3106810451

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.