ArticleBMC public health2022
Stressors related to the Covid-19 pandemic, climate change, and the Ukraine crisis, and their impact on stress symptoms in Germany: analysis of cross-sectional survey data.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Depressive Symptoms Among Higher Education Students in Germany-A Systematic Review and Meta-Analysis.Public health reviews · 2024Pooled it
- Mental health and psychological distress in healthcare-related students post-pandemic: a cross-sectional study.Frontiers in psychology · 2026Article
- Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic.European journal of psychotraumatology · 2025Article
- Income, Educational Level, and Depressive Symptoms in a Time of Multiple Crises: Trends Revealed by High-Frequency Mental Health Surveillance in Germany, 2019–2024.Deutsches Arzteblatt international · 2025Observational
- Effects of an App-Based Intervention to Improve Awareness and Usage of Early Childhood Intervention Services During the COVID-19 Pandemic: Randomized Controlled Trial of the CoronabaBY Study from Germany.Healthcare (Basel, Switzerland) · 2025Article
- Psychosocial stress in families of young children after the pandemic: no time to rest.Child and adolescent psychiatry and mental health · 2025Article
- Climate change and daily wellbeing: The role of environmental, governmental, and commute-related stressors.Cogent mental health · 2025Article
- Generation climate crisis, COVID-19, and Russia-Ukraine-War: global crises and mental health in adolescents.European child & adolescent psychiatry · 2024Article
- Climate change-related concerns in psychotherapy: therapists' experiences and views on addressing this topic in therapy.BMC psychology · 2024Article
- Emotion regulation shows an age- and sex-specific moderating effect on the relationship between chronic stress and cognitive performance.Scientific reports · 2024Article
- Climate Change Perception and Mental Health. Results from a Systematic Review of the Literature.European journal of investigation in health, psychology and education · 2024Review
- Evolution of Youth's Mental Health and Quality of Life during the COVID-19 Pandemic in South Tyrol, Italy: Comparison of Two Representative Surveys.Children (Basel, Switzerland) · 2023Article
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Authors and funding
7 authors.
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Abstract
backgroundClimate change, the Covid-19 pandemic, and the Ukraine crisis are considered unprecedented global stressors, potentially associated with serious health consequences. However, simultaneous effects of these stressors are not yet understood, making it difficult to evaluate their relative contribution to the population burden and potential future manifestations in clinically significant psychiatric disorders. This study aimed at disentangling the relative contribution of the three stressor groups on current sub-clinical stress symptoms.
methodsA cross-sectional, representative survey study was conducted two months after the outbreak of the Ukraine war in Germany. Proportional quota sampling was applied for age, gender, income, and regional characteristics. Data were recruited by means of an online survey. 3094 data sets (1560 females) were included. Age ranged from 18-89 (M: 50.4 years; SD: 17.2). The Subclinical Stress Questionnaire (SSQ-25) served as main outcome measure. In collaboration with a professional media agency, 20 items were generated to capture salient population stressors. A three-factor exploratory structural equation model confirmed the appropriateness of this scale.
results(1) Differences in subjective rankings revealed that stressors related to the Ukraine crisis were rated as most worrying, followed by climate change, and the Covid-19 pandemic (Generalized-Linear-Model: Epsilon = .97; F(1.94, 6001.14) = 1026.12, p < .001; η
conclusionsResearchers from the health sciences must consider overlapping effects from population stressors. Although the Ukraine crisis and climate change mark salient stressors, including economic threats, the Covid-19 pandemic still has a profound effect on ill-health and must be considered as a relevant factor in future manifestations of psychiatric and associated health consequences.
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