ArticleFrontiers in psychology2021
The Impact of COVID-19-Related Work Stress on the Mental Health of Primary Healthcare Workers: The Mediating Effects of Social Support and Resilience.
Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.
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Who cites it
56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- The impact of social support on anxiety and depression under the context of COVID-19 pandemic: a systematic review and meta-analysis.Frontiers in psychology · 2026Pooled it
- The Work Environment during Coronavirus Epidemics and Pandemics: A Systematic Review of Studies Using Quantitative, Qualitative, and Mixed-Methods Designs.International journal of environmental research and public health · 2022Pooled it
- Perceived COVID-19 threat and job satisfaction among healthcare workers: the indirect role of job stress and the moderating role of coping strategies.BMC psychology · 2026Article
- Factors associated with nurses' physical and psychological quality of life during the COVID-19 pandemic: a multicentre analytical cross-sectional study.BMC nursing · 2026Article
- Interventions for improving resilience among healthcare workers: a systematic map.Npj mental health research · 2026Review
- Organisational, hygiene- and team-related changes in German general practices during and after the COVID-19 pandemic: a participatory cross-sectional survey among medical assistants (WiSBAH study).BMC public health · 2026Article
- Exploring the mediating role of psychological resilience between social support and anxiety in nurses: a cross-sectional study in Chengdu, Sichuan, China.Frontiers in public health · 2026Article
- Positive psychological changes and associated factors among community health workers post-COVID-19 in China: a mixed-methods study.Frontiers in public health · 2026Article
- The influence of social network on depressive and anxiety symptoms during the COVID-19 pandemic: findings from a Swedish cohort study.BJPsych open · 2025Article
- Mental health challenges faced by health care providers involved in the care of coronavirus disease 2019 patients in the city of Nagpur: A mixed-method study.Journal of family medicine and primary care · 2025Article
- Exploring the mediating effect of burnout between fear of COVID-19, job-related stress and turnover intention among elderly care workers.BMC health services research · 2025Observational
- Psychological and Social Factors Associated With Reporting Post-COVID Symptoms Among German Healthcare Workers: A Cross-Sectional Study.Journal of clinical nursing · 2025Article
- Article
- Improving health-promoting workplaces through interdisciplinary approaches. The example of WISEWORK-C, a cluster of five work and health projects within Horizon-Europe.Scandinavian journal of work, environment & health · 2025Article
- Economic Deterioration and Social Factors Affecting Mental Health During the COVID-19 Pandemic in Japan: Web-Based Cross-Sectional Survey.JMIR formative research · 2025Article
- The effect of Effort-Reward imbalance on job performance among primary healthcare professionals: the mediating roles of social support and resilience.Scientific reports · 2025Article
- Article
- Trajectories of Canadian Workers' Well-Being During the Onset of the COVID-19 Pandemic.Applied research in quality of life · 2025Article
- Multitasking and workplace wellbeing: the roles of job stress and job autonomy.Frontiers in psychology · 2025Article
- Anxiety, Depression and Resilience among Primary Care Nurses Working in the Rural Health Units of Samar Province during the COVID-19 Pandemic.Acta medica Philippina · 2025Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe psychological condition of healthcare workers since the COVID-19 pandemic has attracted the attention of many studies. However, few have reported on psychosocial problems of primary healthcare workers in the COVID-19 pandemic. This study aimed to examine the mediating roles of social support and resilience in COVID-19-related work stress and symptoms of anxiety and depression.
methodsA total of 840 primary healthcare workers in 17 community health centers in Guangzhou, China, were recruited from May to July 2021. Data on demographic characteristics, COVID-19-related work stress, social support, resilience, anxiety and depression were collected. A structural equation model was used for mediation analysis.
resultsMore than half of participants reported mild or more severe (at least borderline abnormal) symptoms of anxiety (68.1%) and depression (55.6%). Social support and resilience mediate the association between COVID-19-related work stress and symptoms of anxiety and depression, respectively. Furthermore, the association between work stress and symptoms of anxiety and depression was also mediated by an accumulation of social support and resilience. The indirect effect of COVID-19-related work stress on anxiety and depression through resilience was much greater than other indirect effects.
conclusionAnxiety and depression were prevalent among primary healthcare workers. This study highlights the psychological impact of the COVID-19-related psychosocial work environment on primary healthcare workers. There is an urgent need to improve working conditions for primary healthcare workers in the COVID-19 and to implement intervention strategies aimed at increasing individual resilience alongside the establishment of external supportive work environments.
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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.