ArticlePloS one2021
The psychological effects of COVID-19 on hospital workers at the beginning of the outbreak with a large disease cluster on the Diamond Princess cruise ship.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.Psychiatry research · 2022Pooled it
- Psychological distress among healthcare providers during COVID-19 in Asia: Systematic review and meta-analysis.PloS one · 2021Pooled it
- Risk-Adjusted Inpatient Falls as Indicators of Health System Performance During the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2026Article
- General and event-related psychological stress, and suicidal ideation among hospital workers during the coronavirus disease 2019 pandemic: Findings from the third wave of repeated cross-sectional studies.PCN reports : psychiatry and clinical neurosciences · 2025Article
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- The sustained psychological impact of coronavirus disease 2019 pandemic on hospital workers 2 years after the outbreak: a repeated cross-sectional study in Kobe.BMC psychiatry · 2023Article
- Difficulties and distress experienced by Japanese public health nurses specializing in quarantine services when dealing with COVID-19: A qualitative study in peri-urban municipality.AIMS public health · 2023Article
- Dimensions of emotional distress among Brazilian workers in a COVID-19 reference hospital: A factor analytical study.World journal of psychiatry · 2022Article
- Psychological impact of the COVID-19 pandemic on hospital workers in Kobe: A cross-sectional survey.PCN reports : psychiatry and clinical neurosciences · 2022Article
- Psychological symptoms and related risk factors among healthcare workers and medical students during the early phase of the COVID-19 pandemic in Japan.PCN reports : psychiatry and clinical neurosciences · 2022Article
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- Article
- Mental health crisis in healthcare providers in the COVID-19 pandemic: a cross-sectional facility-based survey.BMJ open · 2021Article
- Gender-Based Analysis of the Psychological Impact of the COVID-19 Pandemic on Healthcare Workers in Spain.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
24 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of the present study was to investigate the psychological effects of the COVID-19 outbreak and associated factors on hospital workers at the beginning of the outbreak with a large disease cluster on the Diamond Princess cruise ship. This cross-sectional, survey-based study collected demographic data, mental health measurements, and stress-related questionnaires from workers in 2 hospitals in Yokohama, Japan, from March 23, 2020, to April 6, 2020. The prevalence rates of general psychological distress and event-related distress were assessed using the 12-item General Health Questionnaire (GHQ-12) and the 22-item Impact of Event Scale-Revised (IES-R), respectively. Exploratory factor analysis was conducted on the 26-item stress-related questionnaires. Multivariable logistic regression analysis was performed to identify factors associated with mental health outcomes for workers both at high- and low-risk for infection of COVID-19. A questionnaire was distributed to 4133 hospital workers, and 2697 (65.3%) valid questionnaires were used for analyses. Overall, 536 (20.0%) were high-risk workers, 944 (35.0%) of all hospital workers showed general distress, and 189 (7.0%) demonstrated event-related distress. Multivariable logistic regression analyses revealed that 'Feeling of being isolated and discriminated' was associated with both the general and event-related distress for both the high- and low-risk workers. In this survey, not only high-risk workers but also low-risk workers in the hospitals admitting COVID-19 patients reported experiencing psychological distress at the beginning of the outbreak.
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