Evidence map›Paper›PMID 35304231›Full record

ArticleJournal of affective disorders2022

The role of alexithymia and perceived stress in mental health responses to COVID-19: A conditional process model.

Ru Li, Jani Kajanoja, Jallu Lindblom, Riikka Korja, Linnea Karlsson, Hasse Karlsson, Saara Nolvi, Max Karukivi

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In one paragraph

Article in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. More Positive Emotion, Less Stress Perception?Psychology research and behavior management · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ru LiDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland; FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland. Electronic address: ru.li@utu.fi.
Jani KajanojaDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland; FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland; Department of Psychiatry, Satakunta Hospital District, Pori, Finland.
Jallu LindblomFinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland; Faculty of Social Sciences, Tampere University, Tampere, Finland.
Riikka KorjaFinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland; Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland.
Linnea KarlssonDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland; FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.
Hasse KarlssonDepartment of Psychiatry, University of Turku and Turku University Hospital, Turku, Finland; FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland; Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.
Saara NolviFinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland; Turku Institute for Advanced Studies, University of Turku, Turku, Finland; Department of Medical Psychology, Charité Universitätsmedizin, Berlin, Germany; Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland.
Max KarukiviFinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland; Department of Adolescent Psychiatry, University of Turku and Turku University Hospital, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the psychological mechanisms underlying the mental health problems related to the COVID-19 pandemic. Hypothetically, perceived stress and alexithymia may be factors involved in the mental distress response to the pandemic; however, this remains largely unstudied. This study aims to explore the moderating role of alexithymia and the moderated mediation effects of perceived stress on the mental health change due to the pandemic.

methodsThe conditional process model was used to examine the moderated mediation. The sample consists of 659 parents from the FinnBrain Birth Cohort Study who completed the Toronto Alexithymia Scale (TAS-20) at 6 months after delivery, the Edinburgh Postnatal Depression Scale (EPDS) and the Symptom Checklist-90 (SCL-90) at 2 or 4 years postpartum between 2014 and 2019; and a questionnaire for pandemic events, a brief 4-item version of the Perceived Stress Scale (PSS-4) and the follow-up EPDS/SCL-90 in 2020 after 3 months from the outbreak of COVID-19 pandemic in Finland.

resultsAlexithymia moderated the perceived stress-mediated relations between the pandemic events and the changes of depressive and anxiety symptoms through enhancing the detrimental effect of perceived stress on mental health. LIMITATIONS: This study was mainly limited by the causality and generalizability of the findings.

conclusionsOur findings indicate the moderated mediation effects of alexithymia and perceived stress on the psychological symptoms, which has implications for understanding how and when stressful situations translate to mental health problems, identifying vulnerable individuals, and tailoring preventive and psychotherapeutic interventions.

Indexed as

COVID-19Affective SymptomsCohort StudiesFemaleHumansMental HealthPandemicsStress, PsychologicalAlexithymiaAnxiety symptomsCOVID-19Depressive symptomsStress

Identifiers

PMID35304231
PMCPMC8923745

What OpenQuestion holds

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Registered trials

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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.