ArticleScientific reports2021
A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 137 papers, 7 of them syntheses that pooled it.
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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
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Who cites it
137 citing papers in PubMed, 7 syntheses or guidelines pooled it, 220 citations in OpenAlex.
- Post-pandemic stress of COVID-19 among high-risk groups: A systematic review and meta-analysis.Journal of affective disorders · 2022Pooled it
- A systematic review and meta-analysis of the mental health symptoms during the Covid-19 pandemic in Southeast Asia.Psychiatry and clinical neurosciences · 2022Pooled it
- A Systematic Review and Meta-Analysis of Symptoms of Anxiety, Depression, and Insomnia in Spain in the COVID-19 Crisis.International journal of environmental research and public health · 2022Pooled it
- Pooled it
- Effects of the COVID-19 pandemic on the mental health of rehabilitation area professionals: A systematic review.Frontiers in public health · 2022Pooled it
- Onset and frequency of depression in post-COVID-19 syndrome: A systematic review.Journal of psychiatric research · 2021Pooled it
- COVID-19 Pandemic and Overall Mental Health of Healthcare Professionals Globally: A Meta-Review of Systematic Reviews.Frontiers in psychiatry · 2021Pooled it
- Managing the COVID-19 pandemic in people with mental disorders: An exploratory telephone interview study in a psychiatric outpatient department.Comprehensive psychiatry · 2022Trial
- Long-term enhancement mechanisms of peer support on college students' mental health: testing a chain mediation model based on three-year longitudinal tracking.BMC psychology · 2026Article
- Long-term symptoms after SARS-CoV-2 infection in a cohort of healthcare workers in Qatar.BMC infectious diseases · 2025Article
- COVID-19 Pandemic and Sleep Health in Polish Female Students.Journal of clinical medicine · 2025Article
- Too much social media to sleep: the chained mediation effect of information strain and depressive symptoms on the relationship between social media overload and insomnia.BMC public health · 2025Article
- Internet addiction and its association with quality of life in college students: a network perspective.Frontiers in psychiatry · 2025Article
- A cross-sectional online survey of depression symptoms among New Zealand's Asian community in the first 10 months of the COVID-19 pandemic.Journal of the Royal Society of New Zealand · 2025Article
- The Association of Physical Symptoms and Psychological Problems in the Indonesian Community During the COVID-19 Outbreak.Journal of caring sciences · 2024Article
- Compounded Effects of Multiple Global Crises on Mental Health: A Longitudinal Study of East German Adults.Journal of clinical medicine · 2024Article
- Article
- Societal influence and psychological distress among Indonesian adults in Java on the early Omicron wave of COVID-19.Future science OA · 2023Article
- The psychological impact of the COVID-19 pandemic and the role of resilience: cross cultural differences between Brazil, Italy, and the United States.BMC public health · 2023Article
- Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients - an observational study of five cohorts across four countries.The Lancet regional health. Europe · 2023Article
77 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
32 authors at 14 institutions in 11 countries.
Funding
Abstract
The novel Coronavirus-2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO) in March 2020, impacting the lifestyles, economy, physical and mental health of individuals globally. This study aimed to test the model triggered by physical symptoms resembling COVID-19 infection, in which the need for health information and perceived impact of the pandemic mediated the path sequentially, leading to adverse mental health outcomes. A cross-sectional research design with chain mediation model involving 4612 participants from participating 8 countries selected via a respondent-driven sampling strategy was used. Participants completed online questionnaires on physical symptoms, the need for health information, the Impact of Event Scale-Revised (IES-R) questionnaire and Depression, Anxiety and Stress Scale (DASS-21). The results showed that Poland and the Philippines were the two countries with the highest levels of anxiety, depression and stress; conversely, Vietnam had the lowest mean scores in these areas. Chain mediation model showed the need for health information, and the perceived impact of the pandemic were sequential mediators between physical symptoms resembling COVID-19 infection (predictor) and consequent mental health status (outcome). Excessive and contradictory health information might increase the perceived impact of the pandemic. Rapid COVID-19 testing should be implemented to minimize the psychological burden associated with physical symptoms, whilst public mental health interventions could target adverse mental outcomes associated with the pandemic.
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