ArticleSocial psychiatry and psychiatric epidemiology2023
Pre-pandemic resilience to trauma and mental health outcomes during COVID-19.
Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- The Association between Resilience and Psychological Distress during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Associations among positive childhood experiences, resilience, and psychological distress in health professions students.Medical education online · 2026Article
- Observational
- Continuous Versus Grouping Approaches to Resilience: Predicting Mental Health Following Adversity in Two Longitudinal Datasets.JAACAP open · 2026Article
- Network analysis of social support, resilience, quality of life, and insomnia under pandemic control measures.Frontiers in public health · 2026Article
- Life-long coping patterns and bio-psycho-social predictors of individual responses to the COVID-19 pandemic-protocol of the Rostock Longitudinal Study (ninth wave).Frontiers in public health · 2026Observational
- COVID-19 hardship and mental health in Chilean parents: the role of disaster exposure and family resilience.European journal of psychotraumatology · 2025Article
- Psychological resilience to trauma and longitudinal sleep outcomes among current and former nurses.Journal of psychosomatic research · 2025Article
- Interactions of chronic stress exposure and stress appraisal on vascular endothelial function among young adults.Journal of applied physiology (Bethesda, Md. : 1985) · 2025Article
- Network analysis of work-family support and career identity and their associations with job burnout among primary healthcare workers: a cross-sectional study.Frontiers in public health · 2025Article
- Psychological resilience, resilient coping, and health behaviors among adults in Puerto Rico after multiple adverse events.Preventive medicine reports · 2024Article
- Article
- Fear of COVID-19, Perceived Stress, and PTSD: The Serial Mediating Role of Sense of Coherence.European journal of investigation in health, psychology and education · 2023Article
- Psychological resilience to lifetime trauma and risk for cardiometabolic disease and mortality in older adults: A longitudinal cohort study.Journal of psychosomatic research · 2023Article
- Did Resilience and Socioeconomic Status Predict Older Adults' Finding a Silver Lining in COVID?Innovation in aging · 2023Article
- Psychological Resilience to Trauma and Risk of COVID-19 Infection and Somatic Symptoms Across 2 Years.Psychosomatic medicineArticle
- Internet-Based Trauma Recovery Intervention for Nurses: A Randomized Controlled Trial.Complex psychiatryArticle
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
purposeThe stress-sensitization hypothesis posits that individuals with prior trauma are at elevated risk for poor mental health when faced with subsequent stressors. Little work has examined whether those who have demonstrated psychological resilience to prior trauma would show either increased resilience or vulnerability to subsequent stressors. We examined pre-pandemic psychological resilience to lifetime trauma in relation to mental health outcomes amid the coronavirus disease 2019 (COVID-19) pandemic, a major societal stressor.
methodsThe sample included 16,900 trauma-exposed women from the Nurses' Health Study II. Pre-pandemic resilience was defined by psychological health in 2017-2019 (characterized by levels of both distress and positive emotional well-being) relative to lifetime trauma. Resilience was defined categorically by cross-classifying unfavorable, adequate, and favorable psychological health by higher versus lower trauma burden, and continuously as the residual difference in predicted versus actual psychological health regressed on trauma burden. Mental health outcomes as of May-August 2020 included psychological distress symptoms and overall positive emotional well-being. Associations were assessed using covariate-adjusted regression models.
resultsPre-pandemic resilience was associated with lower distress and higher well-being early in the COVID-19 pandemic. Relative to the women showing highest resilience (favorable psychological health despite higher trauma), only those with lower trauma and favorable prior psychological health had significantly lower distress and higher positive emotional well-being during the pandemic. Higher continuous pre-pandemic resilience was also significantly associated with lower distress and higher positive emotional well-being during the pandemic.
conclusionPreventing mental health problems following trauma may contribute to protecting population well-being amid major stressors.
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Registered trials
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