Evidence map›Paper›PMID 35584726›Full record

ArticleJournal of affective disorders2022

Relationship between perceived stress and depression in Chinese front-line medical staff during COVID-19: A conditional process model.

Peng Li, Zhen Liang, Zhaojing Yuan, Guohua Li, Yanni Wang, Wei Huang, Lingyun Zeng, Jiezhi Yang, Xin Zhou, Junchang Li and 2 more

Open access · greenAbstract read
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. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
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

13 citing papers in PubMed, 21 citations in OpenAlex.

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  2. Impact of future-oriented coping on depression among medical staff: A chain mediation model involving psychological resilience and perceived stress.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Peng LiInstitute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, China.
Zhen LiangSchool of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, China.
Zhaojing YuanQingdao Mental Health Center, Qingdao University, Qingdao, China.
Guohua LiShenzhen Kangning Hospital, Shenzhen, China.
Yanni WangInstitute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, China.
Wei HuangShenzhen Kangning Hospital, Shenzhen, China.
Lingyun ZengShenzhen Kangning Hospital, Shenzhen, China.
Jiezhi YangShenzhen Health Development Research Center, Shenzhen, China.
Xin ZhouResearch Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China.
Junchang LiShenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen, China.
Li SuInstitute of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, China. Electronic address: sul@lzu.edu.cn.
Yongjie ZhouShenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen, China. Electronic address: qingzhu1108@126.com.
Jinzhou Kangning Hospital · CNLanzhou University · CNShenzhen KangNing Hospital · CNChina University of Geosciences · CNDevelopment Research Center · CNQingdao University · CNShenzhen University Health Science Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSustained stress during COVID-19 may be associated with depression in front-line medical staff, which would expose them to severe threats. This study aimed to examine whether the relationship between perceived stress and depression is mediated by insomnia, and whether this mediation is moderated by resilience.

methodsFor front-line medical staff, this study used online questionnaire to evaluate their perceived stress, depression, insomnia and resilience. A conditional process model was performed to examine the relationship between perceived stress and depression, as well as the mediating effect of insomnia and the moderating effect of resilience.

resultsA total of 606 front-line medical staff completed the survey. Higher level of perceived stress was significantly positively related to severe insomnia and depression. In addition, insomnia was positively related to depression, while resilience could moderate the effect of perceived stress on depression by direct and indirect paths. LIMITATIONS: The causality among perceived stress, depression, insomnia and resilience is difficult to be verified.

conclusionsPerceived stress is positively related to depression, and insomnia can mediate the effect of perceived stress on depression. In addition, the effect of perceived stress on depression, whether direct or indirect, is moderated by resilience, which is a protective factor for mental health.

Indexed as

COVID-19Resilience, PsychologicalSleep Initiation and Maintenance DisordersChinaCross-Sectional StudiesDepressionHumansMedical StaffStress, PsychologicalCOVID-19DepressionFront-line medical staffInsomniaPerceived stressResilience

Identifiers

PMID35584726
PMCPMC9107392
OpenAlexW4280518405

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.