ArticleBrain and behavior2021
A mediating role for mental health in associations between COVID-19-related self-stigma, PTSD, quality of life, and insomnia among patients recovered from COVID-19.
Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05639855 (Study on Mental Health-related Stigma), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.
What it found
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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
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.
Study on Mental Health-related Stigma: Attitudes and Values of University Students Towards People With Mental Disorders
Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The scar that takes time to heal: A systematic review of COVID-19-related stigma targets, antecedents, and outcomes.Frontiers in psychology · 2022Pooled it
- Post-COVID-19 Public Health Challenges: Insights Into Post-COVID Symptoms, Stigma, and Post-Pandemic Recovery Support From the Vietnam Experience.Public health challenges · 2026Article
- Frontline clinicians' perceptions of the stigmatization of covid-19 and suggestions to prevent future health-related stigma: a qualitative study.BMC public health · 2026Article
- Article
- Preliminary effects and feasibility of a school-based regular aerobic exercise intervention on PTSD-related symptoms among college students: a single-group pre-post study.Frontiers in public health · 2026Article
- Quality of life, insomnia, attitudes and beliefs in women undergoing chemotherapy for breast cancer: a cross-sectional study in Amol city Northern Iran.BMC women's health · 2025Article
- Post infectious fatigue and circadian rhythm disruption in long-COVID and other infections: a need for further research.EClinicalMedicine · 2025Review
- Comorbidity Network of Self-Stigma, Insomnia, and Mental Health in Chronic Disease Patients: A Network Analysis.Psychology research and behavior management · 2025Article
- Investigation and analysis of sleep and mental health status among MEFCs.Frontiers in psychiatry · 2025Article
- Acute and long-term effects of COVID-19 on brain and mental health: A narrative review.Brain, behavior, and immunity · 2025Review
- The relationship between sleep quality and depressive symptoms in older adults: the mediated role of muscle strength (dynapenia).BMC public health · 2024Article
- COVID testing hesitancy among pregnant patients: lessons learned from the COVID-19 pandemic about the unique needs and challenges of medically complex populations.BMC pregnancy and childbirth · 2024Article
- Role of Stigma in Moderating the Effects of Loneliness on Mental Health Problems Among Patients With COVID-19 in South Korea.Psychiatry investigation · 2024Article
- Evaluation of the psychometrics of the Social Impact Scale and its association with depression among asymptomatic COVID-19 carriers.BJPsych open · 2024Article
- Insomnia, anxiety and related disorders: a systematic review on clinical and therapeutic perspective with potential mechanisms underlying their complex link.Neuroscience applied · 2024Review
- Article
- COVID-19 and Sleep Disturbances: A Literature Review of Clinical Evidence.Medicina (Kaunas, Lithuania) · 2023Review
- 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
- Prediction Models for Sleep Quality Among College Students During the COVID-19 Outbreak: Cross-sectional Study Based on the Internet New Media.Journal of medical Internet research · 2023Article
- Stigma, Post-traumatic Stress, and COVID-19 Vaccination Intent in Mongolia, India, and the United States.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
introductionPatients with COVID-19 often suffer from psychological problems such as post-traumatic stress disorder (PTSD) and self-stigmatization that may negatively impact their quality of life and sleep. This study examined mental health as a potential mediating factor linking self-stigmatization and PTSD to quality of life and sleep.
methodsUsing a cross-sectional design, 844 people who had recovered from COVID-19 were called and interviewed. Data were collected using structured scales. Structural equation modeling was applied to assess fitness of a mediation model including self-stigma and PTSD as independent factors and quality of life and insomnia as dependent variables.
resultsMental health, COVID-19-related self-stigma, and mental quality of life were associated. Insomnia, PTSD, and COVID-19-related self-stigma displayed significant direct associations (r = .334 to 0.454; p < .01). A mediation model indicated satisfactory goodness of fit (CFI = 0.968, TLI = 0.950, SRMR = 0.071, RMSEA = 0.068). Mental health as a mediator had negative relationships with COVID-19-related self-stigma, PTSD, and insomnia and positive associations with quality of life.
conclusionMental health may mediate effects of COVID-19-related self-stigma and PTSD on quality of life and insomnia. Designing programs to improve mental health among patients with COVID-19 may include efforts to reduce negative effects of PTSD and COVID-19-related self-stigma on quality of life and insomnia.
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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.